"Charge Code Description”,Rate LAB SARS CoV-2 TESTING, 216.00 C/S CAPSULAR TENSION RING,557.00 C/S INFINITI SINGLE USE NEEDLE,215.00 C/S NUMBY IOGEL LARGE,49.00 C/S SHOULDER IMMOB WOMENS MEDIUM,33.00 C/S SHOULDER IMMOB WOMENS LARGE,33.00 C/S SHOULDER IMMOB WOMENS XL,44.00 C/S CAST BOOT XL,34.00 C/S THUMB SPICA UNIVERSAL,34.00 C/S THUMB/WRIST SPICA LARGE LEFT,93.00 C/S ESOPHAGAEL TRACH AIRWAY,204.00 C/S FOLEY CATH 16FR 5CC TIEMAN,97.00 C/S SCALPEL #15,8.00 C/S ORTHO SHOE XL,40.00 C/S ORTHO SHOE XS,40.00 C/S RELOADABLE LINEAR CUTTER 75MM,"1,209.00" C/S LINEAR CUTTER RELOADS 75MM,645.00 C/S TED SOX KNEE LENGTH LARGE LONG,20.00 C/S TED SOX KNEE LENGTH XL REG,20.00 C/S BAIR HUGGER UPPER BODY,44.00 C/S SUTURE VICRYL 2-0,16.00 C/S FOLEY CATH 10 FR 3 CC PED,30.00 C/S OLYMPUS SINGLE USE INJECTOR,119.00 C/S TED SOX KNEE LENGTH MEDIUM LONG,20.00 C/S SURGICAL CAUTERY FINE TIP,62.00 C/S AMNIHOOK FINGERCOT,27.00 C/S ABDOMINAL BINDER MEDIUM,48.00 C/S SUTURE PROLENE 4-0,30.00 "C/S SCOTCHCAST PLUS 2"" PURPLE",17.00 C/S ALEXIS WOUND RETRACTION SYSTEM MED,239.00 C/S GELPORT SYSTEM WITH ALEXIS O RETRACT,"1,797.00" C/S ENDOSCOPIC GIA ROTICVULATOR 30-2.5,930.00 C/S ENDOSCOPIC GIA ROTICULATOR 30-2.0,965.00 C/S ENDO GIA UNIVERSAL XL,"1,118.00" C/S ENDOSCOPIC GIA ROTICULATOR 60-3.5,"1,059.00" C/S FLAT DRAIN 7MM,55.00 C/S TENDERWET 1X6 ROUND,31.00 C/S TRANS-TRACHEAL CATHETER ADULT,331.00 C/S TRANS-TRACHEAL CATHETER CHILD,331.00 C/S LIGASURE 5MM,"1,487.00" "C/S SCOTCHCAST 3"" PURPLE",122.00 "C/S SCOTCHCAST PLUS 4"" GREEN",20.00 C/S VERSAPORT PLUS 5-12MM,425.00 C/S VERSAPORT PLUS 5-11MM,425.00 C/S MEPILEX AG 4X4,52.00 C/S SUTURE PROLENE 6-0,25.00 C/S BLOOD/FLUID WARMING SET STANDARD FLO,70.00 C/S BLOOD/FLUID WARMING SET HIGH FLOW,194.00 C/S WRIST SPLINT XL LEFT,36.00 C/S ISLAND DRESSING 2X2 3/4,3.00 C/S TRACH CARE KIT,14.00 PROMOTE WITH FIBER 8OZ CAN,14.00 C/S BAKRI POSTPARTUM BALLOON,691.00 C/S TUBIGRIP G PER FOOT,3.00 C/S TED SOX XXL REGULAR,21.00 C/S GIA UNIVERSAL 12MM INSTRUMENT,735.00 C/S LIGASURE PRECISE,963.00 C/S AQUACEL AG 6X6,152.00 C/S TUBIGRIP E PER FOOT,14.00 C/S BIOPATCH ANTIMICROBIAL,27.00 C/S LEG BAG W/EXTENSION TUBING,15.00 C/S SUTURE CHROMIC 2-0,20.00 C/S WHISTLE TIP URETERAL CATH LEFT 5.0,125.00 C/S SUTURE PROLENE 2,30.00 C/S SUTURE PROLENE 2-0,20.00 C/S BREASTPUMP,103.00 C/S BREASTFEEDING KIT,51.00 C/S EPIDURAL SET W/VENTED SPIKE NON FILT,48.00 C/S JUVEN ORANGE FORMULA,23.00 CS EPI TRAY W/ FLEX TIP,164.00 CS LMA SIZE 3,52.00 C/S Suture ETHILON 4-0 BLK MONO,20.00 C/S EVAC BOTTLE 200ML,35.00 C/S EVAC BOTTLE 500 ML,17.00 C/S FOLEY CATH 22FR 3 WAY,54.00 C/S URINE METER 16FR,103.00 C/S THUMB/WRIST SPICA SMALL LEFT,96.00 C/S CRUTCHES YOUTH,56.00 C/S CRUTCHES ADULT,56.00 C/S CRUTCHES TALL,56.00 C/S DUODERM 6X6 EXTRA THIN,27.00 C/S ARTERIAL EMBOLECTOMY 3FR,363.00 "C/S SCOTCHCAST PLUS 3""",25.00 "C/S SCOTCHCAST PLUS 4""",28.00 C/S BAIR HUGGER FULL BODY,37.00 C/S SUPRAPUBIC PROCEDURAL TRAY,328.00 C/S HEYMAN SYSTEM UROLOGIST TRAY,686.00 C/S SUTURE ETHILON 5-0,27.00 "C/S PROMOGRAN DRESSING 4.34""",51.00 IV NS 1000 1/2 GLASS 500,93.00 C/S APPLIER LIGAMAX5MM ENDO CLIP,"1,231.00" C/S BIOPSY FORCEPS 230CM,244.00 C/S TEGADERM W/BORDER 4 X 4 3/4,13.00 C/S KIWI OMNICUP,141.00 C/S ALEXIS O C-SECTION RETRACTOR LG,330.00 C/S RUMI TIP BLUE 6.7MM,223.00 CS MINI DROP BASIC SET,8.00 C/S INFANT CATH KIT,20.00 C/S SKINTEGRITY HYDROGEL BELLOW BOTTLE,12.00 C/S ALEXIS O C-SECTION RETRACTOR XL,363.00 C/S MINILAP ALLIGATOR GRASPER,891.00 CS IV BLOOD Y IV PUMP,31.00 C/S SUTURE ETHILON 5-0,27.00 C/S CURVED STAPLER 33MM,"2,758.00" C/S POWER PICC 5FR,515.00 C/S POWER PICC 4FR,481.00 C/S SILVER POWDER,107.00 C/S SUTURE PDS II 0,21.00 C/S Tegaderm CHG,37.00 C/S DST Stapler 31mm,"1,270.00" C/S Disp. Skin Stapler 5.7mm,159.00 CS IV Large Bore Extension Set,23.00 C/S Polymem Dressing 4x4,27.00 C/S Rocker Pencil w/Attachment,62.00 C/S EXTRICATION COLLAR PEDIATRIC,39.00 C/S EXTRICATION COLLAR ADULT,39.00 C/S Mesh Large Left,607.00 C/S Mesh Large Right,607.00 C/S Shoulder Immob Womens Med,32.00 C/S Profore Compression Bandage,75.00 C/S OPTICHAMBER,44.00 C/S Thera Honey Gel,31.00 C/S Single Shot Epidural Tray,113.00 C/S TELFA 3x4 w/ ADH TABS,4.00 C/S Baza Antifungal Barrier Cr. 5oz tube,30.00 C/S Collagen Prisma Matrix Dressing,52.00 C/S Cavilon Durable Barrier Cream,25.00 C/S Hydrogel SilvaSorb dressing,100.00 C/S Adhesive Dressing Allevyn 5x5,27.00 "C/S FOLEY TRAY, INF CONT 16 FR LF",80.00 FLUTTER VALVE,175.00 C/S COOK HOT BIOPSY FORCEP,117.00 C/S TED SOCK THIGH LENGTH SM LONG,29.00 C/S TELFA 2x3 WITH ADHESIVE,1.00 US ENDSCOPY ROTH NET PLANTINUM,263.00 C/S ABD 5X9,1.00 C/S RHINO ROCKETS SMALL,65.00 C/S RHINO ROCKETS MED,68.00 C/S RHINO ROCKETS LARGE,78.00 HYDROFERA BLUE 4X4,36.00 MELKER EMERG CRICOTHYROTOMY CATHETER SET,444.00 C/S PARIETEX SKIRTED MESH 20X15 CM,"3,194.00" C/S MALYUGIN RING,462.00 FOLEY 16FR 30cc,52.00 C/S ULTRAPRO HERNIA SYSTEM LARGE,477.00 C/S SUTURE VICRYL 2-0 PLUS UND CT-2,2.00 C/S SURGIFOAM TUBULAR,146.00 C/S SURGIFOAM HEMORRHOIDECOMY SPONGE,146.00 "C/S FOLEY, 16 FR 30 CC",36.00 C/S INSTINCT ENDOSCOPIC HEMOCLIP,661.00 SUTURE CTD VICRYL 3-0,18.00 SURGICEL HEMOSTAT 2X3 ABSORBABLE,206.00 C/S AQUACEL AG EXTRA HYDRO DRESSING 4X5,54.00 C/S MEPILEX 7.2X7.2,35.00 C/S PARIETEX COMPOSITE VENTRAL PATCH,"1,210.00" "C/S CATHETER, BALLOON DILAT NON-VASCULAR",188.00 MELKER EMERG CRICOTHYROTOMY 4.0MM CATH,448.00 TIELLE LITE 4/12 X 4 1/2,25.00 TIELLE SACRUM 7X7,69.00 C/S STAT LOCK STABILIZER FOLY CATH,37.00 C/S MEPILEX LITE BORDER 6X6,27.00 "C/S INTERDRY AG 10""x12"" EACH UNIT",13.00 PICC LINE DRESSING KIT,81.00 C/S SUTURE PLAIN GUT 2-0,23.00 C/S AQUACEL AG 3.5X6,136.00 C/S ALLEVYN HEEL DRESSING,45.00 C/S SINGLE BASIN PACK,120.00 C/S CLEAN CATH 14FR,7.00 C/S THERA HONEY DRESSING 4X5,20.00 C/S DUODERM HYDROACTIVE GEL,33.00 C/S MEPILEX HEEL DRESSING 5X8,38.00 C/S SURESTEP FOLEY TRAY 14 FRENCH,112.00 "C/S ROB-NEL CATHETER, 12 FR",7.00 C/S COBAN COMPRESSION SYSTEM LITE,55.00 IV NS 1000,97.00 IV LR 1000,97.00 C/S SUTURE PROLENE 5-0,28.00 C/S SUTURE PROLENE 5-0 36 V-5 V5 BL MO,36.00 TEGADERM IV TRANSPARENT FILM,12.00 C/S SURESTEP FOLEY TRAY 16 FRENCH,54.00 C/S PICC LINE DRESSING KIT,68.00 IV NS 1000,87.00 C/S GENTLE BORDER 5X5 X 5.5,24.00 C/S RAPID RHINO POSTERIOR EPISTAXIS,244.00 C/S ANASPET WOUND CLEASNER,79.00 C/S ALLEVYN 2X2 GENTLE BORDER LITE,15.00 "C/S LEG BAG, HOLLISTER",26.00 C/S TUBIGRIP SIZE F,146.00 C/S 4MM DERMAL CURETTE,14.00 LODOSORB TUBE GEL 10 GM,54.00 C/S STRATASORB DRESSING 4X4,9.00 C/S STRATASORB DRESSING 6X6,13.00 C/S COBAN 2 LAYER COMFORT COMPRESSION,55.00 C/S SYMBOTEX 20X15 CM COMPOSITE MESH,"2,196.00" IV D10 250 ML,83.00 C/S CUTIMED SORBACT WCL 4X8,30.00 C/S HYDROFERA READYBORDE FOAM 4X5 BLUE,30.00 C/S NIPPLE SHIELD 16MM,26.00 C/S NIPPLE SHIELD 20MM,31.00 C/S SUTURE MONOCRYL 2-0,20.00 C/S SUTURE MONOCRYL 3-0,38.00 "C/S MEPILEX BORDER POST OP 8X4""",30.00 C/S CARESITE EXTENSION SET,16.00 C/S PERICARDIOCENTESIS PROCEDURE KIT,313.00 C/S ABDOMINAL BINDER TRI-PANEL L/XL,28.00 C/S ABDOMINAL BINDER TRI-PANEL S/M,26.00 C/S MEPILEX SACRUM FOAM BORDER DRESSING,32.00 C/S COMPRILAN BANDAGE,26.00 C/S FOLEY TRAY URINE METER 8F 200 ML,130.00 C/S FOLEY TRAY URINE METER 10F 200ML,130.00 C/S URINE METER TRAY PEDIATRIC 5FR,56.00 STOMA POWDER,20.00 "C/S ACE 2""",13.00 C/S GAUZE 2x2,3.00 R&B SEMI-PRIVATE,"1,372.00" R&B SEMI-PRIVATE HIGH INTENSITY OTHER,"2,511.00" R&B HOSPICE INPATIENT,"1,372.00" R&B OB BASIC,"1,372.00" R&B OB HIGH INTENSITY 1:1 CARE,"3,753.00" R&B SWING BED,891.00 U/S FNA WITH IMAGING GUIDANCE 1ST LESION,690.00 U/S FNA W/IMAGING GUIDANCE EA ADD'T,210.00 Hurricane One anesthetic Oral,22.40 Vasotrict INJ 20U / 1ml,230.80 ER RM FINE NEEDLE A,209.00 ProSC Needle aspiration,229.00 C/S SUTURE SILK 1,16.00 C/S SUTURE SILK 2-0,18.00 C/S SUTURE SILK 3-0,17.00 C/S SUTURE SILK 4-0,17.00 DR I&D ABSCESS SIMPLE,276.00 ER RM I&D ABSCESS S,415.00 "ProSC I&D abcess, simple or single",276.00 ER DR I&D ABSCESS S,351.00 ER RM I&D ABSCESS,730.00 ER DR I&D ABSCESS C,677.00 PRO I&D COMPL ABCESS,486.00 I&D PILON CYST-SIMP,536.00 I&D PILON CYST-SIMP,661.00 ICF SKILLED; HEAVY CARE,458.00 ICF SKILLED CARE,301.70 ICF HOLD ROOM,0.00 ICF RESIDENT CARE; SEMI-PRIV,326.50 ICF HOLD ROOM,0.00 ICF RESIDENT CARE; SEMI-PRIV MEDICAID,315.00 Wash and Set,12.00 HAIRCUT,25.00 INCONTINENT CARE,19.00 CATHETER CARE,21.00 SECURE CARE,16.00 PERIODIC INCONTINENT CARE,12.00 INCONTINENT CARE; HEAVY CARE,24.00 ER RM FOREIGN BO,210.00 ER DR INC & REM FOR,530.00 INCIS/REM FB COMPL,480.00 INCIS/REM FB COMPL,985.00 C/S SUTURE ETHILON 3-0,18.00 I & D HEMATOMA,336.00 "ER DR I&D HEMATOMA,",493.00 C/S SUTURE ETHILON 4-0,19.00 C/S SUTURE ETHILON 5-0,35.00 ER RM PUNT ASPIR A,354.00 ER DR PUNCT ASPIR A,443.00 ProSC Abscess puncture aspiration,249.00 C/S SUTURE ETHILON 6-0,23.00 COMPLEX DRAIN WOUND,536.00 INCIS&DRNG COMPSTOP,786.00 C/S AIR STIRRUP RIGHT LARGE,131.00 C/S AIR STIRRUP LEFT MEDIUM,131.00 C/S AIR STIRRUP RIGHT MEDIUM,131.00 C/S ANKLE BRACE MEDIUM,56.00 C/S ARM SLING XL,21.00 C/S ARM SLING PED,24.00 C/S ARM SLING SMALL PED,24.00 C/S ARM SLING SMALL,18.00 C/S ARM SLING LARGE,18.00 C/S SHOULDER IMMOB MENS MEDIUM,44.00 C/S SHOULDER IMMOB MENS XL,33.00 C/S SUTURE GORE CV-2,117.00 C/S CAST BOOT MEDIUM,31.00 C/S CAST BOOT SMALL,30.00 R&B ICU/CCU LEVEL I,"3,541.00" C/S CERVICAL COLLAR MEDIUM,33.00 R&B ICU/CCU LEVEL 2,"3,136.00" C/S CERVICAL COLLAR SMALL,33.00 C/S SUTURE CHROMIC 0,21.00 C/S SUTURE CHROMIC 2-0,23.00 C/S DUODERM 4X4 X-THIN,19.00 C/S SUTURE CHROMIC 3-0,30.00 C/S SUTURE CHROMIC 4-0,20.00 C/S FOLEY CATH 24FR 30CC COUDE,48.00 C/S FOLEY CATH 20FR 30CC COUDE,48.00 C/S FOLEY CATH 18FR 5CC TIEMAN,97.00 C/S FOLEY CATH 14FR 5CC TIEMAN,30.00 C/S FOLEY CATH 16FR 30CC,34.00 C/S FOLEY CATH 16FR TIEMAN COUDE,30.00 C/S FOLEY CATH 26FR 5CC,29.00 C/S FOLEY CATH 22FR 30CC,14.00 C/S FOLEY CATH 20FR 5CC,29.00 C/S FOLEY CATH 16FR 5CC,30.00 C/S SUTURE MONOCRYL 4-0,34.00 C/S FOLEY CATH 18FR 5CC,14.00 C/S FOLEY CATH 16FR 5CC TIEMAN,68.00 C/S FOLEY CATH 12FR 5CC,27.00 C/S FOLEY CATH 14FR 5CC,27.00 C/S ALUM COLLES SPL,67.00 R&B NURSERY,800.00 R&B NURSERY HIGH INTENSITY,"2,751.00" OB 1:1 NURSING CRITICAL PER HR,220.00 R&B NURSERY 0-12 HR,708.00 "C/S KLING 6""",4.00 C/S SUTURE CHROMIC,23.00 C/S NUGAUZE PLAIN 1/2 INCH,25.00 C/S SUTURE CHROMIC 3-0,25.00 C/S SUTURE SILK 0,19.00 C/S ORTHO SHOE LARGE,40.00 C/S SCOTCHCAST 3 INCH RED,27.00 C/S SCOTCHCAST 3 INCH PINK,27.00 C/S SUTURE ETHIBOND 2,25.00 R&B I/P RESPITE - HOSPICE,717.00 C/S DISPOSABLE SKIN STAPLER 6.9mm,159.00 C/S WRIST SPLINT MEDIUM LEFT,80.00 C/S WRIST SPLINT MEDIUM RIGHT,80.00 C/S WRIST SPLINT SMALL LEFT,80.00 C/S WRIST SPLINT SMALL RIGHT,80.00 C/S XEROFORM 2x2,8.00 C/S SUTURE SILK 3-0,16.00 INPT HOSPICE,"1,372.00" C/S SUTURE CHROMIC 5-0,21.00 C/S SUTURE RET. BOL,24.00 UNCOMP VAG DELIVERY,"3,853.00" COMPLICATED VAG DEL,"5,548.00" OR C-SECTION DELIVERY ONLY SCHEDULED,"5,687.00" OR C-SECTION DELIVERY ONLY UNSCHEDULED,"6,116.00" OB NON STRESS TEST,393.00 PHASE 1 RECOVERY PER MIN,14.00 PHASE 2 RECOVERY PER MIN,13.00 PHASE 3 OBS EXT RECOVERY,4.00 C/S SUTURE VICRYL 0,21.00 C/S SUTURE PROLENE 6-0,44.00 C/S SUTURE VICRYL 3-0,19.00 C/S SUTURE VICRYL 1,18.00 C/S SUTURE VICRYL 5-0,32.00 C/S 4X4 TUBS CURITY,8.00 C/S SUTURE VICRYL 4-0,125.00 C/S SUTURE VICRYL 4-0,19.00 C/S SUTURE VICRYL 2-0,34.00 C/S SUTURE VICRYL 3-0,34.00 HH RN SKILLED VISIT,309.00 HOSPICE RN SKILLED VISIT,309.00 HH RN SKILLED VISIT - MEDICARE,309.00 HH RN SKILLED VISIT 15M X2,146.00 HH RN SKILLED VISIT 15M X3,99.00 HH RN SKILLED VISIT 15M X4,72.00 HH CNA VISIT,161.00 HH CNA VISIT 15M X3,51.00 HH CNA VISIT 15M X4,38.00 HH CNA VISIT 15M X5,31.00 HH CNA VISIT 15M X6,25.00 HH CNA VISIT 15M X7,21.00 HOSPICE CNA VISIT,161.00 HH CNA VISIT - MEDICARE,161.00 HH CNA VISIT 15M X2,76.00 C/S SUTURE VICRYL 3-0,25.00 C/S SUTURE VICRYL 4-0,16.00 C/S SUTURE VICRYL 0,30.00 C/S SUTURE VICRYL 2-0,18.00 C/S SUTURE VICRYL 3-0,30.00 C/S SUTURE GORE CV-5,68.00 C/S SUTURE PDS II 1,33.00 C/S SCOTCHCAST PLUS 2 INCH PINK,21.00 C/S SCOTCHCAST PLUS 3 INCH GREEN,26.00 C/S SCOTCHCAST PLUS 3 INCH PURPLE,27.00 C/S SUTURE VICRYL 3-0,18.00 C/S SUTURE VICRYL 4-0,25.00 C/S SUTURE VICRYL 2-0,24.00 "C/S KERLIX 4"" STERILE",8.00 C/S ALUM EYE SHIELD,22.00 C/S KNEE IMMOBILIZER 12 INCH,70.00 C/S SUTURE VICRYL 4-0,30.00 C/S SUTURE PROLENE 1,24.00 OB 1:1 SPECIAL PER HR,147.00 ER RM DEBRID SK SUB,403.00 Debride subq tissue<=20sq cm,265.00 ER DR DEBRID SK SUB,334.00 ProSC Paring/Cut b-h lesion; 1 lsn,35.00 ProSC Paring/Cut b-h lesion; 2 to 4 lsns,45.00 C/S SUTURE PROLENE 0,23.00 C/S SUTURE VICRYL 0,44.00 C/S SCALPEL #10,8.00 C/S SUTURE PROLENE 0,23.00 C/S SUTURE PDS II 0,23.00 "Skin biopsy, subq, mm",175.00 ER DR BIOPSY/LESION,178.00 C/S SUTURE PDS II 1,25.00 C/S SUTURE REMOVAL KIT,14.00 C/S ABDOMINAL BINDER SIZE 45-62,31.00 skin tag removal,134.00 SHAVING SKIN LESION,154.00 C/S SHOULDER IMMOB MENS LARGE,33.00 "excision B9 les trunk, arm,leg.6-1cm",234.00 "excision B9 les trunk, arm,leg 1.1-2cm",376.00 "excision B9 les trunk, arm,leg 2.1-3cm",354.00 "excision B9 les trunk, arm,leg 3.1-4cm",388.00 "excision B9 les trunk, arm,leg 4+cm",878.00 SC PRO EXC B9 LESION,878.00 "exc B9 sc, neck,hand,feet,gen .6-1.0cm",246.00 "exc benign sc,neck,hands,feet,gen 1.1-2c",256.00 "exc b9 sc,nk,hnd,ft,g 3.1-4.0cm, multpp",119.00 "exc B9 s,n,ft,hd,g >4.0cm",328.00 "exc B9 les face,ear,eye,n,lip,mm .6-1cm",280.00 "exc B9 les face,ear,eye,n,lip,mm 1.1-2cm",354.00 SC REMOVAL LESION OF FACE/E/E/N/L/M B9,811.00 "exc malig lesion tr,arm,Leg .6-1.0cm",388.00 "exc malig lesion tr,arm,Leg .1.1-2.0 cm",416.00 "exc malig lesion tr,arm,Leg .1.1-2.0 cm",128.00 "exc malig les trunk,arm,Leg >4cm",649.00 ProSC Exc Mal Lsn M/S/N/H/F/G 1.1-2.0cm,351.00 ProSC Exc Mal Lsn M/S/N/H/F/G 3.1-4.0cm,505.00 ProSC Exc Mal Lsn M/S/N/H/F/G 4.0-UPcm,594.00 "Excis malig face,ear,eye,nose,lip1.1-2cm",468.00 FOOT CLINIC TRIMMING NONDYSTROPHIC NAILS,35.00 ER NAIL DEBRIDMENT,223.00 ER DR DEB NAIL(S),324.00 ER AVULSION/NAIL,239.00 ER DR AVULSION/NAIL,347.00 EVAC SUBUNGUAL HEMA,93.00 EVAC SUBUNGUAL HEMA,135.00 Excision of nail & nail matrix,521.00 ER REPAIR OF NAIL BED,335.00 ER DOC REPAIR OF NAIL BED,392.00 PRO SC EXCISION PILONIDAL CYST EXTENSIVE,"1,072.00" ER RM LAC REP SIM,363.00 ER DR LAC REP SIM 2,365.00 ER DR LAC REP SC/NK/AX/GENIT/TRUCK 2.5CM,341.00 ER LAC REP,418.00 ER DR LAC REP SIM 7,426.00 PRO REPAIR SIMPLE 2.6-7.5CM,129.00 ER SIM REP,484.00 ER DR LAC REP SIM,503.00 REP SUPERFICIAL WND,554.00 ER DR LAC RPR 12.6-,613.00 ER SIM REP FAC,414.00 ER DR LAC REP SIM 2,434.00 ER LAC REP,453.00 ER DR LAC REP SIM 5,465.00 ER LAC REPAIR,531.00 ER DR LAC REP SIM 7,521.00 ER RM LAC REP 7.6/1,599.00 ER DR LAC REP 7.6/1,639.00 Repair of superficial wound simple closu,693.00 Repair superficial wound simple closure,642.00 ER RM LAC INTERM SC,465.00 ER DR LAC INTERM SC,648.00 "Repair int sc,ax,trunk,arm/ leg <=2.5 cm",174.00 ER RM LAC REP INT 2,665.00 DR LAC REP INT 2 (ER),913.00 "Rep. Int: sc, ax, t, arms, legs 2.6-7.5c",492.00 "Rep. Int: sc, ax, t, arms, legs 2.6-7.5c",220.00 ER RM LAC REP INT 1,718.00 ER DR LAC REP INT 1,"1,076.00" SC REPAIR INTERMEDIATE SCALP/A/T/E,518.00 C/S SALEM SUMP 14FR,17.00 ER RM LAC REP LAYER CLOSURE,712.00 ER DR LAC REP INT 2,720.00 "Rep int neck,hand/ft,ext gen<=2.5cm",187.00 "Rep int nk,hnd,ft,ext gen <= 2.5 cm,mult",137.00 ER LAC REPAIR/INTERMEDIATE,584.00 ER DR LAC REPAIR/INTERMEDIATE,678.00 C/S SALEM SUMP 18FR,14.00 ER RM LAC REP INT 2,610.00 ER DR LAC REP INT 2,838.00 "Rep int face,ear,eye,nose,Lip,mm <=2.5cm",208.00 ER RM LAC RPR COM 5,593.00 ER DR LAC RPR COM 5,869.00 PRO REP INTERMED FACE EAR EYE 2.6-5.0 CM,189.00 ER RM LAC REP 7.6-12.5cm,462.00 ER DR LAC REP 7.6-1,"1,071.00" C/S SALEM SUMP 16FR,20.00 C/S TED SOX MED REGULAR,20.00 C/S TED SOX XL REGULAR,20.00 C/S TED SOX SMALL REG,20.00 C/S TED SOX XL LONG,20.00 C/S TED SOX SMALL LONG,20.00 "C/S KLING 2""",3.00 ER RM REP COMPELX,678.00 ER DR REP COMPLEX,919.00 "ER RM LAC REP COMPLEX EYE, NOSE, EARS","1,383.00" "Repair complx eye, n, ear, lips2.6-7.5cm","1,257.00" "C/S KLING 3""",3.00 "C/S KLING 4""",3.00 C/S PICC LINE DRESSING KIT,38.00 C/S DRESSING 2 X 2,5.00 C/S HYDRASORB 4X4,16.00 "C/S TRAY, CHEST",135.00 HH SOCIAL WORKER VISIT,254.00 HH SOCIAL WORKER VISIT - MEDICARE,241.00 HOSPICE SOCIAL WORKER VISIT,254.00 "C/S DRESSING 3-M 4""",15.00 OBS NO BED CHG,0.00 HOSPICE SOCIAL WORKER - PHONE CONTACT,62.00 C/S HEMOCLIP SMALL,49.00 C/S TELFA 2X3,3.00 C/S FEEDING TUBE DH 12FR,54.00 PROF. BLEPHAROPLASTY LOWER LID,"1,632.00" C/S SAFGEL 1CC,3.00 C/S R P 4X4,5.00 ER RM INIT BURN TX,220.00 ER DR INIT BURN TX,258.00 C/S EXUDRY 4X6,20.00 ER RM DR/DEBRID/INT,224.00 Clinic HH Wound Burn TX Small,366.00 ER DR DR/DEBRID/IN/,328.00 C/S H20 STERILE 500,8.00 C/S SOOTHIES,41.00 C/S SCALPEL #11,8.00 C/S CATH SECURE,13.00 C/S NIPPLE SHIELD,30.00 C/S AIR STIRRUP LEFT LARGE,131.00 C/S OR VL PENCIL,36.00 C/S QUICK CATH,20.00 C/S MORGAN LENS,113.00 C/S VERSAPORT 5-11MM,414.00 C/S SURGIPORT 3.5M,40.00 C/S SURGIPORT 5.5M,40.00 C/S ENDOLOOP SURGITIE 0 21,222.00 C/S LAP/CO2/INSUFLA,651.00 C/S NUGAUZE PLAIN 1 INCH,23.00 C/S MULTI LUMEN CATH,133.00 C/S CATH STRAP,20.00 C/S NUGAUZE PLAIN 1/4 INCH,20.00 C/S NUGAUZE IODOFORM 1 INCH,33.00 US BREAST NEEDLE LOC,"2,904.00" BREAST excision cyst,"1,159.00" Breast excision lesion,"1,310.00" US PLCMENT BREAST LOC DEVICES US GUIDE,"1,532.00" Mastectomy partial,"1,607.00" "C/S ACE 3""",14.00 C/S NUGAUZE IODOFORM 1/2 INCH,21.00 C/S AMNI HOOK,7.00 CS RT HAND HELD NEBULI,34.00 EXPL PEN WOUND EXTR,"2,060.00" DR WOUND EXPLORATION EXTREMITY,"1,123.00" C/S BREAST PUMP,50.00 HOSPICE ROUTINE HOME CARE,208.00 HOSPICE CONT CARE PER HOUR,49.00 HOSPICE I/P RESPITE CARE,218.00 HOSPICE GENERAL I/P CARE,886.00 C/S BREAST SHELL,56.00 CS PEAK FLOW METER,123.00 INJECTION TRIGGER POINTS,89.00 PAIN CLINIC TRIGGER POINT INJECTION,129.00 INJECTION TRIGGER POINTS,130.00 INJECTION TRIGGER POINTS,93.00 INJECTION TRIGGER POINT,148.00 INJECTION TRIGGER POINTS,138.00 ER DRAIN JT/BURSA,145.00 ER DR DRAIN JT/BURS,214.00 "DRAIN INJECT, JOINT",191.00 JOINT ASPERATION/INJECTION,280.00 ER DR JOINT ASPERAT,280.00 JOINT ASPIRATION,280.00 JOINT APSPIRATION/INJECTION BURSA,261.00 C/S BLAKE DRAIN 19F,241.00 C/S BLAKE DRAIN 15F,296.00 C/S OPSITE,21.00 "Soft tissue biopsy, neck / thorax",236.00 EXC TUMOR SOFT TISSUE NECK/ANTER THORAX,"1,338.00" "Soft tissue neck/ant thorax, subq, <3cm",352.00 C/S NUGAUZE IDOFORM 1/4 INCH,21.00 C/S RAYTEC SPONGE,16.00 C/S NURSERY BASIN,17.00 INJECTION SHOULDER ARTHROGRAPHY CT/MRI,536.00 FX & DISLOC w MANIPULATION W/WO SK TRACT,"1,406.00" FX &DISLOC w MANIPULATION W/WO SK TRAC,"1,553.00" CL TX SH DSL-NO ANT,716.00 ER DR CL TX SH DSL,"1,051.00" ER RM TX SHLD DISLO,"1,317.00" ER DR CL SHL DIS/W,"1,421.00" ER CLSD TX SHLDR,"1,172.00" ER DR CL SHL DIS/FX,"1,402.00" ISOSOR MONO 30MG PO,12.00 ER RMVL FOREIGN BODY UPPER ARM SUBCUTAN,"2,405.00" ER DR RMVL FOREGIN BODY UPPER ARM SUBCUT,448.00 FX/DISLOC W/MANIPUL,"1,065.00" FX/DISLOC W/MANIPUL,"1,565.00" ER RM CLSD ELBOW,"1,294.00" ER DR CLSD ELBOW,"1,595.00" CLO TX ELBOW,326.00 ER DR FX TR RAD HEA,478.00 ER CLOSED TREATMENT ULNAR FRACTURE,662.00 ER DR CLOSED TREAT ULNAR FRACTURE,"1,219.00" C/S OB PACK,58.00 ER RM CLOSED TX RADIAL SHAFT FRACTURE,846.00 ER DR CLLOSED RADIAL SHAFT FRACTURE,"1,355.00" ER - ULNAR SHAFT FX W/MANIPULATION,"1,023.00" ER - ULNAR SHAFT FX W/MANIPULATION,"1,681.00" CLSD TX RAD & ULNAR,"1,271.00" CLSD TX RAD & ULNAR,"1,867.00" CL TX DST RAD FX,684.00 CL TX DST RAD FX,"1,007.00" ER CL FX W/MANIP,"1,286.00" ER DR FX W/MAN/T/CL,"1,977.00" ER RM CLOSED TREATMENT WRIST FRACTURE,612.00 ER DR CLOSED TREATMENT WRIST FRACTURE,895.00 C/S STERI STRIPS 1/8 X 3,7.00 ER DRAINAGE FINGER ABSCESS,432.00 ER DR DRAINAGE OF FINGER ABSCESS,406.00 ER ROOM REPAIR FINGER TENDON,"3,684.00" ER DR. REPAIR FINGER TENDON,"2,106.00" ER RM EXTENS/TEN/RE,"2,107.00" ER DR REPAIR EXTENSOR TENDON FINGER,"1,800.00" ER TX METACARPAL FX,735.00 ER DR FX TR CL/MET/,"1,113.00" CLO TX HAND DISLOCA,806.00 CLO TX HAND DISLOCA,"1,186.00" ER RM Treatment cl fx with manipulation,779.00 CLS TX PHALANGSHAFT,"1,216.00" ER RM FX PHAL W MAN,714.00 ER DR EX PHAL XX MA,"1,119.00" ER RM TREAT/JOINT/D,558.00 ER DR TREAT/JOINT/D,948.00 FX &/or DISLOCATION REQUIRING ANESTHESIA,577.00 ER DR DISLOC P P JO,"1,087.00" DR SC ID PELVIS/HIP JT DEEP ABSCESS,"1,551.00" INJECTION HIP ARTHROGRAPHY W/O ANESTHES,590.00 SI JOINT STEROID INJECTION,"1,364.00" SI JOINT BILATERIAL INCLUDES FLUROSCOPY,"2,046.00" JOINT ASPIRATION BILATERAL,396.00 ER TREAT HIP DISLOCATION,619.00 ER DR TREAT HIP DISLOCATION,700.00 ER RM TR HIP DISL W,888.00 ER DR TR HIP DISL W,"1,473.00" ER CL TX POST HIP,"1,824.00" ER DR CL TX POST HIP,"2,006.00" ER CL TX FEMORAL FX PROX HEAD W/MAN,"1,100.00" ER DR CLO TX FEMORAL FX PROX HEAD W/MAN,"1,579.00" "Soft tissue excis thigh/knee, subq <3cm",380.00 INJECTION CONTRAST KNEE ARTHRO CT/MRI,167.00 ER RM REMOVAL FOREIGN BODY DEEP THIGH KN,"4,880.00" ER DR REMOVAL FOREIGN BODY DEEP THIGH KN,"1,279.00" ER RM CLOSED TX KNEECAP DISLOCATION,341.00 ER DR CLOSED TX KNEECAP DISLOCATION,815.00 ER DRAIN LOWER LEG ABSCESS/HEMATOMA,"4,023.00" ER DR DRAIN LOWER LEG ABSCESS/HEMATOMA,"1,169.00" ER CL DIST FIBFX,"1,357.00" ER DR CL DIST FIBFX,"1,526.00" ER RM CLTX BIMAL ANKLE,"1,002.00" ER DR TRMT CLTX BIMAL ANKLE,"1,472.00" ER RM FX TR ANKLE/W,"1,068.00" ER DR FX TR ANKLE/W,"1,570.00" ER RM ANKLE DISLOCA,558.00 ER DR ANKLE DISLOCA,"1,087.00" C/S TEGADERM 2x2,3.00 EXC LESION TENDON,301.00 C/S ASEPTO SYRINGE,12.00 REMOVAL OF FB - FOOT,345.00 ER DR FB REMOVAL - FOOT,428.00 ER REMOVAL FOREIGN BODY FOOT,"3,564.00" DR REMOVAL FOREIGN BODY FOOT,788.00 CLO JT DISLOCATION,208.00 CLO JT DISLOCATION,306.00 ER TREAT TOE DISLOCATION UNDER ANESTH,794.00 ER DR TREAT TOE DISLOCATION UNDER ANESTH,428.00 amputation toe & joint,"1,963.00" C/S TELFA 3X4,3.00 LONG ARM CAST,242.00 LONG ARM CAST,344.00 CAST/STRA ELB TO FI,223.00 ER DR CAST/STRA ELB TO FI,324.00 Dr. Application forearm cast,324.00 APP HAND/WRIST CAST,262.00 ER DR CAST HAND/LOW,217.00 APP LONG ARM SPLINT,228.00 ER DR CAST LONG ARM,334.00 ER APPLY SPLINT,173.00 APPLY SHORTARM SPLINT,173.00 ER DR SPLT FOREARM,255.00 APPLY SHORT ARM SPLINT,255.00 ER APP FINGER SP,100.00 ER DR APP FINGER SP,101.00 ER CAST SHORT,330.00 APP SHORT LEG CAST,334.00 ER LOWER LEG CAST BOOT,368.00 LOWER LEG CAST BOOT,295.00 APP LONG LEG SPLINT,193.00 ER DR SPLT LONG LEG,295.00 ER APP LEG SPLIN,174.00 ER DR SPLT SHRT LEG,256.00 ER UNNA BOOT,108.00 CLINIC HH UNNA BOOT APPLICATION,116.00 APP'L UNNA BOOT,128.00 ER RM REM/BIV CAST,191.00 ER DR REMOVAL CAST,107.00 BMH OP APP MULTLAY COMPRES BELOW KNEE,385.00 "C/S ACE 4 """,16.00 C/S TELFA 3X8,3.00 C/S ALLEVYN 3 X 3,32.00 C/S AQUACEL 2X45,56.00 C/S BILE BAG,35.00 ER REMOVE NOSE FB,335.00 ER DR REM NOSE FB,843.00 C/S IRRIGATION TRAY,36.00 ER NASAL HEM,277.00 ER DR NASAL HEM CON,402.00 DR NASAL HEM CONTROL WITH PACKING,316.00 ER NASAL HEM CON,270.00 ER DR NASAL HEM CON,396.00 ER RM CTRL NOSEBLEED,431.00 ER DR CTRL NOSEBLEED,410.00 C/S PROTACK 5MM,"1,389.00" DR INTUBATION,461.00 RT INTUBATION,635.00 "LAB RESPIRATORY VIRAL PANEL, PCR",281.00 DR. DIAGNOSTIC LARYNGOSCOPY,158.00 ER DIAGNOSTIC LARYNGOSCOPY,378.00 ER DR DIAGNOSTIC LARYNGPSCOPY,158.00 BRONCHOSCOPE FLUOR GUIDEANCE W/CELL WASH,356.00 C/S HEEL BO,37.00 C/S LAP SPONGES 18,14.00 TUBE THORACOSTOMY INCL WATER SEAL,518.00 Tube thoracostomy,717.00 "TUBE THORACOSTOMY, INCLUDES WATER SEAL",717.00 THORACENTESIS ASPIRATION,"1,559.00" THORACENTISIS NEEDLE/CATHETER ASPIRATION,"1,338.00" THORACENTESIS ASPIR. OF PLEURAL SPACE,"1,559.00" FAC THORACENTESIS W/ IMAGING GUIDANCE,437.00 X-RAY THORACENTESIS NEEDLE/CATH PLEURA,"1,655.00" PRO THORACENTESIS WITH IMAGING GUIDANCE,348.00 C/S VASELINE GAUZE 1/2 X 72,12.00 C/S LUMBAR PUNCTURE TRAY,104.00 C/S OSTOMY STOMA BAG 1 1/2,12.00 C/S OSTOMY STOMA BA,14.00 C/S OSTOMY DRAIN BA,14.00 C/S OSTOMY FLANGE 2,21.00 C/S VASELINE GAUZE 3 X 9,21.00 "C/S EYE PADS, OVAL/",5.00 C/S SALEM SUMP 12FR,17.00 C/S SPINAL ANESTH TRAY,88.00 ER RM REPAIR BLOOD VESSEL LESION,"1,503.00" ER DR REPAIR BLOOD VESSEL LESION,"2,319.00" "ProSC Repair blood vessel dir, up extrem","2,482.00" C/S TED SOX LARGE REGULAR,20.00 C/S TED SOX MEDIUM LONG,20.00 C/S UROMETER,40.00 C/S VAG IRRIG,32.00 LAB ROUTINE VENIPUNTURE COLL OF SPECIMEN,36.00 LAB CAPILLARY BLOOD DRAW,36.00 LAB BB RBC EACH UNIT,472.00 "LAB BB BLOOD ADMIN, 1 UNIT",455.00 "LAB BB BLOOD ADMIN, 2 UNIT",540.00 "LAB BB BLOOD ADMIN, 3 UNIT",648.00 "LAB BB BLOOD ADMIN, 4 UNIT",707.00 LAB BB FFP EACH UNIT,121.00 LAB BB FFP 2 UNITS ADMINISTRATION,412.00 LAB BB PLATELETS,308.00 DR INSERTION CATHETER UMBILICAL VEIN,164.00 ER RM CVP PLACEMENT,830.00 CVP INSERTION NON-TUNNELED,614.00 ER CV CATH PLACEMENT NON-TUNNELED,614.00 "PICC, Placement",961.00 "PICC ER, Placement","2,124.00" Declotting by thrombolytic agent for cat,275.00 C/S PENROSE DRAINS,7.00 ER PLACEMENT NEEDLE INTRAOSSEOUS INFUS,402.00 Introsseous placemnt of needl 4 infussio,330.00 C/S PENROSE DRAINS,18.00 C/S PENROSE DRAINS,19.00 C/S PENROSE DRAIN 1,7.00 C/S FLAT DRAIN,67.00 C/S HEMOVAC 100CC,125.00 C/S PLEUR EVAC,120.00 C/S ANDERSON TUBE,31.00 SC DR LYMPH NODE BIOPSY/EXC OPEN,567.00 "bx/exc lymph node by needle, superficial",295.00 BIOP/EXC DP CRV NDE,"1,566.00" C/S NACL IRRIG 500,8.00 C/S FRAZIER SUCTION,15.00 C/S ORTHO SHOE MEDIUM,43.00 HO Cyclobenzaprine H 10 MG 30 Tabs,8.95 HO Hydrocodone-Aceta 10-325 MG 30 Tabs,20.34 HO Ipratropm-Alb.5MG-3MG(2.5MG)/3ML 180U,18.00 HO Lorazepam 0.5MG 30 Tabs,10.00 HO Oxycodone HCL 5MG 60 Tabs,10.00 HO Lorazepam 1MG 60 Tabs,10.00 HO Oxybutynin Chlori 5MG 30 UN,33.86 HO Potassium Chlorid 10MEQ 30 Units,10.95 HO Furosemide 20MG 30 Tabs,10.00 HO Fentanyl 25MCG/Hr 10 Units,87.00 HO Furosemide 20MG 60 Tabs,12.00 HO Promethazine HCL 25MG 30 Tabs,9.95 HO Proair HFA 90MCG/Actuation 8.5 Units,56.63 HO Diazepam 2MG 30 Tabs,12.00 HO Clonazepam 1MG 60 Tabs,18.00 HO Polyethylene Glyc 17Gr 255 Doses,19.00 HO Albuterol Sulf 2.5MG/3ML(.083%) 180Un,18.00 HO Hydrocodone-Aceta 10-325MG 90 Tabs,28.40 HO Lorazepam 1MG 30 Tabs,10.00 HO Potassium Chlorid 20MEQ 90 Tabs,29.00 HO Hydrocodone-Aceta 5-325MG 30 Tabs,18.00 HO Morphine Sulf 100MG/5ML(20MG/ML) 30Un,17.00 HO Oxycodone HCL 5MG 30 Tabs,9.00 HO C-Abhr Suppositor 6 Units,24.00 HO Morphine Sulf 15MG 30 Tabs,19.00 HO Fentanyl 50MCG/Hr 10 Units,158.00 HO Hydrocodone-Aceta 5-325MG 20 Tabs,16.00 "HO Nystatin 100,000Unit/ML 473ML",40.00 HO Lantus 100Unit/ML 10ML Inj,234.03 HO Potassium Chlorid 10MEQ 60 Units,16.13 HO Tamsulosin HCL 0.4MG 30 Units,14.25 HO Hydrocodone-Aceta 5-325MG 60 Units,8.00 HO Polyethylene Glyc 17Gr 527 Doses,16.99 HO Omeprazole 20MG 32 Tabs,6.95 HO Sertraline 50MG 30 Units,8.00 HO Morphine Sulf 100MG/5mL(20MG/mL) 24Un,10.92 HO Morphine Sulf 30MG 30 Units,38.00 HO Ventolin HFA 90MCG/Actuation 18 Units,45.19 HO Furosemide 40MG 30 Units,8.95 HO Senna Lax 8.6MG 30 Units,6.95 HO Carvedilol 12.5MG 60 Units,8.95 HO Omeprazole 20MG 60 Tabs,4.99 HO Quetiapine Fumara 50MG 30 Units,4.99 HO Cephalexin 500MG 21 Units,7.95 HO Erythromycin 5MG/Gram (0.5%) 3.50 Uni,11.00 HO Lorazepam 1MG 20 Units,11.00 HO Trazodone HCL 50MG 30 Units,8.42 HO Ondansetron HCL 8MG 20 Units,8.95 HO Hydrocodone-Aceta 5-325MG 56 Units,11.00 HO Ondansetron HCL 8MG 30 Units,8.95 HO C-Abhr Suppositor 12 Units,29.00 HO Acephen 650MG 12 Units,6.00 "HO Nustatin 100,000Unit/ML 120ML",9.63 HO Quetiapine Fumara 25MG 60 Units,4.40 HO Hydrocodone-Aceta 7.5-325MG 56 Units,8.00 HO Ciprofloxacin HCL 250MG 30 Units,4.66 HO Fentanyl 25MCG/Hr 5 Units,79.31 HO Fentanyl 50MCG/HR 5 Units,79.00 HO Hydrocodone-Aceta 7.5-325MG 30 Units,10.00 HO Lisinopril 20MG 30 Units,4.95 HO Fentanyl 12MCG/Hr 3 Units,57.00 HO Ondansetron HCL 4MG 30 Units,9.00 HO Prochlorperazine Maleate 10MG 30 Unit,29.00 HO Morphine Sulf SA 15MG 60 Tablets,38.00 HO Quetiapine Fumara 25MG 30 Units,4.95 HO Fentanyl 12MCG/Hr 5 Units,94.00 HO Fentanyl 12MCG/Hr 10 Units,188.00 HO Finasteride 5MG 30 Units,5.51 HO Promethazine HCL 25MG 10 Units,2.95 HO Hydrocodone-Aceta 7.5-325MG 60 Units,19.00 HO C-Abhr Suppositor 10 Units,33.58 HO Docusate Sod 100MG 60 Units,4.95 HO Lorazepam 1MG 7 Tabs,9.95 HO Morphine Sulf 10MG/5mL 30 Units,4.95 HO Dexamethasone 4MG 30 Units,4.95 HO Oxycodone-Acetami 10-325MG 180 Units,37.00 HO LORAZEPAM 1 MG 2 UNITS,10.00 HO DEXAMETHASONE 4 MG 25 UNITS,2.03 HO PROCHLORPERAZINE 10 MG 10 UNITS,20.00 HO ZOLPIDEM TARTRATE 5 MG 30 UNITS,148.59 HO OXYCODONE HCL ER 10MG QTY 30,69.94 HO CIPROFLOXACIN HCL 250MG 10 UNITS,2.35 HO FENTANYL 75 MCG/HR 10 UNITS,195.40 HO MORPHINE SULFATE 30 MG 21 UNITS,4.87 HO BISACODYL 10 MG 8 UNITS,4.25 HO ROPINIROLE HCL 0.5 MG 60 UNITS,5.06 HO FENTANYL 50 HCG/HR 5 UNITS,33.00 HO OMEPRAZOLE 20 MG 30 UNITS,4.95 HO HYDROMORPHONE HCL 4 MG 30 UNITS,4.25 HO DOXYCYCLINE HYCLA 100 14 UNITS,10.32 HO LEVOTHYROXINE SOD 150 MCG 30 UNITS,171.49 HO CEPHALEXIN 500 MG 30 UNITS,4.95 HO CIPROFLOXACIN HCL 500 MG 10 UNITS,2.14 HO ALLERGY 2-0.1% 28 UN,4.50 HO PENICILLIN V POTA 500 MG 30 UN,4.34 HO LAMOTRIGINE 23 MG 30 UN,3.13 HO HYDROCODONE-ACETA 5-325 120 UN,18.32 HO METFORMIN HCL 1000 MG 60 UN,2.27 HO ONDANSETETRON ODT 4 MG 12 UN,5.09 HO ESOMEPRAZOLE MAGN 40 30 UNITS,22.49 HO KALEXATE 217 UNITS,20.66 HO MONTELUKAST SODIUM 10 MG 90 UN,9.41 HO KALEXATE 454 UNITS,43.24 HO MORPHINE SULFATE 100MG/5 90 UNITS,34.94 HO ATROPINE SULFATE 1% 5 UNITS,58.00 HO MORPHINE SULFATE 10MG/5 120 UNITS,21.00 HO ALLOPURINOL 100 MG 30 UNITS,15.00 HO INDOMETHACIN 50 MG 15 UNITS,13.00 HO VENTOLIN HFA 90 MCG 54 UNITS,178.00 HO COMBVIENT RESPIMA 20-100 MCG 8 UN,710.00 HO PROCHLORP 25 MG 2 UNITS,25.00 HO OXYCODONE-ACETAMI 7.5-325 MG 90 UN,19.00 HO FENTANYL 37.5 MCG/HOUR 5 UN,275.00 HO GABAPENTIN 300 MG 90 UN,42.00 HO SYMBICORT 160-4.5 MCG/ACTUATION 20.40,815.00 HO ACETAMINOPHEN-COD 300-30 MG 50 UN,14.00 HO FENTANYL 25 MCG/HR 4 UNITS,42.00 HO FENTANYL 12 MCG/HR 4 UNITS,28.00 HO DIAZEPAM 5-7.5-10 MG 1 UNIT,313.00 HO LEVOFLOXACIN 500 MG 14 UNITS,15.00 HO SPIRONOLACTONE 50 MG 60 UNITS,966.00 HO OXYCODONE HCL 5 MG 40 UNITS,14.00 HO OXYCODONE HCL-ACE 10-325 60 UNITS,17.00 HO TRAMADOL HCL 50 MG 60 UNITS,12.00 HO MORPHINE ER SULFA 30 MG 14 UNITS,14.00 HO MORPHINE SULFATE 15 MG 14 UNITS,13.00 HO OXYCODONE HCL-ACE 10-325 90 UNITS,20.00 HO FENTANYL 50 MCG/HR 3 UNITS,19.00 HO HYDROCODONE-ACETA 5-325 42 UNITS,17.00 HO METHOCARBAMOL 750 MG 45 UNITS,"2,053.00" HO HYDROCODONE-ACETA 5-325 MG 5 UN,12.00 HO SPIRONOLACTONE 100 MG 50 UNITS,"1,649.00" HO MELOXICAM 15 MG 90 UNITS,14.00 HO OXYCODONE HCL 10MG 42 UNITS,16.00 HO PREDNISONE 20 MG 10 UNITS,12.00 HO MORPHINE SULFATE 60 MG 60 UNITS,50.00 HO HYDROCODONE-ACETA 5-325 MG 15 UNITS,13.00 HO MORPHINE ER SULFA 30 MG 60 UNITS,25.00 HO BISCOLAX 10 MG 8 UNITS,12.00 HO MAGNESIUM CITRATE 296 UNITS,13.00 HO HYDROCODONE-ACETA 5-325 90 UNITS,24.00 HO HYDROCODONE-ACETA 10-325 MG 42 UNITS,18.00 HO CITALOPRAM HBR 20 MG 86 UNITS,13.00 HO MORPHINE SULFATE 100MG/5 mL 30 UNITS,17.00 HO C-ABHR (2018 NEW) 1/25/1/10 14 UNITS,26.00 HO LYRICA 75 MG 60 UNITS,434.00 HO SERTRALINE HCL 100 MG,11.00 HO POTASSIUM CHLORID 20 MDQ/15 ML 473 UN,243.00 HO COLESTIPOL HCL 1 GRAM 120 UN,118.00 HO DIPHENOXYLATE-ATR 2.5-.025 MG 480 UN,155.00 HO OXYCODONE HCL 10 MG 90 UN,21.00 HO LORAZEPAM 1 MG 5 UNITS,11.00 HO C-ABHR (2019)NEW) 1/25/1/10MG 30 UN,29.00 HO DEXAMETHASONE 4MG 60 UN,16.00 HO ISOPTO ATROPINE 1% 5 UN,240.00 HO OXYCODONE HCL 10MG 120 UNITS,24.00 HO HYDROCODONE-ACETA 7.5-325 224 UNITS,54.00 HO VESICARE 10 MG 30 UNITS,335.00 HO PROCHLOPERAZINE 25 MG 12 UNITS,141.00 HO HYDROCODONE-ACETA 5-325 MG 45 UNITS,15.23 HO SPIRONOLACTONE 50 MG 30 UNITS,13.69 HO OXYCODONE-ACETAMI 5-325 MG 40 UNITS,11.68 HO PHENADOZ 25 MG 20 UNITS,132.98 HO PROMETHAZINE HCL 25MG 20 UNITS,11.76 HO LEVETIRACETAM 250MG 60 UNITS,15.08 HO MORPHINE 2MG,23.31 HO FENTANYL PATCH 50 MCG,51.00 HO LORAZEPAM 2MG I,23.00 HO HYDROMORPHONE 1MG CARPUJECT,23.00 HO NICOTINE PATCH 21 MG,15.00 HO HALOPERIDOL 5 MG I,35.00 HO SUCRALFATE 1 GRAM 10 UNITS,12.50 HO CARVEDILOL 3.125 MG 70 UNITS,11.74 HO BACLOFEN 10 MG 20 UNITS,11.79 "HO NYSTATIN 100,000 60 UNITS",26.30 HO OXYBUTYNIN CHLORIDE 15 MG 26 UNITS,29.18 HO OMEPRAZOLE 20 MG 1 UNIT,10.04 HO CITALOPRAM HBR 20 MG 1 UNIT,10.03 HO ATROPINE SULFATE 1% 2 UNITS,33.37 HO DICLOFENAC SODIUM 1% 100 UNITS,38.87 HO ALBUTEROL HFA 90 MCG/ACTUATION 18 UN,71.21 HO LORAZEPAM 1MG 15 UN,10.41 HO METHADONE HCL 5MG 14 UNITS,11.37 HO OXYBUTYNIN CHLORIDE 15 MG 30 UNITS,32.13 HO LORATADINE 10 MG 30 UNITS,11.50 HO LORAZEPAM 0.5 MG 10 UNITS,10.18 HO METHADONE HCL 5MG 10 UNITS,10.98 HO OXYCODONE HCL 30 MG 14O UNITS,25.92 HO FENTANYL 75 MCG/HR 6 UNITS,43.98 HO POLYETHYLENE GLYC 17 GRAM 510 UNITS,19.08 HO TRAMADOL HCL 50 MG 90 UNITS,12.50 HO LORATADINE 10 MG 90 UNITS,16.84 HO FUROSEMIDE 80 MG 7 UNITS,10.30 HO POTASSIUM CHLORID 20 MEQ 120 UNITS,35.70 HO OXYCODONE HCL 5 MG 90 UNITS,14.55 HO SCOPOLAMINE 1 MG OVER 3 DAYS 4 UNITS,624.00 HO PREGABALIN 75 MG 60 UNITS,13.46 HO DIGOXIN 125 MCG 30 UNITS,22.35 HO OMEPRAZOLE 40 MG 30 UNITS,11.88 HO MORPHINE SULFATE 100MG/5ML 15 UNITS,17.72 HO FENTANYL 100 MCG/HR 5 UNITS,157.79 HO POTASSIUM CHLORID 20 MEQ 60 UNITS,22.85 HO FUROSEMIDE 40 MG 60 UNITS,11.47 HO METHADONE HCL 5 MG 28 UNITS,12.73 HO OMEPRAZOLE 40 MG 60 UNITS,13.77 HO PROCHLORPERAZINE 25 MG 6 UNITS,71.98 HO OSELTAMIVIR 75 MG 14 UINITS,88.15 HO ALBUTEROL SULFATE 1.25 MG/3ML 150 UN,712.50 HO QUETIAPINE FUMARA 25 MG 15 UNITS,11.47 HO MORPHINE SULFATE 60 MG 42 UNITS,15.29 HO MORPHINE ER SULFA 30 MG 21 UNITS,14.55 HO OXYCODONE HCL 30 MG 35 UNITS,13.98 HO MORPHINE SULFATE 100 MG 42 UNITS,134.50 HO ELIQUIS 5 MG 60 UNITS,441.34 HO OXYCODONE HCL ER 20 MG 14 UNITS,72.89 HO MORPHINE ER SULFA 30 MG 42 UNITS,19.99 HO PANTOPRAZOLE SODI 40 MG 60 UNITS,15.03 HO FENTANYL 75 MCG/HR 15 UNITS,99.96 HO TRAZODONE HCL 100 MG 30 UNITS,12.47 HO ENTRESTO 24-26 MG 30 UNITS,261.48 HO OXYCODONE 10 MG 180 UNITS,22.60 HO ALBUTEROL SULF 90 MCG/ACTUATION 8.5 U,44.54 HO ISOSORBIDE MONONI 30 MG 90 UNITS,24.28 HO VENLAFAZINE ER 15 150 MG 30 UNITS,14.78 HO HYDROXZINE HCL 25MG 90 UN,18.00 HO PREDNISONE 20MG 90 UN,23.00 HO CARAFATE 100 MG/ML 420 UN,195.00 HO ALBUTEROL SULFATE 2.5MG/3ML 90 UN,14.00 HO IPRATROPIUM-ALBUT 0.5MG-3MG 90 UN,15.00 HO DEXAMETHASONE 4MG 90 UNITS,19.00 "HO ZENPEP 40,000-126,000-168,000 100 UN","1,201.00" "C/S ACE 6""",20.00 C/S GELOCAST UNA BOOT,68.00 C/S XCEL 5MM TROCAR,327.00 C/S TEGADERM 4X4 LARGE,12.00 C/S TEGADERM SACRAL,45.00 C/S CURAGEL 4X4,27.00 MRI ABDOMEN W/O,"2,500.00" MRI C SPINE W,"2,459.00" MRI C SPINE WO,"2,258.00" "MRI C SPINE WO,W","3,515.00" MRI LWR EXT JO W/O,"1,802.00" MRI LWR EXT NONJO WO/W CONTRAST,"3,125.00" MRI L-SPINE WO,"2,404.00" "MRI L-SPINE WO,W","3,282.00" MRI T-SPINE W,"2,459.00" MRI T-SPINE WO,"2,428.00" "MRI T-SPINE WO,W","3,515.00" MRI UPR EXT JO W/O,"2,189.00" MRI UPPER EX NON-JO,"2,188.00" C/S MICROPORE TAPE,16.00 C/S EXUDRY 6X9,30.00 C/S SKIN SCRIBE,19.00 C/S ISLAND DRESSING 4X5,12.00 HHA Occupational Therapy; 15 min Unit,270.00 ER DRAINAGE OF GUM LESION,282.00 DR DRAINAGE OF GUM LESION,395.00 C/S XEROFORM 5X9,13.00 C/S CENTRAL VEIN,147.00 OR MULTIPLE EGD ESOPHAGOSCOPY DILATE,325.00 SC DR ESOPHAGOSCOPY DILATE ESOPH BALLOON,493.00 OR EGD W/WO SPEC COLL,"1,784.00" ProSC EGD,930.00 OR charge-EGD w/ biopsy & recovery,"2,187.00" OR charge-EGD w/ mult bx & recovery,325.00 ProSC EGD biopsy- dr charge,"1,100.00" DR EGD INTRALUMINAL TUBE INSERTION,437.00 foreign body removal upper GI,974.00 OR EGD W/REM OF FOR BODY,"1,803.00" OR EGD W/INSERT OF GDE WIRRE W/DIL ESOP,325.00 EGD w/ guide wire dilation,815.00 OR EGD W/BALN DIL OF ESOP <30MM,325.00 ENDO DILATE ESOPH,"1,040.00" EGD CONTROL BLEEDING,801.00 SC PRO SURGICAL REPAIR OF STOMACH,"3,737.00" C/S XEROFORM 1X8,4.00 ENTEROLYSIS,"1,516.00" ProSC lysis of adhesions,"1,516.00" Splenic flexure mobilization (w/colect),452.00 PART REMVL OF COLON,"3,672.00" Colectomy- colostomy&distal closure/Hart,"3,827.00" Colectomy-partial w/ ileocolostomy,"3,744.00" "Colectomy, partial w/ anastomosis","3,672.00" C/S CARTER-THOMASON CLOSURE SYSTEM XL,353.00 "Ileostomy or jejunostomy, non-tube","1,283.00" Enteroscopy closure w/resect&anastamosis,"3,968.00" C/S ACTICOAT 4X4,51.00 APPENDECTOMY,"1,546.00" LAP APPENDECTOMY,"2,142.00" C/S STAT LOCK,31.00 OR Flexible Sigmoidosc w/biox sing&mult,"1,592.00" SIGMOID W/BIOPSY,514.00 OR COLONSCPY-SPLNFLX DX W/RECOVERY,"3,285.00" "OR w/recovery, mult. colonoscopy",348.00 "Colonoscopy flex, prox 2 splenic flexure","1,019.00" OR charge colonoscopy w/cld bx & recov,"3,942.00" OR for multiple colonoscopy- cold bx,348.00 colonoscopy w/ cold bx/s,"1,228.00" OR COLONSCPY-DIR SUBMUC INJ W/RECOVERY,"3,942.00" OR MULTIPLE COLONSCOPY-SUBMUC INJ,348.00 colonoscopy w/ injection submucosal,"1,302.00" colonoscopy w/ control of bleeding,"1,568.00" OR COLONSCPY-TMR REM HOT W/RECOVERY,"4,106.00" OR w/recov; mult colonoscopy lesion rem,348.00 Colonoscopy - cautery or hot forceps rem,"1,382.00" COLONOSCOPY WITH SNARE,"1,040.00" OR COLONSCPY-TMR REV SNARE W/RECOVERY,"4,272.00" OR w/recov-removal by snare,325.00 colonoscopy w/ snare for removal,"1,458.00" COLONOSCOPY WITH ABLATION,"4,106.00" OR MULTIPLE COLONOSCOPY WITH ABLATION,348.00 SC PRO COLONOSCOPY WITH ABLATION,749.00 C/S DERMABOND PEN,174.00 SC DR INCISION THROMBOSED HEMORRHOID EXT,287.00 SC ER DR INCISION-THROMBOSED HEMORRHOID,266.00 HEMORRHOIDECTOMY,"1,379.00" ER ANOSCOPY/DIAG,803.00 ProSC Anoscopy diagnostic,208.00 ER DOC ANOSCOPY/DIAG,"1,180.00" PRO SC ANOSCOPY DIAGNOSTIC,194.00 SC DR REMOVAL & TYING HEMORRHOID GROUP,605.00 C/S KITTNER DISSECT,24.00 LAP CHOLECYSTECTOMY,"2,375.00" LAP CHOLE W/CHOLANG,"2,895.00" C/S 3-WAY STOP COCK,5.00 Laparotomy- reopen recent,"2,118.00" ABDOM PARACENTESIS W/O IMAGE GUIDEANCE,537.00 ABDOMINAL PARACENTESIS W/O IMAGE GUIDE,426.00 DR. ABD PARACENTESIS,770.00 FAC ABDOM PARACENTESIS W/IMAGE GUIDANCE,858.00 PROF ABDOM PARACENTESIS W/IMAGE GUIDANCE,770.00 C/S OSTOMY BAG CLOS,19.00 PRO SC LAPAROSCOPY BIOPSY,858.00 "C/S CATH 6F, VEN TH",361.00 Hernia inguinal initial repair,"1,681.00" Hernia bilateral initial inguinal,"2,521.00" Hernia inguinal initial incarcerated,"2,147.00" ER DR REPAIR INITIAL INGUN HERNIA,"2,006.00" Hernia init femoral hernia incarcerated,"2,226.00" Hernia incarcerate initial ventr/incisio,"3,639.00" "Hernia umbilical reducible, age 5+","1,752.00" Hernia umbilical incarcerated,"1,844.00" C/S CATH VEN THROM,361.00 "Lap hernia incarc - ventr, umb, epig.","2,956.00" "Lap repair incisional hernia, incarc","2,428.00" C/S ARTERIAL EMOLECTOMY 5FR,363.00 C/S ARTERIAL EMBOLECTOMY 3FR,363.00 CS IV B CHECK,30.00 C/S ARM SLING MEDIUM,18.00 C/S ARM/SHOULD IMMO,35.00 ERYTHROMYCIN LACTOBIONATE INJ,21.00 C/S CARTILAGE KNEE MEDIUM,88.00 C/S KNEE IMMOBILIZER 22 INCH,78.00 "C/S KNEE IMMOBILIZER 20""",75.00 C/S KNEE IMMOBILIZER 16 INCH,75.00 C/S RIB BELT MENS,34.00 C/S RIB BELT WOMENS,32.00 CS IV BLOOD SET 64,18.00 C/S WRIST SPLINT LARGE LEFT,80.00 C/S CARTILAGE KNEE XL,88.00 C/S WRIST SPLINT (P,140.00 C/S ARTIFICIAL LENS,311.00 "C/S ORTHO GLASS 2""",31.00 "C/S ORTHO GLASS 3""",30.00 "C/S ORTHO GLASS 4""",34.00 "C/S ORTHO GLASS 5""",53.00 C/S ELASTIC NETTING,16.00 C/S AIR WALKER SMALL,203.00 C/S AIR WALKER MEDIUM,203.00 C/S AIR WALKER LARGE,203.00 C/S POOLE SUCT TIP,19.00 C/S WECK STAPLES 35,54.00 C/S BAG DECANTER,25.00 C/S POINT TUNG NEEDLE 3CM,249.00 C/S DRAIN SPONGE 4X4,3.00 C/S EVAC BOTTLE 1000,27.00 C/S DUODERM 4X4,24.00 C/S OR EXTE CAUT BLADE,75.00 IV ADD CAP,7.00 IV LR 500,15.00 IV LR 1000,92.00 ER RM INSERT T/CATH,219.00 INSERT T/CATH,219.00 ER RM INS TEMP CATH,274.00 INSERTION TEMP CATH,95.00 CLINIC HH CCH INS TEMP CATH,274.00 ER BLADDER CATH COM,435.00 "INS BLAD CATH,COMP",252.00 ER CHANGE CYSTOSTOMY TUBE SIMPLE,637.00 CHANGE CYSTOSTOMY TUBE,365.00 OUTPATIENT CHANGE CYSTOSTOMY TUBE,391.00 ER DR CHANGE CYSTOSTOMY TUBE SIMPLE,157.00 SC PRO CHANGE CYSTOSTOMY TUBE SIMPLE,168.00 ER CHANGE CYSTOSTOMY TUBE COMPLICATED,550.00 ER DR CHANGE CYSTOSTOMY TUBE COMPLICATED,244.00 IV D5 LR 1000,108.00 IV D5W 250,55.00 IV D5W 500,74.00 IV D5W 1000,76.00 C/S TAUT CHOLANGIOGRAM CATH,157.00 C/S FOAM ADHESIVE HEEL,35.00 IV D5 NS 1000,92.00 C/S PROX LIN STAPLE,779.00 C/S STAPLE RELOAD 60,284.00 C/S ENDOCLIP,717.00 C/S PURSESTRING 65,588.00 C/S KALTOSTAT 2GM,33.00 C/S KALTOSTA 7.5X12,34.00 C/S SURGICEL 2 X 3,108.00 C/S NEZHAT DORSEY TUBING,143.00 C/S ENDOPATH 12MM,321.00 C/S INTRAUT CATH KI,165.00 IV D5 1/4 1000,78.00 C/S SKIN STITCH ADHESIVE,120.00 C/S DISP HDLE/HLSTR,34.00 IV D5 1/2 1000,92.00 C/S ARTHRO PAK,433.00 CS LAC RING 3000,114.00 IV NS 250,92.00 C/S LARGE LEG BAG,19.00 C/S THORA/PARA TRAY,201.00 IV NS 500,92.00 IV NS 1000,92.00 "C/S MEDIPOR TAPE 4""",53.00 C/S THUMB/WRIST SPICA MEDIUM RIGHT,96.00 C/S THUMB/WRIST SPICA SMALL RIGHT,93.00 C/S THUMB/WRIST SPICA XL RIGHT,96.00 C/S THUMB/WRIST SPICA LARGE RIGHT,96.00 C/S THUMB/WRIST SPICA MEDIUM LEFT,93.00 C/S THUMB/WRIST SPICA XL LEFT,96.00 IV DEX 10%,80.00 "TPN w/lipids, 3000ml IV",334.00 IV PFNS 50,52.00 IV PFNS 100,52.00 ER ROOM FORSKIN MANIPULATION,250.00 ER DOC FORESKIN MANIPULATION,287.00 CS IV SMART SITE,31.00 ProSC VASECTOMY,828.00 PT EMPLOYEE PRE-HIRE EVALUATION,88.00 CS IV VENIGARD,13.00 CS IV BLOOD Y 66,32.00 IV ANESTH. ADM.SET,44.00 IV NITRO TUBING INFUSOMAT SPACE PUMP,32.00 ER RM TREAT VAGINAL BLEEDING,412.00 ER DR TREAT VAGINIAL BLEEDING,311.00 ER PELVIC EXAM WITH ANESTHESIA,"2,341.00" DR PELVIC EXAM WITH ANESTHESIA,321.00 REMOVL OF INTRAUTERINE DEVICE (IUD) ASST,223.00 REMOVAL OF INTRAUTERINE DEVICE (IUD),288.00 Lap w/ rem adnexal (oophor&/or salpingec,"2,068.00" DR-TELEMETRY FETAL,89.00 ER DR TELEMETRY FETAL,89.00 DR VAGINAL DELIVERY,"2,022.00" ER DR VAGINAL DELIVERY,"2,022.00" C-SECTION DELIVERY ONLY,"2,686.00" IV NS 1000 1/2,97.00 C/S ADAPTIC 3X8,14.00 C/S ABD,3.00 O R UNSCHEDULED - PER MIN,52.00 O R SCHEDULED - PER MIN,35.00 OPERATING ROOM - CATARACT EQUIPMENT,"1,561.00" OR YAG EQUIPMENT,"1,091.00" ER RM LUMBAR PUNCTU,710.00 CNRA SPINAL PUNCTURE LUMBAR DIAGNOSTIC,710.00 ER DR SPIN/PUNCT/LU,593.00 INJECTION EPIDURAL PATCH (ER),599.00 PAIN CLINIC INJ EPI,599.00 PAIN CLN INTRALAMINAR ESI LMBR/SAC,"1,217.00" PAIN CLN INTRLMNR ESI W/FLUORO LMBR/SAC,"1,738.00" PAIN CLN INTRLMNR ESI,"1,738.00" C/S TEGADERM 4X10,37.00 7ANGIOCATH NEED 18,19.00 "Nerve Block anesth, agent,trigemenal nrv",519.00 "Nerve Block anesth, agent trigeminal nrv",337.00 ER N BLOCK ILIOINGUINAL,312.00 NERVE BLOCK ROOM INJECT,461.00 ER DR INJ ANES NERV,137.00 LUMBAR SACRAL TRANSFORAMINAL ESI,"2,311.00" LUMBAR SACRAL TRANSFORAMINAL ESI,"3,090.00" LUMBAR SACRAL TRANSFOR. ADDITIONAL LVL,834.00 LUMBAR SACRAL TRANFORMINAL ADDITIONAL,"1,227.00" INJ PARVERTERBRAL FACET,"2,311.00" INJ PARAVERTERBRAL FACET,"3,090.00" INJECTION FACET SECOND LEVEL,500.00 INJECTION FACET SEC ADDITIONAL,751.00 PT TENS APPLICATION,140.00 SC PRO EXC OF GROWTH OF HAND/FOOT NERVE,"1,238.00" SC PRO EXC GROWTH HAND/FOOT NERVE ADD'T,589.00 ER RM FB REMOVAL/EX,134.00 ER DR FB REMOVAL/EX,196.00 ER RM FB REMOV W/O,145.00 ER DR FB REMOV W/O,212.00 REMOVE FOREIGN B0DY,191.00 ER DR FB REM/EX/SLI,281.00 QUETIAPINE 25MG PO,14.00 ESTRADIOL 1MG PO,7.00 QUETIAPINE 100MG PO,15.00 "C/S KLING 1""",3.00 PRO IRIDOTOMY/IRIDECTOMY BY LASER SURGRY,613.00 YAG LASER,689.00 EXTRACAPSULAR CATARACT REMOVAL COMPLEX,"2,468.00" EXTRACAPSULAR CATARACT REMOVAL SIMPLE,"1,781.00" C/S FLUFFS,3.00 DR REPAIR EYELID EXTENSIVE,"1,371.00" FB REMOVAL,128.00 ER DR FB REMOVAL EA,193.00 ER RM REMOVAL IMPACTED CERUMEN IRRIGAT,204.00 ER DR REMOVAL IMPACTED CERUMEN IRRIGAT,42.00 CLINIC HH EAR IRRIGATION,107.00 REMOVL IMP CERUMEN,178.00 C/S ADAPTIC 3X3,3.00 KENALOG 0.5% CREAM,2.00 XR MANDIBLE < 4V,337.00 XR MANDIBLE MIN 4V,386.00 XR FACIAL < 3V,197.00 XR FACIAL MIN 3V,536.00 XR NASAL BONES 3V,278.00 XR SKULL < 4V,303.00 XR SKULL COMP 4V,395.00 "C/S PLASTER ROLL 3""",18.00 XR TM JOINT UNILAT,195.00 XR NECK SOFT TISS 2,206.00 XR NECK F/B FLUOR,273.00 CT HEAD W/O CONTRAST,"1,152.00" CT HEAD W/CONTRAST,"1,638.00" CT HEAD W/WO CONTRAST,"1,920.00" CT EYE/EAR/PF W/O CONTRAST,"1,318.00" CT EYE/EAR/PF W/CONTRAST,"1,821.00" CT FACE/SINUS W/O CONTRAST,"1,189.00" CT FACE/SINUS W/CONTRAST,"1,638.00" CT FACE/SINUS W/WO CONTRAST,"1,863.00" CT NECK WO CONTRAST,"1,436.00" CT NECK W CONTRAST,"1,924.00" CT NECK W/WO CONTRA,"2,151.00" CTA HEAD,"2,561.00" CTA NECK,"2,544.00" MRI ORB/FACE/NEC/W,"2,229.00" MRI ORB/FAC/NEC/WWO,"3,084.00" MRI MRA HEAD W/O,"2,276.00" MRI MRA NECK WO,"2,276.00" MRI HEAD WO,"2,235.00" MRI HEAD W,"2,386.00" MRI HEAD W/WO,"3,437.00" "C/S PLASTER ROLL 6""",25.00 C/S PLASTER SPLINTS,14.00 "EPOGEN 10,000U/MLI",251.00 XR CHEST AP 1V,254.00 XR PORT CHEST IV,280.00 XR CHEST 2V,259.00 SPIRONOLACTONE 50mg PO,8.00 XR CHEST MIN 4V,379.00 "RADIOLOGIC EXAM, CHEST, SINGLE VIEW",267.00 "RADIOLOGIC EXAM, CHEST 2 VIEWS",278.00 AMOXICILLIN 250MGPO,8.00 AMOXICILLIN 500MGPO,8.00 XR RIBS UNILAT 2V,346.00 XR RIBS 3V INCLUDES PA CHEST,361.00 PAROXETINE 20MG PO,16.00 XR RIBS BILAT,395.00 "XR CHEST PA, RIBS B",433.00 XR STERNUM 2V,263.00 MECLIZINE 25MG PO,13.00 SERTRALINE 50MG PO,14.00 AMOX/CLAV 500MG PO,16.00 CT CHEST W/O CONTRAST,"1,776.00" CT CHEST W/CONTRAST,"2,318.00" DIPHENHYDRA 25MG PO,8.00 CT CHEST W/WO CONTRAST,"2,375.00" CTA CHEST PULMONARY,"2,762.00" C/S STOCKINETTE 2 INCH,3.00 DEXAMETHASONE 10MGI,19.00 BUMETANIDE 1MG PO,13.00 FENTANYL PATCH 50MCG topical,54.00 METFORMIN 500MG PO,13.00 C/S STOCKINETTE 3 INCH,3.00 VERAPAMIL180MG ER PO,14.00 CT ABDOMEN AND PELVIS W & W/O CONTRAST,"4,331.00" C/S STOCKINETTE 4 INCH,3.00 ENALAPRI 1.25MG/MLI,20.00 MONTELUKAST 10MG PO,16.00 DILTIAZ ER 360MG PO,14.00 CLONIDINE .1MG PO,13.00 CEFDINIR 300MG PO,15.00 CLINDAMYCIN 150MGPO,13.00 ONDANSETRON 4MG I,13.00 AMLODIPINE 5MG PO,14.00 COLCHICINE 0.6MG PO,14.00 WARFARIN 5MG PO,13.00 DEXAMETHASONE 4MGPO,13.00 ACETAZOLAM 250MG PO,10.00 FLUCONAZOLE 50MG PO,17.00 PHENYTOIN 100MG PO,13.00 OXYBUTYNIN 5MG PO,13.00 LOVASTATIN 20MG PO,15.00 BISACODYL 5MG PO,13.00 TRIAM/HCTZ37.5/25PO,12.00 CIPROFLOXA 250MG PO,21.00 XR SPINE CERV 2V-3V,251.00 XR SPINE CERVICAL 4,394.00 XR SPINE CERV & COM,469.00 AMITRIPTYLIN 25MGPO,8.00 XR SPINE THORAC 2V,287.00 XR SPINE THORAC 3V,318.00 XR SPINE THORAC-LUM,318.00 XR SCOLIOSIS 2V,460.00 C/S CAST PADDING 6 INCH,18.00 XR SPINE LUMB 2V-3V,309.00 XR SPINE LUMB MIN4V,447.00 XR SPINE LU CO W FE,486.00 XR SPINE LUMB FE 4V,319.00 CT CERVICAL SPINE W/O CONTRAST,"1,702.00" CT CERVICAL SPINE W/CONTRAST,"2,207.00" CT CERVICAL SPINE W/WO CONTRAST,"2,275.00" CT THORACIC SPINE W/O CONTRAST,"1,703.00" CT LUMB SPINE WO CO,"1,872.00" CT LUMBAR SPINE W/CONTRAST,"2,143.00" MIRTAZAPINE 15MG PO,16.00 MRI MRA SPINE W/WO,"2,229.00" CYCLOBENZAPR 10MGPO,13.00 XR PELVIS 1V-2V,202.00 XR PELVIS/MULTI,393.00 CT PELVIS W/O CONTRAST,"1,421.00" CT PELVIS W/CONTRAST,"1,983.00" MRI PELVIS W/O,"2,260.00" MRI PELVIS W/WO,"3,143.00" C/S CAST PADDING 2 INCH,12.00 XR SI JOINTS 1V-2V,268.00 XR SI JOINTS 3V,358.00 METRONIDAZ 250MG PO,13.00 ENOXAPARIN 30MG I,8.00 XR SACR & COCCYX,226.00 MELOXICAM 7.5MG PO,15.00 HEPATITIS B NB I,58.00 HALOPERIDOL 1MG PO,13.00 HCTZ 25MG PO,8.00 C/S CAST PADDING 3 INCH,17.00 ENOXAPARIN 40MG I,24.58 PROPRANOLOL 40MG PO,17.00 INDOMETHACIN 25MGPO,13.00 SEVOFLURAN 10ML INH,192.00 C/S CAST PADDING 4 INCH,16.00 CEPHALEXI 250MG PO,13.00 CEPHALEXI 500MG PO,13.00 FUROSEMIDE 40MG PO,9.00 DIGOXIN 0.125MG PO,8.00 C/S TUBE STOCKINETTE 2 INCH,5.00 TAMOXIFEN 20MG PO,15.00 LITHIUM CP 150MG PO,7.00 BACLOFEN 10MG PO,13.00 METOPROLOL 50MG PO,13.00 CALCITONIN 200U/DOS,16.00 MILK OF MAG 30ML PO,8.00 NOREPINEPH 4MG/4MLI,41.00 ATORVISTATI 20MG PO,15.00 METOPROLOL 5MG/5MLI,21.00 BUPIVACAINE .25%/EPI 10ML I,18.00 BUPIV .5%/EPI 10CCI,20.00 ESCITALOPRA 10MG PO,15.00 GLYBURIDE 2.5MG PO,8.00 HYDROCORT CR 2.5%,16.00 PRAZOSIN 1MG PO,0.00 C/S MESH PLUG MEDIUM,675.00 IBUPROFEN 600MG PO,8.00 SIMETHICONE/DROP PO,19.00 SIMETHICONE tab,9.00 ARTIFICI TEARS U-D,13.00 GABAPENTI 300MG PO,13.00 C/S MESH PLUG LRG,679.00 GABAPENTIN 100MG PO,8.00 EPI-PEN 0.3MG I,400.00 HURRICAINE SPRAY,13.00 NITROGLYC .4MGSL PO,9.00 C/S MESH PLUG XLRG,788.00 XR CLAVICLE COMP,197.00 METHADONE 5MG PO,13.00 XR SCAPULA,315.00 XR SHOULDER 1V,175.00 HYDROCORTIS 20MG PO,8.00 XR SHOULDER MIN 2V,256.00 XR AC JOINTS,256.00 PIPER/TAZ 3.375GM I,26.00 XR HUMERUS 2V,239.00 PROPARACA .5% OS bottle,54.00 XR ELBOW 2V,253.00 XR ELBOW 3V,277.00 XR FOREARM,238.00 XR WRIST 2V,224.00 INTEGRILIN 75 MG IV,674.00 XR WRIST MIN 3V,267.00 CEFTAZIDIME 1 gm,41.00 LINEZOLID 600MG PO,208.00 XR HAND 2V,238.00 PENICILLIN VK250MPO,7.00 XR HAND 3V,267.00 XR FINGERS,190.00 AMIODARONE 150MG I,70.00 RAMIPRIL 5MG PO,14.00 PROMETHAZINE 25MGPO,13.00 CT UPPER EXTREMITY W/O CONTRAST,"1,189.00" CT UPPER EXTREMITY W/CONTRAST,"1,638.00" CT UPPER EXTREMITY W/WO CONTRAST,"1,741.00" VALPROATE 500MG I,36.00 MRI UP EX NONJO W/O,"2,189.00" MRI UPR EXT JO W,"2,500.00" MRI UPR EXT JO W/WO,"4,381.00" PREDNISONE 10MG PO,13.00 PREDNISONE 20MG PO,13.00 "ESTROGEN,CONJ 0.3PO",13.00 NIFEDIPINE 10MG PO,13.00 C/S FOAM ADHESIVE 3 1/2 X 3 1/2,27.00 NEULASTA 6MG/.6ML I,"7,492.32" PHENAZOPY 100MG PO,13.00 HEPARIN 5000U/ML I,25.00 "HEPARIN 10,000U/MLI",23.00 "EPOETIN 40,000U/MLI","1,313.00" HUMULIN N (NPH) per 5 units,13.00 SMX/TMP DS PO,8.00 XR HIP 1 VIEW UNILATERTAL WITH PELVIS,235.00 XR HIP 2 VIEWS UNILATERAL WITH PELVIS,263.00 MORPHINE 4MG I,25.00 XR HIP 2 VIEWS BILATERAL WITH PELVIS,347.00 CEFTRIAXONE 500MG I,44.00 CEFTRIAXONE 1GM I,16.00 XRAY FEMUR 1 VIEW,254.00 XR FEMUR 2 VIEWS,256.00 XR KNEE 1V-2V,256.00 XR KNEE 3V,290.00 XR KNEE 4V OR>,410.00 XR KNEE BIL AP W/B,421.00 XR TIB/FIB 2V,259.00 XR INFANT 2V-LWR EX,157.00 OP DICLOXAC 250MG#8,48.00 XR ANKLE 2V,253.00 XR ANKLE 3V MIN,261.00 LEVOTHYROXINE.1MGPO,9.00 XR FOOT 2V,253.00 XR FOOT MIN 3V,267.00 OP AZITHROM 250MG#2,48.00 OP PRELONE 15CC,48.00 XR CALCANEUS 2V,235.00 OP PROM 25MG SUPP#2,48.00 XR TOES,193.00 OP OXYCODONE 5mg #6 packet,48.00 ATENOLOL 25MG PO,13.00 BENZONAT 100MG PO,1.00 CT LOWER EXTREMITY W/O CONTRAST,"1,120.00" CT LOWER EXTREMITY W/CONTRAST,"1,638.00" CTA LOWER ETXREMITY,"2,555.00" MRI LWR EXT NONJO W/O,"2,189.00" MRI LWR EXT JO W,"1,986.00" MRI LWR EXT JO W/WO,"2,423.00" MRI MRA LOW EX W/WO,"2,341.00" OP LORAZEPAM 1MG #2,48.00 OP IBUPROFE 600MG#6,48.00 OP DIPHENHYD 25MG#8,48.00 MULTI-VIT W/MIN PO,13.00 9THIAMINE 100MG TAB,7.00 CHLORPROMAZI 25MGPO,13.00 OP PROMETHAZ 25MG#6,48.00 OP PREDNISO 20MG #3,48.00 THYROID 60mg PO,13.00 ROCURONIUM 50MG IV,50.00 TRAMADOL 50MG PO,13.00 GELFOAM 100,84.00 OP AMOX/CL 875MG #4,48.00 HYOSLYAMINE SL/PO,13.00 XR ABDOMEN 1 VIEW,217.00 XR ABDOMEN 2 VIEWS,339.00 "XR EXAM, ABDOMEN 3 OR MORE VIEWS",343.00 XR ABD SER/1V CHEST,475.00 CLOTRIMAZOLE 1% CRE,18.00 HYDROXY PAM 25MG PO,7.00 OP ALBUTERUL U-D #5,48.00 ALTEPLASE 2MG I,184.00 RANITIDINE 150MG PO,14.00 CT ABDOMEN W/O CONTRAST,"1,784.00" CT ABDOMEN W/CONTRAST,"2,329.00" METOLAZO 2-1/2MG PO,14.00 CT ABDOMEN W/WO CONTRAST,"2,375.00" CTA ANGIO ABD & PELVIS WITH OR WITHOUT,"3,520.00" CTA ABDOMEN,"2,720.00" CT ABDOMEN AND PELVIS W/O CONTRAST,"3,699.00" CT ABDOMEN AND PELVIS W/CONTRAST,"4,255.00" CT ABDOMEN W/WO AND PELVIS W/WO,"5,190.00" MRI ABDOMEN W,"2,500.00" MRI ABDOMEN W/WO,"2,657.00" CHLOROPRO 2% 20ML I,4.00 ALLOPURINOL 100MGPO,13.00 XR PHARYNX/ESOPHAGU,370.00 XR ESOPHAGUS,447.00 VENLAFAXINE 75MG XR,18.00 XR UGI,560.00 XR UGI/KUB,537.00 XR UGI/SM BOWEL,783.00 XR UGI/AIR,724.00 XR UGI/AIR/SM BOWEL,814.00 OP AUGMENT 200mg/28.5mg per 5ml,99.00 XR BARIUM ENEMA,613.00 XR BARIUM ENEMA/AIR,679.00 SIMVASTATIN 20MG PO,17.00 XR OR CHOLANGIOGRAM,562.00 RITUXIN 500MG I,"5,012.00" LINEZOLID600MG/300I,184.00 SMX/TMP SUSP 5CC PO,13.00 FLONASE 16GM MDI,98.00 C/S ENDOPOUCH,613.00 LIDOCAINE 5% PATCH,18.00 FAMOTADINE 20MG PO,14.00 LEVOFLOXAC 500MG I,86.00 OP LEVAQUIN 500MG#2,51.00 PROCHLORPE 5MG PO,13.00 ALBUMIN 25% 50ML I,167.00 SCOPALAMI 1.5MG PAT,27.00 C/S SAF-GEL,32.00 MAG CITRATE 10OZ PO,14.00 LIDOCAINE 1% PF30ML,18.00 BUPIV .5% 50ML I,34.00 METAMUCIL PKTS PO,13.00 C/S MESH PLUG SM,685.00 KETOROLAC 30MG I,16.23 POTASS CL 20MEQ PO,13.00 POTASS CL 20MEQ SOLUTION PO,13.00 C/S BIO-FASTAK 3.0,974.00 DEXAMETHASONE 1mg/ml PO,1.00 PHENYTO 125MG/5CCPO,13.00 PROPOFOL 200MG/20ML I,48.00 PRAVASTATIN 40MG PO,12.00 CHOLESTYRAMI PCKTPO,14.00 EPINEPHRI 1:1000 I,18.00 C/S OB ABD BINDER,31.00 LEVOTHYROX 88MCG PO,9.00 AMPICILLIN 500MG I,15.00 MAGNESIUM SUL 5GM I,18.00 AMPICILLIN 1GM I,20.00 UNASYN 3 GRAM,23.00 ROSUVASTATIN 40MG PO,15.00 CEFAZOLIN 1GM I,20.00 ABHR RECTAL SUPPOSITORY,15.00 HYDRALAZIN 20MG/MLI,21.52 PHYTONADIONE 1MG I,51.00 OXCARBAZEP 300MG PO,13.00 LEVOFLOXACIN 750MG I (jcode=250mg),35.00 ATROPINE 1MG/ML V I,20.00 TERBUTALINE 1MG/MLI,62.05 CALCIUM GLUC 10ML I,16.00 OP OMEPRAZ 20MG #2,51.00 CLINDAMYCIN 600MG I,16.00 DEXAMETHASONE 4MG I,19.00 THIAMINE 100MG PO,11.00 OP ACYCLOV 200MG#10,13.00 PHENYTOIN 250MG I,13.00 LOSARTAN 25MG PO,14.00 OP APAP/COD 30MG #6,48.00 METRONIDAZ 500MG I,20.00 SOD CHLORI 0.9% NEB,7.00 HALOPERIDOL 5MG I,37.00 OP HYDROXYZ 25MG #2,48.00 LISINOPRIL 5MG PO,8.00 METFOrmin ER 500MG PO,8.00 GENTAMICIN 0.3% OS,27.07 OFLOXACIN 0.3% OS,95.00 ARTIFICIAL TEARS OPHTAL ONT 3.5GM,15.00 ADVAIR (FLUTI/SAL) 250/50 Inhaler,320.00 FERROUS SU 325MG PO,9.00 ADVAIR (FLUTI/SAL) 500/50 Inhaler,438.00 CEFDITOREN 200MG PO,13.00 CTA AORTA BILAT LOWER EXTREMITY,"2,939.00" TRIAMCINOLONE 40MGI,20.00 HYDROXYCHL 200MG PO,8.00 DIGOXIN .5MG I,20.00 LAMOTRIGINE 25MG PO,16.00 FUROSEMID 40MG/4MLI,21.00 LEVOFLOXAC 750MG PO,48.00 MAGNESIUM SUL 1GM I,16.00 CARVEDILOL 3.125MGPO,13.00 METHERGINE 0.2MG I,23.00 CIMETADINE 200MG PO,7.00 MORPHINE 15MG IR PO,13.00 NALOXONE 0.4MG I,19.00 ASA/ DIPYR 25/200 PO,13.00 NALOXONE 2MG I,61.00 AMLOD/ BENA 10/20 PO,15.00 PROMETHAZINE 25M I,14.00 AMOXIC 125MG/ 5ML PO,7.00 PROMETHAZINE 50MG I,15.00 AZITHR 100MG/5ML PO,87.00 OXYTOCIN 10U I,24.00 NEOSTIGMINE 1MG I,23.00 VIT B12 1000MCG/CCI,17.00 ACETYLCY 6GM/30ML I,268.00 METOCLOPRAM 10MG I,14.00 HYDROCORT (solu-cortef) 100MGI,21.00 OP PERCOCE 5/325 #6,48.00 XR JOINT STRESS VIE,295.00 METHYLPRED SS125MGI,21.00 BUTORPHANOL 2MG I,16.00 WARFARIN 1MG PO,13.00 XR SKEL SURV INFANT,395.00 OP DIAZEPAM 5MG #4,21.00 XR DEXA/BMD,520.00 THIAMINE 100MG (per 100mg jcode),20.00 APAP SUPP 120MG R,8.00 MAMMO SPECIMEN,550.00 MORPHINE ER 15MG PO,14.00 ADVAIR (FLUTI/SAL) 100/50 Inhaler,242.00 PRENATAL VIT/FOL PO,7.00 DOXYCYCLINE 100MG I,45.00 MIRALAX 17GM PO,14.00 pOTASSIUM 20 MEQ VIAL,15.00 PROPRANO LA 80MG PO,12.00 K PHOS 66MEQ I,19.00 SIMVASTATIN 40MG PO,16.00 DEXTROSE 50% SYR I,25.00 OLANZAPINE 10MG I,58.00 FOLIC ACID 5MG I,19.00 SENNA 8.6MG PO,7.00 CLOPIDOGREL 75MG PO,18.00 FIBER/POLY 625MG PO,7.00 ANTIVENIN SNAKE I,"3,698.00" OP ZOLPIDEM 5MG #2,48.00 ATROPINE .4MG/ML I,15.00 SOD BICARB 8.4% I,27.00 NYSTATIN POWDER TOP,38.00 CALC CHLOR 10%SYR I,24.00 LIDOCAINE 100MG I,16.00 EUCERIN CR 454GM T,27.00 LIDOCAINE 1% 10ML I,13.00 LAMIVIZIDOVUDINE PO,29.00 LIDOCAINE 2% 10ML I,15.00 CARBOPROST 250MCG/I,120.00 BAC/NEO/P 28GM TOP,13.00 OXYMETAZOLINE NASAL,34.00 OP ALBUTEROL INH #1,71.00 DILTIAZEM ER 60MG PO,8.00 U/S S.T HD/NECK THY,470.00 FLOVENT (FLUTIC) 110MCG/D MDI inhaler,256.00 LIDOCAI 2GM/500ML I,21.00 U/S CHEST,282.00 CLONAZEPAM 1MG PO,14.00 U/S BREAST COMPLETE,406.00 U/S BREAST LIMITED,204.00 OP GENTAMICI 5ML OS,48.00 ERYTHROMYCIN OPH O,31.00 U/S ABD COMP,590.00 U/S ABD LIM/FOL-UP,470.00 U/S AORTA SCREEN AAA,355.00 DIVALPRO E 125MG PO,8.00 FLOVENT (FLUTIC) 220MCG/D MDI inhaler,390.00 PROPARA .5% OS DOSE,12.00 U/S RETRO/AORT/RENA,553.00 U/S RETROPERITONEAL REAL TIME LIMITED,428.00 SULFACETAMI 15ML OS,14.00 US SPINAL CANAL,509.00 U/S OB TRANSABD<14W,469.00 U/S OB EA ADDTL GES,304.00 U/S OB TRANSAD>=14W,555.00 U/S OB EA ADDTL GES,403.00 U/S OB DETAIL FETAL,545.00 U/S OB LIMITED,366.00 U/S OB FOLLOW-UP,406.00 U/S OB TRANSVAGINAL,431.00 U/S BPP W/O NST,410.00 OP ANTIPYR/BENZ10ML otic,48.00 DOPPLER VELOCIMETRY FETAL UMBILICAL ARTE,398.00 U/S TRANSVAG-PELV,500.00 U/S PELVIS COMP,500.00 U/S PELVIS LIMITED OR FOLLOW-UP,517.00 GLYCERIN SUPPOSITORY,13.00 FLEETS PHOSP SODAPO,14.00 U/S SCROTUM,500.00 U/S EXTREMITY,446.00 "U/S EXTREMITY NON VASC LIMITED, AXILLARY",445.00 U/S GUIDE NEEDLE PLACEMENT,447.00 ROCURONIUM 50MG/5ML I,50.00 HEMORRHOIDAL SUPP,13.00 DONEPEZIL 5MG PO,19.00 XR FLUOROSCOPIC GUIDANCE,469.00 AMIODARONE 200MG PO,13.00 NYSTATIN CREAM,32.00 NYSTATIN OINTMENT,16.00 MAMMO DIAGNOSTIC UNILATERAL W/CAD,189.00 MAMMO DIAGNOSTIC BILATERAL W/CAD,238.00 MAMMO SCREENING W/CAD BILATERAL,293.00 PANTOPRAZOL 40MG PO,18.00 XR BONE SURVEY,815.00 XR BONE SURVEY 1 VIEW 2 OR MORE JOINTS,289.00 OP SULFADIAZ / TMP DS 800mg / 160mg #4,48.00 XR DEXA/BMD,492.00 ACTIV CHARC 50GM PO,53.00 GUAIFEN/DM 5ML 50,7.00 LIDOCAINE 2% JELLY,36.50 CETACAINE SPRAY BTL,99.00 PROTAMINE 250MG vial 10mg/ml,47.70 HEPARI 25MU/500ML I,25.00 FENTANYL 2ML I,19.00 DOPAMINE 400MG/250ML I,47.00 LIDOCAINE VISC. 100ml bottle,39.00 AMOX/CL 250MG/5ML SUS PO,73.00 PETROLEUM J 5GM TDP,6.00 MIDAZOLAM 5MG/ML I,16.00 BISACODYL10MG SUPPR,13.00 SILVER SULFADIAZIN 400GMCR TUB,62.00 WITCH HAZE PADS TOP,12.00 NITROGLYC OINTM,13.00 GALANTAMINE 8MG PO,18.00 METOPROLOL XL25MGPO,13.00 METHYLPRED SS 40MGI,21.00 IBUPROFEN SUSP5CCPO,13.00 AMPICILLIN 250MG I,15.00 TUBERCULI PPD TESTI,20.00 FLNOXETINE 10MG PO,13.00 Donnatal ANTISPASMODI EL 5ML,71.00 ASPIRIN SUPP 300MGR,13.00 ASPIRIN/APAP/CAFFEINE TABLET PO,7.00 OP APAP/COD 60CC solution,48.00 APAP SUPP 650MG R,13.00 APAP SUPP 325MG R,13.00 LIDO-MPF 0.5% 50MLI,40.00 PROMETHAZINE 25MG R,16.00 OP MECLIZINE 25MG #2,31.00 ATROPINE 1MG/10ML I,17.00 DIGOXI 0.05MG/ML PO,8.00 LIDOCAINE 1% W/EPII,19.00 LIDOCAINE 2% W/EPII,24.00 ROPIVILAINE 0.2% 100ML,12.00 GLIMEPIRIDE 2MG PO,13.00 IRON SUCROSE (per 200mg),25.00 CANDESARTAN 4MG PO,12.00 GLYCOPYRROLATE .2MG/ML 5ML I,18.00 OP AMOXIC 250MG #6,48.00 OLANZAPINE 5MG PO,24.00 CELOCOXIB 200MG PO,15.00 RANITIDINE 50MG I,17.00 ACYCLOVIR 500MG I,37.00 RISPERIDONE 0.5MG PO,15.00 SUCRALFATE 1GM PO,13.00 GLUCAGON 1MG/1CC I,196.00 INTEGRILIN 20 MG I,224.00 CARBI/LEVO 25/100PO,13.00 OP-NITROFURANTOIN 100MG #4,48.00 FUROSEMIDE 20MG PO,9.00 TRAZODONE 50MG PO,13.00 ONDANSETRON 4MG PO,50.00 M.V.I.-12 10ML I,80.00 MIDAZOLAM 1MG/ML I,13.00 OP METRONIDIZOLE 250MG #8,48.00 FUROSEMID 20MG/2MLI,20.00 DIPHENHYDRAMI 50M I,16.00 HEPATITIS B VAC I,119.00 PINDOLOL 5MG PO,13.00 OP AMOXI 250MG/5ml 100ml bottle,48.00 QUINAPRIL 10MG PO,8.00 Atrovent (IPRATROPIUM) INHALER,184.00 AMOX/CLAV 875MG PO,16.00 CEFUROXIME 500mg PO,19.00 BETAMETHASONE/PH/AC 6MG I,52.45 BACITRACIN OINTMENT 0.9GM TOP,26.00 BENAZEPRIL 10MG PO,14.00 OP ABTIC/HC OTIC 10,61.00 ZOLPIDEM 5MG PO,19.00 GENTAMYCIN 80MG I,21.00 FINASTERIDE 5MG PO,14.00 POTASSIUM CL10MEQPO,12.00 TROPICAMIDE 1% OS,48.00 NAPROXEN 250MG PO,8.00 NAPROXEN NA 220MG PO,7.00 HEALON GV,64.00 LOPERIMIDE 2MG PO,12.00 PNEUMONIA 23 VACCINE,116.00 OP ALBUTERO SYR30CC,48.00 INSULI-HUMALOG per 5 units,42.00 INSULIN LANTUS per 5 units,14.00 CLORAZEPATE 7.5MGPO,16.00 TUBOCURAIRE VIAL,73.00 SILVER SULFADIAZINE 25GMCR,16.00 COSYNTROPIN .25MG I,155.00 VALPROIC ACID 250MG PO,8.42 COLACE/DOCUS/SOD/10,0.00 DOXYCYCLINE 100MGPO,30.00 PREDNISOLONE 15MG/5ml PO,14.00 MISOPROSTOL 100MCGV,14.00 FOLIC ACID 1MG PO,13.00 GLIPIZIDE 5MGXL PO,8.00 OP NITROGLYC.4MG#25,48.00 ACYCLOVIR 200MG PO,12.00 LABETOLOL 100MG PO,8.00 VERAPAMIL 120MG ER PO,8.00 FAMOTIDINE 40MG PO,18.00 METOCLOPRAM 10MG PO,8.00 OP SULTACETA OS 15M,48.00 HYDRO/APAP 5/500 PO,10.00 VASOPRESSIN 20U/MLI,29.00 VALSARTAN 80 MG PO,12.00 KETOROLAC 60MG I,14.00 PEG/MINERALS 2000ML,86.00 METHYLPRED ACE80MGI,32.00 PRAMIPEXOLE .125MG PO,17.00 BUDESONIDE INHALER 1 EACH,206.00 BUSPIRONE 15MG PO,13.00 CIPROFLOXA 500MG PO,18.00 NITROGLYLERIN 50MGI,45.00 DIPHENHYDRAM ELI PO,13.00 GLUCOSE GEL 15GMSPO,16.00 NITROGLYC SPRAY/DPO,13.00 DIP/TET (PED) I,45.00 METHYLCELLULOSE 20GM PO,8.00 NITROGLYC 0.2 PATCH,14.00 NITROGLYC 0.4 PATCH,15.00 REMICADE inj 100mg vial,"1,250.00" NYSTATI SUSP 5ML PO,13.00 DICLOFENAC 50MG PO,15.00 PHENYLEPHRINE 10MGI,19.00 A & D 1.5 oz,9.55 OP SMX/TMP SUSP60ML,48.00 OP KLOR-CON 10MEQ#2,48.00 OP CYCLOBEN 10MG #6,48.00 HEPARIN 100U/ML I,15.00 C/S GAUZE 4X4 10'S,3.00 C/S CATH #1,38.00 LAB SUPERSATURATION PROFILE 24 HR URINE,242.00 CEFPODOX CAP 200MG,10.00 LANSOPRAZOL 30MG PO,17.00 ABATACEPT INJ (orencia),"1,414.00" INJECTAFER 750MG/15ML Injectable,"1,330.00" METHENAMINE HIPPURATE 1 GRAM (LENS),10.00 Betadine 5% Opth (for eye surgery),22.82 TAZTIA XT 300MG,9.94 Alprazolam 0.5 mg tab,9.00 Hydromorphone 10mg/ml 1ml Vial,23.08 Activase 100mg kit,"10,567.83" Provisc 0.5ml INJ eye,177.61 Divalproex DR 250mg,8.42 Lyrica 150mg,20.84 Venlafaxine 50mg Tab,9.46 UDENYCA prefilled syring 0.6mg,"5,025.05" lopinavir & Ritonavir,15.65 "RETACRIT 40,000 UNITS",544.49 Lidocaine Jelly 2% 5ml tube,14.18 InFanrix,46.85 KCL 20mEq in 1000 ml NS premixed bag,109.00 KCL 20mEq in D5 1/2NS 1000ml,95.00 Namzaric 28-10mg Capsule,25.90 HO LORAZEPAM 0.5 MG 20 UNITS,10.00 HO LIDOCAINE 5% 30 UNITS,167.00 HO FUROSEMIDE 20 MG 9 UNITS,3.95 HO ACETAMINOPHEN-COD 300-30MG 60 UN,4.27 HO IPRATROPIUM-ALBUT 0.5 MG-3 360 UNITS,33.28 SUMATRIPTAN TAB 25MG,37.00 HO PREDNISONE 10 MG 30 UNITS,4.25 HO SPIRONOLACTONE 25 MG 30 UNITS,4.95 HO THEOPHYLLINE ER 400 MG 30 UNITS,23.45 HO FENTANYL 25 MCG/HR 3 UNITS,13.00 HO AMOX TR-POTASSIUM 875-125 14 UNITS,7.22 HO HYDROCODONE-ACETA 5-325 28 UNITS,4.26 HO OXYCODONE HCL ER 10 MG 15 UNITS,42.48 HO BISACODYL 5 MG 30 UNITS,3.29 HO FENTANYL 37.5 MCG 10 UNITS,537.04 Vit B-12 1000mg,13.00 HO MORPHINE SULFATE 15 MG 28 UNITS,4.56 HO FLUCONAZOLE 200 MG 15 UNITS,28.69 HO THEOPHYLLINE ANHY 300 MG 60 UNITS,143.85 HO SYMBICORT 160-4.5 MCG 10.20 UN,339.00 HO LEVOTHYROXINE SOD 75 MCG 30 UNITS,13.70 HO CONSTULOSE 10 GRAMS 15 ML 946 UN,11.55 HO OXYCODONE HCL 10 MG 35 UN,3.69 HO LEVOTHYROXINE SOD 175 MCG 30 UN,20.38 LAMICTAL 200MG PO,16.00 DIOVAN HCT 160-25 MG,5.00 Omega 3 fish oil 1000mg,9.00 REQUIP 0.5MG,5.00 VESICARE 5MG,11.00 PROLIA SQ INJECTION,"1,286.00" HO DEXAMETHASONE 4MG TAB #30,34.00 Reclast inj (j code per 1 mg),"2,076.00" HO MORPHINE SULFATE 15 MG 12 UNITS,4.95 HO MORPHINE SULFATE 60 MG 8 UNITS,5.50 HO DOC-Q-LACE 100 MG,4.95 HO OXYCODONE HCL 10 MG 30 UNITS,4.95 HO ASCENSIA MIS BREE 50 UNITS,57.47 HO MORPHINE SULFATE 30 MG 20 UNITS,4.64 HO TRAMADOL HCL 50 MG 30 UNITS,4.95 HO PRAMIPEXOLE DIHYD 0.25 60 UNITS,3.41 HO GABAPENTIN 300 MG 60 UNITS,4.95 HO PROMETHEGAN 25 MG 10 UNITS,115.79 HO DULOXETINE HCL 30 MG 30 UNITS,9.84 HO ELIQUIS 5 MG 30 UNITS,203.33 HO OXYCODONE HCL 20 MG 30 UNITS,5.15 HO THEOPHYLLINE ANHY 300 MG 30 UNITS,71.92 HO CEFDINIR 300 MG 20 UNITS,18.54 HO C-ABHR SUPPOSITORY 28 UNITS,29.16 HO SCOPOLAMINE 1 MG OVER 3 DAYS 3 UN,64.30 HO MORPHINE SULF 100MG/5ML 60 UN,25.00 HO PHENAZOPYRIDINE H 100 MG 30 UNITS,51.30 HO CYCLOBENZAPRINE H 5MG 30 UNITS,4.95 HO TRANSDERM-SCOP 1 MG OVER 3 DAYS 3 UN,66.75 HO PRAMIPEXOLE DIHYD 0.25 MG 30 UN,4.95 HO PHENADOZ 25 MG 10 UNITS,64.88 HO GABAPENTIN 300 MG 30 UN,4.95 HO LORAZEPAM 0.5 MG 40 UNITS,9.95 ASTRAMORPH / PF 2MG/ML 2MLAMPULES,40.00 K RIDER 40MEQ,12.00 HO DIPHENHYDRAMINE TAB 25MG # 30,14.00 HO PROMETHAZINE 25MG PO #10,16.00 "PENICILLIN G (BICILLIN C-R) 1,200,000",60.00 HO FLUTICASONE PROPI 50 16 UNITS,28.44 HO CITALOPRAM HBR 40 MG 30 UNITS,4.95 HO HYOSCYAMINE SULFA 0.125 10 UNITS,4.95 HYDRALAZINE HCL 25MG,0.00 TOPIRAMATE 25MG TAB,11.00 HYDROCODONE - APAP 10MG / 325MG,12.00 CLONAZEPAM 0.125MG,1.00 Flu Vaccine High Dose (Fluzone) 65yrs +,54.00 Calcium Carbonate 600mg Vit D 400IU,9.00 VIT E 400 I.U.,9.00 XARELTO 10MG TAB,25.00 DIFLUCAN 100MG TAB,31.00 PNEUMOCOCCAL 13 VACCINE,426.00 COLESTIPOL 1GM TAB,11.00 CRANBERRY CONC. 500MG CAP,9.00 TORADOL TABLETS (KETOROLAC),14.00 CARVEDILOL 25 MG CAP,12.00 MAGESIUM 2g in 50ML PIGGYBAG,12.00 HEPARIN IV FLUSH SYRINGE 10 UNITS / 5ML,13.00 3% HYPERONIC SALINE 500ML BAG,11.00 OP-TORADOL TABLETS #6,72.00 LEVETIRAC ORAL SOLU 100MG/ML (Keppra5ML),16.00 BUPROPION 75MG TAB,8.00 LEVOTHYROX 0.75MCG TAB,9.00 VALSARTAN 40MG TAB,9.00 ELIQUIS 2.5MG TAB,12.00 CELECOXIB 50MG CAP,11.00 XGEVA 120mg injection,"2,633.00" Flu Vac ADULT reg(Flulaval or Fluarix),34.00 TIZANIDINE 2MG TAB,12.00 hydrocodone 7.5mg / 325mg tab,18.00 Lupron 22.5mg kit,"5,000.00" PROCTOSOL-HC 2.5% CREAM,105.00 CoQ-10 100mg softgel,8.00 OP-AMOXICIL 400MG / 5ML SUSP,18.00 ACETAMINOPHEN INJECTABLE,65.00 Oxacillin 2 gm vial (j code per 250mg),48.00 Vancomycin 750mg vial (jcode per 500mg),28.00 VENOFER (IRON SUCROSE) in 250NS,1.00 desmopressin nasal spray,269.00 Humulin R vial ; for drip IVPB,51.00 Polysporin packet,9.00 Epi LIdo PF/SF (imprimis),36.00 Vigamox 0.5% (imprimis),36.00 Pred Moxi Keto post op (imprimis),42.00 AMPICILLIN 2 GM VIAL,31.80 DILAUDID 2MG TABLET,15.00 HO MORPHINE SULFATE 15 MG 25 UN,6.39 NEUPOGEN 480MCG,393.00 HO ONDANSETRON ODT 4 MG 30 UNITS,17.00 HO GABAPENTIN 600 MG 90 UNITS,9.00 HO PHENAZOPYRIDINE H 200 MG #30,67.00 HO BACLOFEN 10 MG 30 UN,3.85 HO PHENAZOPYRIDINE H 100 MG 30 UN,8.01 HO NITROGLYCERIN 0.4 MG 25 UNITS,23.26 HO MORPHINE SULFATE 20 MG/5 30 UNITS,4.26 HO RANITIDINE HCL 150 MG 60 UN,44.40 LAB BASIC W/ IONIZED CALCIUM,128.00 HO POTASSIUM CHLORID 20 MEQ 30 UN,8.00 HO FENTANYL 25 MCG/HR 6 UN,21.00 HO OXYCODONE HCL 10 MG 60 UN,26.00 HO MORPHINE SULFATE 15 MG 60 UN,25.00 HO CIPROFLOXACIN 500 MG 20 UN,2.23 HO LORAZEPAM 1 MG 90 UN,10.00 METOPROLOL TARTRAE 25MG TABLET,9.00 LAB BASIC METABOLIC PANEL,81.00 HO MORPHINE SULFATE 10 MG 100 UNITS,18.32 HO LORAZEPAM 1 MG 10 UNITS,10.00 HO C-ABHR SUPPOSITOR 5 UNITS,3.00 Nitro,7.00 op Tramadol #10,60.00 LAB GENERAL HLTH PANEL,215.00 NIX creme rinse kit,19.00 Calmoseptine UD packets,9.00 POTASSIUM CHL ORAL 40Meq / 15mL,18.00 NOVOLOG Insulin aspart VIAL,33.00 VENLAFAXINE 25MG PO,9.00 SUGAMMADEX INJ,137.00 FLUCONAZOLE 150MG TAB,23.00 LAB ELECTROLYTE PANEL,51.00 OSELTAMIVIR 30 MG,23.00 OSELTAMIVIR 45 MG,23.00 DEXTROMETHORPHAN LIQUID,1.58 MORPHINE 2mg /ml inj,25.00 Triamcinolone Cream 0.1% tube,14.00 Ketamine 500mg / 10 ml vial,27.00 MIDAZOLAM ORAL LIQUID 2.5 MG,18.00 Diltiazem cd 240mg,15.00 TERAZOSIN 5MG,14.00 Eucerin small tube DermaCerin,11.35 PEG3350 Package,10.00 NICOTINE PATCH 14MG,16.00 NICOTINE PATCH 21MG,16.00 LAB COMP METABOLIC PANEL,203.00 MEMANTINE 5MG PO,14.00 LAB PRENATAL PANEL,311.00 ASPIRIN 81MG CHEW TAB,1.00 ASPIRIN EC 81MG,1.00 ASPIRIN 325MG TAB,1.00 NICARDIPINE IV 2.5MG/ML,38.00 APAP CHILD LIQ,9.00 APAP INFANT DROPS,9.00 TYSABRI 300MG,"7,215.00" DIASTAT pedi,177.00 MEPERIDINE 100MG/ML 1ML VIAL,18.00 MIDAZOLAM 1MG/ML VIAL 2ML,35.00 INVANZ 1gm Vial (jcode ea 500mg),128.00 BANANA BAG D51/2NS FOLIC/THIAMIN/MAG,175.00 KCL 40MEQ INJECTABLE,35.00 CLINDAMYCIN 900MG VIAL,16.00 OXYTOCIN 20UNITS (TWO 10UN VIALS),46.00 "GI COCKTAIL, GREEN",176.14 DUONEB 3ML,9.00 CYMBALTA 60MG CAP,35.00 AMIODARONE 450MG (THREE 150MG VIALS),206.00 CELEXA 20MG TABLET,16.00 STOOL SOFTENER,2.00 IBUPROFEN 200MG TABLET,1.00 VIT C 500MG TABLET,3.00 MERREM 500mg vial,57.00 TOBRADEX EYE DROPS 5ML,160.00 LAB HEP PANEL ACUTE,138.00 NORCO 5/325MG TABLETS,13.00 OP-NORCO 5/235MG TAKE HOME PACK #6 TABS,67.00 MERREM 1GRAM VIAL,61.00 AMOXI-CLAVUL SUSP 400MG/57MG/5ML 50ml,7.00 IPRATROPIUM U-D/NEB,9.00 CUBICIN INJ 500MG,519.00 POTASSIUM PHOSPHATE 15mm/22mEq,34.00 LIDO/PRILO TOPICAL (GENERIC ELMA),24.00 "EPOGEN 20,000 UNIT VIAL",664.00 ANCEF 2GM,33.00 LAB LIPID PANEL,154.00 LANOLIN BREAST CREAM 0.3 FL OZ,20.00 AMERICAINE SPRAY,16.00 TETANUS DIPHTHERIA ACELLULAR PERTUS TDAP,70.00 ACTIVASE 100MG VIAL,"9,692.00" MORPHINE ORAL SOLUTION,9.00 MAGNESIUM SULFATE 1GM/2ML,12.00 PROBIOTICS (CULTURELLE),14.00 PRAVACHOL (PRAVASTATIN) 20MG TABLET,15.00 LEVOTHYROXINE 112MCG,12.00 XOPENEX 1.25MG,16.00 PULMICORT NEB 0.25MG/2ML,5.00 LEVETIRACETAM 500MG (Keppra),12.00 PRADAXA 150MG,8.00 OP ZOFRAN 4mg #6,69.00 PREDNISOLONE SYRUP 5MG/5ML,15.00 ROBAXIN (METHOCARB) 750MG TABLET,13.00 DILTIAZEM 300MG CAPSULE,32.00 "VIT D2 50,000UNITS",2.00 VIGAMOX 0.5% EYE DROP,114.00 SHUGARCAINE SOLUTION (EYE SURGERY),15.00 BETADINE 5% OPHT PREP,30.00 Betadine 5% prep solution (per dose),11.00 Betadine 10% Scrub (per dose),12.00 VISION BLUE 0.06% (PER SYRINGE),78.00 MIOSTAT 0.01% EYE DROP (BOTTLE),62.00 DIALATION SOLUTION (PRE-OP EYE SURGERY),103.00 ISOPTOCARPINE 2% EYE DROP (PER DOSE),25.00 POTASSIUM kcl RIDER 20mEq,21.00 k-rider 10mEq,21.00 LAB RENAL PANEL,90.00 SOTOLOL 80MG,12.00 IRON DEXTRAN 50MG INJ,37.00 HYDRALAZINE 10MG TAB,14.00 VIT B12 100MG TAB,13.00 MARCAINE 0.75% per drop for surgery,12.00 LEVOTHYROXINE 100MCG/5ML INJ,154.00 PROTONIX DRIP BAG 80MG/80ML,26.00 MUCINEX 1200MG TAB,13.00 CARAFATE (SUCRALFATE) LIQUID per 1gram,15.00 ZANTAC 50MG IN 50CC NS,14.00 MAGNESIUM OXIDE 400MG TAB,12.00 "Heparin 25,000 units",36.00 SUMATRIPTAN (IMITREX) TAB 50MG,19.00 NEXIUM 40MG CAP,12.00 ALCOHOL,14.00 CORTISPORIN OTIC SOLU,62.00 DDAVP 4MCG/ML 1ML VIAL,75.00 Tropicamide 1% per drop,7.00 MIRAPEX 0.5MG,8.00 MIDODRINE 10MG TAB,11.00 CALCITRIOL 0.25MG tab,1.00 VIT D3 (cholecalciferol),9.00 CALCIUM 600MG tab,9.00 CYMBALTA 20MG TAB,9.00 ZOSYN 4.5gm vial,36.00 OSELTAMIVIR (TAMIFLU) ORAL SOLU,90.00 MAGIC MOUTH WASH 5ML,16.00 AEROCHAMBER,45.00 PREGABALIN 75MG PO,16.00 SALINE NASAL SPRAY (OCEAN),15.00 CRESTOR 5MG TAB,19.00 BUFFERED BETADINE SOL,11.00 SODIUM BICARB TAB 650MG,11.00 SYMBICORT 160MG INH,382.00 CIPRO 200MG/100CC INJ,12.00 PREDNISONE 1MG TAB,13.00 DUTASTERIDE (Avodart) 0.5mg,7.00 Methimazole 5mg tab,9.00 Cetirizine 10mg tab,11.00 Guaifenesin Codeine 5ml unit cup,12.00 MORPHINE 2 MG/ML UNIT DOSED SYRING,25.00 Potassium Chloride pack for oral solu,20.00 DIAZEPAM 2MG TAB,12.00 Lamotrigine 100mg PO,9.88 ELIQUIS 5MG TAB,16.00 DONEPEZIL 10MG,13.77 NON FORUMLARY MEDICATION ****,0.00 Has the Vanco trough been done ??,0.00 PROPRANOLOL ER 120MG,13.00 LEVEMIR VIAL (PER 0.05ML)(5UNITS),14.00 Buspirone 10mg tab,13.00 KENALOG 10 INJ,32.00 FENTANYL Patch 12mcg/hr,46.00 ROPIVACAINE (NAROPIN) 30ML 0.5%,12.00 NESACAINE (CHLOROPROCAINE) 3% 20ML,13.00 ACYCLOR TAB 400MG,12.00 COSOPT PF (single use pouch),2.00 LYRICA 50MG,15.00 LIDOCAINE HYDRO GEL 3.5%,30.00 BUPROPION XL 300MG,14.00 ACETAMINOPHEN 325MG,1.00 acetaminophen 500mg,1.00 CALC. CARB CHEW,1.00 GUAIFENESIN SYR 100MG/5ML,9.00 ATORVASTATIN 10MG,15.00 Docusate Sod 100mg,2.00 OXYBUTYNIN 10MG ER TAB,13.00 estradiol Patch 0.075,20.00 Enoxaparin pre-filled syring 40mg,26.00 Sodium chloride 7%,9.00 D5W 1/2 NS with KCL 30mEQ,96.00 D5W 1/2 NS with 40 mEq,96.00 Hydromorphone 1 mg /1 ml carpuject,25.00 Enoxaparin 100 mg / 1 ml prefilled,26.00 Propranolol 10mg tab,8.00 APAP codiene UNIT dose cup 5ml,13.00 PRAXBIND INJ,"4,221.05" Diazepam 5mg /ml 10ml VIAL,86.00 Oxybutin ER 15mg,11.00 Provera 10mg tab,13.00 Tranexamic acid INJ 1000mg/10ml,55.00 Suboxone 8mg/2mg sublingual,20.32 Buprenorphine 2mg tab,16.00 Mydriatic 4 (imprimis),28.00 HYDROMORPHONE 50MG /5 ML,37.00 MORPHINE VIAL 10MG/ML 1ML SDV,29.00 Morphine Sulfate 4mg unit dose syringe,26.00 Xifaxa (Rifaximin) 550mg tab,53.00 k-rider 10mEq in 50ml,21.00 Entyvio 300mg vial,"7,404.00" Morphine 4mg/ml 1ml SDV,14.00 LIdocaine 2g per 500ml,24.00 BUDESONIDE 0.5MG / 2 ML,15.00 BROVANA SOL INH 15MCG/2ML,27.00 Lorazepam 2mg/ml MDV 10ml vial,25.00 Nitroglycerin 25mg per 250ml glass,34.00 Poly B sulfate / trimethoprim drops,27.00 pilocarpine opth bottle,114.00 Drinkable alcohol,14.00 Xarelto 20mg tab,26.00 op Guaifenesin/Codeine oral unit cups #4,11.00 Atorvastatin 80mg tab,10.00 Magnesium 20g bag (500ml),23.00 DEGARELIX (Firmagon) INJ 80mg,632.00 Cervidil Vag,489.00 OP Methocarbol (Robaxin) 500mg qty 10,13.00 OP Naproxen 250mg qty 10,16.00 OP Eryth Eye Oint.,34.00 OP Doxcycline 100mg qty 10,38.00 OP-Tamiflu 75mg cap #3,57.00 Percocet 7.5mg tab,19.00 NESACAINE (CHLOROPROCAINE) 2% 20ML,13.00 Butrans Patch 10mcg/hr,135.00 Mycamine 100mg vial,213.00 METHOTREXATE 2.5MG TAB,12.00 cefepime 1gm,38.00 Prothrombin Complex (Kcentra) 500IU,"1,539.00" Erythromycin Ethylsucc Oral Susp,279.00 Fulphila INJ,"5,277.00" Minoxidil 2.5mg tab,10.00 levetiracetam (Keppra) IV 500mg,21.00 C/S CATH #2,15.00 Unasyn 1.5 gram,21.20 LAB BENZO DEFINITIVE,77.00 DRUG ASSAY CLOZAPINE,90.00 LAB DEPAKENE,170.00 LAB GENTAMICIN TROUGH,76.00 LAB ASSAY OF HALOPERIDOL,91.00 LAB DRUG SCREEN QUAN LAMOTRIGINE,104.00 LAB OXYCABAZEPINE / TRILEPTAL,99.00 LAB PHENOBARBITAL,192.00 LAB SALICYLATE,152.00 LAB FK506 PROGRAF,124.00 LAB THEOPHYLLINE,133.00 C/S CATH #3,17.00 LAB TOPIRAMATE,113.00 LAB VANCOMYCIN TROUGH,115.00 LAB ACETAMINOPHEN,152.00 LAB MYCOPHENOLIC ACID,80.00 LAB KEPPRA (LEVETIRACETAM),150.00 LAB OXCARBAZEPINE,61.00 C/S CATH #4,19.00 CORD STAT 5 DRUG SCREEN PANEL,262.00 LAB HYPOGLYCEMIC AGENT SCREEN,96.00 LAB NICOTINE URINE,104.00 LAB ANTIEPILEPTICS LACOSAMIDE,107.00 LAB BENZODIAZEPINES CONFIRM URINE,252.00 LAB RISPERDAL,107.00 LAB BENZODIAZEPINES CONFIRM QUANT BLOOD,252.00 LAB URINE DIURETIC SCREEN,70.00 C/S DISPOZ-A-BAG,19.00 C/S FOLEY CATH 18FR 30CC,14.00 Injectafer 750 mg / 15 ml,"1,319.00" "C/S CATH, SINGLE US",16.00 POTASS PHOS250MG PO,13.00 LAB URINALYSIS WITH MICRO,36.00 LAB URINE DIPSTICK,40.00 LAB INDICAN URINE,36.00 LORAZEPAM 1MG PO,14.00 LAB URINE MICRO ONLY,58.00 HEPARIN 10U I,13.00 LAB PREG URINE,90.00 OSELTAMIVIR (TAMIFLU) 75MG CAP,27.00 SITAGLIPTIN 100MG PO,16.00 PHYTONADIONE 10MG I,51.00 LABETOLOL 100MG I,30.00 CHLORDIAZEP 25MG PO,14.00 OXYCODONE CR 10MGPO,16.00 OXYCO/ APAP 5/325 PO,14.00 PHENOBARBITAL 30MPO,12.00 LAB DPYD,175.00 OP SMX/TMP DS #4,48.00 LAB MSH2 GENE ANALYSIS,388.00 APAP/CODEINE 30MGPO,14.00 CARVEDILOL 6.25MGPO,13.00 DIAZEPAM 5MG PO,13.00 ALPRAZOLAM 0.25MGPO,14.00 NEUPOGEN 300MCG/MLI,395.00 OP GUIAFEN AC 60ML,48.00 C/S URETERAL CATH 4,18.00 LAB DMPK MOLECULAR PATHOLOGY,525.00 LAB CNBP MOLECULAR PATHOLOGY,525.00 LAB ATPBY GENE MOLECULAR PATHOLOGY,"1,329.00" DIPHENOX/ATROPIN PO,8.00 LAB FETAL CHRMOML ANEUPOLIDY PNA2,"1,359.00" OP PLAN B #2,63.00 BUPIV 30ML EPIDURAL,55.00 DESFLURANE 10ml,30.00 APAP/COD 5ML PO suspension,13.00 OP CEPHALEX 500MG#6,48.00 OP CIPROFL 500MG #4,52.00 SILVER NITRATE APPL,14.00 "FIBRO TEST-ACTI TEST, SERUM",360.00 MEPERIDINE 50MG I,34.00 MEPERIDINE 100MG I,24.00 MORPHINE 10MG I,25.00 ROPINIROLE 1MG PO,14.00 COMBIVENT INH U-D,339.00 OP PEN VK 250MG #8,48.00 DIAZEPAM 10MG I,31.00 ESMOLOL 100MG I,31.00 CIPROFLOXA 400MG IV,12.00 GLIPIZIDE ER 2.5MG PO,8.00 PEN G BENZ 0.6 MU I,80.00 GLIPIZIDE 10MG PO,12.00 CLONIDINE PATCH,54.00 DILTIAZEM 25MG/5MLI,19.00 EZETIMIBE 10MG PO,15.00 DOXAZOSIN 4MG PO,12.00 LEVOTHYROXINE.025PO,12.00 LORAZEPAM 2MG I,25.00 FOSPHENYTOIN 500MG I,52.00 "EPINEPHRI 1:10,000I",24.00 ALENDRONATE 70MG PO,45.00 INSULIN-REG (per 5 units Jcode),29.00 TNKASE TENECTEPLASE 50MG (per 1mg Jcode),"5,936.00" LAB ACETONE QUANTITATIVE,63.00 NITROFURANT 100MGPO,15.00 LAB ACTH (ADRENOCORTICOTROPIC HORM),186.00 LAB ALBUMIN,67.00 LAB ALBUMIN FLUID,67.00 LAB MICROALBUMIN (BMH),90.00 MMR II VACCINE I,97.00 LAB ALCOHOL MEDICAL,101.00 MORPHINE SULF LIQUID 100MG/5ML,51.00 HYDROCORT CREAM 1%,14.00 LAB ALCOHOL LEGAL,81.00 TAMSULOSIN .4MG PO,14.00 LAB BREATH ETHANOL,29.00 ACETYLCY 20%NEB30ML,75.00 LAB ALDOLASE,61.00 LAB ALDOSTERONE,210.00 LAB ALDOSTERONE URINE,210.00 LAB ALDOSTERONE/RENIN RATIO,270.00 LORATADINE 10MG PO,16.00 LAB ALPHA-1-ANTITRYPSIN PHENOTYPE,114.00 LAB AFP (MATERNAL),60.00 LAB INTEGRATED SCREEN 2 - OB,309.00 "INTEGRATED SCREEN W/NT, SPEC 2",294.00 LAB HOMOCYSTEINE,113.00 LAB CYSTINE URINE PROFILE,160.00 LAB AMMONIUM - RISK 24,17.00 LAB AMMONIA,134.00 LAB UROCOR STONE,392.00 LAB AMPHET MEDTOX,77.00 HYDROMORPHONE 2MG I,24.00 LAB AMYLASE,97.00 LAB AMYLASE FLUID,92.00 LAB AMYLASE URINE,92.00 LAB ACE (ANGIOTENSIN CONVERTING ENZYME),52.00 LAB LIPOPROT A,44.00 LAB VITAMIN C,67.00 PANTOPRAZOL 40MG I,19.00 LAB BILIRUBIN DIRECT,53.00 LAB BILIRUBIN TOTAL,53.00 NIFEDIPINE XL30MGPO,15.00 LAB OCCULT BLD FECAL,37.00 LAB SCREENING OCCULT BLD X3 FECAL,81.00 stool occult collect and interpretation,33.00 LAB OCCULT BLD GASTRIC,35.00 BUPIV .5% 20CC I,27.00 LAB VITAMIN D3 (CALCIFEDIOL 25-0H),68.00 LAB VIT D 25 HYDROX,187.00 LAB CALCIUM SERUM,67.00 INSULIN 70/30 50U I,8.00 LAB CALCIUM ION (BMH),126.00 "LAB CALCIUM URINE, 24 HR",69.00 LAB CALCIUM - RSK 24,17.00 CARBI/LEVO 25/250PO,14.00 LAB CALCULUS QUALITATIVE ANALYSIS,122.00 LAB KDNY STONE ANALYSIS,88.00 OP AMOXIC 500MG #6,48.00 LAB TEGRETOL,48.00 LAB CARBOXYHEMOGLOBIN,67.00 LAB CATECHOL URINE,171.00 CARBAMAZEPI 100MGPO chewables,9.00 LAB CERULOPLASMIN,97.00 LAB IGF BP3,76.00 LAB CHLORIDE SERUM,81.00 LAB CHLORIDE - RISK 24,17.00 OP PHENAZOP 100MG#6,48.00 MIDAZOLAM 10MG/10MI,35.00 "LAB CHOLESTEROL, TOTAL",67.00 LAB CHOLESTEROL BODY FLUIDS,53.00 DILTIAZEM XT180MGPO,14.00 LAB LAMOTRIGINE,92.00 LAB THIOPURINE METHYTRANSAMINASE,454.00 LAB AMIODARONE,72.00 LAB CHROMIUM,51.00 LAB CITRATE EXCRETION - RISK 24,17.00 VANCOMYCIN 1GM (per 500mg jcode),17.00 LAB COPPER SERUM,90.00 "LAB COPPER, URINE",85.00 LAB CORTISOL FREE URINE,100.00 "LAB CORTISOL & CORTISONE, FREE URINE",98.00 LAB CORTISOL,105.00 LAB CORTISOL STIMULATION 3,90.00 LAB CREAT RANDOM URINE,67.00 LAB CREAT 24HR URINE,67.00 LAB CPK TOTAL,67.00 LAB CPK MB FRACTION,129.00 LAB CREATININE,75.00 LAB CREATININE - RISK 24,17.00 LAB CREAT CLEARANCE,123.00 SUCCINYLCHO 200MG I,20.00 LAB CRYOGLOBULIN,39.00 LAB VITAMIN B12,95.00 LAB VIT B12 / FOLATE PANEL,105.00 VECURONIUM 10MG I,33.00 LAB DHEA-S,88.00 LAB DIGOXIN,157.00 "LAB VIT D,1,25-DIHYDROXY",123.00 LAB ALPHA GALACTOSIDASE,238.00 LAB DRUG non DOT,72.00 LAB DRUG DOT,80.00 LAB DRUG RAPID,131.00 LAB ERYTHROPOIETIN,144.00 LAB ESTRADIOL,116.00 LAB TOTAL ESTROGENS,138.00 LAB FERRITIN,95.00 LAB FETAL FIBRONECTIN,305.00 LAB FOLATE,109.00 LAB GALECTIN-3,216.00 LAB IMMUNOGLOB'S,132.00 LAB IGG,48.00 LAB IGM,45.00 LAB IGA,37.00 LAB IGE,40.00 RT BLOOD GAS PH ONLY,134.00 RT BLOOD GASES,441.00 LAB GLUCOSE CSF,80.00 LAB GLUCOSE FLUID,67.00 LAB GLUCOSE SERUM,67.00 LAB DEXTRO STICK (CBG),45.00 LAB GTT 1ST HR,160.00 LAB GLUCOSE TOLERANCE 2HR,215.00 LAB GLUCOSE TOLERANCE 3HR,223.00 LAB GLUCOSE TOLERANCE 5HR,263.00 LAB GLUC-6- PHOS,96.00 LAB GAMMA GT,67.00 FENTANYL 5ML I,19.00 LAB FSH,75.00 LAB LH,72.00 LAB HAPTOGLOBIN,67.00 LAB HPYLORI BREATH TEST,202.00 LAB COBALT,65.00 LAB HEMOGLOBIN S,115.00 LAB HGB ELECTROPHORESIS THALASSEMIA A&F,115.00 MUPIROCIN 2% 15GMCM,75.00 LAB HgA1C (GLYCHEMOGLOBIN),97.00 FLUMAZENIL .25MG,48.00 METHYLPRED SS 1GM I,63.00 ETOMIDATE 40MG I,33.00 OMEPRAZOLE 20MG PO,19.00 SOD POLYSTY 15GM PO,21.00 FENTANYL PATCH 25MCG,41.00 FLECAINID 100MG PO,2.00 NICOTINE PATCH 7mg,15.00 MORPHINE CR 30MG PO,15.00 AZITHROMY 250MG PO,20.00 LACTULO 10GM/15MLPO,14.00 SUMATRIPTAN 6MG I,187.00 FLUOXETINE 20MG PO,15.00 LISINOPRIL 20MG PO,13.00 BUPIVACAINE .5% 10ML I,19.00 OPTIHALER SPACER,30.00 LAB 5-HIAA,72.00 LAB PROG 17-HYDROXY,89.00 LAB ANCA-PROFILE,131.00 LAB GLIADIN IGA,104.00 LAB GLIADIN IGG,104.00 LAB Pancreatic Elastase - stool,474.00 LAB CCP ANTIBODY IGG,67.00 LAB GAD (Glutamic acid decarboxylase AB),192.00 LAB 21- HYDROXYLASE AB,166.00 LAB PARATHYROID HORMONE RELATED PROTEIN,110.00 LAB ACHR MODULATING AB,102.00 LAB TROPONIN I,141.00 LAB TTG AB TISSUE TRANSGLUTAMASE AB,52.00 LAB CELIAC PANEL,159.00 LAB TRYPTASE,168.00 LAB FIBRO SPECT II,323.00 LAB TISSUE TRANS GLU IGG,52.00 LAB THYROTROPIN RECEPTOR AB,145.00 LAB INSULIN,95.00 LAB ASSAY OF INSULIN FREE,75.00 LAB IRON ONLY,38.00 LAB IRON DEFICIENCY PROFILE,68.00 LAB IRON/TIBC,49.00 LAB LACTATE,130.00 LAB LDH,37.00 "LAB LDH, FLUID",37.00 "LAB LACTOFERRIN, STOOL",76.00 LAB LEAD BLOOD,54.00 LAB LIPASE (BMH),97.00 LAB LIPASE BODY FLUIDS,109.00 LAB LDL CHOLESTEROL,67.00 LAB CARDIO IQ LIPID,73.00 LAB LITHIUM,54.00 LAB MAGNESIUM - RISK24,17.00 LAB MAGNESIUM,96.00 "LAB MAGNESIUM, URINE",38.00 "LAB IODINE, SERUM",224.00 LAB BILE ACIDS FRACTIONATED,290.00 LAB IODINE URINE,224.00 LAB MERCURY,39.00 LAB METANEPHRINES,93.00 "LAB METANEPHRINES, PLASMA",273.00 "LAB METANEPHRINES, FRACTIONATED",103.00 "LAB FAT TOTAL FECAL, quantitative",93.00 LAB MYOGLOBIN,124.00 LAB BNP-PRO (BMH),240.00 "LAB BNP, NT Pro - SEND OUT",183.00 LAB FREE LIGHT CHAINS ASSAY,86.00 LAB NICOTINE PLUS MATABOLITE,87.00 LAB HEMOCHRO MUTATION,405.00 LAB JAK 2,287.00 LAB CYSTIC FIBROSIS SCREEN,314.00 LAB BCR-ABL GENE REARRANGEMENT,466.00 LAB FACTOR V LEIDEN,241.00 LAB PROTHROMBIN GENE MUTATION,229.00 LAB HYPERCOAGULATION PANEL,585.00 LAB METHYLMELONIC ACID,103.00 LAB OSMOLALITY SERUM,52.00 LAB OSMOLALITY - RISK 24,17.00 LAB OSMOLALITY STOOL,50.00 LAB OSMOLALITY URINE,52.00 LAB OXALATE - RISK 24,17.00 LAB OXALATE SERUM OR URINE,193.00 LAB PTH (PARATHYROID HORMONE),256.00 LAB PH - RISK 24,17.00 "LAB CALPROTECTIN, FECAL",660.00 LAB PKU NEWBORN SCREENING,131.00 LAB DILANTIN TOTAL,142.00 LAB ALK PHOS,63.00 LAB PHOSPHORUS,80.00 LAB PHOSPHORUS - RISK 24,17.00 LAB POTASSIUM,81.00 LAB POTASSIUM - RISK 24,17.00 LAB POTASSIUM URINE,60.00 LAB POTASSIUM FECAL,58.00 LAB PRE-ALBUMIN,72.00 LAB PROGESTERONE,52.00 LAB PROCALCITONIN,447.00 LAB PROLACTIN,75.00 LAB PSA DIAGNOSTIC,136.00 LAB PSA SCREENING,136.00 "LAB PSA, ULTRASENSITIVE",136.00 LAB PSA FREE,175.00 LAB PROTEIN TOTAL,88.00 LAB INTEGRATED SCREEN 1 - OB,166.00 "INTEGRATED SCREEN W/NT, SPEC 1",166.00 LAB SPEP (SERUM PROTEIN ELECTROPH),55.00 LAB UPEP 24 HR (URINE PROTEIN ELECTROPH),52.00 "LAB IMMUNOFIXATION, URINE/SERUM",268.00 LAB UPEP RANDOM URINE,49.00 "LAB ELECTROPHORESIS, PROTEIN, CSF",65.00 LAB PROTEIN 24HR URINE,98.00 LAB PROTEIN RANDOM URINE,80.00 LAB PROTEIN:CREAT RATIO,90.00 LAB HEAT SHOCK PROTEIN,422.00 LAB PROTEIN CSF,80.00 LAB PROTEIN FLUID,80.00 LAB PROINSULIN,142.00 LAB VITAMIN B6,70.00 LAB ASSAY OF PYRUVATE KINASE,118.00 LAB ACETYLCHOLINE BINDING AB,124.00 LAB RENIN ACTIVITY,61.00 LAB VITAMIN B2,144.00 LAB SEX HORMONE BINDING GLOBULIN,73.00 LAB SODIUM,81.00 LAB SODIUM - RISK 24,17.00 LAB SODIUM URINE,60.00 LAB SODIUM FECAL,58.00 LAB Insulin Like Growth Factor 1 IGF-1,324.00 LAB REDUCING SUBSTANCE STOOL,34.00 LAB SULFATE - RISK 24,17.00 LAB TESTOSTER FREE & TOTAL,123.00 "LAB TESTOSTERONE, total",171.00 LAB TESTOSTER BIO AVAILABLE MALE,123.00 "LAB TESTOSTERONE, BIOAVL T&FREE FEMALE",137.00 LAB HEAVY METAL BLOOD,120.00 LAB VITAMIN B1 THIAMINE,81.00 LAB HEAVY METAL URINE,120.00 LAB THYROGLOBULIN,75.00 LAB T4 TOTAL,48.00 LAB FREE T4,105.00 LAB THYRO BINDING GLOBULIN,67.00 LAB TSH,154.00 LAB THYROID PANEL,128.00 LAB THY STIM IMMUNO (TSI),202.00 LAB VITAMIN E,66.00 LAB SGOT (AST),67.00 LAB SGPT (ALT),67.00 LAB TRANSFERRIN,45.00 LAB TRIGLYCERIDES,98.00 LAB TRIGLYCERIDES BODY FLUIDS,68.00 LAB T3 UPTAKE,48.00 LAB T3 TOTAL by ICMA,65.00 LAB FREE T3,70.00 LAB REVERSE T3,57.00 LAB BUN,67.00 LAB UREA NITROGEN,17.00 "LAB BUN, URINE",63.00 LAB URIC ACID SERUM,89.00 LAB URIC ACID - RISK 24,17.00 LAB VMA 24HR URINE,55.00 LAB ADH,113.00 LAB VITAMIN A,70.00 LAB VITAMIN B3 (NIACIN),219.00 LAB VITAMIN K,129.00 LAB ZINC SERUM,53.00 LAB C-PEPTIDE,49.00 LAB BETA HCG QUANT,157.00 LAB UNLISTED CHEMI PROMETHEUS ANSER ADA,"2,329.00" HYDRALAZINE 50MG TAB,0.00 VANCOCIN 125MG CAPSULES,40.00 LAB HEMATOCRIT,49.00 LAB HEMOGLOBIN,49.00 LAB H & H,55.00 LAB HEMOGRAM/CBC WITHOUT DIFF,88.00 LAB CBC WITH AUTO DIFF,116.00 LAB RETICULOCYE COUNT MANUAL,93.00 LAB RETICULOCYTE,62.00 LAB WBC COUNT,49.00 LAB CLOT FACTOR VII ACTIVITY,183.00 LAB FACTOR VIII COAG ACTIVITY,59.00 LAB VON WILLIBRAND PANEL,322.00 LAB CLOTTING FACTOR XI PTA,194.00 LAB CLOTTING FACTOR XIII,113.00 LAB PROTEIN C ACTIVITY,134.00 LAB PROTEIN S,134.00 LAB D-DIMER,157.00 LAB FIBRINOGEN,61.00 LAB KLEIHAUER BETKE,51.00 LAB FETAL HEMOGLOBIN,85.00 LAB LYSOZYME (MURAMIDASE),110.00 LAB PLATELET COUNT,49.00 LAB LUPUS INHIBITOR SCREEN,117.00 LAB PROTIME,72.00 LAB COAGUCHEK INR,96.00 LAB E.S.R. (SED RATE),53.00 LAB SICKLE CELL SCREEN,110.00 LAB PTT,90.00 LAB APTT MIXING STUDY,81.00 LAB CLADOSPORIUM IGG,43.00 LAB PENICILLIUM IGG,43.00 LAB CANDIDIA IGG,43.00 LAB ALLERGEN SPECIFIC IGE,34.00 "LAB ALLERGEN, mold: A. alternata",22.00 LAB ALLERGEN: Central Oregon,285.00 LAB ALLERGEN: Mold Profile 5,87.00 LAB ALLERGEN FOOD 10,145.00 LAB ALLERGEN PACIFIC NW 14,226.00 LAB ALLERGEN CLADOSPORIUM,37.00 LAB ALLERGEN ASPERGILLUS,37.00 LAB ALLERGEN CANDIDA,37.00 LAB ALLERGEN PENICILLIUM,37.00 LAB ALLERGEN ALTERNARIA,37.00 "LAB ALLERGEN, ADULT FOOD 22",214.00 LAB BB ANTIBODY SCREEN,101.00 LAB DIRECT COOMBS,88.00 LAB ANA,73.00 LAB ANA TITER,120.00 LAB ANTISTREPTOLYSIN O TITER,73.00 "LAB BB CROSSMATCH, EACH, imm spin",186.00 LAB BB TYPE ABO,54.00 LAB CRP,81.00 LAB CRP HIGHLY SENSITIVE,73.00 "LAB BETA-2 GLYCOPROTEIN, IGG & IGM",100.00 "LAB ANTICARDIOLIPIN AB'S IGG,IGM, IGA",88.00 LAB CEA,89.00 LAB COLD AGGLUTININ,46.00 LAB C3 COMPLEMENT,49.00 LAB C4 COMPLEMENT,49.00 LAB RUBELLA IGG AB,31.00 LAB DNA ANTIBODY (DOUBLE STRAND),67.00 LAB ANA SPECIFIC AB PANEL,212.00 LAB SSB / LA AUTOANTIBODY,92.00 LAB SSA/RO AUTOANTIBODY,92.00 LAB HISTONE AB,45.00 LAB RNP AUTOANTIBODY,49.00 LAB ENA PANEL,215.00 LAB AFP (NON-MATERNAL),60.00 LAB MITOCHONDRIAL AB's,67.00 LAB MYASTHENIA GRAVIS PANEL,663.00 LAB ANTI-SMOOTH MUSCLE AB,70.00 LAB PHOSPHOLIPASE A2 AB,104.00 LAB ANCA PANEL NO ANA RFLX,57.00 LAB HEP B SURFACE AG,65.00 LAB HEP B SURFACE AB,78.00 LAB MONOTEST,90.00 LAB CA 15-3,60.00 LAB CA 27-29,66.00 LAB CA 19-9,99.00 LAB HEP C AB,90.00 LAB CA 125,67.00 LAB HIV (SEND OUT),53.00 LAB RAPID STREP,90.00 LAB PSA MEDICARE SCREEN,136.00 LAB IMMUNELEC URINE,158.00 LAB COCCIDIO BY CF,98.00 LAB BETA 2 TRANSFERRIN,425.00 LAB IMMUNOFIXATION,159.00 LAB QUAD SCREEN MATERNAL,206.00 LAB INSULIN ANITBODIES,137.00 LAB INTRINSIC FACTOR BLOCKING AB,93.00 LAB GAD,139.00 LAB ISLET CELL ANTIBODY,139.00 LAB B CELLS TOTAL COUNT,154.00 LAB CD4 COUNT PANEL,128.00 LAB THY PEROXIDASE AB (MICROSOMAL),32.00 LAB MICROSOMAL AB LIVER/KIDNEY,48.00 LAB RABIES ANTIBODY,76.00 LAB RA (BMH),30.00 LAB QUANTIFERON TB GOLD,163.00 TUBERCULOSIS - INTRADERMAL,40.00 LAB RPR / VDRL,41.00 LAB BARTONELLA IGG & IGM AB,47.00 LAB LYME WESTERN BLOT,113.00 LAB LYME ANTIBODIES,70.00 LAB CMV PANEL IGG &IGM,108.00 LAB EB AB TO EARLY AG (EA),112.00 "LAB Epstein Barr Virus Ab,IgG",98.00 LAB EB AB IGM TO VIRAL CAPSID AB (VCA),67.00 LAB EPSTEIN BARR PANEL,144.00 LAB H PYLORI AB,103.00 LAB HIV WEST BLOT,126.00 "LAB HSV 1& 2 (IGG, IGM)",134.00 LAB HIV (BMH),50.00 "LAB HEP B CORE AB, TOTAL",67.00 LAB HEP A AB TOTAL,58.00 LAB HEP A AB IGM,92.00 "LAB STRATIFY JCV AB, INDEX, RFLX",24.00 LAB MUMPS AB IGG,52.00 LAB MUMPS AB IGM,49.00 LAB PARVO IGG & IGM,70.00 "LAB ROCKY MT IGG, IGM (RICKETTSIA)",81.00 LAB RUBEOLA IGG AB,75.00 LAB SYPHILIS SCREEN,84.00 LAB VARICELLA IGG ZOSTER,81.00 LAB VARICELLA ZOSTER IGGIGM,194.00 OXYCODONE 5MG PO,13.00 LAB THYGLOB AUTO AB,32.00 MORPHINE PF 10ML I,34.00 LAB HLA B27,71.00 LAB ANTIBODY ID PANEL,115.00 LAB TYPE AND SCREEN SET,191.00 LAB BB TYPE RH(D),36.00 "LAB BB FFP THAWING, EACH UNIT",29.00 "LAB BB IRRADIATION, EACH UNIT",55.00 LAB CULTURE BLOOD,114.00 LAB CULTURE STOOL,123.00 LAB CULTURE THROAT,80.00 LAB CULTURE RESPIRATORY,129.00 LAB CULTURE WOUND,98.00 LAB CULTURE CSF,98.00 LAB CULTURE FLUID,93.00 LAB CULTURE GENITAL,98.00 LAB CULTURE NASAL,129.00 LAB CULTURE EAR,98.00 LAB CULTURE BODY FLUID (Send out),129.00 LAB SURFACE WOUND CULTURE (SEND OUT),126.00 LAB CATH TIP CULTURE,122.00 LAB MISC CULTURE,129.00 LAB CULTURE ANAEROBIC,151.00 LAB BACTERIAL Cx ANAEROBIC ISOLATES,88.00 LAB BACTERIA ID,78.00 LAB CULTURE THROAT STREP,90.00 LAB CULTURE VAG BSTREP,68.00 "LAB CULTURE, YEAST",30.00 LAB CULTURE URINE,81.00 LAB CULTURE FUNGUS,92.00 LAB CULTLURE FUNGUS BLOOD,63.00 LAB YEAST ID,50.00 LAB CULTURE AFB,130.00 LAB OVA & PARASITES STOOL,52.00 LAB SENSITIVITY,107.00 "LAB FUNGAL SENSITIVITY, PER DRUG",153.00 LAB GRAM STAIN,65.00 LAB AFB SMEAR,71.00 LAB WET MOUNT,24.00 LAB KOH VAGINAL,61.00 LAB FECAL LEUKOCYTES,22.00 "LAB KOH SKIN, HAIR, OR NAILS",61.00 LAB C DIFF A/B TOX (BMH),65.00 LAB CULTURE HERPES,98.00 LAB CULTURE PERTUSSIS,33.00 LAB GIARDIA ANTIGEN,84.00 LAB CRYPTOSPOR ANTIGEN,78.00 LAB RAPID RSV,103.00 LAB ASPERGILLUS,153.00 LAB H PYL STOOL AG,101.00 LAB HEP B PANEL,273.00 "LAB HEP COMPREHENSIVE A,B,C PANEL",151.00 LAB HIV-1; HIV-2 DETECTION,112.00 LAB RAPID FLU,75.00 "LAB LEGIONELLA ANTIGEN, URINE",51.00 LAB FUNGITELL SERUM,123.00 CANDIDA,99.00 "LAB CHLAMYDIA & GC, AMPLIFIED",163.00 LAB CMV DNA PCR QUANT,333.00 LAB INFECTIOUS AGENT DNA/RNA INFLUENZA,281.00 LAB GIPCR,555.00 LAB GI TRACT DETECTION TEST PCR,788.00 GARDNERELLA,99.00 LAB HEP B QUANT DNA BY PCR,231.00 "LAB HEP C RNA QUANT, PCR, REFLEX TO GENO",256.00 LAB HEP C VIRAL LOAD REFLEX TO GENOTYPE,243.00 LAB HERPES (HSV) BY PCR,150.00 LAB HIV VIRAL LOAD BY PCR,174.00 LAB RESPCR,"1,048.00" LAB MRSA,123.00 TRICHOMONAS,99.00 LAB C DIFF BY PCR,197.00 LAB EPSTEIN BARR VIRUS BY PCR,153.00 LAB BORDATELLA PERTUSIS DNA ASSAY,220.00 LAB MALARIA PCR,226.00 LAB BK VIRUS BY RT- PCR,433.00 LAB BK VIRUS URINE,361.00 LAB PERTUSSIS BY PCR,202.00 LAB STREPTOCOCCUS PNEUMOMNIAE,73.00 "LAB HEP C VIRUS GENOTYPING, PCR",438.00 LAB LIVER PANEL,159.00 PATH CYTOPATH CELLULAR ENHANCE,122.00 "PATH NEEDLE ASPIRATE, ADEQUACY",66.00 "PATH NEEDLE ASPIRATE, INTERP",186.00 LAB CD4 TOTAL COUNT,61.00 "PATH FLOW CYTOMETRY/TC,1 MARKER",192.00 "PATH TISSUE EXAM, LEVEL 1",62.00 "PATH MICROSCOPIC ANALYSIS, II",130.00 PATH MICROSCOPIC ANALYSIS III,134.00 "PATH MICROSCOPIC ANAYLSIS, IV",183.00 PATH TISSUE HANDLIN,98.00 "PATH MICROSCOPIC ANALYSIS, V",408.00 "PATH MICROSCOPIC ANAYYSIS, VI",443.00 PATH DECALCIFICATION PROCEDURE,18.00 PATH IMMUNOHISTO ANTB ADDL SLIDE,127.00 PATH IMMUNCYTOCHEMISTRY,170.00 PATH MORPHOMETRIC ANLYS MANUAL,183.00 PATH MORPHOMETRIC ANALYSIS,484.00 No Charge Meds,0.00 "CELL COUNT, BODY FLUID",73.00 LAB CSF PANEL,231.00 LAB CRYSTALS FLUID,32.00 LAB FERN TEST,32.00 LAB CRYSTAL IDENTIFICATION (SEND OUT),22.00 "LAB FAT FECAL, qualitative",30.00 LAB SEMEN SPERM PRESENCE AND MOTILITY,55.00 VANCOMYCIN 500MG I,18.00 GENTAMICIN 20MG I,23.00 ADENOSINE 6MG/2ML I,80.00 SOD BICARB LOCAL I,18.00 METHOCARBA 500MG PO,8.00 EPHEDRINE 50MG/ML I,76.00 LIDOCAINE VISC 15ML PO ud,9.00 ALBUTEROL INHAL (ventolin / proair ),79.00 MORPHINE 150MG/PCAI,35.00 DILTIAZEM 30MG PO,13.00 C/S GAUZE 4X4'S 2's,3.00 C/S SUTURE VICRYL 0,19.00 OP AZITHROMYCI 15ML,76.00 AZITHROM 500MG I,68.00 ACTIVASE 50MG I,"5,557.00" ENOXAPARIN 10mg/0.1ml,21.00 LEVOFLOXAC 500MG PO,27.00 C/S SUTURE VICRYL 0,23.00 "LAB RHOGAM WORKUP, COMPLETE",353.00 C/S SUTURE VICRYL 6-0,17.00 IMMUNIZATION ADMIN,53.00 IM ADMINISTRATION VACCINE,50.00 ER EVAL LEVEL 1,181.00 ER EVAL LEVEL II,208.00 ER EVAL LEVEL III,332.00 ER EVAL LEVEL IV,427.00 ER EVAL LEVEL V,796.00 ER CAST CHNG/REMOVE,149.00 HBC ADMIN FLU VACCINE,44.00 RABIES VACCINE IM (RabAvert),439.00 ER TDAP,80.00 HBC PNEUM ADMIN VACCINE,44.00 "RX LAB RHOGAM, FULL DOSE",183.00 HEP B VACC - ADULT DOSE IM,126.00 INFUSION THR 1ST HR,208.00 INFUSION THR 1ST HR,208.00 INFUSION THR 1ST HOUR,208.00 IV INFUSION THERAPY EA HR,149.00 IV INFUSION THERAPY EA HR,149.00 IV INFUSTION THERAPY,149.00 SUB INTRA MED - ADD PUSH SAME MED,71.00 SUB INTRA MED-ADD,71.00 SUB INTRA MED-ADD PUSH SAME MED,71.00 INITIAL FIRST HOUR IV INFUSION,197.00 IV INFUSION,197.00 IV INFUSION FIRST HOUR HYDRATION,197.00 IV INFUS EA ADDT HR,55.00 IV INFUS EA ADDT HR,55.00 IV INFUS EA ADDT HR,55.00 INJ SUBCUT OR INTRA,142.00 INJ SUBCUT OR INTRA,142.00 INJ SUBCUT OR INTRA,142.00 THERAPEUTIC INJECTION,142.00 INTRAVENOUS INJ,156.00 INTRAVENOUS INJECTION,156.00 INTRAVENOUS INJECTION,156.00 IV INJECTION ADDITIONAL NEW MEDICATION,71.00 IV INJECTION ADDITIONAL,71.00 IV INJECTION ADDITIONAL NEW MEDICATION,71.00 SLP BIOFEEDBACK TRAINING,142.00 C/S SUTURE VICRYL 5-0,23.00 C/S SUTURE ETHILON 2-0,16.00 C/S SUTURE ETHILON 3-0,19.00 C/S SUTURE ETHILON 5-0,18.00 C/S SUTURE ETHILON 6-0,18.00 SLP TREATMENT SPEECH LANG VOICE IND,277.00 SLP TREATMENT SPEECH LANG VOICE GROUP,144.00 SLP EVALUATION OF SPEECH FLUENCY,336.00 SLP EVALUATION OF SPEECH SOUND PRODUCT,331.00 SLP EVALUATION SPEECH SOUND LANGUAGE,462.00 SLP BEHAVORIAL QUALIT ANALYSIS VOICE,341.00 SLP TX SWALLOWING DYSFUNCTION/ORAL FEED,279.00 HEARING SCREEN,38.00 SLP EVAL FIT VOICE PROSTHETIC DEVICE,411.00 SLP EVAL SPEECH-GENERATING AUGMEN,423.00 SLP EVAL SPEECH-GENERATING AUGMENT,188.00 SLP USE OF SPEECH DEVICE SERVICE,290.00 SLP EVAL ORALPHARYNGEAL SWALLOW FUNCTION,386.00 SLP EVAL MOTION FLURO SWALLOW FUNCTION,462.00 RT CPR,780.00 CARDIOVERSION,860.00 CARDIOVERSION,359.00 ER DR CARDIOVERSION,921.00 EKG,244.00 EKG INTERP AND REP,27.00 PRO FEE CARDIO STRESS TEST SPRVSN,107.00 EKG STRESS TEST,760.00 PRO FEE CARDIO STRSS TST INTERP/RPT,79.00 C/S SUTURE PROLENE 0,24.00 C/S SUTURE PROLENE 2-0,23.00 EKG HOLTER HKUP/DIS,338.00 EKG HOLTER SCANNING,765.00 DR - EKG HOLTER MONITOR,118.00 DR INTERROGATION EVAL REMOTE,208.00 DR INTERROGATION REMOTE,81.00 ECHO TRANS REAL TIME-DOPPLER & COLOR FLW,"1,547.00" PRO FEE ECHO COMPLETE,149.00 ECHO:TRANSTHORACIC - REAL TIME,855.00 PRO FEE ECHO W/O DOPPLER,99.00 ECHO REAL TIME F/U,483.00 LIMIT PULSED & CONT WAVE DOPPLER,224.00 PRO FEE DOPPLER ECHO HEART F-UP OR LIMIT,18.00 ECHO:DOPPLER COLOR FLOW,524.00 PRO FEE DOPPLER COLOR FLOW ADD-ON,13.00 ECHO REST & STRESS,601.00 PRO FEE ECHO STRESS ONLY,167.00 U/S CEREBRO:DUPLEX,647.00 U/S ANKLE BRACHIAL UPPER & LOWER,493.00 ARTER:UPP EX DUPLE,359.00 U/S VENOUS DUPL BIL,540.00 U/S VENOUS DUPL UNI,409.00 U/S VASCULAR STUDY LIMITED,781.00 ABD VASC:DUPLEX,370.00 C/S SUTURE VICRYL 3-0,44.00 RT VENTILATOR 1ST DAY,"1,589.00" RT SPIROMETRY BASIC,226.00 RT SPIROMETRY W/DIL,494.00 C/S SUTURE VICRYL 2-0,23.00 C/S SUTURE NYLON 6-0,21.00 RT NEB TREATMENT,127.00 Aerosol inhalation of pentamidine,313.00 RT NEB TREATMENT DEMO,89.00 RT CPAP PER DAY,556.00 DEMO AND/OR EVAL RT UTIL OF MDI,86.00 DEMO AND/OR EVAL RT UTIL OF IS,86.00 DEMO PEP DEVICE,86.00 RT CHEST PHY /T 1ST,107.00 RT CHEST PT THY/SUB,83.00 RT OXIMETRY CHECK,76.00 RT THER OXYGEN /HR,40.00 C/S SUTURE SILK 2-0,35.00 PT TOTAL ROM EVAL,186.00 OT TOTAL ROM EVAL,186.00 PT Canalith repositioning procedure,162.00 LAB Collection & Handling,36.00 LAB ALCOHOL SALIVA,45.00 LAB Coll & H (DHS),20.00 SLP APHASIA ASSESSMENT; PER HOUR,353.00 SLP DEVELOPMENTAL TESTING PER HOUR,145.00 SLP DEVELOPMENTAL TEST ADMIN 1ST HOUR,220.00 SLP DEVELOPMENTAL TEST ADD'LT 30 MIN,90.00 SLP STANDARD CONGNITIVE PERFORMANCE TEST,353.00 C/S SUTURE PROLENE 4-0,30.00 ADD'L SEQ INFUSION UP TO 1 HR,71.00 ADD'L SEQ INFUSIONUP T...,71.00 ADD'L SEQ INFUSION,71.00 CONCURRENT INFUSION,87.00 CONCURRENT INFUSION,87.00 CONCURRENT INFUSION,87.00 C/S SUTURE CHROMIC 1,16.00 HORMONAL ANTINEOPLA,162.00 CHEMO TX IV PUSH SNGL MED,285.00 CHEMO ADMIN INTRA INFUS. 1HR,782.00 EACH ADDIT. HR. CHEMO ADMIN.,370.00 C/S SUTURE VICRYL 0,19.00 Irrigation of implanted venous access de,121.00 C/S SUTURE VICRYL 1,19.00 C/S SUTURE CHROMIC 3-0,18.00 "SLP LIGHT, LASER SKIN THERAPY",274.00 C/S SUTURE CHROMIC 0,40.00 HH PHYSICAL THERAPY VISIT,296.00 PT HOT/COLD PACKS,113.00 PT MECHANICAL TRACT,101.00 SLP ELEC STIM CHRONIC WOUNDS UNATTENDED,96.00 SLP ELECTRIC STIM WOUNDS UNATTENDED,100.00 PT ELEC STIM - UNATTENDED,93.00 SLP ELECTRIC STIM UNATTENDED,87.00 SLP ELECTRIC STIM NON WOUND UNATTENDED,91.00 PT PARAFFIN BATH,105.00 OT Paraffin Bath,105.00 PT ELEC STIM - ATTENDED - 15 MIN,119.00 SLP E-STIM MANUAL,113.00 "OT Elec Stimulation, manual, each 15 min",118.00 SLP IONTOPHORESIS,113.00 PT ULTRASOUND 15 MIN,97.00 SLP ULTRASOUND PHONOPHORESIS,97.00 "OT Ultrasound, each 15 minutes",97.00 SLP LASER/OTHER,92.00 C/S SUTURE VICRYL 2-0,23.00 PT THERAPEUTIC EXERCISE - 15 MIN,115.00 SLP THERAPEUTIC EXERCISE,107.00 "OT Therapetic Exercise, each 15 minutes",115.00 PT NEUROMUSCULAR REED,114.00 SLP NEUROMUSCULAR RE-EDUCATION,106.00 "OT Neuromuscular Re-Ed, each 15 minutes",114.00 PT GAIT TRAINING - 15 MIN,100.00 OT GAIT TRAINING EA 15 MIN,100.00 PT ELEC STIM - ATTENDED - 15 MIN,119.00 PT MASSAGE - 15 MIN,140.00 "OT DEV COGNITIVE SKILLS, EA 15 MINUTES",112.00 SLP FOCUS ON COGNITIVE FUNCTION,106.00 PT ULTRASOUND - 15 MIN,97.00 PT MANUAL THER TECH - 15 MIN,115.00 "OT Manual Ther Techniqu, each 15 minutes",115.00 OT GROUP THERAPY,110.00 PT EVALUATION LOW COMPLEXITY,270.00 PT EVALUATION MODERATE COMPLEXITY,270.00 PT EVALUATION HIGH COMPLEXITY,270.00 PT RE EVALUATION,168.00 OT EVALUATION LOW COMPLEXITY,272.00 OT EVALUATION LOW COMPLEXITY,272.00 OT EVALUATION MODERATE COMPLEXITY,272.00 OT EVALUATION MODERATE COMPLEXITY,272.00 OT EVALUATION HIGH COMPLEXITY,272.00 OT EVALUATION HIGH COMPLEXITY,272.00 OT RE EVALUATION,170.00 OT RE EVALUATION,170.00 C/S SUTURE CHROMIC 0,27.00 PT THERAPEUTIC ACTIVITIES - 15 MIN,114.00 SLPTHERAPEUTIC ACTIVITY/KINETIC,106.00 "OT Therapeutic Activities, each 15 minut",114.00 "OT Dev Cognitive Skills, each 15 minutes",110.00 SLP SENSORY INTEGRATIVE TECHNIQUES,104.00 OT SENSORY INTEGRATVIE TECHNIQUES,104.00 PT SELF-CARE TRAINING - 15 MIN,140.00 SLP SELF CARE-ADLS,140.00 "OT Self-Care Training, each 15 minutes",140.00 PT COMMUNITY/WORK REINTEGRATION EA 15 M,110.00 OT COMMUNITY/WORK REINTEGRATION DIRECT,104.00 PT SELF-CARE TRAINING - 15 MIN,140.00 PT W/C TRN/MGMT - 15 MIN,91.00 "OT Wheelchair Mgnt, each 15 minutes",98.00 BUPROPION ER150MGPO,14.00 ER ROOM DEBRIDEMENT OPEN WOUND,222.00 PRO SC ACTIVE WOUND CARE,114.00 WOUND DEBRIDEMENT OPEN 20 SQ CM,419.00 ACTIVE WOUND CARE,114.00 ER DR DEBRIDEMENT OPEN WOUND,106.00 SLP DEBRIDEMENT WOUND < 20 SQ CM,388.00 WOUND DEBRIDEMENT OPEN EA ADD'T 20 SQ CM,379.00 SLP DEBRIDEMENT AREA EA ADD'LT 20 SQ CM,106.00 BMH OP NONSELECTIVE WOUND DEBRIDEMENT,238.00 Clinic Wound Vac Application,283.00 CLINIC HH WOUND VAC APPLICATION <50%,283.00 CLINIC HH WOUND VAC APPLICATION >50%,373.00 SLP ULTRASOUND LOW FREQUENCY NON THERMAL,293.00 PT PHYSICAL PERF TEST - 15 MIN,109.00 PT PHYSCIAL PERF TEST - 15 MIN,109.00 SLP ASSISTIVE TECH ASSESSMENT,80.00 "OT Assistive Tchn, Write Rprt, ea 15 min",83.00 "OT Prosthetic Train'g, each 15 minutes",132.00 PT ORTHOTIC CHECK OUT EA 15,75.00 NUTRIN TX RE-ASSESS&INTRVNTN EA 15MIN,41.00 NUTRTN TX GROUP EA 30MIN,72.00 C/S SUTURE PLAIN 2-0,18.00 C/S SUTURE PLAIN 2-0,18.00 C/S SUTURE PLAIN 3-0,18.00 SLP SELF MANAGEMENT TRAINING,140.00 NUTRN TX PHONE ASSESS&MGT 05-10MIN,22.00 NUTRN TX PHONE ASSESS&MGT 11-20MIN,47.00 NUTRN TX PHONE ASSESS&MGT 21-30MIN,70.00 C/S SUTURE SIILK 0,17.00 CS LEVIN TUBE,19.00 SPINAL\CAUDAL TRAY,223.00 CS LMA # 5,23.00 AMB BLS NON-EMERGENT MILEAGE,23.00 CS ORAL AIRWAY,17.00 Dr post op visit,0.00 EPIDURAL TRAY,255.00 KETAMINE 100 MG I,17.00 NUTRTN TX INIT ASSESS&INTERVNTN EA 15MIN,51.00 "ROPIVICAINE 2MG/ML, 20ML I",101.00 AMB -BLS DOA NON EMERGENT,"1,173.00" ALS-1 NON-EMERG,"1,624.00" AMB PER MILE - ALS,23.00 AMB BLS NON-EMERGENCY,"1,173.00" AMB BASE RATE - ALS-1 911 EMERG,"1,961.00" AMB PER MILE - BLS,23.00 AMB AIRPORT TRANSPORT,"1,961.00" AMB - BLS EMERGENCY 911,"1,216.00" AMB ALS-2 EMERGENCY 911,"2,091.00" AMB ALS NON-EMERGENT MILEAGE,23.00 C/S SUTURE SILK 2-0,17.00 ANES 1ST 60 MIN (MI,24.00 Extreme Age < 1yr/> older than 70,153.00 Anes Complicated by Emerg conditions,307.00 ER DR MODERATE SEDATION > 5 YEARS 15 MIN,184.00 ER DR ANES MOD SEDATION ADDT'L 15 MIN,160.00 ANES MOD CONSCIOUS SEDATION > 5 YEARS,238.00 ANES MOD SEDATION EACH ADD'TL 15 MIN,181.00 LAB PHLEBOTOMY THERAPEUTIC,182.00 ANES BASE UNITS,164.00 ANES TIME UNITS,164.00 ANES MODIFIER UNITS,153.00 ANE SUPP 1ST 30 MIN,255.00 ANES SUP ADDL 15 MIN,116.00 DR CLINIC NEW PATIENT,162.00 ProSC E&M Office/OP Level 2 New Pat,194.00 DR CLINIC,206.00 PRO SC OUTPATIENT VISIT,206.00 SC PRO NEW OUTPATIENT,262.00 ProSC E&M Office/OP Level 3 New Pat,262.00 DR CLINIC NEW,262.00 DR. NEW PATIENT COMPREHENSIVE,347.00 ProSC E&M Office/OP Level 4 New Pat,367.00 PROSC OUTPATIENT VISIT NEW,367.00 DR. VISIT COMPREHENSIVE,367.00 SC ER DR E & M VISIT,347.00 DR visit-DecisionForScreeningColonoscopy,0.00 PRO OUTPATIENT NEW,477.00 PROEYE OFFICE VISIT 5 MIN,75.00 CLINIC HH LEVEL 1,123.00 HBC - LEVEL 1,59.00 CLINIC HH LEVEL 2,211.00 HBC - LEVEL 2,138.00 ProSC E&M Office/OP Level 2 Est Pat,113.00 DR CLINIC ESTABLISHED,105.00 PRO SC E&M OR,113.00 CLINIC HH LEVEL 3,284.00 HBC - LEVEL 3,165.00 ProSC E&M Office/OP Level 3 Est Pat,166.00 CLINIC HH LEVEL 4,324.00 CLINIC HH LEVEL 4,342.00 HBC - LEVEL 4,207.00 ProSC E&M Office/OP Level 4 Est Pat,252.00 DR OUTPATIENT VISIT,235.00 PROSC ER OUTPATIENT,235.00 CLINIC HH LEVEL 5,342.00 DR. OBS DISCHARGE,254.00 DR OBS DISCH,269.00 DR. INITIAL OBS DETAILED LOW ADMIT,275.00 "R&B OBS LEVEL 1, 1ST HOUR",577.00 "R&B OBS LEVEL 1, EA ADDL HR",45.00 INITIAL OBS CARE,251.00 "Dr initial day obs. hx, exam, mod",457.00 "R&B OBS LEVEL 2, 1ST HR",921.00 "R&B OBS LEVEL 2, EA ADDL HR",82.00 DR. INITAL OBS MOD ADMIT,457.00 INITIAL OBS CARE,437.00 DR. OBS HIGH ADMIT,616.00 INITIAL OBS CARE,616.00 DR ADMIT H & P DETAILED LOW,344.00 "Dr init hosp-comp hx&ex, low complex",344.00 DR-INPT ADMIT BRIEF,365.00 DR ADMIT H & P DETAILED MOD,404.00 DR-INPT ADMIT MODER,496.00 "Dr Initial hospit care, compreh, mod",416.00 DR INPT INITIAL,404.00 DR ADMIT H & P DETAILED HIGH,687.00 "Dr Init hosp, compr hx, highcomplexity",654.00 INITIAL HOSP CARE,596.00 SUBSEQUENT OBS VISIT,140.00 DR. OBS VISIT MOD,177.00 SUBSEQUENT OBS CARE,192.00 SUBSEQUENT OBESERVATION CARE PER DAY,209.00 DR-INPT SUBSEQUENT BRIEF,122.00 ProSC IP Hosp Care Subseq Level 1,122.00 DR INPT-SUBSEQUENT HOSP. CARE,135.00 DR-INPT SUBSEQUENT MODERATE,284.00 ProSC IP Hosp Care Subseq Level 2,284.00 DR-INPT SUBSEQ INTE,284.00 DR-INPT SUBSEQUENT HIGH,302.00 ProSC IP Hosp Care Subseq Level 3,287.00 DR-INPT SUBSEQUENT,302.00 DR. OBS/INPT SAME DAY CARE COMP/LOW,407.00 OBSV/INPT HOSP E/M,530.00 DR. OBS/INPT SAME DAY COMP/MOD,534.00 DR INPT OR OBS CARE,658.00 DR. OBS/INPT SAME DAY COMP/HIGH,675.00 OBS/I/P HOSP CARE FOR E&M,877.00 DR-INPT DISCHARGE 30 MIN OR LESS,225.00 ProSC IP Hosp Disch; 30 min or less,225.00 PROF - INPT DISCHARGE,259.00 DR-INPT DISCHARGE GREATER 30 MIN,381.00 HOSPITAL DISCHARGE > 30 MIN,381.00 ProSC ER E&M Level 1,120.00 ER DR MINIMAL,129.00 ER DR NEW BRIEF,176.00 ER DR NEW LIMITED,301.00 ProSC ER E&M Level 4,473.00 ER DR NEW INTERMEDI,470.00 ProSC ER E&M Level 5,678.00 ER DR EXTENDED,729.00 TRAUMA ACTIVATION,"3,500.00" DR- CRITICAL CARE 1ST,881.00 ER CRITICAL CARE,"2,111.00" ER DR-CRIT CARE 1ST,"1,021.00" ProSC Critical Cr eval&mgmt 1st 30-74min,856.00 DR-CRITICAL CARE ADDITIONAL,425.00 ER CRITICAL CARE,709.00 ER DR-CRIT CARE EA,455.00 PATIENT WITH SEVERE SYSTEMIC DISEASE,164.00 DR-INITIAL SNF LOW,360.00 Initial Fac. care with 3 key components,360.00 DR-INITIAL SNF MODERATE,407.00 PROF INIT NF CARE PER W/3 KEY COMP,407.00 "ProSC NURS FAC, INIT DAY, LEVEL 2",407.00 "PRO NURS FAC, INITIAL",452.00 DR. NURSE FACILITY INITIAL COMPLEX,452.00 DR-SNF SUBSEQUENT VISIT,111.00 SUBSEQUENT NF CARE PER DAY,111.00 DR-SNF SUBSEQUENT VISIT,264.00 SNF care per day 4 eval & manag. of pt,264.00 "Prof Nurs FAC, SUB",383.00 PROF SUBS. NURSING FACIL VISIT,383.00 DR-SNF DISCHARGE,230.00 Nursing Facility discharge < 30 minutes,230.00 DR-SNF DISCHARGE > 30,381.00 C/S SUTURE SILK 0,23.00 PAT. WITH SEVERE SYS.DIS.THAT IS A THEAT,326.00 INITIAL HOSP - BIRTH,129.00 INITIAL HOSP. BIRTH CARE PER DAY NEWBORN,129.00 PROF NB CARE,110.00 PROF NB CARE SERV SUB HOSP CARE PER DAY,110.00 PROF INITIAL BIRTH CARE ADMIT/DISCHARGE,275.00 DELIVERY/BIRTHING & RESUSCITATION SERVIC,434.00 1stINITIAL INPAT. NEONATAL CRITICAL CARE,"1,937.00" C/S SUTURE SILK 2-0,40.00 MORIBUND PT NOT EXPECT TO SURVIVE W/O PR,489.00 C/S SUTURE SILK 3-0,23.00 C/S SUTURE SILK 2-0,16.00 IM ADMIN Flu Vaccine,42.00 ADMINISTRATION PNEUMOCCAL VACCINE,44.00 ProSC SCREENING COLONOSCOPY - HIGH RISK,954.00 OR SCREEN COLON - HIGH RISK - MEDIC ONLY,"2,727.00" SCREENING COLONOSCOPY,891.00 ProSC SCREENING COLONOSCOPY,"1,019.00" "OR &recov: Screening colonoscopy, Medicr","2,727.00" CT SCAN FOR LUNG CANCER SCREENING,"1,667.00" MEDTOX DRUG COMPLIANCE PANEL,273.00 LAB EXTENDED DRUG REFLEX,267.00 PT(G) Mobility - current,0.01 "OT(G) Mobility, current",0.01 PT(G) Mobility-goal,0.01 "OT(G) Mobility, goal",0.01 PT(G) Mobility-discharge,0.01 "OT(G) Mobility, discharge",0.01 PT(G) Body position-current,0.01 "OT(G) Body position, current",0.01 PT(G) Body position-goal,0.01 "OT(G) Body position, goal",0.01 PT(G) Body position-discharge,0.01 "OT(G) Body position, Discharge",0.01 PT(G) Carrying-current,0.01 "OT(G) Carrying, Current",0.01 PT(G) Carrying-goal,0.01 "OT(G) Carrying, Goal",0.01 PT(G) Carrying-discharge,0.01 "OT(G) Carrying, Discharge",0.01 PT(G) Self care-current,0.01 "OT(G) Self Care, Current",0.01 PT(G) Self Care-goal,0.01 "OT(G) Self Care, Goal",0.01 PT(G) Self Care-discharge,0.01 "OT(G) Self Care, Discharge",0.01 PT(G) Primary Other PT-current status,0.01 "OT(G) Primary Other OT, Current",0.01 PT(G) Primary Other PT-goal,0.01 "OT(G) Primary Other OT, Goal",0.01 PT(G) Primary Other PT-discharge,0.01 "OT(G) Primary Other OT, Discharge",0.01 "OT(G) Subseq Other OT, Current",0.01 "OT(G) Subseq Other PT, Goal",0.00 "OT(G) Subseq Other OT, Discharge",0.00 "OT(G) Attention funct, Current",0.00 "OT(G) Attention funct, Goal",0.00 "OT(G) Attention funct, Discharge",0.00 Bumetanide,19.00