CPT/HCPCS Code Procedure Name - Phelps Health

CPT/HCPCS Code Procedure Name Base Price Discounted Price Minimum MaximumHC ENDO AGILE PATENCY CAPSULE 138.00 96.6 66.24 113.16

90658 HC PBB IIV3 VACCINE 3 YRS & OLDER FOR IM USE 78.00 54.6 37.44 63.9682670 HC ASSAY OF ESTRADIOL - ESTRADIOL 648.80 454.16 311.42 532.0288342 HC PD-L1 IHC GENPATH 1,147.20 803.04 550.66 940.792950 HC HEART/LUNG RESUSCITATION (CPR) 1,673.00 1,171.10 803.04 1,371.86Q9969 HC NON-HEU TC-99M ADD-ON DOSE 10.40 7.28 4.99 8.5399195 HC PHLEBOTOMY 358.90 251.23 172.27 294.396377 HC APPLICATION NEULASTA ONPRO ON-BODY INJECTOR 221.80 155.26 106.46 181.8836415 HC CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE 66.80 46.76 32.06 54.7836416 HC CHG COLLECTION CAPILLARY BLOOD SPECIMEN - DRAW CHARGE 41.70 29.19 20.02 34.1936591 HC DRAW BLOOD OFF VENOUS DEVICE 176.30 123.41 84.62 144.5736591 HC COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE - BUNDLED CHARGE 176.30 123.41 84.62 144.5736592 HC CHG COLLECT BLOOD FROM CATHETER VENOUS NOS - DRAW CHARGE 176.30 123.41 84.62 144.5736592 HC COLLECT BLOOD FROM CATHETER VENOUS NOS - BUNDLED CHARGE 176.30 123.41 84.62 144.5736600 HC WITHDRAWL OF ATERIAL BLOOD 313.00 219.1 150.24 256.6680081 HC PRENATAL PROFILE W/HIV 486.50 340.55 233.52 398.9381220 HC CFTR GENE ANALYSIS COMMON VARIANTS - CYSTIC FIBROSIS CARRIER PANEL 366.80 256.76 176.06 300.7881240 HC F2 GENE ANALYSIS 20210G >A VARIANT - PROTHROMBIN GENE MUTATION 232.60 162.82 111.65 190.7381241 HC F5 COAGULATION FACTOR V ANAL LEIDEN VARIANT - FACTOR V LEIDEN 223.60 156.52 107.33 183.3581256 HC HFE HEMOCHROMATOSIS GENE ANAL COMMON VARIANTS - HEMOCHROMATOSIS MUT 751.30 525.91 360.62 616.0781257 HC HBA1/HBA2 GENE - GENE TEST BETA-THALASSEMIA 1,173.80 821.66 563.42 962.5281406 HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 7 - MYOTONIC DYSTROPHY DNA 1,261.90 883.33 605.71 1,034.7682271 HC OCCULT BLOOD GASTRIC 90.00 63 43.2 73.882272 HC OCCULT BLD (DEMS TESTED) 83.20 58.24 39.94 68.2285307 HC APC RESISTANCE PROFILE 692.30 484.61 332.3 567.6985549 HC LYSOZYME SERUM OR BODY FLUID 105.60 73.92 50.69 86.5985576 HC PLT AGGREGATION EPI 258.30 180.81 123.98 211.8185613 HC DILUTE RUSSELL VIPER VENOM PA 185.70 129.99 89.14 152.2786235 HC SMITH ANTIBODY IGG 59.80 41.86 28.7 49.0486900 HC BLOOD TYPING SEROLOGIC ABO - ABO/RH TYPE 168.70 118.09 80.98 138.3386901 HC RHD DISCREPANCY ANALYSIS 168.30 117.81 80.78 138.0186902 HC BLOOD TYPE ANTIGEN DONOR REAGENT SERUM EACH - BLOOD TYPING, ANTIGEN 226.20 158.34 108.58 185.4887205 HC LEUKOCYTES NASAL 101.30 70.91 48.62 83.0787205 HC HANGING DROP (WET PREP) 146.10 102.27 70.13 119.887902 HC HCV NS5A DRUG RESIST BY SEQ 1,265.10 885.57 607.25 1,037.3888738 HC HGB QUANT TRANSCUTANEOUS 35.30 24.71 16.94 28.9589055 HC LEUKOCYTE COUNT,FECAL - FECAL LEUKOCYTES 131.50 92.05 63.12 107.8389060 HC EXAM,SYNOVIAL FLUID CRYSTALS - SYNOVIAL FLUID CRYSTAL 318.20 222.74 152.74 260.9290744 HC PBB HEPB VACCINE PED/ADOLESC 3 DOSE SCHEDULE IM 142.20 99.54 68.26 116.690746 HC PBB HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE 142.20 99.54 68.26 116.699001 HC LABCORP URINE COLLECTION 6.10 4.27 2.93 599001 HC LABCORP NONBLOOD/URINE COLLECT 6.10 4.27 2.93 599001 HC COLLECTION/HANDLING FEE 66.80 46.76 32.06 54.7899001 HC DRUG SCREEN COC 315.10 220.57 151.25 258.38

HC HEALTH RISK ASSESS (HEALICS) 93.60 65.52 44.93 76.75HC EDUCATION PER HOUR 52.00 36.4 24.96 42.64HC RESP QUESTIONNAIRES EMPL 31.20 21.84 14.98 25.58

0001A HC ADMIN COV2 VAC PFIZER 1ST 80.00 56 38.4 65.60002A HC ADMIN COV2 VAC PFIZER 2ND 80.00 56 38.4 65.60003A HC ADMIN COV2 VAC PFIZER 3RD 80.00 56 38.4 65.60004A HC ADMIN COV2 VAC PFIZER BSTR 80.00 56 38.4 65.60011A HC ADMIN COV2 VAC MODERNA 1ST 80.00 56 38.4 65.60012A HC ADMIN COV2 VAC MODERNA 2ND 80.00 56 38.4 65.60013A HC ADMIN COV2 VAC MODERNA 3RD 80.00 56 38.4 65.60031A HC ADMIN COV2 VAC JANSSEN SINGLE DOSE 80.00 56 38.4 65.60034A HC ADMIN COV2 VAC JANSSEN AD26 .5 ML BSTR 80.00 56 38.4 65.60064A HC ADMIN COV2 VAC MODERNA BSTR 80.00 56 38.4 65.60071A HC ADMIN COV2 VAC PEDS PFIZER 1ST 80.00 56 38.4 65.60077U HC IG PARAPROTEIN QUAL IMPRCIP&MS BLD/UR W/ISOTYPE 479.40 335.58 230.11 393.11A4648 HC IMPLANTABLE TISSUE MARKER 715.20 500.64 343.3 586.46A9270 HC RX 637 SELF ADMINISTRABLE DRUGS (ALT 250 FOR MEDICARE IP) 35.80 25.06 17.18 29.36A9606 HC RADIUM RA223 DICHLORIDE THER (XOFIGO) 291.10 203.77 139.73 238.7C1717 HC BRACHYTX, NON-STR,HDR IR-192 3,245.70 2,271.99 1,557.94 2,661.47C1849 HC DRESSING WOUND MIRRAGEN 4X4 14.00 9.8 6.72 11.48C1849 HC DRESS/ ADV WND MIRRAGEN 2X2 55.30 38.71 26.54 45.35C1849 HC DRESS/ADV WND MIRRAGEN 4X4 223.70 156.59 107.38 183.43C1889 HC KIT MILD MDK0001 5,125.00 3,587.50 2,460.00 4,202.50

M0245 HC ADMIN BAMLANIVIMAB AND ETESEVIMA 901.00 630.7 432.48 738.82M0247 HC INF SOTROVIMAB 901.00 630.7 432.48 738.82P9604 HC TRAVEL ALLOW CHG 1-15 2.00 1.4 0.96 1.64P9604 HC TRAVEL ALLOW CHG 1-14 2.20 1.54 1.06 1.8

P9604 HC TRAVEL ALLOW CHG 1-11 2.70 1.89 1.3 2.21P9604 HC TRAVEL ALLOW CHG 1-10 2.80 1.96 1.34 2.3P9604 HC TRAVEL ALLOW CHG 2-13 3.30 2.31 1.58 2.71P9604 HC TRAVEL ALLOW CHG 1-8 3.40 2.38 1.63 2.79P9604 HC TRAVEL ALLOW CHG 2-11 3.80 2.66 1.82 3.12P9604 HC TRAVEL ALLOW CHG 3-12 4.00 2.8 1.92 3.28P9604 HC TRAVEL ALLOW CHG 1-7 4.10 2.87 1.97 3.36P9604 HC TRAVEL ALLOW CHG 2-10 4.30 3.01 2.06 3.53P9604 HC TRAVEL ALLOW CHG 3-11 4.30 3.01 2.06 3.53P9604 HC TRAVEL ALLOW CHG 3-13 4.70 3.29 2.26 3.85P9604 HC TRAVEL ALLOW CHG 3-10 5.10 3.57 2.45 4.18P9604 HC TRAVEL ALLOW CHG 2-8 5.20 3.64 2.5 4.26P9604 HC TRAVEL ALLOW CHG 3-8 5.70 3.99 2.74 4.67P9604 HC TRAVEL ALLOW CHG 3-9 5.70 3.99 2.74 4.67P9604 HC TRAVEL ALLOW CHG 2-7 6.00 4.2 2.88 4.92P9604 HC TRAVEL ALLOW CHG 2-6 7.00 4.9 3.36 5.74P9604 HC TRAVEL ALLOW CHG 1-4 7.00 4.9 3.36 5.74P9604 HC TRAVEL ALLOW CHG 3-7 7.30 5.11 3.5 5.99P9604 HC TRAVEL ALLOW CHG 2-5 8.30 5.81 3.98 6.81P9604 HC TRAVEL ALLOW CHG 3-6 8.50 5.95 4.08 6.97P9604 HC TRAVEL ALLOW CHG 1-3 9.20 6.44 4.42 7.54P9604 HC TRAVEL ALLOW CHG 3-5 10.20 7.14 4.9 8.36P9604 HC TRAVEL ALLOW CHG 2-4 10.40 7.28 4.99 8.53P9604 HC TRAVEL ALLOW CHG 3-4 12.80 8.96 6.14 10.5P9604 HC TRAVEL ALLOW CHG 2-3 13.70 9.59 6.58 11.23P9604 HC TRAVEL ALLOW CHG 1-2 13.70 9.59 6.58 11.23P9604 HC TRAVEL ALLOW CHG 3-3 17.00 11.9 8.16 13.94P9604 HC TRAVEL ALLOW CHG 2-2 20.60 14.42 9.89 16.89P9604 HC TRAVEL ALLOW CHG 1-1 27.40 19.18 13.15 22.47Q4101 HC APLIGRAF 44 CM 115.10 80.57 55.25 94.38Q4106 HC DRESSING DERMAGRAFT 59.50 41.65 28.56 48.79Q4160 HC NUSHIELD 4X6 PER SQ CM 156.30 109.41 75.02 128.17Q4160 HC NUSHIELD 2X4 255.70 178.99 122.74 209.67Q4160 HC NUSHIELD 2X3 PER SQ CM 265.00 185.5 127.2 217.3Q4160 HC NUSHIELD 1.6 PER SQ CM 790.00 553 379.2 647.8Q4196 HC DRESSING PURAPLY AM EF 3X4 220.00 154 105.6 180.4Q4196 HC DRESSING PURAPLY AM 8 X 16 235.50 164.85 113.04 193.11Q4196 HC DRESSING PURAPLY AM 6 X 9 236.80 165.76 113.66 194.18Q4196 HC DRESSING PURAPLY AM 2 X 4 260.00 182 124.8 213.2Q4196 HC DRESSING PURAPLY AM 5 X 5 260.80 182.56 125.18 213.86Q4196 HC DRESSING PURAPLY AM 2 X 2 403.70 282.59 193.78 331.03Q4196 HC DRESSING PURAPLY AM 1.6 SQCM DISK 484.40 339.08 232.51 397.21V2787 HC LENS DIOP 23.0 MX60ET 200 375.00 262.5 180 307.5

HC FOAM BLOCK 6.40 4.48 3.07 5.25HC ORAL/NASALPHARYNGEAL AIRWAY 7.10 4.97 3.41 5.82HC PHASE III PULMONARY REHAB 9.30 6.51 4.46 7.63HC CARD REHAB PHASE 3 INPATIENT 9.30 6.51 4.46 7.63HC HAIRPICK 9.50 6.65 4.56 7.79HC CO-WRAP 2 INCH 9.50 6.65 4.56 7.79HC CO-WRAP 1 INCH 9.50 6.65 4.56 7.79HC BUILT-UP HANDLE / PIECE 9.50 6.65 4.56 7.79HC ABD PAD 12.10 8.47 5.81 9.92HC KOMPREX SIZE 0 12.60 8.82 6.05 10.33HC DYCEM 6 X 8 12.60 8.82 6.05 10.33HC SET EXT STANDART BORE 8 35844 12.80 8.96 6.14 10.5HC ELASTIC SHOELACES 15.60 10.92 7.49 12.79HC KINESIO TAPE / FOOT 15.60 10.92 7.49 12.79HC LONG HANDLE SPONGE 18.60 13.02 8.93 15.25HC TUBING ADD-A-LINE 19.50 13.65 9.36 15.99HC SPONGE 4X4 STERILE PKG 19.70 13.79 9.46 16.15HC EMESIS BAG 21.40 14.98 10.27 17.55HC THERABAND PER YARD 21.70 15.19 10.42 17.79HC CARBOFLEX 3INX6IN 24.20 16.94 11.62 19.84HC DRESSING STICK 24.60 17.22 11.81 20.17HC SCAR TOOL 24.60 17.22 11.81 20.17HC BUTTON-HOOK ZIPPER PULL 24.60 17.22 11.81 20.17HC MEDX PHASE III 26.70 18.69 12.82 21.89HC NS IRRIGATION SOLUTION 500CC 26.90 18.83 12.91 22.06HC ADD-A-LINE IV 27.20 19.04 13.06 22.3HC KERLEX 29.80 20.86 14.3 24.44HC FILTER EFFICIENT FILTA GUARD 30.40 21.28 14.59 24.93HC ELASTOMER 30.70 21.49 14.74 25.17

HC DRESSING POLYMEM SILVER 30.90 21.63 14.83 25.34HC TRAY MINOR 32.04 22.43 15.38 26.27HC SUCTION BRUSH 34.00 23.8 16.32 27.88HC IV START KIT 34.00 23.8 16.32 27.88HC COOL/HEATED AEROSOL/HOUR 34.80 24.36 16.7 28.54HC OXYGEN HOURLY 34.80 24.36 16.7 28.54HC OXYGEN PER HOUR 34.80 24.36 16.7 28.54HC DRESSING HYDROFERA BLUE CLASSIC 35.40 24.78 16.99 29.03HC DURELAST 6CM X 5CM 36.90 25.83 17.71 30.26HC 18 GAUGE IV ANGIOCATH 37.30 26.11 17.9 30.59HC FINGER CRUTCH 40.00 28 19.2 32.8HC OXISENSER ADULT RD 40.20 28.14 19.3 32.96HC STABILIZER EZ-IO 40.40 28.28 19.39 33.13HC ENDO TUBE 7.0 FR 40.70 28.49 19.54 33.37HC DRESSING HYDROFERA BLUE 4X4 READY 42.60 29.82 20.45 34.93HC DURELAST 8CM X 5CM 43.10 30.17 20.69 35.34HC ISOTONER GLOVE EACH 43.10 30.17 20.69 35.34HC STAT LOCKS 44.00 30.8 21.12 36.08HC TUBING CONT ADM NF3140 44.50 31.15 21.36 36.49HC PACK HEAVY DRAINAGE 45.00 31.5 21.6 36.9HC LONG SHOEHORN 45.90 32.13 22.03 37.64HC SENSY BALL 10CM 45.90 32.13 22.03 37.64HC ACE WRAP 6 49.40 34.58 23.71 40.51HC DISP FIBEROPT LARYNG BLADE 49.70 34.79 23.86 40.75HC TCC-EZ 4" CAST 50.00 35 24 41HC OXISENSER ADT/NEO RD 51.70 36.19 24.82 42.39HC BURETROL TUBING 51.80 36.26 24.86 42.48HC COVER ROLL TAPE 52.30 36.61 25.1 42.89HC DURELAST 10CM X 5CM 52.30 36.61 25.1 42.89HC RESTRAINTS SOFT 52.30 36.61 25.1 42.89HC IV LINE MINIDRIP 52.50 36.75 25.2 43.05HC IV LINE MACRO 52.50 36.75 25.2 43.05HC MASK CPAP #5 REGULAR ADULT 53.60 37.52 25.73 43.95HC MASK CPAP #4 CHILD 53.60 37.52 25.73 43.95HC MASK CPAP #6 LARGE ADULT 53.60 37.52 25.73 43.95HC SPLINT MATERIALS 55.10 38.57 26.45 45.18HC O2 SETUP 56.00 39.2 26.88 45.92HC DRESSING ULTRASILVER FOAM 4X5 57.80 40.46 27.74 47.4HC SOCK AID 58.20 40.74 27.94 47.72HC SOL 5% DEX INJ 500 CC 61.70 43.19 29.62 50.59HC SOL 0.9% CHL INJ 500 CC 61.70 43.19 29.62 50.59HC NS 1000 CC 61.70 43.19 29.62 50.59HC SOL LACT RING 5% DEX 1000CC 61.70 43.19 29.62 50.59HC SOL 0.9 SOD CHL 250 CC 61.70 43.19 29.62 50.59HC ENDOTRACHEAL TUBE HOLDERS 63.50 44.45 30.48 52.07HC COOL/HEATED AEROSOL SETUP 64.90 45.43 31.15 53.22HC CIRCUIT SINGLE LIMB ADULT/PED 65.80 46.06 31.58 53.96HC KOMPREX SIZE 8CM 70.30 49.21 33.74 57.65HC HARNESS MARK UNIVERSAL 78.40 54.88 37.63 64.29HC CIRCUIT SINGLE LIMB INFANT 79.70 55.79 38.26 65.35HC REACHER - LONG HANDLE 82.60 57.82 39.65 67.73HC FOAM ARM SUPPORT 82.60 57.82 39.65 67.73HC TRAY MINOR DRESSING 89.60 62.72 43.01 73.47HC IV LINE BLOOD 91.20 63.84 43.78 74.78HC KNUCKLE BENDER SPLINT 91.60 64.12 43.97 75.11HC REVERSE KNUCKLE BENDER 91.60 64.12 43.97 75.11HC DIAL-A-FLOW IV LINE 96.30 67.41 46.22 78.97HC BLADE MAC #4 DISP 350013000 97.40 68.18 46.75 79.87HC EXTENSION FINGER SPRING 101.00 70.7 48.48 82.82HC LMA 101.30 70.91 48.62 83.07HC MEGA MOVER PORT TRNSPRT 103.20 72.24 49.54 84.62HC NEEDLE HUBER 19X3/4 POWERLOC 103.60 72.52 49.73 84.95HC TCC EZ 3" CAST 109.00 76.3 52.32 89.38HC OB KIT 109.00 76.3 52.32 89.38HC MOLDED LAP TRAY 109.90 76.93 52.75 90.12HC NEEDLE HUBER 111.30 77.91 53.42 91.27HC LEG LIFTER 112.90 79.03 54.19 92.58HC SLING ARM MEDIUM 117.70 82.39 56.5 96.51HC SAM SPLINT 121.10 84.77 58.13 99.3HC SPLINT SHELL PROTECTOR 125.30 87.71 60.14 102.75HC BTE POET 130.00 91 62.4 106.6HC INCENTIVE SPIROMETER 131.90 92.33 63.31 108.16

HC TCC-EZ REGULAR BOOT 136.00 95.2 65.28 111.52HC PEAK FLOW SETUP 138.40 96.88 66.43 113.49HC TUBE STOMACH LAVAGE 141.80 99.26 68.06 116.28HC KINESIO TAPE / ROLL 143.50 100.45 68.88 117.67HC DRESSING ECLYPSE 12 X 20 151.70 106.19 72.82 124.39HC DRESSING WND FOAM IOPLEX 159.00 111.3 76.32 130.38HC SUCTION 160.00 112 76.8 131.2HC SPLINT SPRING COIL FINGER FLEX 162.00 113.4 77.76 132.84HC TRANSDUCER HAND HELD VIBRALUNG 162.80 113.96 78.14 133.5HC TCC-EZ LARGE BOOT 164.00 114.8 78.72 134.48HC TCC-EZ CHARCOT XLARGE BOOT 170.00 119 81.6 139.4HC MAXIMIST 175.30 122.71 84.14 143.75HC AQUACEL AG EXTRA 2INX2IN 175.60 122.92 84.29 143.99HC DISP CERVICAL COLLAR 178.20 124.74 85.54 146.12HC DRAWTEX 3IN X 3 IN 184.60 129.22 88.61 151.37HC TCC-EZ CHARCOT LARGE BOOT 189.00 132.3 90.72 154.98HC AQUACEL AG 1CMX45CM 189.60 132.72 91.01 155.47HC TURKEL NEEDLES 193.30 135.31 92.78 158.51HC HEMI-SLING 195.60 136.92 93.89 160.39HC TCC-EZ XLARGE BOOT 206.00 144.2 98.88 168.92HC CAT TOURNIQUET B0031PZRYI 206.30 144.41 99.02 169.17HC SPLINT RESTING PAN-MIT 207.60 145.32 99.65 170.23HC DIGIT EXTENSION TUBE SPLINT 207.60 145.32 99.65 170.23HC COFLEX TLC LITE WITH ZINC 210.80 147.56 101.18 172.86HC DRESSING SNAP FOAM 15X15 212.30 148.61 101.9 174.09HC KING AIRWAY 221.50 155.05 106.32 181.63HC COLD NEBULIZER CHANGE 242.60 169.82 116.45 198.93HC SPLINT ANTISPASTICITY 244.10 170.87 117.17 200.16HC SPACER 266.60 186.62 127.97 218.61HC COBAN COMP 2 LAYER LITE 4X3.4 276.40 193.48 132.67 226.65HC COFLEX TLC W/O ZINC PADDING 276.40 193.48 132.67 226.65HC KIT CUTIMED OFF LOAD TCC SELCT 297.00 207.9 142.56 243.54HC VAC SNAP CARTRIDGE 125MM HG 312.40 218.68 149.95 256.17HC HOVER MAT SNGL USE DISP 319.90 223.93 153.55 262.32HC DISP VEST WRAPS 339.70 237.79 163.06 278.55HC QUICKCOMBO PATCHES A/P 364.20 254.94 174.82 298.64HC OXIHOOD INITIAL SETUP 376.00 263.2 180.48 308.32HC AUTOPULSE LIFEBANDS 378.20 264.74 181.54 310.12HC DRAWTEX 8IN X 8IN 394.70 276.29 189.46 323.65HC AIRWAY CLEARANCE SUPPLY 414.20 289.94 198.82 339.64HC AIRWAY CLEARANCE SUPPLY 414.20 289.94 198.82 339.64HC EZ-IO NEEDLE ADULT/PEDS 618.90 433.23 297.07 507.5HC PICO NEG PRESSURE DRESSING 657.50 460.25 315.6 539.15

82565 HC ASSAY OF CREATININE - GFR 15.00 10.5 7.2 12.384311 HC CHOLESTEROL BODY FLUID 22.10 15.47 10.608 18.12286003 HC ALLERGEN PIGWEED 18.30 12.81 8.784 15.00682757 HC FRUCTOSE SEMEN 28.90 20.23 13.872 23.69888381 HC MICRODISSECTION, MANUAL 35.90 25.13 17.232 29.43880061 HC LIPID PANEL - BUNDLED CHARGE - REF LAB 39.40 27.58 18.912 32.30882042 HC ASSAY OF URINE ALBUMIN - ALBUMIN BODY FLUID 17.90 12.53 8.592 14.67886592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL - RAPID PLASMA REAGIN-SYP 17.90 12.53 8.592 14.67886003 HC ALLERGEN SPEC IGE - ALLERGEN MUGWORT IGE 42.60 29.82 20.448 34.93284157 HC PROTEIN TOT XCPT REFRACTOMETRY OTH SRC - PROTEIN BODY FLUID 35.40 24.78 16.992 29.02886003 HC ALLERGEN INSECT/VEN COCHROACH 35.40 24.78 16.992 29.02886592 HC TREPONEMA PALLIDUM SCREEN 35.40 24.78 16.992 29.02886753 HC PROTOZOA, NOT ELSEWHERE - TRYPANOSOMA CRUZI ANTIBODY 46.00 32.2 22.08 37.7282634 HC 11-DEOXYCORTISOL 52.90 37.03 25.392 43.37880180 HC DRUG SCRN QUANT MYCOPHENOLATE - REF LAB 59.90 41.93 28.752 49.11882985 HC GLYCATED PROTEIN - FRUCTOSAMINE 49.30 34.51 23.664 40.42693325 HC PBB COLOR FLOW MAP INTER 70.30 49.21 33.744 57.646G0378 HC OBSERVATION CARVE-OUT - GASTROINTESTINAL 49.20 34.44 23.616 40.344G0378 HC OBSERVATION CARVE-OUT - RADIOLOGY 49.20 34.44 23.616 40.344G0378 HC OBSERVATION CARVE-OUT - RESPIRATORY 49.20 34.44 23.616 40.34487328 HC IAAD IA CRYPTOSPORIDIUM - OVA AND PARASITE SCREEN 52.60 36.82 25.248 43.13287798 HC MYCOPLASMA GENITALIUM AMPLIFIE 87.50 61.25 42 71.7585610 HC PROTHROMBIN TIME - PROTHROMBIN MIXING STUDY 21.00 14.7 10.08 17.2286003 HC ALLERGEN SPEC IGE - ALLERGEN PINEAPPLE IGE 21.00 14.7 10.08 17.2286003 HC ALLERGEN FOOD APPLE 21.00 14.7 10.08 17.2297803 HC MED NUTR THER, SUBSQ, INDIV, EA 15 MIN 66.50 46.55 31.92 54.5387077 HC ID ORGANISM KIT NONURINE 87.40 61.18 41.952 71.66887185 HC SENSITIVITY - ENZYME DETECT - REF LAB 83.90 58.73 40.272 68.798G0480 HC CLOMIPRAMINE & METABOLITE 69.90 48.93 33.552 57.318

85613 HC RUSSELL VIPER VENOM, DILUTED - ADDITIONAL CHARGE 41.90 29.33 20.112 34.35885732 HC PTT 1:1 MIX 41.90 29.33 20.112 34.35886256 HC NEURO NUCL AB TITER R3002929 80.30 56.21 38.544 65.84686256 HC PURKINJE CELL TITER R3002929 80.30 56.21 38.544 65.84684442 HC ASSAY OF THYROXINE BNDNG GLOBULIN - THYROXINE BINDING GLOBULIN 73.30 51.31 35.184 60.10677062 HC BREAST TOMOSYNTHESIS BI - MAMMO BREAST DIAGNOSTIC TOMOSYNTHESIS BIL 69.80 48.86 33.504 57.23682747 HC ASSAY OF FOLIC ACID, RBC - FOLATE RBC 66.30 46.41 31.824 54.36682043 HC MICROALBUMIN URINE 31.40 21.98 15.072 25.74882570 HC ASSAY OF URINE CREATININE - CREATININE TIMED URINE 31.40 21.98 15.072 25.74882945 HC ASSAY GLUCOSE, BODY FLUID - GLUCOSE BODY FLUID 31.40 21.98 15.072 25.74882374 HC ASSAY CARBON DIOXIDE - CO2 TOTAL 90.70 63.49 43.536 74.37482728 HC FERRITIN (LIVER FIBROSIS) 90.70 63.49 43.536 74.37484450 HC AST (LIVER FIBROSIS) 90.70 63.49 43.536 74.37484460 HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) 90.70 63.49 43.536 74.37480184 HC ASSAY OF PHENOBARBITAL - PHENOBARBITAL 59.30 41.51 28.464 48.62680188 HC ASSAY OF PRIMIDONE - PRIMIDONE LEVEL 59.30 41.51 28.464 48.62682595 HC ASSAY OF CRYOGLOBULIN - CRYOGLOBULIN 59.30 41.51 28.464 48.62686692 HC HEPATITIS DELTA VIRUS AB 59.30 41.51 28.464 48.62685525 HC HEPARIN NEUTRALIZATN - HEPARIN NEUTRALIZATION 73.20 51.24 35.136 60.02484255 HC ASSAY OF SELENIUM - SELENIUM SERUM 94.10 65.87 45.168 77.16286341 HC ISLET CELL ANTIBODY - ANTI-ISLET CELL AB 94.10 65.87 45.168 77.16282495 HC ASSAY OF CHROMIUM - CHROMIUM LEVEL 83.60 58.52 40.128 68.55283018 HC COBALT SERUM/PLASMA 83.60 58.52 40.128 68.55286694 HC HERPES SIMPLEX TEST, UNSPECIFIED TYPE - HSV NON-SPECIFIC TYPE IGM AB 41.80 29.26 20.064 34.27686762 HC RUBELLA AB A50772 41.80 29.26 20.064 34.27686777 HC TOXOPLASMA - TOXOPLASMA GONDII ANTIBODY, IGA 41.80 29.26 20.064 34.27685301 HC ANTITHROMBIN III TEST,ANTIGEN - ANTITHROMBIN III AG 80.10 56.07 38.448 65.68236410 HC PBB VENIPUNCTURE >3YRS NON-ROUTINE (963) 59.20 41.44 28.416 48.54436410 HC PBB VENIPUNCTURE >3YRS NON-ROUTINE (964) 59.20 41.44 28.416 48.54482131 HC AMINO ACIDS, SINGLE QUANTITATION - CYSTINE URINE QUANTITATIVE 59.20 41.44 28.416 48.54483010 HC ASSAY OF HAPTOGLOBIN, QUANT - HAPTOGLOBIN 59.20 41.44 28.416 48.544Q3014 HC TELEHEALTH FACILITY FEE 55.70 38.99 26.736 45.674Q3014 HC PR TELEHEALTH FACILITY FEE 55.70 38.99 26.736 45.67485635 HC REPTILASE TEST - REPTILASE TIME 104.40 73.08 50.112 85.608

HC EMP RESP FIT - NON COMPLIANCE 69.60 48.72 33.408 57.072HC EMP RESP FIT TEST - NO SHOW 69.60 48.72 33.408 57.072HC EMP RESPIRATOR FIT TEST 69.60 48.72 33.408 57.072

82955 HC ASSAY OF G6PD ENZYME - GLUCOSE 6 PHOSPHATE DEHYDROGENASE 118.30 82.81 56.784 97.00683003 HC ASSAY GROWTH HORMONE (HGH) - GROWTH HORMONE 118.30 82.81 56.784 97.00684630 HC ASSAY OF ZINC - ZINC 83.50 58.45 40.08 68.47G0008 HC ADMIN INFLUENZA VIRUS VAC 93.90 65.73 45.072 76.998G0009 HC ADMIN PNEUMOCOCCAL VACCINE 93.90 65.73 45.072 76.99884295 HC ASSAY OF SERUM SODIUM - SODIUM 107.80 75.46 51.744 88.39689190 HC EOSINOPHIL SMEAR SPUTUM 104.30 73.01 50.064 85.52677063 HC BREAST TOMOSYNTHESIS BI - MAMMO BREAST SCREENING TOMOSYNTHESIS LEFT 73.00 51.1 35.04 59.8677063 HC BREAST TOMOSYNTHESIS BI - MAMMO BREAST SCREENING TOMOSYNTHESIS BILAT 73.00 51.1 35.04 59.8677063 HC BREAST TOMOSYNTHESIS BI - MAMMO BREAST SCREENING TOMOSYNTHESIS RIGHT 73.00 51.1 35.04 59.8687140 HC HSV TYPING 86.90 60.83 41.712 71.258

HC SEMI-PRIVATE TELE PHS MAIN MED ONC 97.30 68.11 46.704 79.78686215 HC DEOXYRIBONUCLEASE, ANTIBODY - ANTI DNASE B ANTIBODY 69.50 48.65 33.36 56.9986317 HC TETANUS ANTIBODY, IGG 69.50 48.65 33.36 56.9981002 HC GTT URINE DIPSTICK #4 107.70 75.39 51.696 88.31481002 HC GTT URINE DIPSTICK #1 107.70 75.39 51.696 88.31481002 HC GTT URINE DIPSTICK #5 107.70 75.39 51.696 88.31481002 HC GTT URINE DIPSTICK #2 107.70 75.39 51.696 88.31481002 HC GTT URINE DIPSTICK #3 107.70 75.39 51.696 88.31484588 HC ASSAY OF VASOPRESSIN - ARGININE VASOPRESSIN HORMONE 118.10 82.67 56.688 96.84285240 HC CLOT FACTOR VIII AHG 1 STAGE - VON WILLEBRAND PANEL 118.10 82.67 56.688 96.84285247 HC VON WILLEBRAND MULTIMERIC 118.10 82.67 56.688 96.84287273 HC HERPES SIMPLEX TYPE 2 AG, DFA - HSV 1 AND 2 DFA 118.10 82.67 56.688 96.84287274 HC HERPES SIMPLEX VIRUS DFA TYPE1 118.10 82.67 56.688 96.84294200 HC PBB INTERP MVV 118.10 82.67 56.688 96.84282523 HC C-TELOPIPTIDE BETA SERUM 128.50 89.95 61.68 105.3780299 HC QUANTITATION DRUG NOT ELSEWHERE SPECIFIED - AMIODARONE LEVEL 62.50 43.75 30 51.2583516 HC ACHR BLOCKING AB 62.50 43.75 30 51.2586060 HC ANTISTREPTOLYSIN O TITER - ANTISTREPTOLYSIN O TITER 62.50 43.75 30 51.2588185 HC FLOW CYTO ADD'L MARKER-24 62.50 43.75 30 51.2588185 HC FLOW CYTO 14 ADD'L MARKER 62.50 43.75 30 51.2588185 HC FLOW CYTO 17 ADDL 62.50 43.75 30 51.2583986 HC PH BODY FLUID NOS - PH STOOL 145.80 102.06 69.984 119.55683986 HC PH BODY FLUID NOS - PH BODY FLUID 145.80 102.06 69.984 119.55685610 HC PROTHROMBIN TIME - PROTIME-INR 142.30 99.61 68.304 116.686

G0480 HC TRAZODONE 145.70 101.99 69.936 119.474G0480 HC FLUOXETINE (PROZAC) LEVEL 145.70 101.99 69.936 119.47480194 HC ASSAY OF QUINIDINE - QUINIDINE LEVEL 111.00 77.7 53.28 91.0283516 HC SOL LIVER ANTIGEN ANTIBODY IGG 55.50 38.85 26.64 45.5186356 HC LYMPHOCYTE SUBSET PANEL -CD45RO 55.50 38.85 26.64 45.5186356 HC LYMPHOCYTE SUBSET PANEL -CD45RA 55.50 38.85 26.64 45.5186356 HC MONONUCLEAR CELL ANTIGEN 55.50 38.85 26.64 45.5186800 HC URTICARIA-INDUCING ACTIVITY-THYROGLOBULIN AB 55.50 38.85 26.64 45.51G0109 HC OP DSMT GROUP/30 MIN 107.50 75.25 51.6 88.1588350 HC IFA ADD'L STAIN 159.50 111.65 76.56 130.7984163 HC PREG ASSOC PLAS PRO-A(PAPP-A), SERUM - PREGNANCY-ASSOCIATED PLASMA 145.60 101.92 69.888 119.39283935 HC ASSAY OF URINE OSMOLALITY - REF LAB 52.00 36.4 24.96 42.64

100 HC PBB SKIN HEAD SAL GLANDS MAC 20.80 14.56 9.984 17.056103 HC PBB RECONSTRUCTIVE PROC EYELID 20.80 14.56 9.984 17.056120 HC PBB EXT/MID/INNER EAR INCLUDE BX 20.80 14.56 9.984 17.056126 HC PBB TYMPANOTOMY (963) 20.80 14.56 9.984 17.056126 HC PBB TYMPANOTOMY (964) 20.80 14.56 9.984 17.056140 HC PBB PROCEDURES ON EYE (963) 20.80 14.56 9.984 17.056140 HC PBB PROCEDURES ON EYE (964) 20.80 14.56 9.984 17.056142 HC PBB LENS SURGERY (963) 20.80 14.56 9.984 17.056142 HC PBB LENS SURGERY (964) 20.80 14.56 9.984 17.056145 HC PBB VITRECTOMY 20.80 14.56 9.984 17.056160 HC PBB NOSE/ACCESSORY SINUS MAC (963) 20.80 14.56 9.984 17.056160 HC PBB NOSE/ACCESSORY SINUS MAC (964) 20.80 14.56 9.984 17.056164 HC PBB BX SOFT TISSUE NOSE MAC 20.80 14.56 9.984 17.056170 HC PBB INTRAORAL PROCED INCLUDE BX (963) 20.80 14.56 9.984 17.056170 HC PBB INTRAORAL PROCED INCLUDE BX UPPER ABDOM 20.80 14.56 9.984 17.056170 HC PBB INTRAORAL PROCED INCLUDE BX (964) 20.80 14.56 9.984 17.056190 HC PBB PROCEDURE FACIAL BONES/SKULL 20.80 14.56 9.984 17.056300 HC PBB ANES SKIN-NERVE NECK/HEAD/TRNK 20.80 14.56 9.984 17.056320 HC PBB ESOPHAGUS/THY/LARYNX/NECK 1+YR 20.80 14.56 9.984 17.056350 HC PBB MAJOR NECK VESSEL PROCEDURES 20.80 14.56 9.984 17.056400 HC PBB ANT INTEG CHEST SUBQ MAC (963) 20.80 14.56 9.984 17.056400 HC PBB ANT INTEG CHEST SUBQ MAC (964) 20.80 14.56 9.984 17.056404 HC PBB MOD/RAD BREAST PROCEDURES 20.80 14.56 9.984 17.056406 HC PBB MOD/RAD BREAST W/NODE DISSECT 20.80 14.56 9.984 17.056410 HC PBB ELE CONV ARRHYTHMIAS MAC 20.80 14.56 9.984 17.056450 HC PBB PROCED ON CLAVICLE & SCAPULA 20.80 14.56 9.984 17.056520 HC PBB CLOSD CHEST PROC BRONCH/THORAC 20.80 14.56 9.984 17.056530 HC PBB TRANSVENOUS PACEMAKER INS MAC 20.80 14.56 9.984 17.056532 HC PBB ACCESS CENTRAL VENOUS CIRCULTN 20.80 14.56 9.984 17.056534 HC PBB INTRAPACING CARDIOVERTER-DEFIB 20.80 14.56 9.984 17.056600 HC PBB CERVICAL SPINE & CORD; NOS 20.80 14.56 9.984 17.056630 HC PBB PROCEDURE ON LUMBAR SPINE 20.80 14.56 9.984 17.056700 HC PBB PROCED UPPER ANTERIOR ABD WALL 20.80 14.56 9.984 17.056731 HC PBB ANES UPR GI NDSC PX NOS (963) 20.80 14.56 9.984 17.056731 HC PBB ANES UPR GI NDSC PX NOS (964) 20.80 14.56 9.984 17.056731 HC PBB ANES UPR GI NDSC PX NOS 20.80 14.56 9.984 17.056732 HC PBB ANES UPR GI NDSC PX ERCP 20.80 14.56 9.984 17.056750 HC PBB HERNIA REPAIR UPPER ABDDOMEN 20.80 14.56 9.984 17.056752 HC PBB LUMBAR/VENTRAL/INCISION HERNIA 20.80 14.56 9.984 17.056790 HC PBB INTRAPERITONEAL UPPER ABD NOS 20.80 14.56 9.984 17.056794 HC PBB PANCREATECTOMY PARTIAL/TOTAL 20.80 14.56 9.984 17.056800 HC PBB LOWER ANTERIOR ABDOMINAL WALL 20.80 14.56 9.984 17.056811 HC PBB ANES LWR INTST NDSC NOS (963) 20.80 14.56 9.984 17.056811 HC PBB ANES LWR INTST NDSC NOS (964) 20.80 14.56 9.984 17.056812 HC PBB ANES LWR INTST SCR COLSC (963) 20.80 14.56 9.984 17.056812 HC PBB ANES LWR INTST SCR COLSC (964) 20.80 14.56 9.984 17.056813 HC PBB ANES UPR LWR GI NDSC PX (963) 20.80 14.56 9.984 17.056813 HC PBB ANES UPR LWR GI NDSC PX (964) 20.80 14.56 9.984 17.056820 HC PBB LOWER POSTERIOR ABDOMINAL WALL 20.80 14.56 9.984 17.056830 HC PBB HERNIA REP LOWER ABDOMEN NOS 20.80 14.56 9.984 17.056832 HC PBB VENTRAL/INCISIONAL HERNIA REP 20.80 14.56 9.984 17.056840 HC PBB INTRAPERITONEAL LOW ABD 20.80 14.56 9.984 17.056844 HC PBB ABDOMINOPERINEAL RESECT 20.80 14.56 9.984 17.056851 HC PBB TUBAL LIGATION/TRANSECTION 20.80 14.56 9.984 17.056860 HC PBB EXTRAPERITONEAL LOWER ABD 20.80 14.56 9.984 17.056862 HC PBB RENAL INC UP 1/3 URETER 20.80 14.56 9.984 17.056873 HC PBB LITHOTRIPSY W/O WATER BATH 20.80 14.56 9.984 17.056873 HC PBB LITHOTRIPSY W/O WATER BTH 20.80 14.56 9.984 17.056902 HC PBB ANORECTAL W/ENDOSCOPY/BX 20.80 14.56 9.984 17.056910 HC PBB TRANSURETHRAL CYSTOSCOPY 20.80 14.56 9.984 17.056

912 HC PBB TURP BLADDER TUMOR/TURBT 20.80 14.56 9.984 17.056914 HC PBB TURP 20.80 14.56 9.984 17.056918 HC PBB TUR W/REMOV RETERAL CALC 20.80 14.56 9.984 17.056920 HC PBB MALE EXT GENITAL PRO MAC 20.80 14.56 9.984 17.056921 HC PBB VASECTOMY UNILAT/BILAT 20.80 14.56 9.984 17.056926 HC PBB RADICAL ORCHIECTOMY ING 20.80 14.56 9.984 17.056938 HC PBB INSERT PENILE PROSTHESIS 20.80 14.56 9.984 17.056940 HC PBB VAGINAL BX LABIA/CERV/ENDO 20.80 14.56 9.984 17.056942 HC PBB COLPOTOMY VAGINECTOMY COLP 20.80 14.56 9.984 17.056944 HC PBB VAGINAL HYSTERECTOMY 20.80 14.56 9.984 17.056952 HC PBB HYSTEROSCOPY (963) 20.80 14.56 9.984 17.056952 HC PBB HYSTEROSCOPY (964) 20.80 14.56 9.984 17.056

1112 HC PBB BONE MARROW BIOPSY ANT/POST 20.80 14.56 9.984 17.0561170 HC PBB OPEN PROCEDURE SYMPHYSIS/SI JT 20.80 14.56 9.984 17.0561200 HC PBB CLOSED PROC HIP JOINT 20.80 14.56 9.984 17.0561210 HC PBB OPEN PROCEDURES HIP JOINT 20.80 14.56 9.984 17.0561214 HC PBB TOTAL HIP ARTHROPLASTY 20.80 14.56 9.984 17.0561215 HC PBB TOTAL HIP ARTHROPLASTY REVISIN 20.80 14.56 9.984 17.0561230 HC PBB OPEN PROC UPPER 2/3 FEMUR 20.80 14.56 9.984 17.0561232 HC PBB AMPUTATION UPPER LEG 20.80 14.56 9.984 17.0561250 HC PBB NERVE MUSCLE TENDON UPPER LEG 20.80 14.56 9.984 17.0561270 HC PBB UPPER LEG/BYPASS GRAFT 20.80 14.56 9.984 17.0561320 HC PBB NERVE MUSCLE TENDON OF KNEE 20.80 14.56 9.984 17.0561360 HC PBB OPEN LOWER 1/3 FEMUR 20.80 14.56 9.984 17.0561380 HC PBB CLOSED PROCEDURE KNEE JOINT 20.80 14.56 9.984 17.0561392 HC PBB OPEN UPPER TIBIA/FIBULA/PATELA 20.80 14.56 9.984 17.0561400 HC PBB SRG ARTHROSCOPIC PROC KNEE JNT 20.80 14.56 9.984 17.0561402 HC PBB TOTAL KNEE ARTHROPLASTY 20.80 14.56 9.984 17.0561420 HC PBB CAST APPLICATION/REMOVAL KNEE 20.80 14.56 9.984 17.0561432 HC PBB ARTERIOVENOUS FISTULA 20.80 14.56 9.984 17.0561462 HC PBB CLOSED LOWER LEG ANKLE FOOT 20.80 14.56 9.984 17.0561464 HC PBB ARTHROSCOPIC ANKLE AND/OR FOOT 20.80 14.56 9.984 17.0561470 HC PBB NERVE/MUSCLE/TENDON LOW LEG/FT (963) 20.80 14.56 9.984 17.0561470 HC PBB NERVE/MUSCLE/TENDON LOW LEG/FT (964) 20.80 14.56 9.984 17.0561470 HC PBB NERVE/MUSCLE/TENDON LOW LEG/FT OB 20.80 14.56 9.984 17.0561472 HC PBB REPAIR RUPTURE ACHILLES TENDON 20.80 14.56 9.984 17.0561480 HC PBB OPEN BONE LOWER LEG/ANKLE/FOOT 20.80 14.56 9.984 17.0561482 HC PBB RADICAL RESECTION INCLUDE BKA 20.80 14.56 9.984 17.0561610 HC ANESTH,SURGERY OF SHOULDER 20.80 14.56 9.984 17.0561620 HC PBB CLSD HUMERUS HD/NECK/SHOULD JT 20.80 14.56 9.984 17.0561622 HC PBB DX ARTHROSCOPIC SHOULDER JOINT 20.80 14.56 9.984 17.0561630 HC PBB SRG ARTHROS HEAD/NECK/SHOULDER 20.80 14.56 9.984 17.0561638 HC PBB TOTAL SHOULDER REPLACEMENT 20.80 14.56 9.984 17.0561710 HC PPB NERVE MUSCLE TENDON UPPER ARM 20.80 14.56 9.984 17.0561712 HC PBB OPEN TENOTOMY ELBOW TO SHOULD 20.80 14.56 9.984 17.0561714 HC PBB TENOPLASTY ELBOW TO SHOULDER 20.80 14.56 9.984 17.0561716 HC PBB TENODESIS RUPT-LONG TEND BICEP 20.80 14.56 9.984 17.0561730 HC PBB CLOSED HUMERUS ELBOW MAC 20.80 14.56 9.984 17.0561740 HC PBB SRG ARTHROSCOPIC PROC ELBOW 20.80 14.56 9.984 17.0561744 HC PBB HUMERUS REP NONUNION MALUNION 20.80 14.56 9.984 17.0561770 HC PBB UPPER ARM/ELBOW ARTERY PROC 20.80 14.56 9.984 17.0561810 HC PBB NERVE MUSCLE TEND FOREARM/HAND 20.80 14.56 9.984 17.0561810 HC PBB NERVE MUSCLE TEND FOREARM/HAND 20.80 14.56 9.984 17.0561820 HC PBB CLOSED RADIUS/ULNA/HAND 20.80 14.56 9.984 17.0561820 HC PBB CLOSED RADIUS ULNA HAND 20.80 14.56 9.984 17.0561830 HC PBB SRG ARTHRO RAD/ULNA/WRIST JNT 20.80 14.56 9.984 17.0561842 HC EMBOLECTOMY FOREARM/WRIST/HAND 20.80 14.56 9.984 17.0561844 HC PBB FARM WRIST HAND VASC/SHUNT/REV 20.80 14.56 9.984 17.0561850 HC PBB FOREARM/WRIST/HAND VEINS NOS 20.80 14.56 9.984 17.0561860 HC PBB FARM WRST HND CAST APP/REM/REP 20.80 14.56 9.984 17.0561916 HC PBB ARTERIOGRAMS NEED CAROTID/VERT 20.80 14.56 9.984 17.0561920 HC PBB CARDIAC CATHERIZATION 20.80 14.56 9.984 17.0561922 HC PBB NON-INVASE IMAGING/RAD THERAPY 20.80 14.56 9.984 17.0561924 HC PBB THER RAD PROC/ARTERIAL NOS 20.80 14.56 9.984 17.0561925 HC PBB THER RAD PROC/ART CAROTID/CORO 20.80 14.56 9.984 17.0561930 HC PBB THER RAD PROC VENOUS/LYMP NOS 20.80 14.56 9.984 17.0561961 HC PBB ANES CESAREAN DELIVERY ONLY 20.80 14.56 9.984 17.0561967 HC PBB NEURAXIAL PLANNED VAGINAL DEL 20.80 14.56 9.984 17.0561968 HC PBB ANES C-SEC DEL AFT NEUR LABOR 20.80 14.56 9.984 17.0561991 HC PBB NERVE BLOCK/INJ OTH THAN PRONE 20.80 14.56 9.984 17.056

82570 HC ASSAY OF URINE CREATININE - CREATININE RANDOM URINE 173.30 121.31 83.184 142.10693321 HC PBB CARDIAC DOPLER LIMIT INTR 142.10 99.47 68.208 116.522

31720 HC NASOTRACHEAL CATH ASPIRATION 169.80 118.86 81.504 139.23676937 HC PBB US GUIDE, VASCULAR ACCESS - US GUIDANCE INSERT IV 69.30 48.51 33.264 56.82687389 HC HIV COMBO AG/AB 69.30 48.51 33.264 56.82686769 HC COVID IGG RAPID IMMUNOASSAY 58.90 41.23 28.272 48.298

HC WWS PRE EMPLOYMENT ASSESSMENT 58.90 41.23 28.272 48.29882679 HC ASSAY OF ESTRONE - ESTRONE 155.90 109.13 74.832 127.83886765 HC RUBEOLA - RUBEOLA ANTIBODY IGG 155.90 109.13 74.832 127.83887350 HC IAAD IA HEPATITIS BE ANTIGEN - HEPATITIS B E ANTIGEN 97.00 67.9 46.56 79.5487077 HC ID ORG CON NON-URINE 173.20 121.24 83.136 142.02487427 HC IAAD IA SHIGA-LIKE TOXIN - SHIGA-LIKE TOXIN ANTIGEN, EIA 65.80 46.06 31.584 53.95682784 HC ASSAY OF GAMMAGLOBULIN IGA, IGD, IGG, IGM, EACH - IGG 187.00 130.9 89.76 153.3483516 HC IMMUNOASSAY NONANTIBODY - MITOCHONDRIAL ANTIBODIES, M2 193.90 135.73 93.072 158.99886905 HC BLOOD TYPING RBC ANTIGENS OTH/THN ABO/RH D EACH - BLOOD TYPING, RBC 193.90 135.73 93.072 158.99886003 HC ALLERGEN SPEC IGE - ALLERGEN COCONUT IGE 27.70 19.39 13.296 22.71486003 HC ALLERGEN SPEC IGE - ALLERGEN GLUTEN IGE 27.70 19.39 13.296 22.71486003 HC ALLERGEN SPEC IGE - ALLERGEN PECAN NUT IGE 27.70 19.39 13.296 22.71486003 HC ALLERGEN SPEC IGE - ALLERGEN BANANA IGE 27.70 19.39 13.296 22.71486003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: STRAWBERRY IGE 27.70 19.39 13.296 22.71486003 HC ALLERGEN FOOD WATERMELON 27.70 19.39 13.296 22.71486003 HC ALLERGEN SPEC IGE - ALLERGEN EGG YOLK IGE 27.70 19.39 13.296 22.71464495 HC PBB PRO LUMBAR FACET 3RD LEVEL 183.50 128.45 88.08 150.4784550 HC ASSAY OF URIC ACID, BLOOD - URIC ACID 200.80 140.56 96.384 164.65688184 HC FLOW CYTO 1ST MARK 200.80 140.56 96.384 164.65698966 HC NONPHYSICIAN TELEPHONE ASSESSMENT 5-10 MIN 45.00 31.5 21.6 36.998966 HC PR NONPHYSICIAN TELEPHONE ASSESSMENT 5-10 MIN 45.00 31.5 21.6 36.998967 HC NONPHYSICIAN TELEPHONE ASSESSMENT 11-20 MIN 45.00 31.5 21.6 36.998967 HC PR NONPHYSICIAN TELEPHONE ASSESSMENT 11-20 MIN 45.00 31.5 21.6 36.999441 HC TECH/QHP TELEPHONE EVALUATION 5-10 MIN 45.00 31.5 21.6 36.999441 HC PHYS/QHP TELEPHONE EVALUATION 5-10 MIN 45.00 31.5 21.6 36.999442 HC PHYS/QHP TELEPHONE EVALUATION 11- 20 MIN 45.00 31.5 21.6 36.984999 HC CLINICAL CHEMISTRY TEST - OSMOLALITY STOOL 135.00 94.5 64.8 110.787106 HC ID FUNGUS 152.30 106.61 73.104 124.88688164 HC PAP SMEAR DIAGNOSTIC 148.80 104.16 71.424 122.01686308 HC HETEROPHILE AB - REF LAB 17.30 12.11 8.304 14.18683718 HC ASSAY OF BLOOD LIPOPROTEIN,HDL CHOLEST - HDL CHOLESTEROL 190.20 133.14 91.296 155.96484540 HC ASSAY URINE UREA-N - UREA NITROGEN, URINE 65.70 45.99 31.536 53.87483825 HC ASSAY OF MERCURY - MERCURY, BLOOD 221.20 154.84 106.176 181.38461070 HC PBB PRO PUMP STUDY 165.90 116.13 79.632 136.03882552 HC CK ISOENZYMES 141.70 99.19 68.016 116.19489050 HC RBC COUNT CSF 141.70 99.19 68.016 116.19482952 HC GTT SERUM SPEC-BEYOND 3, EACH ADD'L 86.40 60.48 41.472 70.84883003 HC COMPREHENSIVE METABOLIC PANEL - REF LAB 31.10 21.77 14.928 25.50284443 HC URTICARIA-INDUCING ACTIVITY -THYROID STIMULATIN HORMONE 62.20 43.54 29.856 51.00482523 HC N-TELOPEPTIDE CROSS LINK 224.60 157.22 107.808 184.17284156 HC TOTAL PROTEIN URINE 131.30 91.91 63.024 107.66686701 HC HIV-1 - HIV 1 ANTIBODY EIA 131.30 91.91 63.024 107.66686702 HC HIV-2 - HIV-2 ANTIBODIES 131.30 91.91 63.024 107.66687491 HC STD PANEL 1-C. TRACHOMATIS 131.30 91.91 63.024 107.66687591 HC STD PANEL 1-N. GONORRHOEAE 131.30 91.91 63.024 107.66687661 HC TRICH BY TMA A2006258 131.30 91.91 63.024 107.66688341 HC MISMATCH REPAIR -ADD'L STAIN 131.30 91.91 63.024 107.666G0480 HC ETHANOL URINE 131.30 91.91 63.024 107.66695824 HC PBB INTERP EEG CEREBRAL DEATH EVAL 207.30 145.11 99.504 169.98664491 HC PBB PRO CERVICAL/THORACIC 2ND LEVE 214.20 149.94 102.816 175.64486611 HC BARTONELLA QUINTANAAB IGM 214.20 149.94 102.816 175.64486611 HC BARTONELLA QUINTANA AB IGG 214.20 149.94 102.816 175.64486769 HC COVID-19 IGG QUALITATIVE 107.10 74.97 51.408 87.82287635 HC COVID-19 PCR INHOUSE 214.20 149.94 102.816 175.64487635 HC SARS-COV-2 COVID-19 AMP PRB 214.20 149.94 102.816 175.644G0480 HC MARIJUANA METABOLITE UCT 107.10 74.97 51.408 87.822U0003 HC COVID-19 AMP PRB HGH THRUPUT 214.20 149.94 102.816 175.64496372 HC DRUG INJ SUB/IM - OP INF/MO 252.20 176.54 121.056 206.80496372 HC INJECTION,THERAP/PROPH/DIAGNOST, IM OR SUBCUT 252.20 176.54 121.056 206.80484466 HC ASSAY OF TRANSFERRIN - TRANSFERRIN 183.10 128.17 87.888 150.14285576 HC PLT AGGREGATION 266.00 186.2 127.68 218.1281001 HC URINALYSIS, AUTO, W/SCOPE - URINALYSIS MICROSCOPIC 190.00 133 91.2 155.886787 HC VARICELLA-ZOSTER - VARICELLA ZOSTER IGG 196.90 137.83 94.512 161.45888341 HC FOUR AB-ADD'L STAIN 196.90 137.83 94.512 161.45886618 HC LYME DISEASE ANTIBODY - LYME DISEASE (BORRELIA BURGDORFERI), QUANT 210.70 147.49 101.136 172.77482570 HC ASSAY OF URINE CREATININE - CREATININE, URINE, 24 HOUR 179.60 125.72 86.208 147.27297150 HC PT GROUP THERAPEUTIC PROCEDURES 155.40 108.78 74.592 127.42897150 HC OT GROUP THERAPEUTIC PROCEDURES 155.40 108.78 74.592 127.428

84586 HC ASSAY OF VIP - VASOACTIVE INTESTINAL PEPTIDE (VIP) 110.50 77.35 53.04 90.6186355 HC LYMPHOCYTE SUBSET PANEL 7-B CELLS TOTAL COUNT 110.50 77.35 53.04 90.6186357 HC NK CELLS, TOTAL COUNT - NATURAL KILLER CELL COUNT 110.50 77.35 53.04 90.6186359 HC T CELLS, TOTAL COUNT - T CELLS, TOTAL COUNT 110.50 77.35 53.04 90.61

HC MAJOR 3 MIN OVER 30 169.20 118.44 81.216 138.74480307 HC PAIN MGMT PANEL W/INTERP 276.20 193.34 132.576 226.48486382 HC NEUTRALIZATION TEST, VIRAL - RABIES ANTIBODY TITER 217.50 152.25 104.4 178.3586784 HC TRICHINELLA - TRICHINELLA ANTIBODY 217.50 152.25 104.4 178.35G0480 HC ANALGESICS NON-OPIOID 245.10 171.57 117.648 200.98282436 HC URINE SUPERSATURATION: CHLORIDE 165.70 115.99 79.536 135.87482436 HC ASSAY OF URINE CHLORIDE 165.70 115.99 79.536 135.87487252 HC MUMPS VIRUS ISOLATE A65056 86.30 60.41 41.424 70.76687254 HC VIRUS ISOL SHELL A65056 86.30 60.41 41.424 70.766

HC CARD TIME - EACH INCREMENTAL 1 MINUTE 179.50 125.65 86.16 147.19HC CATH TIME - EACH INCREMENTAL 1 MINUTE 179.50 125.65 86.16 147.19

G0103 HC PSA (PROSTATE SPEC AG) SCREEN 307.20 215.04 147.456 251.90484311 HC PORPHYRINS TOTAL SERUM 113.90 79.73 54.672 93.39884439 HC ASSAY OF FREE THYROXINE - T4 FREE 289.90 202.93 139.152 237.71887150 HC ANTIMICROBIAL SUSCEPT-CRE 203.60 142.52 97.728 166.95297035 HC OT ULTRASOUND THERAPY 217.40 152.18 104.352 178.26897035 HC PT ULTRASOUND THERAPY 217.40 152.18 104.352 178.26882135 HC ASSAY, AMINOLEVULINIC ACID - AMINOLEVULINIC ACID 24HR 231.20 161.84 110.976 189.58497012 HC PT MECHANICAL TRACTION THERAPY 238.10 166.67 114.288 195.24284154 HC PSA FREE 265.70 185.99 127.536 217.87487906 HC HIV-1 INTEGRASE INHIBITOR RESI 265.70 185.99 127.536 217.87420552 HC PBB PRO TRIGGER POINT 307.10 214.97 147.408 251.82281271 HC HUNTINGTON DISEASE MUTATION 314.00 219.8 150.72 257.4887045 HC CULTURE STOOL 314.00 219.8 150.72 257.4882436 HC CHLORIDE 24 HR URINE 165.60 115.92 79.488 135.79286698 HC HISTOPLASMA - HISTOPLASMA ANTIBODIES 82.80 57.96 39.744 67.89686777 HC TOXOPLASMA - TOXOPLASMA GONDII IGG ANTIBODY 82.80 57.96 39.744 67.89686780 HC ANTIBODY TREPONEMA PALLIDUM - FTA ANTIBODIES, IGG AND IGM 82.80 57.96 39.744 67.89686780 HC T.PALLIDUM AB IGG (FTA-ABS) 82.80 57.96 39.744 67.89686663 HC EPSTEIN-BARR ANTIBODY - EPSTEIN-BARR VIRUS EARLY IGG 200.10 140.07 96.048 164.08220610 HC PBB PRO MAJOR JNT OR BURSEA NO US 262.20 183.54 125.856 215.00462368 HC PBB PRO PUMP ANALYSIS 262.20 183.54 125.856 215.00486022 HC AB ID; PLATELET AB A2007237 262.20 183.54 125.856 215.00486023 HC IMMUNOGLOBULIN ASSAY - PLATELET ANTIBODIES, DIRECT 262.20 183.54 125.856 215.00493882 HC PBB D S EXT-CRAIN ART L INTER 310.50 217.35 149.04 254.6184105 HC PHOSPHORUS URINE 124.20 86.94 59.616 101.84499203 HC PBB INT PROB DETAILED NEW PT 348.40 243.88 167.232 285.68884220 HC PYRUVATE KINASE 307.00 214.9 147.36 251.7487109 HC MYCOPLASMA CULTURE - MYCOPLASMA / UREAPLASMA CULTURE 307.00 214.9 147.36 251.7482693 HC ASSAY OF ETHYLENE GLYCOL - ETHYLENE GLYCOL 217.30 152.11 104.304 178.18683630 HC LACTOFERRIN FECAL 210.40 147.28 100.992 172.52893976 HC PBB DS ABD/PEL/SCRO/RETRO LIM INT 344.90 241.43 165.552 282.81893926 HC PBB D S LOWER EXT UNILAT INTR 289.70 202.79 139.056 237.55480299 HC QUANTITATION DRUG NOT ELSEWHERE SPECIFIED - QNT THERAPUTIC DRUG 282.80 197.96 135.744 231.89680375 HC METFORMIN QNT 141.40 98.98 67.872 115.94899281 HC PBB EXAM CLASS I / MINIMAL 275.90 193.13 132.432 226.23880051 HC ELECTROLYTE PANEL - BUNDLED CHARGE 248.30 173.81 119.184 203.60683002 HC GONADOTROPIN (LH) - LUTEINIZING HORMONE 248.30 173.81 119.184 203.60680173 HC ASSAY OF HALOPERIDOL - HALOPERIDOL LEVEL 362.10 253.47 173.808 296.92286235 HC NUCLEAR ANTIGEN ANTIBODY - EXTRACTABLE NUCLEAR ANTIGEN ANTIBODIES 234.50 164.15 112.56 192.2983516 HC ACHR MODULATING AB 100.00 70 48 82

HC IC CATH TIME - EACH INCREMENTAL 1 MINUTE 358.60 251.02 172.128 294.05282525 HC ASSAY OF COPPER - COPPER RANDOM URINE 265.50 185.85 127.44 217.7182941 HC ASSAY OF GASTRIN - GASTRIN 265.50 185.85 127.44 217.7184144 HC ASSAY OF PROGESTERONE - PROGESTERONE 317.20 222.04 152.256 260.10486300 HC IMMUNOASSAY, TUMOR ANTIGEN, CA 15-3 - CANCER ANTIGEN 27.29 317.20 222.04 152.256 260.10487209 HC TRICHROME STAIN (O&P) 158.60 111.02 76.128 130.05292508 HC SLP SPEECH/HEARING THERAPY, GROUP 158.60 111.02 76.128 130.05297014 HC OT ELECTRIC STIMULATION THERAPY 158.60 111.02 76.128 130.05297014 HC PT ELECTRIC STIMULATION THERAPY 158.60 111.02 76.128 130.05280185 HC ASSAY OF PHENYTOIN, TOTAL - PHENYTOIN TOTAL 393.00 275.1 188.64 322.2682375 HC ASSAY BLOOD CARBON MONOXIDE - CARBOXYHEMOGLOBIN 365.40 255.78 175.392 299.62882375 HC CARBON MONOXIDE (%COHB) VENOUS 365.40 255.78 175.392 299.62897545 HC PT WORK HARDENING/CONDN,0-2 HR 365.40 255.78 175.392 299.62880169 HC EVEROLIMUS 234.40 164.08 112.512 192.20886704 HC HEP B CORE AB TEST, TOTAL - HEPATITIS B CORE ANTIBODY, TOTAL 396.40 277.48 190.272 325.04882247 HC BILIRUBIN TOTAL - BILIRUBIN TOTAL 213.70 149.59 102.576 175.234G0480 HC ETHANOL 420.50 294.35 201.84 344.81

83525 HC ASSAY OF INSULIN,TOTAL - INSULIN, TOTAL 206.80 144.76 99.264 169.57683525 HC ASSAY OF INSULIN,TOTAL - INSULIN, RANDOM 206.80 144.76 99.264 169.57683527 HC ASSAY OF INSULIN,FREE - INSULIN, FREE 206.80 144.76 99.264 169.57684133 HC ASSAY OF URINE POTASSIUM - POTASSIUM 24 HOUR URINE 206.80 144.76 99.264 169.57693990 HC PBB DS HEMO ACCESS INTERP 399.80 279.86 191.904 327.83686886 HC ANTIHUMAN GLOBULIN INDIRECT EA ANTIBODY TITER - ANTIBODY TITER 392.90 275.03 188.592 322.17884597 HC ASSAY OF VITAMIN K - VITAMIN K 341.20 238.84 163.776 279.78489310 HC SEMEN ANALYSIS,MOTIL & COUNT W/O HUHNER - SEMEN ANALYSIS MOTILITY 193.00 135.1 92.64 158.26G0480 HC OPIATES CONFRIM MEC 386.00 270.2 185.28 316.5285384 HC FIBRINOGEN, ACTIVITY - FIBRINOGEN,QUANTITATIVE 379.10 265.37 181.968 310.86286612 HC BLASTOMYCES, ANTIBODY - BLASTOMYCES ANTIBODIES 141.30 98.91 67.824 115.86682710 HC FATS/LIPIDS, FECES, QUANTITATIVE - FECAL FAT QUANTITATIVE 327.40 229.18 157.152 268.46884244 HC ASSAY OF RENIN - RENIN DIRECT ASSAY 327.40 229.18 157.152 268.46888367 HC INSITU HYBRID INITIAL 365.30 255.71 175.344 299.54688373 HC INSITU HYBRID ADD'L 365.30 255.71 175.344 299.54697110 HC OT THERAPEUTIC EXERCISES 268.80 188.16 129.024 220.41697110 HC PT THERAPEUTIC EXERCISES 268.80 188.16 129.024 220.41684157 HC PROTEIN TOT XCPT REFRACTOMETRY OTH SRC - PROTEIN CSF 248.10 173.67 119.088 203.44282652 HC ASSAY, DIHYDROXYVITAMIN D W/FRACTIONS, IF PERFORMED - VITAMIN D 1 451.40 315.98 216.672 370.14883018 HC IODINE SERUM 451.40 315.98 216.672 370.14887070 HC BACTERIAL CULTURE - OTHR SOURCE 368.70 258.09 176.976 302.33483690 HC ASSAY OF LIPASE - LIPASE 286.00 200.2 137.28 234.5286147 HC CARDIOLIPIN ANTIBODY - CARDIOLIPIN ANTIBODY, IGG 354.90 248.43 170.352 291.01886147 HC CARDIOLIPIN ANTIBODY - CARDIOLIPIN ANTIBODY, IGM 354.90 248.43 170.352 291.01883516 HC IMMUNOASSAY NONANTIBODY - ANTIMULLERIAN HORMONE (AMH) 430.70 301.49 206.736 353.17487102 HC CULTURE FUNGAL OTHER 385.90 270.13 185.232 316.43882150 HC ASSAY OF AMYLASE - AMYLASE BODY FLUID 37.90 26.53 18.192 31.07882436 HC ASSAY OF URINE CHLORIDE - ADDITIONAL CHARGE 37.90 26.53 18.192 31.07864420 HC PBB INTERCOSTAL NERVE BLOCK SINGLE 410.00 287 196.8 336.264420 HC PBB PRO INTERCOSTAL NERVE SINGLE 410.00 287 196.8 336.2P9017 HC FFP PRODUCT FEE 472.00 330.4 226.56 387.0486757 HC ROCKY MT SPOTTED FEVER IGM 289.40 202.58 138.912 237.30897032 HC OT ELECTRICAL STIMULATION 244.60 171.22 117.408 200.57297032 HC PT ELECTRICAL STIMULATION 244.60 171.22 117.408 200.57297112 HC OT NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN 244.60 171.22 117.408 200.57297112 HC PT NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN 244.60 171.22 117.408 200.57280307 HC DRUGS OF ABUSE URINE 437.50 306.25 210 358.7581332 HC A1A GENE ANALYSIS 368.60 258.02 176.928 302.25282103 HC A1A TOTAL 368.60 258.02 176.928 302.25286352 HC CELL FUNCTION ASSAY A2005415 368.60 258.02 176.928 302.25283880 HC NATRIURETIC PEPTIDE - B-TYPE NATRIURETIC PEPTIDE (BNP) 492.60 344.82 236.448 403.93284153 HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA 261.80 183.26 125.664 214.67686316 HC NEURON SPECIFIC ENOLASE 310.00 217 148.8 254.295816 HC PBB INTERP EEG AWAKE AND DROWSY 365.10 255.57 175.248 299.38295819 HC PBB INTERP EEG AWAKE AND ASLEEP 365.10 255.57 175.248 299.38227369 HC INJECTION KNEE ARTHROGRAPHY 513.20 359.24 246.336 420.824G0480 HC TRAMADOL AND METAB 210.10 147.07 100.848 172.28283516 HC CELIAC DISEASE DUAL AG SCREEN 389.20 272.44 186.816 319.14485270 HC CLOT FACTOR XI PTA - FACTOR 11 ACTIVITY 389.20 272.44 186.816 319.14485280 HC CLOT FACTOR XII HAGEMAN - FACTOR 12 ACTIVITY 389.20 272.44 186.816 319.14487177 HC OVA AND PARASITES SMEARS - OVA AND PARASITE EXAMINATION 358.20 250.74 171.936 293.72488104 HC CYTOPATH FL NONGYN SMEARS - LAB CYTOPATH FLUIDS,SMEAR,INTERP 358.20 250.74 171.936 293.72481402 HC MOLECULAR RBC ANTIGEN TYPING 296.20 207.34 142.176 242.88486658 HC COXSACKIE B AB 296.20 207.34 142.176 242.88485293 HC HIGH MOLECULAR WEIGHT KININOGEN - SEND OUT LAB 382.30 267.61 183.504 313.48680170 HC ASSAY OF GENTAMICIN - GENTAMICIN PEAK 399.50 279.65 191.76 327.5980170 HC ASSAY OF GENTAMICIN - GENTAMICIN TROUGH 399.50 279.65 191.76 327.5980170 HC ASSAY OF GENTAMICIN - GENTAMICIN RANDOM 399.50 279.65 191.76 327.5987807 HC RSV 399.50 279.65 191.76 327.5988142 HC CYTOPATH C/V THIN LAYER - LAB CYTOPATH CERV/VAG THIN LAYER 227.30 159.11 109.104 186.38686022 HC PLATELET ANTIBODIES - PLATELET ANTIBODIES, INDIRECT 141.20 98.84 67.776 115.78480145 HC ADALIMUMAB ACTIVITY 544.10 380.87 261.168 446.162G0480 HC CLONAZEPAM 268.60 188.02 128.928 220.25297760 HC OT ORTHOTIC MGMT AND TRAINING, EACH 15 MIN 261.70 183.19 125.616 214.59497760 HC PT ORTHOTIC MGMT AND TRAINING, EACH 15 MIN 261.70 183.19 125.616 214.59483655 HC ASSAY OF LEAD - LEAD BLOOD 182.50 127.75 87.6 149.6581003 HC MYOGLOBIN URINE SCREEN 206.60 144.62 99.168 169.41283050 HC BLOOD METHEMOGLOBIN, QUANT - METHEMOGLOBIN 206.60 144.62 99.168 169.41283050 HC BLOOD METHEMOGLOBIN, QUANT - METHEMOGLOBIN ARTERIAL 206.60 144.62 99.168 169.41296375 HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, EA ADD, NEW DRUG 334.00 233.8 160.32 273.8882378 HC CARCINOEMBRYONIC ANTIGEN - CEA (CARCINOEMBRYONIC ANTIGEN) 254.80 178.36 122.304 208.93688108 HC CYTOPATH CONCENTRATE TECH - LAB CYTOPATH FLUIDS,CONCENTRATN,INTERP 327.10 228.97 157.008 268.222

84140 HC PREGNENOLONE 199.70 139.79 95.856 163.75484143 HC 17-HYDROXYPREGNENOLONE 199.70 139.79 95.856 163.75483825 HC MERCURY URINE - UG/L 247.90 173.53 118.992 203.27886336 HC INHIBIN A (DIMER) 247.90 173.53 118.992 203.27886800 HC THYROGLOBULIN ANTIBODY - ANTI-THYROGLOBULIN AB 247.90 173.53 118.992 203.27886160 HC COMPLEMENT, ANTIGEN - C3 COMPLEMENT 168.70 118.09 80.976 138.33486160 HC COMPLEMENT, ANTIGEN - C4 COMPLEMENT 168.70 118.09 80.976 138.33487634 HC RSV DNA/RNA AMP PROBE 144.60 101.22 69.408 118.57280299 HC QUANTITATION DRUG NOT ELSEWHERE SPECIFIED - LAMOTRIGINE LEVEL 409.70 286.79 196.656 335.95484443 HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE 361.50 253.05 173.52 296.4383519 HC PROCOLLAGEN NTP 385.60 269.92 185.088 316.19293930 HC PBB D S UPPER EXT BILAT INTRP 378.70 265.09 181.776 310.53486689 HC HIV/HTLV CONFIRMATION 210.00 147 100.8 172.280150 HC ASSAY OF AMIKACIN - TROUGH LEVEL 557.70 390.39 267.696 457.31488331 HC PATH CONSULT IN SURG,W FRZ SEC - BUNDLED CHARGE 509.50 356.65 244.56 417.7986003 HC ALLERGEN SPEC IGE - ALLERGEN YELLOW JACKET IGE 113.60 79.52 54.528 93.15286003 HC ALLERGEN SPEC IGE - ALLERGEN BEEF IGE 113.60 79.52 54.528 93.15286003 HC ALLERGEN SPEC IGE - ALLERGEN HORSE DANDER IGE 113.60 79.52 54.528 93.15286003 HC ALLERGEN SPEC IGE - ALLERGEN MILK IGE 113.60 79.52 54.528 93.15286003 HC ALLERGEN SPEC IGE - ALLERGEN PORK IGE 113.60 79.52 54.528 93.15286003 HC ALLERGEN SPEC IGE - ALLERGEN FLEA (CAT/DOG) IGE 113.60 79.52 54.528 93.15286003 HC ALLERGEN SPEC IGE - ALLERGEN OAT IGE 113.60 79.52 54.528 93.15286003 HC ALLERGEN SPEC IGE - ALLERGEN HONEYBEE IGE 113.60 79.52 54.528 93.15286003 HC ALLERGEN SPEC IGE - ALLERGEN PEANUT IGE 113.60 79.52 54.528 93.15286003 HC ALLERGEN SPEC IGE - ALLERGEN WHEAT IGE 113.60 79.52 54.528 93.15286003 HC ALLERGEN SPEC IGE - ALLERGEN HORNET, YELLOW IGE 113.60 79.52 54.528 93.15286003 HC ALLERGEN SPEC IGE - ALLERGEN SOYBEAN IGE 113.60 79.52 54.528 93.15286003 HC ALLERGEN SPEC IGE - ALLERGEN WEED: ENGLISH PLANTAIN IGE 113.60 79.52 54.528 93.15286003 HC ALLERGEN SPEC IGE - ALLERGEN EGG, WHOLE IGE 113.60 79.52 54.528 93.15280156 HC ASSAY OF CARBAMAZEPINE TOTAL - CARBAMAZEPINE TOTAL 423.40 296.38 203.232 347.18883916 HC OLIGOCLONAL IMMUNOGLOBULIN - OLIGOCLONAL BANDING 578.30 404.81 277.584 474.20683930 HC ASSAY OF BLOOD OSMOLALITY - OSMOLALITY 244.40 171.08 117.312 200.40894010 HC PBB INTERP SCREENING SPIROMETRY 154.90 108.43 74.352 127.01884591 HC ASSAY OF NOS VITAMIN - NIACIN (VITAMIN B3) 302.90 212.03 145.392 248.37885335 HC BETHESDA QT FACTOR 8 REFLEX BI 302.90 212.03 145.392 248.37885732 HC SUB PLASMA FRACT (PTT MIX STUDY) 598.90 419.23 287.472 491.09880069 HC RENAL FUNCTION PANEL - BUNDLED CHARGE 468.10 327.67 224.688 383.84288365 HC ISH SINGLE ANTIBODY 189.30 132.51 90.864 155.22689051 HC BODY FLUID CELL COUNT W DIFF - BODY FLUID CELL COUNT W/DIFF 271.90 190.33 130.512 222.95887305 HC IAAD IA QUAL/SEMIQUAN MULTIPLE STEP ASPERGILLUS - ASPERGILLUS GALACT 660.80 462.56 317.184 541.85697542 HC PT WHEELCHAIR MNGEMENT TRAINING, EA 15 MIN 165.20 115.64 79.296 135.46436400 HC PBB VENIPUNCTURE <3YR FEM/JUG/SA 123.90 86.73 59.472 101.59882042 HC ASSAY OF URINE ALBUMIN - POCT ALBUMIN 123.90 86.73 59.472 101.59886780 HC ANITBODY TREPONEMA PALLIDUM - FTA ANTIBODIES, IGG & IGM - INHOUSE 123.90 86.73 59.472 101.59884703 HC B-HCG QUALITATIVE 306.30 214.41 147.024 251.16696369 HC SUBCUT INFUSION, THERAP/PROPH/DIAGNOST,INITIAL,1ST HOUR 629.80 440.86 302.304 516.43662324 HC PBB NFSN INTERLAMINAR CRV/THRC 688.30 481.81 330.384 564.406

HC MONITORED ANESTHESIA CARE ANESTHESIA TIME - 15 MINS 622.90 436.03 298.992 510.778HC REGIONAL ANESTHESIA TIME - 15 MINS 622.90 436.03 298.992 510.778

97161 HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS 481.80 337.26 231.264 395.07697165 HC OT OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS 481.80 337.26 231.264 395.07671045 HC RADIOLOGIC EXAM CHEST SINGLE VIEW - XR CHEST LATERAL DECUBITUS 574.70 402.29 275.856 471.25471045 HC RADIOLOGIC EXAM CHEST SINGLE VIEW - XR CHEST 1 VIEW 574.70 402.29 275.856 471.25481206 HC BCR/ABL1 W/REFLEX TO QUANTITATIVE 375.10 262.57 180.048 307.58281206 HC BCR/ABL1 GENE MAJOR A2005010 375.10 262.57 180.048 307.58281207 HC BCR/ABL1 GENE MINOR 375.10 262.57 180.048 307.58282107 HC ALPHA-FETOPROTEIN L3 - ALPHA FETOPROTEIN, L3 PERCENT 375.10 262.57 180.048 307.58282553 HC CREATINE, MB FRACTION - CKMB 433.60 303.52 208.128 355.55286039 HC CENTROMERE ANTIBODY, IGG 58.50 40.95 28.08 47.9787902 HC HEPATITIS C GENOTYPING REFLEX 719.20 503.44 345.216 589.744

HC PHS II RECOV 1-2 HRS TOTAL 543.70 380.59 260.976 445.83477067 HC SCR MAMMO BI INCL CAD - MAMMO BREAST SCREENING LEFT 461.10 322.77 221.328 378.10277067 HC SCR MAMMO BI INCL CAD - MAMMO BREAST SCREENING RIGHT 461.10 322.77 221.328 378.10277067 HC SCR MAMMO BI INCL CAD - MAMMO BREAST SCREENING BILATERAL 461.10 322.77 221.328 378.10286762 HC RUBELLA - RUBELLA ANTIBODY 209.90 146.93 100.752 172.11886778 HC TOXOPLASMA, IGM - TOXOPLASMA GONDII ANTIBODY, IGM 209.90 146.93 100.752 172.11895991 HC PBB PRO SPI/BRAIN PUMP REFIL/MAIN 285.60 199.92 137.088 234.19283520 HC INHIBIN B 722.60 505.82 346.848 592.532G0480 HC BUPROPION 412.90 289.03 198.192 338.57884182 HC PROTEIN, WESTERN BLOT TEST, W BAND ID - CYSTICERCOSIS ANTI, IGG WB 371.60 260.12 178.368 304.71284182 HC PROTEIN, WESTERN BLOT TEST, W BAND ID - REF LAB 371.60 260.12 178.368 304.71294070 HC PBB INTERP SPIROMETRY MULTI EVAL 92.90 65.03 44.592 76.178

86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: LINSEED 203.00 142.1 97.44 166.4682530 HC CORTISOL, FREE - CORTISOL, URINE, FREE 330.30 231.21 158.544 270.84696361 HC HYDRATE IV INFUSION ADD-ON 347.50 243.25 166.8 284.9584252 HC ASSAY OF VITAMIN B-2 - VITAMIN B2 619.30 433.51 297.264 507.82677077 HC JOINT SURVEY, SINGLE VIEW - XR JOINT ANTEROPOSTERIOR 2+ JOINTS 722.50 505.75 346.8 592.4599203 HC LEVEL 3 NEW PAT MODERATE 595.20 416.64 285.696 488.06499214 HC PBB LEVEL 4 EST PAT MODERATE/HIGH 595.20 416.64 285.696 488.06473070 HC X-RAY ELBOW 2 VW - XR ELBOW 1-2 VIEWS LEFT 646.80 452.76 310.464 530.37673070 HC X-RAY ELBOW 2 VW - XR ELBOW 1-2 VIEWS BILATERAL 646.80 452.76 310.464 530.37673070 HC X-RAY ELBOW 2 VW - XR ELBOW 1-2 VIEWS RIGHT 646.80 452.76 310.464 530.37677387 HC GUIDANCE FOR RADIAJ TX DLVR - US GUIDANCE RADIATION THERAPY FIELDS 715.60 500.92 343.488 586.79296368 HC IV INFUSION, THERAP/PROPH/DIAGNOST,CONCURRENT INFUSION 357.80 250.46 171.744 293.39688321 HC REF CONSULT PREP ELSEWHERE 392.20 274.54 188.256 321.604

HC PHS II RECOV 0-1 HRS TOTAL 282.10 197.47 135.408 231.32288341 HC THREE ANTIBODY-ADD'L SLIDE 787.80 551.46 378.144 645.99688341 HC IHC AB SLIDE ADD'L GP5103 787.80 551.46 378.144 645.99684402 HC TESTOSTERONE FREE WOMEN/CHILDREN 68.80 48.16 33.024 56.41686200 HC CYCLIC CIRULLINATED PEPTIDE ANTIBODY - CYCLIC CITRUL PEPTIDE ANTIBDY 430.00 301 206.4 352.693350 HC PBB STRESS ECHO INTERP 829.00 580.3 397.92 679.7888271 HC CYTOGENETICS, DNA PROBE - CLL PROFILE, FISH 760.20 532.14 364.896 623.36488275 HC CYTOGENETICS, 100-300 - BCR/ABL1, FISH 760.20 532.14 364.896 623.36486147 HC CARDIOLIPIN ANTIBODY - CARDIOLIPIN ANTIBODY, IGA 354.30 248.01 170.064 290.52680177 HC KEPPRA (LEVETIRACETAM) 519.40 363.58 249.312 425.90893922 HC VASC NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 1-2 LEVEL 736.10 515.27 353.328 603.60282103 HC ALPHA-1-ANTITRYPSIN, TOTAL - ALPHA-1-ANTITRYPSIN, STOOL 684.50 479.15 328.56 561.2964492 HC PBB PRO INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,CERV/THORAC, ADD LEVEL 216.70 151.69 104.016 177.69487252 HC CULTURE-TISSUE 433.40 303.38 208.032 355.38864421 HC PBB PRO INTERCOSTAL NERVE MULTIPLE 564.10 394.87 270.768 462.562G0108 HC DIAB MANAGE TRN PER INDIV 182.30 127.61 87.504 149.48685046 HC RETICULOCYTE COUNT, AUTO, W CELL PARAM - HEMOGLOBIN (PG) IN RETIC 165.10 115.57 79.248 135.38286666 HC EHRLICHIA ANTIBODY - ANTIODY EHRLICHIA 825.50 577.85 396.24 676.91G0480 HC ISOPROPANOL 261.40 182.98 125.472 214.34864634 HC PBB PRO RF CERVICAL/THORACIC ADDIT 488.40 341.88 234.432 400.48864634 HC PBB PRO RF CERVICAL/THORACIC ADDIT 488.40 341.88 234.432 400.48894644 HC RT CONTINUOUS INHALATION TX, 1ST HR 488.40 341.88 234.432 400.48894645 HC RT CONTINUOUS INHALATION TX, EACH ADD HR 488.40 341.88 234.432 400.48894664 HC RT DEMO &/OR EVAL,PT USE,AEROSOL DEVICE 488.40 341.88 234.432 400.48873620 HC X-RAY FOOT 2 VW - XR FOOT 1-2 VIEWS LEFT 725.70 507.99 348.336 595.07473620 HC X-RAY FOOT 2 VW - XR FOOT 1-2 VIEWS BILATERAL 725.70 507.99 348.336 595.07473620 HC X-RAY FOOT 2 VW - XR FOOT 1-2 VIEWS RIGHT 725.70 507.99 348.336 595.07484585 HC ASSAY OF URINE VMA - VMA, URINE 306.10 214.27 146.928 251.00273552 HC RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS - XR FEMUR 2+ VW LT 691.30 483.91 331.824 566.86673552 HC RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS - XR FEMUR 2+ VW RT 691.30 483.91 331.824 566.86673552 HC RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS - XR FEMUR 2+ VW BILAT 691.30 483.91 331.824 566.86673630 HC X-RAY FOOT 3+ VW - XR FOOT 3+ VIEWS LEFT 787.60 551.32 378.048 645.83273630 HC X-RAY FOOT 3+ VW - XR FOOT 3+ VIEWS RIGHT 787.60 551.32 378.048 645.83273630 HC X-RAY FOOT 3+ VW - XR FOOT 3+ VIEWS BILATERAL 787.60 551.32 378.048 645.83294060 HC EVAL OF BRONCHOSPASM - SPIROMETRY WITH BRONCHODILATOR 770.40 539.28 369.792 631.72870250 HC X-RAY SKULL <4 VW - XR SKULL 1-3 VIEWS 894.20 625.94 429.216 733.24451798 HC MEAS,POST-VOID RES,US,NON-IMAGING 440.20 308.14 211.296 360.96451798 HC US BLADDER SCAN POST VOID 440.20 308.14 211.296 360.96485730 HC THROMBOPLASTIN TIME 220.10 154.07 105.648 180.48285730 HC THROMBOPLAS TIME PARTIAL - APTT 220.10 154.07 105.648 180.48286316 HC CHROMOGRANIN A 361.10 252.77 173.328 296.10285598 HC HEXAGONAL PHOSPHOLIPID NEUTRAL 282.00 197.4 135.36 231.2488184 HC PNH--FLOW CYTOMETRY-1ST MARKER 766.90 536.83 368.112 628.85877300 HC RADIATION THERAPY DOSE PLAN - NM THERAPY SIR SPHERES 873.50 611.45 419.28 716.2781003 HC SPECIFIC GRAVITY AUTO W/O M 61.90 43.33 29.712 50.75884436 HC ASSAY OF TOTAL THYROXINE - T4 (THYROID HORMONE) 123.80 86.66 59.424 101.51664493 HC PBB INJ PARAVERT F JNT L/S 1 LEV 309.50 216.65 148.56 253.7964493 HC PBB PRO LUMBAR FACET 309.50 216.65 148.56 253.7986860 HC RBC ANTIBODY ELUTION - ELUTION & ANTIBODY IDENTIFICATION, RBC 725.60 507.92 348.288 594.99286978 HC ABSORPTION AUTO/ALLO BLD BK 725.60 507.92 348.288 594.99282360 HC CALCULI URINARY 460.80 322.56 221.184 377.85664400 HC PPB PRO TRIGEMINAL BLOCK 567.40 397.18 272.352 465.26864405 HC PBB PRO OCCIPITAL NERVE 567.40 397.18 272.352 465.26871046 HC RADIOLOGIC EXAM CHEST 2 VIEWS - XR RIBS 2 VWS RT W/ CHEST ANTEROPOST 674.00 471.8 323.52 552.6871046 HC RADIOLOGIC EXAM CHEST 2 VIEWS - XR CHEST 2 VIEWS 674.00 471.8 323.52 552.6871046 HC RADIOLOGIC EXAM CHEST 2 VIEWS - XR RIBS 2 VWS LT W/ CHEST ANTEROPOST 674.00 471.8 323.52 552.6881342 HC LYMPHOMA T-CELL TCR GAMMA PCR 612.10 428.47 293.808 501.92284146 HC ASSAY OF PROLACTIN - PROLACTIN 275.10 192.57 132.048 225.58294667 HC RT CHEST WALL MANIPULATION, INITIAL 275.10 192.57 132.048 225.582

85660 HC SICKLE SOLUBILITY (HPROF) 106.60 74.62 51.168 87.41277080 HC DXA BONE DENSITY AXIAL - DEXA BONE DENSITY 1,048.80 734.16 503.424 860.01685240 HC CLOT FACTOR VIII AHG 1 STAGE - FACTOR 8 ACTIVITY 409.20 286.44 196.416 335.54485245 HC CLOT FACTOR VIII VW RISTOCTN - FACTOR VIII RISTOCETIN COFACTR 409.20 286.44 196.416 335.54485246 HC CLOT FACTOR VIII VW ANTIGEN - VON WILLEBRAND ANTIGEN 409.20 286.44 196.416 335.54481261 HC IGH BY PCR 481.40 336.98 231.072 394.74881403 HC MOPATH PROC LEVEL 4 240.70 168.49 115.536 197.37481401 HC MOLECULAR PROCEDURE LEVEL 2 570.80 399.56 273.984 468.05681479 HC FLT3 BY NGS-FLT3 GENE 570.80 399.56 273.984 468.05687230 HC ASSAY, TOXIN OR ANTITOXIN - CLOSTRIDIUM DIFFICILE TOXINS TISSUE CULT 464.20 324.94 222.816 380.64482139 HC AMINO ACIDS, 6+ QUANT - AMINO ACIDS, PLASMA 1,090.00 763 523.2 893.877076 HC X-RAYS, BONE SURVEY, INFANT - XR BONE SURVEY INFANT 894.00 625.8 429.12 733.0887902 HC HEPATITIS C GENOTYPING 894.00 625.8 429.12 733.0887902 HC HCV GENOTYPING BY SEQUENCING 894.00 625.8 429.12 733.08G0480 HC ANTIEPILEPTICS NOS 1-3 670.50 469.35 321.84 549.8182384 HC ASSAY, THREE CATECHOLAMINES - CATECHOLAMINES FRACTIONATED PL 457.30 320.11 219.504 374.98682139 HC AMINO ACIDS QUANTITATIVE, CSF 663.60 464.52 318.528 544.15282175 HC HMS PANEL 4 BLOOD ARSENIC 897.40 628.18 430.752 735.86882175 HC ASSAY OF ARSENIC - ARSENIC 24 HOUR BLOOD 897.40 628.18 430.752 735.86873523 HC X-RAY EXAM HIPS BI 5+ VWS - XR HIPS BILAT 5+ VW W/ OR W/O PELVIS 1,014.30 710.01 486.864 831.72682530 HC CORTISOL, FREE - CORTISOL, FREE 323.20 226.24 155.136 265.02464483 HC PBB PRO LES 763.30 534.31 366.384 625.90690474 HC IMMUNIZ ADMIN,INTRANASAL/ORAL,EACH ADDL 116.90 81.83 56.112 95.85883789 HC BILE ACIDS FRACT & TOTAL 1,124.30 787.01 539.664 921.92682379 HC ASSAY OF CARNITINE - CARNITINE 189.10 132.37 90.768 155.06282379 HC CARNITINE FREE AND TOTAL 189.10 132.37 90.768 155.06284153 HC PROSTATE SPECFIC ANTIGEN - PSA - IN HOUSE 378.20 264.74 181.536 310.124G0480 HC NICOTINE/METAB CONF URINE 450.40 315.28 216.192 369.32873100 HC X-RAY WRIST 2 VW - XR WRIST 1-2 VIEWS BILATERAL 667.00 466.9 320.16 546.9473100 HC X-RAY WRIST 2 VW - XR WRIST 1-2 VIEWS LEFT 667.00 466.9 320.16 546.9473100 HC X-RAY WRIST 2 VW - XR WRIST 1-2 VIEWS RIGHT 667.00 466.9 320.16 546.9470200 HC X-RAY ORBITS - XR ORBITS COMPLETE 4+ VIEWS 1,144.90 801.43 549.552 938.81870220 HC X-RAY SINUSES 3+ VW - XR PARANASAL SINUSES 3+ VIEWS 1,144.90 801.43 549.552 938.81870330 HC X-RAY TMJ BILAT - XR TEMPOROMANDIBULAR JOINT OPEN AND CLOSED BIL 1,144.90 801.43 549.552 938.81872050 HC RADEX SPINE CERVICAL 4 OR 5 VIEWS - XR CERVICAL SPINE COMP 4-5 VIEWS 1,144.90 801.43 549.552 938.81872190 HC X-RAY PELVIS 3+ VW - XR PELVIS 3+ VIEWS 1,144.90 801.43 549.552 938.81872202 HC X-RAY SACROILIAC JTS 3+ VW - XR SACROILIAC JOINTS 3+ VIEWS 1,144.90 801.43 549.552 938.81872220 HC X-RAY SACRUM/COCCYX 2+ VW - XR SACRUM COCCYX 2+ VIEWS 1,144.90 801.43 549.552 938.81876886 HC US EXAM INFANT HIPS STATIC - US HIP PEDIATRIC LMT BI WO MANIPULATION 1,144.90 801.43 549.552 938.81876886 HC US EXAM INFANT HIPS STATIC - XR INFANT HIPS WITHOUT MANIPULATION 1,144.90 801.43 549.552 938.81882140 HC ASSAY OF AMMONIA - AMMONIA 477.90 334.53 229.392 391.87894660 HC RT BIPAP/CPAP NON-EMERGENT SUBSEQ DAY 955.80 669.06 458.784 783.75688342 HC IHC INITIAL AB STAIN MAYO 550.10 385.07 264.048 451.08277081 HC DXA BONE DENSITY/PERIPHERAL - DEXA BONE DENSITY EXTREMITY 704.80 493.36 338.304 577.93693306 HC PBB 2-D ECHO/M-MODE COMP INTERP 1,141.40 798.98 547.872 935.94882105 HC ALPHA-FETOPROTEIN, SERUM - ALPHA FETOPROTEIN, MATERNAL 99.70 69.79 47.856 81.75482746 HC BLOOD FOLIC ACID SERUM - FOLATE 299.10 209.37 143.568 245.26299211 HC LEVEL ONE EST PT OFFICE VISIT 254.40 178.08 122.112 208.60886666 HC EHRLICHIA CHAFFEENSIS IGM AB 790.70 553.49 379.536 648.37486666 HC EHRLICHIA CHAFFEENSIS IGG AB 790.70 553.49 379.536 648.37487107 HC FUNGUS IDENTIFICATION, MOLD - FUNGAL IDENTIFICATION, MOLD 790.70 553.49 379.536 648.37420501 HC INJECT SINUS TRACT FOR DX W XRAY 536.30 375.41 257.424 439.76627093 HC INJECTION HIP ARTHROGRAM 536.30 375.41 257.424 439.76682040 HC ASSAY OF SERUM ALBUMIN - ADDITIONAL CHARGE 154.70 108.29 74.256 126.85482040 HC ASSAY OF SERUM ALBUMIN - ALBUMIN 154.70 108.29 74.256 126.85488332 HC PATH CONSULT IN SURG,W ADDN FRZ SEC - BLOCK - FS H&E SLIDE 309.40 216.58 148.512 253.70897033 HC OT ELECTRIC CURRENT THERAPY 309.40 216.58 148.512 253.70897033 HC PT ELECTRIC CURRENT THERAPY 309.40 216.58 148.512 253.70886703 HC HIV-1/HIV-2, SINGLE ASSAY - RAPID HIV 1 AND 2 SCREEN 491.60 344.12 235.968 403.11292522 HC SLP EVALUATION OF SPEECH SOUND PRODUCTION ARTICULATE 728.80 510.16 349.824 597.61693923 HC VASC NON-INVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVELS 1,093.20 765.24 524.736 896.42493923 HC UPR/LXTR ART STDY 3+ LVLS - CV US ANKLE/BRACHIAL INDICES EXTREM LMTD 1,093.20 765.24 524.736 896.424P9012 HC CRYO PRODUCT FEE 601.60 421.12 288.768 493.31272070 HC X-RAY THORACIC SPINE 2 VW - XR THORACIC SPINE 2 VIEWS 838.80 587.16 402.624 687.81681479 HC UNLISTED PATH PROCEDURE 921.30 644.91 442.224 755.466

HC LEVEL I PAIN MANAGEMENT 749.40 524.58 359.712 614.50882024 HC ASSAY OF ACTH - ACTH 1,179.10 825.37 565.968 966.86282164 HC ANGIOTENSIN I ENZYME TEST - ANGIOTENSIN CONVERTING ENZYME 622.20 435.54 298.656 510.20482270 HC BLOOD OCCULT,BY PEROXID,FECES,SINGLE, COLORECTAL SCREEN - OCCULT BLD 82.50 57.75 39.6 67.6586003 HC ALLERGEN SPEC IGE - ALLERGEN TREE: MOUNTAIN JUNIPER 82.50 57.75 39.6 67.6586003 HC ALLERGEN SPEC IGE - ALLERGEN COTTONWOOD TREE IGE 82.50 57.75 39.6 67.6586003 HC ALLERGEN HOUSE DUST GREER 82.50 57.75 39.6 67.65

86003 HC ALLERGEN SPEC IGE - ALLERGEN OLIVE TREE IGE 82.50 57.75 39.6 67.6586003 HC ALLERGEN SPEC IGE - ALLERGEN RYE, PERENNIAL IGE 82.50 57.75 39.6 67.65G0328 HC FECAL BLOOD SCRN IMMUNOASSAY 82.50 57.75 39.6 67.6577085 HC DXA BONE DENSITY STUDY - DEXA BONE DENSITY AXIAL SKELETON W VFA 1,082.80 757.96 519.744 887.89664448 HC PBB CONT FEMORAL NERVE CATH 983.10 688.17 471.888 806.14288323 HC REF CONSULT W SLIDE PREP 1,223.70 856.59 587.376 1003.43482550 HC ASSAY OF CK (CPK) - CK 257.80 180.46 123.744 211.39682803 HC BLOOD GASES: PH, PO2 & PCO2 - BLOOD GAS CAPILLARY 515.60 360.92 247.488 422.79287207 HC SMEAR,INCLUSION BODIES/PARASITES,INTERP - MALARIA SMEAR 257.80 180.46 123.744 211.39671047 HC X-RAY EXAM CHEST 3 VIEWS 773.40 541.38 371.232 634.188G0480 HC VIGABATRIN (SABRIL) 866.20 606.34 415.776 710.284

HC ENDOSCOPY SECONDARY PROCEDURE 838.70 587.09 402.576 687.73482540 HC ASSAY OF CREATINE - CREATINE 608.40 425.88 292.032 498.88888300 HC SURG PATH,GROSS,LEVEL I - LAB SURG PATH,GROSS,LEVEL I 202.80 141.96 97.344 166.29676641 HC ULTRASOUND BREAST COMPLETE - US BREAST RIGHT COMPLETE 1,106.80 774.76 531.264 907.57676641 HC ULTRASOUND BREAST COMPLETE - US BREAST LEFT COMPLETE 1,106.80 774.76 531.264 907.57676641 HC ULTRASOUND BREAST COMPLETE - US BREAST BILATERAL COMPLETE 1,106.80 774.76 531.264 907.57676642 HC ULTRASOUND BREAST LIMITED - US BREAST RIGHT LIMITED 1,106.80 774.76 531.264 907.57676642 HC ULTRASOUND BREAST LIMITED - US BREAST LEFT LIMITED 1,106.80 774.76 531.264 907.57682390 HC ASSAY OF CERULOPLASMIN - CERULOPLASMIN 175.30 122.71 84.144 143.74687536 HC HIV-1 QUANT 175.30 122.71 84.144 143.746G0480 HC BUSPIRONE 701.20 490.84 336.576 574.98476000 HC FLUOROSCOPY <1 HR PHYS/QHP - FL LESS THAN 1 HOUR INTRAOPERATIVE 1,264.90 885.43 607.152 1037.21884484 HC ASSAY OF TROPONIN, QUANT - TROPONIN T 443.40 310.38 212.832 363.58884484 HC ASSAY OF TROPONIN, QUANT - TROPONIN I 443.40 310.38 212.832 363.588G0480 HC SERTRALINE 443.40 310.38 212.832 363.58881263 HC JAK2 V617F MUTATION ANALYSIS 711.50 498.05 341.52 583.4336598 HC CONTRAST INJ CENT VEN CATH, INC FLOURO 1,247.70 873.39 598.896 1023.11464417 HC PBB AXILLARY NERVE SNGL INJ 453.70 317.59 217.776 372.03487798 HC AMP PROBE NOS AGENT 1,120.50 784.35 537.84 918.8186334 HC IMMUNOFIXATION ELECTROPHORESIS 759.60 531.72 364.608 622.87297530 HC PT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN 213.10 149.17 102.288 174.74271130 HC X-RAY STERNO-CLAVICLUAR JT - XR STERNOCLAVICULAR JOINTS 3+ VIEWS 890.20 623.14 427.296 729.96484150 HC ASSAY OF PROSTAGLANDIN EACH 862.70 603.89 414.096 707.414

M0243 HC INF/INJ CASIRIVIMAB/IMDEVIMAB 928.00 649.6 445.44 760.9683519 HC ACTH BINDING AB 92.80 64.96 44.544 76.09686003 HC ALLERGEN SPEC IGE - ALLERGEN CRAB IGE 92.80 64.96 44.544 76.09699211 HC EST PATIENT W/PROC 1-19 MIN 371.20 259.84 178.176 304.38481219 HC CALR EXON 9 725.20 507.64 348.096 594.66487912 HC HEPATITIS B VIRUS GENOTYPE 1,199.50 839.65 575.76 983.5964450 HC PBB CONT PERIPHERIAL NERVE CATH 1,013.90 709.73 486.672 831.39864450 HC PBB INJECT NERV BLCK,OTHR PERIPH NERV 1,013.90 709.73 486.672 831.39881279 HC JAK2 TRGT SEQUENCE ANALYSIS 381.50 267.05 183.12 312.8388305 HC TISSUE LEVEL IV/CELL BLOCK 670.20 469.14 321.696 549.56488342 HC IHC PER SPEC INITIAL SINGLE 642.70 449.89 308.496 527.01484305 HC ASSAY OF SOMATOMEDIN - INSULIN-LIKE GROWTH FACTOR 354.00 247.8 169.92 290.2886255 HC PARIETAL CELL ANTIBODY IGG 354.00 247.8 169.92 290.2886361 HC T CELL ABSOLUTE COUNT - T-HELPER CELLS (CD4) COUNT 354.00 247.8 169.92 290.2872081 HC RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW - XR SCOLIOSIS 1 VW 1,062.00 743.4 509.76 870.8472081 HC RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW - XR ENTIRE SPINE 1 V 1,062.00 743.4 509.76 870.8494070 HC EVAL OF BRONCHOSPASM,PROLONGED - BRONCHIAL CHALLENGE W METHACHOLINE 1,491.60 1044.12 715.968 1223.11287385 HC IAAD IA HISTOPLASM CAPSULATUM - HISTOPLASMA ANTIGEN URINE 811.10 567.77 389.328 665.10286870 HC RBC ANTIBODY IDENTIFICATION - ANTIBODY IDENTIFICATION 1,007.00 704.9 483.36 825.74

HC PBB PRO ED PROCEDURE I 522.40 365.68 250.752 428.36884260 HC ASSAY OF SEROTONIN - SEROTONIN SERUM 457.10 319.97 219.408 374.82274250 HC X-RAY EXAM OF SMALL BOWEL - FL SMALL BOWEL SERIES 1,409.10 986.37 676.368 1155.46276506 HC US, HEAD, REAL TIME - US HEAD 1,213.20 849.24 582.336 994.82488344 HC IMHISTOCHEM/CYTCHM EA MULTIPLEX ANTIBODY SLIDE 821.40 574.98 394.272 673.54893930 HC VASC DUPLEX UP EXTREM ART BILAT 1,512.20 1058.54 725.856 1240.00493930 HC DUPLEX UP EXTREM ART BILAT - CV US DOPPLER ARTERIAL ARMS BILATERAL 1,512.20 1058.54 725.856 1240.00473115 HC ARTHROGRAM OF WRIST - XR WRIST ARTHROGRAM RIGHT 1,354.10 947.87 649.968 1110.36285305 HC CLOT INHIB PROTEIN S,TOTAL - PROTEIN S ANTIGEN TOTAL 532.70 372.89 255.696 436.81488377 HC FIP1L1-PDGFRA FISH CH EOS LEUK 1,233.80 863.66 592.224 1011.716G0480 HC NICOTINE/METAB CONFIRM 402.10 281.47 193.008 329.72283993 HC CALPROTECTIN FECAL 1,319.70 923.79 633.456 1082.15472200 HC X-RAY SACROILIAC JTS <3 VW - XR SACROILIAC JOINTS 1-2 VIEWS 711.40 497.98 341.472 583.34880158 HC ASSAY OF CYCLOSPORINE - CYCLOSPORINE 814.50 570.15 390.96 667.8972295 HC PBB PRO XRAY OF LOWER SPINE DISC 580.80 406.56 278.784 476.25697750 HC PT PHYSICAL PERFORMANCE TEST 412.40 288.68 197.952 338.16888341 HC IHC AB SLIDE ADD'L GP5579 656.40 459.48 315.072 538.24884481 HC TRIIODOTHYRONINE FREE ASSAY (FT-3) - T3 FREE 553.30 387.31 265.584 453.70696365 HC IV INFUSION, THERAP/PROPH/DIAGNOST,INITIAL,1ST HOUR 694.20 485.94 333.216 569.244

64479 HC PBB PRO CERVICAL/THORACIC EPI 872.90 611.03 418.992 715.77880202 HC ASSAY OF VANCOMYCIN - VANCOMYCIN PEAK 525.80 368.06 252.384 431.15680202 HC ASSAY OF VANCOMYCIN - VANCOMYCIN TROUGH 525.80 368.06 252.384 431.15680202 HC ASSAY OF VANCOMYCIN - VANCOMYCIN RANDOM 525.80 368.06 252.384 431.15687077 HC BACTERIA IDENTIFICATION, AEROBIC ISOLATE - ORGANISM ID CULTURE 281.80 197.26 135.264 231.07687077 HC CLO TEST 281.80 197.26 135.264 231.07687101 HC CULTURE FUNGI-SKIN HAIR NAILS - FUNGAL CULTURE, CUTANEOUS 281.80 197.26 135.264 231.07686255 HC FLUORESCENT ANTIBODY; SCREEN - ANTI NEUTROPHIL CYTO ANTIBDY 422.70 295.89 202.896 346.61462328 HC LUMBAR PUNCTURE W/FLUORO OR CT 1,359.50 951.65 652.56 1114.7950690 HC IP VISUAL ILEAL COND/URETPYELO 1,072.20 750.54 514.656 879.20482085 HC ASSAY OF ALDOLASE - ALDOLASE 536.10 375.27 257.328 439.60284270 HC ASSAY OF SEX HORMONE BINDING GLOBULIN - SEX HORMONE BINDING GLOBULIN 405.50 283.85 194.64 332.5193971 HC DUPLEX EXTREM VENOUS,UNI OR LTD - CV US DOPPLER VENOUS LEG LEFT 1,481.10 1036.77 710.928 1214.50293971 HC DUPLEX EXTREM VENOUS,UNI OR LTD - US DOPPLER VENOUS ARM LEFT 1,481.10 1036.77 710.928 1214.50293971 HC DUPLEX EXTREM VENOUS,UNI OR LTD - CV US DOPPLER VENOUS LEG RIGHT 1,481.10 1036.77 710.928 1214.50293971 HC DUPLEX EXTREM VENOUS,UNI OR LTD - US DOPPLER VENOUS ARM RIGHT 1,481.10 1036.77 710.928 1214.50295805 HC PBB INTERP MSLT/MWT - COX 1,123.70 786.59 539.376 921.43482787 HC IGG1, 2, 3 OR 4, EACH - IGG 3 113.40 79.38 54.432 92.98882787 HC IGG1, 2, 3 OR 4, EACH - IGG 2 113.40 79.38 54.432 92.98882787 HC IGG1, 2, 3 OR 4, EACH - IGG 1 113.40 79.38 54.432 92.98882787 HC IGG1, 2, 3 OR 4, EACH - IGG 4 113.40 79.38 54.432 92.98883516 HC MYELOPEROX ABS IGG 113.40 79.38 54.432 92.98886376 HC LIVER-KID MICROSOME-1 AB IGG 113.40 79.38 54.432 92.98820605 HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US 264.60 185.22 127.008 216.97220605 HC PBB ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US 264.60 185.22 127.008 216.97262273 HC INJ,LUMB EPIDUR,BLOOD/CLOT PATCH 1,522.30 1065.61 730.704 1248.28662291 HC PBB PRO INJ PROC FOR DISCOGRAPHY E 1,133.30 793.31 543.984 929.30688374 HC HER2 BY FISH 1,467.30 1027.11 704.304 1203.18677053 HC MAMMARY DUCTOGRAM, SINGLE - MAMMO BREAST DUCTOGRAM RIGHT 1,213.00 849.1 582.24 994.6677053 HC MAMMARY DUCTOGRAM, SINGLE - MAMMO BREAST DUCTOGRAM LEFT 1,213.00 849.1 582.24 994.6677065 HC DX MAMMO INCL CAD UNI - MAMMO BREAST DIAGNOSTIC LEFT 549.80 384.86 263.904 450.83677065 HC DX MAMMO INCL CAD UNI - MG BREAST RIGHT POST BIOPSY CLIP 549.80 384.86 263.904 450.83677065 HC DX MAMMO INCL CAD UNI - MG BREAST LEFT POST BIOPSY CLIP 549.80 384.86 263.904 450.83677065 HC DX MAMMO INCL CAD UNI - MAMMO BREAST DIAGNOSTIC RIGHT 549.80 384.86 263.904 450.83688184 HC FLOW CYTO 1ST MARKER GP5155 549.80 384.86 263.904 450.83688184 HC LYMPHOPROLIFERATIVE DISORDERS ANALYSIS--FLOW CYTOMETRY-1ST MARKER 549.80 384.86 263.904 450.83688342 HC MISMATCH REPAIR -INITIAL STAIN 549.80 384.86 263.904 450.83688342 HC IHC AB SLIDE INITIAL GP5103 549.80 384.86 263.904 450.83688342 HC IHC AB SLIDE INITIAL GP5579 549.80 384.86 263.904 450.83688342 HC THREE ANTIBODY-INITIAL SLIDE 549.80 384.86 263.904 450.83688342 HC TWO AB- INITIAL STAIN 549.80 384.86 263.904 450.83688342 HC IHC AB SLIDE INITIAL GP5139-1 549.80 384.86 263.904 450.836G0399 HC UNATTEN HOME SLEEP TYPE III 1,735.30 1214.71 832.944 1422.94676817 HC TRANSVAGINAL US OBSTETRIC - US OB TRANSVAGINAL 1,460.40 1022.28 700.992 1197.52899285 HC PBB EXAM CLASS V 1,470.70 1029.49 705.936 1205.974

HC PBB PRO ED PROCEDURE II 1,044.60 731.22 501.408 856.57288230 HC BLOOD: TISSUE CULTURE 1,216.40 851.48 583.872 997.44888262 HC BLOOD: CHROMOSOME ANALYSIS COU 1,216.40 851.48 583.872 997.44888291 HC BLOOD: INTERPRETATION AND REPO 1,216.40 851.48 583.872 997.44872072 HC X-RAY THORACIC SPINE+SWIM 3 VW - XR THORACIC SPINE 3 VIEWS 1,103.00 772.1 529.44 904.4682542 HC PTH RELATED PEPTIDE 1,522.20 1065.54 730.656 1248.20462326 HC PBB NFSN INTERLAMINAR LMBR/SAC 580.70 406.49 278.736 476.17462326 HC PBB NFSN INTERLAMINAR LMBR/SAC (964) 580.70 406.49 278.736 476.17462326 HC PBB PRO NFSN INTERLAMINAR LMBR/SAC 580.70 406.49 278.736 476.17499284 HC PBB EXAM CLASS IV 1,161.40 812.98 557.472 952.34888374 HC MORPH ANAL INSITU COMP GPP261 924.30 647.01 443.664 757.92687798 HC TICK-BORNE DISEASE PANEL/PCR 1,010.20 707.14 484.896 828.364G0378 HC OBSERVATION ISOLATION 1,267.90 887.53 608.592 1039.67882657 HC THIOPURINE METHYLTRANSFERASE 1,144.20 800.94 549.216 938.24476376 HC 3D RENDERING W/INTERP & POSTPROCESS SUPERVISION - CT 3D RECONSTRUCT 1,573.70 1101.59 755.376 1290.43493882 HC DUPLEX SCAN EXTRACRANIAL,LIMITED - CV US CAROTID LEFT 1,621.80 1135.26 778.464 1329.87693882 HC VASC DUPLEX SCAN EXTRACRANIAL,LIMITED 1,621.80 1135.26 778.464 1329.87693882 HC DUPLEX SCAN EXTRACRANIAL,LIMITED - CV US CAROTID RIGHT 1,621.80 1135.26 778.464 1329.87670150 HC X-RAY FACIAL BONES 3+ VW - XR FACIAL BONES 3+ VIEWS 1,030.80 721.56 494.784 845.25670160 HC X-RAY NASAL BONES - XR NASAL BONES 3+ VW 1,030.80 721.56 494.784 845.25688185 HC FLOW CYTO ADD'L MARKER GP5573 1,357.20 950.04 651.456 1112.90464425 HC PBB PRO ILLIOING ILIOHYPOGASTRIC N 439.80 307.86 211.104 360.63685397 HC ADAMTS13 ACTIVITY 707.80 495.46 339.744 580.39695811 HC PBB INTERP/ATTEN SLEEP W/CPA - COX 2,010.00 1407 964.8 1648.293970 HC VASC DUPLEX EXTREM VENOUS,BILAT 2,154.30 1508.01 1034.064 1766.52693970 HC DUPLEX EXTREM VENOUS,BILAT - US DOPPLER VENOUS ARMS BILATERAL 2,154.30 1508.01 1034.064 1766.52693970 HC DUPLEX EXTREM VENOUS,BILAT - CV US DOPPLER VENOUS LEGS BILATERAL 2,154.30 1508.01 1034.064 1766.526

93970 HC DUPLEX EXTREM VENOUS,BILAT - VENOUS REFLUX DUPLEX 2,154.30 1508.01 1034.064 1766.526G0239 HC PHASE II PULM REHAB W/O COPD 1,034.20 723.94 496.416 848.044P9040 HC RED CELL L/R IRRAD PRODUCT FEE 1,934.40 1354.08 928.512 1586.20884165 HC PROTEIN E-PHORESIS, SERUM - PROTEIN ELECTROPHORESIS SERUM 450.10 315.07 216.048 369.08299284 HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY 1,714.50 1200.15 822.96 1405.8977075 HC X-RAYS, BONE SURVEY COMPLETE - XR BONE SURVEY COMPLETE 1,783.20 1248.24 855.936 1462.22486790 HC HEPATITIS E AB IGM 412.30 288.61 197.904 338.08611055 HC TRIM HYPERKERATOTIC SKIN LESION, ONE 326.40 228.48 156.672 267.64872074 HC X-RAY THORACIC SPINE 4 VW - XR THORACIC SPINE COMPLETE 4+ VIEWS 1,315.90 921.13 631.632 1079.03877002 HC NEEDLE LOCALIZATION BY XRAY - FL GUIDED NEEDLE BIOPSY BONE 1,037.60 726.32 498.048 850.83277002 HC NEEDLE LOCALIZATION BY XRAY - CT SHOULDER ARTHRO LT W FL GUIDED INJ 1,037.60 726.32 498.048 850.83277002 HC NEEDLE LOCALIZATION BY XRAY - CT SHOULDER ARTHRO RT W FL GUIDED INJ 1,037.60 726.32 498.048 850.832A0429 HC BLS SPLIT TRIP EMERG 1,278.10 894.67 613.488 1048.04299282 HC PBB EXAM CLASS II / BRIEF 529.10 370.37 253.968 433.86282784 HC ASSAY OF GAMMAGLOBULIN IGA, IGD, IGG, IGM, EACH - IGA 192.40 134.68 92.352 157.76893303 HC ECHO TRANSTHORACIC - CONGENITAL TTE COMPLETE W/ COLOR AND CONTRAST 2,126.70 1488.69 1020.816 1743.89493303 HC ECHO TRANSTHORACIC - CONGENITAL TTE COMPLETE W/ DOPPLER AND COLOR 2,126.70 1488.69 1020.816 1743.89493303 HC ECHO TRANSTHORACIC - CONGENITAL TTE COMPLETE 2,126.70 1488.69 1020.816 1743.89493303 HC ECHO TRANSTHORACIC - CONGENITAL TRANSTHORACIC ECHO (TTE) COMPLETE 2,126.70 1488.69 1020.816 1743.89493303 HC ECHO TRANSTHORACIC - CONGENITAL TTE COMPLETE W/ CONTRAST 2,126.70 1488.69 1020.816 1743.89493303 HC ECHO TRANSTHORACIC - CONGENITAL TTE COMPLETE W/ COLOR 2,126.70 1488.69 1020.816 1743.89493350 HC STRESS TTE ONLY - ECHOCARDIOGRAM DOBUTAMINE STRESS TEST 2,126.70 1488.69 1020.816 1743.89476705 HC US, ABDOMEN LIMITED - US PELVIS APPENDIX 1,559.80 1091.86 748.704 1279.03676705 HC US, ABDOMEN LIMITED - US ABDOMEN LIMITED 1,559.80 1091.86 748.704 1279.03676705 HC US, ABDOMEN LIMITED - US ABDOMEN LIMITED LIVER 1,559.80 1091.86 748.704 1279.03676705 HC US, ABDOMEN LIMITED - US ABDOMEN LIMITED SPLEEN 1,559.80 1091.86 748.704 1279.03676705 HC US, ABDOMEN LIMITED - US GALLBLADDER 1,559.80 1091.86 748.704 1279.03664487 HC PBB TAP BLOCK UNILAT CONT INFUS 1,735.00 1214.5 832.8 1422.762270 HC PBB SPINAL PUNCTURE LUMBAR DIAG 1,738.40 1216.88 834.432 1425.48862270 HC PBB SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC 1,738.40 1216.88 834.432 1425.48864489 HC PBB TAP BLOCK BILAT CONT INFUS 2,404.90 1683.43 1154.352 1972.01886480 HC TB TEST, CELL MEDIATED ANTIGEN RESPONSE,GAMMA INTERFRON - TB TEST 937.90 656.53 450.192 769.078

HC PBB PRO ED PROCEDURE III 2,088.80 1462.16 1002.624 1712.81677385 HC IMRT W/GUID/TRACKING SIMPLE 2,573.20 1801.24 1235.136 2110.02481445 HC ONKOSIGHT LUNG CANCER PANEL 1,838.00 1286.6 882.24 1507.1681445 HC ONKOSIGHT COLRECTAL CANCER PAN 1,838.00 1286.6 882.24 1507.1681445 HC ONKOSIGHT MYELOID DISORDER PAN 1,838.00 1286.6 882.24 1507.1681445 HC ONKOSIGHT MPN PANEL 1,838.00 1286.6 882.24 1507.16ZB2JD HC ONKOSIGHT MELANOMA PANEL 1,838.00 1286.6 882.24 1507.16ZB2JE HC ONKOSIGHT SOLID TUMOR PANEL 1,838.00 1286.6 882.24 1507.1664486 HC PBB TAP BLOCK UNILAT INJ 1,422.30 995.61 682.704 1166.28682575 HC CREATININE CLEARANCE TEST - CREATININE CLEARANCE, URINE, 24 HOUR 426.00 298.2 204.48 349.3286038 HC ANTINUCLEAR ANTIBODIES - ANA (ANTINUCLEAR ANTIBODIES) 426.00 298.2 204.48 349.3276604 HC US, CHEST,REAL TIME - US CHEST 1,810.50 1267.35 869.04 1484.6170030 HC X-RAY EYE FOR FOREIGN BODY - XR EYE FOREIGN BODY 803.90 562.73 385.872 659.198G0480 HC AMPHETAMINES D;L RATIO URINE 590.90 413.63 283.632 484.53877332 HC TREAT DEVICE-SIMPLE 1,192.10 834.47 572.208 977.52280299 HC QUANTITATION DRUG NOT ELSEWHERE SPECIFIED - OLANZAPINE LEVEL 542.80 379.96 260.544 445.09682951 HC GTT 1ST 3 SPECIMENS 271.40 189.98 130.272 222.54873000 HC X-RAY CLAVICLE - XR CLAVICLE LEFT 707.70 495.39 339.696 580.31473000 HC X-RAY CLAVICLE - XR CLAVICLE RIGHT 707.70 495.39 339.696 580.31473010 HC X-RAY SCAPULA - XR SCAPULA RIGHT 707.70 495.39 339.696 580.31473010 HC X-RAY SCAPULA - XR SCAPULA LEFT 707.70 495.39 339.696 580.31473110 HC X-RAY WRIST 3+ VW - XR WRIST 3+ VIEWS RIGHT 707.70 495.39 339.696 580.31473110 HC X-RAY WRIST 3+ VW - XR WRIST 3+ VIEWS LEFT 707.70 495.39 339.696 580.31473110 HC X-RAY WRIST 3+ VW - XR WRIST 3+ VIEWS BILATERAL 707.70 495.39 339.696 580.31464484 HC PBB PRO LUMBAR EPI ADD'L 436.30 305.41 209.424 357.76664510 HC PPB PRO GANGLIO (CERVICAL SYMPATHE 436.30 305.41 209.424 357.766

HC PHS I LEVEL II 60-89 MIN 1,968.50 1377.95 944.88 1614.1777014 HC CT GUIDED RADIATION THERAPY PL 1,649.00 1154.3 791.52 1352.18

HC MINOR PROCEDURE 1,329.50 930.65 638.16 1090.1984478 HC ASSAY OF TRIGLYCERIDES - TRIGLYCERIDES 223.30 156.31 107.184 183.10686705 HC HEP B CORE AB TEST, IGM - HEPATITIS B CORE ANTIBODY, IGM 223.30 156.31 107.184 183.10686708 HC HEPATITIS A ANTIBODY HAAB - HEPATITIS A ANTIBODY, TOTAL 223.30 156.31 107.184 183.10686709 HC HEPATITIS ANTIBODY HAAB IGM ANTIBODY - HEPATITIS A ANTIBODY, IGM 223.30 156.31 107.184 183.10673502 HC PBB RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS 621.80 435.26 298.464 509.87673502 HC X-RAY EXAM HIP UNI 2-3 VIEWS - XR HIP 2 OR 3 VW RIGHT 621.80 435.26 298.464 509.87673502 HC X-RAY EXAM HIP UNI 2-3 VIEWS - XR HIP 2 OR 3 VW LEFT 621.80 435.26 298.464 509.87699152 HC MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS 1,020.30 714.21 489.744 836.64699153 HC MOD SED SAME PHYS/QHP EACH ADDL 15 MINS 1,020.30 714.21 489.744 836.64683951 HC DES-GAMMA-CARBOXY PROTHROMBIN 340.10 238.07 163.248 278.88278601 HC BRAIN IMAGE W/FLOW < 4 VIEWS - NM BRAIN WITH FLOW LESS THAN 4 VIEWS 1,944.40 1361.08 933.312 1594.408

22514 HC PBB PRO KYPHO LUMBAR 2,586.80 1810.76 1241.664 2121.17674328 HC X-RAY FOR BILE DUCT ENDOSCOPY - FL ERCP BILIARY DUCT 2,480.30 1736.21 1190.544 2033.84674330 HC X-RAY BILE/PANCREAS ENDOSCOPY - FL ERCP BILIARY AND PANCREAS 2,480.30 1736.21 1190.544 2033.846

HC SEMI-PRIVATE PSYCH ROOM DAILY 2,734.50 1914.15 1312.56 2242.2999285 HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC 2,600.50 1820.35 1248.24 2132.4162327 HC PBB PRO NFSN INTER LMBR/SAC W/IMAG 711.10 497.77 341.328 583.10273522 HC X-RAY EXAM HIPS BI 3-4 VWS - XR HIPS BILAT 3-4 VW W/ OR W/O PELVIS 896.60 627.62 430.368 735.21264520 HC PBB PRO LUMBAR/THORACIC (PARAVERTE 2,397.80 1678.46 1150.944 1966.19643239 HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE - EGD 2,944.00 2060.8 1413.12 2414.0843248 HC EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS - EGD 2,944.00 2060.8 1413.12 2414.08

HC EGD 2,944.00 2060.8 1413.12 2414.0820206 HC NEEDLE BIOPSY,MUSCLE 2,116.10 1481.27 1015.728 1735.20286757 HC ROCKY MT SPOTTED FEVER IGG 302.30 211.61 145.104 247.88674280 HC X-RAY COLON AIR CONTRAST - FL BARIUM ENEMA AIR CONTRAST 2,370.30 1659.21 1137.744 1943.64662273 HC PBB BLOOD PATCH LUMB EPIDURAL INJ (963) 731.70 512.19 351.216 599.99462273 HC PBB BLOOD PATCH LUMB EPIDURAL INJ (964) 731.70 512.19 351.216 599.99462273 HC PBB PRO BLOOD PATCH 731.70 512.19 351.216 599.99462273 HC PBB PRO BLOOD PATCH 731.70 512.19 351.216 599.99476098 HC X-RAY EXAM, BREAST SPECIMEN - MAMMO BREAST SPECIMEN 1,532.10 1072.47 735.408 1256.3220275T HC PBB PRO MILD LUMBAR 2,871.80 2010.26 1378.464 2354.87688321 HC MAYO PATH CONSULT 1,250.40 875.28 600.192 1025.32862325 HC PBB PRO NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN 831.30 581.91 399.024 681.66693976 HC VASCULAR STUDY - US ABDOMEN DOPPLER LIMITED 1,477.10 1033.97 709.008 1211.22278466 HC HEART INFARCT IMAGE - NM HEART INFARCTION 2,122.90 1486.03 1018.992 1740.77870450 HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL - CT HEAD WO CONTRAST 3,101.90 2171.33 1488.912 2543.55887103 HC BLOOD CULTURE FUNGAL 195.80 137.06 93.984 160.55649180 HC PERCUT BIOPSY, ABDOMINAL MASS 2,222.50 1555.75 1066.8 1822.4549411 HC PLACE INTERST RAD THER GUIDE, INTRAABD/INTRAPELV/RETROPER,1+,PERC 2,222.50 1555.75 1066.8 1822.4550200 HC BIOPSY OF KIDNEY,PERCUTANEOUS 2,222.50 1555.75 1066.8 1822.4550390 HC PERCUT DRAIN/INJECT RENAL CYST 2,222.50 1555.75 1066.8 1822.4570486 HC CT SCAN,MAXILLOFACIAL W/O CONTRAST - CT SINUS FACIAL BONES WO CONT 3,016.00 2111.2 1447.68 2473.1270486 HC CT SCAN,MAXILLOFACIAL W/O CONTRAST - CT SINUS WO CONTRAST 3,016.00 2111.2 1447.68 2473.1278227 HC HEPATOBIL SYST IMAGE W/DRUG - NM HEPATOBILIARY W CHOLECYSTOKININ 3,036.60 2125.62 1457.568 2490.01278227 HC HEPATOBIL SYST IMAGE W/DRUG - NM HEPATOBILIARY 3,036.60 2125.62 1457.568 2490.01287632 HC RESPIRATORY VIRAL PANEL 1,088.90 762.23 522.672 892.89897139 HC UNLISTED THERAPEUTIC REHAB 137.40 96.18 65.952 112.66872255 HC MYELOGRAPHY THORAX SPINE - FL THORACIC SPINE MYELOGRAM 3,033.10 2123.17 1455.888 2487.14292610 HC SLP EVAL,ORAL & PHARYNGEAL SWALLOW FUNCTION 834.70 584.29 400.656 684.45421920 HC ST BX BACK/FLANK; SUPERF 2,535.00 1774.5 1216.8 2078.738505 HC NEEDLE BIOPSY, LYMPH NODE(S) 2,535.00 1774.5 1216.8 2078.782175 HC ASSAY OF ARSENIC - ARSENIC URINE 216.40 151.48 103.872 177.44882175 HC ASSAY OF ARSENIC - ARSENIC RANDOM URINE 216.40 151.48 103.872 177.44883655 HC LEAD URINE - UG/L 216.40 151.48 103.872 177.44883520 HC KAPPA QNT FREE LIGHT CHAINS 511.80 358.26 245.664 419.67683520 HC KAPPA QNT FREE LIGHT CHAINS 511.80 358.26 245.664 419.67683883 HC LAMDA QNT FREE LIGHT CHAINS 511.80 358.26 245.664 419.67675984 HC XRAY CONTROL CATHETER CHANGE - IR URETERAL STENT CHANGE 3,063.90 2144.73 1470.672 2512.39875984 HC XRAY CONTROL CATHETER CHANGE - IR NEPHROSTOMY TUBE CHANGE 3,063.90 2144.73 1470.672 2512.39875984 HC XRAY CONTROL CATHETER CHANGE - IR GJ TUBE CHANGE 3,063.90 2144.73 1470.672 2512.398

HC PRIVATE PSYCH ROOM DAILY ISO 3,537.90 2476.53 1698.192 2901.07878278 HC ACUTE GI BLOOD LOSS IMAGING - NM GASTROINTESTINAL BLEEDING 2,662.00 1863.4 1277.76 2182.8482607 HC VITAMIN B-12 - VITAMIN B12 305.70 213.99 146.736 250.67420225 HC BONE BIOPSY,TROCAR/NEEDLE DEEP 2,830.30 1981.21 1358.544 2320.846G0480 HC VENIAFAXINE 848.40 593.88 407.232 695.68881373 HC HLA CLASS 1 TYPING 937.70 656.39 450.096 768.91478580 HC LUNG PERFUSION IMAGING - NM LUNG PERFUSION PARTICULATE 1,885.70 1319.99 905.136 1546.27483520 HC IMMUNOASSAY QUANT NOS NONAB - ANTI GLOMERULAR BASEMENT MEMBR 1,106.00 774.2 530.88 906.9296450 HC INTRATHECEL CHEMO 3,111.90 2178.33 1493.712 2551.758

HC COLONSCOPY INCOMPLETE 2,321.90 1625.33 1114.512 1903.95892960 HC CARDIOVERSION ELECTRIC EXT - TEE W/ DOPPLER, COLOR AND CARDIOVERSION 2,569.20 1798.44 1233.216 2106.74492960 HC CARDIOVERSION ELECTRIC EXT - CARDIOVERSION EXTERNAL 2,569.20 1798.44 1233.216 2106.74492960 HC CARDIOVERSION ELECTRIC EXT - TEE COMPLETE W/ CARDIOVERSION 2,569.20 1798.44 1233.216 2106.74492960 HC CARDIOVERSION, ELECTIVE;EXTERN 2,569.20 1798.44 1233.216 2106.74474240 HC X-RAY UPPER GI DELAY W/O KUB - FL UPPER GI WITHOUT KUB 1,689.90 1182.93 811.152 1385.71874248 HC SMALL BOWEL FOLLOW THRU (SMALL BOWEL SERIES) 1,689.90 1182.93 811.152 1385.718

HC PROCEDURE TIME UP TO 60 MIN 2,936.70 2055.69 1409.616 2408.09472131 HC CT SCAN,LUMBAR SPINE,W/O CONTRAST - CT LUMBAR SPINE WO CONTRAST 4,135.40 2894.78 1984.992 3391.02878014 HC THYROID IMAGING W/BLOOD FLOW - NM THYROID UPTAKE STIMULATION SUPPRES 2,187.90 1531.53 1050.192 1794.07873565 HC X-RAY KNEE BILAT STANDING - XR KNEES ANTEROPOSTERIOR STANDING BILAT 1,020.10 714.07 489.648 836.48273040 HC ARTHROGRAM OF SHOULDER - XR SHOULDER ARTHROGRAM RIGHT 2,043.60 1430.52 980.928 1675.75273040 HC ARTHROGRAM OF SHOULDER - XR SHOULDER ARTHROGRAM LEFT 2,043.60 1430.52 980.928 1675.75282565 HC ASSAY OF CREATININE - CREATININE SERUM 178.60 125.02 85.728 146.452

85014 HC HEMATOCRIT - POCT HEMATOCRIT 89.30 62.51 42.864 73.22685014 HC HEMATOCRIT - HEMATOCRIT 89.30 62.51 42.864 73.22687798 HC WEST NILE VIRUS RNA, RT-PCR 1,439.10 1007.37 690.768 1180.06279101 HC NUCLEAR RX IV ADMIN - NM BONE TREATMENT THERAPY 1,995.50 1396.85 957.84 1636.3111044 HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,MUSCLE,BONE,=<20 SQ CM 3,091.10 2163.77 1483.728 2534.70215271 HC SSG T/A/L 1ST 25 UP TO 100SQCM 3,568.50 2497.95 1712.88 2926.1780299 HC QUANTITATION DRUG NOT ELSEWHERE SPECIFIED - OXCARBAZEPINE METABOLITE 377.80 264.46 181.344 309.79682131 HC PHENYLALANINE, PLASMA 377.80 264.46 181.344 309.79683921 HC ASSAY SNGL ORGANIC ACID, QUANTITATIVE - METHYLMALONIC ACID, SERUM 377.80 264.46 181.344 309.79685220 HC BLOOC CLOT FACTOR V TEST - FACTOR 5 ACTIVITY 377.80 264.46 181.344 309.79685303 HC CLOT INHIB PROTEIN C,ACTIV - PROTEIN C ACTIVITY 377.80 264.46 181.344 309.796

HC SIGMOIDOSCOPY 2,466.00 1726.2 1183.68 2022.1286790 HC HEPATITIS E AB IGG 388.10 271.67 186.288 318.24220553 HC PBB PRO TRIGGER POINT 3+ MUSCLE GR 298.80 209.16 143.424 245.01699202 HC PBB INT EXP PROB FOCUSED NEW PT 298.80 209.16 143.424 245.01693018 HC PBB STRESS TEST INTERP 498.00 348.6 239.04 408.3693272 HC PBB EVENT MONITOR INTERP 498.00 348.6 239.04 408.3673130 HC X-RAY HANDS 3+ VIEWS RA SURVEY BILATERAL 1,415.00 990.5 679.2 1160.373130 HC X-RAY HANDS 3+ VIEWS RA SURVEY LEFT 1,415.00 990.5 679.2 1160.373130 HC X-RAY HAND 3+ VW - XR HAND 3+ VIEWS BILATERAL 1,415.00 990.5 679.2 1160.373130 HC X-RAY HANDS 3+ VIEWS RA SURVEY 1,415.00 990.5 679.2 1160.364445 HC PBB SCIATIC NERVE SNGL INJ 508.30 355.81 243.984 416.80662270 HC SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC 1,734.40 1214.08 832.512 1422.20893572 HC CATH HEART FLOW RESERV MEASURE,ADDN VESSL 4,725.80 3308.06 2268.384 3875.15693990 HC DUPLEX HEMODIALYSIS ACCESS - HEMODIALYSIS ACCESS DUPLEX 1,336.00 935.2 641.28 1095.5274455 HC X-RAY URETHROCYSTOGRAM+VOIDING - FL VOIDING CYSTOURETHROGRAM 1,456.20 1019.34 698.976 1194.08473701 HC CT SCAN OF LEG CONTRAST - CT KNEE LEFT W IV CONTRAST 3,403.50 2382.45 1633.68 2790.8773701 HC CT SCAN OF LEG CONTRAST - CT TIBIA FIBULA LEFT W IV CONTRAST 3,403.50 2382.45 1633.68 2790.8773701 HC CT SCAN OF LEG CONTRAST - CT FEMUR LEFT W IV CONTRAST 3,403.50 2382.45 1633.68 2790.8773701 HC CT SCAN OF LEG CONTRAST - CT LOWER EXTREMITY W IV CONTRAST 3,403.50 2382.45 1633.68 2790.8773701 HC CT SCAN OF LEG CONTRAST - CT TIBIA FIBULA RIGHT W IV CONTRAST 3,403.50 2382.45 1633.68 2790.8773701 HC CT SCAN OF LEG CONTRAST - CT FOOT RIGHT W IV CONTRAST 3,403.50 2382.45 1633.68 2790.8773701 HC CT SCAN OF LEG CONTRAST - CT KNEE RIGHT W IV CONTRAST 3,403.50 2382.45 1633.68 2790.8773701 HC CT SCAN OF LEG CONTRAST - CT HIP LEFT W IV CONTRAST 3,403.50 2382.45 1633.68 2790.8773701 HC CT SCAN OF LEG CONTRAST - CT FOOT LEFT W IV CONTRAST 3,403.50 2382.45 1633.68 2790.8773701 HC CT SCAN OF LEG CONTRAST - CT HIP RIGHT W IV CONTRAST 3,403.50 2382.45 1633.68 2790.8773701 HC CT SCAN OF LEG CONTRAST - CT FEMUR RIGHT W IV CONTRAST 3,403.50 2382.45 1633.68 2790.8776010 HC X-RAY NOSE-RECTUM CHILD F.B. - XR NOSE TO RECTUM FOREIGN BODY PEDS 638.80 447.16 306.624 523.81670544 HC MR ANGIO, HEAD - MR HEAD ANGIO WO IV CONTRAST 5,010.80 3507.56 2405.184 4108.85680197 HC ASSAY OF TACROLIMUS - TACROLIMUS 649.10 454.37 311.568 532.26294002 HC RT HIGH FREQ OSCILLATION INTITAL DAY 3,245.50 2271.85 1557.84 2661.3194002 HC RT VENT MGMT, INPATIENT, INITIAL DAY 3,245.50 2271.85 1557.84 2661.3194002 HC RT VENTILATOR TRANSPORT 3,245.50 2271.85 1557.84 2661.3194003 HC RT HIGH FREQ OSCILLAT SUBSEQ DAY 3,245.50 2271.85 1557.84 2661.3194003 HC RT VENT MGMT, INPATIENT, SUBQ DAY 3,245.50 2271.85 1557.84 2661.3199283 HC EMERGENCY DEPARTMENT LEVEL 3 VISIT MODERATE SEVERITY 1,099.00 769.3 527.52 901.1893010 HC PBB EKG INTERP 109.90 76.93 52.752 90.11855876 HC PLACE RADIOTHER DEVICE/MARKER, PROSTATE 2,977.60 2084.32 1429.248 2441.63290935 HC HEMODIALYSIS PROCEDURE EA ADDITIONAL HR 2,119.00 1483.3 1017.12 1737.5881450 HC TARGETED GENOMIC SEQ ANAL 3,980.40 2786.28 1910.592 3263.92871250 HC CT SCAN,THORAX,W/O CONTRAST - CT CHEST WO CONTRAST 3,321.00 2324.7 1594.08 2723.220274T HC PBB PRO MILD CERVICAL 2,431.50 1702.05 1167.12 1993.83

HC LEVEL III PAIN MANAGEMENT 3,994.10 2795.87 1917.168 3275.16272129 HC CT SCAN DORSAL SP CONTRAST - CT THORACIC SPINE W CONTRAST 4,715.30 3300.71 2263.344 3866.54636620 HC INSERT CATH,ART,PERCUT,SHORTTERM 360.60 252.42 173.088 295.69236620 HC ARTERIAL SAMPLING/MONITOR 360.60 252.42 173.088 295.69284132 HC ASSAY OF SERUM POTASSIUM - POTASSIUM 120.20 84.14 57.696 98.56436573 HC PICC W/O PORT/PUMP RS&I 5 YR/> 4,838.90 3387.23 2322.672 3967.898

HC NURSERY 2 ROOM DAILY ISO 3,468.60 2428.02 1664.928 2844.25262290 HC PBB PRO DISCOGRAM 1,133.30 793.31 543.984 929.30662291 HC PBB PRO INJ PROC FOR DISCOGRAPHY E 1,133.30 793.31 543.984 929.30662350 HC PPB PRO IMPLANT EPI 2,266.60 1586.62 1087.968 1858.61263661 HC PBB PRO STIMULATOR REVISION AND REMOVAL 2,266.60 1586.62 1087.968 1858.61282670 HC ASSAY OF ESTRADIOL - ESTRADIOL 381.20 266.84 182.976 312.584C8922 HC ECHO CONG TRNTHOR LMTD W/CONT 3,942.50 2759.75 1892.4 3232.8578195 HC LYMPHATICS & LYMPH GLANDS IMAGING - NM LYMPHOSCINTIGRAM 2,929.40 2050.58 1406.112 2402.10878195 HC LYMPHATICS & LYMPH GLANDS IMAGING - NM LYMPH NODE MELANOMA 2,929.40 2050.58 1406.112 2402.10873221 HC MRI, JOINT UPPER EXTREM - MR BRACHIAL PLEXUS WO IV CONTRAST 5,951.50 4166.05 2856.72 4880.2373221 HC MRI, JOINT UPPER EXTREM - MR WRIST LEFT WO IV CONTRAST 5,951.50 4166.05 2856.72 4880.2373221 HC MRI, JOINT UPPER EXTREM - MR WRIST RIGHT WO IV CONTRAST 5,951.50 4166.05 2856.72 4880.2373221 HC MRI, JOINT UPPER EXTREM - MR ELBOW RIGHT WO IV CONTRAST 5,951.50 4166.05 2856.72 4880.2373221 HC MRI, JOINT UPPER EXTREM - MR SHOULDER LEFT WO IV CONTRAST 5,951.50 4166.05 2856.72 4880.23

73221 HC MRI, JOINT UPPER EXTREM - MR SHOULDER RIGHT WO IV CONTRAST 5,951.50 4166.05 2856.72 4880.2373221 HC MRI, JOINT UPPER EXTREM - MR ELBOW LEFT WO IV CONTRAST 5,951.50 4166.05 2856.72 4880.2315002 HC WOUND PREP, PED, TRK/ARM/LG 1ST 100 CM 2,991.20 2093.84 1435.776 2452.78485300 HC ANTITHROMBIN PANEL-ENZYMATIC (ACTIVITY) 261.00 182.7 125.28 214.0276882 HC US LMTD JT/NONVASC XTR STRUX - US KNEE RIGHT LIMITED 913.50 639.45 438.48 749.0776882 HC US LMTD JT/NONVASC XTR STRUX - US WRIST LEFT LIMITED 913.50 639.45 438.48 749.0776882 HC US LMTD JT/NONVASC XTR STRUX - US WRIST RIGHT LIMITED 913.50 639.45 438.48 749.0776882 HC US LMTD JT/NONVASC XTR STRUX - US KNEE LEFT LIMITED 913.50 639.45 438.48 749.0776937 HC US GUIDE, VASCULAR ACCESS - US GUIDANCE INSERT IV 913.50 639.45 438.48 749.0764999 HC PBB PRO NERVOUS SYSTEM SURGERY 5,230.30 3661.21 2510.544 4288.84677290 HC SIMULATION-COMPLEX 3,585.30 2509.71 1720.944 2939.94672141 HC MRI, CERV SPINE - MRI CERVICAL SPINE WO CONTRAST 5,948.00 4163.6 2855.04 4877.3681170 HC BCR-ABL1 MUTATION ANALYSIS 1,799.50 1259.65 863.76 1475.5971271 HC CT THORAX LUNG CANCER SCR C- WO CONTRAST 3,097.60 2168.32 1486.848 2540.03293227 HC PBB INTERP HOLTER MONITOR TO 48HRS 995.90 697.13 478.032 816.63893244 HC PBB EXT ECG>48HR<7D INTERP 995.90 697.13 478.032 816.63895816 HC EEG,W/AWAKE & DROWSY RECORD - EEG AWAKE OR DROWSY PORTABLE 1,730.80 1211.56 830.784 1419.25695819 HC ADULT EEG AWAKE AND ASLEEP 1,730.80 1211.56 830.784 1419.256

HC BRONCHOSCOPY 3,039.20 2127.44 1458.816 2492.14420220 HC BONE BIOPSY,TROCAR/NEEDLE SUPERF 4,347.60 3043.32 2086.848 3565.03295713 HC EEG W/VIDEO, 2-12 HOURS 4,117.50 2882.25 1976.4 3376.3599204 HC PBB LEVEL 4 NEW PAT MODERATE/HIGH 745.20 521.64 357.696 611.06478018 HC THYROID MET IMAGING BODY - NM THYROID WHOLE BODY TUMOR 2,709.50 1896.65 1300.56 2221.7954150 HC CIRCUMCISION 4,381.90 3067.33 2103.312 3593.158

1996 HC PBB DAILY HOSP MANAGEMENT EPIDURAL 302.20 211.54 145.056 247.80483520 HC THYROID STIMULATING (TRAB) 151.10 105.77 72.528 123.90284445 HC ASSAY OF THYROID STIM IMMUNOGLOBULINS (TSI) - THYROID STIMULATING IM 302.20 211.54 145.056 247.80499100 HC PBB PATIENT EXTREME AGE <1 OR >70 (963) 302.20 211.54 145.056 247.80499100 HC PBB PATIENT EXTREME AGE <1 OR >70 LOWER ABDOM 302.20 211.54 145.056 247.80499100 HC PBB PATIENT EXTREME AGE <1 OR >70 (964) 302.20 211.54 145.056 247.80499140 HC PBB EMERGENT PROC/THREAT TO LIFE 302.20 211.54 145.056 247.80499140 HC PBB EMERGENT PROC/THREAT TO LIFE 302.20 211.54 145.056 247.804

HC PBB BASE UNITS (963) 302.20 211.54 145.056 247.804HC PBB ASA MODIFIER (963) 302.20 211.54 145.056 247.804HC PBB ASA MODIFIER (964) 302.20 211.54 145.056 247.804HC PBB BASE UNITS (964) 302.20 211.54 145.056 247.804

C8925 HC TRANSOPHAGEAL ECHO TEE W/CONT 4,715.00 3300.5 2263.2 3866.371120 HC X-RAY STERNUM 2+ VW - XR STERNUM 2+ VIEWS 776.10 543.27 372.528 636.402

HC ICU ROOM DAILY ISO 6,572.80 4600.96 3154.944 5389.69672194 HC CT SCAN OF PELVIS COMBO - CT PELVIS W WO CONTRAST 5,133.90 3593.73 2464.272 4209.79876497 HC UNLISTED CT PROCEDURE - CT INTERPRETATION OF OUTSIDE FILMS 978.70 685.09 469.776 802.53419083 HC BX BREAST W DEVICE 1ST LESION ULTRASOUND GUIDE 6,308.30 4415.81 3027.984 5172.806P9035 HC PTL PHER L/R PRODUCT FEE 4,069.30 2848.51 1953.264 3336.82678290 HC BOWEL IMAGING - NM MECKELS DIVERTICULUM 1,878.40 1314.88 901.632 1540.28872285 HC X-RAY,C/T,DISK,SUPERV/INTERPRET - FL CERVICAL SPINE DISCOGRAM 5,817.20 4072.04 2792.256 4770.10436593 HC DECLOT BY THROMBOLYTIC AGENT IMPLANT DEVICE/CATH 1,061.10 742.77 509.328 870.10272132 HC CT SCAN LUMBAR SP CONTRAST - CT LUMBAR SPINE W CONTRAST 4,780.10 3346.07 2294.448 3919.68272128 HC CT SCAN,THORACIC SPINE,W/O CONTRAST - CT THORACIC SPINE WO CONTRAST 3,931.90 2752.33 1887.312 3224.15847000 HC NEEDLE BIOPSY LIVER 3,952.50 2766.75 1897.2 3241.0593246 HC EXT ECG>7D<15D RECORDING 3,952.50 2766.75 1897.2 3241.0593247 HC EXT ECG>7D<15D SCAN ANALYSIS W/REPORT 3,952.50 2766.75 1897.2 3241.0511042 HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,=<20 SQ CM 1,263.70 884.59 606.576 1036.23411045 HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,EACH ADD 20 SQ CM 1,263.70 884.59 606.576 1036.23497605 HC NEGATIVE PRESSURE WOUND THERAPY DME </= 50 SQ CM 1,263.70 884.59 606.576 1036.23497607 HC NEG PRESSURE WOUND THERAPY NON DME </= 50 SQ CM 1,263.70 884.59 606.576 1036.23493225 HC EXT ECG RECORD CONTIN 48 HR, RECORD - HOLTER MONITOR - 24 HOUR 2,012.30 1408.61 965.904 1650.08693225 HC EXT ECG RECORD CONTIN 48 HR, RECORD - HOLTER MONITOR - 48 HOUR 2,012.30 1408.61 965.904 1650.08674181 HC MRI, ABDOMEN (MRI) - MRI ABDOMEN WO CONTRAST MRCP 5,308.90 3716.23 2548.272 4353.29874181 HC MRI, ABDOMEN (MRI) - MRI ABDOMEN WO CONTRAST 5,308.90 3716.23 2548.272 4353.29819281 HC PERQ DEVICE PLACEMT BREAST LOC 1ST LES W GUIDNCE 5,350.10 3745.07 2568.048 4387.08219283 HC PERQ BREAST LOC DEVICE PLACEMT 1ST STRTCTC GUID 5,350.10 3745.07 2568.048 4387.08219285 HC PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO US IMAG 5,350.10 3745.07 2568.048 4387.08274230 HC CINE/VID X-RAY THROAT/ESOPH - FL ESOPH BARIUM SWLW W/ VIDEO & SPEECH 1,143.50 800.45 548.88 937.6773220 HC MRI UPPER EXT-NO JNT W/O-W/CNT 7,650.80 5355.56 3672.384 6273.65673220 HC MRI UPPER EXTREMITY COMBO - MR HAND RIGHT W AND WO IV CONTRAST 7,650.80 5355.56 3672.384 6273.65673220 HC MRI UPPER EXTREMITY COMBO - MR HAND LEFT W AND WO IV CONTRAST 7,650.80 5355.56 3672.384 6273.65673220 HC MRI UPPER EXTREMITY COMBO - MR HUMERUS LEFT W AND WO IV CONTRAST 7,650.80 5355.56 3672.384 6273.65673220 HC MRI UPPER EXTREMITY COMBO - MR FOREARM LEFT W AND WO IV CONTRAST 7,650.80 5355.56 3672.384 6273.65673220 HC MRI UPPER EXTREMITY COMBO - MR HUMERUS RIGHT W AND WO IV CONTRAST 7,650.80 5355.56 3672.384 6273.65673220 HC MRI UPPER EXTREMITY COMBO - MR FOREARM RIGHT W AND WO IV CONTRAST 7,650.80 5355.56 3672.384 6273.65680235 HC CHG DRUG ASSAY LACOSAMIDE 192.30 134.61 92.304 157.68677771 HC HDR RDNCL NTRSTL/ICAV BRCHTX 2-12 CHANNELS 8,756.50 6129.55 4203.12 7180.33

73206 HC CT ANGIO,UPPER EXTREM,COMBO - CT UPPER EXT LT ANGIO W AND WO IV CONT 3,725.80 2608.06 1788.384 3055.15673206 HC CT ANGIO,UPPER EXTREM,COMBO - CT UPPER EXT RT ANGIO W AND WO IV CONT 3,725.80 2608.06 1788.384 3055.15674150 HC CT ABDOMEN W/O DYE - CT ABDOMEN WO CONTRAST 3,341.20 2338.84 1603.776 2739.78481404 HC MOLECULAR PATH L5 4,151.60 2906.12 1992.768 3404.31276872 HC ECHO,TRANSRECTAL - US TRANSRECTAL 1,802.80 1261.96 865.344 1478.29655874 HC TRANSPERINEAL PLMT BIODEGRADABLE MATRL 1/MLT NJX 9,065.50 6345.85 4351.44 7433.7197597 HC DEBRIDEMENT OPEN WOUND 20 SQ CM< 607.80 425.46 291.744 498.39694729 HC PBB INTERP CO/MEMBRANE DIFFUSE CA 202.60 141.82 97.248 166.13219282 HC PERQ DEVICE PLACEMT BREAST LOC EA LES W GUIDNCE 4,012.50 2808.75 1926 3290.2529131 HC APPL FINGER SPLINT DYNAMIC 415.50 290.85 199.44 340.71

HC MINOR 1 PLANNED 0-30 MIN 3,214.10 2249.87 1542.768 2635.56296415 HC CHEMOTHER, IV INFUSION, EA ADD HR 436.10 305.27 209.328 357.60290945 HC DIALYSIS OTHER/THAN HEMODIALYSIS 1 PHYS/QHP EVAL - MISCELLANEOUS DIALYSIS 8,742.60 6119.82 4196.448 7168.93277001 HC FLUOROGUIDE FOR VEIN DEVICE - FL GUIDED VENOUS ACCESS 1,552.10 1086.47 745.008 1272.72250435 HC EXCHANGE NEPHROSTOMY CATHETER PRQ W/IMG GID RS&I 4,007.30 2805.11 1923.504 3285.98691110 HC GI TRACT CAPSULE ENDOSCOPY - SMALL BOWEL ENTERROSCOPY 4,048.50 2833.95 1943.28 3319.7771110 HC X-RAY RIBS 3 VW BILAT - XR RIBS 3 VIEWS BILATERAL 1,380.40 966.28 662.592 1131.92893312 HC PBB ECHO/TRANSEOPHAGEAL INTR 1,613.90 1129.73 774.672 1323.39849465 HC CONTRAST INJECTION PERCUTANEOUOS RADIOLOGIC EVAL GI TUBE 700.50 490.35 336.24 574.4170498 HC CT ANGIO,NECK COMBO - CT NECK ANGIO W AND WO IV CONTRAST 4,934.40 3454.08 2368.512 4046.20870498 HC CT ANGIO,NECK COMBO - CT HEAD NECK ANGIO W AND WO IV CONTRAST 4,934.40 3454.08 2368.512 4046.208

HC PHS I LEVEL III 0-30 MIN 2,132.40 1492.68 1023.552 1748.568HC PHS I LEVEL II 90 TO 119 MIN 2,132.40 1492.68 1023.552 1748.568

45380 HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE - COLONOSCOPY 3,584.90 2509.43 1720.752 2939.618HC COLONOSCOPY 3,584.90 2509.43 1720.752 2939.618

78451 HC HT MUSCLE IMAGE SPECT SING - STRESS TEST EXERCISE W MYOCARD PERF 5,260.60 3682.42 2525.088 4313.69278451 HC HT MUSCLE IMAGE SPECT SING - STRESS TEST DOBUTAMINE W MYOCARD PERF 5,260.60 3682.42 2525.088 4313.69278451 HC HT MUSCLE IMAGE SPECT SING - NM HEART PERFUSION SPECT REST 5,260.60 3682.42 2525.088 4313.69293571 HC CATH HEART FLOW RESERV MEASURE,INIT VESSL 4,549.80 3184.86 2183.904 3730.83670492 HC CT NECK TISSUE COMBO - CT SOFT TISSUE NECK W WO CONTRAST 4,683.70 3278.59 2248.176 3840.63449411 HC PLACE INTERSTITIAL DEVICE 2,987.40 2091.18 1433.952 2449.66872157 HC MRI, DORSAL SPINE COMBO - MRI THORACIC SPINE W WO CONTRAST 8,515.80 5961.06 4087.584 6982.95672192 HC CT SCAN,PELVIS,W/O CONTRAST - CT PELVIS WO CONTRAST 3,516.20 2461.34 1687.776 2883.28459412 HC EXTERNAL VERSION 3,770.30 2639.21 1809.744 3091.64673706 HC CT ANGIO LWR EXTR W/O&W/DYE - CT LOWER EXT RT ANGIO W AND WO IV CONT 5,803.10 4062.17 2785.488 4758.54273706 HC CT ANGIO LWR EXTR W/O&W/DYE - CT LOWER EXT LT ANGIO W AND WO IV CONT 5,803.10 4062.17 2785.488 4758.542C8926 HC ECHO CONG TEE W/CONT 2,826.00 1978.2 1356.48 2317.32

HC CESAREAN SECTION 11,111.70 7778.19 5333.616 9111.59478264 HC GASTRIC EMPTYING IMAGING STUDY - NM GASTRIC EMPTYING SOLID 2,867.20 2007.04 1376.256 2351.10482945 HC ASSAY GLUCOSE, BODY FLUID - GLUCOSE CSF 264.40 185.08 126.912 216.80885540 HC WBC ALKALINE PHOSPHATASE - LEUKOCYTE ALKALINE PHOSPHATASE 264.40 185.08 126.912 216.80871260 HC CAT SCAN OF CHEST CONTRAST - CT CHEST W CONTRAST 4,494.80 3146.36 2157.504 3685.73671260 HC CAT SCAN OF CHEST CONTRAST - CT CHEST PULMONARY EMBOLISM W IV CONT 4,494.80 3146.36 2157.504 3685.736

HC MAJOR 3 URGENT 0-30 MIN 11,928.90 8350.23 5725.872 9781.698HC MAJOR 3 EMERGENCY 0-30 MIN 11,928.90 8350.23 5725.872 9781.698

72158 HC MRI, LUMBAR SPINE COMBO - MRI LUMBAR SPINE W WO CONTRAST 8,045.30 5631.71 3861.744 6597.146HC CARD TIME - INITIAL BASE CHARGE 10,761.40 7532.98 5165.472 8824.348HC CATH TIME - INITIAL BASE CHARGE 10,761.40 7532.98 5165.472 8824.348HC DIAG CATH LAB SECONDARY PROC 10,761.40 7532.98 5165.472 8824.348

74176 HC CT ABD & PELVIS W/O CONTRAST - CT ABDOMEN PELVIS WO CONTRAST 6,857.20 4800.04 3291.456 5622.90436584 HC REPLACE PICC W/O PORT OR PUMP 1,720.30 1204.21 825.744 1410.64675635 HC CT ANGIO ABDOMINAL ARTERIES - CT ANGIO AORTA & BILAT ILIOFEMORAL RUN 6,627.10 4638.97 3181.008 5434.22271101 HC X-RAY RIBS, CHEST 3+ VW - XR RIBS 2 VWS RT W/ CHEST ANTEROPOSTERIOR 1,201.80 841.26 576.864 985.47671101 HC X-RAY RIBS, CHEST 3+ VW - XR RIBS 2 VWS LT W/ CHEST ANTEROPOSTERIOR 1,201.80 841.26 576.864 985.47631500 HC INSERT EMERGENCY ENDOTRACH AIRWAY 1,528.00 1069.6 733.44 1252.9674174 HC CT ANGIO ABD&PELV W/O&W/DYE - CT ANGIOGRAM ABDOMEN PELVIS W CONTRAST 8,955.10 6268.57 4298.448 7343.18274177 HC CT ABD & PELV W/CONTRAST - CT ABDOMEN PELVIS W CONTRAST 8,955.10 6268.57 4298.448 7343.182G0378 HC OBSERVATION HOURLY W/TELEMETRY 1,548.60 1084.02 743.328 1269.85290935 HC HEMODIALYSIS PROCEDURE W/ PHYS/QHP EVALUATION 3,474.90 2432.43 1667.952 2849.41890945 HC DIALYSIS OTHER/THAN HEMODIALYSIS 1 PHYS/QHP EVAL - PERITONEAL DIALYSIS 3,474.90 2432.43 1667.952 2849.418G0257 HC UNSCHED DIALYSIS ESRD PT HOS 3,474.90 2432.43 1667.952 2849.41878071 HC PARATHYROID PLANAR IMAGING W/WO SUBTRACTION - NM PARATHYROID SPECT 2,547.80 1783.46 1222.944 2089.19678803 HC TUMOR IMAGING (3D) - NM TUMOR LOCALIZATION SPECT 3,200.20 2240.14 1536.096 2624.16477046 HC MRI BREAST LEFT W/O IV CONTRAST 4,810.60 3367.42 2309.088 3944.69277046 HC MRI BREAST RIGHT W/O IV CONTRAST 4,810.60 3367.42 2309.088 3944.69277047 HC MRI BREAST BILAT W/O CONT 4,810.60 3367.42 2309.088 3944.69277048 HC MRI BREAST RIGHT W/CAD W&W/O CONTRAST 4,810.60 3367.42 2309.088 3944.69277048 HC MRI BREAST LEFT W/CAD W&W/O CONTRAST 4,810.60 3367.42 2309.088 3944.69277049 HC MRI BREAST W/CAD BIL W&WO CON 4,810.60 3367.42 2309.088 3944.69288365 HC ISH INITIAL AB PER SPEC 999.20 699.44 479.616 819.34436569 HC INSERT PICC W/O SUB-Q PORT 3,674.00 2571.8 1763.52 3012.68

HC PICC W/O PORT/PUMP > 5 YRS 3,674.00 2571.8 1763.52 3012.68

73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT HIP LEFT WO IV CONTRAST 3,327.20 2329.04 1597.056 2728.30473700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT FOOT LEFT WO IV CONTRAST 3,327.20 2329.04 1597.056 2728.30473700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT TIBIA FIBULA RT WO IV CONT 3,327.20 2329.04 1597.056 2728.30473700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT HIP RIGHT WO IV CONTRAST 3,327.20 2329.04 1597.056 2728.30473700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT ANKLE LEFT WO IV CONTRAST 3,327.20 2329.04 1597.056 2728.30473700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT FOOT RIGHT WO IV CONTRAST 3,327.20 2329.04 1597.056 2728.30473700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT KNEE LEFT WO IV CONTRAST 3,327.20 2329.04 1597.056 2728.30473700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT KNEE RIGHT WO IV CONTRAST 3,327.20 2329.04 1597.056 2728.30473700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT ANKLE RIGHT WO IV CONTRAST 3,327.20 2329.04 1597.056 2728.30473700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT FEMUR LEFT WO IV CONTRAST 3,327.20 2329.04 1597.056 2728.30473700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT FEMUR RIGHT WO IV CONTRAST 3,327.20 2329.04 1597.056 2728.30473700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT TIBIA FIBULA LT WO IV CONT 3,327.20 2329.04 1597.056 2728.30493226 HC ECG MONIT/REPRT UP TO 48 HRS - HOLTER MONITOR - 48 HOUR 2,225.00 1557.5 1068 1824.593226 HC ECG MONIT/REPRT UP TO 48 HRS - HOLTER MONITOR - 24 HOUR 2,225.00 1557.5 1068 1824.573219 HC MRI, UPPER EXTREMITY W/CONTRAST - MR RADIUS ULNA LEFT W IV CONTRAST 5,696.40 3987.48 2734.272 4671.04873219 HC MRI, UPPER EXTREMITY W/CONTRAST - MR RADIUS ULNA RIGHT W IV CONTRAST 5,696.40 3987.48 2734.272 4671.04873219 HC MRI UPPER EXT-NO JOINT W/CNTRS 5,696.40 3987.48 2734.272 4671.04872198 HC MR ANGIO PELVIS(MRA) - MR PELVIS ANGIO WO IV CONTRAST 4,563.30 3194.31 2190.384 3741.90672198 HC MR ANGIO PELVIS(MRA) - MR PELVIS ANGIO W IV CONTRAST 4,563.30 3194.31 2190.384 3741.90685415 HC FIBRINOLYTIC PLASMINOGEN,ACTIVTR - PLASMINOGEN ACTIVATOR INHIBITOR 398.30 278.81 191.184 326.60693798 HC OUTPATIENT CARDIAC REHAB W/CONT ECG MONITORING 408.60 286.02 196.128 335.05232555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING 3,687.70 2581.39 1770.096 3023.91462305 HC MYELOGRAPHY VIA LUMBAR INJECTION RS&I 2+ REGIONS 18,950.10 13265.07 9096.048 15539.08278709 HC K FLOW/FUNCT IMAGE MULTIPLE - NM KIDNEY FLOW/FUNC W/WO PHARMACOL INT 3,310.00 2317 1588.8 2714.295811 HC ATTEN SLEEP STUDY W/CPAP - COX 9,195.20 6436.64 4413.696 7540.06495810 HC ATTEN SLEEP STUDY - COX 8,010.60 5607.42 3845.088 6568.69249406 HC IMG-GUIDE FLUID COLLXN DRAINAG CATH PERITON PERQ 5,905.80 4134.06 2834.784 4842.75699202 HC PBB LEVEL 2 NEW PAT LOW/MODERATE 429.20 300.44 206.016 351.94499212 HC LEVEL 2 EST PAT LOW/MODERATE 429.20 300.44 206.016 351.944

HC MAJOR 2 PLANNED 0-30 MIN 10,022.60 7015.82 4810.848 8218.532HC PROC/SPINALCORD NEUROSTM TRIAL 15,643.30 10950.31 7508.784 12827.506

93017 HC CARDIAC STRESS TST,TRACING - EXERCISE W MYOCARDIAL PERFUSION MULT 1,668.70 1168.09 800.976 1368.33493017 HC CARDIAC STRESS TST,TRACING - STRESS TEST ONLY, EXERCISE 1,668.70 1168.09 800.976 1368.33493017 HC CARDIAC STRESS TST,TRACING - STRESS TEST ONLY, DOBUTAMINE 1,668.70 1168.09 800.976 1368.33493017 HC CARDIAC STRESS TST,TRACING - DOBUTAMINE W MYOCARD PERFUSION SING 1,668.70 1168.09 800.976 1368.33493017 HC CARDIAC STRESS TST,TRACING - REGADENOSON W MYOCARDIAL PERFUSION MULT 1,668.70 1168.09 800.976 1368.33470543 HC MRI, FACE, NECK, COMBO - MRI NECK SOFT TISSUE ONLY W WO CONTRAST 6,952.90 4867.03 3337.392 5701.37870543 HC MRI, FACE, NECK, COMBO - MR ORBIT FACE NECK W AND WO IV CONTRAST 6,952.90 4867.03 3337.392 5701.37819081 HC BX BREAST W DEVICE 1ST LESION STEREOTACTIC GUIDE 4,731.40 3311.98 2271.072 3879.74819082 HC BX BREAST W DEVICE ADDL LESION STEREOTACT GUIDE 4,731.40 3311.98 2271.072 3879.74819084 HC BX BREAST W DEVICE ADDL LESION ULTRASOUND GUIDE 4,731.40 3311.98 2271.072 3879.74899213 HC EST PATIENT W/PROC 20-29 MIN 594.00 415.8 285.12 487.08

HC MAJOR 2 URGENT 0-30 MIN 10,839.60 7587.72 5203.008 8888.472HC MAJOR 2 EMERGENCY 0-30 MIN 10,839.60 7587.72 5203.008 8888.472

94726 HC PULM FUNCT TST PLETHYSMOGRAP - PLETHYSMOGRAPHY 645.50 451.85 309.84 529.3199292 HC PBB CRITICAL CARE ADDN'L 30 MIN 666.10 466.27 319.728 546.20278610 HC BRAIN FLOW IMAGING ONLY - NM CEREBRAL FLOW 1,342.50 939.75 644.4 1100.85

HC PHS I LEVEL II 0-30 MIN 1,435.20 1004.64 688.896 1176.86471111 HC X-RAY RIBS, CHEST 4+ VW - XR RIBS 3 VWS BIL W/ CHEST POSTEROANTERIOR 1,517.60 1062.32 728.448 1244.43272114 HC X-RAY LUMBAR SPINE 6+ VW - XR LUMBAR SPINE 6+ VWS INCLUDING BENDING 1,517.60 1062.32 728.448 1244.43299204 HC NEW PATIENT 50-64 MIN 769.10 538.37 369.168 630.66299215 HC EST PATIENT W/PROC 40-54 MIN 769.10 538.37 369.168 630.662

HC PHS II RECOV 2-3 HRS TOTAL 779.40 545.58 374.112 639.10877295 HC HC 3-D TREATMENT PLANNING 9,191.40 6433.98 4411.872 7536.948C8929 HC 2-D ECHO/M-MODE COMP W/CONT 5,088.40 3561.88 2442.432 4172.48877301 HC IMRT TX PLAN 8,566.50 5996.55 4111.92 7024.5364633 HC PPB PRO RF CERVICAL THORACIC 995.70 696.99 477.936 816.47464633 HC PPB PRO RF CERVICAL THORACIC 995.70 696.99 477.936 816.47464635 HC PPB PRO RF LUMBAR 995.70 696.99 477.936 816.47495813 HC PBB INTERP EEG EXT MONITOR > 1 HR 995.70 696.99 477.936 816.47487799 HC DETECT AGENT NOS, DNA, QUANT - BK VIRUS, DNA, QUANTITATIVE 2,022.30 1415.61 970.704 1658.28672240 HC MYELOGRAPHY CERV SPINE - FL CERVICAL SPINE MYELOGRAM 3,110.70 2177.49 1493.136 2550.77472265 HC MYELOGRAPHY LUMBAR SPINE - FL LUMBAR SPINE MYELOGRAM 3,110.70 2177.49 1493.136 2550.77447490 HC CHOLECYSTOSTOMY,PERCUTANEOUS, COMPLETE 10,688.30 7481.81 5130.384 8764.40692960 HC CARDIOVERSION ELECTRIC EXT - CARDIOVERSION EXTERNAL ED 2,454.90 1718.43 1178.352 2013.018

HC IR TIME - INITIAL BASE CHARGE 21,355.90 14949.13 10250.832 17511.83885097 HC BONE MARROW,SMEAR INTERPRETATION - REF LAB 1,345.90 942.13 646.032 1103.63872126 HC CT SCAN CERV SPINE CONTRAST - CT CERVICAL SPINE W CONTRAST 4,192.20 2934.54 2012.256 3437.604

HC SEMI-PRIVATE ROOM CHARGE DAILY PHS MAIN ICU 5,775.00 4042.5 2772 4735.5HC ICU ROOM DAILY 5,775.00 4042.5 2772 4735.5

78815 HC PET IMAGE W/CT SKULL-THIGH - PT/CT BONE SKULL BASE TO MID THIGH 7,553.50 5287.45 3625.68 6193.8772191 HC CT ANGIO, PELVIS, COMBO, INCL IMG - CT PELVIS ANGIO W AND WO IV CONT 5,428.20 3799.74 2605.536 4451.124

73720 HC MRI LWR EXTREMITY W/O&W/DYE - MR FEMUR LT W AND WO IV CONT 7,495.10 5246.57 3597.648 6145.98273720 HC MRI LWR EXTREMITY W/O&W/DYE - MR TIBIA FIBULA LT W AND WO IV CONT 7,495.10 5246.57 3597.648 6145.98273720 HC MRI LWR EXTREMITY W/O&W/DYE - MR TIBIA FIBULA RT W AND WO IV CONT 7,495.10 5246.57 3597.648 6145.98273720 HC MRI LWR EXTREMITY W/O&W/DYE - MRI ANKLE LT W WO CONT 7,495.10 5246.57 3597.648 6145.98273720 HC MRI LWR EXTREMITY W/O&W/DYE - MR FEMUR RT W AND WO IV CONT 7,495.10 5246.57 3597.648 6145.98273720 HC MRI LWR EXTREMITY W/O&W/DYE - MR FOOT LT W AND WO IV CONT 7,495.10 5246.57 3597.648 6145.98273720 HC MRI LWR EXTREMITY W/O&W/DYE - MR FOOT RT W AND WO IV CONT 7,495.10 5246.57 3597.648 6145.98273723 HC MRI, JOINT OF LEG. COMBO - MR HIP LEFT W AND WO IV CONTRAST 7,495.10 5246.57 3597.648 6145.98273723 HC MRI, JOINT OF LEG. COMBO - MR KNEE LEFT W AND WO IV CONTRAST 7,495.10 5246.57 3597.648 6145.98273723 HC MRI, JOINT OF LEG. COMBO - MR HIP RIGHT W AND WO IV CONTRAST 7,495.10 5246.57 3597.648 6145.98273723 HC MRI, JOINT OF LEG. COMBO - MR KNEE RIGHT W AND WO IV CONTRAST 7,495.10 5246.57 3597.648 6145.98288185 HC FLOW CYTO ADD'L MARK-BIOREFERENCE 2,118.40 1482.88 1016.832 1737.088

HC HALO ABLATION 8,013.50 5609.45 3846.48 6571.0770551 HC MRI BRAIN - MR PITUITARY WO IV CONTRAST 5,798.90 4059.23 2783.472 4755.09870551 HC MRI BRAIN - MRI BRAIN WO CONTRAST 5,798.90 4059.23 2783.472 4755.09891110 HC ENDO AGILE PATENCY CAPSULE PROCEDURE 1,668.60 1168.02 800.928 1368.25299202 HC NEW PATIENT W/PROC 20-34 MIN 442.90 310.03 212.592 363.17899212 HC EST PATIENT W/PROC 10-19 MIN 442.90 310.03 212.592 363.17832557 HC PERQ DRAINAGE PLEURA INSERT CATH W/IMAGING 1,606.80 1124.76 771.264 1317.57673201 HC CT SCAN OF ELBOW WITH CONTRAST, RIGHT ARTHROGRAM 3,368.10 2357.67 1616.688 2761.84273201 HC CT SCAN OF ARM CONTRAST - CT HAND LEFT W IV CONTRAST 3,368.10 2357.67 1616.688 2761.84273201 HC CT WRIST WITH CONTRAST, LEFT ARTHROGRAM 3,368.10 2357.67 1616.688 2761.84273201 HC CT SCAN OF WRIST WITH CONTRAST, RIGHT ARTHROGRAM 3,368.10 2357.67 1616.688 2761.84273201 HC CT SCAN OF ARM CONTRAST - CT SHLDR ARTHRO LT W FL GUIDED INJECT CHG 3,368.10 2357.67 1616.688 2761.84273201 HC CT SCAN OF ARM CONTRAST - CT ELBOW LEFT W IV CONTRAST 3,368.10 2357.67 1616.688 2761.84273201 HC CT SCAN OF ARM CONTRAST - CT UPPER EXTREMITY RIGHT W IV CONTRAST 3,368.10 2357.67 1616.688 2761.84273201 HC CT SCAN OF ARM CONTRAST - CT WRIST RIGHT W IV CONTRAST 3,368.10 2357.67 1616.688 2761.84273201 HC CT SCAN OF ARM CONTRAST - CT SHLDR ARTHRO RT W FL GUIDED INJECT CHG 3,368.10 2357.67 1616.688 2761.84273201 HC CT SCAN OF ARM CONTRAST - CT HAND RIGHT W IV CONTRAST 3,368.10 2357.67 1616.688 2761.84273201 HC CT SCAN OF ARM CONTRAST - CT UPPER EXTREMITY LEFT W IV CONTRAST 3,368.10 2357.67 1616.688 2761.84273201 HC CT SCAN OF ARM CONTRAST - CT SHOULDER ARTHROGRAM RT W FL GUIDED INJ 3,368.10 2357.67 1616.688 2761.84273201 HC CT SCAN OF ARM CONTRAST - CT SHOULDER ARTHROGRAM LT W FL GUIDED INJ 3,368.10 2357.67 1616.688 2761.84273201 HC CT SCAN OF ARM CONTRAST - CT WRIST LEFT W IV CONTRAST 3,368.10 2357.67 1616.688 2761.84273201 HC CT SCAN OF ARM CONTRAST - CT SHOULDER RIGHT W IV CONTRAST 3,368.10 2357.67 1616.688 2761.84273201 HC CT SCAN OF ARM CONTRAST - CT SHOULDER LEFT W IV CONTRAST 3,368.10 2357.67 1616.688 2761.84273201 HC CT SCAN OF ARM CONTRAST - CT RADIUS ULNA LEFT W IV CONTRAST 3,368.10 2357.67 1616.688 2761.84273201 HC CT SCAN OF ARM CONTRAST - CT ELBOW RIGHT W IV CONTRAST 3,368.10 2357.67 1616.688 2761.84273201 HC CT SCAN OF ARM CONTRAST - CT RADIUS ULNA RIGHT W IV CONTRAST 3,368.10 2357.67 1616.688 2761.84282668 HC ASSAY OF ERYTHROPOIETIN - ERYTHROPOIETIN 401.70 281.19 192.816 329.394

HC PVP LASER 14,399.40 10079.58 6911.712 11807.50880307 HC DOA PANEL MECONIUM 2,018.80 1413.16 969.024 1655.41620982 HC PBB PRO ABLATE BONE TUMOR(S) PERQ 927.00 648.9 444.96 760.1432556 HC PERQ DRAINAGE PLEURA INSERT CATH W/O IMAGING 3,347.50 2343.25 1606.8 2744.9532557 HC CHEST TUBE PLACE UNDER FLUORO 1,545.00 1081.5 741.6 1266.976498 HC UNLISTED MRI PROCEDURE 1,545.00 1081.5 741.6 1266.981269 HC ALPHA GLOBIN HBA 1/2 DEL/DUP 927.00 648.9 444.96 760.1481338 HC MPL GENE COMMON VARIANTS 463.50 324.45 222.48 380.0781408 HC MOPATH PROCEDURE LEVEL 9 4,120.00 2884 1977.6 3378.482384 HC ASSAY, THREE CATECHOLAMINES - CATECHOLAMINE 24 HR URINE 463.50 324.45 222.48 380.0783519 HC MUSK ANTIBODY 721.00 504.7 346.08 591.2290945 HC DIALYSIS OTHER/THAN HEMODIALYSIS - CRRT 8,755.00 6128.5 4202.4 7179.194668 HC RT CHEST WALL MANIPULATION,SUBSEQUENT 154.50 108.15 74.16 126.6938222 HC DIAGNOSTIC BONE MARROW BIOPSIES & ASPIRATIONS 7,323.30 5126.31 3515.184 6005.10683519 HC SECRETIN ANTIBODY 422.30 295.61 202.704 346.28687169 HC MACROSCOPIC EXAM, PARASITE - PARASITE IDENTIFICATION 92.70 64.89 44.496 76.01471270 HC CAT SCAN OF CHEST COMBO - CT CHEST W WO CONTRAST 4,696.80 3287.76 2254.464 3851.376

HC PROCEDURE TIME 90 MIN 4,542.30 3179.61 2180.304 3724.68683520 HC IMMUNOASSAY QUANT NOS NONAB - SEND OUT LAB 267.80 187.46 128.544 219.59664624 HC DESTRUCT NEUROLYTIC AGENT DEEP 3,615.30 2530.71 1735.344 2964.54697113 HC PT AQUATIC THERAPY/EXERCISES 216.30 151.41 103.824 177.36681232 HC DPYD GENE COMMON VARIANTS 710.70 497.49 341.136 582.77481513 HC BACTERIAL VAGINOSIS RNA 164.80 115.36 79.104 135.13686711 HC JCV ANTIBODY 41.20 28.84 19.776 33.78457156 HC INSERT VAGINAL RADIATION DEVICE 1,163.90 814.73 558.672 954.39857156 HC INSERT VAG RAD APPARAT 1,163.90 814.73 558.672 954.39887901 HC HIV 1 GENOTYPING 556.20 389.34 266.976 456.08462302 HC MYELOGRAPHY VIA LUMBAR INJECTION RS&I CERVICAL 10,828.70 7580.09 5197.776 8879.53462303 HC MYELOGRAPHY VIA LUMBAR INJECTION RS&I THORACIC 10,828.70 7580.09 5197.776 8879.53462304 HC MYELOGRAPHY VIA LUMBAR INJECT RS&I LUMBOSACRAL 10,828.70 7580.09 5197.776 8879.534

HC ELECTRIC SOUND LITHOTRIPSY 24,802.20 17361.54 11905.056 20337.804HC ELEC SOUND LITHOTRIPSY-INTRA 24,802.20 17361.54 11905.056 20337.804HC MINOR 3 URGENT 0-30 MIN 6,918.10 4842.67 3320.688 5672.842

HC MINOR 3 EMERGENCY 0-30 MIN 6,918.10 4842.67 3320.688 5672.84277293 HC RESPIRATORY MOTION MANAGE SIMU 4,610.90 3227.63 2213.232 3780.93876805 HC OB US >/= 14 WKS SNGL FETUS - US OB 14+ WEEKS SINGLE OR FIRST GEST 2,259.10 1581.37 1084.368 1852.462

HC IC CATH TIME - INITIAL BASE CHARGE 21,519.80 15063.86 10329.504 17646.23672295 HC DISCOGRAPHY LUMBAR SPINE - FL LUMBAR SPINE DISCOGRAM 8,305.10 5813.57 3986.448 6810.18278816 HC PET IMAGING FOR CT ATTENUATION WHOLE BODY - PT/CT BONE WHOLE BODY 7,821.00 5474.7 3754.08 6413.2297163 HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS 1,321.80 925.26 634.464 1083.87697167 HC OT OCCUPATIONAL THERAPY EVAL HIGH COMPLEX 60 MINS 1,321.80 925.26 634.464 1083.876

HC MAJOR 1 URGENT 0-30 MIN 9,750.40 6825.28 4680.192 7995.328HC MAJOR 1 EMERGENCY 0-30 MIN 9,750.40 6825.28 4680.192 7995.328

73722 HC MRI, JOINT OF LEG W/CONTRAST - CT HIP ARTHROGRAM LEFT 7,137.70 4996.39 3426.096 5852.91473722 HC MRI, JOINT OF LEG W/CONTRAST - CT KNEE ARTHROGRAM LEFT 7,137.70 4996.39 3426.096 5852.91473722 HC MRI, JOINT OF LEG W/CONTRAST - CT HIP ARTHROGRAM RIGHT 7,137.70 4996.39 3426.096 5852.91473722 HC MRI, JOINT OF LEG W/CONTRAST - CT KNEE ARTHROGRAM RIGHT 7,137.70 4996.39 3426.096 5852.91473722 HC MRI, JOINT OF LEG W/CONTRAST - MR HIP ARTHROGRAM RIGHT 7,137.70 4996.39 3426.096 5852.91473722 HC MRI, JOINT OF LEG W/CONTRAST - MR KNEE ARTHROGRAM RIGHT 7,137.70 4996.39 3426.096 5852.91473722 HC MRI, JOINT OF LEG W/CONTRAST - MR HIP RIGHT W IV CONTRAST 7,137.70 4996.39 3426.096 5852.91473722 HC MRI, JOINT OF LEG W/CONTRAST - MR ANKLE ARTHROGRAM RIGHT 7,137.70 4996.39 3426.096 5852.91473722 HC MRI, JOINT OF LEG W/CONTRAST - MR HIP LEFT W IV CONTRAST 7,137.70 4996.39 3426.096 5852.91473722 HC MRI, JOINT OF LEG W/CONTRAST - MR KNEE RIGHT W IV CONTRAST 7,137.70 4996.39 3426.096 5852.91473722 HC MRI, JOINT OF LEG W/CONTRAST - MR HIP ARTHROGRAM LEFT 7,137.70 4996.39 3426.096 5852.91473722 HC MRI, JOINT OF LEG W/CONTRAST - MR KNEE LEFT W IV CONTRAST 7,137.70 4996.39 3426.096 5852.91473722 HC MRI, JOINT OF LEG W/CONTRAST - MR ANKLE ARTHROGRAM LEFT 7,137.70 4996.39 3426.096 5852.91473722 HC MRI, JOINT OF LEG W/CONTRAST - MR KNEE ARTHROGRAM LEFT 7,137.70 4996.39 3426.096 5852.91475571 HC CT HRT W/O DYE W/CA TEST - CT HEART CALCIUM SCORING WO CONTRAST 4,915.00 3440.5 2359.2 4030.370460 HC CT SCAN HEAD CONTRAST - CT HEAD W CONTRAST 2,997.20 2098.04 1438.656 2457.704

HC SEMI-PRIVATE ROOM DAILY ISO - TCF 1,984.40 1389.08 952.512 1627.208HC SEMI-PRIVATE ROOM DAILY 1,984.40 1389.08 952.512 1627.208HC PRIVATE ROOM DAILY ISO 2,780.90 1946.63 1334.832 2280.338HC MAJOR 1 PLANNED 0-30 MIN 8,933.20 6253.24 4287.936 7325.224

74178 HC CT ABD & PELV 1/> REGNS - CT ABDOMEN PELVIS W WO CONTRAST 10,361.40 7252.98 4973.472 8496.34877338 HC MULTI-LEAF COLLIMATOR FOR IMRT 6,691.30 4683.91 3211.824 5486.86693303 HC PBB ECHO CONG TRNSTHOR C INTR 775.90 543.13 372.432 636.23873030 HC X-RAY SHOULDER 2+ VW - XR SHOULDER 2+ VIEWS BILATERAL 734.70 514.29 352.656 602.45473030 HC X-RAY SHOULDER 2+ VW - XR SHOULDER 2+ VIEWS LEFT 734.70 514.29 352.656 602.45473030 HC X-RAY SHOULDER 2+ VW - XR SHOULDER 2+ VIEWS RIGHT 734.70 514.29 352.656 602.45477373 HC STEROTACTIC X/FRAC >1 LESION 16,444.90 11511.43 7893.552 13484.818

HC OB SEMI-PRIVATE ROOM DAILY 2,121.70 1485.19 1018.416 1739.794HC LEVEL II PAIN MANAGEMENT 2,080.50 1456.35 998.64 1706.01

70552 HC MRI BRAIN CONTRAST - MR PITUITARY W IV CONTRAST 6,004.60 4203.22 2882.208 4923.77270552 HC MRI BRAIN CONTRAST - MRI BRAIN W CONTRAST 6,004.60 4203.22 2882.208 4923.77278452 HC HT MUSCLE IMAGE SPECT MULT - STRESS TEST REGADENOSON W MYOCARD PERF 7,075.70 4952.99 3396.336 5802.07478452 HC HT MUSCLE IMAGE SPECT MULT - NM HEART PERFUSION SPECT STRESS & REST 7,075.70 4952.99 3396.336 5802.07478452 HC HT MUSCLE IMAGE SPECT MULT - STRESS TEST EXERCISE W MYOCARD PERF 7,075.70 4952.99 3396.336 5802.07478300 HC BONE IMAGING, LIMITED AREA - NM BONE LIMITED 2,310.50 1617.35 1109.04 1894.6192507 HC SLP SPEECH/HEARING THERAPY, INDIVIDUAL 569.90 398.93 273.552 467.31892507 HC SLP PEDS SPEECH/HEARING THERAPY, INDIVIDUAL 569.90 398.93 273.552 467.31881235 HC EGFR BY NGS 2,217.80 1552.46 1064.544 1818.596

HC L&D TIME - BIRTHING SERVICE 4,126.60 2888.62 1980.768 3383.81270547 HC MR ANGIO, NECK - MR NECK ANGIO WO IV CONTRAST 4,521.40 3164.98 2170.272 3707.548

HC KYPHOPLASTY ANY LEVEL 19,970.30 13979.21 9585.744 16375.64647531 HC NJX CHOLANGIO PRQ W/IMG GID RS&I EXISTING ACCESS 5,695.50 3986.85 2733.84 4670.3170491 HC CT NECK TISSUE CONTRAST - CT SOFT TISSUE NECK W CONTRAST 3,786.70 2650.69 1817.616 3105.09477074 HC X-RAYS, BONE SURVEY, LIMITED - XR BONE SURVEY LIMITED 1,702.80 1191.96 817.344 1396.296

HC KYPHOPLASTY EA ADD'L LEVEL 13,313.40 9319.38 6390.432 10916.98882731 HC ASSAY OF FETAL FIBRONECTIN - FETAL FIBRONECTIN 1,225.60 857.92 588.288 1004.99273580 HC ARTHROGRAM OF KNEE JOINT - XR KNEE ARTHROGRAM LEFT 1,589.50 1112.65 762.96 1303.3973580 HC ARTHROGRAM OF KNEE JOINT - XR KNEE ARTHROGRAM RIGHT 1,589.50 1112.65 762.96 1303.3973580 HC ARTHROGRAM OF KNEE JOINT - XR KNEE ARTHROGRAM BILATERAL 1,589.50 1112.65 762.96 1303.3976831 HC SONO EXAM, HYSTEROSONOGRAPHY - US PELVIS HYSTEROSONOGRAPHY DOPPLER 1,153.50 807.45 553.68 945.8777370 HC SP MED RAD PHY CONSULT 1,829.80 1280.86 878.304 1500.43681511 HC MATERNAL SCREEN INTEGRA SPEC 2 363.90 254.73 174.672 298.39838220 HC CHG BONE MARROW; ASPIRATION ONLY 3,244.20 2270.94 1557.216 2660.24472197 HC MRI, PELVIS, COMBO - MRI PELVIS W WO CONTRAST 8,256.40 5779.48 3963.072 6770.24872156 HC MRI, CERV SPINE COMBO - MRI CERVICAL SPINE W WO CONTRAST 7,841.00 5488.7 3763.68 6429.6299282 HC EMERGENCY DEPARTMENT LEVEL 2 VISIT LOW/MODER SEVERITY 707.20 495.04 339.456 579.904

HC MAJOR 3 PLANNED 0-30 MIN 11,057.70 7740.39 5307.696 9067.31436556 HC PBB INS NON-TUNNELED CV CATH >5 YR 4,861.10 3402.77 2333.328 3986.10283970 HC ASSAY OF PARATHORMONE - PTH INTACT 645.40 451.78 309.792 529.22877307 HC TELETHERAPY ISODOSE PL 2,842.50 1989.75 1364.4 2330.8570490 HC CT SCAN,SOFT TISSUE NECK,W/O CONTRAST - CT SOFT TISSUE NECK WO CONT 3,457.00 2419.9 1659.36 2834.7470481 HC CT SCAN SKULL CONTRAST - CT ORBITS/SELLA W IV CONTRAST 3,093.10 2165.17 1484.688 2536.342

95805 HC MULTIPLE SLEEP LATENCY TEST 4,593.30 3215.31 2204.784 3766.50670140 HC X-RAY FACIAL BONES <3 VW - XR FACIAL BONES 1-2 VIEWS 916.60 641.62 439.968 751.61270210 HC X-RAY SINUSES <3 VW - XR PARANASAL SINUSES 1-2 VIEWS 916.60 641.62 439.968 751.61270260 HC X-RAY SKULL 4+ VW - XR SKULL COMPLETE 4+ VIEWS 916.60 641.62 439.968 751.61270328 HC X-RAY TMJ UNILAT - XR TEMPOROMANDIBULAR JOINT OPEN AND CLOSED RT 916.60 641.62 439.968 751.61270328 HC X-RAY TMJ UNILAT - XR TEMPOROMANDIBULAR JOINT OPEN AND CLOSED LT 916.60 641.62 439.968 751.61271100 HC X-RAY RIBS 2 VW UNILAT - XR RIBS 2 VIEWS RIGHT 916.60 641.62 439.968 751.61271100 HC X-RAY RIBS 2 VW UNILAT - XR RIBS 2 VIEWS LEFT 916.60 641.62 439.968 751.61276800 HC US, SPINAL CANAL & CONTENTS - US SPINAL CANAL AND CONTENTS 2,114.70 1480.29 1015.056 1734.05415272 HC SSG T/A/L EA ADD'L 25^100 SQCM 302.10 211.47 145.008 247.72275574 HC CT ANGIO HRT W/3D IMAGE - CT HEART CORONARY ANGIOGRAM 5,897.80 4128.46 2830.944 4836.19675574 HC CT ANGIO HRT W/3D IMAGE - CT CCTA HEART W WO CONT CORONARIES & FUNCT 5,897.80 4128.46 2830.944 4836.19695810 HC PBB INTERP/ATTEN SLEEP STUDY - COX 1,750.80 1225.56 840.384 1435.656C8921 HC ECHO CONG TRANSTHOR COMP W/CON 4,033.70 2823.59 1936.176 3307.634

HC NURSERY 1 ROOM DAILY ISO 2,272.60 1590.82 1090.848 1863.53282017 HC ACYLCARNITINES,QUANT,EACH SPEC - ACYLCARNITINES, PLASMA, QUANT 563.00 394.1 270.24 461.6687449 HC (1,3)BETA-D-GLUCAN (FUNGITELL) 552.70 386.89 265.296 453.21470482 HC CT SCAN SKULL COMBO - CT ORBITS/SELLA W AND WO IV CONTRAST 4,411.30 3087.91 2117.424 3617.26670540 HC MRI, FACE, NECK - MR ORBIT FACE NECK WO IV CONTRAST 5,224.90 3657.43 2507.952 4284.41893350 HC STRESS TTE ONLY - ECHOCARDIOGRAM EXERCISE STRESS TEST 3,223.50 2256.45 1547.28 2643.2793350 HC STRESS TTE ONLY - COMPLETE ECHOCARDIOGRAM EXERCISE STRESS TEST 3,223.50 2256.45 1547.28 2643.27

HC NURSERY 2 ROOM DAILY 2,670.80 1869.56 1281.984 2190.05699214 HC OB TRIAGE CHARGE 1,043.60 730.52 500.928 855.75278608 HC BRAIN IMAGING (PET) - PT BRAIN METABOLIC 6,618.60 4633.02 3176.928 5427.25278609 HC BRAIN IMAGING (PET) - PET BRAIN PERFUSION 6,618.60 4633.02 3176.928 5427.25273718 HC MRI, LOWER EXTREM - MRI ANKLE RIGHT W WO CONTRAST 5,293.50 3705.45 2540.88 4340.6773718 HC MRI, LOWER EXTREM - MR TIBIA FIBULA LEFT WO IV CONTRAST 5,293.50 3705.45 2540.88 4340.6773718 HC MRI, LOWER EXTREM - MR TIBIA FIBULA RIGHT WO IV CONTRAST 5,293.50 3705.45 2540.88 4340.6773718 HC MRI, LOWER EXTREM - MR FOOT RIGHT WO IV CONTRAST 5,293.50 3705.45 2540.88 4340.6773718 HC MRI, LOWER EXTREM - MR FEMUR RIGHT WO IV CONTRAST 5,293.50 3705.45 2540.88 4340.6773718 HC MRI, LOWER EXTREM - MR FOOT LEFT WO IV CONTRAST 5,293.50 3705.45 2540.88 4340.6773718 HC MRI, LOWER EXTREM - MR FEMUR LEFT WO IV CONTRAST 5,293.50 3705.45 2540.88 4340.6772146 HC MRI, DORSAL SPINE - MRI THORACIC SPINE WO CONTRAST 5,523.50 3866.45 2651.28 4529.2772146 HC MRI, DORSAL SPINE - MRI COMPLETE SPINE WO CONTRAST 5,523.50 3866.45 2651.28 4529.2797140 HC OT MANUAL THER TECH,1+REGIONS,EA 15 MIN 250.60 175.42 120.288 205.49297140 HC PT MANUAL THER TECH,1+REGIONS,EA 15 MIN 250.60 175.42 120.288 205.49297535 HC OT SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES 250.60 175.42 120.288 205.49297535 HC PT / FAMILY EDUCATION 15 MIN 250.60 175.42 120.288 205.49297535 HC PT/FAMILY EDUCATION 15 MIN 250.60 175.42 120.288 205.49297535 HC PT SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES 250.60 175.42 120.288 205.49292611 HC SLP EVAL,SWALLOW FUNCTION,CINE/VIDEO RECORD 751.80 526.26 360.864 616.47688307 HC SURG PATH,LEVEL V - LAB SURG PATH,LEVEL V 981.80 687.26 471.264 805.07688374 HC BCR/ABL 1,702.70 1191.89 817.296 1396.21488377 HC MYC/IGH T(9:15) FISH BURK LYMP 1,702.70 1191.89 817.296 1396.21488377 HC LYMPHOMA-FOLLICULAR 1,702.70 1191.89 817.296 1396.21488361 HC IHC STAINS COMPUTER ASSISTED 961.20 672.84 461.376 788.18431502 HC TRACH TUBE CHANGE 1,180.90 826.63 566.832 968.338

HC MINOR 2 PLANNED 0-30 MIN 5,393.00 3775.1 2588.64 4422.2696413 HC CHEMOTHER, IV INFUSION, 1 HR 1,170.60 819.42 561.888 959.89272142 HC MRI, CERV SPINE CONTRAST - MRI CERVICAL SPINE W CONTRAST 6,282.10 4397.47 3015.408 5151.32272149 HC MRI, LUMBAR SPINE CONTRAST - MRI LUMBAR SPINE W CONTRAST 6,282.10 4397.47 3015.408 5151.32273222 HC MRI JOINT UPR EXTREM W/DYE - CT SHOULDER ARTHROGRAM RIGHT 6,282.10 4397.47 3015.408 5151.32273222 HC MRI JOINT UPR EXTREM W/DYE - CT WRIST ARTHROGRAM LEFT 6,282.10 4397.47 3015.408 5151.32273222 HC MRI JOINT UPR EXTREM W/DYE - CT ELBOW ARTHROGRAM LEFT 6,282.10 4397.47 3015.408 5151.32273222 HC MRI JOINT UPR EXTREM W/DYE - CT WRIST ARTHROGRAM RIGHT 6,282.10 4397.47 3015.408 5151.32273222 HC MRI JOINT UPR EXTREM W/DYE - CT SHOULDER ARTHROGRAM LEFT 6,282.10 4397.47 3015.408 5151.32273222 HC MRI JOINT UPR EXTREM W/DYE - CT ELBOW ARTHROGRAM RIGHT 6,282.10 4397.47 3015.408 5151.32273222 HC MRI JOINT UPR EXTREM W/DYE - MR SHOULDER ARTHROGRAM LEFT 6,282.10 4397.47 3015.408 5151.32273222 HC MRI JOINT UPR EXTREM W/DYE - MR SHLDR ARTHRO RT W FL GUIDE INJCT CHG 6,282.10 4397.47 3015.408 5151.32273222 HC MRI JOINT UPR EXTREM W/DYE - MR ELBOW ARTHROGRAM LEFT 6,282.10 4397.47 3015.408 5151.32273222 HC MRI JOINT UPR EXTREM W/DYE - MR SHOULDER ARTHROGRAM RIGHT 6,282.10 4397.47 3015.408 5151.32273222 HC MRI JOINT UPR EXTREM W/DYE - MR ELBOW ARTHROGRAM RIGHT 6,282.10 4397.47 3015.408 5151.32273222 HC MRI JOINT UPR EXTREM W/DYE - MR ELBOW LEFT W IV CONTRAST 6,282.10 4397.47 3015.408 5151.32273222 HC MRI JOINT UPR EXTREM W/DYE - MR SHOULDER LEFT W IV CONTRAST 6,282.10 4397.47 3015.408 5151.32273222 HC MRI JOINT UPR EXTREM W/DYE - MR WRIST ARTHROGRAM RIGHT 6,282.10 4397.47 3015.408 5151.32273222 HC MRI JOINT UPR EXTREM W/DYE - MR WRIST ARTHROGRAM LEFT 6,282.10 4397.47 3015.408 5151.32273222 HC MRI JOINT UPR EXTREM W/DYE - MR ELBOW RIGHT W IV CONTRAST 6,282.10 4397.47 3015.408 5151.32273222 HC MRI JOINT UPR EXTREM W/DYE - MR SHLDR ARTHROGRAM RT W FL GUIDED INJ 6,282.10 4397.47 3015.408 5151.32273222 HC MRI JOINT UPR EXTREM W/DYE - MR SHLDR ARTHROGRAM LT W FL GUIDED INJ 6,282.10 4397.47 3015.408 5151.32273222 HC MRI JOINT UPR EXTREM W/DYE - MR SHLDR ARTHRO LT W FL GUIDE INJCT CHG 6,282.10 4397.47 3015.408 5151.32273222 HC MRI JOINT UPR EXTREM W/DYE - MR WRIST LEFT W IV CONTRAST 6,282.10 4397.47 3015.408 5151.32273222 HC MRI JOINT UPR EXTREM W/DYE - MR SHOULDER RIGHT W IV CONTRAST 6,282.10 4397.47 3015.408 5151.322

73222 HC MRI JOINT UPR EXTREM W/DYE - MR WRIST RIGHT W IV CONTRAST 6,282.10 4397.47 3015.408 5151.32270553 HC MRI BRAIN COMBO - MRI BRAIN W WO CONTRAST 7,967.60 5577.32 3824.448 6533.43270553 HC MRI BRAIN COMBO - MR PITUITARY W/WO IV CONTRAST 7,967.60 5577.32 3824.448 6533.43274019 HC RADIOLOGIC EXAM ABDOMEN 2 VIEWS - XR ABDOMEN 2 VW POSTER W DECUBITUS 889.10 622.37 426.768 729.06242400 HC BIOPSY SALIVARY GLAND,NEEDLE 2,166.10 1516.27 1039.728 1776.20270542 HC MRI, FACE, NECK W/CONTRAST - MR ORBIT FACE NECK W IV CONTRAST 6,048.60 4234.02 2903.328 4959.85270548 HC MR ANGIO, NECK W/CONTRAST - MR NECK ANGIO W IV CONTRAST 4,857.40 3400.18 2331.552 3983.06870549 HC MR ANGIO, NECK, COMBO - MR NECK ANGIO W AND WO IV CONTRAST 4,857.40 3400.18 2331.552 3983.068G0480 HC DIMETHYLTRYPTAMINE 628.20 439.74 301.536 515.124

HC REHAB ROOM DAILY 2,481.90 1737.33 1191.312 2035.15877761 HC CHG INTRACAV RADIOELEM APPL SIMPLE 7,026.90 4918.83 3372.912 5762.05871275 HC CT ANGIO, CHEST, COMBO, INCL IMAGE - CT CHEST ANGIO W AND WO IV CONT 5,646.90 3952.83 2710.512 4630.45899291 HC CRITICAL CARE, E/M 30-74 MINUTES 3,522.00 2465.4 1690.56 2888.04

HC ISOLATION DAILY CHARGE FOR TCF 1,174.00 821.8 563.52 962.6875989 HC ABSCESS DRAINAGE UNDER X-RAY - CT GUIDANCE FOR ABSCESS DRAIN 2,148.90 1504.23 1031.472 1762.09878315 HC BONE IMAGING, 3 PHASE - NM BONE WHOLE BODY 3 PHASE 3,679.90 2575.93 1766.352 3017.51874160 HC CT ABDOMEN W/DYE - CT ABDOMEN W CONTRAST 4,404.20 3082.94 2114.016 3611.44474183 HC MRI, ABDOMEN, COMBO - MRI ABDOMEN W WO CONTRAST MRCP 7,970.80 5579.56 3825.984 6536.05674183 HC MRI, ABDOMEN, COMBO - MRI ABDOMEN W WO CONTRAST 7,970.80 5579.56 3825.984 6536.05674183 HC MRI, ABDOMEN, COMBO - MRI ABDOMEN RENAL W WO CONTRAST 7,970.80 5579.56 3825.984 6536.05676801 HC US, OB < 14 WKS, SINGLE FETUS 2,255.30 1578.71 1082.544 1849.34650432 HC PLMT NEPHROSTOMY CATH PRQ NEW ACCESS RS&I 5,540.40 3878.28 2659.392 4543.128G0480 HC THC CONFIRM MED 367.30 257.11 176.304 301.18676377 HC 3D RENDERING W/INTERP&POSTPROC DIFF WORK STATION - CT 3D RECONSTRUCT 2,739.30 1917.51 1314.864 2246.22676377 HC 3D RENDER W/INTRP POSTPROCES - 3D RENDERING ON AN INDEP WORKSTATION 2,739.30 1917.51 1314.864 2246.22672148 HC MRI, LUMBAR SPINE - MRI LUMBAR SPINE WO CONTRAST 6,202.90 4342.03 2977.392 5086.37876770 HC US,RETROPERIT, B-SCAN/REAL TIME,COMPLETE - US RETROPERITONEUM 1,953.20 1367.24 937.536 1601.62476770 HC US,RETROPERIT, B-SCAN/REAL TIME,COMPLETE - US RENAL COMPLETE 1,953.20 1367.24 937.536 1601.62477770 HC HDR RDNCL NTRSTL/ICAV BRCHTX 1 CHANNEL 7,006.10 4904.27 3362.928 5745.00281210 HC BRAF BY NGS 1,050.40 735.28 504.192 861.32881245 HC FLT3 GENE ANALYSIS INTERNAL TANDEM DUP VARIANTS 1,050.40 735.28 504.192 861.32881275 HC ONKOSIGHT MDS PANEL SEQUENCING-KRAS GENE VARIANTS EXON 2 525.20 367.64 252.096 430.66463663 HC PBB PRO REVISION/REPLACEMENT 2,737.90 1916.53 1314.192 2245.078

HC PRIVATE ROOM WITH TELEMETRY DAILY 3,446.40 2412.48 1654.272 2826.04873721 HC MRI JNT OF LWR EXTRE W/O DYE - MRI ANKLE LT WO CONT 6,096.40 4267.48 2926.272 4999.04873721 HC MRI JNT OF LWR EXTRE W/O DYE - MRI ANKLE RT WO CONT 6,096.40 4267.48 2926.272 4999.04873721 HC MRI JNT OF LWR EXTRE W/O DYE - MR LOWER EXT JOINT RT W IV CONT 6,096.40 4267.48 2926.272 4999.04873721 HC MRI JNT OF LWR EXTRE W/O DYE - MR LOWER EXT JOINT LT WO IV CONT 6,096.40 4267.48 2926.272 4999.04873721 HC MRI JNT OF LWR EXTRE W/O DYE - MR LOWER EXT JOINT LT W IV CONT 6,096.40 4267.48 2926.272 4999.04873721 HC MRI JNT OF LWR EXTRE W/O DYE - MR LOWER EXT JOINT RT WO IV CONT 6,096.40 4267.48 2926.272 4999.04880210 HC DRUG ASSAY RUFINAMIDE 336.40 235.48 161.472 275.84884207 HC ASSAY OF VITAMIN B-6 - VITAMIN B6 336.40 235.48 161.472 275.84875820 HC VENOGRAM EXTREM UNILAT - IR VENOGRAM LOWER EXTREMITY LEFT CHG 3,848.00 2693.6 1847.04 3155.3675820 HC VENOGRAM EXTREM UNILAT - IR VENOGRAM LOWER EXTREMITY LEFT 3,848.00 2693.6 1847.04 3155.3675820 HC VENOGRAM EXTREM UNILAT - IR VENOGRAM LOWER EXTREMITY RIGHT 3,848.00 2693.6 1847.04 3155.3675820 HC VENOGRAM EXTREM UNILAT - IR VENOGRAM EXTREMITY RIGHT CHARGE 3,848.00 2693.6 1847.04 3155.3675820 HC VENOGRAM EXTREM UNILAT - IR VENOGRAM LOWER EXTREMITY RIGHT CHG 3,848.00 2693.6 1847.04 3155.3675820 HC VENOGRAM EXTREM UNILAT - IR VENOGRAM EXTREMITY LEFT CHARGE 3,848.00 2693.6 1847.04 3155.3675820 HC VENOGRAM EXTREM UNILAT - IR VENOGRAM UPPER EXTREMITY RIGHT 3,848.00 2693.6 1847.04 3155.3675820 HC VENOGRAM EXTREM UNILAT - IR VENOGRAM UPPER EXTREMITY LEFT 3,848.00 2693.6 1847.04 3155.3670480 HC CT SCAN,ORBIT/SELLA/POST FOSSA/EAR,W/O - CT AUDITORY CANALS WO CONT 3,164.90 2215.43 1519.152 2595.21870480 HC CT SCAN,ORBIT/SELLA/POST FOSSA/EAR,W/O - CT ORBITS/SELLA WO IV CONT 3,164.90 2215.43 1519.152 2595.218

HC PRIVATE PED ROOM DAILY ISO 2,828.50 1979.95 1357.68 2319.3788333 HC CYTOLOGIC EXAM INITIAL SITE 1,156.80 809.76 555.264 948.57671552 HC MRI, CHEST, COMBO - MRI CHEST W WO CONTRAST 6,594.10 4615.87 3165.168 5407.16273223 HC MRI JOINT UPR EXTR W/O&W/DYE - MR WRIST RT W AND WO IV CONTRAST 6,594.10 4615.87 3165.168 5407.16273223 HC MRI JOINT UPR EXTR W/O&W/DYE - MR WRIST LT W AND WO IV CONTRAST 6,594.10 4615.87 3165.168 5407.16273223 HC MRI JOINT UPR EXTR W/O&W/DYE - MR ELBOW RT W AND WO IV CONTRAST 6,594.10 4615.87 3165.168 5407.16273223 HC MRI JOINT UPR EXTR W/O&W/DYE - MR ELBOW LT W AND WO IV CONTRAST 6,594.10 4615.87 3165.168 5407.16273223 HC MRI JOINT UPR EXTR W/O&W/DYE - MR SHOULDER LT W AND WO IV CONTRAST 6,594.10 4615.87 3165.168 5407.16273223 HC MRI JOINT UPR EXTR W/O&W/DYE - MR SHOULDER RT W AND WO IV CONTRAST 6,594.10 4615.87 3165.168 5407.16293925 HC DUPLEX LO EXTREM ART BILAT - CV US DOPPLER ARTERIAL LEGS BILATERAL 1,966.90 1376.83 944.112 1612.85893925 HC VASC DUPLEX LO EXTREM ART BILAT 1,966.90 1376.83 944.112 1612.85870546 HC MR ANGIO, HEAD, COMBO - MR HEAD ANGIO W AND WO IV CONTRAST 5,711.90 3998.33 2741.712 4683.758G0379 HC DIRECT ADMIT TO OBSERVATION 1,304.40 913.08 626.112 1069.60876080 HC X-RAY FISTULA,ABSCESS,SINUS TRACT - FL FISTULA SINUS TRACT 978.30 684.81 469.584 802.20619499 HC TOMOSYNTHESIS GD BRST BX 6,765.70 4735.99 3247.536 5547.874

HC MINOR 3 PLANNED 0-30 MIN 6,264.50 4385.15 3006.96 5136.89HC MINOR 2 URGENT 0-30 MIN 6,264.50 4385.15 3006.96 5136.89HC MINOR 2 EMERGENCY 0-30 MIN 6,264.50 4385.15 3006.96 5136.89

81208 HC BCR/ABL1 BREAKPNT QUALITATIVE/QUANTITATIVE 621.30 434.91 298.224 509.46681208 HC BCR/ABL1 OTHER BREAKPNT QUALITATIVE/QUANTITATIVE 621.30 434.91 298.224 509.466

72130 HC CT SCAN DORSAL SP COMBO - CT THORACIC SPINE W WO CONTRAST 4,307.90 3015.53 2067.792 3532.47872133 HC CT SCAN LUMBAR SP COMBO - CT LUMBAR SPINE W WO CONTRAST 4,307.90 3015.53 2067.792 3532.47881301 HC MICROSATELLITE INSTABIL BY PCR 1,537.80 1076.46 738.144 1260.99676700 HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE - US ABDOMEN 2,612.20 1828.54 1253.856 2142.00476700 HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE - US ABDOMEN COMPLETE 2,612.20 1828.54 1253.856 2142.00474175 HC CT ANGIO ABDOM W/O & W/DYE - CT ANGIOGRAM ABDOMEN W CONTRAST 5,825.10 4077.57 2796.048 4776.58251702 HC INSERT FOLEY CATH TEMPORARY 305.50 213.85 146.64 250.5151702 HC INSERT,TEMP INDWELLING BLAD CATH,SIMPLE 305.50 213.85 146.64 250.51C8928 HC STRESS ECHO W/CONTRAST 3,487.50 2441.25 1674 2859.7591035 HC BRAVO PH G-ESOPH REFLX TEST 4,077.90 2854.53 1957.392 3343.87877280 HC SIMULATION-SIMPLE 1,802.10 1261.47 865.008 1477.72277386 HC IMRT W/GUID/TRACKING COMPLEX 3,563.00 2494.1 1710.24 2921.6682150 HC ASSAY OF AMYLASE - AMYLASE 295.20 206.64 141.696 242.06483021 HC HEMOGLOBIN CHROMOTOGRAPHY - HEMOGLOBINOPATHY EVAL 295.20 206.64 141.696 242.06484446 HC ASSAY OF VITAMIN E - VITAMIN E (TOCOPHEROL) 295.20 206.64 141.696 242.06487449 HC IAAD IA MULT STEP METHOD NOS EACH ORGANISM - LEGIONELLA ANTIGEN, UR 295.20 206.64 141.696 242.06493880 HC PBB D S EXT-CRAIN ART C INTER 442.80 309.96 212.544 363.09693925 HC PBB D S LOWER EXT COMP INTRP 442.80 309.96 212.544 363.096

HC SEMI-PRIVATE PED ROOM DAILY 2,025.20 1417.64 972.096 1660.66492978 HC CATH INTRAVASC US,HEART,1ST VESSEL 6,247.20 4373.04 2998.656 5122.70478226 HC HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER - NM LIVER FUNCTION 2,828.40 1979.88 1357.632 2319.28880230 HC DRUG ASSAY INFLIXIMAB 696.80 487.76 334.464 571.37657155 HC INSERT UTERI TANDEM/OVOIDS 5,258.60 3681.02 2524.128 4312.05243260 HC ERCP DX COLLECTION SPECIMEN BRUSHING/WASHING - ERCP 4,276.90 2993.83 2052.912 3507.05845385 HC COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ - COLONOSCOPY 4,276.90 2993.83 2052.912 3507.058

HC ERCP DIAGNOSTIC 4,276.90 2993.83 2052.912 3507.05878306 HC BONE IMAGING, WHOLE BODY - NM BONE WHOLE BODY 2,756.30 1929.41 1323.024 2260.16664636 HC PBB PRO RF LUMBAR ADD'L LEVEL 549.20 384.44 263.616 450.34464636 HC PBB PRO RF LUMBAR ADD'L LEVEL 549.20 384.44 263.616 450.34477470 HC SPECIAL TREATMENT/CONE 4,767.70 3337.39 2288.496 3909.51472195 HC MRI, PELVIS, W/O CONTRAST - MRI PELVIS WO CONTRAST 5,941.60 4159.12 2851.968 4872.11274182 HC MRI, ABDOMEN W/CONTRAST - MRI ABDOMEN W CONTRAST MRCP 6,282.10 4397.47 3015.408 5151.32277336 HC CONTINUING-RAD PHYSICS 1,184.20 828.94 568.416 971.04470336 HC MRI, TMJ - MR TEMPOROMANDIBULAR JOINTS WO IV CONTRAST 5,426.70 3798.69 2604.816 4449.89471550 HC MRI, CHEST - MRI CHEST WO CONTRAST 5,426.70 3798.69 2604.816 4449.89473218 HC MRI, UPPER EXTREMITY W/O CONTRAST - MR HUMERUS LEFT WO IV CONTRAST 5,426.70 3798.69 2604.816 4449.89473218 HC MRI, UPPER EXTREMITY W/O CONTRAST - MR HAND RIGHT WO IV CONTRAST 5,426.70 3798.69 2604.816 4449.89473218 HC MRI, UPPER EXTREMITY W/O CONTRAST - MR RADIUS ULNA RT WO IV CONTRAST 5,426.70 3798.69 2604.816 4449.89473218 HC MRI, UPPER EXTREMITY W/O CONTRAST - MR RADIUS ULNA LT WO IV CONTRAST 5,426.70 3798.69 2604.816 4449.89473218 HC MRI, UPPER EXTREMITY W/O CONTRAST - MR SCAPULA LT WO IV CONTRAST 5,426.70 3798.69 2604.816 4449.89473218 HC MRI, UPPER EXTREMITY W/O CONTRAST - MR SCAPULA RT W AND WO IV CONTRAST 5,426.70 3798.69 2604.816 4449.89473218 HC MRI, UPPER EXTREMITY W/O CONTRAST - MR HUMERUS RIGHT WO IV CONTRAST 5,426.70 3798.69 2604.816 4449.89473218 HC MRI, UPPER EXTREMITY W/O CONTRAST - MR SCAPULA LT W AND WO IV CONTRAST 5,426.70 3798.69 2604.816 4449.89473218 HC MRI, UPPER EXTREMITY W/O CONTRAST - MR SCAPULA RT WO IV CONTRAST 5,426.70 3798.69 2604.816 4449.89473218 HC MRI UPPER EXT-NO JOINT W/O CONTRST 5,426.70 3798.69 2604.816 4449.89473218 HC MRI, UPPER EXTREMITY W/O CONTRAST - MR HAND LEFT WO IV CONTRAST 5,426.70 3798.69 2604.816 4449.89470496 HC CT ANGIO,HEAD COMBO - CT HEAD ANGIO W AND WO IV CONTRAST 5,121.20 3584.84 2458.176 4199.38470496 HC CT ANGIO,HEAD COMBO - CT HEAD NECK ANGIO W AND WO IV CONTRAST 5,121.20 3584.84 2458.176 4199.38474170 HC CT ABDOMEN W/O & W/DYE - CT ABDOMEN W WO CONTRAST 5,227.60 3659.32 2509.248 4286.63280159 HC CLOZAPINE AND METABOLITES 127.00 88.9 60.96 104.1483874 HC ASSAY OF MYOGLOBIN - MYOGLOBIN URINE QUANTITATIVE 254.00 177.8 121.92 208.2849405 HC IMAGE-GUIDE FLUID COLLXN DRAINAGE CATH VISC PERQ 6,075.40 4252.78 2916.192 4981.82819286 HC PERQ BREAST LOC DEVICE PLACEMT EACH LES US IMAGE 4,012.50 2808.75 1926 3290.2564415 HC PBB BRACHIAL PLEXUS NERVE BLOCK 497.70 348.39 238.896 408.11475989 HC ABSCESS DRAINAGE UNDER X-RAY - US GUIDED ABSCESS DRAIN 2,234.50 1564.15 1072.56 1832.2973702 HC CT SCAN OF LEG COMBO - CT HIP LEFT W AND WO IV CONTRAST 3,453.00 2417.1 1657.44 2831.4673702 HC CT SCAN OF LEG COMBO - CT LOWER EXTREMITY RIGHT W AND WO IV CONTRAST 3,453.00 2417.1 1657.44 2831.4673702 HC CT SCAN OF LEG COMBO - CT LOWER EXTREMITY LEFT W AND WO IV CONTRAST 3,453.00 2417.1 1657.44 2831.4673702 HC CT SCAN OF LEG COMBO - CT HIP RIGHT W AND WO IV CONTRAST 3,453.00 2417.1 1657.44 2831.4673702 HC CT SCAN OF LEG COMBO - CT KNEE LEFT W AND WO IV CONTRAST 3,453.00 2417.1 1657.44 2831.4673702 HC CT SCAN OF LEG COMBO - CT TIBIA FIBULA RIGHT W AND WO IV CONTRAST 3,453.00 2417.1 1657.44 2831.4673702 HC CT SCAN OF LEG COMBO - CT KNEE RIGHT W AND WO IV CONTRAST 3,453.00 2417.1 1657.44 2831.4673702 HC CT SCAN OF LEG COMBO - CT FEMUR RIGHT W AND WO IV CONTRAST 3,453.00 2417.1 1657.44 2831.4673702 HC CT SCAN OF LEG COMBO - CT TIBIA FIBULA LEFT W AND WO IV CONTRAST 3,453.00 2417.1 1657.44 2831.4673702 HC CT SCAN OF LEG COMBO - CT FEMUR LEFT W AND WO IV CONTRAST 3,453.00 2417.1 1657.44 2831.4670487 HC CT SCAN, FACE/JAW CONTRAST - CT SINUS FACIAL BONES W CONTRAST 3,696.70 2587.69 1774.416 3031.29470487 HC CT SCAN, FACE/JAW CONTRAST - CT SINUS W CONTRAST 3,696.70 2587.69 1774.416 3031.294

HC SEMI-PRIVATE ROOM DAILY W TELE 2,649.80 1854.86 1271.904 2172.836C8901 HC ANGIOGRAM ABDOMEN W/O CONT 2,766.50 1936.55 1327.92 2268.5393312 HC ECHO TRANSESOPHAGEAL - TEE COMPLETE W/ CARDIOVERSION 3,964.40 2775.08 1902.912 3250.80893312 HC ECHO TRANSESOPHAGEAL - TEE W/ DOPPLER, COLOR & CARDIOVERSION 3,964.40 2775.08 1902.912 3250.80893312 HC ECHO TRANSESOPHAGEAL - TEE COMPLETE 3,964.40 2775.08 1902.912 3250.808

93312 HC ECHO TRANSESOPHAGEAL - TEE COMPLETE W/ DOPPLER & COLOR 3,964.40 2775.08 1902.912 3250.80870470 HC CT SCAN HEAD COMBO - CT HEAD W WO CONTRAST 4,283.60 2998.52 2056.128 3512.55276820 HC DOPPLER FETAL UMBILICAL ARTERY 1,070.90 749.63 514.032 878.13876820 HC DOPPLER FETAL UMBILICAL ARTERY - US UMBILICAL ARTERY DOPPLER 1,070.90 749.63 514.032 878.13876821 HC DOPPLER FETAL MID CEREBRAL ARTERY 1,070.90 749.63 514.032 878.13878708 HC K FLOW/FUNCT IMAGE W/DRUG - NM KIDNEY FLOW/FUNCTION WITH DIURETIC 3,171.50 2220.05 1522.32 2600.6378582 HC LUNG VENTILAT&PERFUS IMAGING - NM LUNG VENTILATION PERFUSION 2,758.90 1931.23 1324.272 2262.29893308 HC PBB 2-D ECHO LIMITED INTRP 552.60 386.82 265.248 453.13293270 HC REMOTE 30 DAY ECG REV/REPORT - CARDIAC EVENT MONITOR 1,211.60 848.12 581.568 993.51293306 HC TTE W/DOPPLER COMPLETE - TTE COMPLETE W/ CONTRAST 4,891.00 3423.7 2347.68 4010.6293306 HC TTE W/DOPPLER COMPLETE - TTE COMPLETE 4,891.00 3423.7 2347.68 4010.6270545 HC MR ANGIO, HEAD W/CONTRAST - MR HEAD ANGIO W IV CONTRAST 5,072.90 3551.03 2434.992 4159.77876706 HC US ABDL AORTA SCREEN AAA - US ABDOMEN AORTIC ANEURYSM SCREENING 1,499.90 1049.93 719.952 1229.91878630 HC CSF FLUID SCAN CISTERNOGRAPHY - NM BRAIN CISTERNOGRAM 2,958.60 2071.02 1420.128 2426.05282657 HC ENZYME ACTIVITY BC; NOT RA 564.60 395.22 271.008 462.972A0427 HC ALS1 SPLIT TRIP EMERG 1,949.50 1364.65 935.76 1598.59A0427 HC AMB ALS1 EMERGENCY 1,949.50 1364.65 935.76 1598.59

HC PHS I LEVEL I 0-30 MIN 820.30 574.21 393.744 672.64672193 HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST 4,551.10 3185.77 2184.528 3731.90241010 HC FRENOTOMY 2,611.90 1828.33 1253.712 2141.75885292 HC PREKALLIKREIN FACTOR ACTIVITY - SEND OUT LAB 501.10 350.77 240.528 410.90278707 HC K FLOW/FUNCT IMAGE W/O DRUG - NM KIDNEY FLOW/FUNCT WO PHARMACOL INT 2,399.10 1679.37 1151.568 1967.26238221 HC BONE MARROW BX, NEEDLE/TROCAR 3,167.90 2217.53 1520.592 2597.678

HC DX BONE MARROW BIOPSIES 3,167.90 2217.53 1520.592 2597.678HC PHS II RECOV 4-5 HRS TOTAL 1,184.10 828.87 568.368 970.962

A0433 HC AMB ALS2 EMERGENCY 2,838.40 1986.88 1362.432 2327.48899292 HC CRITICAL CARE, ADDL 30 MIN 1,760.70 1232.49 845.136 1443.77464488 HC PBB TAP BLOCK BILAT INJ 1,750.40 1225.28 840.192 1435.328A0429 HC BLS AMB EMERGENCY 1,355.70 948.99 650.736 1111.67427096 HC PPB PRO SI 1,057.10 739.97 507.408 866.82293320 HC DOPPLER ECHO EXAM HEART - COMPLETE ECHOCARDIOGRAM EXERCISE STRESS 1,153.20 807.24 553.536 945.62493320 HC DOPPLER ECHO EXAM HEART - TEE W/ DOPPLER, COLOR & CARDIOVERSION 1,153.20 807.24 553.536 945.62493320 HC DOPPLER ECHO EXAM HEART - TEE COMPLETE W/ DOPPLER & COLOR 1,153.20 807.24 553.536 945.62493320 HC DOPPLER ECHO EXAM HEART - CONGENITAL TTE COMPLETE W/ DOPPLER & COLOR 1,153.20 807.24 553.536 945.62493320 HC DOPPLER ECHO EXAM HEART - COMPLETE ECHOCARDIOGRAM DOBUTAMINE STRESS 1,153.20 807.24 553.536 945.62486022 HC ANTI PLATELET AB1 1,046.80 732.76 502.464 858.37685250 HC CLOT FACTOR IX PTC/CHRSTMAS - FACTOR 9 ACTIVITY 566.30 396.41 271.824 464.36697016 HC OT VASOPNEUMATIC DEVICE THERAPY 566.30 396.41 271.824 464.366

HC L&D TIME - DELIVERY ROOM 3,998.40 2798.88 1919.232 3278.68883519 HC VOLT-GATED CACLIUM CHANNEL AB 2,042.10 1429.47 980.208 1674.52283516 HC IMMUNOASSAY NONANTIBODY - GLIADIN ANTIBODY 278.00 194.6 133.44 227.9683516 HC IMMUNOASSAY NONANTIBODY - GLIADIN ANTIBODY IGG 278.00 194.6 133.44 227.9693242 HC EXT ECG>48HR<7D RECORDING 3,047.70 2133.39 1462.896 2499.11493243 HC EXT ECG>48HR<7D SCAN ANALYSIS W/REPORT 3,047.70 2133.39 1462.896 2499.114P9037 HC PLT PHER L/R IRRAD PRODUCT FEE 4,375.90 3063.13 2100.432 3588.23878070 HC PARATHYROID PLANAR IMAGING - NM PARATHYROID 2,460.80 1722.56 1181.184 2017.85664446 HC PBB CONT SCIATIC NERVE CATH 1,091.40 763.98 523.872 894.94836430 HC BLOOD ADMINISTRATION >4 UNITS 1,990.60 1393.42 955.488 1632.29274246 HC CONTRST X-RAY UPPR GI TRACT - FL UPPER GI WITH DOUBLE CONT W/O KUB 1,616.50 1131.55 775.92 1325.5385597 HC PHOSPHOLIPID NEUTRALIZATION,PLATELET - PLATELET NEUTRALIZATION 267.70 187.39 128.496 219.51472125 HC CT SCAN,CERVICAL SPINE,W/O CONTRAST - CT CERVICAL SPINE WO CONTRAST 3,747.80 2623.46 1798.944 3073.19632408 HC CORE NDL BX LNG/MED PERQ W/IMAGING 3,919.40 2743.58 1881.312 3213.90882542 HC CHROMOTOGRAPHY QUAL/QUAN - REF LAB 353.50 247.45 169.68 289.8795971 HC PBB ANALYZE NEUROSTIM,SIMPLE/PROG 353.50 247.45 169.68 289.8795972 HC PBB ELEC ALYS NSTIM PLS GEN CPLX SC/PERPH W/PRGRMG 353.50 247.45 169.68 289.8763650 HC PBB PRO NEUROSTIMULATOR 2,721.60 1905.12 1306.368 2231.71263650 HC PBB PRO NEUROSTIMULATOR 2,721.60 1905.12 1306.368 2231.712G0480 HC LORAZEPAM 696.70 487.69 334.416 571.294

HC ER PROCEDURE IV 3,044.20 2130.94 1461.216 2496.24474300 HC X-RAY OPER CHOLANGIOGRAM - XR CHOLANGIOGRAM INTRAOPERATIVE 1,554.70 1088.29 746.256 1274.85486003 HC ALLERGEN SPEC IGE - ALLERGEN MAPLE,RED IGE 257.40 180.18 123.552 211.06886803 HC HEPATITIS C AB TEST - HEPATITIS C ANTIBODY 429.00 300.3 205.92 351.78P9059 HC LIQUID PLASMA PRODUCT FEE 171.60 120.12 82.368 140.71287476 HC LYME DIS, DNA, AMP PROBE - LYME DISEASE (BORRELIA BURGDORFERI), PCR 943.80 660.66 453.024 773.91673200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT SHOULDER RIGHT WO IV CONTRAST 3,123.10 2186.17 1499.088 2560.94273200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT WRIST RIGHT WO IV CONTRAST 3,123.10 2186.17 1499.088 2560.94273200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT SHOULDER LEFT WO IV CONTRAST 3,123.10 2186.17 1499.088 2560.94273200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT UPPER EXT LEFT WO IV CONTRAST 3,123.10 2186.17 1499.088 2560.94273200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT RADIUS ULNA LEFT WO IV CONT 3,123.10 2186.17 1499.088 2560.94273200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT HAND RIGHT WO IV CONTRAST 3,123.10 2186.17 1499.088 2560.94273200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT WRIST LEFT WO IV CONTRAST 3,123.10 2186.17 1499.088 2560.94273200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT ELBOW RIGHT WO IV CONTRAST 3,123.10 2186.17 1499.088 2560.942

73200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT RADIUS ULNA RIGHT WO IV CONT 3,123.10 2186.17 1499.088 2560.94273200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT UPPER EXT RIGHT WO IV CONTRAST 3,123.10 2186.17 1499.088 2560.94273200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT ELBOW LEFT WO IV CONTRAST 3,123.10 2186.17 1499.088 2560.94273200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT HAND LEFT WO IV CONTRAST 3,123.10 2186.17 1499.088 2560.94278305 HC BONE IMAGING, MULTIPLE AREAS - NM BONE MULTIPLE AREAS 1,685.10 1179.57 808.848 1381.782

HC ER PROCEDURE I 504.50 353.15 242.16 413.6974270 HC X-RAY COLON CONTRAST - FL BARIUM ENEMA SINGLE CONTRAST WATER SOLUBLE 1,589.00 1112.3 762.72 1302.9883874 HC ASSAY OF MYOGLOBIN - MYOGLOBIN SERUM 247.10 172.97 118.608 202.62288377 HC MORPH ANAL INSITU MAN GPP261 1,386.50 970.55 665.52 1136.9372120 HC L-SPINE BENDING ONLY 2-3 VIEWS 1,053.60 737.52 505.728 863.95272120 HC X-RAY LUMBAR SPINE FLEX/EXTEN - XR LUMBAR SPINE 4+ VIEWS W/ FLEX EXT 1,053.60 737.52 505.728 863.952

HC FINE NEEDLE ASPIRATION THYROID 1,355.60 948.92 650.688 1111.59285379 HC FIBRIN DEGRADPRODUCTS,D-DIMER, QUANT - D-DIMER,QUANTITATIVE 398.10 278.67 191.088 326.44277412 HC HC 1 MEV COMP 3 OR MORE TX AREAS 1,582.10 1107.47 759.408 1297.32273562 HC X-RAY KNEE 3 VIEW - XR KNEE 3 VIEWS RIGHT 785.90 550.13 377.232 644.43873562 HC X-RAY KNEE 3 VIEW - XR KNEE 3 VIEWS BILATERAL 785.90 550.13 377.232 644.43873562 HC X-RAY KNEE 3 VIEW - XR KNEE 3 VIEWS LEFT 785.90 550.13 377.232 644.43883520 HC IMMUNOASSAY QUANT NOS NONAB - TRYPTASE 936.90 655.83 449.712 768.25886696 HC HERPES SIMPLEX TEST, TYPE 2 - HSV 2 IGG ANTIBODY 387.80 271.46 186.144 317.996

HC MINOR 1 URGENT 0-30 MIN 3,867.70 2707.39 1856.496 3171.514HC MINOR 1 EMERGENCY 0-30 MIN 3,867.70 2707.39 1856.496 3171.514

92652 HC AEP THRSHLD EST MLT FREQ I&R 1,228.60 860.02 589.728 1007.45292653 HC AEP NEURODIAGNOSTIC INTERPRETATION AND REPORT 1,228.60 860.02 589.728 1007.45280053 HC COMPREHENSIVE METABOLIC PANEL 377.50 264.25 181.2 309.5583001 HC GONADOTROPIN (FSH) - FSH 151.00 105.7 72.48 123.8284402 HC TESTOSTERONE FREE 151.00 105.7 72.48 123.82

HC ER PROCEDURE III 2,028.20 1419.74 973.536 1663.12449083 HC ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE 2,093.40 1465.38 1004.832 1716.58895070 HC BRONCHIAL ALLERGY TESTS, DRUGS 1,046.70 732.69 502.416 858.29436005 HC INJECTION PROC,EXTREMITY,VENOGRAPHY 2,007.60 1405.32 963.648 1646.23276811 HC OB US DETAILED SNGL FETUS - US OB DETAIL FETAL ANAT SING OR 1ST GEST 1,846.30 1292.41 886.224 1513.966G0480 HC DOA CONFIRM THC URINE 291.70 204.19 140.016 239.19472083 HC RADEX X-RAY EXAM ENTIRE SPI 4/5 VW - XR ENTIRE SPINE 4 OR 5 VW 1,232.00 862.4 591.36 1010.2483520 HC SOLUBLE IL-2R 724.10 506.87 347.568 593.76273525 HC ARTHROGRAM OF HIP - XR HIP ARTHROGRAM RIGHT 1,558.00 1090.6 747.84 1277.5673525 HC ARTHROGRAM OF HIP - XR HIP ARTHROGRAM LEFT 1,558.00 1090.6 747.84 1277.5681025 HC URINE PREGNANCY TEST - PREGNANCY URINE 281.40 196.98 135.072 230.74876536 HC US, HEAD/NECK TISSUES,REAL TIME - US HEAD NECK SOFT TISSUE 1,472.20 1030.54 706.656 1207.20476536 HC US, HEAD/NECK TISSUES,REAL TIME - US NECK PARATHYROID 1,472.20 1030.54 706.656 1207.20476536 HC US, HEAD/NECK TISSUES,REAL TIME - US THYROID 1,472.20 1030.54 706.656 1207.20476536 HC US, HEAD/NECK TISSUES,REAL TIME - US NECK 1,472.20 1030.54 706.656 1207.20474740 HC X-RAY HYSTEROSALPINGOGRAM - XR HYSTEROSALPINGOGRAM 974.60 682.22 467.808 799.17280048 HC BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED CHARGE 346.60 242.62 166.368 284.21281263 HC IGHV MUTATION ANALYSIS BY SEQ 1,691.80 1184.26 812.064 1387.27674018 HC RADIOLOGIC EXAM ABDOMEN 1 VIEW - XR ABDOMEN 1 VIEW 607.40 425.18 291.552 498.06887536 HC HIV-1 QUANT&REVRSE TRNSCRPJ - HIV 1 RNA QUANT BY PCR 943.70 660.59 452.976 773.83477012 HC CT GUIDANCE NEEDLE PLACEMENT - CT GUIDED BIOPSY RETROPERITONEUM 3,352.70 2346.89 1609.296 2749.21477012 HC CT GUIDANCE NEEDLE PLACEMENT - CT GUIDANCE FOR NEEDLE PLACEMENT 3,352.70 2346.89 1609.296 2749.21477012 HC CT GUIDANCE NEEDLE PLACEMENT - CT GUIDED NEEDLE BIOPSY BONE 3,352.70 2346.89 1609.296 2749.21477012 HC CT GUIDANCE NEEDLE PLACEMENT - CT GUIDED NEEDLE BIOPSY KIDNEY 3,352.70 2346.89 1609.296 2749.21477012 HC CT GUIDANCE NEEDLE PLACEMENT - CT GUIDED NEEDLE BIOPSY LUNG 3,352.70 2346.89 1609.296 2749.21487327 HC CRYPTOCOCCUS ANTIGEN CSF EIA 401.50 281.05 192.72 329.23

HC ROOM CHARGE REHAB ISO 3,191.40 2233.98 1531.872 2616.94877306 HC TELETHERAPY ISODOSE PL SIMPLE 2,553.10 1787.17 1225.488 2093.54222515 HC PBB PRO KYPHON 2ND LEVEL 1,238.80 867.16 594.624 1015.81672052 HC RADEX SPINE CERVICAL 6 OR MORE VIEWS - XR C-SPINE COMPLETE 6+ VIEWS 1,544.20 1080.94 741.216 1266.24488342 HC IMHISTOCHEM/CYTCHM INIT ANTIBODY STAIN PROCEDURE - BUNDLED CHARGE 576.50 403.55 276.72 472.73

HC PBB PRO ED PROCEDURE IV 3,133.00 2193.1 1503.84 2569.0693970 HC PBB D S EXT COMPLETE INTRP 511.30 357.91 245.424 419.266

HC ER PROCEDURE II 1,012.30 708.61 485.904 830.08694660 HC RT BIPAP NON-EMERGENT 1,197.60 838.32 574.848 982.03275822 HC VENOGRAM EXTREM BILAT - IR VENOGRAM LOWER EXTREMITY BILATERAL CHG 2,505.00 1753.5 1202.4 2054.175822 HC VENOGRAM EXTREM BILAT - IR VENOGRAM LOWER EXTREMITY BILATERAL 2,505.00 1753.5 1202.4 2054.175822 HC VENOGRAM EXTREM BILAT - IR VENOGRAM EXTREMITY BILATERAL CHARGE 2,505.00 1753.5 1202.4 2054.175822 HC VENOGRAM EXTREM BILAT - IR VENOGRAM UPPER EXTREMITY BILATERAL 2,505.00 1753.5 1202.4 2054.174340 HC X-RAY GUIDE FOR GI TUBE - FL FEEDING TUBE PLACEMENT 1,002.00 701.4 480.96 821.6474340 HC X-RAY GUIDE FOR GI TUBE - FL FEEDING TUBE PLACEMENT LONG 1,002.00 701.4 480.96 821.6410160 HC PUNCTURE DRAINAGE OF LESION 555.90 389.13 266.832 455.83819030 HC IP MAMMO DUCTOGRAM/GALACTOGRAM 555.90 389.13 266.832 455.83899291 HC PBB CRITICAL CARE 1ST HOUR 1,722.60 1205.82 826.848 1412.532G0480 HC PAROXETINE QUANTITATION 425.50 297.85 204.24 348.91G0378 HC OBSERVATION FIRST HOUR 905.90 634.13 434.832 742.838

G0378 HC OBSERVATION HOURLY 905.90 634.13 434.832 742.83881302 HC MECP2 GENE ANALYSIS FULL SEQUENCE 1,671.10 1169.77 802.128 1370.30281304 HC MECP2 GENE ANALYSIS DUPLICATION/DELETION VARIANT 1,671.10 1169.77 802.128 1370.302A0426 HC AMB ALS NON EMERGENCY 1,605.90 1124.13 770.832 1316.83888346 HC PEMPHIGOID AB PANEL-IMMUNOFLUOR ANTB 1RS STAIN 415.20 290.64 199.296 340.46488346 HC IMMUNOFLUORESCENCE EACH AB - SEND OUT LAB 415.20 290.64 199.296 340.46488346 HC IMMUNOFLUORESCENT STUDY,INDIRECT - ANTI RIBONUCLEIC ACID 415.20 290.64 199.296 340.46493307 HC TTE W/O DOPPLER COMPLETE - TTE COMPLETE NO DOPPLER NO COLOR 1,245.60 871.92 597.888 1021.39293308 HC TTE F-UP OR LMTD - TTE LIMITED 1,245.60 871.92 597.888 1021.39293308 HC TTE F-UP OR LMTD - TTE LIMITED W/ DOPPLER AND COLOR 1,245.60 871.92 597.888 1021.39293308 HC TTE F-UP OR LMTD - TTE LIMITED W/ DOPPLER, COLOR AND CONTRAST 1,245.60 871.92 597.888 1021.39293308 HC TTE F-UP OR LMTD - TTE LIMITED W/ COLOR 1,245.60 871.92 597.888 1021.39236430 HC BLOOD TRANSFUSION SERVICE 1,355.40 948.78 650.592 1111.42822513 HC PBB PRO KYPHO THORACIC 2,700.50 1890.35 1296.24 2214.4192523 HC SLP EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION 820.10 574.07 393.648 672.48262284 HC INJECTION PROCEDURE MYELOGRAPHY/CT LUMBAR 1,400.00 980 672 114877334 HC TREAT DEVICE-COMPLEX 2,154.90 1508.43 1034.352 1767.01886832 HC HLA CLASS I ANTIBODY ID 2,559.80 1791.86 1228.704 2099.03631500 HC PBB ENDOTRACHEAL INTUBATION EMERG 1,609.30 1126.51 772.464 1319.62631500 HC ENDOTRACHEAL INTUBATION EMERG 1,609.30 1126.51 772.464 1319.62632554 HC THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING 1,379.40 965.58 662.112 1131.10872110 HC X-RAY LUMBAR SPINE 4 VW - XR LUMBAR SPINE COMPLETE 4+ VIEWS 1,259.30 881.51 604.464 1032.62687522 HC HEP C RNA QUANT REAL-TIME PCR 899.00 629.3 431.52 737.18

HC PHS I LEVEL II 120-149 MIN 2,522.00 1765.4 1210.56 2068.0499203 HC NEW PATIENT W/PROC 35-49 MIN 614.20 429.94 294.816 503.64499214 HC EST PATIENT W/PROC 30-39 MIN 614.20 429.94 294.816 503.64473600 HC X-RAY ANKLE 2 VW - XR ANKLE 2 VIEWS RIGHT 833.80 583.66 400.224 683.71673600 HC X-RAY ANKLE 2 VW - XR ANKLE 2 VIEWS LEFT 833.80 583.66 400.224 683.71687116 HC AFB CULTURE-INCLUDES AFB STAIN 219.60 153.72 105.408 180.07296376 HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, EA ADD, SAME DRUG 219.60 153.72 105.408 180.07282088 HC ALDOSTERONE SERUM 1,197.50 838.25 574.8 981.9576642 HC ULTRASOUND BREAST LIMITED - US BREAST BILATERAL LIMITED 1,142.60 799.82 548.448 936.93287624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES - HPV HIGH RISK PCR 209.30 146.51 100.464 171.62676856 HC ECHO,PELVIC (NONOBSTETRIC) - US PELVIS 1,619.50 1133.65 777.36 1327.9962321 HC PBB PRO THOR/CERV EPI SINGL W/IMAG 782.30 547.61 375.504 641.48693325 HC COLOR FLOW MAP 1,146.00 802.2 550.08 939.7293325 HC DOPPLER COLOR FLOW ADD-ON - TTE LIMITED W/ COLOR 1,146.00 802.2 550.08 939.7293325 HC DOPPLER COLOR FLOW ADD-ON - TTE LIMITED W/ DOPPLER, COLOR & CONTRAST 1,146.00 802.2 550.08 939.7293325 HC DOPPLER COLOR FLOW ADD-ON - COMPLETE ECHOCARDIOGRAM EXERCISE 1,146.00 802.2 550.08 939.7273130 HC X-RAY HAND 3+ VW - XR HAND 3+ VIEWS LEFT 926.40 648.48 444.672 759.64873130 HC X-RAY HAND 3+ VW - XR HAND 3+ VIEWS RIGHT 926.40 648.48 444.672 759.64876775 HC US, RETROPERITNL ABD, LTD - US RETROPERITONEUM LIMITED 1,588.60 1112.02 762.528 1302.65293880 HC DUPLEX SCAN EXTRACRANIAL,BILAT - CV US DOPPLER CAROTID 2,340.00 1638 1123.2 1918.893880 HC DUPLEX SCAN EXTRACRANIAL,BILAT - CAROTID DUPLEX 2,340.00 1638 1123.2 1918.893880 HC VASC DUPLEX SCAN EXTRACRANIAL,BILAT 2,340.00 1638 1123.2 1918.881223 HC CFTR SEQUENCE A2010876 2,075.80 1453.06 996.384 1702.15681479 HC UNLISTED PATH PROCEDURE-ARUP 2,075.80 1453.06 996.384 1702.15658340 HC CATH/INJECT HYSTEROSALPINGOGRAM 2,144.40 1501.08 1029.312 1758.40862272 HC SPINAL PUNCTURE,THERAPEUTIC DRAINAGE 2,144.40 1501.08 1029.312 1758.40876942 HC ECHO GUIDE FOR BIOPSY - US GUIDED FIDUCIAL MARKER ABDOMEN 2,243.90 1570.73 1077.072 1839.99876942 HC ECHO GUIDE FOR BIOPSY - IR THORACENTESIS 2,243.90 1570.73 1077.072 1839.99876942 HC ECHO GUIDE FOR BIOPSY - US GUIDED SOFT TISSUE BIOPSY 2,243.90 1570.73 1077.072 1839.99876942 HC ECHO GUIDE FOR BIOPSY - US GUIDANCE NEEDLE PLACEMENT 2,243.90 1570.73 1077.072 1839.99886762 HC RUBELLA AB 99.50 69.65 47.76 81.5995813 HC EEG >1 HR - EEG 2,113.50 1479.45 1014.48 1733.07P9016 HC RBC L/R PRODUCT FEE 1,616.00 1131.2 775.68 1325.1296105 HC SLP ASSESSMENT OF APHASIA 720.50 504.35 345.84 590.8163663 HC PBB PRO REVISION/REPLACEMENT 2,737.90 1916.53 1314.192 2245.07876818 HC FETAL BIOP PROFILE W/NST - US FETAL BIOPHYS PROF W NON STRESS TEST 1,574.80 1102.36 755.904 1291.33676819 HC FETAL BIOP PROFIL W/O NST - US FETAL BIOPHYS PROF WO NON STRESS TEST 1,574.80 1102.36 755.904 1291.33676830 HC ECHOGRAPHY,TRANSVAGINAL 1,574.80 1102.36 755.904 1291.33676830 HC ECHOGRAPHY,TRANSVAGINAL - US PELVIS TRANSVAGINAL 1,574.80 1102.36 755.904 1291.33684100 HC ASSAY OF INORGANIC PHOSPHORUS - PHOSPHORUS 188.70 132.09 90.576 154.73487517 HC HEPATITIS B , DNA, QUANT - HEPATITIS B DNA, ULTRAQUANTITATIVE, PCR 988.10 691.67 474.288 810.24293923 HC PBB VASC NON-INVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVELS INT 422.00 295.4 202.56 346.0487497 HC CYTOMEG, DNA, QUANT - CMV DNA, QUANTITATIVE, PCR 1,533.60 1073.52 736.128 1257.55219000 HC PUNC/ASPIR BREAST CYST 1,334.60 934.22 640.608 1094.372

HC PHS II RECOV 5-6 HRS TOTAL 1,379.20 965.44 662.016 1130.94481402 HC MPL515 MUTATION ANALYSIS 902.30 631.61 433.104 739.88651600 HC INJECTION FOR BLADDER X-RAY 1,571.30 1099.91 754.224 1288.46677073 HC X-RAYS, BONE LENGTH STUDIES - XR LOWER EXTREMITY LEG LENGTH EVAL 802.80 561.96 385.344 658.296G0480 HC RISPERIDONE 669.00 468.3 321.12 548.58

11043 HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,MUSCLE,=<20 SQ CM 1,763.40 1234.38 846.432 1445.98811046 HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,MUSCLE,EACH ADD 20 SQ CM 1,763.40 1234.38 846.432 1445.98888341 HC IMMUNOHISTO ANTB ADDL SLIDE - EA ADDL 703.30 492.31 337.584 576.70688342 HC PD-L1 IHC GENPATH 703.30 492.31 337.584 576.706G0482 HC DRUG DEFINITIVE 15-21 AMERITOX 435.70 304.99 209.136 357.27479005 HC NUCLEAR THERAPY, ORAL - NM THYROID THERAPY I 131 2,089.30 1462.51 1002.864 1713.22673050 HC X-RAY AC JTS - XR ACROMIOCLAVICULAR JOINTS BILATERAL 682.70 477.89 327.696 559.81482373 HC ASSAY CARBOHYDRATE DEF TRANSFERRIN - CARBOHYDRATE DEFICIENT TRANS 638.10 446.67 306.288 523.24281273 HC KIT GENE ANALYSIS D816 VARIANT(S) 1,444.30 1011.01 693.264 1184.32686617 HC LYME DISEASE ANTIBODY, CONFIRMATORY - B. BURGDORFERI ANTIBODIES WB 672.40 470.68 322.752 551.368G0480 HC HC CELEXA 1,132.10 792.47 543.408 928.32210030 HC IMAGE-GUIDED CATHETER FLUID COLLECTION DRAINAGE 1,379.10 965.37 661.968 1130.86210035 HC PERQ SFT TISS LOC DEVICE PLMT 1ST LES W/GDNCE 1,379.10 965.37 661.968 1130.86210036 HC PERQ DEV SOFT TISS ADD IMAG 1,379.10 965.37 661.968 1130.86297530 HC OT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN 291.60 204.12 139.968 239.11272080 HC RADEX X-RAY EXAM THORACOLMB 2+ VW - XR THORACOLUMBAR SPINE 2 VIEWS 864.50 605.15 414.96 708.8988374 HC INSITU HYBRID MULTI 1,461.40 1022.98 701.472 1198.34864416 HC PBB BRACHIAL PLEXUS CONT INFU/CATH 1,135.50 794.85 545.04 931.1192950 HC PBB CARDIOPULMONARY RESUSCITATION 1,632.90 1143.03 783.792 1338.97873610 HC X-RAY ANKLE 3+ VW - XR ANKLE 3+ VIEWS RIGHT 867.90 607.53 416.592 711.67873610 HC X-RAY ANKLE 3+ VW - XR ANKLE 3+ VIEWS LEFT 867.90 607.53 416.592 711.67899465 HC DELIVERY/BIRTHING ROOM RESUSCITATION 867.90 607.53 416.592 711.678C8924 HC 2-D ECHO LIMITED W/CONT 1,962.20 1373.54 941.856 1609.00480200 HC ASSAY OF TOBRAMYCIN - TOBRAMYCIN PEAK 349.90 244.93 167.952 286.91880200 HC ASSAY OF TOBRAMYCIN - TOBRAMYCIN RANDOM 349.90 244.93 167.952 286.91880200 HC ASSAY OF TOBRAMYCIN - TOBRAMYCIN TROUGH 349.90 244.93 167.952 286.91885460 HC HEMOGLOBIN FETAL,DIFF LYSIS - KLEIHAUER-BETKE STAIN 349.90 244.93 167.952 286.91882232 HC BETA-2 PROTEIN - BETA 2 MICROGLOBULIN 1,049.70 734.79 503.856 860.75482088 HC ASSAY OF ALDOSTERONE - ALDOSTERONE,24HR URINE 1,084.00 758.8 520.32 888.8876881 HC US COMPL JOINT R-T W/IMG - US WRIST LEFT 1,413.30 989.31 678.384 1158.90676881 HC US COMPL JOINT R-T W/IMG - US KNEE LEFT 1,413.30 989.31 678.384 1158.90676881 HC US COMPL JOINT R-T W/IMG - US WRIST RIGHT 1,413.30 989.31 678.384 1158.90676881 HC US COMPL JOINT R-T W/IMG - US KNEE RIGHT 1,413.30 989.31 678.384 1158.90687184 HC ANTIBIOTIC SENS,DISK,EACH - SUSCEPTIBILITY CHARGE 305.30 213.71 146.544 250.34687900 HC HCV PHENOTYPE INF AGENT DRUG 837.00 585.9 401.76 686.3472020 HC X-RAY SPINE ONE VIEW - XR SPINE 531.70 372.19 255.216 435.99493005 HC ELECTROCARDIOGRAM, TRACING - ECG 12-LEAD 442.50 309.75 212.4 362.8583835 HC METANEPHRINES 737.50 516.25 354 604.7583937 HC ASSAY OF OSTEOCALCIN - OSTEOCALCIN 147.50 103.25 70.8 120.9586255 HC ANTI-GLOMERULAR AB IGG 590.00 413 283.2 483.887529 HC HSV, DNA, AMP PROBE - HSV PCR 590.00 413 283.2 483.881402 HC MPL CODON 515 987.90 691.53 474.192 810.07873551 HC RADIOLOGIC EXAMINATION FEMUR 1 VIEW - XR FEMUR 1 VW LEFT 658.60 461.02 316.128 540.05273551 HC RADIOLOGIC EXAMINATION FEMUR 1 VIEW - XR FEMUR 1 VW RIGHT 658.60 461.02 316.128 540.05288309 HC SURG PATH,LEVEL VI - LAB SURG PATH,LEVEL VI 1,533.30 1073.31 735.984 1257.30664461 HC PBB PVB SS BLK 1,375.50 962.85 660.24 1127.9164463 HC PBB PVB CONT BLK 1,375.50 962.85 660.24 1127.91

HC INJ EA ADD'L LEVEL OR JOINT 1,581.30 1106.91 759.024 1296.66687799 HC DETECT AGENT NOS, DNA, QUANT - EPSTEIN-BARR VIRUS DNA, QUANTITATIVE 1,217.70 852.39 584.496 998.51484630 HC ASSAY OF ZINC - ZINC, WHOLE BLOOD 535.10 374.57 256.848 438.78250430 HC NJX PX ANTEGRDE NFROSGRM &/URTRGRM NEW ACCESS 1,776.80 1243.76 852.864 1456.97697162 HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS 991.30 693.91 475.824 812.86697166 HC OT OCCUPATIONAL THERAPY EVAL MOD COMPLEX 45 MINS 991.30 693.91 475.824 812.86676870 HC ECHO,SCROTUM & CONTENTS - US SCROTUM 1,653.30 1157.31 793.584 1355.70684134 HC ASSAY OF PREALBUMIN - PREALBUMIN 421.90 295.33 202.512 345.95873090 HC X-RAY FOREARM 2 VW - XR FOREARM 2 VIEWS LEFT 662.00 463.4 317.76 542.8473090 HC X-RAY FOREARM 2 VW - XR FOREARM 2 VIEWS RIGHT 662.00 463.4 317.76 542.8493926 HC VASC DUPLEX LO EXTREM ART UNILAT/LTD 1,461.20 1022.84 701.376 1198.18493926 HC DUPLEX LO EXTREM ART UNILAT/LTD - CV US DOPPLER ARTERIAL LEG RIGHT 1,461.20 1022.84 701.376 1198.18493926 HC DUPLEX LO EXTREM ART UNILAT/LTD - CV US DOPPLER ARTERIAL LEG LEFT 1,461.20 1022.84 701.376 1198.18493931 HC VASC DUPLEX UP EXTREM ART UNILAT/LTD 1,461.20 1022.84 701.376 1198.18493931 HC DUPLEX UP EXTREM ART UNILAT/LTD - CV US DOPPLER ARTERIAL ARM RIGHT 1,461.20 1022.84 701.376 1198.18493931 HC DUPLEX UP EXTREM ART UNILAT/LTD - CV US DOPPLER ARTERIAL ARM LEFT 1,461.20 1022.84 701.376 1198.18487641 HC MRSA, DNA, AMP PROBE - MRSA DNA PROBE 171.50 120.05 82.32 140.6387880 HC PBB STREP A ASSAY W/OPTIC 171.50 120.05 82.32 140.6387880 HC STREP A ASSAY W/OPTIC - RAPID STREP A SCREEN 171.50 120.05 82.32 140.6394010 HC BREATHING CAPACITY TEST - SPIROMETRY WITHOUT BRONCHODILATOR 617.40 432.18 296.352 506.268A0428 HC BLS AMB NON EMERGENCY 1,166.20 816.34 559.776 956.28486708 HC HEPATITIS A ABS (TOTAL) 68.60 48.02 32.928 56.25273100 HC X-RAY WRISTS 2 VIEWS RA SURVEY 1,293.10 905.17 620.688 1060.34264640 HC INJ TREATMENT OF NERVE 1,694.40 1186.08 813.312 1389.40862323 HC PBB PRO INJ INTER LMBR/SAC W/IMAG 665.40 465.78 319.392 545.628

80201 HC ASSAY OF TOPIRAMATE - TOPIRAMATE LEVEL 665.40 465.78 319.392 545.62887329 HC IAAD IA GIARDIA - GIARDIA LAMBLIA ANTIGEN 332.70 232.89 159.696 272.81420610 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US 963.80 674.66 462.624 790.31676816 HC OB US FOLLOW-UP PER FETUS - US OB FOLLOW UP TRANSABDOMINAL APPROACH 1,550.30 1085.21 744.144 1271.24662281 HC PBB EPIDURAL THORACIC/CERVICAL 655.10 458.57 314.448 537.18294729 HC DIFFUSING CAPACITY - CARBON MONOXIDE DIFFUSING CAPACITY 425.30 297.71 204.144 348.74687483 HC MENIG ENCEP PANEL CSF/PCR 782.00 547.4 375.36 641.2499215 HC PBB DETAILED OFFICE VISIT 356.70 249.69 171.216 292.49488377 HC M/PHMTRC ALYS ISH QUANT/SEMIQ MNL EACH MULTIPRB - HER-2 / NEU, FISH 840.30 588.21 403.344 689.04636600 HC WITHDRAWAL OF ARTERIAL BLOOD 322.40 225.68 154.752 264.368

HC NURSERY 1 ROOM DAILY 1,474.80 1032.36 707.904 1209.33692950 HC HEART/LUNG RESUSCITATION (CPR) 1,567.40 1097.18 752.352 1285.26894618 HC PULMONARY STRESS TEST/SIMPLE 692.80 484.96 332.544 568.09684075 HC ASSAY ALKAL PHOSPHATASE - ALKALINE PHOSPHATASE 219.50 153.65 105.36 179.99

HC PARACENTESIS 1,190.10 833.07 571.248 975.88270100 HC X-RAY JAW <4 VW - XR MANDIBLE < 4 VIEWS 994.60 696.22 477.408 815.57270355 HC PANORAMIC X-RAY OF JAWS - XR PANOREX 994.60 696.22 477.408 815.572

HC PHS II RECOV 3-4 HRS TOTAL 994.60 696.22 477.408 815.57294762 HC RT NONINVASV OXYGEN SATUT,CONTINUOUS 833.40 583.38 400.032 683.38817250 HC CHEM CAUTERY GRANULATN TISSUE 555.60 388.92 266.688 455.59217250 HC CHEMICAL CAUTERIZATION OF GRANULATION TISSUE 555.60 388.92 266.688 455.59299283 HC PBB EXAM CLASS III 799.10 559.37 383.568 655.26295824 HC EEG EVAL CEREBRAL DEATH - EEG CEREBRAL DEATH EVAL ONLY 1,320.40 924.28 633.792 1082.72889320 HC SEMEN ANALYSIS,VOLUME, COUNT, MOTILITY, DIFF - SEMEN ANALYSIS 428.70 300.09 205.776 351.53473501 HC X-RAY EXAM HIP UNI 1 VIEW - XR HIP 1 VW LEFT 511.00 357.7 245.28 419.0273501 HC X-RAY EXAM HIP UNI 1 VIEW - XR HIP 1 VW RIGHT 511.00 357.7 245.28 419.0299205 HC PBB OUTPT NEW 60 MINUTES 1,104.30 773.01 530.064 905.52693971 HC DUPLEX EXTREM VENOUS,UNI OR LTD 1,481.20 1036.84 710.976 1214.58486255 HC AQUAPORIN-4 RECEPTOR AB CSF 919.10 643.37 441.168 753.66299215 HC PBB LEVEL 5 EST PAT COMPREHENSIVE 442.40 309.68 212.352 362.76874425 HC X-RAY ANTEGRADE PYELOGRAM TUBE - FL GUIDED NEPHROSTOGRAM 1,467.80 1027.46 704.544 1203.59692524 HC SLP BEHAVIORAL & QUALIT ANALYSIS VOICE AND RESONANCE 850.50 595.35 408.24 697.4196125 HC SLP STANDARDIZED COGNITIVE PERFORMANCE TESTING 850.50 595.35 408.24 697.41G0283 HC OT ELEC STIM OTHER THAN WOUND 174.90 122.43 83.952 143.418G0283 HC PT ELEC STIM OTHER THAN WOUND 174.90 122.43 83.952 143.41888312 HC SPECIAL STAINS,GROUP I - LAB SPECIAL STAINS,GROUP I 257.20 180.04 123.456 210.90488311 HC DECALCIFY TISSUE - LAB DECALCIFY TISSUE 198.90 139.23 95.472 163.09873120 HC X-RAY HAND 2 VW - XR HAND 1-2 VIEWS BILATERAL 819.60 573.72 393.408 672.07273120 HC X-RAY HAND 2 VW - XR HAND 1-2 VIEWS RIGHT 819.60 573.72 393.408 672.07273120 HC X-RAY HAND 2 VW - XR HAND 1-2 VIEWS LEFT 819.60 573.72 393.408 672.07277402 HC HC 1 MEV SIMPLE SNGL AREA 1-2 PRT 1,042.50 729.75 500.4 854.8583519 HC PTH ANTIBODY 445.80 312.06 213.984 365.55686684 HC H INFLUENZAE B AG 445.80 312.06 213.984 365.55686741 HC N MENINGITIDIS GRP B SERUM 445.80 312.06 213.984 365.55686741 HC N MENINGITIDIS GRP B CSF 445.80 312.06 213.984 365.55686741 HC N MENINGITIDIS W 135 CSF 445.80 312.06 213.984 365.55686741 HC N MENINGITIDIS W 135 SERUM 445.80 312.06 213.984 365.55697750 HC OT PHYSICAL PERFORMANCE TEST 305.20 213.64 146.496 250.26483605 HC ASSAY OF LACTIC ACID - LACTATE 387.50 271.25 186 317.7586352 HC URTICARIA-INDUCING ACTIVITY 469.80 328.86 225.504 385.23682705 HC FAT FECAL QUAL 246.90 172.83 118.512 202.45820225 HC PBB PRO BONE BIOPSY TROCAR/NEEDLE 929.30 650.51 446.064 762.026G0399 HC PBB INTRP UNATT HOME SLEEP TYPEIII 929.30 650.51 446.064 762.02674022 HC X-RAY ABDOMEN,COMP ACUTE SERIES - XR ABDOMEN 2 VWS WITH CHEST 1 VIEW 1,059.60 741.72 508.608 868.87287186 HC ANTIBIOTIC SENS,MIC,EACH - SUSCEPTIBILITY CHARGE 270.90 189.63 130.032 222.13880178 HC ASSAY OF LITHIUM - LITHIUM 294.90 206.43 141.552 241.81888374 HC MORPH ANALYSIS ISH 802.40 561.68 385.152 657.96888374 HC MYC-BA 8Q24 REARRANGEMENT 802.40 561.68 385.152 657.96899281 HC EMERGENCY DEPARTMENT LEVEL 1 VISIT LIMITED/MINOR PROB 318.90 223.23 153.072 261.49882525 HC ASSAY OF COPPER - COPPER, SERUM 106.30 74.41 51.024 87.16684206 HC ASSAY OF PROINSULIN - PROINSULIN 106.30 74.41 51.024 87.16686141 HC C-REACTIVE PROTEIN,HIGH SENSITIVITY - HIGH SENSITIVITY CRP 106.30 74.41 51.024 87.16686235 HC NUCLEAR ANTIGEN ANTIBODY - SCLERODERMA (SCL-70) ANTIBODY 106.30 74.41 51.024 87.16686235 HC NUCLEAR ANTIGEN ANTIBODY - ANTI JO-1 IGG 106.30 74.41 51.024 87.16686022 HC SEROTONIN RELEASE ASSAY UNFRAC 1,063.00 744.1 510.24 871.6676802 HC OB US < 14 WKS ADDL FETUS - US OB < 14 WEEKS EACH ADDITIONAL GEST 1,289.30 902.51 618.864 1057.22676810 HC OB US >/= 14 WKS ADDL FETUS - US OB 14+ WEEKS EACH ADDITIONAL GEST 1,289.30 902.51 618.864 1057.22676815 HC OB US LIMITED FETUS(S) - US OB LIMITED 1+ FETUSES 1,289.30 902.51 618.864 1057.22676857 HC SONO PELVIS LIMITED - US PELVIS LIMITED 1,289.30 902.51 618.864 1057.22676857 HC SONO PELVIS LIMITED - US PELVIS LIMITED BLADDER 1,289.30 902.51 618.864 1057.22670110 HC X-RAY JAW 4+ VW - XR MANDIBLE 4+ VIEWS 1,183.00 828.1 567.84 970.06

HC L&D TIME - LABOR BEFORE C-SECTION 1,183.00 828.1 567.84 970.06

G0480 HC LACOSAMIDE (VIMPAT) 366.90 256.83 176.112 300.85877066 HC DX MAMMO INCL CAD BI - MAMMO BREAST DIAGNOSTIC BILATERAL 757.80 530.46 363.744 621.39677066 HC DX MAMMO INCL CAD BI - MG BREAST BILATERAL POST BIOPSY CLIP 757.80 530.46 363.744 621.39680069 HC RENAL FUNCTION PANEL - REF LAB 130.30 91.21 62.544 106.84672082 HC RADEX X-RAY EXAM ENTIRE SPI 2/3 VW - XR ENTIRE SPINE 2 OR 3 VW 1,114.40 780.08 534.912 913.80823350 HC INJ PROC SHOULDER ARTHROGRAPHY/CT/MRI 819.50 573.65 393.36 671.9960100 HC BIOPSY OF THYROID,PERCUT 1,176.10 823.27 564.528 964.40288271 HC DNA PROBE 713.20 499.24 342.336 584.82488275 HC MCG, IP SITU 713.20 499.24 342.336 584.82488291 HC CG, MCG INT 178.30 124.81 85.584 146.20681334 HC RUNX1 GENE TARGETED GPB893 785.20 549.64 376.896 643.86486008 HC ALLERGEN SPEC IGE RECOMB EA 250.30 175.21 120.144 205.24683498 HC ASSAY OF PROGESTERONE 17-D - 17-HYDROXYPROGESTERONE 774.90 542.43 371.952 635.41894200 HC LUNG FUNCTION TEST (MBC/MVV) - TRANS-DIAPHRAGMATIC PRESSURE 370.30 259.21 177.744 303.64685240 HC FACTOR VIII ACTIVITY, REFLX-QU 144.00 100.8 69.12 118.0873521 HC X-RAY EXAM HIPS BI 2 VWS - XR HIPS BILAT 2 VW W/ OR W/O PELVIS 864.00 604.8 414.72 708.4880055 HC OBSTETRIC PANEL - BUNDLED CHARGE 432.00 302.4 207.36 354.2483992 HC ASSAY FOR PHENCYCLIDINE (CLASS) 432.00 302.4 207.36 354.2473564 HC X-RAY KNEE 4+ VIEW - XR KNEE 4+ VIEWS BILATERAL 973.70 681.59 467.376 798.43473564 HC X-RAY KNEE 4+ VIEW - XR KNEE 4+ VIEWS RIGHT 973.70 681.59 467.376 798.43473564 HC X-RAY KNEE 4+ VIEW - XR KNEE 4+ VIEWS LEFT 973.70 681.59 467.376 798.43483625 HC ASSAY OF LDH ISOENZYMES - LACTATE DEHYDROGENASE ISOENZMS 325.70 227.99 156.336 267.07480047 HC BASIC METABOLIC PANEL CALCIUM IONIZED - BUNDLED CHARGE 555.40 388.78 266.592 455.42874220 HC ESOPHAGRAM - FL ESOPHAGUS BARIUM SWALLOW 1,052.50 736.75 505.2 863.0582397 HC ADALIMUMAB NEUTRALIZING AB 205.70 143.99 98.736 168.67499214 HC PBB EST PT DETAILED 315.40 220.78 151.392 258.62882626 HC DEHYDROEPIANDROSTERONE - DHEA 377.10 263.97 181.008 309.22287290 HC VARICELLA ZOSTER DFA REFLEX CU 462.80 323.96 222.144 379.49696360 HC IV INFUSION, HYDRATION, 31-60 MIN 572.50 400.75 274.8 469.4596417 HC CHEMOTHER, IV INFUSE, EACH SEQU INFUS 572.50 400.75 274.8 469.4596549 HC CHEMOTHERAPY, UNSPECIFIED PROCEDURE 572.50 400.75 274.8 469.4564480 HC PBB PRO TRANS EPI 2+ LEVELS 524.50 367.15 251.76 430.0972285 HC PBB X-RAY,C/T,DISK,SUPERV/INTERPRET - FL CERVICAL SPINE DISCOGRAM 414.80 290.36 199.104 340.13685520 HC HEPARIN ASSAY - LOW MOLECULAR WGT HEPARIN 829.60 580.72 398.208 680.27281305 HC MYD88 L265P MUTATION DETECTION 733.60 513.52 352.128 601.55281311 HC NRAS GENE VARIANTS EXON 2&3 366.80 256.76 176.064 300.77673020 HC X-RAY SHOULDER 1 VW - XR SHOULDER 1 VIEW LEFT 623.90 436.73 299.472 511.59873020 HC X-RAY SHOULDER 1 VW - XR SHOULDER 1 VIEW BILATERAL 623.90 436.73 299.472 511.59873020 HC X-RAY SHOULDER 1 VW - XR SHOULDER 1 VIEW RIGHT 623.90 436.73 299.472 511.59873140 HC X-RAY EXAM OF FINGER(S) - XR FINGERS 2+ VIEWS LEFT 623.90 436.73 299.472 511.59873140 HC X-RAY EXAM OF FINGER(S) - XR FINGERS 2+ VIEWS RIGHT 623.90 436.73 299.472 511.59873140 HC X-RAY EXAM OF FINGER(S) - XR FINGERS 2+ VIEWS BILATERAL 623.90 436.73 299.472 511.59882271 HC BLOOD,OCCULT,BY PEROX,OTHER SOURCES - POCT NITRAZINE PAPER TEST 85.70 59.99 41.136 70.27482272 HC FECAL OCCULT BLOOD TEST 85.70 59.99 41.136 70.27487426 HC SARSCOV CORONA VIRUS AG EIA 85.70 59.99 41.136 70.274G0480 HC SEROQUEL (QUETIAPINE) 857.00 599.9 411.36 702.7488634 HC ISH EACH ADD'L PROBE 257.10 179.97 123.408 210.82270360 HC X-RAY NECK SOFT TISSUE - XR NECK SOFT TISSUE 833.00 583.1 399.84 683.0670360 HC X-RAY NECK SOFT TISSUE - XR NECK SOFT TISSUE LATERAL 833.00 583.1 399.84 683.0687040 HC CULTURE BLOOD 490.20 343.14 235.296 401.96497164 HC PT PHYSICAL THERAPY RE-EVAL EST PLAN CARE 20 MINS 826.10 578.27 396.528 677.40297168 HC OT OCCUPATIONAL THER RE-EVAL EST PLAN CARE 30 MINS 826.10 578.27 396.528 677.40280299 HC DEXAMETHASONE 431.90 302.33 207.312 354.15886256 HC ENDOMYSIAL AB IGA 123.40 86.38 59.232 101.18886331 HC IMMUNODIFFUSION OUCHTERLONY - HYPER PNEUMO EXTENDED PANEL 246.80 172.76 118.464 202.37688184 HC FLOW CYTO 1ST MARKER GP573 123.40 86.38 59.232 101.18896542 HC CHEMOTHER INJECT,SUBARACH/INTRAVENT 678.70 475.09 325.776 556.53487803 HC CLOSTRIDIODES DIFF TOXIN 469.60 328.72 225.408 385.07285611 HC PROTHROMBIN TEST,SUBSTI,FRACTN - EQUAL MIX,PT/INR 322.20 225.54 154.656 264.20497602 HC WOUND DEBRIDEMNT, NON-SELECTIVE, EA 521.00 364.7 250.08 427.2264447 HC PBB FEMORAL NERVE SNGL INJ 497.00 347.9 238.56 407.5486325 HC IEP & CONSULT URINE 870.60 609.42 417.888 713.89210060 HC DRAIN SKIN ABSCESS SIMPLE 510.70 357.49 245.136 418.77464640 HC DESTRUCTION NEUROLYTIC AGENT 784.90 549.43 376.752 643.61864640 HC PBB PRO RFTC SACROILIAC NERVE 784.90 549.43 376.752 643.61896416 HC CHEMOTHER PROLONG INFUSE W/PUMP 922.00 645.4 442.56 756.0485651 HC RBC SED RATE, NONAUTO - SEDIMENTATION RATE, MANUAL 137.10 95.97 65.808 112.42288313 HC CONGO RED AMYLOID STAIN W/INTP 274.20 191.94 131.616 224.84487338 HC IAAD IA HPYLORI STOOL - H PYLORI ANTIGEN STOOL 486.70 340.69 233.616 399.09471048 HC RADIOLOGIC EXAM CHEST 4+ VIEWS - XR CHEST 4+ VIEWS 874.00 611.8 419.52 716.6888237 HC TISSUE CULTURE BM 850.00 595 408 69788262 HC CHROM ANAL 15-20 CELL GP5250 850.00 595 408 697

72100 HC X-RAY LUMBAR SPINE 2/3 VW - XR LUMBAR SPINE 2-3 VIEWS 887.70 621.39 426.096 727.91481270 HC JAK2 V617F 750.60 525.42 360.288 615.49238792 HC SENTINEL NODE NO IMAGE 839.70 587.79 403.056 688.55473592 HC X-RAY LEG, INFANT - XR LOWER EXTREMITY 2+ VIEWS INFANT 551.80 386.26 264.864 452.47686622 HC BRUCELLA, ANTIBODY - BRUCELLA SPECIES ANTIBODY 37.70 26.39 18.096 30.91482728 HC ASSAY OF FERRITIN - FERRITIN 390.70 273.49 187.536 320.37472040 HC RADEX SPINE CERVICAL 2 OR 3 VIEWS - XR CERVICAL SPINE 1 VIEW 921.90 645.33 442.512 755.95872040 HC RADEX SPINE CERVICAL 2 OR 3 VIEWS - XR CERVICAL SPINE 2-3 VIEWS 921.90 645.33 442.512 755.95886255 HC GBM IGG BY IFA A2008403 164.50 115.15 78.96 134.8986920 HC CROSSMATCH IMMED SPIN 507.20 355.04 243.456 415.90472170 HC X-RAY PELVIS 1/2 VW - XR PELVIS 1-2 VIEWS 596.30 417.41 286.224 488.96688368 HC BCL6 DIFFUSE LG B-CELL LYMPHOM 863.60 604.52 414.528 708.15296409 HC CHEMOTHER, IV PUSH, SNGL DRUG 610.00 427 292.8 500.283525 HC ASSAY OF INSULIN,TOTAL - INSULIN, FASTING 178.20 124.74 85.536 146.12483615 HC LACTATE (LD) (LDH) ENZYME - LACTATE DEHYDROGENASE 178.20 124.74 85.536 146.12486692 HC HEPATITIS DELTA VIRUS IGM EIA 651.10 455.77 312.528 533.90299213 HC LEVEL 3 EST PAT MODERATE 575.70 402.99 276.336 472.07473080 HC X-RAY ELBOW 3+ VW - XR ELBOW 3+ VIEWS BILATERAL 692.20 484.54 332.256 567.60473080 HC X-RAY ELBOW 3+ VW - XR ELBOW 3+ VIEWS LEFT 692.20 484.54 332.256 567.60473080 HC X-RAY ELBOW 3+ VW - XR ELBOW 3+ VIEWS RIGHT 692.20 484.54 332.256 567.60482803 HC BLOOD GAS - ARTERIAL 514.00 359.8 246.72 421.4882803 HC BLOOD GAS CORD BLOOD 514.00 359.8 246.72 421.4882803 HC BLOOD GASES: PH, PO2 & PCO2 - BLOOD GAS VENOUS 514.00 359.8 246.72 421.4882803 HC BLOOD GASES: PH, PO2 & PCO2 - BLOOD GAS CORD ARTERIAL 514.00 359.8 246.72 421.4864530 HC PBB PRO CELIAC-PLEXUZ NERVE BLOCK 630.50 441.35 302.64 517.0182627 HC DEHYDROEPIANDROSTERONE-SULFATE - DHEA-SULFATE 322.10 225.47 154.608 264.12282104 HC ALPHA-1-ANTITRYPSIN 541.40 378.98 259.872 443.94882300 HC HMS PANEL 4 BLOOD CADMIUM 219.30 153.51 105.264 179.82683655 HC HMS PANEL 4 BLOOD-LEAD 219.30 153.51 105.264 179.826

HC GENERAL ANESTHESIA TIME - 15 MINS 839.50 587.65 402.96 688.3981176 HC ASXL1 GENE TARGET SEQ GPB893 335.80 235.06 161.184 275.35681374 HC ANKYLOSING SPRONDY HLA-B27 GEN 414.60 290.22 199.008 339.97285306 HC CLOT INHIB PROTEIN S,FREE - PROTEIN S ACTIVITY 414.60 290.22 199.008 339.97286304 HC IMMUNOASSAY, TUMOR ANTIGEN, CA 125 - CA 125 298.10 208.67 143.088 244.44283540 HC ASSAY OF IRON - IRON 181.60 127.12 87.168 148.91287076 HC ID ANAEROBE 181.60 127.12 87.168 148.91296366 HC IV INFUSION, THERAP/PROPH/DIAGNOST,INITIAL,EA ADD HOUR 311.80 218.26 149.664 255.67688302 HC SURG PATH,LEVEL II - LAB SURG PATH,LEVEL II 376.90 263.83 180.912 309.05883150 HC ASSAY OF FOR HVA - HOMOVANILLIC ACID URINE 130.20 91.14 62.496 106.76484403 HC ASSAY OF TOTAL TESTOSTERONE - TESTOSTERONE 390.60 273.42 187.488 320.29297129 HC OT THER IVNTJ 1ST 15 MIN 195.30 136.71 93.744 160.14697129 HC SLP THER IVNTJ 1ST 15 MIN 195.30 136.71 93.744 160.14697129 HC PT THER IVNTJ 1ST 15 MIN 195.30 136.71 93.744 160.14697130 HC OT THER IVNTJ EA ADDL 15 MIN 195.30 136.71 93.744 160.14697130 HC SLP THER IVNTJ EA ADDL 15 MIN 195.30 136.71 93.744 160.14697130 HC PT THER IVNTJ EA ADDL 15 MIN 195.30 136.71 93.744 160.14697598 HC DEBRIDEMENT OPEN WOUND EA ADDL 20 SQ CM 781.20 546.84 374.976 640.58497763 HC PT ORTHOTICS/PROSTH MGMT &/TRAINJ SBSQ ENCTR 15 MIN 195.30 136.71 93.744 160.14680061 HC LIPID PROFILE 352.90 247.03 169.392 289.37864490 HC PBB PRO CERVICAL/THORACIC FACET 366.60 256.62 175.968 300.61292521 HC SLP EVALUATION OF SPEECH FLUENCY (STUTTER CLUTTER) 668.10 467.67 320.688 547.842G0480 HC HYPOGLYCEMIA PANEL 760.60 532.42 365.088 623.69283986 HC PH GASTRIC CONTENTS 78.80 55.16 37.824 64.61684315 HC BODY FLUID SPECIFIC GRAVITY - SPECIFIC GRAVITY BODY FLUID 78.80 55.16 37.824 64.61686255 HC FLUORESCENT ANTIBODY; SCREEN - REF LAB 315.20 220.64 151.296 258.46486341 HC ISLET CELL ANTIBODY - REF LAB 315.20 220.64 151.296 258.464G0480 HC BUPRENORPHINE & MET CONF 157.60 110.32 75.648 129.23229445 HC APPLY RIGID LEG CAST 551.60 386.12 264.768 452.31281511 HC MATERNAL SCR AFP/HCG/EST/INH 500.20 350.14 240.096 410.16481403 HC JAK2 EXON 12 MUTATION PCR 750.30 525.21 360.144 615.24673060 HC X-RAY HUMERUS - XR HUMERUS RIGHT 2 VW 671.50 470.05 322.32 550.6373060 HC X-RAY HUMERUS - XR HUMERUS LEFT 2 VW 671.50 470.05 322.32 550.6373060 HC X-RAY HUMERUS - XR HUMERUS BILATERAL 2 VW 671.50 470.05 322.32 550.6316020 HC DRESS/DEBRID SMALL BURN NO ANES 421.40 294.98 202.272 345.54882671 HC ASSAY OF ESTROGENS - ESTROGENS, FRACTIONATED 448.80 314.16 215.424 368.01685230 HC CLOT FACTOR VII PROCONVERTIN - FACTOR 7 ACTIVITY 448.80 314.16 215.424 368.01686146 HC BETA 2 GLYCOPROTEIN I ANTIBODY,EA - IGG, IGM, AND IGA EACH 555.00 388.5 266.4 455.173560 HC X-RAY KNEE 1 OR 2 VIEW - XR KNEE 1-2 VIEWS RIGHT 688.60 482.02 330.528 564.65273560 HC X-RAY KNEE 1 OR 2 VIEW - XR KNEE 1-2 VIEWS BILAT 688.60 482.02 330.528 564.65273560 HC X-RAY KNEE 1 OR 2 VIEW - XR KNEE 1-2 VIEWS LEFT 688.60 482.02 330.528 564.65273590 HC X-RAY TIB + FIB, 2VW - XR TIBIA FIBULA 2 VIEWS RIGHT 688.60 482.02 330.528 564.65273590 HC X-RAY TIB + FIB, 2VW - XR TIBIA FIBULA 2 VIEWS LEFT 688.60 482.02 330.528 564.652

73650 HC X-RAY HEEL - XR CALCANEUS 2 VIEWS RIGHT 688.60 482.02 330.528 564.65273650 HC X-RAY HEEL - XR CALCANEUS 2 VIEWS BILATERAL 688.60 482.02 330.528 564.65273650 HC X-RAY HEEL - XR CALCANEUS 2 VIEWS LEFT 688.60 482.02 330.528 564.65273660 HC X-RAY TOE(S) - XR TOES 2+ VIEWS LEFT 688.60 482.02 330.528 564.65273660 HC X-RAY TOE(S) - XR TOES 2+ VIEWS RIGHT 688.60 482.02 330.528 564.65283789 HC NEWBORN SCREENING PANEL 304.90 213.43 146.352 250.01877072 HC X-RAYS FOR BONE AGE - XR BONE AGE EXTENDED 517.30 362.11 248.304 424.18677072 HC X-RAYS FOR BONE AGE - XR BONE AGE HAND WRIST 517.30 362.11 248.304 424.18694727 HC PULM FUNCTION TEST BY GAS - HELIUM DILUTION LUNG VOLUMES 517.30 362.11 248.304 424.18699204 HC PBB INT COMPREHENSIVE NEW PT 531.00 371.7 254.88 435.4277061 HC BREAST TOMOSYNTHESIS UNI - MAMMO BREAST DIAGNOSTIC TOMOSYNTHESIS LT 106.20 74.34 50.976 87.08477061 HC BREAST TOMOSYNTHESIS UNI - MAMMO BREAST DIAGNOSTIC TOMOSYNTHESIS RT 106.20 74.34 50.976 87.08488348 HC ELECTRON MICROSCOPY 692.00 484.4 332.16 567.4484376 HC REDUCING SUBSTANCES FECAL 119.90 83.93 57.552 98.31883497 HC ASSAY OF 5-HIAA - 5 HIAA QUANT,RANDOM URINE 373.40 261.38 179.232 306.188

HC SEMI-PRIVATE TELE PHS MAIN SURG/ORTHO 373.40 261.38 179.232 306.18887186 HC MIC EACH (SUSCEPTIBILITY) 280.90 196.63 134.832 230.338G0480 HC DRUG TEST DEF 1-7 CLASSES-FENTANYL/METAB URINE 322.00 225.4 154.56 264.04G0480 HC FENTANYL/METAB URINE 322.00 225.4 154.56 264.0482105 HC ALPHA-FETOPROTEIN, SERUM - ALPHA-FETOPROTEIN MARKER 496.70 347.69 238.416 407.29487081 HC CULTURE PATHOG - SCREEN 174.70 122.29 83.856 143.25482465 HC ASSAY, BLD/SERUM CHOLESTEROL - CHOLESTEROL TOTAL 188.40 131.88 90.432 154.48884112 HC EVAL AMNIOTIC FLUID ROM PLUS 202.10 141.47 97.008 165.72284110 HC PORPHOBILINOGEN URINE 243.20 170.24 116.736 199.42486927 HC FFP THAW FEE 513.80 359.66 246.624 421.31680307 HC DRUG TEST PRSMV CHEM ANLYZR 393.90 275.73 189.072 322.99888360 HC PD-L1 IHC EIL3N GENPATH 393.90 275.73 189.072 322.99886922 HC CROSSMATCH EACH UNIT 572.00 400.4 274.56 469.04G0481 HC METHADONE CONFIRM 150.70 105.49 72.336 123.57496401 HC CHEMOTHER,NON-HORMONE ANTI-NEOPL, SUB-Q/IM 671.30 469.91 322.224 550.46687252 HC VIRAL CULTURE 643.90 450.73 309.072 527.99829580 HC STRAPPING UNNA BOOT 424.70 297.29 203.856 348.25480299 HC QUANTITATION DRUG NOT ELSEWHERE SPECIFIED - ZONISAMIDE LEVEL 424.70 297.29 203.856 348.25484080 HC ASSAY ALKAL PHOSPHATASE,ISOENZYMES - ALKALINE PHOSPHATASE,ISOENZYMES 424.70 297.29 203.856 348.25484425 HC ASSAY OF VITAMIN B-1 - VITAMIN B1 424.70 297.29 203.856 348.25477417 HC PORT FILM 493.20 345.24 236.736 404.42484166 HC PROTEIN E-PHORESIS/URINE/CSF - PROTEIN ELECTROPHORESIS URINE 493.20 345.24 236.736 404.42485347 HC COAGULATION TIME, ACTIVATED - ACTIVATED CLOTTING TIME 164.40 115.08 78.912 134.80880299 HC QUANTITATION DRUG NOT ELSEWHERE SPECIFIED - GABAPENTIN LEVEL 383.60 268.52 184.128 314.55283090 HC ASSAY OF HOMOCYSTINE - HOMOCYSTEINE TOTAL 383.60 268.52 184.128 314.55283873 HC MYELIN BASIC PROTEIN,CSF - MYELIN BASIC PROTEIN CSF 383.60 268.52 184.128 314.55286403 HC PARTICLE AGGLUTINATION TEST, SCREEN - BACTERIAL ANTIGEN DETECTION, S PNEUMO AG SERUM 578.80 405.16 277.824 474.61686611 HC BARTONELLA, ANTIBODY - BARTONELLA AB PANEL 428.10 299.67 205.488 351.04299211 HC LEVEL 1 EST PAT LIMITED 359.60 251.72 172.608 294.87287070 HC CULTURE THROAT FULL 318.50 222.95 152.88 261.1796411 HC CHEMOTHER, IV PUSH,EA ADD DRUG 472.60 330.82 226.848 387.53286735 HC MUMPS - MUMPS IGG ANTIBODY 195.20 136.64 93.696 160.06493321 HC DOPPLER ECHO EXAM HEART - TTE LIMITED W/ DOPPLER, COLOR & CONTRAST 585.60 409.92 281.088 480.19293321 HC DOPPLER ECHO EXAM HEART - TTE LIMITED W/ COLOR 585.60 409.92 281.088 480.19293321 HC DOPPLER ECHO EXAM HEART - TTE LIMITED W/ DOPPLER & COLOR 585.60 409.92 281.088 480.19293321 HC DOPPLER ECHO EXAM HEART - CONGENITAL TRANSTHORACIC ECHO LIMITED 585.60 409.92 281.088 480.19293321 HC DOPPLER ECHO EXAM HEART - CONGENITAL TTE LIMITED W DPPLR CLR & CONT 585.60 409.92 281.088 480.19293321 HC DOPPLER ECHO EXAM HEART - CONGENITAL TTE LIMITED W/ DOPPLER & COLOR 585.60 409.92 281.088 480.19285049 HC PLATELET COUNT - PLATELET COUNT 167.80 117.46 80.544 137.59684145 HC PROCALCITONIN 551.30 385.91 264.624 452.06683516 HC GM1 AB, IGG 311.60 218.12 149.568 255.51283516 HC GM1 AB, IGM 311.60 218.12 149.568 255.51282239 HC BILE ACIDS, TOTAL - BILE ACIDS, TOTAL 99.30 69.51 47.664 81.42684210 HC PYRUVIC ACID 99.30 69.51 47.664 81.42682175 HC ARSENIC FRACTIONATED UNRINE 554.70 388.29 266.256 454.85487172 HC SCOTCH TAPE TEST 157.50 110.25 75.6 129.1587400 HC INFLUENZAE A/B BY EIA 345.80 242.06 165.984 283.556G0480 HC CLOBAZAM QNT 462.20 323.54 221.856 379.00482785 HC ASSAY OF GAMMAGLOBULIN IGE - IMMUNOGLOBULIN IGE 260.20 182.14 124.896 213.36496367 HC IV INFUSION, THERAP/PROPH/DIAGNOST,ADD INFUSION,1ST HOUR [2609636701] 390.30 273.21 187.344 320.04680198 HC ASSAY OF THEOPHYLLINE - THEOPHYLLINE 376.60 263.62 180.768 308.81283088 HC HISTAMINE URINE 188.30 131.81 90.384 154.40688304 HC SURG PATH,LEVEL III - LAB SURG PATH,LEVEL III 523.80 366.66 251.424 429.51687075 HC CULTURE ANAEROBE 393.70 275.59 188.976 322.83492526 HC SLP ORAL FUNCTION THERAPY 554.60 388.22 266.208 454.77280050 HC GENERAL HEALTH PANEL - BUNDLED CHARGE 366.30 256.41 175.824 300.36681276 HC KRAS GENE ADDL VARIANTS 249.90 174.93 119.952 204.918

86003 HC IMMUNOCAP SCORE 89.00 62.3 42.72 72.98HC IR TIME - EACH INCREMENTAL 1 MINUTE 356.00 249.2 170.88 291.92

99244 HC PBB COMP OFFICE CONSULT NEW/ES 60M 489.50 342.65 234.96 401.3986710 HC INFLUENZA B AB IGG 133.50 93.45 64.08 109.4787801 HC DETECT AGENT, MULT ORGS, DNA, AMP - BORDETELLA PERTUSS/PARAPERTUSS 475.80 333.06 228.384 390.15683013 HC H. PYLORI;BREATH TEST, NON-ISOTOPE - H PYLORI BREATH TEST 208.80 146.16 100.224 171.21686812 HC HLA TYPING, A,B,OR C /SINGLE - HLA-B27 ANTIGEN 208.80 146.16 100.224 171.21687385 HC IAAD IA HISTOPLASM CAPSULATUM - HISTOPLASMA ANTIGEN, SERUM 417.60 292.32 200.448 342.43288187 HC FLOW CYTOMETRY INTERP - REF LAB 208.80 146.16 100.224 171.21688341 HC IHC 1 ADD'L AB STAIN MAYO 417.60 292.32 200.448 342.43264625 HC PBB PRO RADIOFREQUENCY SACROILIAC FACET 403.90 282.73 193.872 331.19883520 HC PROTHROMBIN FRAGMENT 1+2 421.00 294.7 202.08 345.2281291 HC MTHFR 2 MUTATIONS 287.50 201.25 138 235.7583516 HC IMMUNOASSAY NONANTIBODY - TISSUE TRANSGLUTAMINASE, IGG 472.30 330.61 226.704 387.28687340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN - HEPATITIS B SURFACE ANTIGEN 397.00 277.9 190.56 325.5480076 HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE 427.80 299.46 205.344 350.79681237 HC EZH2 GENE VARIANTS GPB893 229.30 160.51 110.064 188.02680329 HC DRUG SCREEN ANALGESICS NON-OPIOID 1 OR 2 - SALICYLATE 246.40 172.48 118.272 202.04886235 HC NUCLEAR ANTIGEN ANTIBODY - SJOGRENS SYNDROME-B EXT NUC AB 61.60 43.12 29.568 50.51286235 HC NUCLEAR ANTIGEN ANTIBODY - SJOGRENS SYNDROME-A EXT NU AB 61.60 43.12 29.568 50.51286235 HC SSA ANTIBODY IGG 61.60 43.12 29.568 50.51286235 HC NUCLEAR ANTIGEN ANTIBODY - RIBONUCLEIC PROTEIN ANTIBODY, IGG 61.60 43.12 29.568 50.51299211 HC PBB EST PT MINIMAL 61.60 43.12 29.568 50.512G0480 HC DRUG TEST DEF 1-7 CLASSES-ACETAMINOPHEN 246.40 172.48 118.272 202.04880299 HC THIOPURINE METABOLITES 325.10 227.57 156.048 266.58284450 HC TRANSFERASE ASPARTATE AMINO (AST) (SGOT) - AST (SGOT) 171.10 119.77 82.128 140.30282306 HC ASSAY OF VIT D,CALCIFEDIOL W FRACTIONS, IF PERFORMED - VITAMIN D 25 407.20 285.04 195.456 333.90484681 HC ASSAY OF C-PEPTIDE - C-PEPTIDE 314.80 220.36 151.104 258.13694669 HC RT MECHANICAL CHEST WALL OSCILLATION LUNG FUNCTION 393.50 275.45 188.88 322.6799153 HC PBB PRO CON SED SAME PHYS EA ADD15 393.50 275.45 188.88 322.6780195 HC ASSAY OF SIROLIMUS - SIROLIMUS 472.20 330.54 226.656 387.20480307 HC CANNABINOID METABOLITES UR 410.60 287.42 197.088 336.69280307 HC BENZODIAZEPINES CLASS URINE 410.60 287.42 197.088 336.69280307 HC OPIATE CLASS URINE 410.60 287.42 197.088 336.69280307 HC DRUG TEST PRSMV CHEM ANLYZR - AMPHETAMINE QUAL URINE 410.60 287.42 197.088 336.69286356 HC PAROXYMAL NOCTURNAL HEM 458.50 320.95 220.08 375.9788361 HC IHC STAIN X5 458.50 320.95 220.08 375.9786880 HC ANTIHUMAN GLOBULIN DIR EA ANTISERUM - CORD BLOOD EVALUATION 253.20 177.24 121.536 207.62486880 HC ANTIHUMAN GLOBULIN DIR EA ANTISERUM - DIRECT ANTIGLOBULIN TEST 253.20 177.24 121.536 207.624G0480 HC DRUG TEST DEF 1-7 CLASSES-ETHANOL 475.60 332.92 228.288 389.99283835 HC METANEPHRINES URINE FRACT 414.00 289.8 198.72 339.4884156 HC PROTEIN TOTAL URINE RANDOM 256.60 179.62 123.168 210.41296374 HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG 273.70 191.59 131.376 224.43494761 HC RT NONINVASV OXYGEN SATUR,MULTIPLE 386.60 270.62 185.568 317.01294761 HC NONINVASV OXYGEN SATUR,MULTIPLE - PULSE OXIMETRY, WITH EXERCISE 386.60 270.62 185.568 317.01286668 HC FRANCISELLA TULARENSIS AB IGM 112.90 79.03 54.192 92.57886668 HC FRANCISELLA TULARENSIS AB IGG 112.90 79.03 54.192 92.57885670 HC THROMBIN TIME, PLASMA - THROMBIN TIME 65.00 45.5 31.2 53.386665 HC EPSTEIN-BARR CAPSID VCA - EPSTEIN-BARR VIRUS VCA, IGM 260.00 182 124.8 213.280162 HC DRUG SCREEN QUANTITATIVE DIGOXIN TOTAL - DIGOXIN 325.00 227.5 156 266.593931 HC PBB D S UPPER EXT UNILAT INTERP 246.30 172.41 118.224 201.96684600 HC ASSAY OF VOLATILES - VOLATILE COMPOUNDS 198.40 138.88 95.232 162.68886735 HC MUMPS - MUMPS IGM ANTIBODY 198.40 138.88 95.232 162.68880307 HC BARBITURATES CLASS URINE 413.90 289.73 198.672 339.39886923 HC CROSSMATCH, EACH UNIT, ELECTRONIC 314.70 220.29 151.056 258.05483735 HC ASSAY OF MAGNESIUM - MAGNESIUM 215.50 150.85 103.44 176.7199152 HC PBB PRO CON SED > 5 YR 1ST 15 MIN 249.70 174.79 119.856 204.75480164 HC DRUG SCREEN QUANT DIPROPYLACETIC ACID TOTAL - VALPROIC ACID TOTAL 400.20 280.14 192.096 328.16487205 HC GRAM STAIN 150.50 105.35 72.24 123.4193320 HC PBB CARDIAC DOPPLER COMP INTR 335.20 234.64 160.896 274.86493971 HC PBB VENOUS EXT LIMITED INTRP 335.20 234.64 160.896 274.86487290 HC VARICELLA ZOSTER VIRUS DFA 236.00 165.2 113.28 193.52

HC OB ROOM WITH TELEMETRY DAILY 321.50 225.05 154.32 263.63HC PED ROOM WITH TELEMETRY DAILY 321.50 225.05 154.32 263.63

84155 HC PROTEIN TOT XCPT REFRACTOMETRY SERUM - PROTEIN TOTAL 153.90 107.73 73.872 126.19884460 HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (SGPT) 153.90 107.73 73.872 126.19899001 HC PBB PRO COLLECTION FEE 51.30 35.91 24.624 42.06686850 HC RBC ANTIBODY SCREEN - ANTIBODY SCREEN 294.10 205.87 141.168 241.16286334 HC IMMUNOFIXATION ELECTROPHORESIS SERUM 277.00 193.9 132.96 227.1484432 HC ASSAY OF THYROGLOBULIN - THYROGLOBULIN 259.90 181.93 124.752 213.11886665 HC EPSTEIN-BARR CAPSID VCA - EPSTEIN-BARR VIRUS VCA, IGG 259.90 181.93 124.752 213.11894640 HC RT MDI/DPI 259.90 181.93 124.752 213.118

94640 HC RT HAND HELD NEBULIZER 259.90 181.93 124.752 213.11885025 HC COMPLETE CBC & AUTO DIFF WBC - ADDITIONAL CHARGE 225.70 157.99 108.336 185.07487081 HC CULTURE GC 208.60 146.02 100.128 171.05287086 HC CULTURE URINE 208.60 146.02 100.128 171.05286308 HC HETEROPHILE ANTIBODIES,SCREEN - MONONUCLEOSIS SCREEN 174.40 122.08 83.712 143.00883550 HC IRON BINDING TEST - IRON AND IRON BINDING CAPACITY PANEL - SR OR PL 212.00 148.4 101.76 173.8486317 HC IMMUNOASSAY,INFECT AGENT,QUANT - STREP PNEUMONIAE ANTIBODY SEROTYPES 212.00 148.4 101.76 173.8486003 HC ALLERGEN SPEC IGE - ALLERGEN MITE: DERMATOPHAGOIDES PTERONYSSINUS 283.80 198.66 136.224 232.71686003 HC ALLERGEN SPEC IGE - ALLERGEN BERMUDA GRASS IGE 283.80 198.66 136.224 232.71686003 HC ALLERGEN SPEC IGE - ALLERGEN MITE: DERMATOPHAGOIDES FARINAE 283.80 198.66 136.224 232.71686003 HC ALLERGEN SPEC IGE - ALLERGEN CORN IGE 88.90 62.23 42.672 72.89886003 HC ALLERGEN SPEC IGE - ALLERGEN CLAMS IGE 88.90 62.23 42.672 72.89886003 HC ALLERGEN SPEC IGE - ALLERGEN CODFISH IGE 88.90 62.23 42.672 72.89886003 HC ALLERGEN SPEC IGE - ALLERGEN WALNUT IGE 88.90 62.23 42.672 72.89886003 HC ALLERGEN SPEC IGE - ALLERGEN SCALLOP IGE 88.90 62.23 42.672 72.89886003 HC ALLERGEN SPEC IGE - ALLERGEN SHRIMP IGE 88.90 62.23 42.672 72.89886003 HC ALLERGEN SPEC IGE - ALLERGEN EGG WHITE IGE 88.90 62.23 42.672 72.89886695 HC HERPES SIMPLEX TEST, TYPE 1 - HSV 1 IGG ANTIBODY 160.70 112.49 77.136 131.77487327 HC CRYPTOCOCCUS ANTIGEN SERUM EI 160.70 112.49 77.136 131.77487536 HC HIV-1 CSF NAAT 160.70 112.49 77.136 131.77486340 HC INTRINSIC FACTOR ANTIBODY - INTRINSIC FACTOR BLOCKING ANTIBODY 324.80 227.36 155.904 266.33686747 HC PARVOVIRUS - PARVOVIRUS B19 ANTIBODY, IGG AND IGM 324.80 227.36 155.904 266.33699244 HC LEVEL 4 CONS 60 MIN 379.50 265.65 182.16 311.1986606 HC ASPERGILLUS FUMIGATUS AB IGG 235.90 165.13 113.232 193.438A9517 HC I131 IODINE PER MILLICURIE 164.10 114.87 78.768 134.56286713 HC LEGIONELLA PNEUMOPHILA 1-6, IG 218.80 153.16 105.024 179.41682164 HC ANGIOTENSIN I ENZYME TEST - ANGIOTENSIN CONVERT ENZYME CSF 311.10 217.77 149.328 255.10284202 HC ZINC PROTOPORPHYRIN (ZPP) 92.30 64.61 44.304 75.68688313 HC SPECIAL STAIN GROUP 2 352.10 246.47 169.008 288.72288313 HC SPECIAL STAINS,GROUP II - LAB SPECIAL STAINS,GROUP II 352.10 246.47 169.008 288.72294642 HC AEROSOL PENTAMIDINE TX 352.10 246.47 169.008 288.72286162 HC COMPLEMENT, TOTAL (CH50) - COMPLEMENT TOTAL 297.40 208.18 142.752 243.86886300 HC IMMUNOASSAY, TUMOR ANTIGEN, CA 15-3 - CANCER ANTIGEN 15-3 297.40 208.18 142.752 243.86881405 HC MOPATH PROC LEVEL 6 372.60 260.82 178.848 305.53282947 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - GLUCOSE RANDOM 75.20 52.64 36.096 61.66482103 HC ALPHA-1-ANTITRYPSIN, TOTAL - ALPHA-1-ANTITRYPSIN 208.50 145.95 100.08 170.9782310 HC ASSAY OF CALCIUM, TOTAL - CALCIUM 170.90 119.63 82.032 140.13884520 HC ASSAY UREA NITROGEN, QUAN - BLOOD UREA NITROGEN 136.70 95.69 65.616 112.09483935 HC ASSAY OF URINE OSMOLALITY - OSMOLALITY URINE 293.90 205.73 141.072 240.99884133 HC ASSAY OF URINE POTASSIUM - POTASSIUM RANDOM URINE 177.70 124.39 85.296 145.71485027 HC COMPLETE CBC - CBC 177.70 124.39 85.296 145.71485461 HC HEMOGLOBIN FETAL,ROSETTE - FETAL BLEED SCREEN 177.70 124.39 85.296 145.71488305 HC LEVEL IV 276.80 193.76 132.864 226.97688312 HC SPECIAL STAIN 276.80 193.76 132.864 226.97688312 HC SPECIAL STAINS,GROUP I - BUNDLED CHARGE 276.80 193.76 132.864 226.97688313 HC GROUP 2 STAIN 276.80 193.76 132.864 226.97694060 HC PBB INTERP SPIROMETRY PRE/POST B D 276.80 193.76 132.864 226.976G0480 HC DOA CONFIRM COCAINE 276.80 193.76 132.864 226.976G0480 HC OPIATES CONFIRM URINE 276.80 193.76 132.864 226.976G0480 HC AMPHETAMINES CONF URINE 276.80 193.76 132.864 226.976G0480 HC BENZODIAZEPINES CONFIRM URINE 276.80 193.76 132.864 226.97683050 HC BLOOD METHEMOGLOBIN, QUANT - METHEMOGLOBIN VEONOUS 198.20 138.74 95.136 162.52486360 HC T CELL ABSOLUTE COUNT/RATIO - T-HELPER CELLS CD4/CD8 % 160.60 112.42 77.088 131.69286431 HC RHEUMATOID FACTOR, QUANT - RHEUMATOID FACTOR 341.70 239.19 164.016 280.19464494 HC PBB PRO LUMBAR FACET 2ND LEVEL 181.10 126.77 86.928 148.50289050 HC CELL COUNT,MISC BODY FLUIDS - BODY FLUID CELL COUNT 201.60 141.12 96.768 165.31296523 HC IRRIG IMPLANTED DRUG DELIVERY DEVICE 225.50 157.85 108.24 184.9186157 HC COLD AGGLUTININ, TITER - COLD AGGLUTININ TITER 164.00 114.8 78.72 134.4886606 HC ASPERGILLUS ANTIBODY - ASPERGILLUS ABS 208.40 145.88 100.032 170.88886301 HC IMMUNOASSAY, TUMOR ANTIGEN, CA 19-9 - CANCER ANTIGEN 19-9 297.20 208.04 142.656 243.70482784 HC ASSAY OF GAMMAGLOBULIN IGA, IGD, IGG, IGM, EACH - IGM 191.30 133.91 91.824 156.86685613 HC RUSSELL VIPER VENOM, DILUTED - DRVVT (DILUTE RUSSEL VV TIME) 191.30 133.91 91.824 156.86682009 HC KETONE BODIES SERUM QUALITATIVE - ACETONE 235.70 164.99 113.136 193.274G0480 HC DOA CONF BARBITURATES URINE 259.60 181.72 124.608 212.87286706 HC HEPATITIS B SURFACE AB TEST - HEPATITIS B SURFACE ANTIBODY 174.20 121.94 83.616 142.84482800 HC BLOOD PH - PH CORD 290.30 203.21 139.344 238.04682800 HC BLOOD PH - PH VENOUS 290.30 203.21 139.344 238.04685362 HC FIBRIN DEGRAD PRODUCTS, AGGLUTINATION - FIBRIN SPLIT PRODUCTS 290.30 203.21 139.344 238.04685306 HC CLOT INHIB PROTEIN S,FREE - PROTEIN S ANTIGEN FREE 249.30 174.51 119.664 204.42687210 HC SMEAR - INFECTIOUS WET MOUNT 136.60 95.62 65.568 112.01287210 HC O&P DIRECT EXAM 136.60 95.62 65.568 112.01285810 HC BLOOD VISCOSITY EXAMINATION - VISCOSITY, SERUM 160.50 112.35 77.04 131.61

82375 HC ASSAY BLOOD CARBON MONOXIDE - CARBOXYHEMOGLOBIN ARTERIAL VENOUS 252.70 176.89 121.296 207.21486140 HC C-REACTIVE PROTEIN 252.70 176.89 121.296 207.21497546 HC PT WORK HARDENING/CONDN,EA ADDNL HR 187.80 131.46 90.144 153.99682340 HC ASSAY OF CALCIUM IN URINE - CALCIUM TIMED URINE 211.70 148.19 101.616 173.59482340 HC ASSAY OF CALCIUM IN URINE - CALCIUM RANDOM URINE 211.70 148.19 101.616 173.59482436 HC ASSAY OF UNRINE CHLORIDE SEND OUT LAB 211.70 148.19 101.616 173.59482507 HC ASSAY OF CITRATE - CITRATE 24 HOUR URINE 211.70 148.19 101.616 173.59483735 HC ASSAY OF MAGNESIUM - MAGNESIUM URINE 211.70 148.19 101.616 173.59483945 HC URINE SUPERSATURATION:OXALATE 211.70 148.19 101.616 173.59483986 HC URINE SUPERSATURATION:PH 211.70 148.19 101.616 173.59484133 HC URINE SUPERSATURATION:POTASSIU 211.70 148.19 101.616 173.59484300 HC URINE SUPERSATURATION:SODIUM 211.70 148.19 101.616 173.59484560 HC ASSAY OF URIC ACID, BLOOD, OTHER SOURCE - URIC ACID, URINE 211.70 148.19 101.616 173.59481270 HC JAK2 GENE GPB893 143.40 100.38 68.832 117.58897116 HC PT GAIT TRAINING THERAPY 194.60 136.22 93.408 159.57297124 HC PT MASSAGE THERAPY 194.60 136.22 93.408 159.57297761 HC OT PROSTHETIC TRAINING, EACH 15 MIN 194.60 136.22 93.408 159.57297761 HC PT PROSTHETIC TRAINING, EACH 15 MIN 194.60 136.22 93.408 159.57286757 HC TYPHUS FEVER ANTIBODY, IGG 122.90 86.03 58.992 100.77886757 HC TYPHUS FEVER ANTIBODY, IGM 122.90 86.03 58.992 100.77897802 HC MED NUTR THER, 1ST, INDIV, EA 15 MIN 75.10 52.57 36.048 61.58287491 HC CHLAMYDIA TRACHOMATIS 276.50 193.55 132.72 226.7387591 HC NEISSERIA GONORRHOEAE A60734 276.50 193.55 132.72 226.7399212 HC PBB EST PT PROB FOCUSED 126.30 88.41 60.624 103.56683695 HC LIPOPROTEIN(A) 153.60 107.52 73.728 125.95285302 HC CLOT INHIB PROTEIN C,ANTIGEN - PROTEIN C ANTIGEN TOTAL 153.60 107.52 73.728 125.95280074 HC HEPATITIS PANEL,ACUTE - BUNDLED CHARGE 283.30 198.31 135.984 232.30687491 HC C. TRACHOMATIS AMPLIFIED 184.30 129.01 88.464 151.12687591 HC NEISSERIA GONORRHOEAE 184.30 129.01 88.464 151.12682784 HC IMMUNOGLOBULIN D SERUM 187.70 131.39 90.096 153.91497124 HC OT MASSAGE THERAPY 191.10 133.77 91.728 156.702

HC MAJOR 1 MIN OVER 30 136.50 95.55 65.52 111.9382330 HC ASSAY OF CALCIUM, IONIZED - CALCIUM IONIZED 218.40 152.88 104.832 179.08883883 HC NEPHELOMETRY EA ANALYTLE 109.20 76.44 52.416 89.54484450 HC AST A2005661 109.20 76.44 52.416 89.54484520 HC UREA NITROGEN QNT A2005661 109.20 76.44 52.416 89.54484704 HC BETA-HCG, SERUM QNT TUMOR MARK 27.30 19.11 13.104 22.38686001 HC ALLERGEN SPEC IGG QUANT,EACH 109.20 76.44 52.416 89.54486003 HC ALLERGEN SPECIFIC IGE EACH 109.20 76.44 52.416 89.54486003 HC ALLERGEN SPECIFIC IGG EACH 109.20 76.44 52.416 89.54486644 HC PROC CMV TESTING SUPPLIER 218.40 152.88 104.832 179.08886738 HC MYCOPLASMA - MYCOPLASMA PNEUMONIAE ANTIBODY, IGM 218.40 152.88 104.832 179.08886738 HC MYCOPLASMA - MYCOPLASMA PNEUMONIAE ANTIBODY, IGG 218.40 152.88 104.832 179.08886787 HC VARICELLA-ZOSTER - VARICELLA ZOSTER IGM 218.40 152.88 104.832 179.08888334 HC INTRAOP CYTO PATH CONSULT 2 - LAB INTRAOPERATIVE CYTO PATH CONSULT 259.30 181.51 124.464 212.62694640 HC NEBULIZER TX SUBSQUENT 259.30 181.51 124.464 212.62688185 HC FLOW CYTO ADD'L MARKER GP5155 262.70 183.89 126.096 215.41488185 HC LYMPHOPROLIFERATIVE DISORDERS ANALYSIS-FLOW CYTOMETRY-ADD'L MARKER 262.70 183.89 126.096 215.41488185 HC PNH-FLOW CYTOMETRY-ADD'L MARKER 262.70 183.89 126.096 215.41484590 HC ASSAY OF VITAMIN A - VITAMIN A 88.70 62.09 42.576 72.73476942 HC PBB PRO US GUIDANCE FOR NEEDLE PLA 150.10 105.07 72.048 123.082A0425 HC AMB ALS LOADED MILE 30.70 21.49 14.736 25.174A0425 HC AMB BLS LOADED MILE 30.70 21.49 14.736 25.17482157 HC ANDROSTENEDIONE 153.50 107.45 73.68 125.8786161 HC COMPLEMENT/FUNCTION ACTIVITY - C1 ESTERASE INHIBITOR, FUNCTIONAL 214.90 150.43 103.152 176.21893922 HC PBB ART EXT STDY SNGL LEV LMTD INT 221.70 155.19 106.416 181.79482533 HC TOTAL CORTISOL - CORTISOL 228.50 159.95 109.68 187.3786645 HC CMV ANTIBODY, IGM - CMV IGM 228.50 159.95 109.68 187.3796377 HC APPL ON-BODY INJECTOR FOR TIMED SUBQ INJECTION 228.50 159.95 109.68 187.3784311 HC SPECTROPHOTOMETRY - PORPHYRIN TOTAL 197.80 138.46 94.944 162.19684480 HC TRIIODOTHYRONINE TOTAL ASSAY, TT-3 - T3 (THYROID HORMONE) 197.80 138.46 94.944 162.196G0480 HC BARBITURATES CONFIRM MEC 197.80 138.46 94.944 162.19689190 HC NASAL SMEAR FOR EOSINOPHILS - EOSINPHIL SMEAR 133.00 93.1 63.84 109.0680307 HC DRUG PRESUMP AMERITOX 208.00 145.6 99.84 170.5686682 HC CYSTICERCOSIS AB IGG 146.60 102.62 70.368 120.21282947 HC GLUCOSE 184.10 128.87 88.368 150.96282950 HC GLUCOSE CHALLENGE 184.10 128.87 88.368 150.96287088 HC ID ORG CON URINE 184.10 128.87 88.368 150.96283036 HC GLYCOSYLATED HEMOGLOBIN TEST - HEMOGLOBIN A1C 221.60 155.12 106.368 181.71284145 HC PROCALCITONIN - IN HOUSE 112.50 78.75 54 92.2587798 HC EBV BY PCR 150.00 105 72 12398968 HC NONPHYSICIAN TELEPHONE ASSESSMENT 21-30 MIN 150.00 105 72 123

98968 HC PR NONPHYSICIAN TELEPHONE ASSESSMENT 21-30 MIN 150.00 105 72 12399443 HC PHYS/QHP TELEPHONE EVALUATION 21-30 MIN 150.00 105 72 12394760 HC RT NONINVASV OXYGEN SATUR;SINGLE 160.20 112.14 76.896 131.36483036 HC HEMOGLOBIN A1C - ARUP 85.20 59.64 40.896 69.86483516 HC IMMUNOASSAY NONANTIBODY - TISSUE TRANSGLUTAMINASE AB 177.20 124.04 85.056 145.30484120 HC PORPHYRINS URINE FRACT 177.20 124.04 85.056 145.30486376 HC MICROSOMAL ANTIBODY - THYROID PEROXIDASE ANTIBODY 177.20 124.04 85.056 145.30487341 HC IAAD IA HEPATITIS B SURFACE AG NEUTRALIZATION - HEPATITIS B SURFACE 177.20 124.04 85.056 145.30486694 HC HSV TYPE 1/2 COMBINED AB IGM 95.40 66.78 45.792 78.22887480 HC CANDIDA, DNA, DIR PROBE - CANDIDA DNA PROBE 47.70 33.39 22.896 39.11487660 HC TRICHOMONAS VAGIN, DIR PROBE - TRICHOMONAS VAGINALIS DNA PROBE 47.70 33.39 22.896 39.114G0480 HC LIBRIUM AND NORDIAZEPAM 197.60 138.32 94.848 162.03285048 HC LEUKOCYTE (WBC) COUNT - WHITE BLOOD COUNT 102.20 71.54 49.056 83.80482248 HC BILIRUBIN DIRECT - BILIRUBIN DIRECT 166.90 116.83 80.112 136.85886335 HC BETA 2 TRANSFERRIN 166.90 116.83 80.112 136.85886664 HC EPSTEIN-BARR NUCLEAR ANTIGEN - EPSTEIN-BARR VIRUS NUCLEAR ANTIGEN AB 166.90 116.83 80.112 136.85881003 HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM ONLY 122.60 85.82 58.848 100.53280307 HC DOA 9 PANEL SCREEN 183.90 128.73 88.272 150.79882977 HC GGTP (GAMMA GT) 197.50 138.25 94.8 161.9582977 HC ASSAY OF GGT - GAMMA GT 197.50 138.25 94.8 161.9580285 HC VORICONAZOLE, QNT BY LC- MS/MS 136.20 95.34 65.376 111.684

HC MINOR 2 MIN OVER 30 74.90 52.43 35.952 61.41886003 HC ALLERGEN GALACTOSE-ALPHA 1.3 GALACTOSE 156.60 109.62 75.168 128.41284075 HC ASSAY ALKAL PHOSPHATASE - ADDITIONAL CHARGE 173.60 121.52 83.328 142.35299213 HC PBB EST PT EXP PROB FOCUSED 177.00 123.9 84.96 145.1482308 HC ASSAY OF CALCITONIN - CALCITONIN 91.90 64.33 44.112 75.358

HC MINOR 3 MIN OVER 30 91.90 64.33 44.112 75.358G0480 HC BARBITURATES QNT 125.90 88.13 60.432 103.23890471 HC IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID 156.50 109.55 75.12 128.3390472 HC IMMUNIZ,ADMIN,EACH ADDL 156.50 109.55 75.12 128.3384300 HC ASSAY OF URINE SODIUM - SODIUM 24 HOUR URINE 159.90 111.93 76.752 131.11884300 HC ASSAY OF URINE SODIUM - SODIUM RANDOM URINE 159.90 111.93 76.752 131.11884300 HC ASSAY OF URINE SODIUM - SODIUM TIMED URINE 159.90 111.93 76.752 131.11883516 HC IMMUNOASSAY NONANTIBODY 34.00 23.8 16.32 27.8884482 HC TRIIODOTHYRONINE T3 REVERSE - T3 REVERSE 170.00 119 81.6 139.4

HC MAJOR 2 MIN OVER 30 153.00 107.1 73.44 125.4686707 HC HEPATITIS BE AB TEST - HEPATITIS B E ANTIBODY 108.80 76.16 52.224 89.21686160 HC COMPLEMENT, ANTIGEN - C2 COMPLEMENT 159.80 111.86 76.704 131.036G0480 HC PHENCYCLIDINE CONFIRM URINE 142.70 99.89 68.496 117.01486256 HC STRIATED MUSCLE AB IGG TITER 101.90 71.33 48.912 83.55887491 HC HIGH RISK STI CT/GC 98.50 68.95 47.28 80.7787591 HC HIGH RISK STI CT/GC - N. GONORRHOEAE 98.50 68.95 47.28 80.7788341 HC IMHISTOCHEM/CYTCHM EA ADDL ANTIBODY SLIDE - BUNDLED CHARGE 91.70 64.19 44.016 75.19486671 HC FUNGUS, ANTIBODY - SACCHAROMYCES CEREVISIAE ANTIBODIES, IGG AND IGA 84.90 59.43 40.752 69.61886671 HC S. CEREVISIAE AB IGA A50564 84.90 59.43 40.752 69.61882533 HC TOTAL CORTISOL - ACTH STIMULATION 1 HOUR 81.50 57.05 39.12 66.8382533 HC TOTAL CORTISOL - ACTH STIMULATION 30 MINUTES 81.50 57.05 39.12 66.8382533 HC TOTAL CORTISOL - ACTH STIMULATION BASELINE 81.50 57.05 39.12 66.8385420 HC FIBRINOLYTIC PLASMINOGEN - PLASMINOGEN ACTIVITY 81.50 57.05 39.12 66.8382150 HC AMYLASE ISOENZYMES 132.40 92.68 63.552 108.56882104 HC A1A PHENOTYPE RFLX CHG A51256 64.50 45.15 30.96 52.8982657 HC PBG DEAMINASE ERYTHROCYTE 118.80 83.16 57.024 97.41682436 HC KIDNEY STONE RISK PANEL-CHLORIDE 54.30 38.01 26.064 44.52683735 HC KIDNEY STONE RISK PANEL-MAGNESIUM 54.30 38.01 26.064 44.52683945 HC KSRP II URINE OXALATE 54.30 38.01 26.064 44.52684105 HC KIDNEY STONE RISK PANEL-PHOSPHORUS 54.30 38.01 26.064 44.52684133 HC KSRP II URINE POTASSIUM 54.30 38.01 26.064 44.52684300 HC KSRP II URINE SODIUM 54.30 38.01 26.064 44.52684560 HC KIDNEY STONE RISK PANEL-URIC ACID 54.30 38.01 26.064 44.52684479 HC THYROID HORM UPTAKE/THYR HORM BINDING RATIO - T3 UPTAKE 50.90 35.63 24.432 41.73885301 HC ANTITHROMBIN, ANTIGEN 50.90 35.63 24.432 41.73886335 HC IMMUNFIX E-PHORSIS/URINE/CSF 135.70 94.99 65.136 111.27482088 HC ASSAY OF ALDOSTERONE - ALDOSTERONE 125.50 87.85 60.24 102.91G0010 HC ADMIN HEPATITIS B VACCINE 40.70 28.49 19.536 33.37494726 HC PBB INTERP PULM FUNCT PLETHYSMOGRA 115.30 80.71 55.344 94.54686003 HC ALLERGEN SPEC IGE - ALLERGEN CEDAR, RED IGE 37.30 26.11 17.904 30.58686003 HC ALLERGEN SPEC IGE - ALLERGEN TREE: PECAN, HICKORY 37.30 26.11 17.904 30.58686003 HC ALLERGEN SPEC IGE - ALLERGEN CARROT IGE 37.30 26.11 17.904 30.58686003 HC ALLERGEN SPEC IGE - ALLERGEN CHICKEN, SERUM PROTEINS IGE 37.30 26.11 17.904 30.58686003 HC ALLERGEN SPEC IGE - ALLERGEN CLADOSPORIUM HERBARUM IGE 37.30 26.11 17.904 30.58686003 HC ALLERGEN SPEC IGE - ALLERGEN COCKROACH, AMERICAN IGE 37.30 26.11 17.904 30.58686003 HC ALLERGEN REGIN 10-SYCAMORE TREE 37.30 26.11 17.904 30.586

86003 HC ALLERGEN JUNE/KY GRASS 37.30 26.11 17.904 30.58686003 HC ALLERGEN SPEC IGE - ALLERGEN CABBAGE IGE 37.30 26.11 17.904 30.58686003 HC ALLERGEN PENICILLIN NOTATUM 37.30 26.11 17.904 30.58686003 HC ALLERGEN SPEC IGE - ALLERGEN BARLEY IGE 37.30 26.11 17.904 30.58686003 HC ZONE 10 ASP FUMIGATUS 37.30 26.11 17.904 30.58686003 HC ALLERGEN SPEC IGE - ALLERGEN TREE: MULBERRY (MORUS ALBA) IGE 37.30 26.11 17.904 30.58686003 HC ALLERGEN SPEC IGE - ALLERGEN MALT IGE 37.30 26.11 17.904 30.58686003 HC ALLERGEN SPEC IGE - ALLERGEN OAK,WHITE IGE 37.30 26.11 17.904 30.58686003 HC ALLERGEN SPEC IGE - ALLERGEN SHEEP SORREL (DOCK) IGE 37.30 26.11 17.904 30.58686003 HC ALLERGEN SPEC IGE - ALLERGEN ORANGE IGE 37.30 26.11 17.904 30.58686003 HC ALLERGEN SPEC IGE - ALLERGEN POTATO IGE 37.30 26.11 17.904 30.58686003 HC ALLERGEN SPEC IGE - ALLERGEN PIGWEED, ROUGH IGE 37.30 26.11 17.904 30.58686003 HC ALLERGEN SPEC IGE - ALLERGEN CHOCOLATE IGE 37.30 26.11 17.904 30.58686003 HC ALLERGEN SPEC IGE - ALLERGEN LAMB'S QUARTER IGE 37.30 26.11 17.904 30.58686003 HC ALLERGEN SPEC IGE - ALLERGEN RICE IGE 37.30 26.11 17.904 30.58686003 HC ALLERGEN SPEC IGE - ALLERGEN LETTUCE IGE 37.30 26.11 17.904 30.58686003 HC ALLERGEN SPEC IGE - ALLERGEN TUNA IGE 37.30 26.11 17.904 30.58686003 HC ALLERGEN, FLOUNDER 37.30 26.11 17.904 30.58686003 HC ALLERGEN SPEC IGE - ALLERGEN TIMOTHY IGE 37.30 26.11 17.904 30.58686003 HC ALLERGEN SPEC IGE - ALLERGEN STEMPHYLIUM BOTRYOSUM IGE 37.30 26.11 17.904 30.58686003 HC ALLERGEN SPEC IGE - ALLERGEN RYE IGE 37.30 26.11 17.904 30.58686003 HC ALLERGEN SPEC IGE - ALLERGEN TOMATO IGE 37.30 26.11 17.904 30.58686003 HC ALLERGEN SPEC IGE - ALLERGEN NETTLE IGE 37.30 26.11 17.904 30.58686003 HC ALLERGEN SPEC IGE - ALLERGEN PEPPER, GREEN BELL IGE 37.30 26.11 17.904 30.58686003 HC ALLERGEN, HALIBUT 37.30 26.11 17.904 30.58686003 HC ALLERGEN, TROUT 37.30 26.11 17.904 30.58686003 HC ALLERGEN FOOD PANEL 1 -GRAPES 37.30 26.11 17.904 30.58686003 HC ALLERGEN SPEC IGE - ALLERGEN MICROORGANISM: MUCOR RACEMOSUS IGE 37.30 26.11 17.904 30.58686003 HC ALLERGEN, SALMON 37.30 26.11 17.904 30.58686003 HC ALLERGEN, MACKEREL 37.30 26.11 17.904 30.58686003 HC ALLERGEN SPEC IGE - ALLERGEN BEAN, PINTO IGE 37.30 26.11 17.904 30.58687481 HC CANDIDA, DNA, AMP PROBE - CANDIDA DNA, PCR 64.40 45.08 30.912 52.80886003 HC ALLERGEN HORMODENDRUM 81.30 56.91 39.024 66.66686003 HC ALLERGEN SPEC IGE - ALLERGEN ALTERNARIA TENUIS 81.30 56.91 39.024 66.66686003 HC ALLERGEN SPEC IGE - ALLERGEN BIRCH IGE 81.30 56.91 39.024 66.66686003 HC ALLERGEN SPEC IGE - ALLERGEN INSECT: COCKROACH, GERMAN 81.30 56.91 39.024 66.66686003 HC ALLERGEN SPEC IGE - ALLERGEN ORCHARD GRASS IGE 81.30 56.91 39.024 66.66686003 HC ALLERGEN SPEC IGE - ALLERGEN DOG DANDER 81.30 56.91 39.024 66.66686003 HC ALLERGEN SPEC IGE - ALLERGEN D FARINAE 81.30 56.91 39.024 66.66686003 HC ALLERGEN-MARSH ELDER 81.30 56.91 39.024 66.66686003 HC ALLERGEN SPEC IGE - ALLERGEN RAGWEED, SHORT/COMMON IGE 81.30 56.91 39.024 66.66686003 HC ALLERGEN SPEC IGE - ALLERGEN ELM TREE IGE 81.30 56.91 39.024 66.666G0480 HC ALPRAZOLAM (XANAX) 105.00 73.5 50.4 86.183605 HC ASSAY OF LACTIC ACID - LACTATE CSF 47.40 33.18 22.752 38.86885007 HC BLOOD SMEAR,MICRO EXAM,MANUAL DIFF WBC - MANUAL DIFFERENTIAL 94.80 66.36 45.504 77.73686317 HC DIPTHERIA AB 47.40 33.18 22.752 38.86883516 HC MAG ANTIBODY, IGM ELISA 115.10 80.57 55.248 94.38285018 HC HEMOGLOBIN - POCT HEMOGLOBIN 88.00 61.6 42.24 72.1685018 HC HEMOGLOBIN - HEMOGLOBIN 88.00 61.6 42.24 72.1682610 HC CYSTATIN C W/ EGFR 64.30 45.01 30.864 52.72686790 HC HTLV I/II W/REFLEX CONFIRMATIO 94.70 66.29 45.456 77.654

HC PHS I LEVEL III EA MIN > 30 16.90 11.83 8.112 13.85882438 HC CHLORIDE BODY FLUID 30.40 21.28 14.592 24.92882300 HC CADMIUM-BLOOD 70.90 49.63 34.032 58.13886039 HC CENTROMERE AB IGG 70.90 49.63 34.032 58.13886631 HC CHLAMYDIA, ANTIBODY - CHLAMYDIA ANTIBODIES 70.90 49.63 34.032 58.13886631 HC C. PNEUMONIAE IGG TITER 70.90 49.63 34.032 58.13886631 HC C. TRACHOMATIS IGG TITER 70.90 49.63 34.032 58.13886631 HC C. PSITTACI IGG TITER 70.90 49.63 34.032 58.13886632 HC C. TRACHOMATIS IGM TITER 70.90 49.63 34.032 58.13886632 HC C. PNEUMONIAE IGM TITER 70.90 49.63 34.032 58.13886632 HC CHLAMYDIA, IGM, ANTIBODY - CHLAMYDIA ANTIBODY, IGM 70.90 49.63 34.032 58.13882397 HC CHEMILUMINESCENT ASSAY 94.50 66.15 45.36 77.4982507 HC KSRP II URINE CITRIC ACID 94.50 66.15 45.36 77.4986593 HC SYPHILIS TEST, QUANTITATIVE - TREPONEMA PALLIDUM (SYPHILIS) 94.50 66.15 45.36 77.4982438 HC CHLORIDE FECAL A60185 40.50 28.35 19.44 33.2184302 HC ASSAY OF SODIUM, OTHER SOURCE - SODIUM STOOL 40.50 28.35 19.44 33.2184999 HC POTASSIUM FECAL - REF LAB 40.50 28.35 19.44 33.2183721 HC ASSAY OF BLOOD LIPOPROTEIN,LDL CHOLEST - LDL CHOLESTEROL DIRECT 77.60 54.32 37.248 63.63282585 HC ASSAY OF CRYOFIBRINOGEN - CRYOFIBRINOGEN 64.10 44.87 30.768 52.56286003 HC ALLERGEN, RED TOP (BENTGRASS) 23.60 16.52 11.328 19.35286003 HC ALLERGEN SPEC IGE - ALLERGEN CANDIDA ALBICANS IGE 23.60 16.52 11.328 19.352

86003 HC ALLERGEN ALTERNARIA ALTERNATA 23.60 16.52 11.328 19.35286003 HC ALLERGEN D PTERONLYSSINU 23.60 16.52 11.328 19.35286003 HC ALLERGEN SPEC IGE - ALLERGEN COW EPITHELIA/DANDER IGE 23.60 16.52 11.328 19.35286003 HC ALLERGEN SPEC IGE - LATEX, IGE 23.60 16.52 11.328 19.35286003 HC ALLERGEN GRASS GIANT RAGWEED 23.60 16.52 11.328 19.35286003 HC ALLERGEN SPEC IGE - ALLERGEN JOHNSON GRASS IGE 23.60 16.52 11.328 19.35286003 HC ALLERGEN GRASS MEADOW FESCUE 23.60 16.52 11.328 19.35286003 HC ALLERGEN, HELMINTHOSPORIUM 23.60 16.52 11.328 19.35286003 HC ALLERGEN COWS MILK 23.60 16.52 11.328 19.35286003 HC ALLERGEN CAT DANDER 23.60 16.52 11.328 19.35282010 HC KETONE BODIES SERUM QUANTITATIVE - BETA HYDROXYBUTYRATE 77.50 54.25 37.2 63.5585291 HC F13 1:1 MIX 77.50 54.25 37.2 63.5585210 HC CLOT FACTOR II PROTHROM SPEC - FACTOR 2 ACTIVITY 80.80 56.56 38.784 66.25686033 HC ALLERGEN, FUNGI AND MOLDS, STEMPHYLIUM BOTRYOSUM 26.90 18.83 12.912 22.058

HC OP DIETARY CONSULT 77.30 54.11 37.104 63.38685307 HC ACTIVATED PROT C (APC) RESISTNCE ASSAY - APC RESISTANCE 73.90 51.73 35.472 60.59886005 HC ALLERGEN SPEC IGE QUAL 23.50 16.45 11.28 19.2786710 HC INFLUENZA B AB IGM 53.60 37.52 25.728 43.95283519 HC ACHR BINDING AB 50.10 35.07 24.048 41.08286003 HC ALLERGEN FOOD BLUE MUSSEL 16.70 11.69 8.016 13.69486003 HC ALLERGEN SPEC IGE - ALLERGEN OYSTER IGE 16.70 11.69 8.016 13.69486225 HC DNA ANTIBODY, NATV/2 STRAND - ANTI DNA, DOUBLE STRANDED 53.30 37.31 25.584 43.70686256 HC DOUBLE STRANDED DNA IGG IFA 53.30 37.31 25.584 43.70683615 HC LDH TOTAL-BODY FLUID - ARUP 33.30 23.31 15.984 27.30683690 HC ASSAY OF LIPASE - LIPASE REF LAB 33.30 23.31 15.984 27.30686003 HC ALLERGEN SPEC IGE - ALLERGEN BLUEBERRY IGE 49.90 34.93 23.952 40.91880167 HC DRUG ASSAY FELBAMATE 39.90 27.93 19.152 32.718

HC MINOR 1 MIN OVER 30 39.90 27.93 19.152 32.71886003 HC ALLERGEN, TILAPIA 13.30 9.31 6.384 10.90686003 HC ALLERGEN SPEC IGE QNT 43.10 30.17 20.688 35.34286003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: LOBSTER IGE 33.10 23.17 15.888 27.14286003 HC ALLERGEN SPEC IGE - ALLERGEN WASP, PAPER IGE 33.10 23.17 15.888 27.14286003 HC ALLERGEN SPEC IGE - ALLERGEN HORNET, WHITE FACE IGE 33.10 23.17 15.888 27.14286003 HC ALLERGEN SPEC IGE - ALLERGEN CASHEW IGE 29.70 20.79 14.256 24.35486003 HC ALLERGEN SPEC IGE - ALLERGEN BRAZIL NUT IGE 29.70 20.79 14.256 24.35486003 HC ALLERGEN SPEC IGE - ALLERGEN ALMONDS IGE 29.70 20.79 14.256 24.35486003 HC ALLERGEN SPEC IGE - ALLERGEN HAZELNUT 29.70 20.79 14.256 24.35486003 HC ALLERGEN BAKER/BREWER YEAST 33.00 23.1 15.84 27.0687999 HC ZIKA PCR 26.30 18.41 12.624 21.566

HC PHS 1 LEVEL II EA MIN > 30 13.00 9.1 6.24 10.6686003 HC ALLERG EPI ANIMAL PROTEIN FEATHER 19.00 13.3 9.12 15.58

HC PHS I LEVEL I EA MIN > 30 8.40 5.88 4.03 6.8987502 HC INFLUENZA DNA/RNA AMP PROBE 191.60 134.12 91.97 157.1187651 HC STREP A, DNA, AMP PROBE 70.20 49.14 33.7 57.5681270 HC JAK2 V617F 364.20 254.94 174.82 298.6484439 HC ASSAY OF FREE THYROXINE - T4 FREE 128.40 89.88 61.63 105.2984443 HC TESTOSTERONE FREE 66.80 46.76 32.06 54.7886376 HC MICROSOMAL ANTIBODY - THYROID PEROXIDASE ANTIBODY 53.90 37.73 25.87 44.285300 HC ANTITHROMBIN PANEL-ENZYMATIC (ACTIVITY) 77.80 54.46 37.34 63.864624 HC DESTRUCT NEUROLYTIC AGENT DEEP 285.00 199.5 136.8 233.776942 HC GUIDED NEEDLE BX/ASP/INJ/LOCAL 145.70 101.99 69.94 119.4777003 HC PBB PRO FLUOROSCOPIC - #VALUE! #VALUE! #VALUE!82962 HC GLUCOSE -WHOLE BLOOD R-G - #VALUE! #VALUE! #VALUE!90371 HEPATITIS B IMMUNE GLOBULIN GREATR THAN 312 UNIT/ML INTRAMUSCULAR SOLN 626.58 438.61 300.76 513.890375 RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION 8,055.26 5,638.68 3,866.52 6,605.3190375 RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION 8,055.26 5,638.68 3,866.52 6,605.3190586 BCG LIVE 50 MG INTRAVESICAL SUSPENSION 709.68 496.78 340.65 581.9490586 BCG LIVE 50 MG INTRAVESICAL SUSPENSION 709.68 496.78 340.65 581.9490662 FLU VACCINE QS2021-22(65YR UP)(PF)240 MCG/0.7 ML INTRAMUSCULAR SYRINGE 238.76 167.13 114.6 195.7890662 FLU VACCINE QS2021-22(65YR UP)(PF)240 MCG/0.7 ML INTRAMUSCULAR SYRINGE 238.76 167.13 114.6 195.7890670 PNEUMOCOCCAL 13-VAL CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE 816.71 571.7 392.02 669.790670 PNEUMOCOCCAL 13-VAL CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE 816.71 571.7 392.02 669.790670 PNEUMOCOCCAL 13-VAL CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE 816.71 571.7 392.02 669.790675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP 1,397.05 977.94 670.58 1,145.5890682 FLU VACCINE QV2021(18YR UP)RCMB(PF)180 MCG(45 MCGX4)/0.5 ML IM SYRINGE 238.76 167.13 114.6 195.7890682 FLU VACCINE QV2021(18YR UP)RCMB(PF)180 MCG(45 MCGX4)/0.5 ML IM SYRINGE 238.76 167.13 114.6 195.7890686 FLU VACCINE QS 2021-22(6MOS UP)(PF) 60 MCG(15 MCGX4)/0.5 ML IM SYRINGE 107.25 75.08 51.48 87.9590686 FLU VACCINE QS 2021-22(6MOS UP)(PF) 60 MCG(15 MCGX4)/0.5 ML IM SYRINGE 107.25 75.08 51.48 87.9590686 FLU VACCINE QS 2021-22(6MOS UP)(PF) 60 MCG(15 MCGX4)/0.5 ML IM SYRINGE 107.25 75.08 51.48 87.9590686 FLU VACCINE QS 2021-22(6MOS UP)(PF) 60 MCG(15 MCGX4)/0.5 ML IM SYRINGE 107.25 75.08 51.48 87.9590686 FLU VACCINE QS 2021-22(6MOS UP)(PF) 60 MCG(15 MCGX4)/0.5 ML IM SYRINGE 107.25 75.08 51.48 87.9590686 FLU VACCINE QS 2021-22(6MOS UP)(PF) 60 MCG(15 MCGX4)/0.5 ML IM SYRINGE 107.25 75.08 51.48 87.95

90700 DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE 113.63 79.54 54.54 93.1890702 TETANUS,DIPHTHERIA TOXOID PED (PF) 5 LF UNIT-25 LF UNIT/0.5 ML IM SUSP 237.77 166.44 114.13 194.9790702 TETANUS,DIPHTHERIA TOXOID PED (PF) 5 LF UNIT-25 LF UNIT/0.5 ML IM SUSP 237.77 166.44 114.13 194.9790707 MEASLES,MUMPS,RUBEL,VARICEL LIV(PF)10E3-4.3-3-3.99TCID50/0.5 ML SUBCUT 951.20 665.84 456.58 779.9890710 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT 2,720.10 1,904.07 1,305.65 2,230.4890710 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT 2,720.10 1,904.07 1,305.65 2,230.4890713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION - #VALUE! #VALUE! #VALUE!90714 TETANUS-DIPHTHERIA TOXOIDS-TD 2 LF UNIT-2 LF UNIT/0.5 ML IM SUSPENSION 113.40 79.38 54.43 92.9990714 TETANUS-DIPHTHERIA TOXOIDS-TD 2 LF UNIT-2 LF UNIT/0.5 ML IM SUSPENSION 113.40 79.38 54.43 92.9990715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE 182.57 127.8 87.63 149.7190715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE 182.57 127.8 87.63 149.7190716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP 578.83 405.18 277.84 474.6490716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP 578.83 405.18 277.84 474.6490732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION FORMS (WRAPPED) 451.38 315.97 216.66 370.1390732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION 451.38 315.97 216.66 370.1390732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION FORMS (WRAPPED) 451.38 315.97 216.66 370.1390732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE 451.38 315.97 216.66 370.1390732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION FORMS (WRAPPED) 451.38 315.97 216.66 370.1390732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION 451.38 315.97 216.66 370.1390732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION FORMS (WRAPPED) 451.38 315.97 216.66 370.1390732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE 451.38 315.97 216.66 370.1390734 MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML INTRAMUSCULAR KIT 2,318.05 1,622.64 1,112.66 1,900.8090744 HEPATITIS B VIRUS VACCINE RECMB(PF) 5 MCG/0.5 ML INTRAMUSCULAR SYRINGE - #VALUE! #VALUE! #VALUE!90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE 110.80 77.56 53.18 90.8690744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE 110.80 77.56 53.18 90.8691300 HC COVID VACCINE PFIZER 30MGC/0.3ML - #VALUE! #VALUE! #VALUE!91300 COVID-19 VACCINE, MRNA, BNT162B2 (PFIZER) (PF) 30 MCG/0.3 ML IM SUSP - #VALUE! #VALUE! #VALUE!91300 COVID-19 VACCINE, MRNA, BNT162B2 (PFIZER) (PF) 30 MCG/0.3 ML IM SUSP - #VALUE! #VALUE! #VALUE!91301 HC COVID VACCINE MODERNA 100MGC/0.5ML - #VALUE! #VALUE! #VALUE!91301 COVID-19 VACCINE,MRNA,CX024414(MODERNA)(PF)100 MCG/0.5 ML IM SUSP(EUA) - #VALUE! #VALUE! #VALUE!91301 COVID-19 VACCINE,MRNA,CX024414(MODERNA)(PF)100 MCG/0.5 ML IM SUSP(EUA) - #VALUE! #VALUE! #VALUE!91303 HC COVID VACCINE JANSSEN 100MCG/0.5ML - #VALUE! #VALUE! #VALUE!91303 COVID-19 VACCINE, AD26.COV2.S (JANSSEN)(PF) 0.5 ML IM SUSPENSION (EUA) - #VALUE! #VALUE! #VALUE!91303 COVID-19 VACCINE, AD26.COV2.S (JANSSEN)(PF) 0.5 ML IM SUSPENSION (EUA) - #VALUE! #VALUE! #VALUE!91306 HC COVID VACCINE MODERNA 50MCG/0.25ML BSTR - #VALUE! #VALUE! #VALUE!91306 COVID-19 VACCINE,MRNA,CX024414(MODERNA)(PF) 50 MCG/0.25 ML (BOOSTER) IM SUSP(EUA) - #VALUE! #VALUE! #VALUE!91306 COVID-19 VACCINE,MRNA,CX024414(MODERNA)(PF) 50 MCG/0.25 ML (BOOSTER) IM SUSP(EUA) - #VALUE! #VALUE! #VALUE!91307 HC COVID VACCINE PFIZER 10MCG TRS-SUCR PEDS - #VALUE! #VALUE! #VALUE!94010 HC BREATHING CAPACITY TEST - OFFICE SPIROMETRY 599.40 419.58 287.71 491.51

ACETAMINOPHEN 500 MG TABLET - #VALUE! #VALUE! #VALUE!FOLIC ACID 1 MG TABLET - #VALUE! #VALUE! #VALUE!ASPIRIN 325 MG TABLET,DELAYED RELEASE - #VALUE! #VALUE! #VALUE!ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY - #VALUE! #VALUE! #VALUE!ACETAMINOPHEN 325 MG TABLET - #VALUE! #VALUE! #VALUE!SOD BICARB-CITRIC AC-SIMETH 2.21 GRAM-1.53 GRAM/4 GRAM GRANULES EFFERV - #VALUE! #VALUE! #VALUE!VITAMIN E (DL, ACETATE) 180 MG (400 UNIT) CAPSULE - #VALUE! #VALUE! #VALUE!ACETAMINOPHEN 325 MG TABLET - #VALUE! #VALUE! #VALUE!WATER FOR INJECTION, STERILE INJECTION SOLUTION - #VALUE! #VALUE! #VALUE!ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY - #VALUE! #VALUE! #VALUE!ASPIRIN 81 MG TABLET,DELAYED RELEASE - #VALUE! #VALUE! #VALUE!MULTIVITAMIN-FERROUS FUMARATE-FOLIC ACID 18 MG-400 MCG TABLET - #VALUE! #VALUE! #VALUE!MULTIVITAMIN-FERROUS FUMARATE-FOLIC ACID 18 MG-400 MCG TABLET - #VALUE! #VALUE! #VALUE!WATER FOR INJECTION, STERILE INJECTION SOLUTION - #VALUE! #VALUE! #VALUE!LOPERAMIDE 2 MG CAPSULE - #VALUE! #VALUE! #VALUE!SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE - #VALUE! #VALUE! #VALUE!BIVALIRUDIN BOLUS FROM BAG - #VALUE! #VALUE! #VALUE!MENINGOC VAC A,C,Y,W-135 DIP (PF) 4 MCG/0.5 ML INTRAMUSCULAR SOLUTION - #VALUE! #VALUE! #VALUE!ASPIRIN 325 MG TABLET - #VALUE! #VALUE! #VALUE!SODIUM CHLORIDE 0.9 % INJECTION SOLUTION - #VALUE! #VALUE! #VALUE!ACETAMINOPHEN 325 MG TABLET - #VALUE! #VALUE! #VALUE!LOPERAMIDE 2 MG CAPSULE - #VALUE! #VALUE! #VALUE!BISACODYL 5 MG TABLET,DELAYED RELEASE - #VALUE! #VALUE! #VALUE!BIVALIRUDIN BOLUS FROM BAG - #VALUE! #VALUE! #VALUE!BARIUM SULFATE 60 % (W/V) ORAL SUSPENSION - #VALUE! #VALUE! #VALUE!WATER FOR INJECTION, STERILE INJECTION SOLUTION - #VALUE! #VALUE! #VALUE!ASPIRIN 81 MG TABLET,DELAYED RELEASE - #VALUE! #VALUE! #VALUE!MULTIVITAMIN WITH FOLIC ACID 400 MCG TABLET - #VALUE! #VALUE! #VALUE!HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN - #VALUE! #VALUE! #VALUE!FERROUS GLUCONATE 324 MG (38 MG IRON) TABLET - #VALUE! #VALUE! #VALUE!ASPIRIN 81 MG CHEWABLE TABLET - #VALUE! #VALUE! #VALUE!VITAMIN E (DL, ACETATE) 180 MG (400 UNIT) CAPSULE - #VALUE! #VALUE! #VALUE!WATER FOR INJECTION, STERILE INJECTION SOLUTION - #VALUE! #VALUE! #VALUE!

SODIUM CHLORIDE 0.9 % INJECTION SOLUTION - #VALUE! #VALUE! #VALUE!LOPERAMIDE 2 MG CAPSULE - #VALUE! #VALUE! #VALUE!CALCIUM CARBONATE 200 MG CALCIUM (500 MG) CHEWABLE TABLET - #VALUE! #VALUE! #VALUE!SENNOSIDES 8.6 MG TABLET - #VALUE! #VALUE! #VALUE!SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE - #VALUE! #VALUE! #VALUE!BARIUM SULFATE 0.1 % (W/V), 0.1 % (W/W) ORAL SUSPENSION - #VALUE! #VALUE! #VALUE!ASPIRIN 325 MG TABLET,DELAYED RELEASE - #VALUE! #VALUE! #VALUE!SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE - #VALUE! #VALUE! #VALUE!BARIUM SULFATE 2 % (W/V) ORAL SUSPENSION - #VALUE! #VALUE! #VALUE!WHITE PETROLATUM 43 % TOPICAL OINTMENT - #VALUE! #VALUE! #VALUE!ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY - #VALUE! #VALUE! #VALUE!ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY - #VALUE! #VALUE! #VALUE!DOCUSATE SODIUM 100 MG TABLET - #VALUE! #VALUE! #VALUE!ACETAMINOPHEN 325 MG TABLET - #VALUE! #VALUE! #VALUE!ACETAMINOPHEN 325 MG TABLET - #VALUE! #VALUE! #VALUE!SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE - #VALUE! #VALUE! #VALUE!SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE - #VALUE! #VALUE! #VALUE!SODIUM CHLORIDE 0.9 % INJECTION SOLUTION - #VALUE! #VALUE! #VALUE!WATER FOR INJECTION, STERILE INJECTION SOLUTION - #VALUE! #VALUE! #VALUE!LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200,000 INJECTION SOLUTION - #VALUE! #VALUE! #VALUE!SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET - #VALUE! #VALUE! #VALUE!WATER FOR INJECTION, STERILE INJECTION SOLUTION - #VALUE! #VALUE! #VALUE!CALCIUM CARBONATE 200 MG CALCIUM (500 MG) CHEWABLE TABLET - #VALUE! #VALUE! #VALUE!BARIUM SULFATE 60 % (W/V) ORAL SUSPENSION - #VALUE! #VALUE! #VALUE!FERROUS SULFATE 325 MG (65 MG IRON) TABLET - #VALUE! #VALUE! #VALUE!SENNOSIDES 8.6 MG TABLET - #VALUE! #VALUE! #VALUE!FERROUS SULFATE 325 MG (65 MG IRON) TABLET - #VALUE! #VALUE! #VALUE!SODIUM CHLORIDE 0.9 % INJECTION SOLUTION - #VALUE! #VALUE! #VALUE!BACITRACIN 500 UNIT/GRAM TOPICAL PACKET - #VALUE! #VALUE! #VALUE!VITAMIN E (DL, ACETATE) 180 MG (400 UNIT) CAPSULE - #VALUE! #VALUE! #VALUE!WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION - #VALUE! #VALUE! #VALUE!PRENATAL VIT,CALCIUM 27-FERROUS FUM 60 MG IRON-FOLIC ACID 1 MG TABLET - #VALUE! #VALUE! #VALUE!MULTIVITAMIN WITH FOLIC ACID 400 MCG TABLET - #VALUE! #VALUE! #VALUE!LOPERAMIDE 2 MG TABLET - #VALUE! #VALUE! #VALUE!ASPIRIN 81 MG TABLET,DELAYED RELEASE - #VALUE! #VALUE! #VALUE!ASPIRIN 81 MG CHEWABLE TABLET - #VALUE! #VALUE! #VALUE!SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE - #VALUE! #VALUE! #VALUE!SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE - #VALUE! #VALUE! #VALUE!BISACODYL 5 MG TABLET,DELAYED RELEASE - #VALUE! #VALUE! #VALUE!ASPIRIN 81 MG TABLET,DELAYED RELEASE - #VALUE! #VALUE! #VALUE!SODIUM CHLORIDE 0.9 % FOR NEBULIZATION - #VALUE! #VALUE! #VALUE!HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN - #VALUE! #VALUE! #VALUE!ASPIRIN 325 MG TABLET - #VALUE! #VALUE! #VALUE!SODIUM CHLORIDE 0.9 % INJECTION SOLUTION - #VALUE! #VALUE! #VALUE!TEMSIROLIMUS DILUENT VIAL (CUSTOM) - #VALUE! #VALUE! #VALUE!FERROUS SULFATE 325 MG (65 MG IRON) TABLET - #VALUE! #VALUE! #VALUE!ASPIRIN 325 MG TABLET,DELAYED RELEASE - #VALUE! #VALUE! #VALUE!WATER FOR INJECTION, STERILE INJECTION SOLUTION - #VALUE! #VALUE! #VALUE!ACETAMINOPHEN 325 MG TABLET - #VALUE! #VALUE! #VALUE!BARIUM SULFATE 98 % ORAL POWDER FOR SUSPENSION - #VALUE! #VALUE! #VALUE!DEXTROSE 5 % IN WATER (D5W) IV FLUSH BAG - #VALUE! #VALUE! #VALUE!BIVALIRUDIN BOLUS FROM BAG - #VALUE! #VALUE! #VALUE!ACETAMINOPHEN 325 MG TABLET - #VALUE! #VALUE! #VALUE!SODIUM CHLORIDE 0.9 % INJECTION SOLUTION - #VALUE! #VALUE! #VALUE!ASPIRIN 81 MG TABLET,DELAYED RELEASE - #VALUE! #VALUE! #VALUE!ACETAMINOPHEN 160 MG CHEWABLE TABLET - #VALUE! #VALUE! #VALUE!ASPIRIN 325 MG TABLET,DELAYED RELEASE - #VALUE! #VALUE! #VALUE!SODIUM CHLORIDE 0.9 % INJECTION SOLUTION - #VALUE! #VALUE! #VALUE!ACETAMINOPHEN 500 MG TABLET - #VALUE! #VALUE! #VALUE!BARIUM SULFATE 0.1 % (W/V), 0.1 % (W/W) ORAL SUSPENSION - #VALUE! #VALUE! #VALUE!ASPIRIN 81 MG TABLET,DELAYED RELEASE - #VALUE! #VALUE! #VALUE!MICONAZOLE NITRATE 2 % TOPICAL OINTMENT - #VALUE! #VALUE! #VALUE!SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET - #VALUE! #VALUE! #VALUE!BARIUM SULFATE 105 % (W/V), 58 % (W/W) ORAL SUSPENSION - #VALUE! #VALUE! #VALUE!WATER FOR INJECTION, STERILE INJECTION SOLUTION - #VALUE! #VALUE! #VALUE!SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET - #VALUE! #VALUE! #VALUE!ASPIRIN 81 MG TABLET,DELAYED RELEASE - #VALUE! #VALUE! #VALUE!BARIUM SULFATE 96 % (W/W) ORAL POWDER FOR SUSPENSION - #VALUE! #VALUE! #VALUE!ASPIRIN 325 MG TABLET - #VALUE! #VALUE! #VALUE!ASPIRIN 81 MG TABLET,DELAYED RELEASE - #VALUE! #VALUE! #VALUE!FOLIC ACID 1 MG TABLET - #VALUE! #VALUE! #VALUE!VITAMIN E (DL, ACETATE) 180 MG (400 UNIT) CAPSULE - #VALUE! #VALUE! #VALUE!

SENNOSIDES 8.6 MG TABLET - #VALUE! #VALUE! #VALUE!MENINGOC VAC A,C,Y,W-135 DIP (PF) 4 MCG/0.5 ML INTRAMUSCULAR SOLUTION - #VALUE! #VALUE! #VALUE!ACETAMINOPHEN 500 MG TABLET - #VALUE! #VALUE! #VALUE!BARIUM SULFATE 0.1 % (W/V), 0.1 % (W/W) ORAL SUSPENSION - #VALUE! #VALUE! #VALUE!POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) - #VALUE! #VALUE! #VALUE!DOCUSATE CALCIUM 240 MG CAPSULE - #VALUE! #VALUE! #VALUE!LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200,000 INJECTION SOLUTION - #VALUE! #VALUE! #VALUE!ASPIRIN 81 MG CHEWABLE TABLET - #VALUE! #VALUE! #VALUE!ASPIRIN 81 MG TABLET,DELAYED RELEASE - #VALUE! #VALUE! #VALUE!PRENATAL VIT,CALCIUM 27-FERROUS FUM 60 MG IRON-FOLIC ACID 1 MG TABLET - #VALUE! #VALUE! #VALUE!WATER FOR INJECTION, STERILE INJECTION SOLUTION - #VALUE! #VALUE! #VALUE!SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET - #VALUE! #VALUE! #VALUE!CALCIUM CARBONATE 200 MG CALCIUM (500 MG) CHEWABLE TABLET - #VALUE! #VALUE! #VALUE!LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID 10.69 7.48 5.13 8.77LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID 10.69 7.48 5.13 8.77LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID 10.69 7.48 5.13 8.77LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID 10.69 7.48 5.13 8.77MELATONIN 3 MG TABLET 11.30 7.91 5.42 9.27MELATONIN 3 MG TABLET 11.30 7.91 5.42 9.27MELATONIN 3 MG TABLET 11.30 7.91 5.42 9.27MELATONIN 3 MG TABLET 11.30 7.91 5.42 9.27MELATONIN 3 MG TABLET 11.30 7.91 5.42 9.27THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET 11.57 8.1 5.55 9.49THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET 11.57 8.1 5.55 9.49THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET 11.57 8.1 5.55 9.49THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET 11.57 8.1 5.55 9.49THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET 11.57 8.1 5.55 9.49POVIDONE-IODINE 10 % TOPICAL SWAB 11.94 8.36 5.73 9.79POVIDONE-IODINE 10 % TOPICAL SWAB 11.94 8.36 5.73 9.79POVIDONE-IODINE 10 % TOPICAL SWAB 11.94 8.36 5.73 9.79SODIUM CHLORIDE 7 % FOR NEBULIZATION 12.00 8.4 5.76 9.84SODIUM CHLORIDE 7 % FOR NEBULIZATION 12.00 8.4 5.76 9.84SODIUM CHLORIDE 7 % FOR NEBULIZATION 12.00 8.4 5.76 9.84SODIUM CHLORIDE 7 % FOR NEBULIZATION 12.00 8.4 5.76 9.84SODIUM CHLORIDE 3 % FOR NEBULIZATION 12.00 8.4 5.76 9.84SODIUM CHLORIDE 7 % FOR NEBULIZATION 12.00 8.4 5.76 9.84SERTRALINE 100 MG TABLET 12.66 8.86 6.08 10.38AMMONIA AROMATIC 15 % (W/V) SOLUTION FOR INHALATION 12.68 8.88 6.09 10.4AMMONIA AROMATIC 15 % (W/V) SOLUTION FOR INHALATION 12.68 8.88 6.09 10.4AMMONIA AROMATIC 15 % (W/V) SOLUTION FOR INHALATION 12.68 8.88 6.09 10.4AMMONIA AROMATIC 15 % (W/V) SOLUTION FOR INHALATION 12.68 8.88 6.09 10.4VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION 12.78 8.95 6.13 10.48BENZTROPINE 1 MG TABLET 12.94 9.06 6.21 10.61LEVOTHYROXINE 88 MCG TABLET 13.04 9.13 6.26 10.69DOXEPIN 10 MG CAPSULE 13.20 9.24 6.34 10.82POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE 13.25 9.28 6.36 10.87POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE 13.25 9.28 6.36 10.87POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE 13.25 9.28 6.36 10.87DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID 13.35 9.35 6.41 10.95DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID 13.35 9.35 6.41 10.95DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID 13.35 9.35 6.41 10.95DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID 13.35 9.35 6.41 10.95GUAIFENESIN 100 MG/5 ML ORAL LIQUID 13.45 9.42 6.46 11.03GUAIFENESIN 100 MG/5 ML ORAL LIQUID 13.45 9.42 6.46 11.03GUAIFENESIN 100 MG/5 ML ORAL LIQUID 13.45 9.42 6.46 11.03GUAIFENESIN 100 MG/5 ML ORAL LIQUID 13.45 9.42 6.46 11.03LEVOTHYROXINE 125 MCG TABLET 13.59 9.51 6.52 11.14LEVOTHYROXINE 125 MCG TABLET 13.59 9.51 6.52 11.14LEVOTHYROXINE 125 MCG TABLET 13.59 9.51 6.52 11.14LEVETIRACETAM 500 MG TABLET 13.60 9.52 6.53 11.15LEVETIRACETAM 500 MG TABLET 13.60 9.52 6.53 11.15LEVETIRACETAM 500 MG TABLET 13.60 9.52 6.53 11.15CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID 13.75 9.63 6.6 11.28CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID 13.75 9.63 6.6 11.28PAROXETINE 10 MG TABLET 13.83 9.68 6.64 11.34MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION 14.02 9.81 6.73 11.5MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION 14.02 9.81 6.73 11.5MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION 14.02 9.81 6.73 11.5DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR 14.02 9.81 6.73 11.5DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR 14.02 9.81 6.73 11.5DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR 14.02 9.81 6.73 11.5LACTULOSE 20 GRAM/30 ML ORAL SOLUTION 14.05 9.84 6.74 11.52

MAGNESIUM SULFATE (LAXATIVE) 495 MG/5 GRAM ORAL GRANULES 14.05 9.84 6.74 11.52CHLORDIAZEPOXIDE 5 MG CAPSULE 14.05 9.84 6.74 11.52MAGNESIUM SULFATE (LAXATIVE) 495 MG/5 GRAM ORAL GRANULES 14.05 9.84 6.74 11.52CHLORDIAZEPOXIDE 5 MG CAPSULE 14.05 9.84 6.74 11.52CHLORDIAZEPOXIDE 5 MG CAPSULE 14.05 9.84 6.74 11.52ATORVASTATIN 20 MG TABLET 14.29 10 6.86 11.72LEVOTHYROXINE 175 MCG TABLET 14.39 10.07 6.91 11.8ATENOLOL 50 MG TABLET 14.46 10.12 6.94 11.86TRIAMTERENE 75 MG-HYDROCHLOROTHIAZIDE 50 MG TABLET 14.57 10.2 6.99 11.95TRIAMTERENE 75 MG-HYDROCHLOROTHIAZIDE 50 MG TABLET 14.57 10.2 6.99 11.95GLYCERIN (LAXATIVE) 2.8 GRAM/2.7 ML RECTAL SOLUTION 14.58 10.21 7 11.96PRIMIDONE 250 MG TABLET 14.75 10.33 7.08 12.1PRIMIDONE 250 MG TABLET 14.75 10.33 7.08 12.1MINERAL OIL ORAL 14.95 10.47 7.18 12.26MINERAL OIL ORAL 14.95 10.47 7.18 12.26MINERAL OIL ORAL 14.95 10.47 7.18 12.26RACEPINEPHRINE 2.25 % SOLUTION FOR NEBULIZATION 15.00 10.5 7.2 12.3RACEPINEPHRINE 2.25 % SOLUTION FOR NEBULIZATION 15.00 10.5 7.2 12.3SODIUM PHOSPHATES 19 GRAM-7 GRAM/118 ML ENEMA 15.32 10.72 7.35 12.56FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION 15.40 10.78 7.39 12.63FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION 15.40 10.78 7.39 12.63FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION 15.40 10.78 7.39 12.63FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION 15.40 10.78 7.39 12.63HYDROXYUREA 500 MG CAPSULE 15.52 10.86 7.45 12.73LIDOCAINE 2 %-EPINEPHRINE BITARTRATE 1:100,000 INJECTION CARTRIDGE 15.77 11.04 7.57 12.93BUPIVACAINE 0.5 %-EPINEPHRINE BITARTRATE 1:200,000 INJECTION,CARTRIDGE 15.78 11.05 7.57 12.94HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET 16.05 11.24 7.7 13.16ARTICAINE 4 %-EPINEPHRINE BITARTRATE 1:100,000 INJECTION CARTRIDGE 16.32 11.42 7.83 13.38PSEUDOEPHEDRINE 30 MG TABLET 16.36 11.45 7.85 13.42PSEUDOEPHEDRINE 30 MG TABLET 16.36 11.45 7.85 13.42PSEUDOEPHEDRINE 30 MG TABLET 16.36 11.45 7.85 13.42PSEUDOEPHEDRINE 30 MG TABLET 16.36 11.45 7.85 13.42PSEUDOEPHEDRINE 30 MG TABLET 16.36 11.45 7.85 13.42MINOCYCLINE 100 MG CAPSULE 16.60 11.62 7.97 13.61CLOZAPINE 25 MG TABLET 16.62 11.63 7.98 13.63NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION 17.45 12.22 8.38 14.31NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION 17.45 12.22 8.38 14.31NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION 17.45 12.22 8.38 14.31NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION 17.45 12.22 8.38 14.31ARTIFICIAL TEARS (WRAPPED) 17.49 12.24 8.4 14.34ARTIFICIAL TEARS (WRAPPED) 17.49 12.24 8.4 14.34SODIUM PHOSPHATES 9.5 GRAM-3.5 GRAM/59 ML ENEMA 17.59 12.31 8.44 14.42STERILE WATER FOR DILUTION IJ SOLN 17.80 12.46 8.54 14.6STERILE WATER FOR DILUTION IJ SOLN 17.80 12.46 8.54 14.6STERILE WATER FOR DILUTION IJ SOLN 17.80 12.46 8.54 14.6STERILE WATER FOR DILUTION IJ SOLN 17.80 12.46 8.54 14.6STERILE WATER FOR DILUTION IJ SOLN 17.80 12.46 8.54 14.6STERILE WATER FOR DILUTION IJ SOLN 17.80 12.46 8.54 14.6STERILE WATER FOR DILUTION IJ SOLN 17.80 12.46 8.54 14.6VITAMINS A AND D-WHITE PETROLATUM-LANOLIN TOPICAL OINTMENT 18.06 12.64 8.67 14.81VITAMINS A AND D-WHITE PETROLATUM-LANOLIN TOPICAL OINTMENT 18.06 12.64 8.67 14.81VITAMINS A AND D-WHITE PETROLATUM-LANOLIN TOPICAL OINTMENT 18.06 12.64 8.67 14.81BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE 18.32 12.82 8.79 15.02BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE 18.32 12.82 8.79 15.02POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET 18.35 12.85 8.81 15.05POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET 18.35 12.85 8.81 15.05SURGICAL LUBRICANT JELLY TOPICAL 18.42 12.89 8.84 15.1SURGICAL LUBRICANT JELLY TOPICAL 18.42 12.89 8.84 15.1SURGICAL LUBRICANT JELLY TOPICAL 18.42 12.89 8.84 15.1CYANOCOBALAMIN (VIT B-12) 100 MCG TABLET 18.50 12.95 8.88 15.17CYANOCOBALAMIN (VIT B-12) 100 MCG TABLET 18.50 12.95 8.88 15.17CYANOCOBALAMIN (VIT B-12) 100 MCG TABLET 18.50 12.95 8.88 15.17CYANOCOBALAMIN (VIT B-12) 100 MCG TABLET 18.50 12.95 8.88 15.17MENTHOL 5.8 MG LOZENGES 18.55 12.99 8.9 15.21TETRAHYDROZOLINE 0.05 % EYE DROPS 18.57 13 8.91 15.23TETRAHYDROZOLINE 0.05 % EYE DROPS 18.57 13 8.91 15.23ZONISAMIDE 100 MG CAPSULE 18.60 13.02 8.93 15.25ZONISAMIDE 100 MG CAPSULE 18.60 13.02 8.93 15.25OXYMETAZOLINE 0.05 % NASAL SPRAY/MIST (WRAPPED) 18.64 13.05 8.95 15.28OXYMETAZOLINE 0.05 % NASAL SPRAY/MIST (WRAPPED) 18.64 13.05 8.95 15.28OXYMETAZOLINE 0.05 % NASAL SPRAY/MIST (WRAPPED) 18.64 13.05 8.95 15.28OXYMETAZOLINE 0.05 % NASAL SPRAY/MIST (WRAPPED) 18.64 13.05 8.95 15.28

OXYMETAZOLINE 0.05 % NASAL SPRAY 18.64 13.05 8.95 15.28OXYMETAZOLINE 0.05 % NASAL SPRAY/MIST (WRAPPED) 18.64 13.05 8.95 15.28OXYMETAZOLINE 0.05 % NASAL SPRAY 18.64 13.05 8.95 15.28OXYMETAZOLINE 0.05 % NASAL SPRAY 18.64 13.05 8.95 15.28OXYMETAZOLINE 0.05 % NASAL SPRAY/MIST (WRAPPED) 18.64 13.05 8.95 15.28SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET 19.15 13.41 9.19 15.7SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET 19.15 13.41 9.19 15.7SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET 19.15 13.41 9.19 15.7IBUPROFEN 100 MG/5 ML ORAL SUSPENSION 19.40 13.58 9.31 15.91IBUPROFEN 100 MG/5 ML ORAL SUSPENSION 19.40 13.58 9.31 15.91IBUPROFEN 100 MG/5 ML ORAL SUSPENSION 19.40 13.58 9.31 15.91IBUPROFEN 100 MG/5 ML ORAL SUSPENSION 19.40 13.58 9.31 15.91IBUPROFEN 100 MG/5 ML ORAL SUSPENSION 19.40 13.58 9.31 15.91IBUPROFEN 100 MG/5 ML ORAL SUSPENSION 19.40 13.58 9.31 15.91IBUPROFEN 100 MG/5 ML ORAL SUSPENSION 19.40 13.58 9.31 15.91IBUPROFEN 100 MG/5 ML ORAL SUSPENSION 19.40 13.58 9.31 15.91IBUPROFEN 100 MG/5 ML ORAL SUSPENSION 19.40 13.58 9.31 15.91SODIUM CHLORIDE 0.65 % NASAL SPRAY AEROSOL 19.50 13.65 9.36 15.99ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE 19.60 13.72 9.41 16.07ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE 19.60 13.72 9.41 16.07ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE 19.60 13.72 9.41 16.07ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE 19.60 13.72 9.41 16.07BUPROPION HCL 100 MG TABLET 19.82 13.87 9.51 16.25BUPROPION HCL 100 MG TABLET 19.82 13.87 9.51 16.25BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION 19.90 13.93 9.55 16.32BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION 19.90 13.93 9.55 16.32BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION 19.90 13.93 9.55 16.32BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION 19.90 13.93 9.55 16.32BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION 19.90 13.93 9.55 16.32MAGNESIUM CITRATE ORAL SOLUTION 20.36 14.25 9.77 16.7MINERAL OIL ENEMA 20.64 14.45 9.91 16.92MINERAL OIL ENEMA 20.64 14.45 9.91 16.92MINERAL OIL ENEMA 20.64 14.45 9.91 16.92NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH 20.65 14.46 9.91 16.93NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH 20.65 14.46 9.91 16.93NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH 20.71 14.5 9.94 16.98NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH 20.71 14.5 9.94 16.98NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH 20.71 14.5 9.94 16.98NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH 20.71 14.5 9.94 16.98GLYCERIN (ADULT) RECTAL SUPPOSITORY 20.80 14.56 9.98 17.06LANOLIN (MODIFIED) 100 % TOPICAL CREAM 20.81 14.57 9.99 17.06ACETAMINOPHEN 325 MG/10.15 ML ORAL LIQUID (WRAPPED) 20.91 14.64 10.04 17.15ACETAMINOPHEN 325 MG/10.15 ML ORAL LIQUID (WRAPPED) 20.91 14.64 10.04 17.15ZINC OXIDE 20 % TOPICAL OINTMENT 21.07 14.75 10.11 17.28ZINC OXIDE 20 % TOPICAL OINTMENT 21.07 14.75 10.11 17.28ZINC OXIDE 20 % TOPICAL OINTMENT 21.07 14.75 10.11 17.28PHENOL 1.4 % MUCOSAL AEROSOL SPRAY 21.15 14.81 10.15 17.34PHENOL 1.4 % MUCOSAL AEROSOL SPRAY 21.15 14.81 10.15 17.34CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH 21.40 14.98 10.27 17.55CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH 21.40 14.98 10.27 17.55CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH 21.40 14.98 10.27 17.55CHLORTHALIDONE 25 MG TABLET 21.48 15.04 10.31 17.61CHLORTHALIDONE 25 MG TABLET 21.48 15.04 10.31 17.61MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION 21.70 15.19 10.42 17.79FAMOTIDINE 20 MG TABLET 22.11 15.48 10.61 18.13FAMOTIDINE 20 MG TABLET 22.11 15.48 10.61 18.13FAMOTIDINE 20 MG TABLET 22.11 15.48 10.61 18.13FAMOTIDINE 20 MG TABLET 22.11 15.48 10.61 18.13FAMOTIDINE 20 MG TABLET 22.11 15.48 10.61 18.13DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR 22.24 15.57 10.68 18.24CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET 22.50 15.75 10.8 18.45FLUOXETINE 20 MG CAPSULE 22.58 15.81 10.84 18.52DIGOXIN 125 MCG (0.125 MG) TABLET 22.80 15.96 10.94 18.7DIGOXIN 125 MCG (0.125 MG) TABLET 22.80 15.96 10.94 18.7DIGOXIN 125 MCG (0.125 MG) TABLET 22.80 15.96 10.94 18.7BENZOCAINE 15 MG-MENTHOL 3.6 MG LOZENGES 23.20 16.24 11.14 19.02GABAPENTIN 300 MG/6 ML (6 ML) ORAL SOLUTION 23.29 16.3 11.18 19.1GABAPENTIN 300 MG/6 ML (6 ML) ORAL SOLUTION 23.29 16.3 11.18 19.1SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION 23.50 16.45 11.28 19.27SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION 23.50 16.45 11.28 19.27DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION 23.50 16.45 11.28 19.27ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE 23.50 16.45 11.28 19.27

SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION 23.50 16.45 11.28 19.27SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION 23.50 16.45 11.28 19.27SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION 23.50 16.45 11.28 19.27DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION 23.50 16.45 11.28 19.27SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION 23.50 16.45 11.28 19.27SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION 23.50 16.45 11.28 19.27ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE 23.50 16.45 11.28 19.27DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION 23.50 16.45 11.28 19.27SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION 23.50 16.45 11.28 19.27SORBITOL 70 % SOLUTION 23.50 16.45 11.28 19.27DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION 23.50 16.45 11.28 19.27SODIUM CHLORIDE 0.9 % IV BOLUS 23.50 16.45 11.28 19.27SODIUM CHLORIDE 0.9 % IV BOLUS 23.50 16.45 11.28 19.27ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE 23.50 16.45 11.28 19.27LOPERAMIDE 1 MG/5 ML ORAL LIQUID 23.57 16.5 11.31 19.33LOPERAMIDE 1 MG/5 ML ORAL LIQUID 23.57 16.5 11.31 19.33NITROGLYCERIN 2 % TRANSDERMAL OINTMENT 23.78 16.65 11.41 19.5DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP 23.85 16.7 11.45 19.56BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION 23.99 16.79 11.52 19.67BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION 23.99 16.79 11.52 19.67IBUPROFEN 200 MG TABLET 24.00 16.8 11.52 19.68IBUPROFEN 200 MG TABLET 24.00 16.8 11.52 19.68IBUPROFEN 200 MG TABLET 24.00 16.8 11.52 19.68IBUPROFEN 200 MG TABLET 24.00 16.8 11.52 19.68IBUPROFEN 200 MG TABLET 24.00 16.8 11.52 19.68POVIDONE-IODINE 10 % TOPICAL OINTMENT 24.03 16.82 11.53 19.7POVIDONE-IODINE 10 % TOPICAL OINTMENT 24.03 16.82 11.53 19.7DESMOPRESSIN 0.2 MG TABLET 24.13 16.89 11.58 19.79CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET 24.50 17.15 11.76 20.09CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET 24.50 17.15 11.76 20.09PHENYLEPHRINE 0.25 % RECTAL SUPPOSITORY 24.76 17.33 11.88 20.3VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION 24.80 17.36 11.9 20.34VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION 24.80 17.36 11.9 20.34VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION 24.80 17.36 11.9 20.34VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION 24.80 17.36 11.9 20.34DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION 25.00 17.5 12 20.5POTASSIUM CHLORIDE 10 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV 25.00 17.5 12 20.5POTASSIUM CHLORIDE 40 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV 25.00 17.5 12 20.5POTASSIUM CHLORIDE 40 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV 25.00 17.5 12 20.5SODIUM CHLORIDE 0.45 % IV BOLUS 25.00 17.5 12 20.5SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION 25.00 17.5 12 20.5PILOCARPINE 5 MG TABLET 25.01 17.51 12 20.51PILOCARPINE 5 MG TABLET 25.01 17.51 12 20.51BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSPENSION 25.34 17.74 12.16 20.78CALCIUM CARBONATE 500 MG/5 ML CALCIUM (1,250 MG/5 ML) ORAL SUSPENSION 25.38 17.77 12.18 20.81MELOXICAM 7.5 MG TABLET 25.49 17.84 12.24 20.9MELOXICAM 7.5 MG TABLET 25.49 17.84 12.24 20.9HYDROCORTISONE-ALOE VERA 1 % TOPICAL CREAM 25.62 17.93 12.3 21.01HYDROCORTISONE-ALOE VERA 1 % TOPICAL CREAM 25.62 17.93 12.3 21.01SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION 25.80 18.06 12.38 21.16SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION 25.80 18.06 12.38 21.16SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION 25.80 18.06 12.38 21.16SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION 25.80 18.06 12.38 21.16TIMOLOL MALEATE 0.25 % EYE DROPS 26.11 18.28 12.53 21.41TIMOLOL MALEATE 0.25 % EYE DROPS 26.11 18.28 12.53 21.41TIMOLOL MALEATE 0.25 % EYE DROPS 26.11 18.28 12.53 21.41TIMOLOL MALEATE 0.25 % EYE DROPS 26.11 18.28 12.53 21.41TIMOLOL MALEATE 0.25 % EYE DROPS 26.11 18.28 12.53 21.41METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION 26.18 18.33 12.57 21.47METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION 26.18 18.33 12.57 21.47METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION 26.18 18.33 12.57 21.47BACITRACIN 500 UNIT/GRAM TOPICAL OINTMENT 26.19 18.33 12.57 21.48BACITRACIN 500 UNIT/GRAM TOPICAL OINTMENT 26.19 18.33 12.57 21.48METOLAZONE 2.5 MG TABLET 26.43 18.5 12.69 21.67METOLAZONE 2.5 MG TABLET 26.43 18.5 12.69 21.67FERROUS SULFATE 220 MG (44 MG IRON)/5 ML ORAL ELIXIR 26.56 18.59 12.75 21.78FERROUS SULFATE 220 MG (44 MG IRON)/5 ML ORAL ELIXIR 26.56 18.59 12.75 21.78FERROUS SULFATE 220 MG (44 MG IRON)/5 ML ORAL ELIXIR 26.56 18.59 12.75 21.78MORPHINE ER 30 MG TABLET,EXTENDED RELEASE 26.90 18.83 12.91 22.06DEXTROSE 40 % ORAL GEL 27.72 19.4 13.31 22.73DEXTROSE 40 % ORAL GEL 27.72 19.4 13.31 22.73DEXTROSE 40 % ORAL GEL 27.72 19.4 13.31 22.73

BUMETANIDE 0.25 MG/ML INJECTION SOLUTION 27.90 19.53 13.39 22.88BUMETANIDE 0.25 MG/ML INJECTION SOLUTION 27.90 19.53 13.39 22.88BUMETANIDE 0.25 MG/ML INJECTION SOLUTION 27.90 19.53 13.39 22.88BUMETANIDE 0.25 MG/ML INJECTION SOLUTION 27.90 19.53 13.39 22.88LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION 27.95 19.57 13.42 22.92LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION 27.95 19.57 13.42 22.92LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION 27.95 19.57 13.42 22.92LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION 27.95 19.57 13.42 22.92LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION 27.95 19.57 13.42 22.92LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION 27.95 19.57 13.42 22.92METRONIDAZOLE 500 MG/100 ML-SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK 28.00 19.6 13.44 22.96METRONIDAZOLE 500 MG/100 ML-SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK 28.00 19.6 13.44 22.96METRONIDAZOLE 500 MG/100 ML-SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK 28.00 19.6 13.44 22.96CAMPHOR-METHYL SALICYLATE-MENTHOL 3 %-15 %-5 % TOPICAL CREAM 28.47 19.93 13.67 23.35VITAMIN A 10,000 UNIT CAPSULE 28.50 19.95 13.68 23.37DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SOLUTION 28.75 20.13 13.8 23.58DEXTROSE 10 % AND 0.2 % SODIUM CHLORIDE INTRAVENOUS SOLUTION 28.75 20.13 13.8 23.58DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SOLUTION 28.75 20.13 13.8 23.58DIPHENHYDRAMINE 12.5 MG/5 ML ORAL ELIXIR 28.80 20.16 13.82 23.62ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP 28.90 20.23 13.87 23.7ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP 28.90 20.23 13.87 23.7ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP 28.90 20.23 13.87 23.7ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP 28.90 20.23 13.87 23.7ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP 28.90 20.23 13.87 23.7PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE 29.00 20.3 13.92 23.78PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE 29.00 20.3 13.92 23.78PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE 29.00 20.3 13.92 23.78POVIDONE-IODINE 10 % TOPICAL SOLUTION 29.12 20.38 13.98 23.88POVIDONE-IODINE 10 % TOPICAL SOLUTION 29.12 20.38 13.98 23.88POVIDONE-IODINE 10 % TOPICAL SOLUTION 29.12 20.38 13.98 23.88POVIDONE-IODINE 10 % TOPICAL SOLUTION 29.12 20.38 13.98 23.88POVIDONE-IODINE 10 % TOPICAL SOLUTION 29.12 20.38 13.98 23.88POVIDONE-IODINE 10 % TOPICAL SOLUTION 29.12 20.38 13.98 23.88CAFFEINE 200 MG TABLET 29.20 20.44 14.02 23.94DIPHENHYDRAMINE-ZINC ACETATE 2 %-0.1 % TOPICAL CREAM 29.53 20.67 14.17 24.21DIPHENHYDRAMINE-ZINC ACETATE 2 %-0.1 % TOPICAL CREAM 29.53 20.67 14.17 24.21BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION 29.65 20.76 14.23 24.31BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION 29.65 20.76 14.23 24.31DEXTROSE 10 % IV BOLUS 30.00 21 14.4 24.6SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION 30.00 21 14.4 24.6POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV 30.00 21 14.4 24.6DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION 30.00 21 14.4 24.6DEXTROSE 5 % AND 0.2 % SODIUM CHLORIDE INTRAVENOUS SOLUTION 30.00 21 14.4 24.6POTASSIUM CHLORIDE 20 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS 30.00 21 14.4 24.6SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION 30.00 21 14.4 24.6DEXTROSE 10 % IV BOLUS 30.00 21 14.4 24.6DEXTROSE 10 % IV BOLUS 30.00 21 14.4 24.6DEXTROSE 5 % AND 0.2 % SODIUM CHLORIDE INTRAVENOUS SOLUTION 30.00 21 14.4 24.6DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION 30.00 21 14.4 24.6DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION 30.00 21 14.4 24.6DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION 30.00 21 14.4 24.6SELENIUM SULFIDE 1 % SHAMPOO 30.49 21.34 14.64 25HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE 30.95 21.67 14.86 25.38GALANTAMINE 4 MG TABLET 31.00 21.7 14.88 25.42GALANTAMINE 4 MG TABLET 31.00 21.7 14.88 25.42BENZOCAINE 20 % TOPICAL OINTMENT 31.04 21.73 14.9 25.45SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION 31.30 21.91 15.02 25.67PETROLATUM, WHITE-LANOLIN TOPICAL OINTMENT 31.41 21.99 15.08 25.76MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION 31.45 22.02 15.1 25.79IBUPROFEN 100 MG CHEWABLE TABLET 31.60 22.12 15.17 25.91IBUPROFEN 100 MG CHEWABLE TABLET 31.60 22.12 15.17 25.91ALFENTANIL 500 MCG/ML INJECTION SOLUTION 31.72 22.2 15.23 26.01ALFENTANIL 500 MCG/ML INJECTION SOLUTION 31.72 22.2 15.23 26.01SODIUM CHLORIDE 5 % EYE DROPS 32.01 22.41 15.36 26.25SODIUM CHLORIDE 5 % EYE DROPS 32.01 22.41 15.36 26.25SODIUM CHLORIDE-ALOE VERA NASAL SPRAY 32.25 22.58 15.48 26.45SALIVA STIMULANT COMBINATION NO.3 ORAL MUCOSAL SPRAY 32.78 22.95 15.73 26.88CARBAMIDE PEROXIDE 6.5 % EAR DROPS 32.82 22.97 15.75 26.91CARBAMIDE PEROXIDE 6.5 % EAR DROPS 32.82 22.97 15.75 26.91CARBAMIDE PEROXIDE 6.5 % EAR DROPS 32.82 22.97 15.75 26.91BENZOCAINE 20 %-MENTHOL 0.5 % TOPICAL AEROSOL 33.09 23.16 15.88 27.13BENZOCAINE 20 %-MENTHOL 0.5 % TOPICAL AEROSOL 33.09 23.16 15.88 27.13

BENZOCAINE 20 %-MENTHOL 0.5 % TOPICAL AEROSOL 33.09 23.16 15.88 27.13BENZOCAINE 20 %-MENTHOL 0.5 % TOPICAL AEROSOL 33.09 23.16 15.88 27.13VIT A 1,000 UNIT-C 200 MG-E 60 UNIT-LUTEIN 2 MG AND MINERALS TABLET 33.10 23.17 15.89 27.14BENZOCAINE 20 % MUCOSAL GEL 33.37 23.36 16.02 27.36TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM 33.72 23.6 16.19 27.65TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM 33.72 23.6 16.19 27.65TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM 33.72 23.6 16.19 27.65TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM 33.72 23.6 16.19 27.65TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM 33.72 23.6 16.19 27.65TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM 33.72 23.6 16.19 27.65BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION 33.95 23.77 16.3 27.84BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION 33.95 23.77 16.3 27.84BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION 33.95 23.77 16.3 27.84BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION 33.95 23.77 16.3 27.84CAPSAICIN 0.075 % TOPICAL CREAM 33.98 23.79 16.31 27.86METFORMIN 500 MG TABLET 34.00 23.8 16.32 27.88METFORMIN 500 MG TABLET 34.00 23.8 16.32 27.88HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION 34.30 24.01 16.46 28.13HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION 34.30 24.01 16.46 28.13HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION 34.30 24.01 16.46 28.13METHYL SALICYLATE-MENTHOL 29 %-7.6 % TOPICAL OINTMENT 34.30 24.01 16.46 28.13FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION 34.48 24.14 16.55 28.27FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION 34.48 24.14 16.55 28.27WITCH HAZEL 50 % (+/- GLYCERIN) TOPICAL PADS (WRAPPED) 34.50 24.15 16.56 28.29WITCH HAZEL 50 % (+/- GLYCERIN) TOPICAL PADS (WRAPPED) 34.50 24.15 16.56 28.29WITCH HAZEL 50 % (+/- GLYCERIN) TOPICAL PADS (WRAPPED) 34.50 24.15 16.56 28.29WITCH HAZEL 50 % (+/- GLYCERIN) TOPICAL PADS (WRAPPED) 34.50 24.15 16.56 28.29WITCH HAZEL 50 % (+/- GLYCERIN) TOPICAL PADS (WRAPPED) 34.50 24.15 16.56 28.29LIDOCAINE 0.9 % BUFFERED WITH 8.4 % SODIUM BICARB (1 ML) INJ SYRINGE 35.26 24.68 16.92 28.91LIDOCAINE 4 % TOPICAL CREAM 35.50 24.85 17.04 29.11PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE 35.50 24.85 17.04 29.11LIDOCAINE 4 % TOPICAL CREAM 35.50 24.85 17.04 29.11PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE 35.50 24.85 17.04 29.11MINERAL OIL TOPICAL 35.50 24.85 17.04 29.11ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION 36.38 25.47 17.46 29.83ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION 36.38 25.47 17.46 29.83SUFENTANIL CITRATE 50 MCG/ML INTRAVENOUS SOLUTION 36.91 25.84 17.72 30.27PARABEN-CETYL ALCOHOL-STEARYL ALCOHOL-PROPY GLYCOL-SLS TOPICAL CLEANER 37.20 26.04 17.86 30.5LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION 37.30 26.11 17.9 30.59LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION 37.30 26.11 17.9 30.59LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION 37.30 26.11 17.9 30.59LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION 37.30 26.11 17.9 30.59LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION 37.30 26.11 17.9 30.59LORATADINE 10 MG TABLET 37.45 26.22 17.98 30.71LORATADINE 10 MG TABLET 37.45 26.22 17.98 30.71ZINC OXIDE-WHITE PETROLATUM TOPICAL OINTMENT 37.58 26.31 18.04 30.82OMEGA 3-DHA-EPA-FISH OIL 1,000 MG CAPSULE (WRAPPED) 37.60 26.32 18.05 30.83OMEGA 3-DHA-EPA-FISH OIL 1,000 MG CAPSULE (WRAPPED) 37.60 26.32 18.05 30.83OMEGA 3-DHA-EPA-FISH OIL 1,000 MG CAPSULE (WRAPPED) 37.60 26.32 18.05 30.83OMEGA 3-DHA-EPA-FISH OIL 1,000 MG CAPSULE (WRAPPED) 37.60 26.32 18.05 30.83SODIUM HYPOCHLORITE 0.125 % SOLUTION 39.58 27.71 19 32.46SODIUM HYPOCHLORITE 0.25 % SOLUTION 39.58 27.71 19 32.46SODIUM HYPOCHLORITE 0.125 % SOLUTION 39.58 27.71 19 32.46SODIUM HYPOCHLORITE 0.0625 % SOLUTION 39.58 27.71 19 32.46CYCLOPENT 1%-TROPICAMIDE 1%-PHENYLEPHRINE 10%-KETOROLAC 0.5% EYE DROPS 39.75 27.83 19.08 32.6FLECAINIDE 100 MG TABLET 39.88 27.92 19.14 32.7MICONAZOLE NITRATE 2 % TOPICAL POWDER 39.98 27.99 19.19 32.78VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION 40.00 28 19.2 32.8VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION 40.00 28 19.2 32.8VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION 40.00 28 19.2 32.8VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION 40.00 28 19.2 32.8MVI,ADULT NO.4,VIT K,COMP(VIAL 1 OF 2) 3,300 UNIT-150 MCG/5 ML IV SOLN 40.35 28.25 19.37 33.09MVI, ADULT NO.4, VIT K (VIAL 2 OF 2) 600 MCG-60 MCG-5 MCG/5 ML IV SOLN 40.35 28.25 19.37 33.09NIACIN ER 250 MG CAPSULE,EXTENDED RELEASE 41.05 28.74 19.7 33.66NIACIN ER 250 MG CAPSULE,EXTENDED RELEASE 41.05 28.74 19.7 33.66ACETAMINOPHEN 160 MG/5 ML ORAL SUSPENSION 41.80 29.26 20.06 34.28ACETAMINOPHEN 160 MG/5 ML ORAL SUSPENSION 41.80 29.26 20.06 34.28ACETAMINOPHEN 160 MG/5 ML ORAL SUSPENSION 41.80 29.26 20.06 34.28ACETAMINOPHEN 160 MG/5 ML ORAL SUSPENSION 41.80 29.26 20.06 34.28ACETAMINOPHEN 160 MG/5 ML ORAL SUSPENSION 41.80 29.26 20.06 34.28LISINOPRIL 10 MG TABLET 42.00 29.4 20.16 34.44POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION 42.40 29.68 20.35 34.77

SODIUM CHLORIDE 3 % INTRAVENOUS INJECTION SOLUTION 42.50 29.75 20.4 34.85SODIUM CHLORIDE 3 % IV BOLUS 42.50 29.75 20.4 34.85BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION 42.65 29.86 20.47 34.97BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION 42.65 29.86 20.47 34.97BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION 42.65 29.86 20.47 34.97SODIUM BICARBONATE 650 MG TABLET 43.00 30.1 20.64 35.26SODIUM BICARBONATE 650 MG TABLET 43.00 30.1 20.64 35.26CETIRIZINE 1 MG/ML ORAL SOLUTION 43.04 30.13 20.66 35.29CETIRIZINE 1 MG/ML ORAL SOLUTION 43.04 30.13 20.66 35.29CETIRIZINE 1 MG/ML ORAL SOLUTION 43.04 30.13 20.66 35.29CETIRIZINE 1 MG/ML ORAL SOLUTION 43.04 30.13 20.66 35.29CETIRIZINE 1 MG/ML ORAL SOLUTION 43.04 30.13 20.66 35.29MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSPENSION 43.43 30.4 20.85 35.61MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSPENSION 43.43 30.4 20.85 35.61MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSPENSION 43.43 30.4 20.85 35.61MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSPENSION 43.43 30.4 20.85 35.61MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSPENSION 43.43 30.4 20.85 35.61ASCORBIC ACID (VITAMIN C) 500 MG TABLET 43.50 30.45 20.88 35.67ASCORBIC ACID (VITAMIN C) 500 MG TABLET 43.50 30.45 20.88 35.67ASCORBIC ACID (VITAMIN C) 500 MG TABLET 43.50 30.45 20.88 35.67IBUPROFEN 50 MG/1.25 ML ORAL DROPS,SUSPENSION 43.68 30.58 20.97 35.82ALUM, AMMONIUM (BULK) POWDER 43.96 30.77 21.1 36.05LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM 44.17 30.92 21.2 36.22LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM 44.17 30.92 21.2 36.22LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM 44.17 30.92 21.2 36.22LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM 44.17 30.92 21.2 36.22LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR 44.50 31.15 21.36 36.49CAMPHOR-MENTHOL 0.5 %-0.5 % LOTION 44.91 31.44 21.56 36.83CAMPHOR-MENTHOL 0.5 %-0.5 % LOTION 44.91 31.44 21.56 36.83CAMPHOR-MENTHOL 0.5 %-0.5 % LOTION 44.91 31.44 21.56 36.83MENTHOL 4 % TOPICAL GEL 44.99 31.49 21.6 36.89DIAZEPAM 5 MG TABLET 45.00 31.5 21.6 36.9DIAZEPAM 5 MG TABLET 45.00 31.5 21.6 36.9AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION 45.25 31.68 21.72 37.11AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION 45.25 31.68 21.72 37.11BUPIVACAINE HCL 0.25 % (2.5 MG/ML) INJECTION SOLUTION 45.25 31.68 21.72 37.11BUPIVACAINE HCL 0.25 % (2.5 MG/ML) INJECTION SOLUTION 45.25 31.68 21.72 37.11LIDOCAINE HCL 2 % MUCOSAL JELLY 45.70 31.99 21.94 37.47CHOLECALCIFEROL (VITAMIN D3) 10 MCG/ML (400 UNIT/ML) ORAL DROPS 46.00 32.2 22.08 37.72METFORMIN 850 MG TABLET 46.00 32.2 22.08 37.72CHOLECALCIFEROL (VITAMIN D3) 10 MCG/ML (400 UNIT/ML) ORAL DROPS 46.00 32.2 22.08 37.72CARBOXYMETHYLCELLULOSE SODIUM 0.25 % EYE DROPS 46.02 32.21 22.09 37.74BACITRACIN (+/- ZINC) TOPICAL OINTMENT (WRAPPED) 46.06 32.24 22.11 37.77BACITRACIN (+/- ZINC) TOPICAL OINTMENT (WRAPPED) 46.06 32.24 22.11 37.77BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINTMENT 46.06 32.24 22.11 37.77BACITRACIN (+/- ZINC) TOPICAL OINTMENT (WRAPPED) 46.06 32.24 22.11 37.77BACITRACIN (+/- ZINC) TOPICAL OINTMENT (WRAPPED) 46.06 32.24 22.11 37.77BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINTMENT 46.06 32.24 22.11 37.77METRONIDAZOLE IV SYRINGE (NEO/PED) 46.20 32.34 22.18 37.88METRONIDAZOLE IV SYRINGE (NEO/PED) 46.20 32.34 22.18 37.88METRONIDAZOLE IV SYRINGE (NEO/PED) 46.20 32.34 22.18 37.88MIDAZOLAM 10 MG/5 ML (2 MG/ML) ORAL SYRUP 46.68 32.68 22.41 38.28ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT 46.96 32.87 22.54 38.51ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT 46.96 32.87 22.54 38.51ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT 46.96 32.87 22.54 38.51ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION 47.30 33.11 22.7 38.79ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION 47.30 33.11 22.7 38.79ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION 47.30 33.11 22.7 38.79ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION 47.30 33.11 22.7 38.79ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION 47.30 33.11 22.7 38.79ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION 47.30 33.11 22.7 38.79BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION 47.80 33.46 22.94 39.2BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION 47.80 33.46 22.94 39.2BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION 47.80 33.46 22.94 39.2BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION 47.80 33.46 22.94 39.2BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION 47.80 33.46 22.94 39.2SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION 48.00 33.6 23.04 39.36SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION 48.00 33.6 23.04 39.36SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION 48.00 33.6 23.04 39.36WATER FOR IRRIGATION, STERILE SOLUTION 48.00 33.6 23.04 39.36SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION 48.00 33.6 23.04 39.36MORPHINE ER 100 MG TABLET,EXTENDED RELEASE 48.18 33.73 23.13 39.51

LACTASE 3,000 UNIT TABLET 48.70 34.09 23.38 39.93LISINOPRIL 5 MG TABLET 49.00 34.3 23.52 40.18PHENYLEPHRINE 0.25 %-COCOA BUTTER 88.44 % RECTAL SUPPOSITORY 49.12 34.38 23.58 40.28PHENYLEPHRINE 0.25 %-COCOA BUTTER 88.44 % RECTAL SUPPOSITORY 49.12 34.38 23.58 40.28ACETAMINOPHEN 650 MG RECTAL SUPPOSITORY 49.96 34.97 23.98 40.97ACETAMINOPHEN 650 MG RECTAL SUPPOSITORY 49.96 34.97 23.98 40.97SODIUM CHLORIDE 1 GRAM TABLET 50.00 35 24 41PHENYTOIN 100 MG/4 ML ORAL SUSPENSION 50.20 35.14 24.1 41.16PHENYTOIN 100 MG/4 ML ORAL SUSPENSION 50.20 35.14 24.1 41.16PERMETHRIN 1 % TOPICAL LIQUID 50.36 35.25 24.17 41.3AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION 51.65 36.16 24.79 42.35LABETALOL 5 MG/ML INTRAVENOUS SOLUTION 52.00 36.4 24.96 42.64LABETALOL 5 MG/ML INTRAVENOUS SOLUTION 52.00 36.4 24.96 42.64LABETALOL 5 MG/ML INTRAVENOUS SOLUTION 52.00 36.4 24.96 42.64LABETALOL 5 MG/ML INTRAVENOUS SOLUTION 52.00 36.4 24.96 42.64LABETALOL 5 MG/ML INTRAVENOUS SOLUTION 52.00 36.4 24.96 42.64LABETALOL 5 MG/ML INTRAVENOUS SOLUTION 52.00 36.4 24.96 42.64TROPICAMIDE 1 % EYE DROPS 52.60 36.82 25.25 43.13LORATADINE 5 MG/5 ML ORAL SOLUTION 52.60 36.82 25.25 43.13LORATADINE 5 MG/5 ML ORAL SOLUTION 52.60 36.82 25.25 43.13CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE 52.75 36.93 25.32 43.26CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE 52.75 36.93 25.32 43.26CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE 52.75 36.93 25.32 43.26CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE 52.75 36.93 25.32 43.26PEDIATRIC MULTIVITAMIN NO.192 250 MCG-50 MG-10 MCG/ML ORAL DROPS 52.75 36.93 25.32 43.26FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS 52.80 36.96 25.34 43.3MAGNESIUM 64 MG (MAGNESIUM CHLORIDE) TABLET,DELAYED RELEASE 53.20 37.24 25.54 43.62CHLORHEXIDINE GLUCONATE 4 % TOPICAL LIQUID 53.61 37.53 25.73 43.96CHLORHEXIDINE GLUCONATE 4 % TOPICAL LIQUID 53.61 37.53 25.73 43.96CHLORHEXIDINE GLUCONATE 4 % TOPICAL LIQUID 53.61 37.53 25.73 43.96CHLORHEXIDINE GLUCONATE 4 % TOPICAL LIQUID 53.61 37.53 25.73 43.96CHLORHEXIDINE GLUCONATE 4 % TOPICAL LIQUID 53.61 37.53 25.73 43.96CHLORHEXIDINE GLUCONATE 4 % TOPICAL LIQUID 53.61 37.53 25.73 43.96CHLORHEXIDINE GLUCONATE 4 % TOPICAL LIQUID 53.61 37.53 25.73 43.96LIDOCAINE 4 % TOPICAL PATCH 53.74 37.62 25.8 44.07BISACODYL 10 MG RECTAL SUPPOSITORY 53.84 37.69 25.84 44.15KETAMINE 50 MG/ML INJECTION SOLUTION 53.90 37.73 25.87 44.2KETAMINE 50 MG/ML INJECTION SOLUTION 53.90 37.73 25.87 44.2KETAMINE 50 MG/ML INJECTION SOLUTION 53.90 37.73 25.87 44.2HYDROCORTISONE 2.5 % TOPICAL CREAM 54.04 37.83 25.94 44.31HYDROCORTISONE 2.5 % TOPICAL CREAM 54.04 37.83 25.94 44.31LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJECTION SOLUTION 54.30 38.01 26.06 44.53LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJECTION SOLUTION 54.30 38.01 26.06 44.53LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJECTION SOLUTION 54.30 38.01 26.06 44.53LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJECTION SOLUTION 54.30 38.01 26.06 44.53TRIAMCINOLONE ACETONIDE 0.5 % TOPICAL CREAM 54.40 38.08 26.11 44.61TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL CREAM 54.48 38.14 26.15 44.67SIMETHICONE 80 MG CHEWABLE TABLET 54.50 38.15 26.16 44.69SIMETHICONE 80 MG CHEWABLE TABLET 54.50 38.15 26.16 44.69SIMETHICONE 80 MG CHEWABLE TABLET 54.50 38.15 26.16 44.69LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS SYRINGE 54.60 38.22 26.21 44.77LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS SYRINGE 54.60 38.22 26.21 44.77SODIUM BICARBONATE 4.2 % INTRAVENOUS SOLUTION 56.00 39.2 26.88 45.92IODINE-POTASSIUM IODIDE 5 %-10 % TOPICAL SOLUTION 56.08 39.26 26.92 45.99LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION 56.73 39.71 27.23 46.52LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION 56.73 39.71 27.23 46.52LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION 56.73 39.71 27.23 46.52ARTIFICIAL TEARS EYE OINTMENT (WRAPPED) 56.89 39.82 27.31 46.65ARTIFICIAL TEARS EYE OINTMENT (WRAPPED) 56.89 39.82 27.31 46.65LIDOCAINE 4 %-EPINEPHRINE 0.18 %-TETRACAINE 0.5 % TOPICAL GEL 58.00 40.6 27.84 47.56CLOTRIMAZOLE 1 % VAGINAL CREAM 58.06 40.64 27.87 47.61CLOTRIMAZOLE 1 % VAGINAL CREAM 58.06 40.64 27.87 47.61PENICILLIN V POTASSIUM 250 MG/5 ML ORAL SOLUTION 58.45 40.92 28.06 47.93MENTHOL 10.5 % TOPICAL SPRAY 58.69 41.08 28.17 48.13KETOTIFEN 0.025 % (0.035 %) EYE DROPS 58.76 41.13 28.2 48.18FAMOTIDINE 10 MG TABLET 59.20 41.44 28.42 48.54FAMOTIDINE 10 MG TABLET 59.20 41.44 28.42 48.54FAMOTIDINE 10 MG TABLET 59.20 41.44 28.42 48.54FUROSEMIDE 10 MG/ML ORAL SOLUTION 59.31 41.52 28.47 48.63ZOLPIDEM 5 MG TABLET 59.40 41.58 28.51 48.71ZOLPIDEM 5 MG TABLET 59.40 41.58 28.51 48.71DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION 59.63 41.74 28.62 48.9

DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION 59.63 41.74 28.62 48.9DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION 59.63 41.74 28.62 48.9DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION 59.63 41.74 28.62 48.9DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION 59.63 41.74 28.62 48.9DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION 59.63 41.74 28.62 48.9NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION 59.88 41.92 28.74 49.1NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION 59.88 41.92 28.74 49.1CALCIUM POLYCARBOPHIL 625 MG TABLET 60.02 42.01 28.81 49.22CALCIUM POLYCARBOPHIL 625 MG TABLET 60.02 42.01 28.81 49.22TETRACAINE HCL (PF) 0.5 % EYE DROPS 60.83 42.58 29.2 49.88VITAMIN B COMPLEX CAPSULE 62.25 43.58 29.88 51.05VITAMIN B COMPLEX CAPSULE 62.25 43.58 29.88 51.05LIDOCAINE HCL 2 % MUCOSAL SOLUTION 62.80 43.96 30.14 51.5LIDOCAINE HCL 2 % MUCOSAL SOLUTION 62.80 43.96 30.14 51.5COLCHICINE 0.6 MG TABLET 62.96 44.07 30.22 51.63COLCHICINE 0.6 MG TABLET 62.96 44.07 30.22 51.63PSYLLIUM HUSK (ASPARTAME) 3.4 GRAM ORAL POWDER PACKET 63.16 44.21 30.32 51.79PSYLLIUM HUSK (ASPARTAME) 3.4 GRAM ORAL POWDER PACKET 63.16 44.21 30.32 51.79SUCRALFATE 100 MG/ML ORAL SUSPENSION 63.49 44.44 30.48 52.06SUCRALFATE 100 MG/ML ORAL SUSPENSION 63.49 44.44 30.48 52.06SUCRALFATE 100 MG/ML ORAL SUSPENSION 63.49 44.44 30.48 52.06SODIUM 35 MEQ-POTASSIUM 20 MEQ-MAG 5 MEQ/20 ML-CALCIUM-CHLORID-ACET IV 64.56 45.19 30.99 52.94SODIUM 35 MEQ-POTASSIUM 20 MEQ-MAG 5 MEQ/20 ML-CALCIUM-CHLORID-ACET IV 64.56 45.19 30.99 52.94SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION 65.58 45.91 31.48 53.78SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION 65.58 45.91 31.48 53.78SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION 65.58 45.91 31.48 53.78SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION 65.58 45.91 31.48 53.78SENNOSIDES 8.8 MG/5 ML ORAL SYRUP 67.17 47.02 32.24 55.08SENNOSIDES 8.8 MG/5 ML ORAL SYRUP 67.17 47.02 32.24 55.08MVI,ADULT NO.4 WITH VIT K 3300 UNIT-150 MCG/10 ML INTRAVENOUS SOLUTION 67.67 47.37 32.48 55.49MVI,ADULT NO.4 WITH VIT K 3300 UNIT-150 MCG/10 ML INTRAVENOUS SOLUTION 67.67 47.37 32.48 55.49MVI,ADULT NO.4 WITH VIT K 3300 UNIT-150 MCG/10 ML INTRAVENOUS SOLUTION 67.67 47.37 32.48 55.49GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR 68.00 47.6 32.64 55.76GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR 68.00 47.6 32.64 55.76MORPHINE 10 MG/5 ML ORAL SOLUTION 68.43 47.9 32.85 56.11CYCLOPENTOLATE 1 % EYE DROPS 69.08 48.36 33.16 56.65CYCLOPENTOLATE 1 % EYE DROPS 69.08 48.36 33.16 56.65CYCLOPENTOLATE 1 % EYE DROPS 69.08 48.36 33.16 56.65CYCLOPENTOLATE 1 % EYE DROPS 69.08 48.36 33.16 56.65CYCLOPENTOLATE 1 % EYE DROPS 69.08 48.36 33.16 56.65CYCLOPENTOLATE 1 % EYE DROPS 69.08 48.36 33.16 56.65DIAZEPAM 2 MG TABLET 69.38 48.57 33.3 56.89ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION 69.38 48.57 33.3 56.89DIAZEPAM 2 MG TABLET 69.38 48.57 33.3 56.89DIAZEPAM 2 MG TABLET 69.38 48.57 33.3 56.89HYDRALAZINE 10 MG TABLET 69.38 48.57 33.3 56.89ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION 69.38 48.57 33.3 56.89SILVER SULFADIAZINE 1 % TOPICAL CREAM 69.60 48.72 33.41 57.07SILVER SULFADIAZINE 1 % TOPICAL CREAM 69.60 48.72 33.41 57.07SILVER SULFADIAZINE 1 % TOPICAL CREAM 69.60 48.72 33.41 57.07SILVER SULFADIAZINE 1 % TOPICAL CREAM 69.60 48.72 33.41 57.07SILVER SULFADIAZINE 1 % TOPICAL CREAM 69.60 48.72 33.41 57.07SILVER SULFADIAZINE 1 % TOPICAL CREAM 69.60 48.72 33.41 57.07SILVER SULFADIAZINE 1 % TOPICAL CREAM 69.60 48.72 33.41 57.07VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION 69.85 48.9 33.53 57.28VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION 69.85 48.9 33.53 57.28VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION 69.85 48.9 33.53 57.28VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION 69.85 48.9 33.53 57.28VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION 69.85 48.9 33.53 57.28VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION 69.85 48.9 33.53 57.28DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR 70.80 49.56 33.98 58.06DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR 70.80 49.56 33.98 58.06SODIUM BICARBONATE 4.2 % (0.5 MEQ/ML) INTRAVENOUS SYRINGE 71.61 50.13 34.37 58.72SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INTRAVENOUS SYRINGE 71.75 50.23 34.44 58.84SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INTRAVENOUS SYRINGE 71.75 50.23 34.44 58.84SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INTRAVENOUS SYRINGE 71.75 50.23 34.44 58.84NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT 73.00 51.1 35.04 59.86BACITRACIN 50,000 UNIT INTRAMUSCULAR SOLUTION 73.56 51.49 35.31 60.32BACITRACIN 50,000 UNIT INTRAMUSCULAR SOLUTION 73.56 51.49 35.31 60.32TIMOLOL MALEATE 0.5 % EYE DROPS 73.75 51.63 35.4 60.48TIMOLOL MALEATE 0.5 % EYE DROPS 73.75 51.63 35.4 60.48BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION 73.89 51.72 35.47 60.59

BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION 73.89 51.72 35.47 60.59BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION 73.89 51.72 35.47 60.59DEXAMETHASONE 0.5 MG TABLET 75.55 52.89 36.26 61.95DEXAMETHASONE 0.5 MG TABLET 75.55 52.89 36.26 61.95NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM 75.64 52.95 36.31 62.02NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM 75.64 52.95 36.31 62.02KETAMINE 100 MG/ML INJECTION SOLUTION 76.10 53.27 36.53 62.4KETAMINE 100 MG/ML INJECTION SOLUTION 76.10 53.27 36.53 62.4KETAMINE 100 MG/ML INJECTION SOLUTION 76.10 53.27 36.53 62.4KETAMINE 100 MG/ML INJECTION SOLUTION 76.10 53.27 36.53 62.4KETAMINE 100 MG/ML INJECTION SOLUTION 76.10 53.27 36.53 62.4SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION 76.98 53.89 36.95 63.12SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION 76.98 53.89 36.95 63.12SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION 76.98 53.89 36.95 63.12SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION 77.73 54.41 37.31 63.74SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION 77.73 54.41 37.31 63.74OLANZAPINE 5 MG DISINTEGRATING TABLET 77.80 54.46 37.34 63.8OLANZAPINE 5 MG DISINTEGRATING TABLET 77.80 54.46 37.34 63.8OLANZAPINE 5 MG DISINTEGRATING TABLET 77.80 54.46 37.34 63.8OLANZAPINE 5 MG DISINTEGRATING TABLET 77.80 54.46 37.34 63.8OLANZAPINE 5 MG DISINTEGRATING TABLET 77.80 54.46 37.34 63.8AMMONIUM LACTATE 12 % LOTION 78.10 54.67 37.49 64.04AMMONIUM LACTATE 12 % LOTION 78.10 54.67 37.49 64.04CETIRIZINE 10 MG TABLET 78.85 55.2 37.85 64.66CETIRIZINE 10 MG TABLET 78.85 55.2 37.85 64.66CETIRIZINE 10 MG TABLET 78.85 55.2 37.85 64.66WHITE PETROLATUM 42 % TOPICAL OINTMENT 79.01 55.31 37.92 64.79TRACE ELEMENTS CR-CU-MN-SE-ZN 10 MCG-1 MG-0.5 MG-60 MCG-5MG/ML IV SOLN 80.31 56.22 38.55 65.85HYDRALAZINE 25 MG TABLET 80.78 56.55 38.77 66.24DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE 81.55 57.09 39.14 66.87DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE 81.55 57.09 39.14 66.87VECURONIUM BROMIDE 20 MG INTRAVENOUS SOLUTION 81.58 57.11 39.16 66.9VECURONIUM BROMIDE 20 MG INTRAVENOUS SOLUTION 81.58 57.11 39.16 66.9VECURONIUM BROMIDE 20 MG INTRAVENOUS SOLUTION 81.58 57.11 39.16 66.9VECURONIUM BROMIDE 20 MG INTRAVENOUS SOLUTION 81.58 57.11 39.16 66.9VECURONIUM BROMIDE 20 MG INTRAVENOUS SOLUTION 81.58 57.11 39.16 66.9VECURONIUM BROMIDE 20 MG INTRAVENOUS SOLUTION 81.58 57.11 39.16 66.9GENTAMICIN 0.3 % EYE DROPS 81.93 57.35 39.33 67.18HOMATROPINE 5 % EYE DROPS 82.84 57.99 39.76 67.93FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION 83.13 58.19 39.9 68.17FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION 83.13 58.19 39.9 68.17FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION 83.13 58.19 39.9 68.17FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION 83.13 58.19 39.9 68.17FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION 83.13 58.19 39.9 68.17FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION 83.13 58.19 39.9 68.17BENZOCAINE 20 % MUCOSAL SPRAY 83.76 58.63 40.2 68.68BENZOCAINE 20 % MUCOSAL SPRAY 83.76 58.63 40.2 68.68NEOMYCIN-POLYMYXIN-DEXAMETH 3.5 MG/ML-10,000 UNIT/ML-0.1% EYE DROPS 84.48 59.14 40.55 69.27NEOMYCIN-POLYMYXIN-DEXAMETH 3.5 MG/ML-10,000 UNIT/ML-0.1% EYE DROPS 84.48 59.14 40.55 69.27NEOMYCIN 40 MG-POLYMYXIN B 200,000 UNIT/ML GU IRRIGATION SOLUTION 84.62 59.23 40.62 69.39NEOMYCIN 40 MG-POLYMYXIN B 200,000 UNIT/ML GU IRRIGATION SOLUTION 84.62 59.23 40.62 69.39CLOTRIMAZOLE 1 % TOPICAL CREAM 84.76 59.33 40.68 69.5PYRIDOXINE (VITAMIN B6) 50 MG TABLET 87.40 61.18 41.95 71.67PYRIDOXINE (VITAMIN B6) 50 MG TABLET 87.40 61.18 41.95 71.67MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET 88.30 61.81 42.38 72.41MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET 88.30 61.81 42.38 72.41MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET 88.30 61.81 42.38 72.41MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET 88.30 61.81 42.38 72.41ASPIRIN 300 MG RECTAL SUPPOSITORY 88.73 62.11 42.59 72.76LITHIUM CARBONATE 300 MG CAPSULE 88.75 62.13 42.6 72.78POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION 89.04 62.33 42.74 73.01POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION 89.04 62.33 42.74 73.01POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION 89.04 62.33 42.74 73.01POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION 89.04 62.33 42.74 73.01BALANCED SALT SOLUTION NON-SURGICAL NO.3 EYE WASH 89.17 62.42 42.8 73.12DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID 90.88 63.62 43.62 74.52DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID 90.88 63.62 43.62 74.52DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID 90.88 63.62 43.62 74.52DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID 90.88 63.62 43.62 74.52FLUORESCEIN 1 MG EYE STRIPS 91.00 63.7 43.68 74.62BICALUTAMIDE 50 MG TABLET 91.00 63.7 43.68 74.62BICALUTAMIDE 50 MG TABLET 91.00 63.7 43.68 74.62

FLUORESCEIN 1 MG EYE STRIPS 91.00 63.7 43.68 74.62FLUORESCEIN 1 MG EYE STRIPS 91.00 63.7 43.68 74.62FLUORESCEIN 1 MG EYE STRIPS 91.00 63.7 43.68 74.62ASPIRIN 600 MG RECTAL SUPPOSITORY 91.43 64 43.89 74.97PEDIATRIC MULTIVITAMIN NO.40-PHYTONADIONE 400 MCG/ML ORAL DROPS 91.51 64.06 43.92 75.04TRIHEXYPHENIDYL 2 MG TABLET 92.35 64.65 44.33 75.73TRANEXAMIC ACID 1,000 MG/100 ML(10 MG/ML)IN SOD CHLOR,ISO IV PIGGYBACK 93.92 65.74 45.08 77.01CAFFEINE-SODIUM BENZOATE 250 MG/ML(125 MG/ML CAFFEINE) INJECTION SOLN 94.04 65.83 45.14 77.11CAFFEINE-SODIUM BENZOATE 250 MG/ML(125 MG/ML CAFFEINE) INJECTION SOLN 94.04 65.83 45.14 77.11NIMODIPINE 30 MG CAPSULE 94.15 65.91 45.19 77.2RIVAROXABAN 20 MG TABLET 94.59 66.21 45.4 77.56RIVAROXABAN 20 MG TABLET 94.59 66.21 45.4 77.56LITHIUM CARBONATE 150 MG CAPSULE 94.60 66.22 45.41 77.57FAT EMULSION 20 % INTRAVENOUS 94.92 66.44 45.56 77.83FAT EMULSION 20 % INTRAVENOUS 94.92 66.44 45.56 77.83FAT EMULSION 20 % INTRAVENOUS 94.92 66.44 45.56 77.83FAT EMULSION 20 % INTRAVENOUS 94.92 66.44 45.56 77.83SITAGLIPTIN 100 MG TABLET 95.21 66.65 45.7 78.07LATANOPROST 0.005 % EYE DROPS 95.33 66.73 45.76 78.17HYDROCORTISONE 100 MG/60 ML ENEMA 95.72 67 45.95 78.49TRACE ELEMENTS ZN 3 MG-CU 0.3 MG-MN 55 MCG-SE 60 MCG/ML IV SOLUTION 95.91 67.14 46.04 78.65TRACE ELEMENTS ZN 3 MG-CU 0.3 MG-MN 55 MCG-SE 60 MCG/ML IV SOLUTION 95.91 67.14 46.04 78.65DILTIAZEM 125 MG/125 ML (1 MG/ML) IN DEXTROSE 5 % IV 95.99 67.19 46.08 78.71ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER 96.03 67.22 46.09 78.74ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER 96.03 67.22 46.09 78.74ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER 96.03 67.22 46.09 78.74ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER 96.03 67.22 46.09 78.74ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER 96.03 67.22 46.09 78.74CLONIDINE HCL 0.1 MG TABLET 96.25 67.38 46.2 78.93SUCCINYLCHOLINE CHLORIDE 100 MG/5 ML (20 MG/ML) INTRAVENOUS SYRINGE 96.54 67.58 46.34 79.16SUCCINYLCHOLINE CHLORIDE 100 MG/5 ML (20 MG/ML) INTRAVENOUS SYRINGE 96.54 67.58 46.34 79.16SUCCINYLCHOLINE CHLORIDE 100 MG/5 ML (20 MG/ML) INTRAVENOUS SYRINGE 96.54 67.58 46.34 79.16KETOCONAZOLE 2 % SHAMPOO 96.58 67.61 46.36 79.2KETOCONAZOLE 2 % SHAMPOO 96.58 67.61 46.36 79.2SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION 97.17 68.02 46.64 79.68SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION 97.17 68.02 46.64 79.68MUPIROCIN 2 % TOPICAL OINTMENT 97.47 68.23 46.79 79.93MUPIROCIN 2 % TOPICAL OINTMENT 97.47 68.23 46.79 79.93MUPIROCIN 2 % TOPICAL OINTMENT 97.47 68.23 46.79 79.93GABAPENTIN 300 MG CAPSULE 98.20 68.74 47.14 80.52GABAPENTIN 300 MG CAPSULE 98.20 68.74 47.14 80.52GABAPENTIN 300 MG CAPSULE 98.20 68.74 47.14 80.52GABAPENTIN 300 MG CAPSULE 98.20 68.74 47.14 80.52GABAPENTIN 300 MG CAPSULE 98.20 68.74 47.14 80.52AMILORIDE 5 MG TABLET 98.91 69.24 47.48 81.11NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN 0.9 % NACL IV 99.21 69.45 47.62 81.35HYDROXOCOBALAMIN 5 GRAM INTRAVENOUS SOLUTION 99.23 69.46 47.63 81.37HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION 99.74 69.82 47.88 81.79HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION 99.74 69.82 47.88 81.79HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION 99.74 69.82 47.88 81.79HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION 99.74 69.82 47.88 81.79PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION SYRINGE 99.91 69.94 47.96 81.93PEG 3350-ELECTROLYTES 236-420 GRAM ORAL SOLUTION (WRAPPED) 100.00 70 48 82PEG 3350-ELECTROLYTES 236-420 GRAM ORAL SOLUTION (WRAPPED) 100.00 70 48 82PEG 3350-ELECTROLYTES 236-420 GRAM ORAL SOLUTION (WRAPPED) 100.00 70 48 82PEG 3350-ELECTROLYTES 236-420 GRAM ORAL SOLUTION (WRAPPED) 100.00 70 48 82BETAMETHASONE VALERATE 0.1 % TOPICAL CREAM 100.92 70.64 48.44 82.75POLYSACCHARIDE IRON COMPLEX 150 MG IRON CAPSULE 103.24 72.27 49.56 84.66POLYSACCHARIDE IRON COMPLEX 150 MG IRON CAPSULE 103.24 72.27 49.56 84.66NORTRIPTYLINE 10 MG CAPSULE 103.91 72.74 49.88 85.21NORTRIPTYLINE 10 MG CAPSULE 103.91 72.74 49.88 85.21NITROGLYCERIN 25 MG/250 ML (100 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS 104.50 73.15 50.16 85.69FENTANYL (PF) 10 MCG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS 104.63 73.24 50.22 85.8FENTANYL (PF) 10 MCG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS 104.63 73.24 50.22 85.8FENTANYL (PF) 10 MCG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS 104.63 73.24 50.22 85.8ACYCLOVIR 400 MG TABLET 105.40 73.78 50.59 86.43CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET 105.40 73.78 50.59 86.43ACYCLOVIR 400 MG TABLET 105.40 73.78 50.59 86.43ACYCLOVIR 400 MG TABLET 105.40 73.78 50.59 86.43CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET 105.40 73.78 50.59 86.43CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET 105.40 73.78 50.59 86.43CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION 105.90 74.13 50.83 86.84

CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION 105.90 74.13 50.83 86.84ACTIVATED CHARCOAL 25 GRAM/120 ML ORAL SUSPENSION 106.33 74.43 51.04 87.19ACTIVATED CHARCOAL-SORBITOL 25 GRAM/120 ML ORAL SUSPENSION 106.33 74.43 51.04 87.19ACTIVATED CHARCOAL 25 GRAM/120 ML ORAL SUSPENSION 106.33 74.43 51.04 87.19ACTIVATED CHARCOAL 25 GRAM/120 ML ORAL SUSPENSION 106.33 74.43 51.04 87.19ACTIVATED CHARCOAL-SORBITOL 25 GRAM/120 ML ORAL SUSPENSION 106.33 74.43 51.04 87.19INDOMETHACIN 25 MG CAPSULE 106.75 74.73 51.24 87.54INDOMETHACIN 25 MG CAPSULE 106.75 74.73 51.24 87.54TETRACAINE 0.5 % VISCOUS EYE DROPS 108.05 75.64 51.86 88.6SODIUM POLYSTYRENE SULFONATE 15 GRAM-SORBITOL 20 GRAM/60 ML ORAL SUSP 108.55 75.99 52.1 89.01LIDOCAINE HCL 4 % LARYNGOTRACHEAL SOLUTION 109.90 76.93 52.75 90.12COMPOUNDING VEHICLE SUGAR-FREE NO.9 ORAL LIQUID 110.04 77.03 52.82 90.23HETASTARCH 6 % IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION 111.00 77.7 53.28 91.02HETASTARCH 6 % IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION 111.00 77.7 53.28 91.02PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR 111.66 78.16 53.6 91.56PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR 111.66 78.16 53.6 91.56NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION 111.97 78.38 53.75 91.82NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION 111.97 78.38 53.75 91.82NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION 111.97 78.38 53.75 91.82NEOMYCIN-BACITRACN ZN-POLYMYXN 3.5 MG-400 UNIT-5,000 UNIT TOP OINT PKT 112.38 78.67 53.94 92.15NEOMYCIN-BACITRACN ZN-POLYMYXN 3.5 MG-400 UNIT-5,000 UNIT TOP OINT PKT 112.38 78.67 53.94 92.15NEOMYCIN-BACITRACN ZN-POLYMYXN 3.5 MG-400 UNIT-5,000 UNIT TOP OINT PKT 112.38 78.67 53.94 92.15NEOMYCIN-BACITRACN ZN-POLYMYXN 3.5 MG-400 UNIT-5,000 UNIT TOP OINT PKT 112.38 78.67 53.94 92.15QUINIDINE SULFATE 200 MG TABLET 112.56 78.79 54.03 92.3CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE 112.60 78.82 54.05 92.33CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE 112.60 78.82 54.05 92.33CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE 112.60 78.82 54.05 92.33CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE 112.60 78.82 54.05 92.33DOXYCYCLINE MONOHYDRATE 25 MG/5 ML ORAL SUSPENSION 112.60 78.82 54.05 92.33POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID 112.67 78.87 54.08 92.39DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION 113.09 79.16 54.28 92.73DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION 113.09 79.16 54.28 92.73DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION 113.09 79.16 54.28 92.73DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION 113.09 79.16 54.28 92.73BALANCED SALT SOLUTION COMBINATION NO.2 INTRAOCULAR IRRIGATION 114.90 80.43 55.15 94.22BALANCED SALT SOLUTION COMBINATION NO.2 INTRAOCULAR IRRIGATION 114.90 80.43 55.15 94.22BALANCED SALT SOLUTION COMBINATION NO.2 INTRAOCULAR IRRIGATION 114.90 80.43 55.15 94.22AMOXICILLIN 500 MG CAPSULE 115.08 80.56 55.24 94.37AMOXICILLIN 500 MG CAPSULE 115.08 80.56 55.24 94.37LEVETIRACETAM 250 MG TABLET 115.30 80.71 55.34 94.55LEVETIRACETAM 250 MG TABLET 115.30 80.71 55.34 94.55LEVETIRACETAM 250 MG TABLET 115.30 80.71 55.34 94.55AMITRIPTYLINE 10 MG TABLET 115.89 81.12 55.63 95.03AMITRIPTYLINE 10 MG TABLET 115.89 81.12 55.63 95.03CALCIUM GLUCONATE 2.5% GEL 116.56 81.59 55.95 95.58ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET 117.89 82.52 56.59 96.67ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET 117.89 82.52 56.59 96.67ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET 117.89 82.52 56.59 96.67DEXAMETHASONE 0.5 MG/5 ML ORAL SOLUTION 118.00 82.6 56.64 96.76CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SOLUTION 119.17 83.42 57.2 97.72CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SOLUTION 119.17 83.42 57.2 97.72CUPRIC CHLORIDE 0.4 MG/ML INTRAVENOUS SOLUTION 119.22 83.45 57.23 97.76SULFASALAZINE 500 MG TABLET 119.35 83.55 57.29 97.87MESALAMINE 4 GRAM/60 ML ENEMA 119.35 83.55 57.29 97.87MESALAMINE 4 GRAM/60 ML ENEMA 119.35 83.55 57.29 97.87METOPROLOL TARTRATE 25 MG TABLET 119.35 83.55 57.29 97.87METOPROLOL TARTRATE 25 MG TABLET 119.35 83.55 57.29 97.87METOPROLOL TARTRATE 25 MG TABLET 119.35 83.55 57.29 97.87CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION 119.92 83.94 57.56 98.33CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION 119.92 83.94 57.56 98.33NORFLURANE-PENTAFLUOROPROPANE TOPICAL SPRAY 120.46 84.32 57.82 98.78NORFLURANE-PENTAFLUOROPROPANE TOPICAL SPRAY 120.46 84.32 57.82 98.78METOCLOPRAMIDE 5 MG TABLET 120.89 84.62 58.03 99.13L.ACIDOPHILUS-B.LACTIS-B.LONGUM 15 BILLION CELL CAPSULE 121.24 84.87 58.2 99.42L.ACIDOPHILUS-B.LACTIS-B.LONGUM 15 BILLION CELL CAPSULE 121.24 84.87 58.2 99.42L.ACIDOPHILUS-B.LACTIS-B.LONGUM 15 BILLION CELL CAPSULE 121.24 84.87 58.2 99.42LEVONORGESTREL 1.5 MG TABLET 122.50 85.75 58.8 100.45LEVONORGESTREL 1.5 MG TABLET 122.50 85.75 58.8 100.45AMOXICILLIN 250 MG CAPSULE 122.50 85.75 58.8 100.45AMOXICILLIN 250 MG CAPSULE 122.50 85.75 58.8 100.45LEVONORGESTREL 1.5 MG TABLET 122.50 85.75 58.8 100.45NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN DEXTROSE 5 % IV 123.20 86.24 59.14 101.02

NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN DEXTROSE 5 % IV 123.20 86.24 59.14 101.02GLYCINE 1.5 % UROLOGIC SOLUTION FOR IRRIGATION 124.50 87.15 59.76 102.09GENTAMICIN 0.3 % (3 MG/GRAM) EYE OINTMENT 125.18 87.63 60.09 102.65AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION 126.13 88.29 60.54 103.43AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION 126.13 88.29 60.54 103.43PERITONEAL DIALYSIS SOLN 7-2.5 % DEXT.LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L 128.28 89.8 61.57 105.19PERITONEAL DIALYSIS SOLN 7-2.5 % DEXT.LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L 128.28 89.8 61.57 105.19PERITON. DIALYSIS SOLN 8-4.25 % DEXTROSE CALC 2.5 MEQ/L-MAG 0.5 MEQ/L 129.21 90.45 62.02 105.95PERITON. DIALYSIS SOLN 8-4.25 % DEXTROSE CALC 2.5 MEQ/L-MAG 0.5 MEQ/L 129.21 90.45 62.02 105.95GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION 129.48 90.64 62.15 106.17GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION 129.48 90.64 62.15 106.17GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION 129.48 90.64 62.15 106.17GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION 129.48 90.64 62.15 106.17GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION 129.48 90.64 62.15 106.17PATIROMER CALCIUM SORBITEX 8.4 GRAM ORAL POWDER PACKET 129.61 90.73 62.21 106.28PATIROMER CALCIUM SORBITEX 8.4 GRAM ORAL POWDER PACKET 129.61 90.73 62.21 106.28ROPINIROLE 1 MG TABLET 129.88 90.92 62.34 106.5ZIPRASIDONE 20 MG CAPSULE 129.88 90.92 62.34 106.5ROPINIROLE 1 MG TABLET 129.88 90.92 62.34 106.5ROPINIROLE 1 MG TABLET 129.88 90.92 62.34 106.5ZIPRASIDONE 20 MG CAPSULE 129.88 90.92 62.34 106.5AMITRIPTYLINE 25 MG TABLET 130.21 91.15 62.5 106.77AMITRIPTYLINE 25 MG TABLET 130.21 91.15 62.5 106.77LACTULOSE 10 GRAM/15 ML ORAL SOLUTION 131.28 91.9 63.01 107.65LACTULOSE 10 GRAM/15 ML ORAL SOLUTION 131.28 91.9 63.01 107.65NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER 131.73 92.21 63.23 108.02NITROGLYCERIN 0.3 MG/HR TRANSDERMAL 24 HOUR PATCH 135.48 94.84 65.03 111.09GLIPIZIDE 5 MG TABLET 135.54 94.88 65.06 111.14GLIPIZIDE 5 MG TABLET 135.54 94.88 65.06 111.14GLIPIZIDE 5 MG TABLET 135.54 94.88 65.06 111.14PYRIDOSTIGMINE BROMIDE 5 MG/ML INJECTION SOLUTION 137.87 96.51 66.18 113.05PYRIDOSTIGMINE BROMIDE 5 MG/ML INJECTION SOLUTION 137.87 96.51 66.18 113.05AMOXICILLIN 200 MG-POTASSIUM CLAVULANATE 28.5 MG/5 ML ORAL SUSPENSION 139.54 97.68 66.98 114.42FENTANYL-ROPIVACAINE-NACL (PF) 2 MCG/ML-0.1% EPIDURAL SOLUTION 139.67 97.77 67.04 114.53FENTANYL-ROPIVACAINE-NACL (PF) 2 MCG/ML-0.1% EPIDURAL SOLUTION 139.67 97.77 67.04 114.53TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG TABLET 140.87 98.61 67.62 115.51TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG TABLET 140.87 98.61 67.62 115.51LEVOTHYROXINE 25 MCG TABLET 140.97 98.68 67.67 115.6LEVOTHYROXINE 25 MCG TABLET 140.97 98.68 67.67 115.6PHENYLEPHRINE 2.5 % EYE DROPS 142.05 99.44 68.18 116.48PHENYLEPHRINE 2.5 % EYE DROPS 142.05 99.44 68.18 116.48SERTRALINE 50 MG TABLET 143.87 100.71 69.06 117.97SERTRALINE 50 MG TABLET 143.87 100.71 69.06 117.97SERTRALINE 50 MG TABLET 143.87 100.71 69.06 117.97GLIPIZIDE ER 5 MG TABLET, EXTENDED RELEASE 24 HR 145.53 101.87 69.85 119.33GLIPIZIDE ER 5 MG TABLET, EXTENDED RELEASE 24 HR 145.53 101.87 69.85 119.33OLANZAPINE 20 MG DISINTEGRATING TABLET 146.15 102.31 70.15 119.84OLANZAPINE 20 MG DISINTEGRATING TABLET 146.15 102.31 70.15 119.84OLANZAPINE 20 MG DISINTEGRATING TABLET 146.15 102.31 70.15 119.84NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET 147.03 102.92 70.57 120.56NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET 147.03 102.92 70.57 120.56NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET 147.03 102.92 70.57 120.56TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG CAPSULE 147.86 103.5 70.97 121.25FLURBIPROFEN 0.03 % EYE DROPS 150.40 105.28 72.19 123.33IBUPROFEN 800 MG TABLET 152.52 106.76 73.21 125.07IBUPROFEN 800 MG TABLET 152.52 106.76 73.21 125.07IBUPROFEN 800 MG TABLET 152.52 106.76 73.21 125.07IBUPROFEN 800 MG TABLET 152.52 106.76 73.21 125.07PROPARACAINE 0.5 % EYE DROPS 152.59 106.81 73.24 125.12PROPARACAINE 0.5 % EYE DROPS 152.59 106.81 73.24 125.12FUROSEMIDE 20 MG TABLET 152.86 107 73.37 125.35FUROSEMIDE 20 MG TABLET 152.86 107 73.37 125.35NEOMYCIN 3.5 MG/G-POLYMYXIN B 10,000 UNIT/G-DEXAMETH 0.1 % EYE OINT 153.00 107.1 73.44 125.46CILOSTAZOL 100 MG TABLET 153.86 107.7 73.85 126.17CILOSTAZOL 100 MG TABLET 153.86 107.7 73.85 126.17METRONIDAZOLE 250 MG TABLET 154.52 108.16 74.17 126.71ATROPINE 1 % EYE DROPS 154.95 108.47 74.38 127.06REVEFENACIN 175 MCG/3 ML SOLUTION FOR NEBULIZATION 156.96 109.87 75.34 128.71REVEFENACIN 175 MCG/3 ML SOLUTION FOR NEBULIZATION 156.96 109.87 75.34 128.71DORZOLAMIDE 2 % EYE DROPS 159.14 111.4 76.39 130.49DORZOLAMIDE 2 % EYE DROPS 159.14 111.4 76.39 130.49DICYCLOMINE 10 MG CAPSULE 159.52 111.66 76.57 130.81

PHENOBARBITAL 32.4 MG TABLET 161.52 113.06 77.53 132.45RAMIPRIL 1.25 MG CAPSULE 162.85 114 78.17 133.54CIPROFLOXACIN 0.3 % EYE DROPS 163.76 114.63 78.6 134.28LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE 164.51 115.16 78.96 134.9LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE 164.51 115.16 78.96 134.9LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE 164.85 115.4 79.13 135.18LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE 164.85 115.4 79.13 135.18LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE 164.85 115.4 79.13 135.18LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE 164.85 115.4 79.13 135.18AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION 165.84 116.09 79.6 135.99LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION 166.00 116.2 79.68 136.12LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION 166.00 116.2 79.68 136.12LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION 166.00 116.2 79.68 136.12FLUOCINONIDE-EMOLLIENT 0.05 % TOPICAL CREAM 166.54 116.58 79.94 136.56MEDROXYPROGESTERONE 5 MG TABLET 167.51 117.26 80.4 137.36MEDROXYPROGESTERONE 5 MG TABLET 167.51 117.26 80.4 137.36PREGABALIN 25 MG CAPSULE 168.14 117.7 80.71 137.87PREGABALIN 25 MG CAPSULE 168.14 117.7 80.71 137.87TAMSULOSIN 0.4 MG CAPSULE 168.18 117.73 80.73 137.91TAMSULOSIN 0.4 MG CAPSULE 168.18 117.73 80.73 137.91GENTAMICIN 0.1 % TOPICAL OINTMENT 170.49 119.34 81.84 139.8GENTAMICIN 0.1 % TOPICAL CREAM 170.49 119.34 81.84 139.8ALLOPURINOL 100 MG TABLET 170.84 119.59 82 140.09ALLOPURINOL 100 MG TABLET 170.84 119.59 82 140.09ALLOPURINOL 100 MG TABLET 170.84 119.59 82 140.09ALLOPURINOL 100 MG TABLET 170.84 119.59 82 140.09NITROGLYCERIN 0.2 MG/HR TRANSDERMAL 24 HOUR PATCH 171.54 120.08 82.34 140.66NITROGLYCERIN 0.2 MG/HR TRANSDERMAL 24 HOUR PATCH 171.54 120.08 82.34 140.66NITROGLYCERIN 0.2 MG/HR TRANSDERMAL 24 HOUR PATCH 171.54 120.08 82.34 140.66ATORVASTATIN 10 MG TABLET 176.17 123.32 84.56 144.46BACLOFEN 10 MG TABLET 177.17 124.02 85.04 145.28BACLOFEN 10 MG TABLET 177.17 124.02 85.04 145.28MEDROXYPROGESTERONE 10 MG TABLET 177.43 124.2 85.17 145.49MEDROXYPROGESTERONE 10 MG TABLET 177.43 124.2 85.17 145.49METHOCARBAMOL 500 MG TABLET 179.16 125.41 86 146.91METHOCARBAMOL 500 MG TABLET 179.16 125.41 86 146.91DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR 179.83 125.88 86.32 147.46PROPRANOLOL 20 MG TABLET 179.83 125.88 86.32 147.46DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR 179.83 125.88 86.32 147.46CEFDINIR 125 MG/5 ML ORAL SUSPENSION 179.83 125.88 86.32 147.46PROPRANOLOL 20 MG TABLET 179.83 125.88 86.32 147.46DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR 179.83 125.88 86.32 147.46PROPRANOLOL 20 MG TABLET 179.83 125.88 86.32 147.46CEFDINIR 125 MG/5 ML ORAL SUSPENSION 179.83 125.88 86.32 147.46PROPRANOLOL 20 MG TABLET 179.83 125.88 86.32 147.46PROPRANOLOL 20 MG TABLET 179.83 125.88 86.32 147.46PRAMOXINE 1 % TOPICAL FOAM 180.38 126.27 86.58 147.91LABETALOL 100 MG TABLET 180.83 126.58 86.8 148.28LABETALOL 100 MG TABLET 180.83 126.58 86.8 148.28LABETALOL 100 MG TABLET 180.83 126.58 86.8 148.28LURASIDONE 40 MG TABLET 180.95 126.67 86.86 148.38LURASIDONE 40 MG TABLET 180.95 126.67 86.86 148.38BETAMETHASONE DIPROPIONATE 0.05 % TOPICAL CREAM 181.70 127.19 87.22 148.99ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR 181.83 127.28 87.28 149.1AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION 182.58 127.81 87.64 149.72METHADONE 10 MG TABLET 184.49 129.14 88.56 151.28METHADONE 10 MG TABLET 184.49 129.14 88.56 151.28PHENYTOIN 50 MG CHEWABLE TABLET 185.16 129.61 88.88 151.83FERRIC SUBSULFATE 259 MG/G TOPICAL SOLUTION 187.32 131.12 89.91 153.6FERRIC SUBSULFATE 259 MG/G TOPICAL SOLUTION 187.32 131.12 89.91 153.6ESOMEPRAZOLE SODIUM 40 MG INTRAVENOUS SOLUTION 188.42 131.89 90.44 154.5ESOMEPRAZOLE SODIUM 40 MG INTRAVENOUS SOLUTION 188.42 131.89 90.44 154.5GABAPENTIN 100 MG CAPSULE 188.49 131.94 90.48 154.56GABAPENTIN 100 MG CAPSULE 188.49 131.94 90.48 154.56GABAPENTIN 100 MG CAPSULE 188.49 131.94 90.48 154.56MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION 189.82 132.87 91.11 155.65LEVOTHYROXINE 50 MCG TABLET 189.82 132.87 91.11 155.65MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION 189.82 132.87 91.11 155.65MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION 189.82 132.87 91.11 155.65MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION 189.82 132.87 91.11 155.65MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION 189.82 132.87 91.11 155.65MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION 189.82 132.87 91.11 155.65

MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION 189.82 132.87 91.11 155.65LEVOTHYROXINE 50 MCG TABLET 189.82 132.87 91.11 155.65OXYCODONE 5 MG TABLET 190.15 133.11 91.27 155.92OXYCODONE 5 MG TABLET 190.15 133.11 91.27 155.92OXYCODONE 5 MG TABLET 190.15 133.11 91.27 155.92OXYCODONE 5 MG TABLET 190.15 133.11 91.27 155.92OXYCODONE 5 MG TABLET 190.15 133.11 91.27 155.92OXYCODONE 5 MG TABLET 190.15 133.11 91.27 155.92FOLIC ACID 5 MG/ML INJECTION SOLUTION 190.29 133.2 91.34 156.04HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET 193.28 135.3 92.77 158.49HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET 193.28 135.3 92.77 158.49HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET 193.28 135.3 92.77 158.49HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET 193.28 135.3 92.77 158.49OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION 193.82 135.67 93.03 158.93METOPROLOL TARTRATE 50 MG TABLET 194.82 136.37 93.51 159.75METOPROLOL TARTRATE 50 MG TABLET 194.82 136.37 93.51 159.75METOPROLOL TARTRATE 50 MG TABLET 194.82 136.37 93.51 159.75CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH 195.70 136.99 93.94 160.47HYDRALAZINE 50 MG TABLET 197.48 138.24 94.79 161.93CLINDAMYCIN PHOSPHATE 1 % TOPICAL SOLUTION 198.18 138.73 95.13 162.51EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION 198.97 139.28 95.51 163.16EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION 198.97 139.28 95.51 163.16EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION 198.97 139.28 95.51 163.16EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION 198.97 139.28 95.51 163.16DESOXIMETASONE 0.25 % TOPICAL CREAM 199.39 139.57 95.71 163.5DESOXIMETASONE 0.25 % TOPICAL CREAM 199.39 139.57 95.71 163.5VERAPAMIL 80 MG TABLET 199.81 139.87 95.91 163.84VERAPAMIL 80 MG TABLET 199.81 139.87 95.91 163.84GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR 200.81 140.57 96.39 164.66GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR 200.81 140.57 96.39 164.66GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR 200.81 140.57 96.39 164.66GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR 200.81 140.57 96.39 164.66DICYCLOMINE 20 MG TABLET 203.47 142.43 97.67 166.85MISOPROSTOL 100 MCG TABLET 205.80 144.06 98.78 168.76MISOPROSTOL 100 MCG TABLET 205.80 144.06 98.78 168.76MISOPROSTOL 100 MCG TABLET 205.80 144.06 98.78 168.76MISOPROSTOL 100 MCG TABLET 205.80 144.06 98.78 168.76TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION 207.21 145.05 99.46 169.91SULFACETAMIDE SODIUM 10 % EYE DROPS 208.27 145.79 99.97 170.78THIORIDAZINE 10 MG TABLET 208.47 145.93 100.07 170.95CARISOPRODOL 350 MG TABLET 208.47 145.93 100.07 170.95CARISOPRODOL 350 MG TABLET 208.47 145.93 100.07 170.95CARISOPRODOL 350 MG TABLET 208.47 145.93 100.07 170.95RIFAMPIN 150 MG CAPSULE 208.60 146.02 100.13 171.05RIFAMPIN 150 MG CAPSULE 208.60 146.02 100.13 171.05RIFAMPIN 150 MG CAPSULE 208.60 146.02 100.13 171.05RIFAMPIN 150 MG CAPSULE 208.60 146.02 100.13 171.05HYDROCORTISONE 5 MG TABLET 208.80 146.16 100.22 171.22CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET 208.80 146.16 100.22 171.22CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET 208.80 146.16 100.22 171.22NEOMYCIN 1.75 MG-POLYMYXIN 10,000 UNIT-GRAMICIDIN 0.025MG/ML EYE DROPS 209.10 146.37 100.37 171.46PERITON.DIALYSIS SOLN 6-1.5 % DEXTROS LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L 209.80 146.86 100.7 172.04METHIMAZOLE 5 MG TABLET 209.80 146.86 100.7 172.04PERITON.DIALYSIS SOLN 6-1.5 % DEXTROS LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L 209.80 146.86 100.7 172.04METHIMAZOLE 5 MG TABLET 209.80 146.86 100.7 172.04GLYBURIDE MICRONIZED 3 MG TABLET 210.47 147.33 101.03 172.59GLYBURIDE MICRONIZED 3 MG TABLET 210.47 147.33 101.03 172.59LEVOTHYROXINE 112 MCG TABLET 212.90 149.03 102.19 174.58LEVOTHYROXINE 112 MCG TABLET 212.90 149.03 102.19 174.58LEVOTHYROXINE 112 MCG TABLET 212.90 149.03 102.19 174.58LEVOTHYROXINE 150 MCG TABLET 213.20 149.24 102.34 174.82NEBIVOLOL 5 MG TABLET 214.13 149.89 102.78 175.59VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR 215.13 150.59 103.26 176.41CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION 216.46 151.52 103.9 177.5CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION 216.46 151.52 103.9 177.5OXYBUTYNIN CHLORIDE 5 MG TABLET 216.46 151.52 103.9 177.5POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) 218.79 153.15 105.02 179.41VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR 218.79 153.15 105.02 179.41VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR 218.79 153.15 105.02 179.41POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) 218.79 153.15 105.02 179.41VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR 218.79 153.15 105.02 179.41FENTANYL-ROPIVACAINE-NACL (PF) 2 MCG/ML-0.2 % INJECTION SOLUTION 220.03 154.02 105.61 180.42

FENTANYL-ROPIVACAINE-NACL (PF) 2 MCG/ML-0.2 % INJECTION SOLUTION 220.03 154.02 105.61 180.42NEOMYCIN-BACITRACIN-POLY-HC 3.5 MG-400-10,000 UNIT/G-1 % EYE OINTMENT 221.42 154.99 106.28 181.56HYDROXYZINE HCL 10 MG TABLET 221.46 155.02 106.3 181.6HYDROXYZINE HCL 10 MG TABLET 221.46 155.02 106.3 181.6HYDROXYZINE HCL 10 MG TABLET 221.46 155.02 106.3 181.6POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET 222.23 155.56 106.67 182.23POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET 222.23 155.56 106.67 182.23CARBAMAZEPINE 100 MG CHEWABLE TABLET 222.79 155.95 106.94 182.69NITROPRUSSIDE 50 MG/100 ML (0.5 MG/ML) IN 0.9% SODIUM CHLORIDE IV SOLN 229.78 160.85 110.29 188.42MANNITOL 20 % INTRAVENOUS SOLUTION 229.78 160.85 110.29 188.42MANNITOL 20 % INTRAVENOUS SOLUTION 229.78 160.85 110.29 188.42MANNITOL 20 % INTRAVENOUS SOLUTION 229.78 160.85 110.29 188.42MANNITOL 20 % INTRAVENOUS SOLUTION 229.78 160.85 110.29 188.42VITAMIN B COMPLEX AND VITAMIN C NO.20-FOLIC ACID 1 MG CAPSULE 234.11 163.88 112.37 191.97ESTRADIOL 1 MG TABLET 236.44 165.51 113.49 193.88TRIMETHOPRIM 100 MG TABLET 237.77 166.44 114.13 194.97TRIMETHOPRIM 100 MG TABLET 237.77 166.44 114.13 194.97FLUOCINONIDE 0.05 % TOPICAL OINTMENT 239.95 167.97 115.18 196.76ZANAMIVIR 5 MG/ACTUATION BLISTER POWDER FOR INHALATION 240.10 168.07 115.25 196.88HYDROMORPHONE 4 MG TABLET 240.10 168.07 115.25 196.88ATORVASTATIN 40 MG TABLET 240.10 168.07 115.25 196.88HYDROMORPHONE 4 MG TABLET 240.10 168.07 115.25 196.88HYDROMORPHONE 4 MG TABLET 240.10 168.07 115.25 196.88HYDROMORPHONE 4 MG TABLET 240.10 168.07 115.25 196.88HYDROMORPHONE 4 MG TABLET 240.10 168.07 115.25 196.88CEPHALEXIN 250 MG CAPSULE 241.10 168.77 115.73 197.7CEPHALEXIN 250 MG CAPSULE 241.10 168.77 115.73 197.7CEPHALEXIN 250 MG CAPSULE 241.10 168.77 115.73 197.7CEPHALEXIN 250 MG CAPSULE 241.10 168.77 115.73 197.7ALPRAZOLAM 0.25 MG TABLET 241.44 169.01 115.89 197.98ALPRAZOLAM 0.25 MG TABLET 241.44 169.01 115.89 197.98ALPRAZOLAM 0.25 MG TABLET 241.44 169.01 115.89 197.98ALPRAZOLAM 0.25 MG TABLET 241.44 169.01 115.89 197.98ALPRAZOLAM 0.25 MG TABLET 241.44 169.01 115.89 197.98DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET 243.10 170.17 116.69 199.34TORSEMIDE 10 MG TABLET 244.10 170.87 117.17 200.16BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE 244.10 170.87 117.17 200.16TORSEMIDE 10 MG TABLET 244.10 170.87 117.17 200.16TORSEMIDE 10 MG TABLET 244.10 170.87 117.17 200.16PROPRANOLOL 40 MG TABLET 248.43 173.9 119.25 203.71PROPRANOLOL 40 MG TABLET 248.43 173.9 119.25 203.71METOCLOPRAMIDE 10 MG TABLET 249.76 174.83 119.88 204.8METOCLOPRAMIDE 10 MG TABLET 249.76 174.83 119.88 204.8METOCLOPRAMIDE 10 MG TABLET 249.76 174.83 119.88 204.8FENTANYL 25 MCG/HR TRANSDERMAL PATCH 250.09 175.06 120.04 205.07FENTANYL 25 MCG/HR TRANSDERMAL PATCH 250.09 175.06 120.04 205.07METHOCARBAMOL 750 MG TABLET 251.76 176.23 120.84 206.44SILVER NITRATE APPLICATORS 75 %-25 % TOPICAL STICK 251.76 176.23 120.84 206.44SILVER NITRATE APPLICATORS 75 %-25 % TOPICAL STICK 251.76 176.23 120.84 206.44METRONIDAZOLE 500 MG TABLET 252.42 176.69 121.16 206.98AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION 252.56 176.79 121.23 207.1CLINDAMYCIN HCL 150 MG CAPSULE 253.42 177.39 121.64 207.8CLINDAMYCIN HCL 150 MG CAPSULE 253.42 177.39 121.64 207.8ISOSORBIDE DINITRATE 10 MG TABLET 253.42 177.39 121.64 207.8METHYLPHENIDATE 5 MG TABLET 253.42 177.39 121.64 207.8METHYLPHENIDATE 5 MG TABLET 253.42 177.39 121.64 207.8ISOSORBIDE DINITRATE 10 MG TABLET 253.42 177.39 121.64 207.8PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE 253.76 177.63 121.8 208.08OLANZAPINE 15 MG TABLET 254.42 178.09 122.12 208.62TEMAZEPAM 15 MG CAPSULE 254.76 178.33 122.28 208.9TEMAZEPAM 15 MG CAPSULE 254.76 178.33 122.28 208.9TEMAZEPAM 15 MG CAPSULE 254.76 178.33 122.28 208.9TEMAZEPAM 15 MG CAPSULE 254.76 178.33 122.28 208.9METHYLDOPA 500 MG TABLET 255.75 179.03 122.76 209.72METHYLDOPA 500 MG TABLET 255.75 179.03 122.76 209.72DAPSONE 25 MG TABLET 256.25 179.38 123 210.13AZITHROMYCIN 250 MG TABLET 256.75 179.73 123.24 210.54AZITHROMYCIN 250 MG TABLET 256.75 179.73 123.24 210.54AZITHROMYCIN 250 MG TABLET 256.75 179.73 123.24 210.54AZITHROMYCIN 250 MG TABLET 256.75 179.73 123.24 210.54AZITHROMYCIN 250 MG TABLET 256.75 179.73 123.24 210.54FLUDROCORTISONE 0.1 MG TABLET 259.08 181.36 124.36 212.45

PROBENECID 500 MG TABLET 261.75 183.23 125.64 214.64PROBENECID 500 MG TABLET 261.75 183.23 125.64 214.64HYPROMELLOSE 2 % INTRAOCULAR SYRINGE 261.75 183.23 125.64 214.64PROBENECID 500 MG TABLET 261.75 183.23 125.64 214.64AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET 262.08 183.46 125.8 214.91AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET 262.08 183.46 125.8 214.91CEFPROZIL 250 MG/5 ML ORAL SUSPENSION 262.41 183.69 125.96 215.18THIORIDAZINE 25 MG TABLET 263.75 184.63 126.6 216.28THIORIDAZINE 25 MG TABLET 263.75 184.63 126.6 216.28THIORIDAZINE 25 MG TABLET 263.75 184.63 126.6 216.28NITROGLYCERIN 0.1 MG/HR TRANSDERMAL 24 HOUR PATCH 265.25 185.68 127.32 217.51NITROGLYCERIN 0.1 MG/HR TRANSDERMAL 24 HOUR PATCH 265.25 185.68 127.32 217.51NITROGLYCERIN 0.1 MG/HR TRANSDERMAL 24 HOUR PATCH 265.25 185.68 127.32 217.51METHIMAZOLE 10 MG TABLET 265.74 186.02 127.56 217.91HYDROCODONE 10 MG-CHLORPHENIRAMINE 8 MG/5 ML ORAL SUSP EXTEND.REL 12HR 266.19 186.33 127.77 218.28HYDROCODONE 10 MG-CHLORPHENIRAMINE 8 MG/5 ML ORAL SUSP EXTEND.REL 12HR 266.19 186.33 127.77 218.28HYDROCODONE 10 MG-CHLORPHENIRAMINE 8 MG/5 ML ORAL SUSP EXTEND.REL 12HR 266.19 186.33 127.77 218.28BUSPIRONE 5 MG TABLET 266.74 186.72 128.04 218.73BUSPIRONE 5 MG TABLET 266.74 186.72 128.04 218.73CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET 267.08 186.96 128.2 219.01GLYBURIDE 5 MG TABLET 268.74 188.12 129 220.37TRIAMCINOLONE ACETONIDE 0.1 % DENTAL PASTE 271.92 190.34 130.52 222.97HYDROCHLOROTHIAZIDE 25 MG TABLET 273.07 191.15 131.07 223.92HYDROCHLOROTHIAZIDE 25 MG TABLET 273.07 191.15 131.07 223.92BUPROPION HCL 75 MG TABLET 274.07 191.85 131.55 224.74BUPROPION HCL 75 MG TABLET 274.07 191.85 131.55 224.74PRIMIDONE 50 MG TABLET 274.40 192.08 131.71 225.01ESTRADIOL 0.05 MG/24 HR WEEKLY TRANSDERMAL PATCH 274.98 192.49 131.99 225.48ESTRADIOL 0.05 MG/24 HR WEEKLY TRANSDERMAL PATCH 274.98 192.49 131.99 225.48METOPROLOL TARTRATE 100 MG TABLET 276.73 193.71 132.83 226.92METOPROLOL TARTRATE 100 MG TABLET 276.73 193.71 132.83 226.92SUCRALFATE 1 GRAM TABLET 277.07 193.95 132.99 227.2CLONAZEPAM 0.5 MG TABLET 278.07 194.65 133.47 228.02CLONAZEPAM 0.5 MG TABLET 278.07 194.65 133.47 228.02CLONAZEPAM 0.5 MG TABLET 278.07 194.65 133.47 228.02CLONAZEPAM 0.5 MG TABLET 278.07 194.65 133.47 228.02CLONAZEPAM 0.5 MG TABLET 278.07 194.65 133.47 228.02BRIVARACETAM 50 MG/5 ML INTRAVENOUS SOLUTION 279.88 195.92 134.34 229.5MIRTAZAPINE 15 MG TABLET 281.23 196.86 134.99 230.61ATENOLOL 25 MG TABLET 282.39 197.67 135.55 231.56ALENDRONATE 35 MG TABLET 282.90 198.03 135.79 231.98DOXEPIN 25 MG CAPSULE 283.73 198.61 136.19 232.66FOLIC ACID-VIT B6-VIT B12 2.5 MG-25 MG-2 MG TABLET 284.23 198.96 136.43 233.07FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION 287.11 200.98 137.81 235.43DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR 288.72 202.1 138.59 236.75DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR 288.72 202.1 138.59 236.75TRYPAN BLUE 0.06 % INTRAOCULAR SYRINGE 288.92 202.24 138.68 236.91LORAZEPAM 1 MG TABLET 289.05 202.34 138.74 237.02LORAZEPAM 1 MG TABLET 289.05 202.34 138.74 237.02LORAZEPAM 1 MG TABLET 289.05 202.34 138.74 237.02LORAZEPAM 1 MG TABLET 289.05 202.34 138.74 237.02THROMBIN (BOVINE) 5,000 UNIT TOPICAL SOLUTION 291.32 203.92 139.83 238.88SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION 293.05 205.14 140.66 240.3HYOSCYAMINE 0.125 MG DISINTEGRATING TABLET 293.05 205.14 140.66 240.3SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION 293.05 205.14 140.66 240.3SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION 293.05 205.14 140.66 240.3HYDROCORTISONE 2.5 % TOPICAL CREAM WITH PERINEAL APPLICATOR 293.82 205.67 141.03 240.93HYDROCORTISONE 2.5 % TOPICAL CREAM WITH PERINEAL APPLICATOR 293.82 205.67 141.03 240.93CLONAZEPAM 1 MG TABLET 294.72 206.3 141.47 241.67CLONAZEPAM 1 MG TABLET 294.72 206.3 141.47 241.67CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET 295.38 206.77 141.78 242.21TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION 299.01 209.31 143.52 245.19TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION 299.01 209.31 143.52 245.19TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION 299.01 209.31 143.52 245.19MECLIZINE 25 MG TABLET 299.38 209.57 143.7 245.49TRAMADOL 50 MG TABLET 300.38 210.27 144.18 246.31TRAMADOL 50 MG TABLET 300.38 210.27 144.18 246.31TRAMADOL 50 MG TABLET 300.38 210.27 144.18 246.31NITROGLYCERIN 0.4 MG/HR TRANSDERMAL 24 HOUR PATCH 300.61 210.43 144.29 246.5NITROGLYCERIN 0.4 MG/HR TRANSDERMAL 24 HOUR PATCH 300.61 210.43 144.29 246.5NITROGLYCERIN 0.4 MG/HR TRANSDERMAL 24 HOUR PATCH 300.61 210.43 144.29 246.5HYDROCORTISONE VALERATE 0.2 % TOPICAL CREAM 300.99 210.69 144.48 246.81

CADEXOMER IODINE 0.9 % TOPICAL PADS 302.77 211.94 145.33 248.27GLIMEPIRIDE 2 MG TABLET 303.71 212.6 145.78 249.04GLIMEPIRIDE 2 MG TABLET 303.71 212.6 145.78 249.04ESTRADIOL 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH 304.37 213.06 146.1 249.58ESTRADIOL 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH 304.37 213.06 146.1 249.58CARBAMAZEPINE 100 MG/5 ML ORAL SUSPENSION 305.21 213.65 146.5 250.27CARBAMAZEPINE 100 MG/5 ML ORAL SUSPENSION 305.21 213.65 146.5 250.27LEVOMEFOLATE CALCIUM 7.5 MG TABLET 306.00 214.2 146.88 250.92ALPRAZOLAM 1 MG TABLET 309.03 216.32 148.33 253.4ALPRAZOLAM 1 MG TABLET 309.03 216.32 148.33 253.4PROPYLTHIOURACIL 50 MG TABLET 309.70 216.79 148.66 253.95PROPYLTHIOURACIL 50 MG TABLET 309.70 216.79 148.66 253.95PROPYLTHIOURACIL 50 MG TABLET 309.70 216.79 148.66 253.95QUETIAPINE ER 50 MG TABLET,EXTENDED RELEASE 24 HR 311.37 217.96 149.46 255.32QUETIAPINE ER 50 MG TABLET,EXTENDED RELEASE 24 HR 311.37 217.96 149.46 255.32DAPSONE 100 MG TABLET 312.00 218.4 149.76 255.84MORPHINE 15 MG IMMEDIATE RELEASE TABLET 312.70 218.89 150.1 256.41MORPHINE 15 MG IMMEDIATE RELEASE TABLET 312.70 218.89 150.1 256.41GELATIN ABSORBABLE MUCOSAL POWDER 314.10 219.87 150.77 257.56PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR 315.57 220.9 151.47 258.77PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR 315.57 220.9 151.47 258.77PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR 315.57 220.9 151.47 258.77HYDROXYETHYL STARCH 130/0.4 6 % IN 0.9 % NACL INTRAVENOUS SOLUTION 316.36 221.45 151.85 259.42PREGABALIN 75 MG CAPSULE 317.03 221.92 152.17 259.96ALLOPURINOL 300 MG TABLET 317.69 222.38 152.49 260.51ALLOPURINOL 300 MG TABLET 317.69 222.38 152.49 260.51ALLOPURINOL 300 MG TABLET 317.69 222.38 152.49 260.51PHYSOSTIGMINE 1 MG/ML INJECTION SOLUTION 322.83 225.98 154.96 264.72THYROID (PORK) 60 MG TABLET 326.35 228.45 156.65 267.61THYROID (PORK) 60 MG TABLET 326.35 228.45 156.65 267.61ALPRAZOLAM 0.5 MG TABLET 329.01 230.31 157.92 269.79ALPRAZOLAM 0.5 MG TABLET 329.01 230.31 157.92 269.79ALPRAZOLAM 0.5 MG TABLET 329.01 230.31 157.92 269.79ALPRAZOLAM 0.5 MG TABLET 329.01 230.31 157.92 269.79DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV 329.68 230.78 158.25 270.34DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV 329.68 230.78 158.25 270.34DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV 329.68 230.78 158.25 270.34ETHAMBUTOL 400 MG TABLET 334.68 234.28 160.65 274.44LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION 336.54 235.58 161.54 275.96LEVOCARNITINE 330 MG TABLET 338.77 237.14 162.61 277.79LEVOCARNITINE 330 MG TABLET 338.77 237.14 162.61 277.79HYOSCYAMINE ER 0.375 MG TABLET,EXTENDED RELEASE,12 HR 339.00 237.3 162.72 277.98HYOSCYAMINE ER 0.375 MG TABLET,EXTENDED RELEASE,12 HR 339.00 237.3 162.72 277.98PREGABALIN 100 MG CAPSULE 345.66 241.96 165.92 283.44AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET 346.46 242.52 166.3 284.1AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET 346.46 242.52 166.3 284.1AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET 346.46 242.52 166.3 284.1AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET 346.46 242.52 166.3 284.1FENTANYL 12 MCG/HR TRANSDERMAL PATCH 348.03 243.62 167.05 285.38FENTANYL 12 MCG/HR TRANSDERMAL PATCH 348.03 243.62 167.05 285.38GUANFACINE 1 MG TABLET 348.33 243.83 167.2 285.63NEOMYCIN-POLYMYXIN-HYDROCORT 3.5 MG-10,000 UNIT/ML-1 % EAR DROPS,SUSP 350.86 245.6 168.41 287.71TUBERCULIN PPD 5 TUB. UNIT/0.1 ML INTRADERMAL INJECTION SOLUTION 351.46 246.02 168.7 288.2TUBERCULIN PPD 5 TUB. UNIT/0.1 ML INTRADERMAL INJECTION SOLUTION 351.46 246.02 168.7 288.2TUBERCULIN PPD 5 TUB. UNIT/0.1 ML INTRADERMAL INJECTION SOLUTION 351.46 246.02 168.7 288.2AZELASTINE 137 MCG (0.1 %) NASAL SPRAY AEROSOL 351.93 246.35 168.93 288.58AZELASTINE 137 MCG (0.1 %) NASAL SPRAY AEROSOL 351.93 246.35 168.93 288.58PILOCARPINE 4 % EYE DROPS 353.49 247.44 169.68 289.86KETOROLAC 0.5 % EYE DROPS 357.33 250.13 171.52 293.01KETOROLAC 0.5 % EYE DROPS 357.33 250.13 171.52 293.01NAPROXEN 375 MG TABLET 362.98 254.09 174.23 297.64NAPROXEN 375 MG TABLET 362.98 254.09 174.23 297.64CYPROHEPTADINE 4 MG TABLET 365.31 255.72 175.35 299.55SODIUM THIOSULFATE 12.5 GRAM/50 ML (250 MG/ML) INTRAVENOUS SOLUTION 366.31 256.42 175.83 300.37VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE 367.31 257.12 176.31 301.19TRAZODONE 50 MG TABLET 367.64 257.35 176.47 301.46TRAZODONE 50 MG TABLET 367.64 257.35 176.47 301.46TRAZODONE 50 MG TABLET 367.64 257.35 176.47 301.46HYDROCORTISONE 20 MG TABLET 371.97 260.38 178.55 305.02HYDROCORTISONE 20 MG TABLET 371.97 260.38 178.55 305.02HYDROCORTISONE 20 MG TABLET 371.97 260.38 178.55 305.02NYSTATIN-TRIAMCINOLONE 100,000 UNIT/G-0.1 % TOPICAL CREAM 373.82 261.67 179.43 306.53

NYSTATIN-TRIAMCINOLONE 100,000 UNIT/GRAM-0.1 % TOPICAL OINTMENT 373.82 261.67 179.43 306.53NYSTATIN-TRIAMCINOLONE 100,000 UNIT/GRAM-0.1 % TOPICAL OINTMENT 373.82 261.67 179.43 306.53NYSTATIN-TRIAMCINOLONE 100,000 UNIT/G-0.1 % TOPICAL CREAM 373.82 261.67 179.43 306.53OXYCODONE ER 10 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR 374.10 261.87 179.57 306.76TIOTROPIUM BROMIDE 18 MCG CAPSULE WITH INHALATION DEVICE 379.20 265.44 182.02 310.94DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24 HR 379.23 265.46 182.03 310.97DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24 HR 379.23 265.46 182.03 310.97AMINO ACID 4.25 % IN DEXTROSE 5 % INTRAVENOUS SOLUTION 381.00 266.7 182.88 312.42CARBAMAZEPINE 200 MG TABLET 382.63 267.84 183.66 313.76CARBAMAZEPINE 200 MG TABLET 382.63 267.84 183.66 313.76CARBAMAZEPINE 200 MG TABLET 382.63 267.84 183.66 313.76LIDOCAINE 5 % TOPICAL PATCH 386.42 270.49 185.48 316.86TAMOXIFEN 10 MG TABLET 388.42 271.89 186.44 318.5TAMOXIFEN 10 MG TABLET 388.42 271.89 186.44 318.5AMINO ACID 4.25 % IN 10 % DEXTROSE INTRAVENOUS SOLUTION 390.00 273 187.2 319.8GELATIN SPONGE,ABSORBABLE-PORCINE SKIN 50 TOPICAL SPONGE 391.19 273.83 187.77 320.78CYCLOBENZAPRINE 10 MG TABLET 392.62 274.83 188.46 321.95CYCLOBENZAPRINE 10 MG TABLET 392.62 274.83 188.46 321.95COLESTIPOL 5 GRAM ORAL PACKET 393.18 275.23 188.73 322.41CALCITONIN (SALMON) 200 UNIT/ACTUATION NASAL SPRAY 395.26 276.68 189.72 324.11FENTANYL 100 MCG/HR TRANSDERMAL PATCH 397.61 278.33 190.85 326.04FENTANYL 100 MCG/HR TRANSDERMAL PATCH 397.61 278.33 190.85 326.04FENTANYL 100 MCG/HR TRANSDERMAL PATCH 397.61 278.33 190.85 326.04FENTANYL 100 MCG/HR TRANSDERMAL PATCH 397.61 278.33 190.85 326.04DOXYCYCLINE MONOHYDRATE 100 MG CAPSULE 404.44 283.11 194.13 331.64DOXYCYCLINE MONOHYDRATE 100 MG CAPSULE 404.44 283.11 194.13 331.64SODIUM HYALURONATE 23 MG/ML INTRAOCULAR SYRINGE 406.14 284.3 194.95 333.03PENICILLIN V POTASSIUM 250 MG TABLET 406.27 284.39 195.01 333.14PENICILLIN V POTASSIUM 250 MG TABLET 406.27 284.39 195.01 333.14PENICILLIN V POTASSIUM 250 MG TABLET 406.27 284.39 195.01 333.14ISOSORBIDE DINITRATE 20 MG TABLET 406.94 284.86 195.33 333.69AMINO ACID 5 % IN 15 % DEXTROSE INTRAVENOUS SOLUTION 408.00 285.6 195.84 334.56TOBRAMYCIN 0.3 % EYE DROPS 408.06 285.64 195.87 334.61FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION 409.67 286.77 196.64 335.93FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION 409.67 286.77 196.64 335.93PERMETHRIN 5 % TOPICAL CREAM 412.29 288.6 197.9 338.08CALCITRIOL 0.25 MCG CAPSULE 412.93 289.05 198.21 338.6CALCITRIOL 0.25 MCG CAPSULE 412.93 289.05 198.21 338.6DISULFIRAM 250 MG TABLET 413.60 289.52 198.53 339.15GELATIN SPONGE,ABSORBABLE-PORCINE SKIN 12 MM-7 MM TOPICAL SPONGE 414.27 289.99 198.85 339.7GELATIN SPONGE,ABSORBABLE-PORCINE SKIN 12 MM-7 MM TOPICAL SPONGE 414.27 289.99 198.85 339.7PYRIDOSTIGMINE BROMIDE 60 MG TABLET 417.59 292.31 200.44 342.42PYRIDOSTIGMINE BROMIDE 60 MG TABLET 417.59 292.31 200.44 342.42METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR 422.59 295.81 202.84 346.52METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR 422.59 295.81 202.84 346.52EPLERENONE 25 MG TABLET 426.18 298.33 204.57 349.47HYDROCODONE 7.5 MG-IBUPROFEN 200 MG TABLET 428.58 300.01 205.72 351.44HYDROCODONE 7.5 MG-IBUPROFEN 200 MG TABLET 428.58 300.01 205.72 351.44HYDROCODONE 7.5 MG-IBUPROFEN 200 MG TABLET 428.58 300.01 205.72 351.44HYDROCODONE 7.5 MG-IBUPROFEN 200 MG TABLET 428.58 300.01 205.72 351.44LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION 431.91 302.34 207.32 354.17AMITRIPTYLINE 50 MG TABLET 432.91 303.04 207.8 354.99AMITRIPTYLINE 50 MG TABLET 432.91 303.04 207.8 354.99AMITRIPTYLINE 50 MG TABLET 432.91 303.04 207.8 354.99AMITRIPTYLINE 50 MG TABLET 432.91 303.04 207.8 354.99AMINO ACIDS 5 %-DEXTROSE 15 %-ELECTROLYTES INTRAVENOUS SOLUTION 435.00 304.5 208.8 356.7AMINO ACIDS 5 %-DEXTROSE 15 %-ELECTROLYTES INTRAVENOUS SOLUTION 435.00 304.5 208.8 356.7METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR 436.24 305.37 209.4 357.72METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR 436.24 305.37 209.4 357.72NALTREXONE 50 MG TABLET 436.67 305.67 209.6 358.07NALTREXONE 50 MG TABLET 436.67 305.67 209.6 358.07KETOCONAZOLE 2 % TOPICAL CREAM 436.81 305.77 209.67 358.18NIFEDIPINE 10 MG CAPSULE 438.57 307 210.51 359.63ISONIAZID 300 MG TABLET 438.90 307.23 210.67 359.9ISONIAZID 300 MG TABLET 438.90 307.23 210.67 359.9NAPROXEN 500 MG TABLET 441.24 308.87 211.8 361.82CLINDAMYCIN HCL 300 MG CAPSULE 442.23 309.56 212.27 362.63CLINDAMYCIN HCL 300 MG CAPSULE 442.23 309.56 212.27 362.63ROSUVASTATIN 20 MG TABLET 442.77 309.94 212.53 363.07ROSUVASTATIN 20 MG TABLET 442.77 309.94 212.53 363.07FLUCONAZOLE 40 MG/ML ORAL SUSPENSION 444.27 310.99 213.25 364.3ACETYLCHOLINE CHLORIDE 1 % (10 MG/ML) INTRAOCULAR KIT 445.73 312.01 213.95 365.5

FENTANYL 50 MCG/HR TRANSDERMAL PATCH 448.89 314.22 215.47 368.09FENTANYL 50 MCG/HR TRANSDERMAL PATCH 448.89 314.22 215.47 368.09NORETHINDRONE ACETATE 5 MG TABLET 451.06 315.74 216.51 369.87CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH 451.20 315.84 216.58 369.98CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH 451.20 315.84 216.58 369.98CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH 451.20 315.84 216.58 369.98BUSPIRONE 10 MG TABLET 457.89 320.52 219.79 375.47BUSPIRONE 10 MG TABLET 457.89 320.52 219.79 375.47CEPHALEXIN 500 MG CAPSULE 460.22 322.15 220.91 377.38CEPHALEXIN 500 MG CAPSULE 460.22 322.15 220.91 377.38CEPHALEXIN 500 MG CAPSULE 460.22 322.15 220.91 377.38THEOPHYLLINE ER 400 MG TABLET,EXTENDED RELEASE 24 HR 462.21 323.55 221.86 379.01BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET 462.85 324 222.17 379.54BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET 462.85 324 222.17 379.54RIFAMPIN 300 MG CAPSULE 463.88 324.72 222.66 380.38RIFAMPIN 300 MG CAPSULE 463.88 324.72 222.66 380.38MEGESTROL 40 MG TABLET 465.54 325.88 223.46 381.74OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET 465.88 326.12 223.62 382.02OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET 465.88 326.12 223.62 382.02OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET 465.88 326.12 223.62 382.02OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET 465.88 326.12 223.62 382.02ACYCLOVIR 5 % TOPICAL OINTMENT 466.22 326.35 223.79 382.3ACYCLOVIR 5 % TOPICAL OINTMENT 466.22 326.35 223.79 382.3ACYCLOVIR 5 % TOPICAL OINTMENT 466.22 326.35 223.79 382.3SELEGILINE 5 MG CAPSULE 469.94 328.96 225.57 385.35TRAZODONE 100 MG TABLET 473.54 331.48 227.3 388.3TRAZODONE 100 MG TABLET 473.54 331.48 227.3 388.3NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 474.20 331.94 227.62 388.84SODIUM HYALURONATE 14 MG/ML INTRAOCULAR SYRINGE 474.37 332.06 227.7 388.98LEVOTHYROXINE 100 MCG TABLET 476.93 333.85 228.93 391.08LEVOTHYROXINE 100 MCG TABLET 476.93 333.85 228.93 391.08LEVOTHYROXINE 100 MCG TABLET 476.93 333.85 228.93 391.08LEVOTHYROXINE 75 MCG TABLET 477.23 334.06 229.07 391.33LEVOTHYROXINE 200 MCG TABLET 477.23 334.06 229.07 391.33OSELTAMIVIR 30 MG CAPSULE 482.19 337.53 231.45 395.4OSELTAMIVIR 30 MG CAPSULE 482.19 337.53 231.45 395.4OSELTAMIVIR 30 MG CAPSULE 482.19 337.53 231.45 395.4DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE 482.53 337.77 231.61 395.67HYDROCORTISONE-PRAMOXINE 1 %-1 % RECTAL CREAM 483.17 338.22 231.92 396.2DIPYRIDAMOLE 25 MG TABLET 483.19 338.23 231.93 396.22DIGOXIN 250 MCG (0.25 MG) TABLET 483.53 338.47 232.09 396.49DIGOXIN 250 MCG (0.25 MG) TABLET 483.53 338.47 232.09 396.49DIGOXIN 250 MCG (0.25 MG) TABLET 483.53 338.47 232.09 396.49BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE 486.82 340.77 233.67 399.19BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE 486.82 340.77 233.67 399.19OXCARBAZEPINE 150 MG TABLET 488.52 341.96 234.49 400.59OXCARBAZEPINE 150 MG TABLET 488.52 341.96 234.49 400.59OXCARBAZEPINE 150 MG TABLET 488.52 341.96 234.49 400.59TOPIRAMATE 15 MG SPRINKLE CAPSULE 492.72 344.9 236.51 404.03GEMFIBROZIL 600 MG TABLET 495.71 347 237.94 406.48NORTRIPTYLINE 25 MG CAPSULE 498.51 348.96 239.28 408.78PROCHLORPERAZINE 25 MG RECTAL SUPPOSITORY 499.83 349.88 239.92 409.86PROCHLORPERAZINE 25 MG RECTAL SUPPOSITORY 499.83 349.88 239.92 409.86BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM 500.21 350.15 240.1 410.17BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM 500.21 350.15 240.1 410.17COLESTIPOL 1 GRAM TABLET 504.71 353.3 242.26 413.86COLESTIPOL 1 GRAM TABLET 504.71 353.3 242.26 413.86GABAPENTIN 250 MG/5 ML ORAL SOLUTION 506.14 354.3 242.95 415.03GABAPENTIN 250 MG/5 ML ORAL SOLUTION 506.14 354.3 242.95 415.03GABAPENTIN 250 MG/5 ML ORAL SOLUTION 506.14 354.3 242.95 415.03PENTOXIFYLLINE ER 400 MG TABLET,EXTENDED RELEASE 508.83 356.18 244.24 417.24NALOXONE 4 MG/ACTUATION NASAL SPRAY 509.50 356.65 244.56 417.79MONTELUKAST 5 MG CHEWABLE TABLET 512.40 358.68 245.95 420.17MONTELUKAST 5 MG CHEWABLE TABLET 512.40 358.68 245.95 420.17RISPERIDONE 1 MG/ML ORAL SOLUTION 517.39 362.17 248.35 424.26RISPERIDONE 1 MG/ML ORAL SOLUTION 517.39 362.17 248.35 424.26ACYCLOVIR 200 MG CAPSULE 519.16 363.41 249.2 425.71ACYCLOVIR 200 MG CAPSULE 519.16 363.41 249.2 425.71CHLORDIAZEPOXIDE 25 MG CAPSULE 519.49 363.64 249.36 425.98CHLORDIAZEPOXIDE 25 MG CAPSULE 519.49 363.64 249.36 425.98CHLORDIAZEPOXIDE 25 MG CAPSULE 519.49 363.64 249.36 425.98REMIFENTANIL 2 MG INTRAVENOUS SOLUTION 523.97 366.78 251.51 429.66

REMIFENTANIL 2 MG INTRAVENOUS SOLUTION 523.97 366.78 251.51 429.66REMIFENTANIL 2 MG INTRAVENOUS SOLUTION 523.97 366.78 251.51 429.66OSELTAMIVIR 75 MG CAPSULE 524.72 367.3 251.87 430.27OSELTAMIVIR 75 MG CAPSULE 524.72 367.3 251.87 430.27OSELTAMIVIR 75 MG CAPSULE 524.72 367.3 251.87 430.27OSELTAMIVIR 75 MG CAPSULE 524.72 367.3 251.87 430.27INDAPAMIDE 2.5 MG TABLET 525.82 368.07 252.39 431.17INDAPAMIDE 2.5 MG TABLET 525.82 368.07 252.39 431.17LISINOPRIL 40 MG TABLET 528.48 369.94 253.67 433.35LISINOPRIL 40 MG TABLET 528.48 369.94 253.67 433.35CAPTOPRIL 12.5 MG TABLET 528.81 370.17 253.83 433.62DILTIAZEM 60 MG TABLET 531.81 372.27 255.27 436.08DILTIAZEM 60 MG TABLET 531.81 372.27 255.27 436.08DILTIAZEM 60 MG TABLET 531.81 372.27 255.27 436.08BUSPIRONE 7.5 MG TABLET 536.14 375.3 257.35 439.63CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE 536.81 375.77 257.67 440.18METRONIDAZOLE 0.75 % VAGINAL GEL 539.85 377.9 259.13 442.68GABAPENTIN 400 MG CAPSULE 543.80 380.66 261.02 445.92GABAPENTIN 400 MG CAPSULE 543.80 380.66 261.02 445.92GABAPENTIN 400 MG CAPSULE 543.80 380.66 261.02 445.92METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SYRINGE 547.53 383.27 262.81 448.97METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SOLUTION 547.53 383.27 262.81 448.97TRIFLUOPERAZINE 5 MG TABLET 550.46 385.32 264.22 451.38TRIFLUOPERAZINE 5 MG TABLET 550.46 385.32 264.22 451.38CARBAMAZEPINE ER 100 MG TABLET,EXTENDED RELEASE,12 HR 552.12 386.48 265.02 452.74PROPAFENONE 150 MG TABLET 554.79 388.35 266.3 454.93VERAPAMIL ER (SR) 240 MG TABLET,EXTENDED RELEASE 554.79 388.35 266.3 454.93OSELTAMIVIR 6 MG/ML ORAL SUSPENSION 555.65 388.96 266.71 455.63OSELTAMIVIR 6 MG/ML ORAL SUSPENSION 555.65 388.96 266.71 455.63OSELTAMIVIR 6 MG/ML ORAL SUSPENSION 555.65 388.96 266.71 455.63AMLODIPINE 5 MG TABLET 557.12 389.98 267.42 456.84ROSUVASTATIN 10 MG TABLET 558.45 390.92 268.06 457.93ROSUVASTATIN 10 MG TABLET 558.45 390.92 268.06 457.93ROSUVASTATIN 10 MG TABLET 558.45 390.92 268.06 457.93CAPTOPRIL 25 MG TABLET 566.11 396.28 271.73 464.21CAPTOPRIL 25 MG TABLET 566.11 396.28 271.73 464.21OSELTAMIVIR 45 MG CAPSULE 566.81 396.77 272.07 464.78OSELTAMIVIR 45 MG CAPSULE 566.81 396.77 272.07 464.78LOSARTAN 25 MG TABLET 568.77 398.14 273.01 466.39LOSARTAN 25 MG TABLET 568.77 398.14 273.01 466.39MENINGOCOCCAL A CONJ VACC 1 OF 2(PF) 10 MCG/0.5 ML (FINAL) IM SOLUTION (WRAPPED) 568.97 398.28 273.11 466.56MENINGOCOCCAL A CONJ VACC 1 OF 2(PF) 10 MCG/0.5 ML (FINAL) IM SOLUTION (WRAPPED) 568.97 398.28 273.11 466.56MIDODRINE 2.5 MG TABLET 573.44 401.41 275.25 470.22NEOMYCIN 500 MG TABLET 574.77 402.34 275.89 471.31NEOMYCIN 500 MG TABLET 574.77 402.34 275.89 471.31NEOMYCIN 500 MG TABLET 574.77 402.34 275.89 471.31NICARDIPINE 20 MG/200 ML(0.1 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN 579.00 405.3 277.92 474.78NICARDIPINE 20 MG/200 ML(0.1 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN 579.00 405.3 277.92 474.78NICARDIPINE 20 MG/200 ML(0.1 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN 579.00 405.3 277.92 474.78NICARDIPINE 20 MG/200 ML(0.1 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN 579.00 405.3 277.92 474.78IBUPROFEN 400 MG TABLET 579.43 405.6 278.13 475.13IBUPROFEN 400 MG TABLET 579.43 405.6 278.13 475.13IBUPROFEN 400 MG TABLET 579.43 405.6 278.13 475.13BRIMONIDINE 0.15 % EYE DROPS 579.43 405.6 278.13 475.13DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET 580.76 406.53 278.76 476.22DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET 580.76 406.53 278.76 476.22DULOXETINE 30 MG CAPSULE,DELAYED RELEASE 583.76 408.63 280.2 478.68DULOXETINE 30 MG CAPSULE,DELAYED RELEASE 583.76 408.63 280.2 478.68HYDROCORTISONE 1 %-PRAMOXINE 1 % RECTAL FOAM 593.41 415.39 284.84 486.6DIVALPROEX 250 MG TABLET,DELAYED RELEASE 596.75 417.73 286.44 489.34DIVALPROEX 250 MG TABLET,DELAYED RELEASE 596.75 417.73 286.44 489.34DIVALPROEX 250 MG TABLET,DELAYED RELEASE 596.75 417.73 286.44 489.34DIVALPROEX 250 MG TABLET,DELAYED RELEASE 596.75 417.73 286.44 489.34DIVALPROEX 250 MG TABLET,DELAYED RELEASE 596.75 417.73 286.44 489.34TIZANIDINE 4 MG TABLET 597.08 417.96 286.6 489.61FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION 599.24 419.47 287.64 491.38DIAZEPAM 2.5 MG RECTAL KIT 600.78 420.55 288.37 492.64DIAZEPAM 2.5 MG RECTAL KIT 600.78 420.55 288.37 492.64AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 125 MG TABLET 601.21 420.85 288.58 492.99FLUTICASONE 100 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION 601.77 421.24 288.85 493.45FLUTICASONE 250 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION 601.77 421.24 288.85 493.45METRONIDAZOLE 0.75 % TOPICAL CREAM 602.02 421.41 288.97 493.66

PREDNISOLONE ACETATE 0.12 % EYE DROPS,SUSPENSION 605.76 424.03 290.76 496.72PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION 605.76 424.03 290.76 496.72PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION 605.76 424.03 290.76 496.72SODIUM POLYSTYRENE SULFONATE ORAL POWDER 606.15 424.31 290.95 497.04FENOFIBRIC ACID (CHOLINE) 45 MG CAPSULE,DELAYED RELEASE 608.80 426.16 292.22 499.22FENOFIBRIC ACID (CHOLINE) 45 MG CAPSULE,DELAYED RELEASE 608.80 426.16 292.22 499.22LEFLUNOMIDE 20 MG TABLET 609.40 426.58 292.51 499.71LEFLUNOMIDE 20 MG TABLET 609.40 426.58 292.51 499.71PENTAMIDINE 300 MG SOLUTION FOR INJECTION 611.07 427.75 293.31 501.08PENTAMIDINE 300 MG SOLUTION FOR INJECTION 611.07 427.75 293.31 501.08RAMIPRIL 2.5 MG CAPSULE 611.40 427.98 293.47 501.35PRAZOSIN 1 MG CAPSULE 613.40 429.38 294.43 502.99PRAZOSIN 1 MG CAPSULE 613.40 429.38 294.43 502.99VERAPAMIL ER 180 MG 24 HR CAPSULE,EXTENDED RELEASE 619.06 433.34 297.15 507.63VERAPAMIL ER 180 MG 24 HR CAPSULE,EXTENDED RELEASE 619.06 433.34 297.15 507.63CLONIDINE HCL 0.2 MG TABLET 622.72 435.9 298.91 510.63CLONIDINE HCL 0.2 MG TABLET 622.72 435.9 298.91 510.63METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR 630.71 441.5 302.74 517.18MORPHINE ER 15 MG TABLET,EXTENDED RELEASE 633.38 443.37 304.02 519.37MORPHINE ER 15 MG TABLET,EXTENDED RELEASE 633.38 443.37 304.02 519.37LIOTHYRONINE 5 MCG TABLET 639.37 447.56 306.9 524.28AMIODARONE 200 MG TABLET 673.74 471.62 323.4 552.47AMIODARONE 200 MG TABLET 673.74 471.62 323.4 552.47AMIODARONE 200 MG TABLET 673.74 471.62 323.4 552.47LIPASE-PROTEASE-AMYLASE 6,000-19,000-30,000 UNIT CAPSULE,DELAYED REL 677.67 474.37 325.28 555.69FENTANYL 75 MCG/HR TRANSDERMAL PATCH 679.50 475.65 326.16 557.19FENTANYL 75 MCG/HR TRANSDERMAL PATCH 679.50 475.65 326.16 557.19FENTANYL 75 MCG/HR TRANSDERMAL PATCH 679.50 475.65 326.16 557.19CHOLESTYRAMINE-ASPARTAME 4 GRAM ORAL POWDER FOR SUSP IN A PACKET 679.53 475.67 326.17 557.21CHOLESTYRAMINE-ASPARTAME 4 GRAM ORAL POWDER FOR SUSP IN A PACKET 679.53 475.67 326.17 557.21CHOLESTYRAMINE-ASPARTAME 4 GRAM ORAL POWDER FOR SUSP IN A PACKET 679.53 475.67 326.17 557.21ZIDOVUDINE 100 MG CAPSULE 682.33 477.63 327.52 559.51ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR 684.66 479.26 328.64 561.42ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR 684.66 479.26 328.64 561.42OXYCODONE ER 20 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR 688.32 481.82 330.39 564.42MOXIFLOXACIN 0.5 % EYE DROPS 689.06 482.34 330.75 565.03MOXIFLOXACIN 0.5 % EYE DROPS 689.06 482.34 330.75 565.03MOXIFLOXACIN 0.5 % EYE DROPS 689.06 482.34 330.75 565.03SODIUM NITRITE-SODIUM THIOSULFATE 300 MG/10 ML-12.5 GRAM/50 ML IV SOLN 689.32 482.52 330.87 565.24ENTACAPONE 200 MG TABLET 690.32 483.22 331.35 566.06ENTACAPONE 200 MG TABLET 690.32 483.22 331.35 566.06ENTACAPONE 200 MG TABLET 690.32 483.22 331.35 566.06PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE 695.31 486.72 333.75 570.15PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE 695.31 486.72 333.75 570.15VENLAFAXINE 50 MG TABLET 696.31 487.42 334.23 570.97VENLAFAXINE 50 MG TABLET 696.31 487.42 334.23 570.97BROMFENAC 0.09 % EYE DROPS 704.49 493.14 338.16 577.68BROMFENAC 0.09 % EYE DROPS 704.49 493.14 338.16 577.68CARBAMAZEPINE ER 400 MG TABLET,EXTENDED RELEASE,12 HR 705.80 494.06 338.78 578.76CARBAMAZEPINE ER 400 MG TABLET,EXTENDED RELEASE,12 HR 705.80 494.06 338.78 578.76METHENAMINE HIPPURATE 1 GRAM TABLET 706.30 494.41 339.02 579.17TOPIRAMATE 25 MG TABLET 709.30 496.51 340.46 581.63PROGESTERONE MICRONIZED 100 MG CAPSULE 709.30 496.51 340.46 581.63TOPIRAMATE 25 MG TABLET 709.30 496.51 340.46 581.63CARVEDILOL 3.125 MG TABLET 709.63 496.74 340.62 581.9CARVEDILOL 3.125 MG TABLET 709.63 496.74 340.62 581.9PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY 717.49 502.24 344.4 588.34PROMETHAZINE 25 MG RECTAL SUPPOSITORY 717.49 502.24 344.4 588.34PROMETHAZINE 25 MG RECTAL SUPPOSITORY 717.49 502.24 344.4 588.34PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY 717.49 502.24 344.4 588.34CARVEDILOL 25 MG TABLET 721.62 505.13 346.38 591.73CARVEDILOL 6.25 MG TABLET 721.62 505.13 346.38 591.73CARVEDILOL 25 MG TABLET 721.62 505.13 346.38 591.73CARVEDILOL 12.5 MG TABLET 721.62 505.13 346.38 591.73DILTIAZEM 90 MG TABLET 723.29 506.3 347.18 593.1DILTIAZEM 90 MG TABLET 723.29 506.3 347.18 593.1AMANTADINE HCL 100 MG CAPSULE 726.62 508.63 348.78 595.83SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION 726.67 508.67 348.8 595.87SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION 726.67 508.67 348.8 595.87KETOROLAC 10 MG TABLET 728.28 509.8 349.57 597.19VALACYCLOVIR 500 MG TABLET 731.68 512.18 351.21 599.98VALACYCLOVIR 500 MG TABLET 731.68 512.18 351.21 599.98

ARMODAFINIL 50 MG TABLET 735.67 514.97 353.12 603.25ARMODAFINIL 50 MG TABLET 735.67 514.97 353.12 603.25ARMODAFINIL 50 MG TABLET 735.67 514.97 353.12 603.25VENLAFAXINE 75 MG TABLET 737.61 516.33 354.05 604.84VENLAFAXINE 75 MG TABLET 737.61 516.33 354.05 604.84NITROGLYCERIN 400 MCG/SPRAY TRANSLINGUAL 739.53 517.67 354.97 606.41NITROGLYCERIN 400 MCG/SPRAY TRANSLINGUAL 739.53 517.67 354.97 606.41NITROGLYCERIN 400 MCG/SPRAY TRANSLINGUAL 739.53 517.67 354.97 606.41RAMIPRIL 10 MG CAPSULE 748.26 523.78 359.16 613.57LOSARTAN 50 MG TABLET 759.25 531.48 364.44 622.59LOSARTAN 50 MG TABLET 759.25 531.48 364.44 622.59LOSARTAN 50 MG TABLET 759.25 531.48 364.44 622.59AMLODIPINE 10 MG TABLET 760.92 532.64 365.24 623.95AMLODIPINE 10 MG TABLET 760.92 532.64 365.24 623.95AMLODIPINE 10 MG TABLET 760.92 532.64 365.24 623.95SUMATRIPTAN 50 MG TABLET 763.48 534.44 366.47 626.05DIFLUPREDNATE 0.05 % EYE DROPS 777.52 544.26 373.21 637.57DESMOPRESSIN 10 MCG/SPRAY (0.1 ML) NASAL SPRAY (NON-REFRIGERATED) 778.30 544.81 373.58 638.21DESMOPRESSIN 10 MCG/SPRAY (0.1 ML) NASAL SPRAY (NON-REFRIGERATED) 778.30 544.81 373.58 638.21SODIUM HYALURONATE 10 MG/ML INTRAOCULAR SYRINGE 778.56 544.99 373.71 638.42FLUTICASONE PROPIONATE 44 MCG/ACTUATION HFA AEROSOL INHALER 784.47 549.13 376.55 643.27RISPERIDONE 0.25 MG TABLET 789.42 552.59 378.92 647.32DULOXETINE 60 MG CAPSULE,DELAYED RELEASE 794.42 556.09 381.32 651.42DULOXETINE 60 MG CAPSULE,DELAYED RELEASE 794.42 556.09 381.32 651.42DULOXETINE 60 MG CAPSULE,DELAYED RELEASE 794.42 556.09 381.32 651.42METOLAZONE 5 MG TABLET 794.55 556.19 381.38 651.53VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION 799.45 559.62 383.74 655.55VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION 799.45 559.62 383.74 655.55TIAGABINE 4 MG TABLET 802.71 561.9 385.3 658.22TIAGABINE 4 MG TABLET 802.71 561.9 385.3 658.22PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE 811.86 568.3 389.69 665.73PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE 811.86 568.3 389.69 665.73FLUOXETINE 10 MG CAPSULE 815.53 570.87 391.45 668.73FLUOXETINE 10 MG CAPSULE 815.53 570.87 391.45 668.73POTASSIUM CITRATE ER 10 MEQ (1,080 MG) TABLET,EXTENDED RELEASE 827.52 579.26 397.21 678.57WARFARIN 1 MG TABLET 833.84 583.69 400.24 683.75WARFARIN 1 MG TABLET 833.84 583.69 400.24 683.75WARFARIN 1 MG TABLET 833.84 583.69 400.24 683.75LIOTHYRONINE 25 MCG TABLET 836.84 585.79 401.68 686.21NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 836.84 585.79 401.68 686.21PRAVASTATIN 20 MG TABLET 840.84 588.59 403.6 689.49ROPINIROLE 2 MG TABLET 842.50 589.75 404.4 690.85ROPINIROLE 0.25 MG TABLET 842.50 589.75 404.4 690.85BENZONATATE 100 MG CAPSULE 843.50 590.45 404.88 691.67BENZONATATE 100 MG CAPSULE 843.50 590.45 404.88 691.67BENZONATATE 100 MG CAPSULE 843.50 590.45 404.88 691.67BENZONATATE 100 MG CAPSULE 843.50 590.45 404.88 691.67BENZONATATE 100 MG CAPSULE 843.50 590.45 404.88 691.67CLOBETASOL 0.05 % TOPICAL CREAM 843.53 590.47 404.89 691.69CLOBETASOL 0.05 % TOPICAL CREAM 843.53 590.47 404.89 691.69LOTEPREDNOL ETABONATE 0.5 % EYE GEL DROPS 845.77 592.04 405.97 693.53TOBRAMYCIN 0.3 % EYE OINTMENT 846.00 592.2 406.08 693.72BUDESONIDE-FORMOTEROL HFA 80 MCG-4.5 MCG/ACTUATION AEROSOL INHALER 849.44 594.61 407.73 696.54CLOBETASOL 0.05 % TOPICAL OINTMENT 854.16 597.91 410 700.41CLOBETASOL 0.05 % TOPICAL OINTMENT 854.16 597.91 410 700.41MEXILETINE 150 MG CAPSULE 854.49 598.14 410.16 700.68SOTALOL 80 MG TABLET 863.15 604.21 414.31 707.78IBUPROFEN 600 MG TABLET 867.48 607.24 416.39 711.33IBUPROFEN 600 MG TABLET 867.48 607.24 416.39 711.33IBUPROFEN 600 MG TABLET 867.48 607.24 416.39 711.33IBUPROFEN 600 MG TABLET 867.48 607.24 416.39 711.33WARFARIN 2 MG TABLET 869.47 608.63 417.35 712.97WARFARIN 2 MG TABLET 869.47 608.63 417.35 712.97WARFARIN 2 MG TABLET 869.47 608.63 417.35 712.97DONEPEZIL 5 MG TABLET 874.64 612.25 419.83 717.2DONEPEZIL 5 MG TABLET 874.64 612.25 419.83 717.2VANCOMYCIN 50 MG/ML ORAL SOLUTION 877.13 613.99 421.02 719.25OXCARBAZEPINE 300 MG TABLET 884.13 618.89 424.38 724.99OXCARBAZEPINE 300 MG TABLET 884.13 618.89 424.38 724.99FLUVOXAMINE 100 MG TABLET 885.79 620.05 425.18 726.35FLUVOXAMINE 100 MG TABLET 885.79 620.05 425.18 726.35BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM 889.12 622.38 426.78 729.08

BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM 889.12 622.38 426.78 729.08WARFARIN 2.5 MG TABLET 897.11 627.98 430.61 735.63WARFARIN 2.5 MG TABLET 897.11 627.98 430.61 735.63WARFARIN 2.5 MG TABLET 897.11 627.98 430.61 735.63WARFARIN 2.5 MG TABLET 897.11 627.98 430.61 735.63WARFARIN 2.5 MG TABLET 897.11 627.98 430.61 735.63TOBRAMYCIN-DEXAMETHASONE 0.3 %-0.1 % EYE OINTMENT 900.02 630.01 432.01 738.02TOBRAMYCIN-DEXAMETHASONE 0.3 %-0.1 % EYE OINTMENT 900.02 630.01 432.01 738.02WARFARIN 3 MG TABLET 900.44 630.31 432.21 738.36WARFARIN 3 MG TABLET 900.44 630.31 432.21 738.36WARFARIN 3 MG TABLET 900.44 630.31 432.21 738.36WARFARIN 3 MG TABLET 900.44 630.31 432.21 738.36WARFARIN 3 MG TABLET 900.44 630.31 432.21 738.36WARFARIN 4 MG TABLET 902.77 631.94 433.33 740.27WARFARIN 4 MG TABLET 902.77 631.94 433.33 740.27CITALOPRAM 20 MG TABLET 906.10 634.27 434.93 743CITALOPRAM 20 MG TABLET 906.10 634.27 434.93 743BUMETANIDE 1 MG TABLET 908.10 635.67 435.89 744.64PHENAZOPYRIDINE 100 MG TABLET 909.10 636.37 436.37 745.46HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY 914.98 640.49 439.19 750.28HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY 914.98 640.49 439.19 750.28HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY 914.98 640.49 439.19 750.28OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION 919.09 643.36 441.16 753.65OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION 919.09 643.36 441.16 753.65ASCORBIC ACID (VITAMIN C) 500 MG/ML INJECTION SOLUTION (WRAPPED) 929.08 650.36 445.96 761.85ASCORBIC ACID (VITAMIN C) 500 MG/ML INJECTION SOLUTION (WRAPPED) 929.08 650.36 445.96 761.85WARFARIN 5 MG TABLET 934.41 654.09 448.52 766.22WARFARIN 5 MG TABLET 934.41 654.09 448.52 766.22TRAZODONE 150 MG TABLET 939.40 657.58 450.91 770.31TRAZODONE 150 MG TABLET 939.40 657.58 450.91 770.31RIVASTIGMINE 1.5 MG CAPSULE 941.47 659.03 451.91 772.01METHYLENE BLUE (ANTIDOTE) 5 MG/ML (0.5 %) INTRAVENOUS SOLUTION 960.92 672.64 461.24 787.95METHYLENE BLUE (ANTIDOTE) 5 MG/ML (0.5 %) INTRAVENOUS SOLUTION 960.92 672.64 461.24 787.95HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE 965.70 675.99 463.54 791.87NEFAZODONE 100 MG TABLET 968.84 678.19 465.04 794.45PRAVASTATIN 10 MG TABLET 973.37 681.36 467.22 798.16PRAVASTATIN 10 MG TABLET 973.37 681.36 467.22 798.16FLUTICASONE 500 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION 974.46 682.12 467.74 799.06BUDESONIDE-FORMOTEROL HFA 160 MCG-4.5 MCG/ACTUATION AEROSOL INHALER 975.64 682.95 468.31 800.02DIVALPROEX 500 MG TABLET,DELAYED RELEASE 978.03 684.62 469.45 801.98DIVALPROEX 500 MG TABLET,DELAYED RELEASE 978.03 684.62 469.45 801.98DIVALPROEX 500 MG TABLET,DELAYED RELEASE 978.03 684.62 469.45 801.98CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPS,SUSPENSION 981.47 687.03 471.11 804.81CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPS,SUSPENSION 981.47 687.03 471.11 804.81CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPS,SUSPENSION 981.47 687.03 471.11 804.81NEFAZODONE 150 MG TABLET 987.02 690.91 473.77 809.36BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-300 MG-40 MG CAPSULE 987.69 691.38 474.09 809.91BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-300 MG-40 MG CAPSULE 987.69 691.38 474.09 809.91PAROXETINE 20 MG TABLET 988.02 691.61 474.25 810.18DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR 995.15 696.61 477.67 816.02DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR 995.15 696.61 477.67 816.02DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR 995.15 696.61 477.67 816.02PRAMIPEXOLE 1 MG TABLET 1,011.60 708.12 485.57 829.51PRAMIPEXOLE 0.25 MG TABLET 1,011.60 708.12 485.57 829.51PRAMIPEXOLE 0.25 MG TABLET 1,011.60 708.12 485.57 829.51PRAMIPEXOLE 0.25 MG TABLET 1,011.60 708.12 485.57 829.51PRAMIPEXOLE 1 MG TABLET 1,011.60 708.12 485.57 829.51TORSEMIDE 100 MG TABLET 1,022.32 715.62 490.71 838.3TORSEMIDE 100 MG TABLET 1,022.32 715.62 490.71 838.3COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 250 UNIT/GRAM TOPICAL OINTMENT 1,028.68 720.08 493.77 843.52CEFDINIR 300 MG CAPSULE 1,031.78 722.25 495.25 846.06CEFDINIR 300 MG CAPSULE 1,031.78 722.25 495.25 846.06OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR 1,033.31 723.32 495.99 847.31OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR 1,033.31 723.32 495.99 847.31LOSARTAN 100 MG TABLET 1,034.31 724.02 496.47 848.13LOSARTAN 100 MG TABLET 1,034.31 724.02 496.47 848.13LOSARTAN 100 MG TABLET 1,034.31 724.02 496.47 848.13EZETIMIBE 10 MG TABLET 1,037.07 725.95 497.79 850.4EZETIMIBE 10 MG TABLET 1,037.07 725.95 497.79 850.4EZETIMIBE 10 MG TABLET 1,037.07 725.95 497.79 850.4EZETIMIBE 10 MG TABLET 1,037.07 725.95 497.79 850.4EZETIMIBE 10 MG TABLET 1,037.07 725.95 497.79 850.4

EZETIMIBE 10 MG TABLET 1,037.07 725.95 497.79 850.4CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH 1,040.44 728.31 499.41 853.16CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH 1,040.44 728.31 499.41 853.16FLUTICASONE PROPIONATE 110 MCG/ACTUATION HFA AEROSOL INHALER 1,046.82 732.77 502.47 858.39FINASTERIDE 5 MG TABLET 1,050.96 735.67 504.46 861.79FINASTERIDE 5 MG TABLET 1,050.96 735.67 504.46 861.79FINASTERIDE 5 MG TABLET 1,050.96 735.67 504.46 861.79ACAMPROSATE 333 MG TABLET,DELAYED RELEASE 1,063.15 744.21 510.31 871.78NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE 1,078.60 755.02 517.73 884.45NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE 1,078.60 755.02 517.73 884.45PIOGLITAZONE 30 MG TABLET 1,079.53 755.67 518.17 885.21PIOGLITAZONE 30 MG TABLET 1,079.53 755.67 518.17 885.21BELLADONNA ALKALOIDS-OPIUM 16.2 MG-30 MG RECTAL SUPPOSITORY 1,109.62 776.73 532.62 909.89BELLADONNA ALKALOIDS-OPIUM 16.2 MG-30 MG RECTAL SUPPOSITORY 1,109.62 776.73 532.62 909.89OXYCODONE 20 MG/ML ORAL CONCENTRATE 1,118.59 783.01 536.92 917.24OXYCODONE 20 MG/ML ORAL CONCENTRATE 1,118.59 783.01 536.92 917.24OXYCODONE 20 MG/ML ORAL CONCENTRATE 1,118.59 783.01 536.92 917.24THROMBIN (BOVINE) 20,000 UNIT TOPICAL SOLUTION 1,119.39 783.57 537.31 917.9OLANZAPINE 2.5 MG TABLET 1,128.68 790.08 541.77 925.52FLUPHENAZINE 5 MG/ML ORAL CONCENTRATE 1,150.86 805.6 552.41 943.71FLUPHENAZINE 5 MG/ML ORAL CONCENTRATE 1,150.86 805.6 552.41 943.71CYCLOSPORINE 0.05 % EYE DROPS IN A DROPPERETTE 1,151.92 806.34 552.92 944.57VILAZODONE 10 MG TABLET 1,152.26 806.58 553.08 944.85VILAZODONE 20 MG TABLET 1,152.26 806.58 553.08 944.85LABETALOL 200 MG TABLET 1,171.50 820.05 562.32 960.63LABETALOL 200 MG TABLET 1,171.50 820.05 562.32 960.63LOTEPREDNOL ETABONATE 0.5 % EYE OINTMENT 1,186.05 830.24 569.3 972.56CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION 1,196.81 837.77 574.47 981.38WARFARIN 6 MG TABLET 1,201.14 840.8 576.55 984.93WARFARIN 6 MG TABLET 1,201.14 840.8 576.55 984.93TOPIRAMATE 100 MG TABLET 1,216.99 851.89 584.16 997.93TOPIRAMATE 100 MG TABLET 1,216.99 851.89 584.16 997.93TOPIRAMATE 100 MG TABLET 1,216.99 851.89 584.16 997.93DILTIAZEM ER 90 MG CAPSULE,EXTENDED RELEASE 12 HR 1,217.13 851.99 584.22 998.05WARFARIN 7.5 MG TABLET 1,242.10 869.47 596.21 1,018.52WARFARIN 7.5 MG TABLET 1,242.10 869.47 596.21 1,018.52TERBINAFINE HCL 250 MG TABLET 1,287.22 901.05 617.87 1,055.52WARFARIN 10 MG TABLET 1,288.05 901.64 618.26 1,056.20WARFARIN 10 MG TABLET 1,288.05 901.64 618.26 1,056.20PHENOBARB-HYOSCY-ATROPINE-SCOP 16.2 MG-0.1037 MG-0.0194 MG/5 ML ELIXIR 1,288.72 902.1 618.59 1,056.75PHENOBARB-HYOSCY-ATROPINE-SCOP 16.2 MG-0.1037 MG-0.0194 MG/5 ML ELIXIR 1,288.72 902.1 618.59 1,056.75PHENOBARB-HYOSCY-ATROPINE-SCOP 16.2 MG-0.1037 MG-0.0194 MG/5 ML ELIXIR 1,288.72 902.1 618.59 1,056.75LEVOMEFOLATE CALCIUM 15 MG TABLET 1,305.30 913.71 626.54 1,070.35RISPERIDONE 0.5 MG TABLET 1,319.36 923.55 633.29 1,081.88FEBUXOSTAT 40 MG TABLET 1,328.78 930.15 637.81 1,089.60FEBUXOSTAT 40 MG TABLET 1,328.78 930.15 637.81 1,089.60FEBUXOSTAT 80 MG TABLET 1,328.78 930.15 637.81 1,089.60QUETIAPINE 25 MG TABLET 1,340.67 938.47 643.52 1,099.35QUETIAPINE 25 MG TABLET 1,340.67 938.47 643.52 1,099.35QUETIAPINE 25 MG TABLET 1,340.67 938.47 643.52 1,099.35BELLADONNA ALKALOIDS-OPIUM 16.2 MG-60 MG RECTAL SUPPOSITORY 1,346.78 942.75 646.45 1,104.36BELLADONNA ALKALOIDS-OPIUM 16.2 MG-60 MG RECTAL SUPPOSITORY 1,346.78 942.75 646.45 1,104.36THROMBIN (RECOMBINANT) 20,000 UNIT TOPICAL SOLUTION 1,351.60 946.12 648.77 1,108.31HYDROXYCHLOROQUINE 200 MG TABLET 1,371.30 959.91 658.22 1,124.47HYDROXYCHLOROQUINE 200 MG TABLET 1,371.30 959.91 658.22 1,124.47ASPIRIN 25 MG-DIPYRIDAMOLE 200 MG CAPSULE,EXT.RELEASE 12 HR MULTIPHASE 1,388.58 972.01 666.52 1,138.64ACETAZOLAMIDE 250 MG TABLET 1,404.60 983.22 674.21 1,151.77VORTIOXETINE 10 MG TABLET 1,405.90 984.13 674.83 1,152.84DULOXETINE 20 MG CAPSULE,DELAYED RELEASE 1,408.20 985.74 675.94 1,154.72DULOXETINE 20 MG CAPSULE,DELAYED RELEASE 1,408.20 985.74 675.94 1,154.72DULOXETINE 20 MG CAPSULE,DELAYED RELEASE 1,408.20 985.74 675.94 1,154.72MONTELUKAST 10 MG TABLET 1,409.86 986.9 676.73 1,156.09MONTELUKAST 10 MG TABLET 1,409.86 986.9 676.73 1,156.09DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR 1,413.16 989.21 678.32 1,158.79DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR 1,413.16 989.21 678.32 1,158.79DOFETILIDE 125 MCG CAPSULE 1,421.41 994.99 682.28 1,165.56IPRATROPIUM BROMIDE 17 MCG/ACTUATION HFA AEROSOL INHALER 1,421.91 995.34 682.52 1,165.97ATOMOXETINE 40 MG CAPSULE 1,427.68 999.38 685.29 1,170.70RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR 1,431.18 1,001.83 686.97 1,173.57RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR 1,431.18 1,001.83 686.97 1,173.57RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR 1,431.18 1,001.83 686.97 1,173.57CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION 1,433.40 1,003.38 688.03 1,175.39

CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION 1,433.40 1,003.38 688.03 1,175.39CIPROFLOXACIN 500 MG TABLET 1,437.80 1,006.46 690.14 1,179.00CIPROFLOXACIN 500 MG TABLET 1,437.80 1,006.46 690.14 1,179.00CIPROFLOXACIN 500 MG TABLET 1,437.80 1,006.46 690.14 1,179.00CIPROFLOXACIN 500 MG TABLET 1,437.80 1,006.46 690.14 1,179.00PRAVASTATIN 40 MG TABLET 1,439.90 1,007.93 691.15 1,180.72THEOPHYLLINE ER 300 MG TABLET,EXTENDED RELEASE,12 HR 1,440.57 1,008.40 691.47 1,181.27PRAZOSIN 5 MG CAPSULE 1,444.56 1,011.19 693.39 1,184.54PRAZOSIN 5 MG CAPSULE 1,444.56 1,011.19 693.39 1,184.54DINOPROSTONE ER 10 MG VAGINAL INSERT,CONTROLLED RELEASE 1,446.27 1,012.39 694.21 1,185.94DINOPROSTONE ER 10 MG VAGINAL INSERT,CONTROLLED RELEASE 1,446.27 1,012.39 694.21 1,185.94ALBENDAZOLE 200 MG TABLET 1,449.87 1,014.91 695.94 1,188.89ALBENDAZOLE 200 MG TABLET 1,449.87 1,014.91 695.94 1,188.89ALBENDAZOLE 200 MG TABLET 1,449.87 1,014.91 695.94 1,188.89SPIRONOLACTONE 25 MG TABLET 1,451.89 1,016.32 696.91 1,190.55CEFPROZIL 250 MG TABLET 1,468.21 1,027.75 704.74 1,203.93ESCITALOPRAM 10 MG TABLET 1,468.87 1,028.21 705.06 1,204.47ESCITALOPRAM 10 MG TABLET 1,468.87 1,028.21 705.06 1,204.47ESCITALOPRAM 10 MG TABLET 1,468.87 1,028.21 705.06 1,204.47SUVOREXANT 20 MG TABLET 1,471.34 1,029.94 706.24 1,206.50SUVOREXANT 20 MG TABLET 1,471.34 1,029.94 706.24 1,206.50IPRATROPIUM 20 MCG-ALBUTEROL 100 MCG/ACTUATION MIST FOR INHALATION 1,473.58 1,031.51 707.32 1,208.34PRASUGREL 5 MG TABLET 1,477.33 1,034.13 709.12 1,211.41PRASUGREL 5 MG TABLET 1,477.33 1,034.13 709.12 1,211.41LINACLOTIDE 145 MCG CAPSULE 1,478.58 1,035.01 709.72 1,212.44LINACLOTIDE 72 MCG CAPSULE 1,478.58 1,035.01 709.72 1,212.44ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION 1,498.43 1,048.90 719.25 1,228.71ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION 1,498.43 1,048.90 719.25 1,228.71ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION 1,498.43 1,048.90 719.25 1,228.71NEBIVOLOL 10 MG TABLET 1,498.96 1,049.27 719.5 1,229.15LETROZOLE 2.5 MG TABLET 1,506.14 1,054.30 722.95 1,235.03VARENICLINE 1 MG TABLET 1,513.66 1,059.56 726.56 1,241.20VARENICLINE 0.5 MG TABLET 1,513.66 1,059.56 726.56 1,241.20MONTELUKAST 4 MG CHEWABLE TABLET 1,516.89 1,061.82 728.11 1,243.85LAMOTRIGINE 25 MG TABLET 1,524.15 1,066.91 731.59 1,249.80LAMOTRIGINE 25 MG TABLET 1,524.15 1,066.91 731.59 1,249.80RISPERIDONE 1 MG TABLET 1,529.81 1,070.87 734.31 1,254.44OLANZAPINE 10 MG TABLET 1,538.31 1,076.82 738.39 1,261.41OLANZAPINE 10 MG TABLET 1,538.31 1,076.82 738.39 1,261.41OLANZAPINE 10 MG TABLET 1,538.31 1,076.82 738.39 1,261.41CIPROFLOXACIN 250 MG TABLET 1,539.80 1,077.86 739.1 1,262.64CIPROFLOXACIN 250 MG TABLET 1,539.80 1,077.86 739.1 1,262.64CIPROFLOXACIN 250 MG TABLET 1,539.80 1,077.86 739.1 1,262.64ROFLUMILAST 500 MCG TABLET 1,539.87 1,077.91 739.14 1,262.69HALOPERIDOL 1 MG TABLET 1,545.13 1,081.59 741.66 1,267.01MEBENDAZOLE 100 MG CHEWABLE TABLET 1,545.52 1,081.86 741.85 1,267.33CELECOXIB 100 MG CAPSULE 1,547.46 1,083.22 742.78 1,268.92ESMOLOL 2,500 MG/250 ML (10 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV 1,553.44 1,087.41 745.65 1,273.82ATOMOXETINE 60 MG CAPSULE 1,555.05 1,088.54 746.42 1,275.14RIVAROXABAN 15 MG TABLET 1,560.84 1,092.59 749.2 1,279.89SITAGLIPTIN 25 MG TABLET 1,572.22 1,100.55 754.67 1,289.22TICAGRELOR 90 MG TABLET 1,580.63 1,106.44 758.7 1,296.12TICAGRELOR 90 MG TABLET 1,580.63 1,106.44 758.7 1,296.12POTASSIUM IODIDE 1 GRAM/ML ORAL SOLUTION 1,583.43 1,108.40 760.05 1,298.41DABIGATRAN ETEXILATE 75 MG CAPSULE 1,583.77 1,108.64 760.21 1,298.69DABIGATRAN ETEXILATE 150 MG CAPSULE 1,583.77 1,108.64 760.21 1,298.69CONJUGATED ESTROGENS 0.625 MG/GRAM VAGINAL CREAM 1,585.60 1,109.92 761.09 1,300.19ATOMOXETINE 25 MG CAPSULE 1,590.02 1,113.01 763.21 1,303.82CLOPIDOGREL 300 MG TABLET 1,599.36 1,119.55 767.69 1,311.48CLOPIDOGREL 300 MG TABLET 1,599.36 1,119.55 767.69 1,311.48CLOPIDOGREL 300 MG TABLET 1,599.36 1,119.55 767.69 1,311.48FUROSEMIDE 40 MG TABLET 1,605.07 1,123.55 770.43 1,316.16FUROSEMIDE 40 MG TABLET 1,605.07 1,123.55 770.43 1,316.16URSODIOL 300 MG CAPSULE 1,605.74 1,124.02 770.76 1,316.71URSODIOL 300 MG CAPSULE 1,605.74 1,124.02 770.76 1,316.71URSODIOL 300 MG CAPSULE 1,605.74 1,124.02 770.76 1,316.71FENOFIBRIC ACID (CHOLINE) 135 MG CAPSULE,DELAYED RELEASE 1,608.90 1,126.23 772.27 1,319.30FENOFIBRIC ACID (CHOLINE) 135 MG CAPSULE,DELAYED RELEASE 1,608.90 1,126.23 772.27 1,319.30FENOFIBRIC ACID (CHOLINE) 135 MG CAPSULE,DELAYED RELEASE 1,608.90 1,126.23 772.27 1,319.30MILNACIPRAN 50 MG TABLET 1,612.60 1,128.82 774.05 1,322.33DOFETILIDE 250 MCG CAPSULE 1,617.76 1,132.43 776.52 1,326.56DOFETILIDE 250 MCG CAPSULE 1,617.76 1,132.43 776.52 1,326.56

FLUTICASONE PROPIONATE 220 MCG/ACTUATION HFA AEROSOL INHALER 1,620.47 1,134.33 777.83 1,328.79MIRABEGRON ER 50 MG TABLET,EXTENDED RELEASE 24 HR 1,628.58 1,140.01 781.72 1,335.44MIRABEGRON ER 25 MG TABLET,EXTENDED RELEASE 24 HR 1,628.58 1,140.01 781.72 1,335.44RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH 1,628.68 1,140.08 781.77 1,335.52RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH 1,628.68 1,140.08 781.77 1,335.52APIXABAN 5 MG TABLET 1,656.87 1,159.81 795.3 1,358.63APIXABAN 5 MG TABLET 1,656.87 1,159.81 795.3 1,358.63METAXALONE 800 MG TABLET 1,657.25 1,160.08 795.48 1,358.95ERYTHROMYCIN 250 MG CAPSULE,DELAYED RELEASE 1,669.08 1,168.36 801.16 1,368.65EXEMESTANE 25 MG TABLET 1,679.06 1,175.34 805.95 1,376.83QUETIAPINE 200 MG TABLET 1,683.79 1,178.65 808.22 1,380.71QUETIAPINE 200 MG TABLET 1,683.79 1,178.65 808.22 1,380.71QUETIAPINE 200 MG TABLET 1,683.79 1,178.65 808.22 1,380.71OXYCODONE ER 80 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR 1,684.09 1,178.86 808.36 1,380.95MEMANTINE 5 MG TABLET 1,688.33 1,181.83 810.4 1,384.43MEMANTINE 5 MG TABLET 1,688.33 1,181.83 810.4 1,384.43MEMANTINE 5 MG TABLET 1,688.33 1,181.83 810.4 1,384.43MEMANTINE 5 MG TABLET 1,688.33 1,181.83 810.4 1,384.43SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH 1,696.63 1,187.64 814.38 1,391.24SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH 1,696.63 1,187.64 814.38 1,391.24CANAGLIFLOZIN 300 MG TABLET 1,721.13 1,204.79 826.14 1,411.33CLOPIDOGREL 75 MG TABLET 1,732.85 1,213.00 831.77 1,420.94CLOPIDOGREL 75 MG TABLET 1,732.85 1,213.00 831.77 1,420.94CLOPIDOGREL 75 MG TABLET 1,732.85 1,213.00 831.77 1,420.94REMDESIVIR 100 MG INTRAVENOUS POWDER FOR SOLUTION 1,746.00 1,222.20 838.08 1,431.72REMDESIVIR 100 MG INTRAVENOUS POWDER FOR SOLUTION 1,746.00 1,222.20 838.08 1,431.72LORAZEPAM 0.5 MG TABLET 1,770.00 1,239.00 849.6 1,451.40LORAZEPAM 0.5 MG TABLET 1,770.00 1,239.00 849.6 1,451.40LORAZEPAM 0.5 MG TABLET 1,770.00 1,239.00 849.6 1,451.40NEVIRAPINE 200 MG TABLET 1,797.45 1,258.22 862.78 1,473.91NEVIRAPINE 200 MG TABLET 1,797.45 1,258.22 862.78 1,473.91SACUBITRIL 24 MG-VALSARTAN 26 MG TABLET 1,807.68 1,265.38 867.69 1,482.30SACUBITRIL 97 MG-VALSARTAN 103 MG TABLET 1,807.68 1,265.38 867.69 1,482.30SACUBITRIL 49 MG-VALSARTAN 51 MG TABLET 1,807.68 1,265.38 867.69 1,482.30VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE 1,874.50 1,312.15 899.76 1,537.09VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE 1,874.50 1,312.15 899.76 1,537.09QUETIAPINE 100 MG TABLET 1,895.68 1,326.98 909.93 1,554.46QUETIAPINE 100 MG TABLET 1,895.68 1,326.98 909.93 1,554.46QUETIAPINE 100 MG TABLET 1,895.68 1,326.98 909.93 1,554.46SUFENTANIL 30 MCG SUBLINGUAL TABLET IN A SINGLE-DOSE APPLICATOR 1,934.23 1,353.96 928.43 1,586.07SUFENTANIL 30 MCG SUBLINGUAL TABLET IN A SINGLE-DOSE APPLICATOR 1,934.23 1,353.96 928.43 1,586.07RISPERIDONE 2 MG TABLET 1,951.23 1,365.86 936.59 1,600.01RALOXIFENE 60 MG TABLET 1,970.20 1,379.14 945.7 1,615.56INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION 2,007.19 1,405.03 963.45 1,645.90LEVOFLOXACIN 500 MG TABLET 2,019.00 1,413.30 969.12 1,655.58OPIUM TINCTURE 10 MG/ML (MORPHINE) ORAL 2,044.94 1,431.46 981.57 1,676.85OPIUM TINCTURE 10 MG/ML (MORPHINE) ORAL 2,044.94 1,431.46 981.57 1,676.85CONJUGATED ESTROGENS 0.625 MG TABLET 2,055.73 1,439.01 986.75 1,685.70CONJUGATED ESTROGENS 0.45 MG TABLET 2,055.73 1,439.01 986.75 1,685.70CONJUGATED ESTROGENS 0.3 MG TABLET 2,055.73 1,439.01 986.75 1,685.70HALOPERIDOL 5 MG TABLET 2,058.00 1,440.60 987.84 1,687.56CELECOXIB 200 MG CAPSULE 2,094.78 1,466.35 1,005.49 1,717.72CELECOXIB 200 MG CAPSULE 2,094.78 1,466.35 1,005.49 1,717.72CELECOXIB 200 MG CAPSULE 2,094.78 1,466.35 1,005.49 1,717.72CELECOXIB 200 MG CAPSULE 2,094.78 1,466.35 1,005.49 1,717.72QUETIAPINE ER 200 MG TABLET,EXTENDED RELEASE 24 HR 2,113.36 1,479.35 1,014.41 1,732.96QUETIAPINE ER 200 MG TABLET,EXTENDED RELEASE 24 HR 2,113.36 1,479.35 1,014.41 1,732.96QUETIAPINE ER 200 MG TABLET,EXTENDED RELEASE 24 HR 2,113.36 1,479.35 1,014.41 1,732.96LISINOPRIL 20 MG TABLET 2,116.00 1,481.20 1,015.68 1,735.12LISINOPRIL 20 MG TABLET 2,116.00 1,481.20 1,015.68 1,735.12LISINOPRIL 20 MG TABLET 2,116.00 1,481.20 1,015.68 1,735.12QUETIAPINE ER 150 MG TABLET,EXTENDED RELEASE 24 HR 2,133.40 1,493.38 1,024.03 1,749.39LACOSAMIDE 50 MG TABLET 2,178.60 1,525.02 1,045.73 1,786.45DRONEDARONE 400 MG TABLET 2,182.72 1,527.90 1,047.71 1,789.83APRACLONIDINE 1 % EYE DROPS IN A DROPPERETTE 2,206.02 1,544.21 1,058.89 1,808.94METHYLERGONOVINE 0.2 MG TABLET 2,228.56 1,559.99 1,069.71 1,827.42BERACTANT 25 MG/ML IN 0.9 % SODIUM CHLORIDE INTRATRACHEAL SUSPENSION 2,247.03 1,572.92 1,078.57 1,842.56ZIPRASIDONE 60 MG CAPSULE 2,270.06 1,589.04 1,089.63 1,861.45ZIPRASIDONE 60 MG CAPSULE 2,270.06 1,589.04 1,089.63 1,861.45SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET 2,275.86 1,593.10 1,092.41 1,866.21SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET 2,275.86 1,593.10 1,092.41 1,866.21RIBAVIRIN 200 MG CAPSULE 2,304.75 1,613.33 1,106.28 1,889.90

INTERFERON BETA-1A (ALBUMIN) 44 MCG/0.5 ML SUBCUTANEOUS SYRINGE 2,312.15 1,618.51 1,109.83 1,895.96INTERFERON BETA-1A (ALBUMIN) 44 MCG/0.5 ML SUBCUTANEOUS SYRINGE 2,312.15 1,618.51 1,109.83 1,895.96MESALAMINE 400 MG CAPSULE (WITH DELAYED RELEASE TABLETS INSIDE) 2,314.23 1,619.96 1,110.83 1,897.67MESALAMINE 400 MG CAPSULE (WITH DELAYED RELEASE TABLETS INSIDE) 2,314.23 1,619.96 1,110.83 1,897.67ANASTROZOLE 1 MG TABLET 2,404.72 1,683.30 1,154.27 1,971.87MESALAMINE CR 250 MG CAPSULE,CONTROLLED RELEASE 2,414.38 1,690.07 1,158.90 1,979.79LIPASE-PROTEASE-AMYLASE 36,000-114,000-180,000 UNIT CAPSULE,DELAY REL 2,422.80 1,695.96 1,162.94 1,986.70PALIPERIDONE ER 1.5 MG TABLET,EXTENDED RELEASE 24 HR 2,528.56 1,769.99 1,213.71 2,073.42PALIPERIDONE ER 6 MG TABLET,EXTENDED RELEASE 24 HR 2,529.39 1,770.57 1,214.11 2,074.10PALIPERIDONE ER 6 MG TABLET,EXTENDED RELEASE 24 HR 2,529.39 1,770.57 1,214.11 2,074.10PALIPERIDONE ER 6 MG TABLET,EXTENDED RELEASE 24 HR 2,529.39 1,770.57 1,214.11 2,074.10GABAPENTIN 600 MG TABLET 2,539.00 1,777.30 1,218.72 2,081.98GABAPENTIN 600 MG TABLET 2,539.00 1,777.30 1,218.72 2,081.98GABAPENTIN 600 MG TABLET 2,539.00 1,777.30 1,218.72 2,081.98GABAPENTIN 600 MG TABLET 2,539.00 1,777.30 1,218.72 2,081.98FLUPHENAZINE 5 MG TABLET 2,540.00 1,778.00 1,219.20 2,082.80DILTIAZEM CD 360 MG CAPSULE,EXTENDED RELEASE 24 HR 2,543.16 1,780.21 1,220.72 2,085.39DILTIAZEM CD 360 MG CAPSULE,EXTENDED RELEASE 24 HR 2,543.16 1,780.21 1,220.72 2,085.39VORICONAZOLE 200 MG TABLET 2,590.02 1,813.01 1,243.21 2,123.82VORICONAZOLE 200 MG TABLET 2,590.02 1,813.01 1,243.21 2,123.82OLANZAPINE 5 MG TABLET 2,653.20 1,857.24 1,273.54 2,175.62OLANZAPINE 5 MG TABLET 2,653.20 1,857.24 1,273.54 2,175.62OLANZAPINE 5 MG TABLET 2,653.20 1,857.24 1,273.54 2,175.62OLANZAPINE 5 MG TABLET 2,653.20 1,857.24 1,273.54 2,175.62ARIPIPRAZOLE 2 MG TABLET 2,656.19 1,859.33 1,274.97 2,178.08ARIPIPRAZOLE 10 MG TABLET 2,656.19 1,859.33 1,274.97 2,178.08ARIPIPRAZOLE 10 MG TABLET 2,656.19 1,859.33 1,274.97 2,178.08ARIPIPRAZOLE 15 MG TABLET 2,656.19 1,859.33 1,274.97 2,178.08CINACALCET 30 MG TABLET 2,672.11 1,870.48 1,282.61 2,191.13CINACALCET 30 MG TABLET 2,672.11 1,870.48 1,282.61 2,191.13FLUCONAZOLE 100 MG TABLET 2,679.98 1,875.99 1,286.39 2,197.58BUSPIRONE 15 MG TABLET 2,746.25 1,922.38 1,318.20 2,251.93APIXABAN 2.5 MG TABLET 2,755.05 1,928.54 1,322.42 2,259.14APIXABAN 2.5 MG TABLET 2,755.05 1,928.54 1,322.42 2,259.14TEMAZEPAM 7.5 MG CAPSULE 2,756.43 1,929.50 1,323.09 2,260.27TEMAZEPAM 7.5 MG CAPSULE 2,756.43 1,929.50 1,323.09 2,260.27QUETIAPINE ER 300 MG TABLET,EXTENDED RELEASE 24 HR 2,767.84 1,937.49 1,328.56 2,269.63BRIVARACETAM 100 MG TABLET 2,925.40 2,047.78 1,404.19 2,398.83BRIVARACETAM 100 MG TABLET 2,925.40 2,047.78 1,404.19 2,398.83BRIVARACETAM 50 MG TABLET 2,925.40 2,047.78 1,404.19 2,398.83CARIPRAZINE 1.5 MG CAPSULE 2,949.58 2,064.71 1,415.80 2,418.66CARIPRAZINE 1.5 MG CAPSULE 2,949.58 2,064.71 1,415.80 2,418.66LEVOFLOXACIN 250 MG TABLET 2,955.20 2,068.64 1,418.50 2,423.26LURASIDONE 20 MG TABLET 3,090.16 2,163.11 1,483.28 2,533.93ISAVUCONAZONIUM SULFATE 186 MG CAPSULE 3,120.18 2,184.13 1,497.69 2,558.55ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION 3,163.78 2,214.65 1,518.61 2,594.30ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION 3,163.78 2,214.65 1,518.61 2,594.30LANSOPRAZOLE 15 MG DELAYED RELEASE,DISINTEGRATING TABLET 3,164.80 2,215.36 1,519.10 2,595.14LANSOPRAZOLE 15 MG DELAYED RELEASE,DISINTEGRATING TABLET 3,164.80 2,215.36 1,519.10 2,595.14DEXTROMETHORPHAN 20 MG-QUINIDINE 10 MG CAPSULE 3,214.00 2,249.80 1,542.72 2,635.48QUETIAPINE ER 400 MG TABLET,EXTENDED RELEASE 24 HR 3,251.20 2,275.84 1,560.58 2,665.98QUETIAPINE ER 400 MG TABLET,EXTENDED RELEASE 24 HR 3,251.20 2,275.84 1,560.58 2,665.98QUETIAPINE ER 400 MG TABLET,EXTENDED RELEASE 24 HR 3,251.20 2,275.84 1,560.58 2,665.98MESALAMINE 800 MG TABLET,DELAYED RELEASE 3,348.64 2,344.05 1,607.35 2,745.88RIVAROXABAN 10 MG TABLET 3,769.60 2,638.72 1,809.41 3,091.07SEVELAMER CARBONATE 800 MG TABLET 3,865.06 2,705.54 1,855.23 3,169.35SEVELAMER CARBONATE 800 MG TABLET 3,865.06 2,705.54 1,855.23 3,169.35RALTEGRAVIR 400 MG TABLET 3,977.44 2,784.21 1,909.17 3,261.50PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE 4,090.00 2,863.00 1,963.20 3,353.80PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE 4,090.00 2,863.00 1,963.20 3,353.80PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE 4,090.00 2,863.00 1,963.20 3,353.80PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE 4,090.00 2,863.00 1,963.20 3,353.80PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE 4,090.00 2,863.00 1,963.20 3,353.80PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE 4,090.00 2,863.00 1,963.20 3,353.80EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET 4,431.46 3,102.02 2,127.10 3,633.80ASENAPINE 5 MG SUBLINGUAL TABLET 4,813.20 3,369.24 2,310.34 3,946.82ASENAPINE 5 MG SUBLINGUAL TABLET 4,813.20 3,369.24 2,310.34 3,946.82LEVOFLOXACIN 750 MG TABLET 4,932.80 3,452.96 2,367.74 4,044.90BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE 4,981.20 3,486.84 2,390.98 4,084.58BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE 4,981.20 3,486.84 2,390.98 4,084.58BARICITINIB 1 MG TABLET 5,446.00 3,812.20 2,614.08 4,465.72BARICITINIB 2 MG TABLET 5,446.00 3,812.20 2,614.08 4,465.72

CLOBAZAM 10 MG TABLET 5,799.20 4,059.44 2,783.62 4,755.34CLOBAZAM 10 MG TABLET 5,799.20 4,059.44 2,783.62 4,755.34RIFAXIMIN 550 MG TABLET 6,628.00 4,639.60 3,181.44 5,434.96DANTROLENE 250 MG INTRAVENOUS SUSPENSION 6,778.08 4,744.66 3,253.48 5,558.03FIDAXOMICIN 200 MG TABLET 9,752.08 6,826.46 4,681.00 7,996.71SIMVASTATIN 40 MG TABLET 9,844.00 6,890.80 4,725.12 8,072.08LAMOTRIGINE 100 MG TABLET 10,398.00 7,278.60 4,991.04 8,526.36LAMOTRIGINE 100 MG TABLET 10,398.00 7,278.60 4,991.04 8,526.36LAMOTRIGINE 100 MG TABLET 10,398.00 7,278.60 4,991.04 8,526.36LINEZOLID 600 MG TABLET 10,990.00 7,693.00 5,275.20 9,011.80LINEZOLID 600 MG TABLET 10,990.00 7,693.00 5,275.20 9,011.80TOLVAPTAN 15 MG TABLET 11,900.22 8,330.15 5,712.11 9,758.18ALVIMOPAN 12 MG CAPSULE 12,478.96 8,735.27 5,989.90 10,232.75INDOMETHACIN 50 MG RECTAL SUPPOSITORY 14,793.52 10,355.46 7,100.89 12,130.69INDOMETHACIN 50 MG RECTAL SUPPOSITORY 14,793.52 10,355.46 7,100.89 12,130.69INTERFERON BETA-1B 0.3 MG SUBCUTANEOUS KIT 16,047.67 11,233.37 7,702.88 13,159.09ELTROMBOPAG 50 MG TABLET 22,904.56 16,033.19 10,994.19 18,781.74ELTROMBOPAG 50 MG TABLET 22,904.56 16,033.19 10,994.19 18,781.74INFANT FORMULA,SPEC.MET,LAC FR,IRON 2.8-5.3-10.3 GRAM/100 KCAL LIQUID - #VALUE! #VALUE! #VALUE!CLONIDINE 25 MCG/ML LIQUID CMPD - #VALUE! #VALUE! #VALUE!MAGIC MOUTHWASH #2 ORAL SUSPENSION (NYST/APAP/BENADRYL/LIDO) - #VALUE! #VALUE! #VALUE!VANCOMYCIN ENEMA - #VALUE! #VALUE! #VALUE!ELASTOMERIC PUMP RESERVOIR 5 ML/HR - #VALUE! #VALUE! #VALUE!HYDROMORPHONE PCA 0.2 MG/ML - #VALUE! #VALUE! #VALUE!GI COCKTAIL ORAL SUSPENSION - #VALUE! #VALUE! #VALUE!METHADONE 0.3 MG/0.3 ML LIQUID CMPD - #VALUE! #VALUE! #VALUE!HYDROMORPHONE PCA 0.2 MG/ML - #VALUE! #VALUE! #VALUE!MORPHINE SULFATE 0.4 MG/ML PO SOLN (COMPOUNDED) - #VALUE! #VALUE! #VALUE!MITOMYCIN OPHTHALMIC SOLUTION - #VALUE! #VALUE! #VALUE!ELASTOMERIC PUMP RESERVOIR 2 ML/HR - #VALUE! #VALUE! #VALUE!OSCILLATING SAW BLADE STRYKER 1,086.98 760.89 521.75 891.32P-LOC 4.5 LP TIB LK PL10H L201 13,119.27 9,183.49 6,297.25 10,757.80INTERSPACE LG TEMP KNEE SPACER 11,390.61 7,973.43 5,467.49 9,340.30LENS PANOPTIX 18.5 895.00 626.5 429.6 733.9EVOS PL 3.5MM CVD PROX HUM 6HR 11,545.78 8,082.05 5,541.97 9,467.54PLATE 2.7MM 7 HOLE LEFT 1,335.90 935.13 641.23 1,095.44SCREW LOCKING 3.5MM X 20MM 536.80 375.76 257.66 440.18BAKRI BALLOON POSTPARTUM 20.00 14 9.6 16.4BAKRI BALLOON POSTPARTUM 20.00 14 9.6 16.4MED LEAD TRIAL 1 X 8 VECTRIS 2,620.00 1,834.00 1,257.60 2,148.40CATHETER HICKMAN REPAIR KIT 699.25 489.48 335.64 573.39HICKMAN WHITE LEG REPAIR KIT 634.25 443.98 304.44 520.09REAMER LOW PROFILE 8MM 653.75 457.63 313.8 536.08REAMER LOW PROFILE 8MM 653.75 457.63 313.8 536.08PIN DRILL SET 291.58 204.11 139.96 239.1BAG DRAINAGE ASPIRA>> 20.00 14 9.6 16.4PIN NONRIM SPEED 65MM 329.78 230.85 158.29 270.42VACUUM CUP KIWI W/ PALM PUMP 208.91 146.24 100.28 171.31COLOPLAST BONEE NEEDLE 350.00 245 168 287VENOM CANNULA 18GA 150MM 323.85 226.7 155.45 265.56FLIP CUTTER 10.5 946.25 662.38 454.2 775.93FLIP CUTTER 10.5 946.25 662.38 454.2 775.93VORTEX SYSTEM 410.13 287.09 196.86 336.31REAMER LOW PROFILE 653.75 457.63 313.8 536.08REAMER LOW PROFILE 653.75 457.63 313.8 536.08REAMER LOW PROFILE 653.75 457.63 313.8 536.08STAPLER CONTOUR 1,817.40 1,272.18 872.35 1,490.27EVOS DRILL SM 2.0MM W/AO QC LO 455.50 318.85 218.64 373.51TIGERLOOP 329.00 230.3 157.92 269.78LIQUIBAND OCTYL 0.8ML 148.96 104.27 71.5 122.15LIQUIBAND OCTYL 0.8ML 148.96 104.27 71.5 122.15LIQUIBAND OCTYL 0.8ML 148.96 104.27 71.5 122.15LIQUIBAND OCTYL 0.8ML 148.96 104.27 71.5 122.15KRONMER MANIPUJECTOR 342.86 240 164.57 281.15CATH TROCAR 8FR>> 144.58 101.21 69.4 118.56URIMETER W O FOLEY>>> 80.38 56.27 38.58 65.91URIMETER W O FOLEY>>> 80.38 56.27 38.58 65.91SUTURE DEVICE ENDOSTITCH 10MM 1,112.63 778.84 534.06 912.36DRESS COTTON BATTING ROLL 44.74 31.32 21.48 36.69TIGERLOOP 357.50 250.25 171.6 293.15TIGERLOOP 357.50 250.25 171.6 293.15FIBERLOOP 357.50 250.25 171.6 293.15

FIBERLOOP 357.50 250.25 171.6 293.15DRILL 5MM CANNULATED 618.00 432.6 296.64 506.76KIT PROCEDURE HYSTEROLUX 1,054.28 738 506.05 864.51CHLORAPREP ORANGE TINT 26ML 68.73 48.11 32.99 56.36CHLORAPREP ORANGE TINT 26ML 68.73 48.11 32.99 56.36CHLORAPREP ORANGE TINT 26ML 68.73 48.11 32.99 56.36CHLORAPREP ORANGE TINT 26ML 68.73 48.11 32.99 56.36BLUE RELOAD 60 FOR ECHELON 645.94 452.16 310.05 529.67KIT CATH BAL DIL 4CM 6MM 18FR 868.71 608.1 416.98 712.34KUMI KOH-EFFICIENT 3.5CM 454.64 318.25 218.23 372.8FLANGE MOLDABLE 1.75>> 31.53 22.07 15.13 25.85TUBE TUM-E-VAC LAVAGE 24FR>> 63.82 44.67 30.63 52.33BONE CLEANING TIP 102.40 71.68 49.15 83.97PACK UNIVERSAL 106.75 74.73 51.24 87.54KERLIX ROLL STERILE AMD 4">>> 29.56 20.69 14.19 24.24KERLIX ROLL STERILE AMD 4">>> 29.56 20.69 14.19 24.24KERLIX ROLL STERILE AMD 4">>> 29.56 20.69 14.19 24.24KERLIX ROLL STERILE AMD 4">>> 29.56 20.69 14.19 24.24KERLIX ROLL STERILE AMD 4">>> 29.56 20.69 14.19 24.24BARREL ABRADER POW MINI DIS 2. 416.90 291.83 200.11 341.86PACK PACEMAKER CATH LAB 346.40 242.48 166.27 284.05PLATE SMALL-T RT ANGLE 638.37 446.86 306.42 523.46VALVE ANTI-REFLUX>> 48.37 33.86 23.22 39.66TUBE INFANT FEEDING 5FR 36">> 53.32 37.32 25.59 43.72TUBE INFANT FEEDING 5FR 36">> 53.32 37.32 25.59 43.72TUBE INFANT FEEDING 5FR 36">> 53.32 37.32 25.59 43.72SOL SET Y-TYPE TUR IRRIG ST>> 114.11 79.88 54.77 93.57SOL SET Y-TYPE TUR IRRIG ST>> 114.11 79.88 54.77 93.57ESMARK STERILE LF 4X9 32.85 23 15.77 26.94POUCH UROSTOMY 1 3/4">> 26.14 18.3 12.55 21.43STENT INTRODUCER FUSION OASIS 602.00 421.4 288.96 493.64POUCH CUSTOM CUT TO FIT>> 23.26 16.28 11.16 19.07PANCREATIC STENT 4FRX7CM 266.00 186.2 127.68 218.12SUT ETHILON SIZE 6-0 G697G 43.69 30.58 20.97 35.83SYRINGE INFLATION DS-60CC-S 212.00 148.4 101.76 173.84SYRINGE INFLATION DS-60CC-S 212.00 148.4 101.76 173.84PROBE PULSE OX PED 10-50KG>> 70.05 49.04 33.62 57.44PACK LITHOTOMY > 195.01 136.51 93.6 159.91DRESSING ADAPTIC 3X3>> 25.56 17.89 12.27 20.96DRESSING ADAPTIC 3X3>> 25.56 17.89 12.27 20.96GLIDESHEATH SLENDER 6FR 361.25 252.88 173.4 296.23CAUTERY PENCIL W/BLADE> 43.65 30.56 20.95 35.79CAUTERY PENCIL W/BLADE> 43.65 30.56 20.95 35.79HIBICLENS 4 OZ FLIPTOP BOTTLE 38.36 26.85 18.41 31.46SUT SILK SIZE 3-0 C013D 71.59 50.11 34.36 58.7K-WIRE .035 X 9" 21.86 15.3 10.49 17.93BAG UA PEDIATRIC MALE FEMALE>> 27.80 19.46 13.34 22.8BAG UA PEDIATRIC MALE FEMALE>> 27.80 19.46 13.34 22.8CATH PROTECT IV 18GAX1 1/4">>> 31.06 21.74 14.91 25.47CATH PROTECT IV 18GAX1 1/4">>> 31.06 21.74 14.91 25.47CATH PROTECT IV 18GAX1 1/4">>> 31.06 21.74 14.91 25.47CATH PROTECT IV 18GAX1 1/4">>> 31.06 21.74 14.91 25.47CATH PROTECT IV 18GAX1 1/4">>> 31.06 21.74 14.91 25.47CATH PROTECT IV 18GAX1 1/4">>> 31.06 21.74 14.91 25.47CATH PROTECT IV 18GAX1 1/4">>> 31.06 21.74 14.91 25.47CATH PROTECT IV 18GAX1 1/4">>> 31.06 21.74 14.91 25.47CATH PROTECT IV 18GAX1 1/4">>> 31.06 21.74 14.91 25.47STOCKINETTE STERILE 6" REGULAR 83.84 58.69 40.24 68.75SUT PROLENE 6-0 P3 NEEDLE 57.54 40.28 27.62 47.18SUT PROLENE 6-0 P3 NEEDLE 57.54 40.28 27.62 47.18SUTURE MONOCRYL 3.0 54.06 37.84 25.95 44.33SUT PROLENE SIZE 3-0 8762H 55.04 38.53 26.42 45.13SUT PROLENE SIZE 3-0 8762H 55.04 38.53 26.42 45.13NEEDLE SPINAL 20GA X 3 1/2">> 32.85 23 15.77 26.94ELECTRODE BLADE INSULATED 30.94 21.66 14.85 25.37PILLOW HEEL GEL (FOOT DROP)>> 67.72 47.4 32.51 55.53BONE WAX 2.5 GRAMS 51.37 35.96 24.66 42.12BONE WAX 2.5 GRAMS 51.37 35.96 24.66 42.12SUT PDS #1 LOOPED Z880G 50.67 35.47 24.32 41.55SUT PDS #1 LOOPED Z880G 50.67 35.47 24.32 41.55KIT SUCTION CATHETER 14FR>>> 29.33 20.53 14.08 24.05KIT SUCTION CATHETER 14FR>>> 29.33 20.53 14.08 24.05

KIT SUCTION CATHETER 14FR>>> 29.33 20.53 14.08 24.05KIT SUCTION CATHETER 14FR>>> 29.33 20.53 14.08 24.05SUT NYLON SIZE 1-0 37.46 26.22 17.98 30.72POUCH OSTOMY NATURA 1 3/4">> 30.66 21.46 14.72 25.14SUT VICRYL SIZE 6-0 P-3 NEEDLE 46.98 32.89 22.55 38.52SUT VICRYL SIZE 6-0 P-3 NEEDLE 46.98 32.89 22.55 38.52FEMORAL HEAD 28MM -3 COBALT 7,083.75 4,958.63 3,400.20 5,808.68PACKING VAGINAL 2 X 36 IN 4PLY 26.77 18.74 12.85 21.95SUT CHROMIC SIZE 2-0 811H 37.67 26.37 18.08 30.89SUT CHROMIC SIZE 2-0 811H 37.67 26.37 18.08 30.89KIT IN LINE SUCTION>> 67.56 47.29 32.43 55.4VALVE CONNECTOR ACE>> 37.14 26 17.83 30.45SUT PDS II SIZE 0 Z358T 36.65 25.66 17.59 30.05SUT SILK SIZE 2-0 K833H 35.80 25.06 17.18 29.36SUT SILK SIZE 2-0 K833H 35.80 25.06 17.18 29.36SUT ETHIBOND SIZE X519H 34.26 23.98 16.44 28.09KIT MIDSTREAM CATCH 4.5 OZ>>> 33.98 23.79 16.31 27.86KIT MIDSTREAM CATCH 4.5 OZ>>> 33.98 23.79 16.31 27.86KIT MIDSTREAM CATCH 4.5 OZ>>> 33.98 23.79 16.31 27.86KIT MIDSTREAM CATCH 4.5 OZ>>> 33.98 23.79 16.31 27.86KIT MIDSTREAM CATCH 4.5 OZ>>> 33.98 23.79 16.31 27.86KIT MIDSTREAM CATCH 4.5 OZ>>> 33.98 23.79 16.31 27.86SUT VICRYL SIZE 3-0 J285G 32.77 22.94 15.73 26.87SUTURE ETHILON CVD SIZE 2.0>> 31.80 22.26 15.26 26.08SUTURE ETHILON CVD SIZE 2.0>> 31.80 22.26 15.26 26.08SUTURE ETHILON CVD SIZE 2.0>> 31.80 22.26 15.26 26.08SUTURE MONOCRYL 3-0 Y416H 33.00 23.1 15.84 27.06SUTURE MONOCRYL 3-0 Y416H 33.00 23.1 15.84 27.06SUT ETHILON SIZE 4-0 1629H 32.30 22.61 15.5 26.49SUT ETHILON SIZE 4-0 1629H 32.30 22.61 15.5 26.49SUTURE ETHIBOND X424H 30.10 21.07 14.45 24.68SYRINGE EAR BULB STERILE>>> 31.61 22.13 15.17 25.92SYRINGE EAR BULB STERILE>>> 31.61 22.13 15.17 25.92SYRINGE EAR BULB STERILE>>> 31.61 22.13 15.17 25.92SYRINGE EAR BULB STERILE>>> 31.61 22.13 15.17 25.92SYRINGE EAR BULB STERILE>>> 31.61 22.13 15.17 25.92SYRINGE EAR BULB STERILE>>> 31.61 22.13 15.17 25.92SYRINGE EAR BULB STERILE>>> 31.61 22.13 15.17 25.92SYRINGE EAR BULB STERILE>>> 31.61 22.13 15.17 25.92SYRINGE EAR BULB STERILE>>> 31.61 22.13 15.17 25.92SYRINGE EAR BULB STERILE>>> 31.61 22.13 15.17 25.92SYRINGE EAR BULB STERILE>>> 31.61 22.13 15.17 25.92SYRINGE EAR BULB STERILE>>> 31.61 22.13 15.17 25.92SYRINGE EAR BULB STERILE>>> 31.61 22.13 15.17 25.92SYRINGE EAR BULB STERILE>>> 31.61 22.13 15.17 25.92SYRINGE EAR BULB STERILE>>> 31.61 22.13 15.17 25.92SYRINGE EAR BULB STERILE>>> 31.61 22.13 15.17 25.92SYRINGE EAR BULB STERILE>>> 31.61 22.13 15.17 25.92SUT VICRYL SIZE 1-0 J353H 29.45 20.62 14.14 24.15SUTURE VICRYL O 29.42 20.59 14.12 24.12SUTURE VICRYL O 29.42 20.59 14.12 24.12DRESSING PETRO XEROFORM 5X9 28.69 20.08 13.77 23.53DRESSING PETRO XEROFORM 5X9 28.69 20.08 13.77 23.53DRESSING PETRO XEROFORM 5X9 28.69 20.08 13.77 23.53DRESSING TEGADERM LG 4X10>> 28.51 19.96 13.68 23.38DRESSING TEGADERM LG 4X10>> 28.51 19.96 13.68 23.38DRESSING TEGADERM LG 4X10>> 28.51 19.96 13.68 23.38SUT VICRYL SZ 0 J978H 30.08 21.06 14.44 24.67SUT VICRYL SZ 0 J978H 30.08 21.06 14.44 24.67SPONGE STERILE PK 4X4>> 20.59 14.41 9.88 16.88SPONGE STERILE PK 4X4>> 20.59 14.41 9.88 16.88SPONGE STERILE PK 4X4>> 20.59 14.41 9.88 16.88SPONGE STERILE PK 4X4>> 20.59 14.41 9.88 16.88SPONGE STERILE PK 4X4>> 20.59 14.41 9.88 16.88SPONGE STERILE PK 4X4>> 20.59 14.41 9.88 16.88SPONGE STERILE PK 4X4>> 20.59 14.41 9.88 16.88SPONGE STERILE PK 4X4>> 20.59 14.41 9.88 16.88MIC-KEY G TUBE KIT 20FR 2.7CM 428.69 300.08 205.77 351.53WIPE SKIN BARRIER REMEDY>> 39.73 27.81 19.07 32.58WIPE SKIN BARRIER REMEDY>> 39.73 27.81 19.07 32.58WIPE SKIN BARRIER REMEDY>> 39.73 27.81 19.07 32.58WIPE SKIN BARRIER REMEDY>> 39.73 27.81 19.07 32.58

VENT AIR RELEASE POUCH>> 29.69 20.78 14.25 24.35ULTRASET DRAIN BAG W/TUBING>> 96.09 67.26 46.12 78.79TUNNEL TOOL 1,320.00 924 633.6 1,082.40TUBING ADAPTER UNIV ASPRA>> 150.56 105.39 72.27 123.46TUBE TRACH 6.0 NONFEN UNCUF>> 249.73 174.81 119.87 204.78TUBE TRACH 6.0 FEN UNCUF>> 257.83 180.48 123.76 211.42TUBE TRACH 4.0 FEN UNCUF>> 256.93 179.85 123.33 210.68TUBE MIC JEJ F 18 FR 621.63 435.14 298.38 509.74TUBE BLKEMOR NASAL GASTR 20F>> 1,066.99 746.89 512.16 874.93TRIGEN 3.2 LONG BRAD DRILL BIT 1,119.64 783.75 537.43 918.1TRAY PROC THORA VENT TRU-CLOS 748.00 523.6 359.04 613.36TRANSDUCER PRESSURE MONITOR>> 92.80 64.96 44.54 76.1TRANSDUCER PRESSURE MONITOR>> 92.80 64.96 44.54 76.1SUSPENSORY XLG>> 103.92 72.74 49.88 85.21SUSPENSORY SMALL>> 63.52 44.46 30.49 52.09SUSPENSORY MED>> 86.72 60.7 41.63 71.11SUSPENSORY LG>> 103.92 72.74 49.88 85.21SUPPORT HAND/WRIST>> 113.20 79.24 54.34 92.82STYLET INTUBATING 5FR>> 36.84 25.79 17.68 30.21STYLET INTUBATING 5FR>> 36.84 25.79 17.68 30.21STYLET INTUBATING 5FR>> 36.84 25.79 17.68 30.21STYLET INTUBATING 5FR>> 36.84 25.79 17.68 30.21STYLET INTUBATING 5.0-10.0>> 38.96 27.27 18.7 31.95STETHOSCOPE DISP>> 32.38 22.67 15.54 26.55STENT BILIARY 8.5X15 COOK 218.50 152.95 104.88 179.17STENT BILIARY 8.5 X 9 COOK 372.50 260.75 178.8 305.45STENT BILIARY 8.5 X 12 COOK 218.50 152.95 104.88 179.17STENT BILI RE 8.5 X 7 COOK 218.50 152.95 104.88 179.17STENT 8.5X5 BILIARY COOK 223.25 156.28 107.16 183.07SPLINT ORTHOPEDIC 5">>> 24.74 17.32 11.88 20.29SPLINT ORTHOPEDIC 5">>> 24.74 17.32 11.88 20.29SPLINT ORTHOPEDIC 5">>> 24.74 17.32 11.88 20.29SPLINT ORTHOPEDIC 3">>> 23.83 16.68 11.44 19.54SPLINT ORTHOPEDIC 3">>> 23.83 16.68 11.44 19.54SPLINT ORTHOPEDIC 3">>> 23.83 16.68 11.44 19.54SPLINT ORTHO GLASS 3" 44.85 31.4 21.53 36.78SPLINT FINGER METAL 3/4"X18" 33.26 23.28 15.96 27.27SPLINT FINGER METAL 1/2" X 9" 27.15 19.01 13.03 22.26SPLINT FINGER METAL 1" X 18" 32.91 23.04 15.8 26.99SPLINT BUCKS TRACT LINER>>> 120.00 84 57.6 98.4SPIROMETER INCENTIVE> 31.67 22.17 15.2 25.97SOL MINI CAP PROVIDNE>> 60.31 42.22 28.95 49.45SOEHENDRA STENT RET SSR-10 460.75 322.53 221.16 377.82SLING ULTRA RIGHT 15 DEGREE>> 384.44 269.11 184.53 315.24SLING ULTRA II MED DONJOY 393.95 275.77 189.1 323.04SLING LIFT DISP XLG>>> 332.38 232.67 159.54 272.55SLING ARM SMALL>>> 31.80 22.26 15.26 26.08SLING ARM PEDIATRIC>> 39.47 27.63 18.95 32.37SLING ARM MEDIUM>>> 31.80 22.26 15.26 26.08SLING ARM MEDIUM>>> 31.80 22.26 15.26 26.08SLING ARM MEDIUM>>> 31.80 22.26 15.26 26.08SLING ARM MEDIUM>>> 31.80 22.26 15.26 26.08SLING ARM MEDIUM>>> 31.80 22.26 15.26 26.08SLING ARM LARGE>>> 38.15 26.71 18.31 31.28SLING ARM LARGE>>> 38.15 26.71 18.31 31.28SLING ARM LARGE>>> 38.15 26.71 18.31 31.28SLING ARM CHILD>> 39.47 27.63 18.95 32.37SLEEVE SCD KNEE MED>> 525.00 367.5 252 430.5SLEEVE SCD KNEE MED>> 525.00 367.5 252 430.5SLEEVE SCD KNEE MED>> 525.00 367.5 252 430.5SLEEVE SCD KNEE MED>> 525.00 367.5 252 430.5SLEEVE SCD KNEE MED>> 525.00 367.5 252 430.5SLEEVE SCD KNEE MED>> 525.00 367.5 252 430.5SLEEVE SCD KNEE LG>> 87.68 61.38 42.09 71.9SLEEVE SCD KNEE LG>> 87.68 61.38 42.09 71.9SLEEVE KNEE XLG SCD>> 331.10 231.77 158.93 271.5SHOE POST-OP WOMEN SM>>> 49.21 34.45 23.62 40.35SHOE POST-OP WOMEN SM>>> 49.21 34.45 23.62 40.35SHOE POST-OP WOMEN MED>>> 49.21 34.45 23.62 40.35SHOE POST-OP WOMEN MED>>> 49.21 34.45 23.62 40.35SHOE POST-OP WOMEN LG>>> 49.21 34.45 23.62 40.35SHOE POST-OP WOMEN LG>>> 49.21 34.45 23.62 40.35

SHOE POST-OP PEDS>> 59.31 41.52 28.47 48.63SHOE POST-OP MENS SMALL>>> 49.21 34.45 23.62 40.35SHOE POST-OP MENS SMALL>>> 49.21 34.45 23.62 40.35SHOE POST-OP MEN X-LARGE>> 49.21 34.45 23.62 40.35SHOE POST-OP MEN MED>>> 49.21 34.45 23.62 40.35SHOE POST-OP MEN MED>>> 49.21 34.45 23.62 40.35SHOE POST-OP MEN LG>>> 49.21 34.45 23.62 40.35SHOE POST-OP MEN LG>>> 49.21 34.45 23.62 40.35SHIELD EYE METAL BLUE>> 32.35 22.65 15.53 26.53SHIELD EYE METAL BLUE>> 32.35 22.65 15.53 26.53SET MINI CAP TRAN W/CLAMP>> 418.91 293.24 201.08 343.51SAW BLADE DOUBLE SIDED 272.68 190.88 130.89 223.6SAW BLADE 18X 1.27 X 90MM 333.20 233.24 159.94 273.22ROM WALKER MAXTRAX HIGH/SM> 530.00 371 254.4 434.6ROM WALKER MAXTRAX HIGH MED> 416.18 291.33 199.77 341.27ROM WALKER MAXTRAX HIGH LG> 530.00 371 254.4 434.6RETRACTOR ALEXIS O C-SECT LG 387.50 271.25 186 317.75RETRACTOR ALEXIS O C-SECT LG 387.50 271.25 186 317.75RESTRAINT WRIST LIMB>> 60.16 42.11 28.88 49.33RESTRAINT WRIST LIMB>> 60.16 42.11 28.88 49.33RESTRAINT WRIST LIMB>> 60.16 42.11 28.88 49.33RESTRAINT WRIST LIMB>> 60.16 42.11 28.88 49.33RESTRAINT WRIST LIMB>> 60.16 42.11 28.88 49.33RELOAD SUT ASSIST SIZE 0 6 F 177.76 124.43 85.32 145.76REFLECTION FLEX DRILL BIT 25MM 673.61 471.53 323.33 552.36REFLECTION FLEX DRILL BIT 25MM 673.61 471.53 323.33 552.36PULSE OX HEAD PROBE OXIMAX>> 179.05 125.34 85.94 146.82PULSE OX HEAD PROBE OXIMAX>> 179.05 125.34 85.94 146.82POUCH COLLECTOR FECAL LG>> 51.87 36.31 24.9 42.53POUCH CLOSED END W/FILTR 1.5>> 29.34 20.54 14.08 24.06POLYP TRAP SINGLE ENVIRONMATE 36.42 25.49 17.48 29.86POLYP TRAP SINGLE ENVIRONMATE 36.42 25.49 17.48 29.86PINK PAD XL TRENDELENBURG KT 580.00 406 278.4 475.6PIN 3.5 MM PR 40MM 2,049.23 1,434.46 983.63 1,680.37PIN 3.5 MM PR 40MM 2,049.23 1,434.46 983.63 1,680.37PILLOW ABDUCT MED>>> 156.00 109.2 74.88 127.92PILLOW ABDUCT MED>>> 156.00 109.2 74.88 127.92PATCH NOVII 312.13 218.49 149.82 255.95PADDING WEBRIL 2" NS COTTON 33.13 23.19 15.9 27.17PADDING ORTHO WEBRIL 6">>> 37.08 25.96 17.8 30.41PADDING ORTHO WEBRIL 6">>> 37.08 25.96 17.8 30.41PADDING ORTHO WEBRIL 6">>> 37.08 25.96 17.8 30.41PADDING ORTHO WEBRIL 6">>> 37.08 25.96 17.8 30.41PADDING ORTHO WEBRIL 4">>> 29.82 20.87 14.31 24.45PADDING ORTHO WEBRIL 4">>> 29.82 20.87 14.31 24.45PADDING ORTHO WEBRIL 4">>> 29.82 20.87 14.31 24.45PADDING ORTHO WEBRIL 4">>> 29.82 20.87 14.31 24.45PADDING COTTON ORTHO 3" WEBR 36.97 25.88 17.75 30.32PAD TEMPERATURE MED 15X22>>> 58.90 41.23 28.27 48.3PAD TEMPATURE LG>> 119.29 83.5 57.26 97.82PAD PERI OB>> 20.13 14.09 9.66 16.51PAD PERI OB>> 20.13 14.09 9.66 16.51PAD PERI OB>> 20.13 14.09 9.66 16.51PAD PERI OB>> 20.13 14.09 9.66 16.51PAD PERI OB>> 20.13 14.09 9.66 16.51PAD PERI OB>> 20.13 14.09 9.66 16.51PAD INCONTINENCE CARE WHITE>> 67.30 47.11 32.3 55.19PAD HEEL ELBOW XLG>> 66.01 46.21 31.68 54.13PAD HEEL ELBOW XLG>> 66.01 46.21 31.68 54.13PAD HEEL ELBOW SM>> 86.05 60.24 41.3 70.56PAD HEEL ELBOW MED>> 86.34 60.44 41.44 70.8PAD HEEL ELBOW MED>> 86.34 60.44 41.44 70.8PAD HEEL ELBOW LG>> 87.92 61.54 42.2 72.09PAD HEEL ELBOW LG>> 87.92 61.54 42.2 72.09PAD CAUTERY WITH CORD> 43.27 30.29 20.77 35.48PAD CAUTERY WITH CORD> 43.27 30.29 20.77 35.48PAD CAUTERY WITH CORD> 43.27 30.29 20.77 35.48PAD CAUTERY WITH CORD> 43.27 30.29 20.77 35.48PAD BEDCHECK MONITOR>> 160.00 112 76.8 131.2PAD BEDCHECK MONITOR>> 160.00 112 76.8 131.2PAD BEDCHECK CHAIR CORD 8FT>> 181.44 127.01 87.09 148.78OXISENSOR DISP ADULT>>> 74.62 52.23 35.82 61.19

OXISENSOR DISP ADULT>>> 74.62 52.23 35.82 61.19ONE-STEP FACE PROTECTOR 219.92 153.94 105.56 180.33MICRO BLADE 9.5X41X.38 STRYKER 489.68 342.78 235.05 401.54MICRO BLADE 9.5X41X.38 STRYKER 489.68 342.78 235.05 401.54MASK INF NEONATAL SM>> 33.91 23.74 16.28 27.81MASK INF NEONATAL SM>> 33.91 23.74 16.28 27.81MASK INF NEONATAL SM>> 33.91 23.74 16.28 27.81MASK INF NEONATAL SM>> 33.91 23.74 16.28 27.81MASK INF NEONATAL LG>> 32.26 22.58 15.48 26.45MASK INF NEONATAL LG>> 32.26 22.58 15.48 26.45MASK INF NEONATAL LG>> 32.26 22.58 15.48 26.45MASK INF NEONATAL LG>> 32.26 22.58 15.48 26.45MASK INF NEONATAL LG>> 32.26 22.58 15.48 26.45MASK INF NEONATAL LG>> 32.26 22.58 15.48 26.45MASK INF NEONATAL LG>> 32.26 22.58 15.48 26.45MASK INF NEONATAL LG>> 32.26 22.58 15.48 26.45MASK INF NEONATAL LG>> 32.26 22.58 15.48 26.45MASK INF NEONATAL LG>> 32.26 22.58 15.48 26.45MASK INF NEONATAL LG>> 32.26 22.58 15.48 26.45MASK INF NEONATAL LG>> 32.26 22.58 15.48 26.45MASK INF NEONATAL LG>> 32.26 22.58 15.48 26.45MASK INF NEONATAL LG>> 32.26 22.58 15.48 26.45MASK INF NEONATAL LG>> 32.26 22.58 15.48 26.45MASK INF NEONATAL LG>> 32.26 22.58 15.48 26.45MASK BILI EYE COVER MED>> 39.74 27.82 19.08 32.59MASK BILI EYE COVER MED>> 39.74 27.82 19.08 32.59MASIMO PULSE OX NEONATAL 96.00 67.2 46.08 78.72MASIMO PULSE OX NEONATAL 96.00 67.2 46.08 78.72MASIMO PULSE OX NEONATAL 96.00 67.2 46.08 78.72MASIMO PULSE OX NEONATAL 96.00 67.2 46.08 78.72MASIMO PULSE OX NEONATAL 96.00 67.2 46.08 78.72MASIMO PULSE OX NEONATAL 96.00 67.2 46.08 78.72MASIMO PULSE OX NEONATAL 96.00 67.2 46.08 78.72MASIMO PULSE OX NEONATAL 96.00 67.2 46.08 78.72MASIMO PULSE OX NEONATAL 96.00 67.2 46.08 78.72MASIMO PULSE OX NEONATAL 96.00 67.2 46.08 78.72MASIMO PULSE OX NEONATAL 96.00 67.2 46.08 78.72MASIMO PULSE OX NEONATAL 96.00 67.2 46.08 78.72MASIMO PULSE OX NEONATAL 96.00 67.2 46.08 78.72MASIMO PULSE OX NEONATAL 96.00 67.2 46.08 78.72MASIMO PULSE OX NEONATAL 96.00 67.2 46.08 78.72MASIMO PULSE OX NEONATAL 96.00 67.2 46.08 78.72MASIMO PULSE OX NEONATAL 96.00 67.2 46.08 78.72MASIMO PULSE OX ADULT 79.20 55.44 38.02 64.94MASIMO PULSE OX ADULT 79.20 55.44 38.02 64.94MASIMO PULSE OX ADULT 79.20 55.44 38.02 64.94MASIMO PULSE OX ADULT 79.20 55.44 38.02 64.94MASIMO PULSE OX ADULT 79.20 55.44 38.02 64.94MASIMO PULSE OX ADULT 79.20 55.44 38.02 64.94MASIMO PULSE OX ADULT 79.20 55.44 38.02 64.94MASIMO PULSE OX ADULT 79.20 55.44 38.02 64.94MASIMO PULSE OX ADULT 79.20 55.44 38.02 64.94MASIMO PULSE OX ADULT 79.20 55.44 38.02 64.94MASIMO PULSE OX ADULT 79.20 55.44 38.02 64.94MASIMO PULSE OX ADULT 79.20 55.44 38.02 64.94MASIMO PULSE OX ADULT 79.20 55.44 38.02 64.94MASIMO PULSE OX ADULT 79.20 55.44 38.02 64.94MASIMO PULSE OX ADULT 79.20 55.44 38.02 64.94MASIMO PULSE OX ADULT 79.20 55.44 38.02 64.94MASIMO PULSE OX ADULT 79.20 55.44 38.02 64.94MASIMO PULSE OX ADULT 79.20 55.44 38.02 64.94KIT SITE RITE PROBE COVER GEL 140.78 98.55 67.57 115.44KIT MIC-KEY G TUBE 18FR 3.5CM 437.19 306.03 209.85 358.5KIT ENEMA>> 34.10 23.87 16.37 27.96KIT ENEMA>> 34.10 23.87 16.37 27.96KIT ENEMA>> 34.10 23.87 16.37 27.96INK INDIA STERILE 295.00 206.5 141.6 241.9IMMOBILIZER SHOULDER XXLG>> 74.88 52.42 35.94 61.4IMMOBILIZER SHOULDER XLG>> 61.04 42.73 29.3 50.05IMMOBILIZER SHOULDER MED>> 61.84 43.29 29.68 50.71IMMOBILIZER SHOULDER LG>> 61.84 43.29 29.68 50.71IMMOBILIZER SHOULDER CUFF>> 120.64 84.45 57.91 98.92

IMMOBILIZER SHOULDER CUFF>> 120.64 84.45 57.91 98.92IMMOBILIZER KNEE XXLG >> 162.08 113.46 77.8 132.91IMMOBILIZER KNEE X-LARGE>> 102.00 71.4 48.96 83.64IMMOBILIZER KNEE SMALL>> 102.40 71.68 49.15 83.97IMMOBILIZER KNEE MEDIUM>> 117.36 82.15 56.33 96.24IMMOBILIZER KNEE LARGE>> 117.36 82.15 56.33 96.24IMMOB SHOULDER UNIV>>> 67.20 47.04 32.26 55.1HOSE THIGH SMALL LONG>> 61.00 42.7 29.28 50.02HOSE THIGH HIGH XXLG REG>> 94.08 65.86 45.16 77.15HOSE THIGH HIGH XXLG REG>> 94.08 65.86 45.16 77.15HOSE THIGH HIGH XXLG LONG>> 94.04 65.83 45.14 77.11HOSE THIGH HIGH XLG REG>> 94.04 65.83 45.14 77.11HOSE THIGH HIGH XLG REG>> 94.04 65.83 45.14 77.11HOSE TED THIGH XLG-LONG>> 93.75 65.63 45 76.88HOSE TED THIGH XLG-LONG>> 93.75 65.63 45 76.88HOSE TED THIGH SMALL SHORT>> 61.91 43.34 29.72 50.77HOSE TED THIGH SMALL SHORT>> 61.91 43.34 29.72 50.77HOSE TED THIGH SMALL REG>> 62.08 43.46 29.8 50.91HOSE TED THIGH SMALL REG>> 62.08 43.46 29.8 50.91HOSE TED THIGH MED SHORT>> 61.91 43.34 29.72 50.77HOSE TED THIGH MED SHORT>> 61.91 43.34 29.72 50.77HOSE TED THIGH MED REG>> 91.12 63.78 43.74 74.72HOSE TED THIGH MED REG>> 91.12 63.78 43.74 74.72HOSE TED THIGH MED LONG>> 62.08 43.46 29.8 50.91HOSE TED THIGH MED LONG>> 62.08 43.46 29.8 50.91HOSE TED THIGH LARGE SHORT>> 62.08 43.46 29.8 50.91HOSE TED THIGH LARGE SHORT>> 62.08 43.46 29.8 50.91HOSE TED THIGH LARGE REG>> 62.08 43.46 29.8 50.91HOSE TED THIGH LARGE REG>> 62.08 43.46 29.8 50.91HOSE TED THIGH LARGE LONG>> 62.08 43.46 29.8 50.91HOSE TED THIGH LARGE LONG>> 62.08 43.46 29.8 50.91HOSE TED KNEE XLG REG>> 42.77 29.94 20.53 35.07HOSE TED KNEE SMALL REG>> 42.77 29.94 20.53 35.07HOSE TED KNEE MED REG>> 42.77 29.94 20.53 35.07HOSE TED KNEE LARGE REG>> 42.77 29.94 20.53 35.07HOSE TED KNEE LARGE LONG>> 42.77 29.94 20.53 35.07HOSE KNEE TED XXXLG LONG>> 60.38 42.27 28.98 49.51HOSE KNEE TED XXL REG>> 60.04 42.03 28.82 49.23HOLDER TUBE TRACH>> 32.71 22.9 15.7 26.82HOLDER TUBE FEEDING>> 41.93 29.35 20.13 34.38HOLDER TUBE FEEDING>> 41.93 29.35 20.13 34.38HOLDER TUBE ENDOTRACHEAL>> 111.15 77.81 53.35 91.14HOLDER FOLEY CATH TUBE 3W>> 44.54 31.18 21.38 36.52HOLDER FOLEY CATH TUBE 2W>> 42.12 29.48 20.22 34.54HOLDER FOLEY CATH TUBE 2W>> 42.12 29.48 20.22 34.54HOLDER FOLEY CATH TUBE 2W>> 42.12 29.48 20.22 34.54HOLDER FOLEY CATH TUBE 2W>> 42.12 29.48 20.22 34.54HOLDER FOLEY CATH TUBE 2W>> 42.12 29.48 20.22 34.54HOLDER FOLEY CATH TUBE 2W>> 42.12 29.48 20.22 34.54HOLDER FOLEY CATH TUBE 2W>> 42.12 29.48 20.22 34.54HOLDER FOLEY CATH TUBE 2W>> 42.12 29.48 20.22 34.54HOLDER FOLEY CATH TUBE 2W>> 42.12 29.48 20.22 34.54HOLDER FOLEY CATH TUBE 2W>> 42.12 29.48 20.22 34.54HOLDER FOLEY CATH TUBE 2W>> 42.12 29.48 20.22 34.54HOLDER FOLEY CATH TUBE 2W>> 42.12 29.48 20.22 34.54HOLDER FOLEY CATH TUBE 2W>> 42.12 29.48 20.22 34.54HOLDER FOLEY CATH TUBE 2W>> 42.12 29.48 20.22 34.54HOLDER FOLEY CATH TUBE 2W>> 42.12 29.48 20.22 34.54HOLDER FOLEY CATH TUBE 2W>> 42.12 29.48 20.22 34.54HOLDER FOLEY CATH TUBE 2W>> 42.12 29.48 20.22 34.54HANDPIECE SET W/BONE CLEANING 303.25 212.28 145.56 248.67GUIDEWIRE .035X175CM 92.00 64.4 44.16 75.44GOWN BAIR PAWS WARMING FLEX>> 130.59 91.41 62.68 107.08GOWN BAIR PAWS WARMING FLEX>> 130.59 91.41 62.68 107.08FLO TRAC AOTRACK W/VAMP DISP>> 1,027.50 719.25 493.2 842.55FLO TRAC AOTRACK W/VAMP DISP>> 1,027.50 719.25 493.2 842.55FLO TRAC AOTRACK W/VAMP DISP>> 1,027.50 719.25 493.2 842.55FIXATIVE FOR O P>> 32.26 22.58 15.48 26.45ENDOGATOR ENDO IRRIG TUBING 113.28 79.3 54.37 92.89ENDOGATOR ENDO IRRIG TUBING 113.28 79.3 54.37 92.89ELECTRODE ZOLL ONESTEP ADULT>> 326.00 228.2 156.48 267.32ELECTRODE ZOLL ONESTEP ADULT>> 326.00 228.2 156.48 267.32

ELECTRODE ZOLL ONESTEP ADULT>> 326.00 228.2 156.48 267.32ELECTRODE ZOLL ONESTEP ADULT>> 326.00 228.2 156.48 267.32ELECTRODE PEDS PAD MACROLYTE 48.71 34.1 23.38 39.94DURELAST BNDG COMPRILAN 10X5>> 66.72 46.7 32.03 54.71DRILL TWIST 1.6MM 35MM 460.51 322.36 221.04 377.62DRILL BIT OS STAPLE S-180 620.00 434 297.6 508.4DRILL BIT OS STAPLE 590.00 413 283.2 483.8DRILL BIT 2.8MM SYNTHES 605.00 423.5 290.4 496.1DRILL BIT 2.7 EBI 449.00 314.3 215.52 368.18DRILL BIT 2.5MM SYNTHES 602.00 421.4 288.96 493.64DRILL BIT 2.0 EBI 449.00 314.3 215.52 368.18DRILL 1.6MM 5MM STOP 381.73 267.21 183.23 313.02DISP TOURN 44 X 4 220.00 154 105.6 180.4DISP TOURN 34 X 4 205.52 143.86 98.65 168.53DISP TOURN 30 X 4 192.61 134.83 92.45 157.94DISP TOURN 24 X 4 179.69 125.78 86.25 147.35DISP TOURN 18 X 3 162.46 113.72 77.98 133.22DISP TOURN 12 X 3.5 174.84 122.39 83.92 143.37CUSHION CHAIR WAFFLE AIR>> 344.78 241.35 165.49 282.72CUFF BP W/BUL/MTR DISP ADULT>> 88.29 61.8 42.38 72.4CUFF BP W/BLB/MET DISP CHILD>> 86.48 60.54 41.51 70.91CUFF BP W/BLB/ME DISP INFANT>> 42.35 29.65 20.33 34.73CUF BP W/BLB/MET DIS XL ADLT>> 90.26 63.18 43.32 74.01COOK BILIARY INFLATION DEVICE 377.50 264.25 181.2 309.55COMM HANDSET TDD PROX MYPTM 3,903.75 2,732.63 1,873.80 3,201.08COLLAR CERVICAL16-20 LARGE>> 48.55 33.99 23.3 39.81COLLAR CERVICAL 13-17 MEDIUM>> 48.55 33.99 23.3 39.81COLLAR CERVICAL 12-16 SMALL>> 42.69 29.88 20.49 35.01CELLULAR SERVICE ADAPTER 666.75 466.73 320.04 546.74CATH UMB ART 8.0 FR>> 82.00 57.4 39.36 67.24CATH SIMPLAST 24FR 3WAY 30CC>> 173.75 121.63 83.4 142.48CATH LAPAROSCOPIC CHOLANGIOGRM 468.80 328.16 225.02 384.42CATH FOLEY W TEMP NIHON 16FR>> 156.87 109.81 75.3 128.63CATH COUDE 2WAY 5CC 14FR>> 82.63 57.84 39.66 67.76CARDIO MESSENGER SMART 832.50 582.75 399.6 682.65CANNULA 5MM DUAL 188.00 131.6 90.24 154.16BRIEF PRO MED 32-38>> 50.94 35.66 24.45 41.77BRIEF PRO LG 38-44>> 50.94 35.66 24.45 41.77BRIEF MESH PANTY KNIT LG/XL>> 27.48 19.24 13.19 22.53BRACE MEEK CLAVICAL MEDIUM>>> 49.87 34.91 23.94 40.89BRACE MEEK CLAVICAL LARGE>> 58.78 41.15 28.21 48.2BRACE MEEK CLAVICAL XLG>>> 109.76 76.83 52.68 90BRACE LOW BACK XXLG>> 98.64 69.05 47.35 80.88BRACE LOW BACK X-LARGE>> 93.60 65.52 44.93 76.75BRACE LOW BACK SM>> 77.44 54.21 37.17 63.5BRACE LOW BACK MEDIUM>> 98.64 69.05 47.35 80.88BRACE LOW BACK LARGE>>> 93.60 65.52 44.93 76.75BRACE KNEE TELESCOPING COOL>> 553.70 387.59 265.78 454.03BRACE KNEE POP LONG COOL>> 438.28 306.8 210.37 359.39BOOT WAFFLE MED>> 267.43 187.2 128.37 219.29BLADE SAW SMALL 263.75 184.63 126.6 216.28BLADE SAW SMALL 263.75 184.63 126.6 216.28BLADE SAW MEDIUM STRYKER 258.13 180.69 123.9 211.67BLADE SAW MEDIUM STRYKER 258.13 180.69 123.9 211.67BINDER ABDOMINAL SM>> 66.28 46.4 31.81 54.35BINDER ABDOMINAL 55"X72" LG>> 92.80 64.96 44.54 76.1BINDER ABDOMINAL 55"X72" LG>> 92.80 64.96 44.54 76.1BINDER ABDOMINAL 55"X72" LG>> 92.80 64.96 44.54 76.1BINDER ABDOMINAL 55"X72" LG>> 92.80 64.96 44.54 76.1BINDER ABDOMINAL 46"X62" MED>> 71.04 49.73 34.1 58.25BINDER ABDOMINAL 46"X62" MED>> 71.04 49.73 34.1 58.25BINDER ABDOMINAL 46"X62" MED>> 71.04 49.73 34.1 58.25BINDER ABDOMINAL 46"X62" MED>> 71.04 49.73 34.1 58.25BELT RIB UNIV>> 124.00 86.8 59.52 101.68BELT OSTOMY>> 38.32 26.82 18.39 31.42BASKET WEB EXTRACTION DISP 3X6 468.50 327.95 224.88 384.17BASKET WEB EXTRACTION DISP 2X4 468.50 327.95 224.88 384.17BANDAGE COMPRESSION 4">> 87.92 61.54 42.2 72.09BANDAGE COBAN LF 3">> 29.10 20.37 13.97 23.86BANDAGE COBAN LF 3">> 29.10 20.37 13.97 23.86BANDAGE COBAN LF 3">> 29.10 20.37 13.97 23.86BANDAGE COBAN LF 3">> 29.10 20.37 13.97 23.86

BALL ROLLER 24FR 3MM 396.60 277.62 190.37 325.21BAG LEG UA DRAIN LF LARGE>>> 36.71 25.7 17.62 30.1BAG LEG UA DRAIN LF LARGE>>> 36.71 25.7 17.62 30.1BAG DRAINAGE DISP UROSKOP 149.67 104.77 71.84 122.73BAG COLLECTION FOR FLEXISEAL>> 53.38 37.37 25.62 43.77BAG BILE>> 98.17 68.72 47.12 80.5ASSEMBLY BLOOD COLLECTION>> 36.70 25.69 17.62 30.09ASSEMBLY BLOOD COLLECTION>> 36.70 25.69 17.62 30.09ASSEMBLY BLOOD COLLECTION>> 36.70 25.69 17.62 30.09ASSEMBLY BLOOD COLLECTION>> 36.70 25.69 17.62 30.09ASSEMBLY BLOOD COLLECTION>> 36.70 25.69 17.62 30.09ASSEMBLY BLOOD COLLECTION>> 36.70 25.69 17.62 30.09ASSEMBLY BLOOD COLLECTION>> 36.70 25.69 17.62 30.09ASSEMBLY BLOOD COLLECTION>> 36.70 25.69 17.62 30.09ASSEMBLY BLOOD COLLECTION>> 36.70 25.69 17.62 30.09ASSEMBLY BLOOD COLLECTION>> 36.70 25.69 17.62 30.09ASSEMBLY BLOOD COLLECTION>> 36.70 25.69 17.62 30.09ASSEMBLY BLOOD COLLECTION>> 36.70 25.69 17.62 30.09ASSEMBLY BLOOD COLLECTION>> 36.70 25.69 17.62 30.09ASSEMBLY BLOOD COLLECTION>> 36.70 25.69 17.62 30.09ASSEMBLY BLOOD COLLECTION>> 36.70 25.69 17.62 30.09ARMBOARD ADULT BENDABLE LG>> 75.92 53.14 36.44 62.25ARMBOARD ADULT BENDABLE LG>> 75.92 53.14 36.44 62.25ARMBOARD ADULT BENDABLE LG>> 75.92 53.14 36.44 62.25ADAPTOR FEEDING 18-20>> 52.53 36.77 25.21 43.07ADAPTER Y LUMEN 0.125 108.00 75.6 51.84 88.56ACE BANDAGE ELASTIC 6" LARGE 51.58 36.11 24.76 42.324FR BALLOON REPL G TUBE 6224 323.00 226.1 155.04 264.8620FR REPLACEMENT G TUBE STRAIT 323.00 226.1 155.04 264.862.7 SHORT DRILL BIT WITH QC 509.94 356.96 244.77 418.152.7 SHORT DRILL BIT WITH QC 509.94 356.96 244.77 418.152.0 SHORT DRILL BIT WITH QC 530.00 371 254.4 434.618FR ENTUIT BALLOON RET G TUBE 323.00 226.1 155.04 264.8618FR ENTUIT BALLOON RET G TUBE 323.00 226.1 155.04 264.8616FR BALLOON REPL G TUBE 6216 323.00 226.1 155.04 264.8614FR BALLOON REPL G TUBE 6214 323.00 226.1 155.04 264.86VEST HYPO LG DISP>> 350.00 245 168 287VEST HYPO DISP SM/MED>> 341.00 238.7 163.68 279.62TERUMO TRANSRADIAL BAND LARGE 335.00 234.5 160.8 274.7SLING ARM XLG>> 43.04 30.13 20.66 35.29PROBE TEMP ESOPHAG/RECTAL>> 68.14 47.7 32.71 55.87LEG WRAP HYPO DISP>> 271.25 189.88 130.2 222.43HOVER MATT SINGLE USE DISP>> 394.23 275.96 189.23 323.27FLUID ADMIN SET NON VENTED 41.95 29.37 20.14 34.4DISTRACTION SCREW 16MM SINGLE 357.50 250.25 171.6 293.15DISTRACTION SCREW 14MM SINGLE 332.00 232.4 159.36 272.24DISTRACTION SCREW 12MM SINGLE 332.00 232.4 159.36 272.24ZIP WIRE ANGLE 3CMFLEXTIP.035 331.51 232.06 159.12 271.84ZERO TIP STONE BASKET 1,177.81 824.47 565.35 965.8YANKAUR SUCTION TIP 26.19 18.33 12.57 21.48YANKAUR SUCTION TIP 26.19 18.33 12.57 21.48YANKAUR SUCTION TIP 26.19 18.33 12.57 21.48YANKAUR SUCTION TIP 26.19 18.33 12.57 21.48YANKAUR SUCTION TIP 26.19 18.33 12.57 21.48YANKAUR SUCTION TIP 26.19 18.33 12.57 21.48YANKAUR SUCTION TIP 26.19 18.33 12.57 21.48YANKAUR SUCTION SET 30.17 21.12 14.48 24.74XR60G 4.8 RELOAD 141.60 99.12 67.97 116.11XPEEDA LASER FIBER 3,550.70 2,485.49 1,704.34 2,911.57WRENCH KIT MEDTRONIC 323.75 226.63 155.4 265.48WRENCH KIT 204.00 142.8 97.92 167.28WIRE OMNI PRESSURE GUIDE 2,051.25 1,435.88 984.6 1,682.03WIRE LOCK 102.00 71.4 48.96 83.64WIRE LIGATURE/SUTURE 24 GA 132.00 92.4 63.36 108.24WIRE GUIDE TROCAR .035X6 212.00 148.4 101.76 173.84WIRE GUIDE THREADED TIP 3.2 438.08 306.66 210.28 359.23WIRE DRILL TIP 2.0MM X 150MM 440.66 308.46 211.52 361.34WIRE DRILL TIP 1.6MM X 150MM 427.67 299.37 205.28 350.69WIRE DRILL TIP 1.6MM X 150MM 427.67 299.37 205.28 350.69WIRE DRILL TIP 1.1MM X 150 405.92 284.14 194.84 332.85WIRE DRILL TIP 1.1MM X 150 405.92 284.14 194.84 332.85WIRE CERCLAGE 0.8MM X 200MM 102.97 72.08 49.43 84.44

WIRE CERCLAGE 0.6MM X 175MM 102.97 72.08 49.43 84.44WIRE BOWL 97.54 68.28 46.82 79.98WHOLEY HI-TORQUE .035X175 380.00 266 182.4 311.6WHITE RELOAD 60 FOR ECHELON 644.34 451.04 309.28 528.36WHITE OR TOWELS STRL 2PK 27.61 19.33 13.25 22.64WEREWOLF FLOW 90 COBLAT WAND 783.75 548.63 376.2 642.68WEREWOLF FLOW 50 COBLATON WAND 978.75 685.13 469.8 802.58WEDGE TAPERED 54 MM 14,371.19 10,059.83 6,898.17 11,784.38WASHER 10.0MM OD 318.79 223.15 153.02 261.41WARMER BLOOD DISP D-100>> 444.37 311.06 213.3 364.38VORTEX VACUUM MIXING BOWL 537.44 376.21 257.97 440.7VORTEX MIXOR NOZZLE ANGLED 775.63 542.94 372.3 636.02VLP MINI MOD 2.0MM OVERDRILL 420.40 294.28 201.79 344.73VLP MINI MOD 1.8MM DRILL LONG 582.51 407.76 279.6 477.66VLP MINI MOD 1.5MM DRILL LONG 536.07 375.25 257.31 439.58VLP MINI MOD 1.5MM DRILL LG MI 444.61 311.23 213.41 364.58VLP MINI MOD 1.5MM DRILL AO AC 506.56 354.59 243.15 415.38VLP MINI MOD 1.5MM DRILL AO AC 506.56 354.59 243.15 415.38VLP MINI 1.8MM DRILL SH AO QC 422.84 295.99 202.96 346.73VLP MINI 1.8MM DRILL SH AO QC 422.84 295.99 202.96 346.73VISITEC 585192 370.07 259.05 177.63 303.46VIS ADPT GUIDE JII KIT 1,970.00 1,379.00 945.6 1,615.40VESSEL SEALER EXTEND 2,051.25 1,435.88 984.6 1,682.03VERSALIGHT STANDARD 424.63 297.24 203.82 348.2VENOM CANNULA 20GA 150MM 323.85 226.7 155.45 265.56VALVE PASSY MUIR-PURPLE>> 611.36 427.95 293.45 501.32VALVE DRAINAGE CAP PLEURX>> 81.42 56.99 39.08 66.76VALVE CHEST DRAINAGE>> 457.88 320.52 219.78 375.46VALVE CARESITE>>> 36.18 25.33 17.37 29.67VALVE CARESITE>>> 36.18 25.33 17.37 29.67VALVE CARESITE>>> 36.18 25.33 17.37 29.67VALVE CARESITE>>> 36.18 25.33 17.37 29.67VALVE CARESITE>>> 36.18 25.33 17.37 29.67VALVE CARESITE>>> 36.18 25.33 17.37 29.67VALVE CARESITE>>> 36.18 25.33 17.37 29.67VALVE CARESITE>>> 36.18 25.33 17.37 29.67VALVE CARESITE>>> 36.18 25.33 17.37 29.67VACUUM CUP KIWI OMNICUP 208.91 146.24 100.28 171.31U-TUBE 94.00 65.8 45.12 77.08UROVAC BLADDER EVACUATOR 205.98 144.19 98.87 168.9UROSEAL ADJ ENDO VALVE 320.00 224 153.6 262.4URETER STENT POSITION 6FRX45CM 105.28 73.7 50.53 86.33UNTHREADED 1.4MM WIRE 612.80 428.96 294.14 502.5UNIV CANNULA 5MM/55MM LTX FREE 218.45 152.92 104.86 179.13UNI 2.0/2.3MM SCR DRVR 778.49 544.94 373.68 638.36ULTRATAPE 2MM COBRD BLUE 371.00 259.7 178.08 304.22ULTRATAPE 2MM BLUE 371.00 259.7 178.08 304.22ULTRABRAID 2-0 WHITE 24 165.76 116.03 79.56 135.92ULTRABRAID 2-0 WHITE 24 165.76 116.03 79.56 135.92ULTRABRAID 2-0 COBRAID 24 165.76 116.03 79.56 135.92ULTRABRAID 2-0 COBRAID 24 165.76 116.03 79.56 135.92TYRX NEURO ABSORB ENVELOPE LG 3,320.00 2,324.00 1,593.60 2,722.40TWIST DRILL FOR 1.7MM ANCHOR 709.52 496.66 340.57 581.81TWIST DRILL FLEX FOR 2.3 586.48 410.54 281.51 480.91TWIST DRILL FLEX FOR 2.3 586.48 410.54 281.51 480.91TWIST DRILL 4.74MM SWIVELOCK 590.00 413 283.2 483.8TWIST DRILL 2.30MM 410.00 287 196.8 336.2TWIST DRILL 2.0MM A0 390.99 273.69 187.68 320.61TWIST DRILL 1.9MM STR ANCHORS 709.52 496.66 340.57 581.81TWIST DRILL 1.900 AO 446.66 312.66 214.4 366.26TURBINATOR COB WAND 588.75 412.13 282.6 482.78TUNNELING TOOL KIT 60CM 390.50 273.35 187.44 320.21TUNNELING TOOL KIT 35CM 390.50 273.35 187.44 320.21TUNNELING TOOL 50 CM 390.50 273.35 187.44 320.21TUNNELING TOOL 560.00 392 268.8 459.2TUBING SUCTION CONNECTING> 32.51 22.76 15.6 26.66TUBING SUCTION CONNECTING> 32.51 22.76 15.6 26.66TUBING SUCTION CONNECTING> 32.51 22.76 15.6 26.66TUBING SUCTION CONNECTING> 32.51 22.76 15.6 26.66TUBING SUCTION CONNECTING> 32.51 22.76 15.6 26.66TUBING SUCTION CONNECTING> 32.51 22.76 15.6 26.66TUBING PENROSE 1/4" 24.50 17.15 11.76 20.09

TUBING PENROSE 1/2" 33.35 23.35 16.01 27.35TUBING PENROSE 1">> 28.58 20.01 13.72 23.44TUBING PCA>> 52.30 36.61 25.1 42.89TUBING PCA>> 52.30 36.61 25.1 42.89TUBING PCA>> 52.30 36.61 25.1 42.89TUBING MINDRIP GRAVTY 354206>> 42.00 29.4 20.16 34.44TUBING MINDRIP GRAVTY 354206>> 42.00 29.4 20.16 34.44TUBING MINDRIP GRAVTY 354206>> 42.00 29.4 20.16 34.44TUBING MINDRIP GRAVTY 354206>> 42.00 29.4 20.16 34.44TUBING LECTRO SPIRAL 70>> 73.33 51.33 35.2 60.13TUBING LECTRO SPIRAL 60>> 45.30 31.71 21.74 37.15TUBING IV NITRO/FAT EMUL>>> 65.06 45.54 31.23 53.35TUBING IV NITRO/FAT EMUL>>> 65.06 45.54 31.23 53.35TUBING IV NITRO/FAT EMUL>>> 65.06 45.54 31.23 53.35TUBING IV NITRO/FAT EMUL>>> 65.06 45.54 31.23 53.35TUBING IV FLASHBALL NF1370>> 33.05 23.14 15.86 27.1TUBING IV CONTADM 2426-0007>>> 55.99 39.19 26.88 45.91TUBING IV CONTADM 2426-0007>>> 55.99 39.19 26.88 45.91TUBING IV CONTADM 2426-0007>>> 55.99 39.19 26.88 45.91TUBING IV CONTADM 2426-0007>>> 55.99 39.19 26.88 45.91TUBING IV CONTADM 2426-0007>>> 55.99 39.19 26.88 45.91TUBING IV CONTADM 2426-0007>>> 55.99 39.19 26.88 45.91TUBING IV CONTADM 2426-0007>>> 55.99 39.19 26.88 45.91TUBING IV CONTADM 2426-0007>>> 55.99 39.19 26.88 45.91TUBING IV CONTADM 2426-0007>>> 55.99 39.19 26.88 45.91TUBING IV CONTADM 2426-0007>>> 55.99 39.19 26.88 45.91TUBING IV CONTADM 2426-0007>>> 55.99 39.19 26.88 45.91TUBING IV CONTADM 2426-0007>>> 55.99 39.19 26.88 45.91TUBING IV CONTADM 2426-0007>>> 55.99 39.19 26.88 45.91TUBING IV CONTADM 2426-0007>>> 55.99 39.19 26.88 45.91TUBING IV CONTADM 2426-0007>>> 55.99 39.19 26.88 45.91TUBING IV CONTADM 2426-0007>>> 55.99 39.19 26.88 45.91TUBING IV CONTADM 2426-0007>>> 55.99 39.19 26.88 45.91TUBING IV CONTADM 2426-0007>>> 55.99 39.19 26.88 45.91TUBING IV CONTADM 2426-0007>>> 55.99 39.19 26.88 45.91TUBING IV CONTADM 2426-0007>>> 55.99 39.19 26.88 45.91TUBING IV CONTADM 2426-0007>>> 55.99 39.19 26.88 45.91TUBING IV BLOOD/Y TYPE>>> 78.60 55.02 37.73 64.45TUBING IV BLOOD/Y TYPE>>> 78.60 55.02 37.73 64.45TUBING IV BLOOD/Y TYPE>>> 78.60 55.02 37.73 64.45TUBING IV BLOOD/Y TYPE>>> 78.60 55.02 37.73 64.45TUBING IV BLOOD/Y TYPE>>> 78.60 55.02 37.73 64.45TUBING IV BLOOD/Y TYPE>>> 78.60 55.02 37.73 64.45TUBING IV BASIC US1150>> 37.85 26.5 18.17 31.04TUBING IV ADD-A-LINE V1921>>> 33.73 23.61 16.19 27.66TUBING IV ADD-A-LINE V1921>>> 33.73 23.61 16.19 27.66TUBING IV ADD-A-LINE V1921>>> 33.73 23.61 16.19 27.66TUBING IV ADD-A-LINE V1921>>> 33.73 23.61 16.19 27.66TUBING IV ADD-A-LINE V1921>>> 33.73 23.61 16.19 27.66TUBING IV ADD-A-LINE V1921>>> 33.73 23.61 16.19 27.66TUBING IV ADD-A-LINE V1921>>> 33.73 23.61 16.19 27.66TUBING IV ADD-A-LINE V1921>>> 33.73 23.61 16.19 27.66TUBING IV ADD-A-LINE V1921>>> 33.73 23.61 16.19 27.66TUBING IV ADD-A-LINE V1921>>> 33.73 23.61 16.19 27.66TUBING IV ADD-A-LINE V1921>>> 33.73 23.61 16.19 27.66TUBING EXTENSION 20" MERIT MED 51.19 35.83 24.57 41.98TUBING BLOOD GRAVTIY 354218>> 56.34 39.44 27.04 46.2TUBING BLOOD GRAVTIY 354218>> 56.34 39.44 27.04 46.2TUBING BLOOD GRAVTIY 354218>> 56.34 39.44 27.04 46.2TUBING BLOOD GRAVTIY 354218>> 56.34 39.44 27.04 46.2TUBING BLOOD GRAVTIY 354218>> 56.34 39.44 27.04 46.2TUBING AUT PD CASETTE 4PRONG>> 284.81 199.37 136.71 233.54TUBING ADM SET GRAVY 354205>>> 40.09 28.06 19.24 32.87TUBING ADM SET GRAVY 354205>>> 40.09 28.06 19.24 32.87TUBING ADM SET GRAVY 354205>>> 40.09 28.06 19.24 32.87TUBING ADM SET GRAVY 354205>>> 40.09 28.06 19.24 32.87TUBING ADM SET GRAVY 354205>>> 40.09 28.06 19.24 32.87TUBING ADM SET GRAVY 354205>>> 40.09 28.06 19.24 32.87TUBING ADM SET GRAVY 354205>>> 40.09 28.06 19.24 32.87TUBING ADM SET GRAVY 354205>>> 40.09 28.06 19.24 32.87TUBE TRACH UNCUFF XLTUP 6.0>> 377.48 264.24 181.19 309.53TUBE TRACH UNCUFF XLTUP 5.0>> 377.48 264.24 181.19 309.53

TUBE TRACH CUFFED XLTCP 6.0>> 377.48 264.24 181.19 309.53TUBE TRACH CUFFED XLTCP 5.0>> 377.48 264.24 181.19 309.53TUBE TRACH BIVONA 9.0>> 638.02 446.61 306.25 523.18TUBE TRACH BIVONA 9.0>> 638.02 446.61 306.25 523.18TUBE TRACH BIVONA 8.0>> 638.02 446.61 306.25 523.18TUBE TRACH BIVONA 6.0>> 638.02 446.61 306.25 523.18TUBE TRACH 8.0XLT NONFEN CUF>> 540.00 378 259.2 442.8TUBE TRACH 8.0XLT NONFEN CUF>> 540.00 378 259.2 442.8TUBE TRACH 8.0 NONFEN CUF>> 256.93 179.85 123.33 210.68TUBE TRACH 8.0 NONFEN CUF>> 256.93 179.85 123.33 210.68TUBE TRACH 8.0 NONFEN CUF>> 256.93 179.85 123.33 210.68TUBE TRACH 8.0 NONFEN CUF 81>> 321.50 225.05 154.32 263.63TUBE TRACH 8.0 NONFEN CUF 81>> 321.50 225.05 154.32 263.63TUBE TRACH 8.0 FEN CUFFED>> 279.43 195.6 134.13 229.13TUBE TRACH 8.0 FEN CUF>> 344.30 241.01 165.26 282.33TUBE TRACH 8.0 FEN CUF>> 344.30 241.01 165.26 282.33TUBE TRACH 8.0 FEN CUF>> 344.30 241.01 165.26 282.33TUBE TRACH 6.0XLT NONFEN CUF>> 540.00 378 259.2 442.8TUBE TRACH 6.0 NONFEN CUF>> 256.93 179.85 123.33 210.68TUBE TRACH 6.0 NONFEN CUF>> 256.93 179.85 123.33 210.68TUBE TRACH 6.0 NONFEN CUF>> 256.93 179.85 123.33 210.68TUBE TRACH 6.0 FEN CUF>> 344.30 241.01 165.26 282.33TUBE TRACH 6.0 FEN CUF>> 344.30 241.01 165.26 282.33TUBE TRACH 6.0 FEN CUF>> 344.30 241.01 165.26 282.33TUBE TRACH 5.5 PED UNCUF>> 225.43 157.8 108.21 184.85TUBE TRACH 5.0 PED UNCUF>> 225.43 157.8 108.21 184.85TUBE TRACH 4.5 PED UNCUF>> 225.43 157.8 108.21 184.85TUBE TRACH 4.0 NONFEN UNCUFF>> 320.08 224.06 153.64 262.47TUBE TRACH 4.0 NONFEN CUF>> 257.83 180.48 123.76 211.42TUBE TRACH 4.0 NONFEN CUF>> 257.83 180.48 123.76 211.42TUBE TRACH 4.0 FEN CUF>> 347.08 242.96 166.6 284.61TUBE TRACH 3.5 PED UNCUF>> 225.43 157.8 108.21 184.85TUBE TRACH 10 NONFEN UNCUF>> 250.63 175.44 120.3 205.52TUBE TRACH 10 NONFEN UNCUF>> 250.63 175.44 120.3 205.52TUBE TRACH 10 NONFEN CUF>> 257.83 180.48 123.76 211.42TUBE TRACH 10 NONFEN CUF>> 257.83 180.48 123.76 211.42TUBE TRACH 10 FEN CUF>> 344.30 241.01 165.26 282.33TUBE TO TUBE CLAMP 1,667.75 1,167.43 800.52 1,367.56TUBE T SZ 10 5" CROSSBAR 74.02 51.81 35.53 60.7TUBE SET STERILE A127 PUMP 348.95 244.27 167.5 286.14TUBE SALEM SUMP 18FR>> 56.38 39.47 27.06 46.23TUBE SALEM SUMP 18FR>> 56.38 39.47 27.06 46.23TUBE SALEM SUMP 18FR>> 56.38 39.47 27.06 46.23TUBE SALEM SUMP 18FR>> 56.38 39.47 27.06 46.23TUBE SALEM SUMP 18FR>> 56.38 39.47 27.06 46.23TUBE SALEM SUMP 16FR>> 56.38 39.47 27.06 46.23TUBE SALEM SUMP 16FR>> 56.38 39.47 27.06 46.23TUBE SALEM SUMP 16FR>> 56.38 39.47 27.06 46.23TUBE SALEM SUMP 16FR>> 56.38 39.47 27.06 46.23TUBE SALEM SUMP 16FR>> 56.38 39.47 27.06 46.23TUBE SALEM SUMP 16FR>> 56.38 39.47 27.06 46.23TUBE RECTAL 24FR 20">> 33.23 23.26 15.95 27.25TUBE RECTAL 24FR 20">> 33.23 23.26 15.95 27.25TUBE MIC-KEY FEED 18FRX57.9C 746.70 522.69 358.42 612.29TUBE LUKI>>> 74.09 51.86 35.56 60.75TUBE LUKI>>> 74.09 51.86 35.56 60.75TUBE LUKI>>> 74.09 51.86 35.56 60.75TUBE LUKI>>> 74.09 51.86 35.56 60.75TUBE LEVINE 12FR>> 29.26 20.48 14.04 23.99TUBE INFANT FEEDING 8FR 42">> 53.45 37.42 25.66 43.83TUBE INFANT FEEDING 8FR 42">> 53.45 37.42 25.66 43.83TUBE INFANT FEEDING 8FR 42">> 53.45 37.42 25.66 43.83TUBE INFANT FEEDING 8FR 16">> 63.96 44.77 30.7 52.45TUBE INFANT FEEDING 8FR 16">> 63.96 44.77 30.7 52.45TUBE INFANT FEEDING 8FR 16">> 63.96 44.77 30.7 52.45TUBE INFANT FEEDING 5FR 16">> 53.45 37.42 25.66 43.83TUBE INFANT FEEDING 5FR 16">> 53.45 37.42 25.66 43.83TUBE INFANT FEEDING 5FR 16">> 53.45 37.42 25.66 43.83TUBE INFANT FEEDING 10FR 42">> 53.45 37.42 25.66 43.83TUBE GASTROSTOMY BARD 20 FR 278.75 195.13 133.8 228.58TUBE GASTROSTOMY BARD 18 FR 278.75 195.13 133.8 228.58TUBE FEEDING 20FR PUSH 4.47 403.75 282.63 193.8 331.08

TUBE FEED JEJUNAL TRANSGASTRIC 1,084.70 759.29 520.66 889.45TUBE ENDO UNCUFFED 4.5MM>> 35.93 25.15 17.25 29.46TUBE ENDO UNCUFFED 4.0MM>> 35.93 25.15 17.25 29.46TUBE ENDO UNCUFFED 4.0MM>> 35.93 25.15 17.25 29.46TUBE ENDO UNCUFFED 4.0MM>> 35.93 25.15 17.25 29.46TUBE ENDO UNCUFFED 4.0MM>> 35.93 25.15 17.25 29.46TUBE ENDO UNCUFFED 3.5MM>> 35.93 25.15 17.25 29.46TUBE ENDO UNCUFFED 3.5MM>> 35.93 25.15 17.25 29.46TUBE ENDO UNCUFFED 3.5MM>> 35.93 25.15 17.25 29.46TUBE ENDO UNCUFFED 3.5MM>> 35.93 25.15 17.25 29.46TUBE ENDO UNCUFFED 3.0MM>> 35.93 25.15 17.25 29.46TUBE ENDO UNCUFFED 3.0MM>> 35.93 25.15 17.25 29.46TUBE ENDO UNCUFFED 3.0MM>> 35.93 25.15 17.25 29.46TUBE ENDO UNCUFFED 3.0MM>> 35.93 25.15 17.25 29.46TUBE ENDO UNCUFFED 2.5MM>> 35.93 25.15 17.25 29.46TUBE ENDO UNCUFFED 2.5MM>> 35.93 25.15 17.25 29.46TUBE ENDO UNCUFFED 2.5MM>> 35.93 25.15 17.25 29.46TUBE ENDO UNCUFFED 2.5MM>> 35.93 25.15 17.25 29.46TUBE ENDO UNCUFFED 2.0MM>> 35.93 25.15 17.25 29.46TUBE ENDO UNCUFFED 2.0MM>> 35.93 25.15 17.25 29.46TUBE ENDO UNCUFFED 2.0MM>> 35.93 25.15 17.25 29.46TUBE ENDO TAPERGUARD 8.0MM>>> 42.86 30 20.57 35.15TUBE ENDO TAPERGUARD 7.5MM>>> 42.86 30 20.57 35.15TUBE ENDO TAPERGUARD 7.0MM>>> 42.86 30 20.57 35.15TUBE ENDO CUFFED 9.0MM>> 42.95 30.07 20.62 35.22TUBE ENDO CUFFED 8.5MM>> 31.95 22.37 15.34 26.2TUBE ENDO CUFFED 6.5MM>> 31.95 22.37 15.34 26.2TUBE ENDO CUFFED 6.0MM>> 31.95 22.37 15.34 26.2TUBE ENDO CUFFED 5.5MM>> 31.95 22.37 15.34 26.2TUBE ENDO CUFFED 5.0MM>> 31.95 22.37 15.34 26.2TUBE DOBBHOFF FEEDING 10FR>> 85.34 59.74 40.96 69.98TUBE CATH UA EXT>> 37.12 25.98 17.82 30.44TRUECLEAR INCISOR PLUS 1,756.90 1,229.83 843.31 1,440.66TRUECLEAR INCISOR 2,104.97 1,473.48 1,010.39 1,726.08TROCAR WIRE 1.25 X 150MM 218.69 153.08 104.97 179.33TROCAR TIP WIRE 1.6MM 267.30 187.11 128.3 219.19TROCAR STAINLESS FALLER 382.34 267.64 183.52 313.52TROCAR PIN GENESIS 1/8" X 3" 254.62 178.23 122.22 208.79TROCAR FIX BLDE 5X100MM 140.00 98 67.2 114.8TROCAR BALLOON 12X100MM 204.00 142.8 97.92 167.28TROC TIP WIRE 2.0 X 150MM 218.69 153.08 104.97 179.33TROC TIP WIRE 2.0 X 150MM 218.69 153.08 104.97 179.33TROC TIP WIRE 0.9X150 217.77 152.44 104.53 178.57TROC TIP WIRE 0.9X150 217.77 152.44 104.53 178.57TRIGEN NAIL CAP 5MM 1,986.83 1,390.78 953.68 1,629.20TRIGEN HUM NAIL 2.0MM GD ROD 803.90 562.73 385.87 659.2TRIGEN GUIDEWIRE 3.2MM THR TIP 549.30 384.51 263.66 450.43TRIGEN DISP EXTRACTOR 1,106.57 774.6 531.15 907.39TRIGEN BALLTIP GUIDEROD 3X1000 1,102.32 771.62 529.11 903.9TRIGEN 4.0 PILOT DRILL SHORT 876.83 613.78 420.88 719TRIGEN 4.0 PILOT DRILL LONG 1,292.18 904.53 620.25 1,059.59TRIGEN 3.2MM BRAD SHORT DRILL 1,056.49 739.54 507.12 866.32TRIGEN 3.2 GUIDE PIN THREADED 793.01 555.11 380.64 650.27TRICUT 4MM M4 ROTABLE BLADE 691.32 483.92 331.83 566.88TRAY UROLOGIST DISP>> 747.29 523.1 358.7 612.78TRAY URIMETER W FOLEY 16 FR>>> 97.60 68.32 46.85 80.03TRAY URIMETER W FOLEY 16 FR>>> 97.60 68.32 46.85 80.03TRAY URIMETER W FOLEY 16 FR>>> 97.60 68.32 46.85 80.03TRAY URIMETER W FOLEY 16 FR>>> 97.60 68.32 46.85 80.03TRAY URIMETER W FOLEY 16 FR>>> 97.60 68.32 46.85 80.03TRAY URETHRAL CATH LF 14FR>>> 31.72 22.2 15.23 26.01TRAY URETHRAL CATH LF 14FR>>> 31.72 22.2 15.23 26.01TRAY URETHRAL CATH LF 14FR>>> 31.72 22.2 15.23 26.01TRAY URETHRAL CATH LF 14FR>>> 31.72 22.2 15.23 26.01TRAY TRACH CLEANING>>> 30.56 21.39 14.67 25.06TRAY THORACIC VENT PROC 13FR>> 761.00 532.7 365.28 624.02TRAY THORACENTIESIS DISP 8FR>> 361.72 253.2 173.63 296.61TRAY THORACENTIESIS DISP 8FR>> 361.72 253.2 173.63 296.61TRAY SUTURE REMOVAL>> 29.93 20.95 14.37 24.54TRAY SUTURE REMOVAL>> 29.93 20.95 14.37 24.54TRAY SUTURE REMOVAL>> 29.93 20.95 14.37 24.54TRAY SKIN PREP PVP POVIDONE> 45.98 32.19 22.07 37.7

TRAY SKIN PREP PVP POVIDONE> 45.98 32.19 22.07 37.7TRAY SKIN PREP PVP POVIDONE> 45.98 32.19 22.07 37.7TRAY PUDENDAL BLOCK DISP>> 57.76 40.43 27.72 47.36TRAY PUDENDAL BLOCK DISP>> 57.76 40.43 27.72 47.36TRAY PICC POWER TRIPLE HF5FR>> 832.50 582.75 399.6 682.65TRAY PICC POWER SINGLE 4FR>> 706.08 494.26 338.92 578.99TRAY PICC POWER DOUBLE 5FR>> 742.80 519.96 356.54 609.1TRAY PERICARDIOCENTESIS 6FR>> 618.50 432.95 296.88 507.17TRAY PERICARDIOCENTESIS 6FR>> 618.50 432.95 296.88 507.17TRAY PERICARDIOCENTESIS 6FR>> 618.50 432.95 296.88 507.17TRAY MINOR DRESSING>>> 144.00 100.8 69.12 118.08TRAY MINOR DRESSING>>> 144.00 100.8 69.12 118.08TRAY MINOR DRESSING>>> 144.00 100.8 69.12 118.08TRAY MINOR DRESSING>>> 144.00 100.8 69.12 118.08TRAY MINOR DRESSING>>> 144.00 100.8 69.12 118.08TRAY MINOR DRESSING>>> 144.00 100.8 69.12 118.08TRAY LUMBAR PUNCTURE INFANT>> 65.63 45.94 31.5 53.82TRAY LUMBAR PUNCTURE ADULT>>> 78.19 54.73 37.53 64.12TRAY LUMBAR PUNCTURE ADULT>>> 78.19 54.73 37.53 64.12TRAY LACERATION>>> 97.38 68.17 46.74 79.85TRAY KYPHO THORACIC 10/2 9,204.50 6,443.15 4,418.16 7,547.69TRAY IRRIGATION>>> 33.12 23.18 15.9 27.16TRAY IRRIGATION>>> 33.12 23.18 15.9 27.16TRAY GUIDE PIN 1.9 THR 5.5 SCR 426.02 298.21 204.49 349.34TRAY GUIDE PIN 1.9 THR 5.5 SCR 426.02 298.21 204.49 349.34TRAY FOLEY CARE LF 18FR>>> 65.94 46.16 31.65 54.07TRAY FOLEY CARE LF 18FR>>> 65.94 46.16 31.65 54.07TRAY FOLEY CARE LF 16FR>>> 66.16 46.31 31.76 54.25TRAY FOLEY CARE LF 16FR>>> 66.16 46.31 31.76 54.25TRAY FOLEY CARE LF 16FR>>> 66.16 46.31 31.76 54.25TRAY FOLEY CARE LF 16FR>>> 66.16 46.31 31.76 54.25TRAY CHESTUBE INSERTN DISP>> 366.87 256.81 176.1 300.83TRAY CATH UMBILICAL VESSEL 428.55 299.99 205.7 351.41TRAY CATH DIALYSIS TEMP-ST>> 410.00 287 196.8 336.2TRAY CATH DIALYSIS TEMP-RT>> 421.70 295.19 202.42 345.79TRAY CATH DIALYSIS TEMP-LT>> 421.70 295.19 202.42 345.79TRAY AMNIOCENTESIS DISP>> 139.34 97.54 66.88 114.26TRAY AMNIOCENTESIS DISP>> 139.34 97.54 66.88 114.26TRANSVERSE CLAMP 1,667.75 1,167.43 800.52 1,367.56TRANSTIB ACL DISP 751.25 525.88 360.6 616.03TRANSTIB ACL DISP 751.25 525.88 360.6 616.03TRACKER PATIENT 9733534 ENT 626.52 438.56 300.73 513.75TRACKER INSTRUMENT 9733533 ENT 520.31 364.22 249.75 426.65TRACER METRO .035X480 LONG 387.25 271.08 185.88 317.55TR BAND 335.00 234.5 160.8 274.7TOWEL STERILE 4 PACK 27.14 19 13.03 22.25TOWEL STERILE 4 PACK 27.14 19 13.03 22.25TOWEL STERILE 4 PACK 27.14 19 13.03 22.25TOWEL STERILE 4 PACK 27.14 19 13.03 22.25TOWEL STERILE 4 PACK 27.14 19 13.03 22.25TOWEL STERILE 4 PACK 27.14 19 13.03 22.25TOWEL STERILE 4 PACK 27.14 19 13.03 22.25TORQUEWRENCH COMPONENT 977A260 338.00 236.6 162.24 277.16TORNADO PLATINUM EMBOLIZ COIL 240.00 168 115.2 196.8TOEMATE INSTRUMENT PKG 1,082.75 757.93 519.72 887.86TOEMATE INSTRUMENT PKG 1,082.75 757.93 519.72 887.86TOEMATE IMPLANT PKG 8,991.40 6,293.98 4,315.87 7,372.95TISSEEL VHSD 4ML FROZEN 6EACH 714.82 500.37 343.11 586.15TIP SPADE DRILL 3.9MM SWIVELOC 361.25 252.88 173.4 296.23TIP EXTRACTOR MALE M8X1-6G 387.50 271.25 186 317.75TIP EXTRACTOR MALE M8X1.25-6G 387.50 271.25 186 317.75TIP EXTRACTOR MALE M6X1-6G 387.50 271.25 186 317.75TIP EXTRACTOR MALE M6X.75-6G 387.50 271.25 186 317.75TIP EXTRACTOR MALE M5X0.8-6G 387.50 271.25 186 317.75TIP EXTRACTOR MALE M5.5X0.9-6G 410.00 287 196.8 336.2TIP EXTRACTOR MALE M10X1.5-6G 387.50 271.25 186 317.75TIP EXTRACTOR MALE 7/16-20 387.50 271.25 186 317.75TIP EXTRACTOR MALE 5/16-24 670.00 469 321.6 549.4TIP EXTRACTOR MALE 5/16-18 387.50 271.25 186 317.75TIP EXTRACTOR MALE 3/8-24 387.50 271.25 186 317.75TIP EXTRACTOR MALE 3/8-16 387.50 271.25 186 317.75TIP EXTRACTOR MALE 1/4-28 387.50 271.25 186 317.75

TIP EXTRACTOR MALE 1/4-20 387.50 271.25 186 317.75TIP EXTRACTOR FEMALE 3/8-32 387.50 271.25 186 317.75TIP EXTRACTOR FEMALE 1/4-20 387.50 271.25 186 317.75TIP EXTRACTOR FEMALE #8-32 387.50 271.25 186 317.75TIP EXTRACTOR 352 7MM STRIPPED 653.75 457.63 313.8 536.08TIP EXTRACTOR 351 6MM STRIPPED 608.00 425.6 291.84 498.56TIP EXTRACTOR 350 5MM STRIPPED 653.75 457.63 313.8 536.08TIP EXTRACTOR 349 4MM STRIPPED 653.75 457.63 313.8 536.08TIP EXTRACTOR 348 3MM STRIPPED 718.75 503.13 345 589.38TIP EXTRACTOR 346 7MM (BROKEN) 458.75 321.13 220.2 376.18TIP EXTRACTOR 345 6MM (BROKEN) 458.75 321.13 220.2 376.18TIP EXTRACTOR 344 5MM (BROKEN) 653.75 457.63 313.8 536.08TIP EXTRACTOR 343 4MM (BROKEN) 783.75 548.63 376.2 642.68TIP EXTRACTOR 342 3MM (BROKEN) 718.75 503.13 345 589.38TIP EXTRACTOR 341 2MM (BROKEN) 783.75 548.63 376.2 642.68TIP EXTRACTER 2MM (STRIPPED) 653.75 457.63 313.8 536.08TIGERTAPE LOOP 350.00 245 168 287TIGERTAPE LOOP 350.00 245 168 287TIGERLINK 0 WHITE/BLACK 410.00 287 196.8 336.2TIGER TAPE 2MM X 7" 357.50 250.25 171.6 293.15TIGER STICK 395.00 276.5 189.6 323.9THUNDERBEAT 9 CM OPEN JAW 1,401.25 980.88 672.6 1,149.03THIGH SUPPORT PAD FERKEL 260.00 182 124.8 213.2THERMASPLINT SMALL 154.19 107.93 74.01 126.44THERMASPLINT MEDIUM 157.90 110.53 75.79 129.48THERMASPLINT LARGE 154.19 107.93 74.01 126.44TERUMO WIRE RUNTHRU 180CM 620.00 434 297.6 508.4TERUMO TIG 4.0 110CM 368.00 257.6 176.64 301.76TERUMO SARAH 4.0 5FR 40-5024 368.00 257.6 176.64 301.76TERUMO JACKY 3.5 5FR 40-5023 357.50 250.25 171.6 293.15TENODESIS GRAFT SIZE KIT W/FL 978.75 685.13 469.8 802.58TENDON STABILIZING GUIDE 560.00 392 268.8 459.2TENDON MARKERS 470.00 329 225.6 385.4T-CONN EXT SET MICROBORE 33.51 23.46 16.08 27.48TAPE SURGICAL MEDIPORE 4">> 72.18 50.53 34.65 59.19TAPE SURGICAL MEDIPORE 4">> 72.18 50.53 34.65 59.19TAPE SURGICAL MEDIPORE 4">> 72.18 50.53 34.65 59.19TAPE SURGICAL MEDIPORE 4">> 72.18 50.53 34.65 59.19TAP 5.5MM CANNULATED 2,675.25 1,872.68 1,284.12 2,193.71T8 SCREW BLADE 786.71 550.7 377.62 645.1T CONNECTOR EXT SET LONG>> 47.02 32.91 22.57 38.56T CONNECTOR EXT SET LONG>> 47.02 32.91 22.57 38.56T CONNECTOR EXT SET LONG>> 47.02 32.91 22.57 38.56SYSTEM STOOL MGT FLEXI-SEAL>> 462.03 323.42 221.77 378.86SYSTEM OSTOMY LOOP GENTLE TOUC 38.60 27.02 18.53 31.65SYSTEM COLO/ILEO POST OP GENTL 38.60 27.02 18.53 31.65SYRINGE/IRRIGATION ASEPTO> 34.27 23.99 16.45 28.1SYRINGE/IRRIGATION ASEPTO> 34.27 23.99 16.45 28.1SYRINGE/IRRIGATION ASEPTO> 34.27 23.99 16.45 28.1SYRINGE SLIP TIP 30CC> 23.34 16.34 11.2 19.14SYRINGE LUER LOCK LF 30CC 23.42 16.39 11.24 19.2SYRINGE LUER LOCK LF 30CC 23.42 16.39 11.24 19.2SYRINGE LUER LOCK LF 30CC 23.42 16.39 11.24 19.2SYRINGE LUER LOCK LF 30CC 23.42 16.39 11.24 19.2SYRINGE LUER LOCK 50CC>>> 27.55 19.29 13.22 22.59SYRINGE LUER LOCK 50CC>>> 27.55 19.29 13.22 22.59SYRINGE IRRIGATION PISTON 60CC 28.51 19.96 13.68 23.38SYRINGE EPILOR LUER SLIP 7ML 39.53 27.67 18.97 32.41SYRINGE EPILOR LUER SLIP 7ML 39.53 27.67 18.97 32.41SYRINGE CATH TIP 50CC>>> 25.00 17.5 12 20.5SYRINGE CATH TIP 50CC>>> 25.00 17.5 12 20.5SYRINGE CATH TIP 50CC>>> 25.00 17.5 12 20.5SYRINGE CATH TIP 50CC>>> 25.00 17.5 12 20.5SYNCHROSEAL 8 MM 2,262.50 1,583.75 1,086.00 1,855.25SYMPHONY BREASTFEED SUPPLY KIT 20.00 14 9.6 16.4SWIVELLOCK INSTR KIT 3.5X8.5MM 913.75 639.63 438.6 749.28SWIRLNET MINI ESOPHAGEAL 453.88 317.72 217.86 372.18SUTURETAPE TIGERLOOP W/NDL 440.00 308 211.2 360.8SUTURETAPE 1.3 W/PR NDL 36.6 395.00 276.5 189.6 323.9SUTUREFIX CRVD 1.9 DRILL S LEN 1,117.07 781.95 536.19 916SUTURE/ULTRABRAID #2 W/NEEDLE 190.48 133.34 91.43 156.19SUTURE VICRYL SZ 0 30.45 21.32 14.62 24.97

SUTURE VICRYL SIZE 0 JJ41G 88.95 62.27 42.7 72.94SUTURE VICRYL 9-0 124.04 86.83 59.54 101.71SUTURE VICRYL 2-0 27" 29.50 20.65 14.16 24.19SUTURE VICRYL 2-0 27" 29.50 20.65 14.16 24.19SUTURE ULTRABRAID COBRAID #2 190.48 133.34 91.43 156.19SUTURE ULTRABRAID COBRAID #2 190.48 133.34 91.43 156.19SUTURE TENSION/CUTTER KNEES 588.75 412.13 282.6 482.78SUTURE TAPE TIGERLINK 1.3MM 530.00 371 254.4 434.6SUTURE TAPE FIBERLOOP W/NDL WH 440.00 308 211.2 360.8SUTURE TAPE 1.3MM WH BL W/36.6 282.50 197.75 135.6 231.65SUTURE TAPE 1.3MM W/TAILS W B 282.50 197.75 135.6 231.65SUTURE SILK O CT-1 NEEDLE 36.04 25.23 17.3 29.55SUTURE RAPIDE 4-0 VICRYL 38.29 26.8 18.38 31.4SUTURE PROLENE O CT-2 NEEDLE 35.54 24.88 17.06 29.14SUTURE PROLENE O CT-2 NEEDLE 35.54 24.88 17.06 29.14SUTURE PROLENE BLUE 5-0 8686G 49.32 34.52 23.67 40.44SUTURE PROLENE BLUE 5-0 8686G 49.32 34.52 23.67 40.44SUTURE PROLENE 7-0 BV-1 NEEDLE 124.13 86.89 59.58 101.79SUTURE PROLENE 6-0 BV-1 NEEDLE 122.19 85.53 58.65 100.2SUTURE PROLENE 5-0 8698G 50.20 35.14 24.1 41.16SUTURE PROLENE 5-0 351.66 246.16 168.8 288.36SUTURE PROLENE 2-0 SH NEEDLE 55.38 38.77 26.58 45.41SUTURE PROLENE 2-0 8685H 37.23 26.06 17.87 30.53SUTURE PASSING WIRE 470.00 329 225.6 385.4SUTURE PASSING WIRE 470.00 329 225.6 385.4SUTURE PASSER STANDARD 570.94 399.66 274.05 468.17SUTURE PASSER DIA 25MM 620.00 434 297.6 508.4SUTURE MONOCRYL SZ 5-0 P1 UND 57.39 40.17 27.55 47.06SUTURE MONOCRYL 4-0 Y426H 57.14 40 27.43 46.85SUTURE MONOCRYL 4-0 Y426H 57.14 40 27.43 46.85SUTURE MONOCRYL 3-0 KEITH 40.88 28.62 19.62 33.52SUTURE MONOCRYL 3-0 KEITH 40.88 28.62 19.62 33.52SUTURE MINITAPE COBRAID WH 39. 392.00 274.4 188.16 321.44SUTURE MINITAPE BLUE 39.5 543.80 380.66 261.02 445.92SUTURE MERSILENE TAPE 5MM 246.96 172.87 118.54 202.51SUTURE LASSO SD WIRE LOOP 230.00 161 110.4 188.6SUTURE LASSO SD WIRE LOOP 230.00 161 110.4 188.6SUTURE LASSO SD 90DEG ST 475.00 332.5 228 389.5SUTURE LASSO SD 45DEG LT 475.00 332.5 228 389.5SUTURE LASSO SD 45 DEG RIGHT 475.00 332.5 228 389.5SUTURE ETHILON SZ 5-0 P3 43.59 30.51 20.92 35.74SUTURE ETHILON SZ 5-0 P3 43.59 30.51 20.92 35.74SUTURE ETHILON CVD 3.0>> 47.46 33.22 22.78 38.92SUTURE ETHILON CVD 3.0>> 47.46 33.22 22.78 38.92SUTURE ETHILON CVD 3.0>> 47.46 33.22 22.78 38.92SUTURE ETHILON 10-0 OPTH 9008G 138.91 97.24 66.68 113.91SUTURE ETHICON 0 SILK K834H 36.10 25.27 17.33 29.6SUTURE ETHICON 0 SILK K834H 36.10 25.27 17.33 29.6SUTURE ETHIBOND #1 30" GREEN 30.63 21.44 14.7 25.12SUTURE CUTTER W/PORTAL SKID 735.00 514.5 352.8 602.7SUTURE CHROMIC 7-0 163.59 114.51 78.52 134.14SUTURE CHROMIC 5-0 56.18 39.33 26.97 46.07SUTURE CHROMIC 5-0 56.18 39.33 26.97 46.07SUTURE BOOT/STANDARD 42.44 29.71 20.37 34.8SUTURE BOOT/MINI 41.62 29.13 19.98 34.13SUTURE 0 MONDEK 331.85 232.3 159.29 272.12SUT VICRYL SZ 0 ENDOLOOP EJ10G 243.47 170.43 116.87 199.65SUT VICRYL SIZE 4-0 J494H 46.39 32.47 22.27 38.04SUT VICRYL SIZE 4-0 J494H 46.39 32.47 22.27 38.04SUT VICRYL SIZE 4-0 J441H 33.01 23.11 15.84 27.07SUT VICRYL SIZE 4-0 J441H 33.01 23.11 15.84 27.07SUT VICRYL SIZE 4-0 J415H 29.35 20.55 14.09 24.07SUT VICRYL SIZE 4-0 J415H 29.35 20.55 14.09 24.07SUT VICRYL SIZE 4-0 J214H 29.39 20.57 14.11 24.1SUT VICRYL SIZE 4-0 J214H 29.39 20.57 14.11 24.1SUT VICRYL SIZE 3-0 J497H 43.87 30.71 21.06 35.97SUT VICRYL SIZE 3-0 J497H 43.87 30.71 21.06 35.97SUT VICRYL SIZE 2-0 J869H 29.98 20.99 14.39 24.58SUT VICRYL SIZE 2-0 J333H 29.28 20.5 14.05 24.01SUT VICRYL SIZE 2-0 J333H 29.28 20.5 14.05 24.01SUT VICRYL SIZE 2-0 J328H 31.43 22 15.09 25.77SUT VICRYL SIZE 2-0 J286G 33.01 23.11 15.84 27.07

SUT VICRYL SIZE 2-0 J286G 33.01 23.11 15.84 27.07SUT VICRYL SIZE 1-0 J977H 30.12 21.08 14.46 24.7SUT VICRYL SIZE 1 J535H 35.20 24.64 16.9 28.86SUT VICRYL SIZE 1 J535H 35.20 24.64 16.9 28.86SUT VICRYL SIZE 0 TIES J287G 32.74 22.92 15.72 26.85SUT VICRYL SIZE 0 J946H 30.05 21.04 14.42 24.64SUT VICRYL SIZE 0 J946H 30.05 21.04 14.42 24.64SUT VICRYL SIZE 0 J603H 31.74 22.22 15.24 26.03SUT VICRYL SIZE 0 J603H 31.74 22.22 15.24 26.03SUT VICRYL SIZE 0 J334H 29.72 20.8 14.27 24.37SUT VICRYL SIZE 0 J334H 29.72 20.8 14.27 24.37SUT VICRYL SH UNDYED SZ 3.0 29.53 20.67 14.17 24.21SUT VICRYL SH UNDYED SZ 3.0 29.53 20.67 14.17 24.21SUT VICRYL P-3 UNDYED SZ 5.0 47.90 33.53 22.99 39.28SUT VICRYL P-3 UNDYED SZ 5.0 47.90 33.53 22.99 39.28SUT VICRYL P-3 UNDYED SZ 5.0 47.90 33.53 22.99 39.28SUT VICRYL 9-0 V449G 132.22 92.55 63.47 108.42SUT VICRYL 8-0 NEEDLE BV130-5Y 115.01 80.51 55.2 94.31SUT VICRYL 7-0 J576G 99.64 69.75 47.83 81.7SUT VICRYL 6-0 J578G 104.33 73.03 50.08 85.55SUT VICRYL 4-0 PS-2 NEEDLE 45.16 31.61 21.68 37.03SUT VICRYL 4-0 PS-2 NEEDLE 45.16 31.61 21.68 37.03SUT VICRYL 4-0 J422H 33.39 23.37 16.03 27.38SUT VICRYL 4-0 J422H 33.39 23.37 16.03 27.38SUT VICRYL 3-0 J258H 29.53 20.67 14.17 24.21SUT VICRYL 3-0 J258H 29.53 20.67 14.17 24.21SUT VICRYL 3-0 J215H 32.36 22.65 15.53 26.54SUT VICRYL 3-0 CR SH NEEDLE 87.39 61.17 41.95 71.66SUT VICRYL 3-0 CR SH NEEDLE 87.39 61.17 41.95 71.66SUT VICRYL 3-0 33.05 23.14 15.86 27.1SUT VICRYL 3-0 33.05 23.14 15.86 27.1SUT VICRYL 2/0 J602H 31.38 21.97 15.06 25.73SUT UMBILICAL TAPE U10T 36.26 25.38 17.4 29.73SUT SURGICAL STEEL PRECUT 18 28.94 20.26 13.89 23.73SUT SILK SZ 60" TIE SA6H 36.70 25.69 17.62 30.09SUT SILK SIZE 4-0 TIES A183H 32.64 22.85 15.67 26.76SUT SILK SIZE 4-0 1677G 41.42 28.99 19.88 33.96SUT SILK SIZE 3-0 TIES A184H 30.76 21.53 14.76 25.22SUT SILK SIZE 3-0 K832H 35.82 25.07 17.19 29.37SUT SILK SIZE 3-0 K832H 35.82 25.07 17.19 29.37SUT SILK SIZE 2-0 TIES A185H 29.05 20.34 13.94 23.82SUT SILK SIZE 2-0 TIES A185H 29.05 20.34 13.94 23.82SUT SILK SIZE 2-0 TIE SA85H 33.95 23.77 16.3 27.84SUT SILK SIZE 2-0 C022D 75.59 52.91 36.28 61.98SUT SILK SIZE 2-0 C012D 8/PK 74.35 52.05 35.69 60.97SUT SILK SIZE 0 TIES A186H 32.37 22.66 15.54 26.54SUT SILK SIZE 0 TIES A186H 32.37 22.66 15.54 26.54SUT SILK 6-0 786G 50.83 35.58 24.4 41.68SUT SILK 4-0 709H 66.30 46.41 31.82 54.37SUT RETENTION BOLSTERS 450G 36.00 25.2 17.28 29.52SUT PROLENE SIZR 3-0 40.54 28.38 19.46 33.24SUT PROLENE SIZE O-0 8454H 34.44 24.11 16.53 28.24SUT PROLENE SIZE 6-0 8805H 125.66 87.96 60.32 103.04SUT PROLENE SIZE 5-0 24" RB-1 56.02 39.21 26.89 45.94SUT PROLENE SIZE 3-0 8558H 56.01 39.21 26.88 45.93SUT PROLENE SIZE 3-0 8522H 55.97 39.18 26.87 45.9SUT PROLENE SIZE 2-0 8833H 40.37 28.26 19.38 33.1SUT PROLENE SIZE 2-0 8411H 35.46 24.82 17.02 29.08SUT PROLENE SIZE 1-0 8435H 35.67 24.97 17.12 29.25SUT PROLENE SIZE 1 8455H 34.57 24.2 16.59 28.35SUT PROLENE SIZE 0 8424H 35.42 24.79 17 29.04SUT PROLENE BLUE SZ 4-0 8682H 54.51 38.16 26.16 44.7SUT PROLENE BLUE SZ 4-0 8682H 54.51 38.16 26.16 44.7SUT PROLENE 6-0 8714H 53.86 37.7 25.85 44.17SUT PROLENE 6-0 8714H 53.86 37.7 25.85 44.17SUT PROLENE 6-0 8617G 58.15 40.71 27.91 47.68SUT PROLENE 10-0 1713G 109.92 76.94 52.76 90.13SUT POLYSORB SIZE 0 ES9 NEEDLE 372.33 260.63 178.72 305.31SUT PLAIN SIZE 4-0 1824H 40.51 28.36 19.44 33.22SUT PLAIN SIZE 0 L104G 41.57 29.1 19.95 34.09SUT PLAIN SIZE 0 L104G 41.57 29.1 19.95 34.09SUT PDS II SIZE 2-0 Z333H 36.68 25.68 17.61 30.08

SUT PDS II SIZE 2-0 Z333H 36.68 25.68 17.61 30.08SUT PDS II SIZE 1-0 Z371T 37.50 26.25 18 30.75SUT PDS II 0X27 Z334H 36.53 25.57 17.53 29.95SUT PDS II 0X27 Z334H 36.53 25.57 17.53 29.95SUT MONOCRYL SIZE 4-0 58.61 41.03 28.13 48.06SUT MONOCRYL SIZE 4-0 58.61 41.03 28.13 48.06SUT MONOCRYL SIZE 4-0 58.61 41.03 28.13 48.06SUT LASSO QUICKPASS 30DEG STRA 540.00 378 259.2 442.8SUT GUT CHROMIC 5-0 S14 12" 115.47 80.83 55.43 94.69SUT GORTEX SIZE 226.25 158.38 108.6 185.53SUT GORTEX 0 CV-0 0N05A 222.50 155.75 106.8 182.45SUT ETHILONPS-3 BLACK SZ 6.0 43.12 30.18 20.7 35.36SUT ETHILON SIZE 2-0 490T 42.69 29.88 20.49 35.01SUT ETHILON PS-2 BLACK SZ 5.0 45.42 31.79 21.8 37.24SUT ETHILON PS-2 BLACK SZ 5.0 45.42 31.79 21.8 37.24SUT ETHILON PS-2 BLACK SZ 4.0 45.16 31.61 21.68 37.03SUT ETHILON PS-2 BLACK SZ 4.0 45.16 31.61 21.68 37.03SUT ETHILON 10-0 7707G 152.11 106.48 73.01 124.73SUT ETHIBOND SIZE 2-0 X411H 30.10 21.07 14.45 24.68SUT ETHIBOND SIZE 2-0 X411H 30.10 21.07 14.45 24.68SUT ETHIBOND SIZE 2-0 MX69G 111.26 77.88 53.4 91.23SUT ETHIBOND SIZE 2-0 32.28 22.6 15.49 26.47SUT ETHIBOND SIZE 1-0 X425H 30.57 21.4 14.67 25.07SUT ETHIBOND SIZE 0.0 X412H>> 30.10 21.07 14.45 24.68SUT ETHIBOND SIZE 0.0 X412H>> 30.10 21.07 14.45 24.68SUT ENDOLOOP SIZE 0 PDS 243.47 170.43 116.87 199.65SUT ENDOLOOP SIZE 0 PDS 243.47 170.43 116.87 199.65SUT DAGROFIL 6-0 324.02 226.81 155.53 265.7SUT CHROMIC U202H 38.90 27.23 18.67 31.9SUT CHROMIC U202H 38.90 27.23 18.67 31.9SUT CHROMIC SIZE 4-0 G121H 39.77 27.84 19.09 32.61SUT CHROMIC SIZE 4-0 G121H 39.77 27.84 19.09 32.61SUT CHROMIC SIZE 4-0 1643G 57.58 40.31 27.64 47.22SUT CHROMIC SIZE 4-0 1643G 57.58 40.31 27.64 47.22SUT CHROMIC SIZE 4-0 1637G 57.68 40.38 27.69 47.3SUT CHROMIC SIZE 3-0 G122H 39.06 27.34 18.75 32.03SUT CHROMIC SIZE 3-0 G122H 39.06 27.34 18.75 32.03SUT CHROMIC SIZE 2-0 G123H 37.92 26.54 18.2 31.09SUT CHROMIC SIZE 2-0 G123H 37.92 26.54 18.2 31.09SUT CHROMIC SIZE 2-0 G123H 37.92 26.54 18.2 31.09SUT CHROMIC SIZE 0 L114G 43.37 30.36 20.82 35.56SUT CHROMIC SIZE 0 L114G 43.37 30.36 20.82 35.56SUT CHROMIC SIZE 0 812H 38.20 26.74 18.34 31.32SUT ASSISTANT SW100 412.97 289.08 198.23 338.64SUT ACCU-PASS MONO #1 79.20 55.44 38.02 64.94SURSHOT DRILL SHORT 964.65 675.26 463.03 791.01SURSHOT DRILL LONG 1,052.46 736.72 505.18 863.02SURLOK FLAT WIRE STONE BASKET 431.74 302.22 207.24 354.03SURESHOT HUMERAL DRILL GUIDE 1,152.30 806.61 553.1 944.89SURESHOT HUMERAL 3.2 DRILL 803.90 562.73 385.87 659.2SURESHOT DRILL GUIDE PROBE 1,441.71 1,009.20 692.02 1,182.20SURESEAL VALVE 116.00 81.2 55.68 95.12SUCTION D C JARS AND LIDS ONLY 86.40 60.48 41.47 70.85SUCTION D C DISP TUBING SET 78.70 55.09 37.78 64.53SUC HANDLE CONTROL 45.58 31.91 21.88 37.38STRYKEFLOW II DISPOSABLE 321.77 225.24 154.45 263.85STRIP STERI 1/8"X3">> 28.79 20.15 13.82 23.61STRIP PLAIN PK 2" X 5 YD>> 41.56 29.09 19.95 34.08STRIP PLAIN PK 1/4" X 1 YD>> 29.85 20.9 14.33 24.48STRIP PLAIN PK 1/2" X 1 YD>> 30.72 21.5 14.75 25.19STRIP PLAIN PK 1" X 1 YD>> 32.61 22.83 15.65 26.74STRIP IODOFORM PK 2" X 5 YD>> 44.67 31.27 21.44 36.63STRIP IODOFORM PK 2" X 5 YD>> 44.67 31.27 21.44 36.63STRIP IODOFORM PK 1/4 X 5 YD>> 32.45 22.72 15.58 26.61STRIP IODOFORM PK 1/4 X 5 YD>> 32.45 22.72 15.58 26.61STRIP IODOFORM PK 1/2 X 5 YD>> 34.92 24.44 16.76 28.63STRIP IODOFORM PK 1/2 X 5 YD>> 34.92 24.44 16.76 28.63STRIP IODOFORM PK 1" X 5 YD>> 35.32 24.72 16.95 28.96STRIP IODOFORM PK 1" X 5 YD>> 35.32 24.72 16.95 28.96STRATAFIX BARBED SUTURE 360.13 252.09 172.86 295.31STRATAFIX 4-0 18" PS2 NEEDLE 251.48 176.04 120.71 206.21STRATAFIX 3-0 SUTURE FOR ROBOT 208.14 145.7 99.91 170.67

STRATAFIX 0 SUTURE 182.36 127.65 87.53 149.54STRAPS MONTGOMERY>> 31.40 21.98 15.07 25.75STOPCOCK W/LL 3-WAY>> 29.23 20.46 14.03 23.97STOPCOCK LG BORE 4-WAY>> 33.39 23.37 16.03 27.38STOPCOCK 3-WAY>>> 26.48 18.54 12.71 21.71STOPCOCK 3-WAY>>> 26.48 18.54 12.71 21.71STOPCOCK 3-WAY>>> 26.48 18.54 12.71 21.71STOPCOCK 3-WAY>>> 26.48 18.54 12.71 21.71STONECUTTER ACR EP-1.5.5 DSPL 348.26 243.78 167.16 285.57STONE GRASPER 2.6 X 120CM 20.00 14 9.6 16.4STONE CONE DEVICE 3 FR COIL 762.95 534.07 366.22 625.62STONE BASKET ZERO TIP NITANOL 615.95 431.17 295.66 505.08STONE BASKET 2.2FR NITINOL 556.25 389.38 267 456.13STOMAHESIVE SKIN BARRIER 44.85 31.4 21.53 36.78STOCKINETTE IMPERV 12"> 66.24 46.37 31.8 54.32STIMULATOR NERVE DISPOSABLE 10 388.55 271.99 186.5 318.61STIFF STRAIGHT ZIPWIRE 260CM 415.59 290.91 199.48 340.78STERILE CABLE MEDTRONIC 425.00 297.5 204 348.5STENT PANCRATIC GEPD-5-7 460.75 322.53 221.16 377.82STENT INTRODUCER FUSION OASIS 608.00 425.6 291.84 498.56STEINMANN PIN STRL 3.2MMX178MM 612.80 428.96 294.14 502.5STD Y-TEC PROCED PAC 502.63 351.84 241.26 412.16STD DRILL 2.0 658.11 460.68 315.89 539.65STD DRILL 2.0 658.11 460.68 315.89 539.65STAYS ELASTIC LONE STAR HOOKS 106.47 74.53 51.11 87.31STATLOCK IV ULTRA IV0500>> 47.22 33.05 22.67 38.72STATLOCK IV ULTRA IV0500>> 47.22 33.05 22.67 38.72STATLOCK IV ULTRA IV0500>> 47.22 33.05 22.67 38.72STATLOCK IV ULTRA IV0500>> 47.22 33.05 22.67 38.72STATLOCK IV ULTRA IV0500>> 47.22 33.05 22.67 38.72STATLOCK IV ULTRA IV0500>> 47.22 33.05 22.67 38.72STATLOCK IV ULTRA IV0500>> 47.22 33.05 22.67 38.72STATLOCK IV ULTRA IV0500>> 47.22 33.05 22.67 38.72STATLOCK IV ULTRA IV0500>> 47.22 33.05 22.67 38.72STATLOCK IV ULTRA IV0500>> 47.22 33.05 22.67 38.72STATLOCK IV ULTRA IV0500>> 47.22 33.05 22.67 38.72STATLOCK IV ULTRA IV0500>> 47.22 33.05 22.67 38.72STATLOCK IV ULTRA IV0500>> 47.22 33.05 22.67 38.72STATLOCK IV ULTRA IV0500>> 47.22 33.05 22.67 38.72STATLOCK IV ULTRA IV0500>> 47.22 33.05 22.67 38.72STATLOCK IV ULTRA IV0500>> 47.22 33.05 22.67 38.72STATLOCK IV ULTRA IV0500>> 47.22 33.05 22.67 38.72STATLOCK IV ULTRA IV0500>> 47.22 33.05 22.67 38.72STATLOCK IV ULTRA IV0500>> 47.22 33.05 22.67 38.72STATLOCK IV ULTRA IV0500>> 47.22 33.05 22.67 38.72STATLOCK IV ULTRA IV0500>> 47.22 33.05 22.67 38.72STATLOCK FOR PICC LINES>> 52.92 37.04 25.4 43.39STATLOCK FOR PICC LINES>> 52.92 37.04 25.4 43.39STAPLER LINEAR CUTTER TLC75 448.04 313.63 215.06 367.39STAPLER LINEAR CUTTER TLC55 286.75 200.73 137.64 235.14STAPLER LINEAR CUTTER TCT75 466.04 326.23 223.7 382.15STAPLER HANDLE SURFORM 45 1,515.00 1,060.50 727.2 1,242.30STAPLER DISP SKIN 35W> 164.00 114.8 78.72 134.48STAPLER DISP SKIN 35W> 164.00 114.8 78.72 134.48STAPLER CUTTER RELOADS TCR75 238.93 167.25 114.69 195.92STAPLER CR INTRALUMINAL 25MM 1,443.76 1,010.63 693 1,183.88STAPLER CR INTRALUMIAL 29 1,443.76 1,010.63 693 1,183.88STAPLER CIRCULAR 4.8MM 4,146.08 2,902.26 1,990.12 3,399.79STABILIZATION KIT ELBOW 392.48 274.74 188.39 321.83SPONGE VAG LAP STERILE 39.42 27.59 18.92 32.32SPONGE TONSIL 5/PK MEDIUM 25.12 17.58 12.06 20.6SPONGE TONSIL 5/PK LARGE 24.93 17.45 11.97 20.44SPONGE SPLIT DRAIN AMD 4X4>>> 22.35 15.65 10.73 18.33SPONGE SPLIT DRAIN AMD 4X4>>> 22.35 15.65 10.73 18.33SPONGE SPLIT DRAIN AMD 4X4>>> 22.35 15.65 10.73 18.33SPONGE SPLIT DRAIN AMD 4X4>>> 22.35 15.65 10.73 18.33SPONGE SPLIT DRAIN AMD 4X4>>> 22.35 15.65 10.73 18.33SPONGE SPLIT DRAIN AMD 4X4>>> 22.35 15.65 10.73 18.33SPONGE PK RAYTEX 4X4 21.98 15.39 10.55 18.02SPONGE PK RAYTEX 4X4 21.98 15.39 10.55 18.02SPONGE PK RAYTEX 4X4 21.98 15.39 10.55 18.02SPONGE PK RAYTEX 4X4 21.98 15.39 10.55 18.02

SPONGE PK RAYTEX 4X4 21.98 15.39 10.55 18.02SPONGE PK RAYTEX 4X4 21.98 15.39 10.55 18.02SPONGE PK RAYTEX 4X4 21.98 15.39 10.55 18.02SPONGE PK RAYTEX 4X4 21.98 15.39 10.55 18.02SPONGE PK RAYTEX 4X4 21.98 15.39 10.55 18.02SPONGE PK RAYTEX 4X4 21.98 15.39 10.55 18.02SPONGE PK RAYTEX 4X4 21.98 15.39 10.55 18.02SPONGE PK RAYTEX 4X4 21.98 15.39 10.55 18.02SPONGE PK RAYTEX 4X4 21.98 15.39 10.55 18.02SPONGE PK RAYTEX 4X4 21.98 15.39 10.55 18.02SPONGE PK RAYTEX 4X4 21.98 15.39 10.55 18.02SPONGE PK RAYTEX 4X4 21.98 15.39 10.55 18.02SPONGE PK RAYTEX 4X4 21.98 15.39 10.55 18.02SPONGE PEANUT STERILE 23.78 16.65 11.41 19.5SPONGE LAPS BOAT 18 X 18 23.79 16.65 11.42 19.51SPONGE LAPS BOAT 18 X 18 23.79 16.65 11.42 19.51SPLINT ORTHO GLASS 4" 51.31 35.92 24.63 42.07SPLINT DENVER SERIES 1500 S/M 327.57 229.3 157.23 268.61SPLINT DENVER SERIES 1500 PETI 333.50 233.45 160.08 273.47SPLINT DENVER SERIES 1500 LG 359.00 251.3 172.32 294.38SPIRAL GIGLI SAW BLADE 12" 110.40 77.28 52.99 90.53SPIDER ANKLE STABILIZATION KIT 353.12 247.18 169.5 289.56SPACER TPS LG 9MM 7,801.90 5,461.33 3,744.91 6,397.56SPACER TPS LG 8MM 7,801.90 5,461.33 3,744.91 6,397.56SPACER 8 MM 7,801.90 5,461.33 3,744.91 6,397.56SPACER 10MM 7,801.90 5,461.33 3,744.91 6,397.56SONICISION CRVD JAW 1,346.00 942.2 646.08 1,103.72SOLUTION DURAPREP SURGICAL 26M 51.83 36.28 24.88 42.5SOLUTION DURAPREP SURGICAL 26M 51.83 36.28 24.88 42.5SOLUTION DURAPREP SURGICAL 26M 51.83 36.28 24.88 42.5SOL SET Y-TYPE TUR/BLADD IRR>> 76.58 53.61 36.76 62.8SOL SET Y-TYPE TUR/BLADD IRR>> 76.58 53.61 36.76 62.8SOL SET CYSTO/BLADDER IRRG>>> 60.35 42.25 28.97 49.49SOL SET CYSTO/BLADDER IRRG>>> 60.35 42.25 28.97 49.49SOL EVACUATED CNTAINR 1000ML>> 174.19 121.93 83.61 142.84SOL EVACUATED CNTAINR 1000ML>> 174.19 121.93 83.61 142.84SOL 0.9% SOD CHL IRG 250CC>>> 47.23 33.06 22.67 38.73SOL 0.9% SOD CHL IRG 250CC>>> 47.23 33.06 22.67 38.73SOL 0.9% SOD CHL IRG 250CC>>> 47.23 33.06 22.67 38.73SOL 0.9% SOD CHL IRG 250CC>>> 47.23 33.06 22.67 38.73SOEHENDRA STENT RET SSR-8.5 602.00 421.4 288.96 493.64SNARE SPIRAL 214.87 150.41 103.14 176.19SNARE SPIRAL 214.87 150.41 103.14 176.19SNARE SENSATION SM 6269-40 94.00 65.8 45.12 77.08SNARE SENSATION SM 6269-40 94.00 65.8 45.12 77.08SNARE MINI HEX 94.00 65.8 45.12 77.08SNARE MINI HEX 94.00 65.8 45.12 77.08SNARE JUMBO 2.5X5.5CM 94.00 65.8 45.12 77.08SNARE JUMBO 2.5X5.5CM 94.00 65.8 45.12 77.08SNARE I US ENDOSCOPY 455.50 318.85 218.64 373.51SNARE I US ENDOSCOPY 455.50 318.85 218.64 373.51SMART NDL ASSY 7CMX18GA SHORT 432.75 302.93 207.72 354.86SM WRIST STABILIZATION KIT 454.70 318.29 218.26 372.85SM SPACER SHOULDER KIT 41MM 14,011.25 9,807.88 6,725.40 11,489.23SLEEVE THIN TIP SINGLE USE 93.33 65.33 44.8 76.53SLEEVE STERILE MEDTRONIC 124.76 87.33 59.88 102.3SLEEVE REPOSITIONING 77.60 54.32 37.25 63.63SLEEVE RADIAL ACCESS 140.00 98 67.2 114.8SKW RETRACTOR SYSTEM 1,281.00 896.7 614.88 1,050.42SKW RETRACTOR SYSTEM 1,281.00 896.7 614.88 1,050.42SINGLE MIRROR LENS 100.00 70 48 82SIGMOIDOSCOPE DISPOSABLE>> 37.48 26.24 17.99 30.73SIGMOIDOSCOPE DISP 42.83 29.98 20.56 35.12SHORT SHOT BANDER 282.50 197.75 135.6 231.65SHORT SHOT BANDER 282.50 197.75 135.6 231.65SHORT SHOT BANDER 282.50 197.75 135.6 231.65SHELL AXICARE BREAST>> 42.40 29.68 20.35 34.77SHELL AXICARE BREAST>> 42.40 29.68 20.35 34.77SHEATH SUPER 4 FR 96.00 67.2 46.08 78.72SHEATH SUPER 25CM 6FR 171.60 120.12 82.37 140.71SHEATH BIG CURVE 22CM 1,320.00 924 633.6 1,082.40SHEATH AVANTI 7FRX11CM 188.00 131.6 90.24 154.16

SET SOL EXTENSION INTERLINK>> 36.45 25.52 17.5 29.89SET SOL EXTENSION INTERLINK>> 36.45 25.52 17.5 29.89SET SOL EXTENSION INTERLINK>> 36.45 25.52 17.5 29.89SET SOL EXTENSION INTERLINK>> 36.45 25.52 17.5 29.89SET MINI VOL EXT 60">> 29.18 20.43 14.01 23.93SET MINI VOL EXT 60">> 29.18 20.43 14.01 23.93SET MINI VOL EXT 60">> 29.18 20.43 14.01 23.93SET EXTENSION 2 LEAD>>> 33.77 23.64 16.21 27.69SET EXTENSION 2 LEAD>>> 33.77 23.64 16.21 27.69SET EXT T-CONNECTOR MICRO>>> 39.99 27.99 19.2 32.79SET EXT T-CONNECTOR MICRO>>> 39.99 27.99 19.2 32.79SET EXT T-CONNECTOR MICRO>>> 39.99 27.99 19.2 32.79SET EXT T-CONNECTOR MICRO>>> 39.99 27.99 19.2 32.79SET EXT T-CONNECTOR MICRO>>> 39.99 27.99 19.2 32.79SET EXT T-CONNECTOR MICRO>>> 39.99 27.99 19.2 32.79SET EXT T-CONNECTOR MICRO>>> 39.99 27.99 19.2 32.79SET EXT STANDARD BORE 8">>> 31.96 22.37 15.34 26.21SET EXT STANDARD BORE 8">>> 31.96 22.37 15.34 26.21SET EXT STANDARD BORE 8">>> 31.96 22.37 15.34 26.21SET EXT STANDARD BORE 8">>> 31.96 22.37 15.34 26.21SET EXT STANDARD BORE 8">>> 31.96 22.37 15.34 26.21SET EXT STANDARD BORE 8">>> 31.96 22.37 15.34 26.21SET EXT STANDARD BORE 8">>> 31.96 22.37 15.34 26.21SET EXT STANDARD BORE 8">>> 31.96 22.37 15.34 26.21SET EXT STANDARD BORE 8">>> 31.96 22.37 15.34 26.21SET EXT STANDARD BORE 8">>> 31.96 22.37 15.34 26.21SET EXT STANDARD BORE 8">>> 31.96 22.37 15.34 26.21SET EXT STANDARD BORE 8">>> 31.96 22.37 15.34 26.21SET EXT STANDARD BORE 8">>> 31.96 22.37 15.34 26.21SET EXT STANDARD BORE 8">>> 31.96 22.37 15.34 26.21SET EXT STANDARD BORE 8">>> 31.96 22.37 15.34 26.21SET EXT STANDARD BORE 8">>> 31.96 22.37 15.34 26.21SET EXT STANDARD BORE 8">>> 31.96 22.37 15.34 26.21SET EXT STANDARD BORE 8">>> 31.96 22.37 15.34 26.21SET EXT STANDARD BORE 8">>> 31.96 22.37 15.34 26.21SET EXT STANDARD BORE 8">>> 31.96 22.37 15.34 26.21SET EXT STANDARD BORE 8">>> 31.96 22.37 15.34 26.21SET EXT 145" XLONG SIDE CLMP>> 46.15 32.31 22.15 37.84SET COLON DECOMPRESSION 401.88 281.32 192.9 329.54SET CO II>> 168.24 117.77 80.76 137.96SET CATH RAD ART 2OGAX13/4">> 86.88 60.82 41.7 71.24SET CATH RAD ART 2OGAX13/4">> 86.88 60.82 41.7 71.24SET CATH ARTERIAL 18GX4-1/4>> 121.12 84.78 58.14 99.32SET CATH ARTERIAL 18GX4-1/4>> 121.12 84.78 58.14 99.32SET CATH ARTERIAL 18GX4-1/4>> 121.12 84.78 58.14 99.32SEPARATOR 12MM X 150 204.00 142.8 97.92 167.28SENSOR SEDLINE MASIMO>> 135.20 94.64 64.9 110.86SENSATION PLUS IABP 8FR 50CC 3,162.91 2,214.04 1,518.20 2,593.59SEMKIN BIPOLAR FCP 5 1/2" DISP 282.50 197.75 135.6 231.65SECURESTRAP 2,011.95 1,408.37 965.74 1,649.80SEALANT FLOSEAL MATRIX HEMOSTA 898.33 628.83 431.2 736.63S-CURVE URETHRAL DILATOR SET 851.81 596.27 408.87 698.48SCREW SCHANZ 4.5 200MM 829.60 580.72 398.21 680.27SCREW SCHANZ 4.5 175MM 387.35 271.15 185.93 317.63SCREW SCHANZ 4.5 150MM 488.00 341.6 234.24 400.16SCREW SCHANZ 4.5 125MM 707.60 495.32 339.65 580.23SCREW SCHANZ 4.5 100MM 420.90 294.63 202.03 345.14SCORPION NEEDLE MULTIFIRE 572.50 400.75 274.8 469.45SAW BLADES 500.00 350 240 410SAW BLADE 25.0X5.5MM 258.13 180.69 123.9 211.67SAW BLADE 25.0X5.5MM 258.13 180.69 123.9 211.67SAW BLADE 395.00 276.5 189.6 323.9SAW BLADE 395.00 276.5 189.6 323.9SAGITTAL SAW BLADE DUAL CUT 321.08 224.76 154.12 263.29SAFETY WIRE GUIDE INTRODUCER 347.23 243.06 166.67 284.73S/M ALEXIS ORTHOPEDIC PROTECTO 653.75 457.63 313.8 536.08S. NEEDLE BIOPSY 10 GAUGE 505.94 354.16 242.85 414.87S. KYPHO 10 GAUGE KIT 7,906.68 5,534.68 3,795.21 6,483.48S. CEMENT AND MIXER 2,850.75 1,995.53 1,368.36 2,337.62RUMI TIP YELLOW 5.1MMX3.75CM 411.09 287.76 197.32 337.09RUMI TIP ORANGE 6.7MMX12CM 392.47 274.73 188.39 321.83RUMI TIP LAVENDER 5.1MMX6CM 411.09 287.76 197.32 337.09

RUMI TIP BLUE 6.7MMX8CM 411.09 287.76 197.32 337.09RUMI KOH-EFFICIENT 4.0CM 454.64 318.25 218.23 372.8RUMI KOH-EFFICIENT 3.0CM 454.64 318.25 218.23 372.8ROUND BUR LONG HEAD .197 242.08 169.46 116.2 198.51ROUND BUR LONG HEAD .197 242.08 169.46 116.2 198.51ROTH NET MAXI 361.25 252.88 173.4 296.23ROTH NET FOOD BOLUS 361.25 252.88 173.4 296.23ROTH NET - POLYP USE ONLY 584.00 408.8 280.32 478.88ROTH NET - POLYP USE ONLY 584.00 408.8 280.32 478.88ROTATING MALE ADAPTER RT ROT 37.57 26.3 18.03 30.81ROLLER LINDSTROM LASIK FLAP 118.35 82.85 56.81 97.05ROLLER BALL LRG 603.24 422.27 289.56 494.66ROD COMPRESSION 5MM 3,253.75 2,277.63 1,561.80 2,668.08RING SEAL PROTECTIVE BRAVA 74.39 52.07 35.71 61RING INVALID>>> 53.00 37.1 25.44 43.46RING INVALID>>> 53.00 37.1 25.44 43.46RIM SPEED PIN 45MM 492.86 345 236.57 404.15REVISION KIT 470.00 329 225.6 385.4RETRACTOR TRAXI PANNICULUS 323.14 226.2 155.11 264.97RETRACTOR LONE STAR 499.70 349.79 239.86 409.75RETRACTOR ALEXIS O C-SECT XL 434.00 303.8 208.32 355.88RESURE SEALANT 410.00 287 196.8 336.2RESTRICTOR CEMENT 8-13MM 299.02 209.31 143.53 245.2RESERVOIR JACKSON PRATT 100 ML 117.74 82.42 56.52 96.55RESCUE RAT TOOTH FORCEP GRASPI 405.27 283.69 194.53 332.32RELOAD VASCULAR WHITE THIN TIS 591.45 414.02 283.9 484.99RELOAD THICK TISSUE GREEN 591.45 414.02 283.9 484.99RELOAD SUREFORM 45 GREEN 4.3 800.00 560 384 656RELOAD SUREFORM 45 2.5 WHITE 6 800.00 560 384 656RELOAD REGULAR TISSUE BLUE 591.45 414.02 283.9 484.99RELOAD FOR STAPLER 1,022.55 715.79 490.82 838.49RELIATACK ART RELOAD FIX DEVIC 2,689.19 1,882.43 1,290.81 2,205.14REDUCER 12-8 MM 220.00 154 105.6 180.4RED MINI VESSEL LOOPS 42.09 29.46 20.2 34.51REAMER PILOTED HEAD 8.5 MM 686.25 480.38 329.4 562.73REAMER PILOTED 783.75 548.63 376.2 642.68REAMER LOW PROFILE 6MM 653.75 457.63 313.8 536.08REAMER LOW PROFILE 11.5MM 653.75 457.63 313.8 536.08REAMER LOW PROFILE 748.00 523.6 359.04 613.36REAMER LOW PROFILE 748.00 523.6 359.04 613.36REAMER 10MM 653.75 457.63 313.8 536.08REAMER 10MM 653.75 457.63 313.8 536.08REAMER 1,726.25 1,208.38 828.6 1,415.53RC 35MM EYE NEEDLE 590.00 413 283.2 483.8RAT TOOTH RETRIEVAL FORCEP 1,172.13 820.49 562.62 961.15RASP PODITARY DISP. 373.76 261.63 179.4 306.48RASP PODITARY DISP. 373.76 261.63 179.4 306.48RAP PAC A 1.2 919.80 643.86 441.5 754.24RALLY HV AB ALL IN ONE 70GRAMS 3,873.50 2,711.45 1,859.28 3,176.27PUMP HARMONY BREAST>> 127.93 89.55 61.41 104.9PUMP HARMONY BREAST>> 127.93 89.55 61.41 104.9PRO-TOE INST KIT 741.50 519.05 355.92 608.03PROTACK 5MM TACKER 1,915.82 1,341.07 919.59 1,570.97PROSTATE LASER FIBER 2,928.75 2,050.13 1,405.80 2,401.58PROSTATE LASER FIBER 2,928.75 2,050.13 1,405.80 2,401.58PROCISE MAX WAND 936.50 655.55 449.52 767.93PROBE QUICKSILVER BIPOLAR 10FR 483.13 338.19 231.9 396.17PROBE QUICKSILVER BIPOLAR 10FR 483.13 338.19 231.9 396.17PROBE QUICKLSILVER BIPOLAR 483.13 338.19 231.9 396.17PROBE QUICKLSILVER BIPOLAR 483.13 338.19 231.9 396.17PROBE PULSE OX INFANT 3-20KG>> 84.96 59.47 40.78 69.67PROBE PULSE OX INFANT 3-20KG>> 84.96 59.47 40.78 69.67PROBE GOLD 7FR INJECTION 6015 1,501.16 1,050.81 720.56 1,230.95PROBE BEAMER ARGON SNARE 942.19 659.53 452.25 772.6PROBE BEAMER 2.3MM X 320CM 735.00 514.5 352.8 602.7PROBE BEAMER 2.3MM X 320CM 735.00 514.5 352.8 602.7PROBE ABC 5MM 611.88 428.32 293.7 501.74PREP IM KIT 1,979.45 1,385.62 950.14 1,623.15POWERPICK 45 DEGREE 348.25 243.78 167.16 285.57POWERPICK 45 DEG 348.25 243.78 167.16 285.57POWERPICK 45 DEG 348.25 243.78 167.16 285.57POWERASP 5.5 MM X 13 CM 562.75 393.93 270.12 461.46

POWERASP 4.0 MM X 13 CM 491.25 343.88 235.8 402.83POWDER STOMAHESIVE>> 34.96 24.47 16.78 28.67POUCH UROSTOMY 2 3/4">> 35.56 24.89 17.07 29.16POUCH SENSURA MIO430 CONVEX 36.02 25.21 17.29 29.54POUCH PUMP TOTE>> 52.92 37.04 25.4 43.39POUCH OSTOMY DRAIN 1 PC C/F 52.99 37.09 25.44 43.45POUCH IRRIG SLEEVE 2 3/4" 28.49 19.94 13.68 23.36POUCH IRRIG SLEEVE 1 3/4">> 36.98 25.89 17.75 30.32POUCH DRAINABLE 4">> 32.12 22.48 15.42 26.34POUCH DRAIN W/FILTER 2 3/4">> 31.97 22.38 15.35 26.22POUCH DRAIN W/FILTER 2 1/4">> 31.97 22.38 15.35 26.22POUCH CUT TO FIT SENSURA 81.19 56.83 38.97 66.58POUCH 1PC DRN 1 PRCUT STD WEAR 67.99 47.59 32.64 55.75POSISEP X ENT SPLINT 410.00 287 196.8 336.2POOLE SUCTION TIP 28.75 20.13 13.8 23.58POOLE SUCTION TIP 28.75 20.13 13.8 23.58PLUG MEDTRONIC 622.50 435.75 298.8 510.45PLUG DECANLAZATION DISP>> 49.35 34.55 23.69 40.47P-LOCK 3.5MM TAP QC 610.10 427.07 292.85 500.28P-LOCK 3.5MM TAP QC 610.10 427.07 292.85 500.28P-LOC SCREW 2.7 X 10MM 218.44 152.91 104.85 179.12P-LOC SCREW 2.7 X 10MM 218.44 152.91 104.85 179.12P-LOC PIN 2.7MM PF 14MM 866.30 606.41 415.82 710.37P-LOC DRILL BIT 3.5MM SH W/QC 881.58 617.11 423.16 722.9P-LOC DRILL BIT 3.5MM SH W/QC 881.58 617.11 423.16 722.9P-LOC DRILL BIT 2.7MM W/QC 772.41 540.69 370.76 633.38P-LOC DRILL BIT 2.7MM W/QC 772.41 540.69 370.76 633.38P-LOC DRILL BIT 2.7MM SH W/QC 648.97 454.28 311.51 532.16P-LOC DRILL BIT 2.7MM SH W/QC 648.97 454.28 311.51 532.16P-LOC DRILL BIT 2.7MM SH W/QC 648.97 454.28 311.51 532.16P-LOC DRILL 2.0MM W/QC 648.97 454.28 311.51 532.16P-LOC DRILL 2.0MM W/QC 648.97 454.28 311.51 532.16P-LOC 4.5MM DRILL BIT CANN 3,271.66 2,290.16 1,570.40 2,682.76P-LOC 4.5MM DRILL BIT CANN 3,271.66 2,290.16 1,570.40 2,682.76P-LOC 3.5 DRILL BIT W/ QC 990.74 693.52 475.56 812.41P-LOC 3.5 DRILL BIT W/ QC 990.74 693.52 475.56 812.41P-LOC 10.0MM OD WASHER 318.12 222.68 152.7 260.86PLATE WIRE 380.00 266 182.4 311.6PLASMA LOOP 1,665.41 1,165.79 799.4 1,365.64PLASMA LOOP 1,665.41 1,165.79 799.4 1,365.64PLASMA BUTTON 1,614.87 1,130.41 775.14 1,324.19PLACEMENT PIN 609.50 426.65 292.56 499.79PLACEMENT PIN 609.50 426.65 292.56 499.79PINBALLS .045 W SERIES 58.50 40.95 28.08 47.97PINBALLS .035 W SERIES 69.33 48.53 33.28 56.85PINBALL .062 W SERIES 65.33 45.73 31.36 53.57PIN THREADED SZ 2.3 COLLARED 500.36 350.25 240.17 410.3PIN SKELETAL TRACTION 22MM 969.90 678.93 465.55 795.32PIN SET UNI III ECLIPSE 913.75 639.63 438.6 749.28PIN RIM SPEED 65MM STERILE 234.20 163.94 112.42 192.04PIN RIM SPEED 30MM STERILE 217.03 151.92 104.17 177.96PIN NON RIM SPEED 80 STERILE 362.00 253.4 173.76 296.84PIN NON RIM SPEED 110 STERILE 230.90 161.63 110.83 189.34PIN KIT META PHALANGEAL 679.75 475.83 326.28 557.4PIN KIT META PHALANGEAL 679.75 475.83 326.28 557.4PIN KIT 1.5MM TOEMOTION 523.75 366.63 251.4 429.48PIN KIT 1.5MM TOEMOTION 523.75 366.63 251.4 429.48PIN KIT 679.75 475.83 326.28 557.4PIN KIT 679.75 475.83 326.28 557.4PIN JRNY TIB SPEED 6M X 27M 243.35 170.35 116.81 199.55PIN JRNY TIB SPEED 6.5MX40M 244.15 170.91 117.19 200.2PIN HOLD MINI SHARP POINT 525.08 367.56 252.04 430.57PIN GUIDE 3X75MM 864.35 605.05 414.89 708.77PIN GUIDE 1.3 X 140MM 315.80 221.06 151.58 258.96PIN GUIDE 1.3 X 140MM 315.80 221.06 151.58 258.96PIN DYNANITE VIP GLENOID 2.8MM 1,320.00 924 633.6 1,082.40PIN 2.5MM PROVISIONAL FIX 14MM 673.25 471.28 323.16 552.07PIN 2.5MM PROVIS FIX 40.00 926.65 648.66 444.79 759.85PIN 2.2MM 301.25 210.88 144.6 247.03PIN 1.5MM PROVISIONAL FIX 20MM 724.93 507.45 347.97 594.44PHOTON BLADE 1,076.25 753.38 516.6 882.53PHALANGEAL GUIDE PIN 204.00 142.8 97.92 167.28

PHACO SLEEVE B L JONES 132.93 93.05 63.81 109PHACO PACK B L DR JONES> 282.50 197.75 135.6 231.65PHACO KNIFE 1.8 ANG 110.77 77.54 53.17 90.83PERSONAL THERAPHY MANAGER 2,343.75 1,640.63 1,125.00 1,921.88PERMAFIX TACKER 2,740.00 1,918.00 1,315.20 2,246.80PERI-LOC CABLE SADDLE TALL SS 1,675.67 1,172.97 804.32 1,374.05PERI 2.7MM DRILL PIN GUIDE 25M 951.97 666.38 456.95 780.62PERFORM REVERSED PERIPHERAL 583.06 408.14 279.87 478.11PERC INSERT KIT FOR 3.0MM STAK 653.75 457.63 313.8 536.08PATIENT REMOTE KIT 3,344.75 2,341.33 1,605.48 2,742.70PATIENT CONTROLLER 20.00 14 9.6 16.4PASTE STOMAHESIVE>> 61.36 42.95 29.45 50.32PASSPORT BUTTON CANNULA 260.00 182 124.8 213.2PASSPORT 8X5CM 297.50 208.25 142.8 243.95PASSPORT 8X5CM 297.50 208.25 142.8 243.95PANCREATIC STENT 5FRX9CM 266.00 186.2 127.68 218.12PANCREATIC STENT 5FRX7CM 225.63 157.94 108.3 185.02PANCREATIC STENT 4X9 218.50 152.95 104.88 179.17PALL BLOOD FILTER 40 MICRON 165.36 115.75 79.37 135.6PAIN PROCEDURE PACK 81.82 57.27 39.27 67.09PAIN PROCEDURE PACK 81.82 57.27 39.27 67.09PADDED GRASPER 5MM X 45CM 357.50 250.25 171.6 293.15PADDED GRASPER 5MM X 35CM 357.50 250.25 171.6 293.15PAD ABDOMINAL STERILE 8X10>>> 21.70 15.19 10.42 17.79PAD ABDOMINAL STERILE 8X10>>> 21.70 15.19 10.42 17.79PAD ABDOMINAL STERILE 8X10>>> 21.70 15.19 10.42 17.79PAD ABDOMINAL STERILE 8X10>>> 21.70 15.19 10.42 17.79PAD ABDOMINAL STERILE 8X10>>> 21.70 15.19 10.42 17.79PAD ABDOMINAL STERILE 8X10>>> 21.70 15.19 10.42 17.79PAD ABDOMINAL STERILE 8X10>>> 21.70 15.19 10.42 17.79PACK TOTAL KNEE> 499.37 349.56 239.7 409.48PACK TOTAL HIP/SHOULDER 485.36 339.75 232.97 398PACK LAPAROSCOPY> 325.93 228.15 156.45 267.26PACK LAP CHOLE> 348.61 244.03 167.33 285.86PACK KIT OB/GYN VAG DEL>>> 265.33 185.73 127.36 217.57PACK KIT OB/GYN VAG DEL>>> 265.33 185.73 127.36 217.57PACK HEAVY DRAINAGE>>> 36.53 25.57 17.53 29.95PACK HEAVY DRAINAGE>>> 36.53 25.57 17.53 29.95PACK HEAVY DRAINAGE>>> 36.53 25.57 17.53 29.95PACK HEAVY DRAINAGE>>> 36.53 25.57 17.53 29.95PACK HEAVY DRAINAGE>>> 36.53 25.57 17.53 29.95PACK C-SECTION CUSTOM> 360.05 252.04 172.82 295.24PACK C-SECTION CUSTOM> 360.05 252.04 172.82 295.24PACK CARDIAC CATH LAB 350.00 245 168 287PACK BASIC> 250.70 175.49 120.34 205.57PACK ARTHROSCOPY 363.26 254.28 174.36 297.87PACE LOC CABLE DISP 213.54 149.48 102.5 175.1OVERTUBE GASTIC GUARDUS 664.58 465.21 319 544.96OVER TUBE 25CM 624.50 437.15 299.76 512.09OVAL BUTTON 24 FR 12-30 DEG 1,753.06 1,227.14 841.47 1,437.51OTSC TWIN GRASPER 220CM 2,031.75 1,422.23 975.24 1,666.04OTSC SYSTEM SET 12/6T 220CM 2,631.50 1,842.05 1,263.12 2,157.83OSTEOTOME AEQ EXTRACT 3" 76 1,160.75 812.53 557.16 951.82OSTEOTOME AEQ EXTRACT 1.5" 38 1,160.75 812.53 557.16 951.82OR CALDE KIT 390.50 273.35 187.44 320.21OPTIFIX TACKER 1,840.00 1,288.00 883.2 1,508.80OPTICAL ACCESS 5X100MM THREAD 140.00 98 67.2 114.8OPTICAL ACCESS 12X100MM THREAD 204.00 142.8 97.92 167.28OPHTHALMIC KNIFE 15 DEGREE 55.23 38.66 26.51 45.29OPEN COMPRESSOR 1,173.75 821.63 563.4 962.48OMNIGUIDE BEAMPATH ROBOTIC FIB 3,757.50 2,630.25 1,803.60 3,081.15OMNI GUIDE LASER FIBER ENT-L 3,757.50 2,630.25 1,803.60 3,081.15OMNI FLUSH 5FR 65CM 140.00 98 67.2 114.8OINTMENT PROTECTIVE #3>> 28.46 19.92 13.66 23.34OINTMENT PROTECTIVE #3>> 28.46 19.92 13.66 23.34OINTMENT PROTECTIVE #3>> 28.46 19.92 13.66 23.34OBTURATOR 10CM 5FR 68.80 48.16 33.02 56.42NS2000 ABLATION DEVICE NOVASUR 3,200.13 2,240.09 1,536.06 2,624.11NOVASTITCH PRO MEN REP SYS 2-0 3,233.00 2,263.10 1,551.84 2,651.06NOVASTITCH CARTRIDGE 2-0 3,050.00 2,135.00 1,464.00 2,501.00NOVACUT SUT MANAGER 605.00 423.5 290.4 496.1NON BALLOON HASSON 12X100 220.00 154 105.6 180.4

NIM PAIRED SUBDURAL ELEC 4 CH 501.65 351.16 240.79 411.35NIM PAIRED SUBDURAL ELEC 2 CH 352.09 246.46 169 288.71NIM INCREMENTING PRASS PROBE 581.93 407.35 279.33 477.18NIM CONTACT EMG TUBE 8MM 1,222.34 855.64 586.72 1,002.32NIM CONTACT EMG TUBE 7MM 1,222.34 855.64 586.72 1,002.32NIM CONTACT EMG TUBE 6MM 932.60 652.82 447.65 764.73NEPTUNE SPECIMAN TRAP 118.06 82.64 56.67 96.81NEPTUNE SPECIMAN TRAP 118.06 82.64 56.67 96.81NEOPROBE COVER PS6001 (PS6000) 93.75 65.63 45 76.88NEEDLE TRANSBRO ASPIRATION 19G 349.21 244.45 167.62 286.35NEEDLE TAPERES CRVD 26MM 172.00 120.4 82.56 141.04NEEDLE SPINAL 22GA X 7">> 54.90 38.43 26.35 45.02NEEDLE SPINAL 22GA X 7">> 54.90 38.43 26.35 45.02NEEDLE SPINAL 22GA X 3 1/2">> 34.39 24.07 16.51 28.2NEEDLE SPINAL 22GA X 3 1/2">> 34.39 24.07 16.51 28.2NEEDLE SPINAL 22GA X 1 1/2">> 34.30 24.01 16.46 28.13NEEDLE SPINAL 18X3 1/2 30.07 21.05 14.43 24.66NEEDLE SPINAL 18GA X 3 1/2">> 32.77 22.94 15.73 26.87NEEDLE REV CUT 36MM 1/ 2 CIRCL 172.00 120.4 82.56 141.04NEEDLE MICS ANGLED BLUE 164.00 114.8 78.72 134.48NEEDLE KEITH EYED 2 7/8" STER 31.30 21.91 15.02 25.67NEEDLE KEITH EYED 2 7/8" STER 31.30 21.91 15.02 25.67NEEDLE JAMISHIDI 17GA 70MM>> 98.70 69.09 47.38 80.93NEEDLE JAMISHIDI 17GA 100MM>> 98.70 69.09 47.38 80.93NEEDLE JAMISHIDI 17GA 100MM>> 98.70 69.09 47.38 80.93NEEDLE INSERTION 6" 390.50 273.35 187.44 320.21NEEDLE INJECTION ACUJECT-FLEX 275.00 192.5 132 225.5NEEDLE INJECTION ACUJECT-FLEX 275.00 192.5 132 225.5NEEDLE INFUSION 25GAX3/4">> 33.76 23.63 16.2 27.68NEEDLE INFUSION 25GAX3/4">> 33.76 23.63 16.2 27.68NEEDLE INFUSION 23GAX3/4X12">> 33.41 23.39 16.04 27.4NEEDLE INFUSION 23GAX3/4X12">> 33.41 23.39 16.04 27.4NEEDLE HUBER POWERLOC22X3/4">> 71.28 49.9 34.21 58.45NEEDLE HUBER POWERLOC19X3/4">> 71.76 50.23 34.44 58.84NEEDLE HUBER POWERLOC19X3/4">> 71.76 50.23 34.44 58.84NEEDLE HUBER POWERLOC19X3/4">> 71.76 50.23 34.44 58.84NEEDLE HUBER POWERLOC19X3/4">> 71.76 50.23 34.44 58.84NEEDLE HUBER POWERLOC19X3/4">> 71.76 50.23 34.44 58.84NEEDLE HUBER POWERLOC19X1/2">> 78.80 55.16 37.82 64.62NEEDLE HUBER POWERLOC19X1.5">> 71.28 49.9 34.21 58.45NEEDLE HUBER POWERLOC 20X1">> 71.76 50.23 34.44 58.84NEEDLE HUBER POWERLOC 20X1">> 71.76 50.23 34.44 58.84NEEDLE HUBER POWERLOC 20X1">> 71.76 50.23 34.44 58.84NEEDLE HUBER POWERLOC 19X1">> 71.76 50.23 34.44 58.84NEEDLE HUBER POWERLOC 19X1">> 71.76 50.23 34.44 58.84NEEDLE HUBER POWERLOC 19X1">> 71.76 50.23 34.44 58.84NEEDLE HUBER POWERLOC 19X1">> 71.76 50.23 34.44 58.84NEEDLE HUBER POWERLOC 22X1">> 71.28 49.9 34.21 58.45NEEDLE GUIDE STERILE ENDOCAVIT 141.67 99.17 68 116.17NEEDLE EYED TROCAR POINT 45.78 32.05 21.97 37.54NEEDLE EYED TROCAR POINT 45.78 32.05 21.97 37.54NEEDLE CURVED TIP 15CM 338.00 236.6 162.24 277.16NEEDLE CURVED 4" 350.00 245 168 287NEEDLE CURVE TIP 6" 470.00 329 225.6 385.4NEEDLE CURVE TIP 470.00 329 225.6 385.4NEEDLE CONTINUOUS EPIDURAL 60.33 42.23 28.96 49.47NEEDLE CONTINUOUS EPIDURAL 60.33 42.23 28.96 49.47NEEDLE CHIBA POINT 22GX7 BLACK 61.25 42.88 29.4 50.23NEEDLE CERCLAGE PASS MD SINGLE 590.00 413 283.2 483.8NEEDLE BIOPSY TRUCUT 133.40 93.38 64.03 109.39NEEDLE BIOPSY MAXCORE DISP 18G 256.21 179.35 122.98 210.09NEEDLE ASPIRATION BILIARY 453.50 317.45 217.68 371.87NEEDLE 1/2 CIRC 45.78 32.05 21.97 37.54NEEDLE 1/2 CIRC 45.78 32.05 21.97 37.54NEEDLE SUTURE CAPTURE 475.00 332.5 228 389.5NEBULIZER AEROECLIPSE II BAN 58.98 41.29 28.31 48.36NASAL SPLINTS DOYLE 115.20 80.64 55.3 94.46NASAL BILIARY DRAINAGE 7FR 596.00 417.2 286.08 488.72NAMIC PROTECTION STATION 124.83 87.38 59.92 102.36NAMIC MANIFOLD 256.93 179.85 123.33 210.68NAMIC FLUID DEL SET VENTED 72" 46.57 32.6 22.35 38.19NAMIC 12 CC SYRINGE 58.62 41.03 28.14 48.07

NAIL EXTRACTOR 3,036.00 2,125.20 1,457.28 2,489.52N300 LEAD ANCHOR KIT 705.50 493.85 338.64 578.51MULTILEAD TRIAL CABLE 670.00 469 321.6 549.4MUC 3.0 CANN HD DRILL 634.25 443.98 304.44 520.09MOUTHPIECE BEST BLOCK 34.85 24.4 16.73 28.58MOUTHPIECE BEST BLOCK 34.85 24.4 16.73 28.58MONARCH RETRIEVAL SYSTEM 267.50 187.25 128.4 219.35MINI ACUTRAK 2 DRILL 1,141.25 798.88 547.8 935.83MICROPUNCT SET 4.0X10CMX.0118 205.20 143.64 98.5 168.26MICRO-ACUTRAK 2 DRILL LONG 1,271.25 889.88 610.2 1,042.43MICRO SUTURE LASSO LG CURVE 475.00 332.5 228 389.5MICRO LASSO SUTURE 475.00 332.5 228 389.5MICRO LASSO SUTURE 475.00 332.5 228 389.5MICRO ACUTRAK 2 DRILL 949.50 664.65 455.76 778.59MIC-KEY G TUBE KIT 20FR 3.0CM 437.19 306.03 209.85 358.5MIC-KEY G TUBE KIT 18FR 2.7CM 437.19 306.03 209.85 358.5MIC-KEY G TUBE KIT 14FR 2.0CM 578.60 405.02 277.73 474.45METATARSAL GUIDE PIN 204.00 142.8 97.92 167.28MENISCAL ROOT KIT 3,253.75 2,277.63 1,561.80 2,668.08MED WRIST STABILIZATION KIT 442.10 309.47 212.21 362.52MED NEEDLE CURVE COMPONENT 350.00 245 168 287MED NEEDLE CURVE COMPONENT 350.00 245 168 287MED MULTILEAD TRIAL CABLE 670.00 469 321.6 549.4MED MULTILEAD TRIAL CABLE 670.00 469 321.6 549.4MASK O2 SIMPLE ADULT> 30.35 21.25 14.57 24.89MASK BILI EYE COVER SM>> 36.98 25.89 17.75 30.32MASK BILI EYE COVER SM>> 36.98 25.89 17.75 30.32MARKER SKIN REG TIP RULER - OR 34.43 24.1 16.53 28.23MARKER SKIN REG TIP RULER - OR 34.43 24.1 16.53 28.23MARKER SKIN REG TIP RULER - OR 34.43 24.1 16.53 28.23MARKER BLACK EYE ENDOSCOPIC 152.00 106.4 72.96 124.64MARKER BLACK EYE ENDOSCOPIC 152.00 106.4 72.96 124.64MANUAL VAC ASPIRATOR MISCARRAG 590.00 413 283.2 483.8MANIFOLD STANDARD NEPTUNE 217.93 152.55 104.61 178.7MANIFOLD STANDARD NEPTUNE 217.93 152.55 104.61 178.7MAIN PUMP TUBING 386.00 270.2 185.28 316.52LUBRICANT MIXTURE ROTAGLIDE 553.00 387.1 265.44 453.46LOW PROFILE CANNULA 220.00 154 105.6 180.4LOOP IDENTI RED MAXI 34.59 24.21 16.6 28.36LOOP IDENTI MAXI BLUE 2/PK 10 34.59 24.21 16.6 28.36LOOP CUTTING 24 FR 368.71 258.1 176.98 302.34LOOP 28FR 462.87 324.01 222.18 379.55LOOP 26FR 462.87 324.01 222.18 379.55LOOP 24 FR 444.53 311.17 213.37 364.51LONG DRILL 1,268.00 887.6 608.64 1,039.76LLETZ BALL 5MM 146.80 102.76 70.46 120.38LINER SUCTION CRD 1500CC>>> 36.49 25.54 17.52 29.92LINER SUCTION CRD 1500CC>>> 36.49 25.54 17.52 29.92LINER SUCTION CRD 1500CC>>> 36.49 25.54 17.52 29.92LINER SUCTION CRD 1500CC>>> 36.49 25.54 17.52 29.92LINER SUCTION CRD 1500CC>>> 36.49 25.54 17.52 29.92LINER SUCTION CRD 1500CC>>> 36.49 25.54 17.52 29.92LINER SUCTION CRD 1500CC>>> 36.49 25.54 17.52 29.92LINER SUCTION CRD 1500CC>>> 36.49 25.54 17.52 29.92LINEAR CUTTER 100MM THCK GREEN 343.91 240.74 165.08 282.01LINEAR CUTTER 100MM BLUE 347.28 243.1 166.69 284.77LIGASURE MARYLAND JAW LAP DEVI 1,551.89 1,086.32 744.91 1,272.55LIGASURE CUR SM JAW SEALER/DIV 1,268.52 887.96 608.89 1,040.19L-HOOK 32CM DISP 208.64 146.05 100.15 171.08LG WRIST STABILIZATION KIT 442.10 309.47 212.21 362.52LENS MX60TP 350 DIOP 19.0 1,628.75 1,140.13 781.8 1,335.58LEEP ELECTRODE SQUARE 209.68 146.78 100.65 171.94LEAD PISCES QUAD 33CM 5,512.50 3,858.75 2,646.00 4,520.25LEAD END CAP KIT 168.75 118.13 81 138.38LASER FIBER MOSES 550 1,726.25 1,208.38 828.6 1,415.53LASER FIBER MOSES 200 D/F/L 1,612.66 1,128.86 774.08 1,322.38LASER FIBER 400 MICRON 780.50 546.35 374.64 640.01LASER FIBER 1000 MICRON 2,155.25 1,508.68 1,034.52 1,767.31LASER FBER MOSES 365 1,271.25 889.88 610.2 1,042.43LARGE SUCTION W/ FILTER 320.00 224 153.6 262.4LAP SMOKE EVACUATION TUBING 118.88 83.22 57.06 97.48LANCE FLAT BLADE 103.87 72.71 49.86 85.17

LACRIMAL INTUBATION SET W/RET 429.20 300.44 206.02 351.94LABRALTAPE WHITE/BLACK 1.5MM 440.00 308 211.2 360.8L HOOK W/ULTRA COAT 5MMX44CM 191.73 134.21 92.03 157.22KYPHON INTRODUCER TROCAR DIA 2,828.00 1,979.60 1,357.44 2,318.96KYPHON BONE CEMENT XPEDE 627.75 439.43 301.32 514.76KYPHON BONE CEMENT DEL GUN SZ3 920.90 644.63 442.03 755.14KYPHON BONE CEMENT DEL GUN SZ2 920.90 644.63 442.03 755.14KYPHON BONE CEMENT CARTRIDGE 356.00 249.2 170.88 291.92KYPHO NEW 15/3FF KPX153PB 11,211.70 7,848.19 5,381.62 9,193.59KYPHO CURETTE DISP SIZE 2 1,178.30 824.81 565.58 966.21KYPHO BONE CEMENT MIXER 511.40 357.98 245.47 419.35KYPHO BONE BIOPSY DEVICE SZ 2 347.60 243.32 166.85 285.03KYPHO AF KIT SIZE 15 6,092.30 4,264.61 2,924.30 4,995.69KYPHO 15/3 KIT (UPGRADED) 11,211.70 7,848.19 5,381.62 9,193.59KYPHO 10/2 KIT (UPGRADED) 11,211.70 7,848.19 5,381.62 9,193.59KYPHO #15 DIRECTIONAL CANNULA 1,645.00 1,151.50 789.6 1,348.90KYOHO FRACTURE KIT SZ 2 AF 6,092.30 4,264.61 2,924.30 4,995.69K-WIRE TROCAR TIP 3.2MM 371.72 260.2 178.43 304.81KWIRE TROCAR TIP 1.4MMX100MM 335.48 234.84 161.03 275.09K-WIRE THD SHORT 3.2MM 499.10 349.37 239.57 409.26K-WIRE SS 1.6 X 127MM NS 260.00 182 124.8 213.2K-WIRE SM TIP 2.0MM X 150MM 99.12 69.38 47.58 81.28KWIRE GLND 530.90 371.63 254.83 435.34K-WIRE 2.5 DARCO 219.60 153.72 105.41 180.07K-WIRE 1.6MMX100MM TROCAR TIP 293.98 205.79 141.11 241.06K-WIRE 1.6MMX100MM TROCAR TIP 293.98 205.79 141.11 241.06K-WIRE 1.6 X 150MM TROCAR TIP 278.38 194.87 133.62 228.27K-WIRE 1.6 140.00 98 67.2 114.8K-WIRE 1.2X150 320.00 224 153.6 262.4K-WIRE 1.2X150 320.00 224 153.6 262.4K-WIRE 1.2 X 70MM TROCAR TIP 293.98 205.79 141.11 241.06K-WIRE 1.2 X 70MM TROCAR TIP 293.98 205.79 141.11 241.06K-WIRE 1.1MM X 102MM 260.00 182 124.8 213.2K-WIRE 1.0MM X 80MM 140.00 98 67.2 114.8K-WIRE 1.4 116.00 81.2 55.68 95.12K-WIRE 2.5MM DIA X 150MM 470.00 329 225.6 385.4KNIVES COOK NEEDLE 403.50 282.45 193.68 330.87KNIFE SATIN SLIT 2.75 BEVEL UP 108.16 75.71 51.92 88.69KNIFE COLD STRAIGHT 642.70 449.89 308.5 527.01KIT TENFUSE NAIL INSTRUMENT 1,606.00 1,124.20 770.88 1,316.92KIT STERILE JOINT PREP INST 988.50 691.95 474.48 810.57KIT STERILE JOINT PREP INST 988.50 691.95 474.48 810.57KIT SPECI UA FEMALE CATH 8FR>> 41.29 28.9 19.82 33.86KIT SPECI UA FEMALE CATH 8FR>> 41.29 28.9 19.82 33.86KIT SPECI UA FEMALE CATH 8FR>> 41.29 28.9 19.82 33.86KIT SNARE AMPLATZ 6FRX15X120 946.25 662.38 454.2 775.93KIT SHOULDER TRACTION COBAN 297.50 208.25 142.8 243.95KIT POST OP COLOSTOMY 2PC 2.75 35.20 24.64 16.9 28.86KIT PNEUMOTHORAX>> 743.65 520.56 356.95 609.79KIT PNEUMOTHORAX>> 743.65 520.56 356.95 609.79KIT PEGPULL GASTRODO 20F 6820 403.75 282.63 193.8 331.08KIT PATIENT PROGAMMER BIONICS 2,768.69 1,938.08 1,328.97 2,270.33KIT PARACENTESIS DISP 15GA>> 306.98 214.89 147.35 251.72KIT NEEDLE GUIDE PICLINE 21GA> 214.03 149.82 102.73 175.5KIT NEEDLE GUIDE 18G 198.40 138.88 95.23 162.69KIT MICROINTRODUCER EZ 5 FR>> 357.50 250.25 171.6 293.15KIT MED PUMP REFILL>> 212.00 148.4 101.76 173.84KIT MED PUMP REFILL>> 212.00 148.4 101.76 173.84KIT MED CATHETER ACCESS PORT 220.00 154 105.6 180.4KIT MED CATHETER ACCESS PORT 220.00 154 105.6 180.4KIT MATERNITY CARE>>> 112.27 78.59 53.89 92.06KIT MATERNITY CARE>>> 112.27 78.59 53.89 92.06KIT IV START>>> 34.89 24.42 16.75 28.61KIT IV START>>> 34.89 24.42 16.75 28.61KIT IV START>>> 34.89 24.42 16.75 28.61KIT IV START>>> 34.89 24.42 16.75 28.61KIT IV START>>> 34.89 24.42 16.75 28.61KIT IV START>>> 34.89 24.42 16.75 28.61KIT IV START>>> 34.89 24.42 16.75 28.61KIT IV START>>> 34.89 24.42 16.75 28.61KIT IV START>>> 34.89 24.42 16.75 28.61KIT IV START>>> 34.89 24.42 16.75 28.61

KIT IV START>>> 34.89 24.42 16.75 28.61KIT IV START>>> 34.89 24.42 16.75 28.61KIT IV START>>> 34.89 24.42 16.75 28.61KIT IV START>>> 34.89 24.42 16.75 28.61KIT IV START>>> 34.89 24.42 16.75 28.61KIT IV START>>> 34.89 24.42 16.75 28.61KIT IV START>>> 34.89 24.42 16.75 28.61KIT IV START>>> 34.89 24.42 16.75 28.61KIT IV START>>> 34.89 24.42 16.75 28.61KIT IV START>>> 34.89 24.42 16.75 28.61KIT IV START>>> 34.89 24.42 16.75 28.61KIT IV START>>> 34.89 24.42 16.75 28.61KIT IABP 8FR 30CC BALLOON 2,771.61 1,940.13 1,330.37 2,272.72KIT GASTRIC LAVAGE ADULT>> 64.21 44.95 30.82 52.65KIT GASTRIC LAVAGE ADULT>> 64.21 44.95 30.82 52.65KIT FOL CATH SUPRPUB INTRODUCE 486.74 340.72 233.64 399.13KIT DRESSING ASPIRA>> 117.92 82.54 56.6 96.69KIT DISPS 3X 8MM TENO 978.75 685.13 469.8 802.58KIT CENT VEN CATH PERC 8.5F>> 323.00 226.1 155.04 264.86KIT CATH UA INFANT/PEDS 5FR>> 32.43 22.7 15.57 26.59KIT CATH UA INFANT/PEDS 5FR>> 32.43 22.7 15.57 26.59KIT CATH SILVER SOAKER 6IN 321.80 225.26 154.46 263.88KIT CATH PACING INTRO 5FR>> 1,222.35 855.65 586.73 1,002.33KIT CATH PACING INTRO 5FR>> 1,222.35 855.65 586.73 1,002.33KIT CATH PACING INTRO 5FR>> 1,222.35 855.65 586.73 1,002.33KIT CATH BAL DIL 4CM 5MM 15FR 868.71 608.1 416.98 712.34KIT CATH ARTERIAL LINE 18GA>> 335.00 234.5 160.8 274.7KIT ACCESSORY WRENCHES/SCREWS 380.00 266 182.4 311.6KIT ACCESSORY AMS 700 1,986.08 1,390.26 953.32 1,628.59KIT ACCESSORY AMS 700 1,986.08 1,390.26 953.32 1,628.59KIT 3 LUM CATH CENT VEN 7 FR>> 387.18 271.03 185.85 317.49KIT 2MM GUIDE PIN SINGLE 596.00 417.2 286.08 488.72KIT 2MM GUIDE PIN SINGLE 596.00 417.2 286.08 488.72KIT 2MM GUIDE PIN SINGLE 596.00 417.2 286.08 488.72KII SHIELDED BLADED ACCESS SYS 204.00 142.8 97.92 167.28KII SHIELDED BLADED ACC 12X100 204.00 142.8 97.92 167.28KII ACCESS SYS THREAD 5X150MM 140.00 98 67.2 114.8KERATOME 2.65 B L JONES 117.93 82.55 56.61 96.7K WIRE SMOOTHE 2.5 183.00 128.1 87.84 150.06K WIRE SMOOTHE 2.5 183.00 128.1 87.84 150.06K WIRE OLIVE 1.2 X 65MM 475.07 332.55 228.03 389.56K WIRE OLIVE 1.2 X 65MM 475.07 332.55 228.03 389.56K WIRE 7/64 X 9" 31.52 22.06 15.13 25.85K WIRE 6" .35 MINI MEDSOURCE 115.90 81.13 55.63 95.04K WIRE 3/32 X 9" 25.93 18.15 12.45 21.26K WIRE 3/16 X 9" 70.15 49.11 33.67 57.52K WIRE 2.5MM 282.50 197.75 135.6 231.65K WIRE 2.5MM 282.50 197.75 135.6 231.65K WIRE 1/8 X 9" 35.58 24.91 17.08 29.18K WIRE 01.4 L120MM TROCAR PT 129.44 90.61 62.13 106.14K WIRE .9X102 201.30 140.91 96.62 165.07K WIRE .062 X 9" 24.91 17.44 11.96 20.43K WIRE .062 X 9" 24.91 17.44 11.96 20.43K WIRE .045 X 9" 24.40 17.08 11.71 20.01K WIRE .045 X 9" 24.40 17.08 11.71 20.01JTUBE 9FR BARD 000319 261.25 182.88 125.4 214.23JET-X ANKLE KIT 35,005.16 24,503.61 16,802.48 28,704.23IRRIGATOR VISI FLOW>> 61.44 43.01 29.49 50.38IRRIGATION VAG UNIT>> 40.61 28.43 19.49 33.3IRRIGATION TUBING 242.92 170.04 116.6 199.19IRIS FORCEPS XFINE SMOOTH 3.5" 107.32 75.12 51.51 88INZII RETRIEVAL SYSTEM 620.00 434 297.6 508.4INTRODUCER SHEATH 8FR>> 290.00 203 139.2 237.8INTRODUCER SHEATH 8FR>> 290.00 203 139.2 237.8INTRODUCER REMINGTON 9FR 284.60 199.22 136.61 233.37INTRO SHEATH PERCUT 6FR>> 290.00 203 139.2 237.8INTRANASAL AIRWAY SPLINTS 264.50 185.15 126.96 216.89INTERSPACE SHOULDER KIT 46MM 14,011.25 9,807.88 6,725.40 11,489.23INTELLIS RECHARGER RTM 4,953.50 3,467.45 2,377.68 4,061.87INSTRUMENT PKG XSM TOEMATE 1,082.75 757.93 519.72 887.86INSTRUMENT PKG XSM TOEMATE 1,082.75 757.93 519.72 887.86INSTINCT CLIP DEVICE 678.30 474.81 325.58 556.21

INSTINCT CLIP DEVICE 678.30 474.81 325.58 556.21INSTINCT CLIP DEVICE 678.30 474.81 325.58 556.21INSERT CONVEX>> 34.21 23.95 16.42 28.05INJEX BI WING ANCHOR 933.75 653.63 448.2 765.68INFLATION DEVICE 572.84 400.99 274.96 469.73INCISOR PLUS ELITE 3.5 MAG MIN 442.82 309.97 212.55 363.11INCISOR PLUS 4.5MM 528.32 369.82 253.59 433.22INCISOR BLADE 3.5MM DSPL 332.60 232.82 159.65 272.73INCISOR 5.5 PLATINUM 373.76 261.63 179.4 306.48IMPELLA CP PUMP SET 81,270.00 56,889.00 39,009.60 66,641.40I PRISMS DISPOSABLE LEFT HAND 380.00 266 182.4 311.6HOOK IRIS FLEXIBLE 435.80 305.06 209.18 357.36HEX WRENCH 188.00 131.6 90.24 154.16HEWSON SUTURE PASSER 354.75 248.33 170.28 290.9HEMOVAC 15FR SOFT LARGE 3/16" 199.42 139.59 95.72 163.52HEMOVAC 10FR MEDIUM 1/8" 178.78 125.15 85.81 146.6HEMOSTAT ABSORB SURGICEL 4X8 436.77 305.74 209.65 358.15HEMOSTAT ABSORB 2 X 3 SURGICEL 448.46 313.92 215.26 367.74HEMOSPRAY 7FR 8,312.50 5,818.75 3,990.00 6,816.25HEMOSPRAY 10FR 8,312.50 5,818.75 3,990.00 6,816.25HEALICOIL RG DILATOR 5.5 913.75 639.63 438.6 749.28HAT TRICK MTP UNI PROC PACK 5,415.28 3,790.70 2,599.33 4,440.53HARMONIC ACE 7 SHEARS 2,589.29 1,812.50 1,242.86 2,123.22HANDLE UNIVERSAL 10/BX 350.20 245.14 168.1 287.16HAND POSITIONER ALUMINUM LARGE 246.88 172.82 118.5 202.44HALO EXP RFA BARRX 360 CATH 8,619.50 6,033.65 4,137.36 7,067.99HALO CAP SMALL 300.50 210.35 144.24 246.41GYPSONA BANDAGE 6" X 5 YARD 29.56 20.69 14.19 24.24GYPSONA BANDAGE 4" X 5 YARD 32.75 22.93 15.72 26.86GYPSONA BANDAGE 4" X 5 YARD 32.75 22.93 15.72 26.86GYPSONA BANDAGE 2" X 3 YARD 28.27 19.79 13.57 23.18G-WIRE W/TRCR TIP .062X9.25" 140.00 98 67.2 114.8GUIDEZILLA II 6F 1,157.50 810.25 555.6 949.15GUIDEZILLA 7FR 1,157.50 810.25 555.6 949.15GUIDEWIREW/RCR 045 W/LASER LIN 140.00 98 67.2 114.8GUIDEWIREW/LASER LINE 0.88MM 140.00 98 67.2 114.8GUIDEWIREW/LASER LINE 0.88MM 140.00 98 67.2 114.8GUIDEWIRE SAVORY DILATOR 620.00 434 297.6 508.4GUIDEWIRE MAGIC TQ 035X180CM 367.82 257.47 176.55 301.61GUIDEWIRE MAGIC TQ .035X260CM 367.82 257.47 176.55 301.61GUIDEWIRE MAGIC TQ .035X260CM 367.82 257.47 176.55 301.61GUIDEWIRE EMERALD J 025X260 92.00 64.4 44.16 75.44GUIDEWIRE ACUTRAK 054X7 140.00 98 67.2 114.8GUIDEWIRE ACUTRAK .094 X 9 140.00 98 67.2 114.8GUIDEWIRE 3.2 300MM 493.22 345.25 236.75 404.44GUIDEWIRE 100X1.1MM 20.00 14 9.6 16.4GUIDEWIRE 100X1.1MM 20.00 14 9.6 16.4GUIDEWIRE 1.6MM 110.00 77 52.8 90.2GUIDEWIRE 1.2MMX18 STER 365.53 255.87 175.45 299.73GUIDE WIRE W/TROCAR TIP 1.35MM 140.00 98 67.2 114.8GUIDE WIRE W/TROCAR TIP 1.35MM 140.00 98 67.2 114.8GUIDE WIRE SPRING ARROW>> 158.24 110.77 75.96 129.76GUIDE WIRE SPRING ARROW>> 158.24 110.77 75.96 129.76GUIDE WIRE DBL ENDED TROC 88MM 245.00 171.5 117.6 200.9GUIDE WIRE 3.2MM DIA X 600MM 426.25 298.38 204.6 349.53GUIDE WIRE 059X5" ST 172.00 120.4 82.56 141.04GUIDE WIRE 045 X 4 IN NS 518.00 362.6 248.64 424.76GUIDE WIRE 03.2MM X 230 MM 390.50 273.35 187.44 320.21GUIDE WIRE 01.4MM 156.00 109.2 74.88 127.92GUIDE WIRE 01.4MM 156.00 109.2 74.88 127.92GUIDE WIRE .062 7IN LONG 365.00 255.5 175.2 299.3GUIDE WIRE .062 6IN LONG 365.00 255.5 175.2 299.3GUIDE WIRE .054 X 7" 140.00 98 67.2 114.8GUIDE WIRE .045 TROCAR TIP 196.00 137.2 94.08 160.72GUIDE WIRE .045 TROCAR THREADE 215.00 150.5 103.2 176.3GUIDE SET ACUFEX PINPOINT 1,641.75 1,149.23 788.04 1,346.24GUIDE ROD 2.0 STRAIGHT 714.62 500.23 343.02 585.99GUIDE PIN TRO PT 1.3 X 140 315.80 221.06 151.58 258.96GUIDE PIN TRO PT 1.3 X 140 315.80 221.06 151.58 258.96GUIDE PIN 3.2MM X 343 MM 789.02 552.31 378.73 647GUIDE PIN 3.2MM X 300MM 602.78 421.95 289.33 494.28GUIDE PIN 3.2MM X 230MM 498.38 348.87 239.22 408.67

GUIDE JII KIT NS VIS ADPT 1,023.28 716.3 491.17 839.09GUHL ANKLE DISTRACT FOOT STRAP 388.81 272.17 186.63 318.82GUARDIAN II NC HEMO VALVE 389.00 272.3 186.72 318.98GOWN STER OR X-LG X-LONG> 44.05 30.84 21.14 36.12GOWN STER OR X-LG X-LONG> 44.05 30.84 21.14 36.12GOLDVAC SLIM SMOKEPENCIL 215.00 150.5 103.2 176.3GOLDVAC SLIM SMOKEPENCIL 215.00 150.5 103.2 176.3GOLDVAC SLIM SMOKEPENCIL 215.00 150.5 103.2 176.3GLOW N TELL TAPE 30CM 379.10 265.37 181.97 310.86GLIDECATH MP 5FR X 100CM 323.90 226.73 155.47 265.6GLIDECATH 4FR 120CM STRAIGHT 515.00 360.5 247.2 422.3GLASSMAN VISCERA THE FISH LG 233.00 163.1 111.84 191.06GLASSCOCK EAR DRESSING PEDIATR 144.00 100.8 69.12 118.08GLASSCOCK EAR DRESSING ADULT 144.00 100.8 69.12 118.08GELPORT 1,726.25 1,208.38 828.6 1,415.53GELPOINT 1,807.50 1,265.25 867.6 1,482.15GEL SILVA SORB>> 133.54 93.48 64.1 109.5FUSION ONMI-TOME 666.75 466.73 320.04 546.74FUSION CYTOBRUSH 545.00 381.5 261.6 446.9FULGUR ELECT SHORT TIP 105CM 549.00 384.3 263.52 450.18FS-OMNI 21-260 881.25 616.88 423 722.63FORCEP RADIAL JAW 4 JUMBO 213.13 149.19 102.3 174.77FORCEP RADIAL JAW 4 JUMBO 213.13 149.19 102.3 174.77FORCEP MINI BIOPSY W/O SPIKE 208.00 145.6 99.84 170.56FORCEP LG NEW 1332 102.00 71.4 48.96 83.64FORCEP LG NEW 1332 102.00 71.4 48.96 83.64FORCEP HOT BX COOK 168.00 117.6 80.64 137.76FORCEP HOT BX COOK 168.00 117.6 80.64 137.76FORCE FIBER SUTURE #5 W/NEEDLE 320.00 224 153.6 262.4FORASEE UTERINE MANIPUL FS-35 605.00 423.5 290.4 496.1FLX ECC HUM HD 41X15X3.5 13,868.29 9,707.80 6,656.78 11,372.00FLUFF KERLIX AMD STERILE 4X4>> 23.75 16.63 11.4 19.48FLUFF KERLIX AMD STERILE 4X4>> 23.75 16.63 11.4 19.48FLUFF KERLIX AMD STERILE 4X4>> 23.75 16.63 11.4 19.48FLUFF KERLIX AMD STERILE 4X4>> 23.75 16.63 11.4 19.48FLOW TUBING 298.10 208.67 143.09 244.44FLOSEAL ENDOSCOPIC APPLICATOR 443.51 310.46 212.88 363.68FLIPCUTTER II SHORT 9.5MM 1,076.25 753.38 516.6 882.53FLIPCUTTER II SHORT 11.5 MM 1,076.25 753.38 516.6 882.53FLIPCUTTER II SHORT 10MM 1,076.25 753.38 516.6 882.53FLIP CUTTER II 9MM 1,076.25 753.38 516.6 882.53FLIP CUTTER II 9.5MM 1,076.25 753.38 516.6 882.53FLIP CUTTER II 9.5MM 1,076.25 753.38 516.6 882.53FLIP CUTTER II 8MM 1,076.25 753.38 516.6 882.53FLIP CUTTER II 7.5 MM 1,076.25 753.38 516.6 882.53FLIP CUTTER II 11MM 1,076.25 753.38 516.6 882.53FLIP CUTTER II 10MM 1,076.25 753.38 516.6 882.53FLIP CUTTER II 10MM 1,076.25 753.38 516.6 882.53FLIP CUTTER 11.5 1,235.50 864.85 593.04 1,013.11FLATWIRE BASKET 431.74 302.22 207.24 354.03FLANGE SURFIT 4">> 34.47 24.13 16.55 28.27FLANGE FLEXIBLE 1 3/4">> 35.07 24.55 16.83 28.76FLANGE ACCORDIAN 2 3/4">> 35.07 24.55 16.83 28.76FIX PIN 2.7 X 25MM 1,348.71 944.1 647.38 1,105.94FIX PIN 2.0 X 25MM 984.97 689.48 472.79 807.68FIX PIN 1.1MM SM 579.50 405.65 278.16 475.19FIX PIN 1.1MM SM 579.50 405.65 278.16 475.19FIRSTPASS MINI STRAIGHT 865.00 605.5 415.2 709.3FILTER URINE>>> 24.25 16.98 11.64 19.89FILTER URINE>>> 24.25 16.98 11.64 19.89FILTER MICRON 0.2 473036>> 37.07 25.95 17.79 30.4FILSHIE CLIPS AVM-851 440.00 308 211.2 360.8FILM SEPRA ADHESIVE BARRIER 3,216.07 2,251.25 1,543.71 2,637.18FIBERWIRE BRAID PB#2 BLU W NDL 196.00 137.2 94.08 160.72FIBERWIRE 4-0 TAPER NEEDLE 196.00 137.2 94.08 160.72FIBERWIRE 2-0 TAPER NEEDLE 196.00 137.2 94.08 160.72FIBERWIRE 2-0 TAPER NEEDLE 196.00 137.2 94.08 160.72FIBERWIRE 0 38"X22.2MM W TAPER 200.00 140 96 164FIBERWARE #2 BLU 38" W.STR DO 267.50 187.25 128.4 219.35FIBERTAPE LOOP 440.00 308 211.2 360.8FIBERTAPE LOOP 440.00 308 211.2 360.8FIBERTAPE CERCLAGE W/O NEEDLE 1,563.75 1,094.63 750.6 1,282.28

FIBERTAPE BLU WINDLS 17" TAPE 476.00 333.2 228.48 390.32FIBERTAK RC DISP KIT 37.00 25.9 17.76 30.34FIBERSTICK 2 50" 395.00 276.5 189.6 323.9FIBERLOOP W FIBERTAB SWAGED ST 426.25 298.38 204.6 349.53FIBERLOOP 4-0 TAPER NEEDLE 237.50 166.25 114 194.75FIBERLINK #2 395.00 276.5 189.6 323.9FIBER TAPE 2MM X 7" 361.25 252.88 173.4 296.23FIBER SUTURE #2 196.00 137.2 94.08 160.72FIBER LASER HOLMIUM 620.00 434 297.6 508.4FIBER LASER HOLMIUM 620.00 434 297.6 508.4FIBER LASER 2,928.75 2,050.13 1,405.80 2,401.58FIBER LASER 2,928.75 2,050.13 1,405.80 2,401.58FIBER IMPERIUM 500 LASER 3,757.50 2,630.25 1,803.60 3,081.15FIBER ENT/CO2 LASER 3,757.50 2,630.25 1,803.60 3,081.15FIBER ENT/CO2 LASER 3,757.50 2,630.25 1,803.60 3,081.15FEMOSTOP GOLD 542.00 379.4 260.16 444.44FEEDING TUBE JEJUNAL 9 FR BNT 560.00 392 268.8 459.2FEEDING TUBE JEJUNAL 12FR BENT 559.50 391.65 268.56 458.79FASTSEAL WEREWOLF 6.0 1,320.00 924 633.6 1,082.40FASTCATH SHEATH 12CM 6FR 84.00 58.8 40.32 68.88FASTCATH SHEATH 12CM 6FR 84.00 58.8 40.32 68.88FASTCATH SHEATH 12CM 6FR 84.00 58.8 40.32 68.88FASTCATH SHEATH 12CM 6FR 84.00 58.8 40.32 68.88FAST FIX CURV NDL DELIV 2,981.92 2,087.34 1,431.32 2,445.17FAST FIX CURV NDL DELIV 2,981.92 2,087.34 1,431.32 2,445.17FAST FIX 360 SRT NDL DEL SYST 2,981.92 2,087.34 1,431.32 2,445.17FAST FIX 360 SRT NDL DEL SYST 2,981.92 2,087.34 1,431.32 2,445.17FAST FIX 360 KPSC SL CANNULA 508.57 356 244.11 417.03FAST FIX 360 KPSC SL CANNULA 508.57 356 244.11 417.03FAST FIX 360 CRVD NDL DEL SYST 2,981.92 2,087.34 1,431.32 2,445.17FAST FIX 360 CRVD NDL DEL SYST 2,981.92 2,087.34 1,431.32 2,445.17FAST FIX 360 CRVD KPSC 540.20 378.14 259.3 442.96FAST FIX 360 CRVD KPSC 540.20 378.14 259.3 442.96FACEMASK DISPOSABLE STERILE 251.15 175.81 120.55 205.94EYE PACK 211.07 147.75 101.31 173.08EXTRACTOR STONE MWB5-1.5X3.5 787.00 550.9 377.76 645.34EXTRACTOR STAPLE ST DISP>>> 33.12 23.18 15.9 27.16EXTRACTOR STAPLE ST DISP>>> 33.12 23.18 15.9 27.16EXTRACTOR STAPLE ST DISP>>> 33.12 23.18 15.9 27.16EXTRACTION BASKET 2CM X 4CM 904.00 632.8 433.92 741.28EXPRESS 2.0 MM DRILL 758.56 530.99 364.11 622.02EVOS DRILL SM 2.5MM W/AO QC SH 487.58 341.31 234.04 399.82EVOS DRILL SM 2.5MM W/AO QC 575.39 402.77 276.19 471.82EVAC 70 ICW PLASMAWAND W/TUBIN 907.25 635.08 435.48 743.95ESSENTIALS KIT 251.84 176.29 120.88 206.51ERICH ARCH BAR 49.33 34.53 23.68 40.45EPIDURAL NEEDLE 6" 350.00 245 168 287ENDOSTITCH RELOAD V-LOC 351.60 246.12 168.77 288.31ENDOSCOPIC DISP KNIFE BLADE 2,431.50 1,702.05 1,167.12 1,993.83ENDOGATOR PUMP IRRIGATION 113.28 79.3 54.37 92.89ENDO SCRUB 2 4MM SHEALTH 0 DEG 371.29 259.9 178.22 304.46ENDO CATCH II 906.28 634.4 435.01 743.15ENCORE 26 SGL 260.98 182.69 125.27 214ELEVIEW 506.00 354.2 242.88 414.92ELEVIEW 506.00 354.2 242.88 414.92ELECTRODE ZOLL ONE STEP PEDS>> 385.63 269.94 185.1 316.22ELECTRODE ZOLL ONE STEP PEDS>> 385.63 269.94 185.1 316.22ELECTRODE ZOLL ONE STEP PEDS>> 385.63 269.94 185.1 316.22ELECTRODE ZOLL ONE STEP PEDS>> 385.63 269.94 185.1 316.22ELECTRODE VARI-TIP WIRE 60.96 42.67 29.26 49.99ELECTRODE SCALP SPIRAL> 46.63 32.64 22.38 38.24ELECTRODE NDL 6" STER DISP CAU 68.75 48.13 33 56.38ELECTRODE NDL 1" STER DISP CAU 47.40 33.18 22.75 38.87ELECTRODE LOOP WIDE 115.81 81.07 55.59 94.96ELECTRODE LOOP SMALL 115.81 81.07 55.59 94.96ELECTRODE LAP L HOOK 5 32CM 162.80 113.96 78.14 133.5ELECTRODE BLADE 6.5" PTFE COAT 51.69 36.18 24.81 42.39ELECTRODE BLADE 1" 43.85 30.7 21.05 35.96ELECTRODE BLADE 1" 43.85 30.7 21.05 35.96ELECTROBLADE RESECTOR 5.5 751.25 525.88 360.6 616.03ELECTROBLADE RESECTOR 4.5 FULL 777.58 544.31 373.24 637.62ECTRA II PROCEDURE KIT DISP 867.08 606.96 416.2 711.01

DYONICS RFS WHIRLWIND 90 682.03 477.42 327.37 559.26DYONICS RF ROUND 60 DEG 650.50 455.35 312.24 533.41DYONICS RF CURVE 45 DEG 650.50 455.35 312.24 533.41DYONICS 5.5 STONECUTTER BURR 524.00 366.8 251.52 429.68DT DRILL GUIDE .062" 196.00 137.2 94.08 160.72DRUM 5.0 STRT FLUTED 479.52 335.66 230.17 393.21DRILLL 10MM CANNULATED 653.75 457.63 313.8 536.08DRILL TWIST 3.5MM 494.36 346.05 237.29 405.38DRILL TWIST 3.5 470.24 329.17 225.72 385.6DRILL TWIST 3.2MM 462.20 323.54 221.86 379DRILL TWIST 2.7MM 407.96 285.57 195.82 334.53DRILL TWIST 2.0 MM 515.60 360.92 247.49 422.79DRILL TWIST 2.0 70 MM 019697 20.00 14 9.6 16.4DRILL TWIST 2.0 105 MM 01.9720 560.00 392 268.8 459.2DRILL TWIST 11.1 666.43 466.5 319.89 546.47DRILL TIBIAL 4.1MM 832.50 582.75 399.6 682.65DRILL SHORT CALCANEUS 4.1MM 832.50 582.75 399.6 682.65DRILL SET DIA 3MM X 220MM 489.38 342.57 234.9 401.29DRILL PRFL 5.0MM CMPR FT 670.00 469 321.6 549.4DRILL PIN IN AR-2290 556.25 389.38 267 456.13DRILL PIN IN AR-2290 556.25 389.38 267 456.13DRILL PIN ACL OPEN 4MM 601.75 421.23 288.84 493.44DRILL PIN ACL CLO EYELET 4MM 426.25 298.38 204.6 349.53DRILL PIN ACL CLO EYELET 4MM 426.25 298.38 204.6 349.53DRILL NON CANNULATED 4MM 449.00 314.3 215.52 368.18DRILL MICRORAPTOR KNOTLESS 2.6 1,123.38 786.37 539.22 921.17DRILL LONG CALCANEUS 4.1MM 832.50 582.75 399.6 682.65DRILL GUIDE SYS ACUFEX DIRECT 2,620.00 1,834.00 1,257.60 2,148.40DRILL FOR 3.5MM SWIVELOCK 590.00 413 283.2 483.8DRILL EVOS SMALL 2.7MM OVER 575.39 402.77 276.19 471.82DRILL EVOS SM 3.5MM W/AO QC SH 663.21 464.25 318.34 543.83DRILL EVOS SM 2.0MM QC SHORT 487.58 341.31 234.04 399.82DRILL EVOS DRAD 1.6MM AO QC 506.56 354.59 243.15 415.38DRILL DISTAL RADIUS 2.0MM 1,555.14 1,088.60 746.47 1,275.21DRILL DISTAL RADIUS 2.0MM 1,555.14 1,088.60 746.47 1,275.21DRILL CANNULATED 3.0 517.25 362.08 248.28 424.15DRILL CANNULATED 2.65MM 683.00 478.1 327.84 560.06DRILL CANNULATED 2.65MM 683.00 478.1 327.84 560.06DRILL CANNULA FOR AC REP 913.75 639.63 438.6 749.28DRILL CANNULA FOR AC REP 913.75 639.63 438.6 749.28DRILL CANN 900 DIA X 185MM 1,645.00 1,151.50 789.6 1,348.90DRILL CANN 7MM DIA X 185MM 1,645.00 1,151.50 789.6 1,348.90DRILL CANN 2.65 683.00 478.1 327.84 560.06DRILL BUT W.0 W/QC 507.76 355.43 243.72 416.36DRILL BITS 12MM 423.00 296.1 203.04 346.86DRILL BIT STERILE 32MM 739.88 517.92 355.14 606.7DRILL BIT QUICK COUPLING 2.0MM 444.84 311.39 213.52 364.77DRILL BIT QUICK COUPLING 1.5MM 409.77 286.84 196.69 336.01DRILL BIT QUICK COUPLING 1.1MM 478.28 334.8 229.57 392.19DRILL BIT FLIPPERCUTTER 1,368.75 958.13 657 1,122.38DRILL BIT EVOLVE TRIAD 1.3MM 707.38 495.17 339.54 580.05DRILL BIT CAN 2.0 1,047.78 733.45 502.93 859.18DRILL BIT CAN 2.0 1,047.78 733.45 502.93 859.18DRILL BIT 4.5MM 375.98 263.19 180.47 308.3DRILL BIT 4.4 647.25 453.08 310.68 530.75DRILL BIT 4.4 647.25 453.08 310.68 530.75DRILL BIT 3.2MM TRACKER 590.00 413 283.2 483.8DRILL BIT 3.2MM CANN 588.75 412.13 282.6 482.78DRILL BIT 3.0MM 631.00 441.7 302.88 517.42DRILL BIT 3.0MM 631.00 441.7 302.88 517.42DRILL BIT 3" MOD HEX 525.08 367.56 252.04 430.57DRILL BIT 2.8MM ACU TOE 351.50 246.05 168.72 288.23DRILL BIT 2.6 X 135 615.27 430.69 295.33 504.52DRILL BIT 2.6 X 135 615.27 430.69 295.33 504.52DRILL BIT 2.5X60MM 751.25 525.88 360.6 616.03DRILL BIT 2.5X60MM 751.25 525.88 360.6 616.03DRILL BIT 2.5MM CANN 588.75 412.13 282.6 482.78DRILL BIT 2.5 MM (GOLD) 523.75 366.63 251.4 429.48DRILL BIT 2.5 488.00 341.6 234.24 400.16DRILL BIT 2.0X13.5 1,008.00 705.6 483.84 826.56DRILL BIT 2.0X102MM 420.56 294.39 201.87 344.86DRILL BIT 2.0X102MM 420.56 294.39 201.87 344.86

DRILL BIT 2.0MM TRACKER 590.00 413 283.2 483.8DRILL BIT 2.0 X 130 MM 456.74 319.72 219.24 374.53DRILL BIT 2.0 X 130 MM 456.74 319.72 219.24 374.53DRILL BIT 2.0 X 130 MM 456.74 319.72 219.24 374.53DRILL BIT 2.0 MM 554.00 387.8 265.92 454.28DRILL BIT 2.0 MM 554.00 387.8 265.92 454.28DRILL BIT 2.0 CANNULATED 631.00 441.7 302.88 517.42DRILL BIT 2.0 CANNULATED 631.00 441.7 302.88 517.42DRILL BIT 2.0 517.25 362.08 248.28 424.15DRILL BIT 2.0 517.25 362.08 248.28 424.15DRILL BIT 1.6MM 582.25 407.58 279.48 477.45DRILL BIT 1.6MM 582.25 407.58 279.48 477.45DRILL BIT 1.5X50MM 380.00 266 182.4 311.6DRILL BIT 1.1 310.111 20.00 14 9.6 16.4DRILL 9MM CANNULATED 653.75 457.63 313.8 536.08DRILL 9.5MM CANNULATED 653.75 457.63 313.8 536.08DRILL 8MM CANNULATED 653.75 457.63 313.8 536.08DRILL 8.5 MM CANNULATED 748.00 523.6 359.04 613.36DRILL 8.5 MM CANNULATED 748.00 523.6 359.04 613.36DRILL 7.5MM CANNULATED 653.75 457.63 313.8 536.08DRILL 5MM CANNULATED 653.75 457.63 313.8 536.08DRILL 5.5 CANN 653.75 457.63 313.8 536.08DRILL 5.2MM 2,208.39 1,545.87 1,060.03 1,810.88DRILL 4MM CANNULATED 653.75 457.63 313.8 536.08DRILL 4.0MM CANNULATED 1,903.54 1,332.48 913.7 1,560.90DRILL 35 MM 587.97 411.58 282.23 482.14DRILL 3.9MM KNOTLESS CORKSCREW 361.25 252.88 173.4 296.23DRILL 3.5MM X 191MM 516.47 361.53 247.91 423.51DRILL 2.8 751.25 525.88 360.6 616.03DRILL 2.8 751.25 525.88 360.6 616.03DRILL 2.7X130MM 456.74 319.72 219.24 374.53DRILL 2.7X130MM 456.74 319.72 219.24 374.53DRILL 2.75MM CANNULATED 1,157.50 810.25 555.6 949.15DRILL 2.7 442.44 309.71 212.37 362.8DRILL 2.65MM 562.75 393.93 270.12 461.46DRILL 2.5MM CANN DARTFIRE 930.00 651 446.4 762.6DRILL 2.5MM CANN DARTFIRE 930.00 651 446.4 762.6DRILL 2.5MM CANN DARTFIRE 930.00 651 446.4 762.6DRILL 2.5MM CANN 455.50 318.85 218.64 373.51DRILL 2.5MM 787.00 550.9 377.76 645.34DRILL 2.55MM CANNULATED 699.25 489.48 335.64 573.39DRILL 2.55MM CANNULATED 699.25 489.48 335.64 573.39DRILL 2.55 MM 699.25 489.48 335.64 573.39DRILL 2.0MM SHORT WITH AO QC 461.48 323.04 221.51 378.41DRILL 2.0MM LONG W/AO QC 459.86 321.9 220.73 377.09DRILL 2.0MM CANN DARTFIRE 816.25 571.38 391.8 669.33DRILL 2.0 936.50 655.55 449.52 767.93DRILL 2.0 936.50 655.55 449.52 767.93DRILL 11MM CANNULATED 653.75 457.63 313.8 536.08DRILL 10.5MM CANNULATED 653.75 457.63 313.8 536.08DRILL 1.8MM SHORT W/AO OC 461.48 323.04 221.51 378.41DRILL 1.7 CANN DARTFIRE 1,157.50 810.25 555.6 949.15DRILL 1.7 20.00 14 9.6 16.4DRILL 1.5MM LONF WITH AO QC 461.48 323.04 221.51 378.41DRILL 1.4X27 390.99 273.69 187.68 320.61DRILL 2.6MM X 122MM WL70MM 442.92 310.04 212.6 363.19DRILL 2.6MM X 122MM WL70MM 442.92 310.04 212.6 363.19DRIL 2.3MM QUICK RELEASE 540.00 378 259.2 442.8DRESSING XTRASORB 6X9>> 55.30 38.71 26.54 45.35DRESSING XTRASORB 4X5>> 37.51 26.26 18 30.76DRESSING WOUND VAC INFO MED>> 315.52 220.86 151.45 258.73DRESSING VASELINE GAUZE 1X8 26.60 18.62 12.77 21.81DRESSING TEGADERM IV 2 1/2>> 29.78 20.85 14.29 24.42DRESSING TEGADERM 4 X 4.75>> 36.57 25.6 17.55 29.99DRESSING TEGADERM 4 X 4.75>> 36.57 25.6 17.55 29.99DRESSING TEGADERM 4 X 4.75>> 36.57 25.6 17.55 29.99DRESSING TEGADERM 31/2X41/2">> 29.66 20.76 14.24 24.32DRESSING POLYMEM 4X4>> 43.72 30.6 20.99 35.85DRESSING POLYMEM 4X4>> 43.72 30.6 20.99 35.85DRESSING PICO7 10X30 CM 531.88 372.32 255.3 436.14DRESSING PICO7 10X30 CM 531.88 372.32 255.3 436.14DRESSING PETROLEUM 1/2 X 72>> 28.99 20.29 13.92 23.77

DRESSING OPSITE SM 4X4-3/4">>> 30.46 21.32 14.62 24.98DRESSING OPSITE SM 4X4-3/4">>> 30.46 21.32 14.62 24.98DRESSING OPSITE SM 4X4-3/4">>> 30.46 21.32 14.62 24.98DRESSING OPSITE SM 4X4-3/4">>> 30.46 21.32 14.62 24.98DRESSING OPSITE SM 4X4-3/4">>> 30.46 21.32 14.62 24.98DRESSING OPSITE SM 4X4-3/4">>> 30.46 21.32 14.62 24.98DRESSING OPSITE SM 4X4-3/4">>> 30.46 21.32 14.62 24.98DRESSING MEDIPORE COVER 15X28 30.92 21.64 14.84 25.35DRESSING MEDIPORE COVER 15X28 30.92 21.64 14.84 25.35DRESSING ISLAND AMD 4"X10">> 32.65 22.86 15.67 26.77DRESSING ISLAND AMD 4"X10">> 32.65 22.86 15.67 26.77DRESSING ISLAND AMD 4"X10">> 32.65 22.86 15.67 26.77DRESSING ISLAND AMD 4"X10">> 32.65 22.86 15.67 26.77DRESSING INERDAY AG W/SILVER>> 350.00 245 168 287DRESSING GAUZE PETRO 3X9>> 26.31 18.42 12.63 21.57DRESSING GAUZE PETRO 3X9>> 26.31 18.42 12.63 21.57DRESSING ELASTOPLAST 3" 48.32 33.82 23.19 39.62DRESSING ELASTOPLAST 1" 32.71 22.9 15.7 26.82DRESSING ELASTOPLAST 1" 32.71 22.9 15.7 26.82DRESSING DUODERM EX THIN 4X4>> 31.34 21.94 15.04 25.7DRESSING DUODERM EX THIN 4X4>> 31.34 21.94 15.04 25.7DRESSING AQUACEL W/BORDER 4">> 38.93 27.25 18.69 31.92DRESSING AQUACEL W/BORDER 4">> 38.93 27.25 18.69 31.92DRESSING AQUACEL SACRUM>> 62.75 43.93 30.12 51.46DRESSING AQUACEL SACRUM>> 62.75 43.93 30.12 51.46DRESSING AQUACEL ROPE 9GM>> 49.77 34.84 23.89 40.81DRESSING AQUACEL AG 4X4.7>> 87.36 61.15 41.93 71.64DRESSING AQUACEL AG 4X4.7>> 87.36 61.15 41.93 71.64DRESSING ADAPTIC 3X8>> 27.99 19.59 13.44 22.95DRESS WHITE FOAM 10X7.5CM-(10) 362.27 253.59 173.89 297.06DRESS STRIP STERI 1/4" X 4" 33.73 23.61 16.19 27.66DRESS STRIP STERI 1/4" X 4" 33.73 23.61 16.19 27.66DRESS STRIP STERI 1/4" X 4" 33.73 23.61 16.19 27.66DRESS STRIP STERI 1/4" X 4" 33.73 23.61 16.19 27.66DRESS STRIP STERI 1/2" X 4" 33.73 23.61 16.19 27.66DRESS STRIP STERI 1/2" X 4" 33.73 23.61 16.19 27.66DRESS STRIP STERI 1/2" X 4" 33.73 23.61 16.19 27.66DRESS STRIP STERI 1/2" X 4" 33.73 23.61 16.19 27.66DRESS STRIP STERI 1/2" X 4" 33.73 23.61 16.19 27.66DRESS STRIP STERI 1/2" X 4" 33.73 23.61 16.19 27.66DRESS STRIP STERI 1/2" X 4" 33.73 23.61 16.19 27.66DRAPE TRANSVERSE LAPAROTOMY 60.78 42.55 29.17 49.84DRAPE STICKY TOWELS 29.21 20.45 14.02 23.95DRAPE STICKY TOWELS 29.21 20.45 14.02 23.95DRAPE POUCH 58.93 41.25 28.29 48.32DRAPE OPHTHALMIC PLASTIC 54.67 38.27 26.24 44.83DRAPE MINI C-ARM 73.70 51.59 35.38 60.43DRAPE LAP CHOLE> 96.69 67.68 46.41 79.29DRAPE LAP CHOLE> 96.69 67.68 46.41 79.29DRAPE LAP CHOLE> 96.69 67.68 46.41 79.29DRAIN JP ROUND 15FR W/ TROCAR 112.81 78.97 54.15 92.5DRAIN JP ROUND 10FR W/TROCAR 120.64 84.45 57.91 98.92DRAIN JP 19 FR ROUND W/ TROCAR 137.02 95.91 65.77 112.36DRAIN JACKSON PRATT W/O TROCAR 74.08 51.86 35.56 60.75DRAIN JACKSON PRATT FLAT 7MM 112.64 78.85 54.07 92.36DRAIN EXT STERILE 12 FOOT>> 51.14 35.8 24.55 41.93DOUBLE SWIVEL CONNECTOR W/PORT 32.59 22.81 15.64 26.72DISTRACTION PIN 12MM 439.25 307.48 210.84 360.19DISSECTOR ENDOSCOPIC BLUNT TIP 121.31 84.92 58.23 99.47DISSECTOR CORDLESS U/S 13CM 1,189.38 832.57 570.9 975.29DISSECTOR 4.0 87.20 61.04 41.86 71.5DISPOSABLE LOOP LIGATOR 564.63 395.24 271.02 463DISPOSABLE KIT PUSHLOCK 3.5 702.50 491.75 337.2 576.05DISPOSABLE KIT PUSHLOCK 3.5 702.50 491.75 337.2 576.05DISPOSABLE CLIP CARTRIDGE 347.00 242.9 166.56 284.54DISPINST FOR SURETAK 491.25 343.88 235.8 402.83DISPINST FOR SURETAK 491.25 343.88 235.8 402.83DISP SUC 16GA 45.58 31.91 21.88 37.38DISP SUC 14GA 37.33 26.13 17.92 30.61DISP KIT UCL SUTURE PASSING 2,278.75 1,595.13 1,093.80 1,868.58DISP KIT T3 AMZ 1,641.75 1,149.23 788.04 1,346.24DISP KIT T3 AMZ 1,641.75 1,149.23 788.04 1,346.24

DISP KIT FOR FIBERTAK SUTURE 653.75 457.63 313.8 536.08DISP KIT FOR FIBERTAK STRAIGHT 588.75 412.13 282.6 482.78DISP KIT FOR 2.9 PUSHLOCK 588.75 412.13 282.6 482.78DISP KIT FO DX FIBERTAK 913.75 639.63 438.6 749.28DISP KIT 2.0MM SHOULDER Q-FIX 1,246.55 872.59 598.34 1,022.17DISP KIT 1.8MM SHOULDER O-FIX 1,246.55 872.59 598.34 1,022.17DISP INSTS KIT FOR 2.4 588.75 412.13 282.6 482.78DISP 1STPASS STR PASSER SELF 570.94 399.66 274.05 468.17DISCOGRAM SYRINGE 42.69 29.88 20.49 35.01DILATOR PORTAL SKID 357.50 250.25 171.6 293.15DILATOR HEALICOIL RG 4.75 DISP 705.39 493.77 338.59 578.42DILATOR 9-12 MM DISP AMS 763.99 534.79 366.72 626.47DEVICE FX8 DEEP TACKS 592.80 414.96 284.54 486.1DEVICE COOK SPHERE INFLATION 297.50 208.25 142.8 243.95DEVICE COOK SPHERE INFLATION 297.50 208.25 142.8 243.95DERMACARRIERS 8" 220.44 154.31 105.81 180.76DERMABOND ADV TOPICL SKIN ADH 190.32 133.22 91.35 156.06DERMABOND ADV TOPICL SKIN ADH 190.32 133.22 91.35 156.06DARCO HEADED COUNTERSINK 2,142.25 1,499.58 1,028.28 1,756.65DARCO HEADED COUNTERSINK 2,142.25 1,499.58 1,028.28 1,756.65DAKOTA BASKET W/OPSURE 11X120C 1,131.50 792.05 543.12 927.83CYTOLOGY BRUSH SINGLE USE 110.40 77.28 52.99 90.53CYSTOTOMES IRRIG FRMD 25GX16MM 39.80 27.86 19.1 32.64CYSTOTOME IRRIG FRMD 25GAX12MM 39.18 27.43 18.81 32.13CYBERWAND PROBE 2,366.87 1,656.81 1,136.10 1,940.83CUTTER II 8.5 MM FLIP 1,076.25 753.38 516.6 882.53CUTTER BLAD 3.5MM DISP EP-1 332.60 232.82 159.65 272.73CUSTOM BASIC PACK 166.67 116.67 80 136.67CURVED TORPEDO 4MM 491.25 343.88 235.8 402.83CUP BIOPSY FORCEP 1,350.88 945.62 648.42 1,107.72CTS02 5MM THREADED CANNULA 80.00 56 38.4 65.6CTR03 5X100MM SEP SYS SMOOTH 140.00 98 67.2 114.8CRVD METZ SISSOR TIPS 244.63 171.24 117.42 200.6CRVD LG JAW OPEN SEALER DIV 1,940.00 1,358.00 931.2 1,590.80CROSS-PLATE REAMER 1,837.86 1,286.50 882.17 1,507.05CROSS-PLATE REAMER 1,837.86 1,286.50 882.17 1,507.05CRESCENT KNIFE ANGLED 127.60 89.32 61.25 104.63COVER TABLE POLY REINFORCED 6 41.08 28.76 19.72 33.69COVER TABLE POLY REINFORCED 6 41.08 28.76 19.72 33.69COUNTERSINK 04.0 689.50 482.65 330.96 565.39COTTONOID PATTIE SURG 1/2 X 2 35.72 25 17.15 29.29CORTEX REAMER 1,914.43 1,340.10 918.93 1,569.83CORNEA PUNCH VACUUM DONOR 8.5 476.00 333.2 228.48 390.32CORNEA PUNCH VACUUM DONOR 8.0 476.00 333.2 228.48 390.32CORNEA PUNCH VACCUM DONOR 9.0 476.00 333.2 228.48 390.32COR50 12X130 BLUNT TIP TRC UNV 204.00 142.8 97.92 167.28COOK NEEDLE 18GA X 9 46.81 32.77 22.47 38.38COOK 8.5-15MM EXTRACT BALLOON 418.13 292.69 200.7 342.87COOK 12-20MM EXTRACT BALLOON 418.13 292.69 200.7 342.87CONTROLLER DIAL A FLOW>> 49.67 34.77 23.84 40.73CONNECTOR Y LG>> 33.73 23.61 16.19 27.66CONNECTOR Y LG>> 33.73 23.61 16.19 27.66CONNECTOR CABLE 1,320.00 924 633.6 1,082.40CONNECTOR 5-1>>> 22.37 15.66 10.74 18.34CONNECTOR 5-1>>> 22.37 15.66 10.74 18.34CONNECTOR 5-1>>> 22.37 15.66 10.74 18.34CONNECTOR 5-1>>> 22.37 15.66 10.74 18.34CONNECTOR 5-1>>> 22.37 15.66 10.74 18.34CONNECTOR 5-1>>> 22.37 15.66 10.74 18.34CONNECTOR 5-1>>> 22.37 15.66 10.74 18.34CONNECTOR 5-1>>> 22.37 15.66 10.74 18.34CON RADIAL 08641-174 91.60 64.12 43.97 75.11CON KIMNY EXPO 6F 08641-180 95.10 66.57 45.65 77.98CON EXPO 6F WRP 08641-51 91.60 64.12 43.97 75.11CON EXPO 6F ANG PIG 08641-41 95.10 66.57 45.65 77.98CON EXPO 5F WRP 08526-51 91.60 64.12 43.97 75.11CON EXPO 5F WR 08526-50 95.10 66.57 45.65 77.98CON EXPO 5F FL 4.5 08526-23 95.10 66.57 45.65 77.98CON EXPO 5F FL 3.5 08526-21 95.10 66.57 45.65 77.98CON EXPO 5F ANG PIG 08526-41 95.10 66.57 45.65 77.98CON ENCORE ADVANTAGE KIT 20 ML 297.50 208.25 142.8 243.95CON CATH IMPULSE IMC 5FR 95.10 66.57 45.65 77.98

CON CATH EXPO 6F FR5 95.10 66.57 45.65 77.98CON CATH 6F FL 5 EXPO 08641-24 95.10 66.57 45.65 77.98CON 6F WR 08641-50 91.60 64.12 43.97 75.11CON 6F RCB EXPO 08641-190 95.10 66.57 45.65 77.98CON 6F MPA 2 EXPO 08641-121 95.10 66.57 45.65 77.98CON 6F LCB EXPO 08641-195 95.10 66.57 45.65 77.98CON 6F IM EXPO 08641-201 95.10 66.57 45.65 77.98CON 6F FR 5 125 CM 91.60 64.12 43.97 75.11CON 6F FR 4 EXPO 08641-02 95.10 66.57 45.65 77.98CON 6F FR 4 125 CM 91.60 64.12 43.97 75.11CON 6F FL 5 125 CM 95.10 66.57 45.65 77.98CON 6F FL 4.5 EXPO 08641-230 95.10 66.57 45.65 77.98CON 6F FL 4 EXPO 08641-220 95.10 66.57 45.65 77.98CON 6F FL 4 125 CM 91.60 64.12 43.97 75.11CON 6F FL 3.5 EXPO 08641-21 95.10 66.57 45.65 77.98CON 6F EXPO MULTI PACK 228.13 159.69 109.5 187.07CON 6F ARMOD EXPO 08641-89 95.10 66.57 45.65 77.98CON 6F AL 1 EXPO 08641-96 95.10 66.57 45.65 77.98CON 6 FR SHEATH 96.00 67.2 46.08 78.72CON 5F MPA 1 08526-117 95.10 66.57 45.65 77.98CON 5F IM 08526-201 95.10 66.57 45.65 77.98CON 5F AR MOD 08526-89 95.10 66.57 45.65 77.98COMP RVS 3.2MM DRL 387.74 271.42 186.12 317.95COLLAGEN COATED SZ 2 FIBERLOOP 539.00 377.3 258.72 441.98COLD KNIFE 944.76 661.33 453.48 774.7COIL VORTEX DIAMOND 1,627.78 1,139.45 781.33 1,334.78COIL EMBOLIZATION 5MM 1,627.78 1,139.45 781.33 1,334.78COIL EMBOLIZATION 4MM 1,692.13 1,184.49 812.22 1,387.55COAG SUC HANDSWITCH 10FR 106.96 74.87 51.34 87.71CLIP APPLIER LARGE 161.33 112.93 77.44 132.29CLEARVISION II TUBING SET 226.40 158.48 108.67 185.65CLAMP UNIVERSAL 3,127.00 2,188.90 1,500.96 2,564.14CLAMP ULTRA FOR DIALYSIS>> 80.99 56.69 38.88 66.41CLAMP POUCH COLOPLAST>> 29.78 20.85 14.29 24.42CLAMP CUNNINGHAM>> 214.10 149.87 102.77 175.56CHOLANGIOGRAPH CATHETER KUMAR 281.75 197.23 135.24 231.04CHISEL BLADE STR 8X120X1MM 826.65 578.66 396.79 677.85CHISEL BLADE STR 12X60X1MM 707.08 494.96 339.4 579.81CHISEL BLADE STR 12X40X1MM 650.34 455.24 312.16 533.28CHISEL BLADE STR 10X60X1MM 619.63 433.74 297.42 508.1CHISEL BLADE STR 10X40X1MM 707.08 494.96 339.4 579.81CHISEL BLADE RAD 9X120X1MM A12 1,473.73 1,031.61 707.39 1,208.46CHISEL BLADE RAD 13X120X1MM 1,402.19 981.53 673.05 1,149.80CHISEL BLADE OFFSET 8X27X1MM 748.52 523.96 359.29 613.79CHISEL BLADE OFFSET 10X27X1MM 848.95 594.27 407.5 696.14CHISEL BLADE LAT 8X38X1MM 877.48 614.24 421.19 719.53CHISEL BLADE LAT 10X35X1MM R25 743.94 520.76 357.09 610.03CHARGING SYSTEM NEURO 97754 5,106.25 3,574.38 2,451.00 4,187.13CHARGER KIT 4,638.25 3,246.78 2,226.36 3,803.37CEMENT MIXING BOWL STRYKER 329.00 230.3 157.92 269.78CELL SAVER BOWL 537.99 376.59 258.24 441.15CAUTERY VAS HIGH TEMP VAS TIP 90.03 63.02 43.21 73.82CAUTERY OPTHALMIC LOW-TEMP 91.12 63.78 43.74 74.72CAUTERY HI TEMP LOOP TIP 73.04 51.13 35.06 59.89CATHETER URETHRAL CD OLIVE 16F 55.88 39.12 26.82 45.82CATHETER PASSER 608.00 425.6 291.84 498.56CATHETER LANGSTON PIGTAIL 6FR 603.05 422.14 289.46 494.5CATHETER EPIDURAL THERACATH 20 172.79 120.95 82.94 141.69CATHETER EPIDURAL THERACATH 20 172.79 120.95 82.94 141.69CATHETER COUVALAIRE 22FR 3 WAY 172.00 120.4 82.56 141.04CATHETER CONN 2PC TITANIUM 395.64 276.95 189.91 324.42CATHETER AXXCESS 6FR URETERAL 103.69 72.58 49.77 85.03CATH VIP AMC THROMBOSHIELD>> 620.00 434 297.6 508.4CATH UMBILICAL ARTERY 5.0 FR>> 116.42 81.49 55.88 95.46CATH UMBILICAL ARTERY 5.0 FR>> 116.42 81.49 55.88 95.46CATH UMBILICAL ARTERY 3.5 FR>> 112.89 79.02 54.19 92.57CATH UMBILICAL ARTERY 3.5 FR>> 112.89 79.02 54.19 92.57CATH TWIN 20/22 18 GA>> 80.34 56.24 38.56 65.88CATH TROCAR 32FR>> 169.50 118.65 81.36 138.99CATH TROCAR 28FR>> 166.57 116.6 79.95 136.59CATH TROCAR 24FR>> 199.02 139.31 95.53 163.2CATH TROCAR 20FR>> 160.48 112.34 77.03 131.59

CATH TROCAR 16FR>> 144.58 101.21 69.4 118.56CATH TROCAR 12FR>> 156.85 109.8 75.29 128.62CATH TROCAR 10FR>> 144.58 101.21 69.4 118.56CATH THORACIC STRAIGHT 40 FR>> 69.34 48.54 33.28 56.86CATH THORACIC STRAIGHT 36 FR>> 69.34 48.54 33.28 56.86CATH THORACIC RT ANGLE 40 FR>> 84.78 59.35 40.69 69.52CATH SWAN GANZ RT HEART 7FR 359.63 251.74 172.62 294.9CATH SWAN GANZ 6FR 110CM 359.63 251.74 172.62 294.9CATH SUCTION W CONTROL 8FR>> 24.25 16.98 11.64 19.89CATH SUCTION W CONTROL 8FR>> 24.25 16.98 11.64 19.89CATH SUCTION W CONTROL 8FR>> 24.25 16.98 11.64 19.89CATH SUCTION W CONTROL 8FR>> 24.25 16.98 11.64 19.89CATH SUCTION 6FR>> 24.46 17.12 11.74 20.06CATH SUCTION 6FR>> 24.46 17.12 11.74 20.06CATH SUCTION 6FR>> 24.46 17.12 11.74 20.06CATH SUCTION 6FR>> 24.46 17.12 11.74 20.06CATH SUCTION 18FR>> 24.46 17.12 11.74 20.06CATH SUCTION 10FR>> 24.64 17.25 11.83 20.2CATH SUCTION 10FR>> 24.64 17.25 11.83 20.2CATH SUCTION 10FR>> 24.64 17.25 11.83 20.2CATH SUCT REPLOGLE>> 65.46 45.82 31.42 53.68CATH SUCT DELEE W/VAL 10F>>> 30.83 21.58 14.8 25.28CATH SUCT DELEE W/VAL 10F>>> 30.83 21.58 14.8 25.28CATH SUCT DELEE W/VAL 10F>>> 30.83 21.58 14.8 25.28CATH SUCT DELEE W/VAL 10F>>> 30.83 21.58 14.8 25.28CATH SUCT DELEE W/VAL 10F>>> 30.83 21.58 14.8 25.28CATH SUCT DELEE W/VAL 10F>>> 30.83 21.58 14.8 25.28CATH SUCT DELEE W/VAL 10F>>> 30.83 21.58 14.8 25.28CATH SUCT DELEE W/VAL 10F>>> 30.83 21.58 14.8 25.28CATH SUCT DELEE W/VAL 10F>>> 30.83 21.58 14.8 25.28CATH SUCT DELEE W/VAL 10F>>> 30.83 21.58 14.8 25.28CATH SUCT DELEE W/VAL 10F>>> 30.83 21.58 14.8 25.28CATH SUCT DELEE W/VAL 10F>>> 30.83 21.58 14.8 25.28CATH SUCT DELEE W/VAL 10F>>> 30.83 21.58 14.8 25.28CATH SUCT DELEE W/VAL 10F>>> 30.83 21.58 14.8 25.28CATH SUCT DELEE W/VAL 10F>>> 30.83 21.58 14.8 25.28CATH SUCT DELEE W/VAL 10F>>> 30.83 21.58 14.8 25.28CATH SOEHENDRA BILIARY DILATI 368.00 257.6 176.64 301.76CATH SILASTIC 22FR 78.96 55.27 37.9 64.75CATH SILASTIC 20FR 78.64 55.05 37.75 64.48CATH SILASTIC 18FR 78.96 55.27 37.9 64.75CATH SILASTIC 16FR 78.64 55.05 37.75 64.48CATH ROBNEL STRAIGHT 8 FR>> 25.69 17.98 12.33 21.07CATH ROBNEL STRAIGHT 16FR>> 25.47 17.83 12.23 20.89CATH ROBNEL STRAIGHT 14FR>> 25.76 18.03 12.36 21.12CATH ROBNEL STRAIGHT 14FR>> 25.76 18.03 12.36 21.12CATH ROBNEL STRAIGHT 14FR>> 25.76 18.03 12.36 21.12CATH ROBNEL STRAIGHT 14FR>> 25.76 18.03 12.36 21.12CATH ROBNEL STRAIGHT 14FR>> 25.76 18.03 12.36 21.12CATH ROBNEL STRAIGHT 14FR>> 25.76 18.03 12.36 21.12CATH ROBNEL STRAIGHT 14FR>> 25.76 18.03 12.36 21.12CATH ROBNEL STRAIGHT 14FR>> 25.76 18.03 12.36 21.12CATH ROBNEL STRAIGHT 14FR>> 25.76 18.03 12.36 21.12CATH ROBNEL STRAIGHT 14FR>> 25.76 18.03 12.36 21.12CATH ROBNEL STRAIGHT 14FR>> 25.76 18.03 12.36 21.12CATH ROBNEL STRAIGHT 14FR>> 25.76 18.03 12.36 21.12CATH ROBNEL STRAIGHT 14FR>> 25.76 18.03 12.36 21.12CATH ROBNEL STRAIGHT 14FR>> 25.76 18.03 12.36 21.12CATH ROBNEL STRAIGHT 12FR>> 25.47 17.83 12.23 20.89CATH ROBNEL STRAIGHT 10FR>> 25.47 17.83 12.23 20.89CATH ROBNEL STRAIGHT 10FR>> 25.47 17.83 12.23 20.89CATH ROBNEL 18FR>> 25.42 17.79 12.2 20.84CATH ROBNEL 18FR>> 25.42 17.79 12.2 20.84CATH ROBNEL 16FR 25.33 17.73 12.16 20.77CATH PROTECT IV 24GA X 3/4">> 31.80 22.26 15.26 26.08CATH PROTECT IV 24GA X 3/4">> 31.80 22.26 15.26 26.08CATH PROTECT IV 24GA X 3/4">> 31.80 22.26 15.26 26.08CATH PROTECT IV 24GA X 3/4">> 31.80 22.26 15.26 26.08CATH PROTECT IV 22GA X 1">>> 33.01 23.11 15.84 27.07CATH PROTECT IV 22GA X 1">>> 33.01 23.11 15.84 27.07CATH PROTECT IV 22GA X 1">>> 33.01 23.11 15.84 27.07CATH PROTECT IV 22GA X 1">>> 33.01 23.11 15.84 27.07

CATH PROTECT IV 22GA X 1">>> 33.01 23.11 15.84 27.07CATH PROTECT IV 22GA X 1">>> 33.01 23.11 15.84 27.07CATH PROTECT IV 22GA X 1">>> 33.01 23.11 15.84 27.07CATH PROTECT IV 22GA X 1">>> 33.01 23.11 15.84 27.07CATH PROTECT IV 22GA X 1">>> 33.01 23.11 15.84 27.07CATH PROTECT IV 22GA X 1">>> 33.01 23.11 15.84 27.07CATH PROTECT IV 20GAX1 1/4">>> 33.01 23.11 15.84 27.07CATH PROTECT IV 20GAX1 1/4">>> 33.01 23.11 15.84 27.07CATH PROTECT IV 20GAX1 1/4">>> 33.01 23.11 15.84 27.07CATH PROTECT IV 20GAX1 1/4">>> 33.01 23.11 15.84 27.07CATH PROTECT IV 20GAX1 1/4">>> 33.01 23.11 15.84 27.07CATH PROTECT IV 20GAX1 1/4">>> 33.01 23.11 15.84 27.07CATH PROTECT IV 20GAX1 1/4">>> 33.01 23.11 15.84 27.07CATH PROTECT IV 20GAX1 1/4">>> 33.01 23.11 15.84 27.07CATH PROTECT IV 20GAX1 1/4">>> 33.01 23.11 15.84 27.07CATH PROTECT IV 20GAX1 1/4">>> 33.01 23.11 15.84 27.07CATH PROTECT IV 16GA X1 1/4">> 33.01 23.11 15.84 27.07CATH PROTECT IV 16GA X1 1/4">> 33.01 23.11 15.84 27.07CATH PROTECT IV 16GA X1 1/4">> 33.01 23.11 15.84 27.07CATH PROTECT IV 16GA X1 1/4">> 33.01 23.11 15.84 27.07CATH PROTECT IV 16GA X1 1/4">> 33.01 23.11 15.84 27.07CATH PROTECT IV 16GA X1 1/4">> 33.01 23.11 15.84 27.07CATH PROTECT IV 16GA X1 1/4">> 33.01 23.11 15.84 27.07CATH PROTECT IV 16GA X1 1/4">> 33.01 23.11 15.84 27.07CATH PROTECT IV 16GA X1 1/4">> 33.01 23.11 15.84 27.07CATH PROTECT IV 16GA X1 1/4">> 33.01 23.11 15.84 27.07CATH PROTECT IV 16GA X1 1/4">> 33.01 23.11 15.84 27.07CATH PROTECT IV 16GA X1 1/4">> 33.01 23.11 15.84 27.07CATH PROTECT IV 16GA X1 1/4">> 33.01 23.11 15.84 27.07CATH PROTECT IV 16GA X1 1/4">> 33.01 23.11 15.84 27.07CATH PROTECT IV 16GA X1 1/4">> 33.01 23.11 15.84 27.07CATH PROTECT IV 16GA X1 1/4">> 33.01 23.11 15.84 27.07CATH PROTECT IV 16GA X1 1/4">> 33.01 23.11 15.84 27.07CATH PROTECT IV 14GA X 1 1/4>> 31.06 21.74 14.91 25.47CATH INTRAUTERINE PRESSURE 243.13 170.19 116.7 199.37CATH INTERMITTENT MALE 14FR>> 28.50 19.95 13.68 23.37CATH IMPULSE PIG 5FRX110CM 95.10 66.57 45.65 77.98CATH IMPULSE MPA2 5FRX100CM 95.10 66.57 45.65 77.98CATH IMPULSE LCB 5FRX100CM 95.10 66.57 45.65 77.98CATH IMPULSE IMT DIAG 5FR 95.10 66.57 45.65 77.98CATH IMPULSE FR5 5FRX100CM 95.10 66.57 45.65 77.98CATH IMPULSE FR4 5FRX125CM 95.10 66.57 45.65 77.98CATH IMPULSE FR4 5FRX100CM 95.10 66.57 45.65 77.98CATH IMPULSE FL5 5FRX100CM 95.10 66.57 45.65 77.98CATH IMPULSE FL4 5FRX100CM 95.10 66.57 45.65 77.98CATH IMPULSE AR2 5FRX100CM 95.10 66.57 45.65 77.98CATH IMPULSE AL2 5FRX100CM 91.60 64.12 43.97 75.11CATH IMPULSE AL1 5FRX100CM 95.10 66.57 45.65 77.98CATH IMPULSE 5FR MULTI PK 94.00 65.8 45.12 77.08CATH GLO-TIP SPRAY 7FR 200CM 321.50 225.05 154.32 263.63CATH FOLEY SILAS 20FR 2W 5CC>> 55.71 39 26.74 45.68CATH FOLEY 8FR 2-WAY 3CC>> 44.95 31.47 21.58 36.86CATH FOLEY 30FR 2-WAY 30CC>> 49.12 34.38 23.58 40.28CATH FOLEY 30FR 2-WAY 30CC>> 49.12 34.38 23.58 40.28CATH FOLEY 28FR 2-WAY 30CC>> 49.04 34.33 23.54 40.21CATH FOLEY 26FR 3-WAY 30CC>> 85.30 59.71 40.94 69.95CATH FOLEY 26FR 2-WAY 5CC>> 45.37 31.76 21.78 37.2CATH FOLEY 26FR 2-WAY 30CC>> 49.21 34.45 23.62 40.35CATH FOLEY 24FR 3-WAY 30CC>> 84.65 59.26 40.63 69.41CATH FOLEY 24FR 2-WAY 5CC>> 69.45 48.62 33.34 56.95CATH FOLEY 24FR 2-WAY 30CC>> 55.31 38.72 26.55 45.35CATH FOLEY 22FR 2-WAY 5CC>> 44.52 31.16 21.37 36.51CATH FOLEY 22FR 2-WAY 30CC>> 55.55 38.89 26.66 45.55CATH FOLEY 22FR 2-WAY 30CC>> 55.55 38.89 26.66 45.55CATH FOLEY 20FR 3-WAY 30CC>> 84.40 59.08 40.51 69.21CATH FOLEY 20FR 2-WAY 5CC>> 44.62 31.23 21.42 36.59CATH FOLEY 20FR 2-WAY 30CC>> 55.31 38.72 26.55 45.35CATH FOLEY 18FR 2-WAY 5CC>> 44.52 31.16 21.37 36.51CATH FOLEY 18FR 2-WAY 30CC>> 55.72 39 26.75 45.69CATH FOLEY 16FR 3-WAY 30CC>> 84.40 59.08 40.51 69.21CATH FOLEY 16FR 2-WAY 30CC>> 55.24 38.67 26.52 45.3CATH FOLEY 14FR 2-WAY 5CC>> 44.62 31.23 21.42 36.59

CATH FOLEY 12FR 2-WAY 5CC>> 44.78 31.35 21.49 36.72CATH FOLEY 12FR 2-WAY 5CC>> 44.78 31.35 21.49 36.72CATH FOLEY 10FR 2-WAY 3CC>> 44.78 31.35 21.49 36.72CATH EXTERNAL PED/GERI 25MM>> 31.35 21.95 15.05 25.71CATH EXTERNAL MED 29MM>> 31.52 22.06 15.13 25.85CATH EXTERNAL LG 36MM>> 33.84 23.69 16.24 27.75CATH EPISTAXIS NASAL BALLOON>> 297.50 208.25 142.8 243.95CATH DIAG RCB 5FR X 100CM 95.10 66.57 45.65 77.98CATH COUNICIL TIP 18 FR 141.60 99.12 67.97 116.11CATH COUNICIL TIP 16FR 141.60 99.12 67.97 116.11CATH COUNICIL TIP 16FR 141.60 99.12 67.97 116.11CATH COUDE 2WAY 5CC 18FR>> 82.87 58.01 39.78 67.95CATH COUDE 2WAY 5CC 16FR >> 82.87 58.01 39.78 67.95CATH COUDE 2WAY 5CC 16FR >> 82.87 58.01 39.78 67.95CATH COUDE 2WAY 5CC 16FR >> 82.87 58.01 39.78 67.95CATH CLOSED SUCTION 14FR>> 66.92 46.84 32.12 54.87CATH CENTESIS 5FR 10CM 154.64 108.25 74.23 126.8CATH BASIC EXT DWELL 20GX8CM 488.00 341.6 234.24 400.16CATH BALLOON LINEAR 34 30 CC 2,881.69 2,017.18 1,383.21 2,362.99CATH 3-WAY 30CC 22FR 109.04 76.33 52.34 89.41CATH 3WAY 24FR 30ML 109.44 76.61 52.53 89.74CATH 2WAY BARDEX IC 30ML 22FR 76.80 53.76 36.86 62.98CATH 2WAY BARDEX IC 20FR 74.00 51.8 35.52 60.68CATH 2WAY BARDEX IC 18FR 74.00 51.8 35.52 60.68CATH 2WAY BARDEX IC 16FR 74.00 51.8 35.52 60.68CATH 20FR COUDE 5CC 130.64 91.45 62.71 107.12CATH 18FR COUDE 5CC 130.64 91.45 62.71 107.12CATH 16FR COUDE 5CC 130.08 91.06 62.44 106.67CASTING SCOTCHCAST 3" WHITE 39.91 27.94 19.16 32.73CASTING SCOTCHCAST 3" WHITE 39.91 27.94 19.16 32.73CASTING SCOTCHCAST 2" WHITE 35.45 24.82 17.02 29.07CASTING SCOTCHCAST 2" WHITE 35.45 24.82 17.02 29.07CASTING FIBERGLASS PLUS 4">>> 46.02 32.21 22.09 37.74CASTING FIBERGLASS PLUS 4">>> 46.02 32.21 22.09 37.74CASTING FIBERGLASS PLUS 4">>> 46.02 32.21 22.09 37.74CASTING FIBERGLASS PLUS 4">>> 46.02 32.21 22.09 37.74CARTER THOMASON CLOSURE SYSTEM 458.75 321.13 220.2 376.18CAPSULE ENDO PILL CAM 12 HR 2,422.50 1,695.75 1,162.80 1,986.45CAPSULAR TENSION RINGJECT SZ13 913.75 639.63 438.6 749.28CAPSULAR TENSION RING SZ 12 832.50 582.75 399.6 682.65CAPIO SLIM SUTURE DEVICE 1,886.15 1,320.31 905.35 1,546.64CAP WIRE 2.0MM 121.84 85.29 58.48 99.91CAP FLEXICAPS FOR DIALYSIS>> 48.48 33.94 23.27 39.75CANNULA THREADED FLEX 8.0X72MM 305.53 213.87 146.65 250.53CANNULA THREAD 6.5X72MM 305.53 213.87 146.65 250.53CANNULA THREAD 6.5X72MM 305.53 213.87 146.65 250.53CANNULA TAPERED TIP COOK 365.00 255.5 175.2 299.3CANNULA TAPER TIP 5-4-3 COOK 342.50 239.75 164.4 280.85CANNULA SHOEHORN SYS AR-2290 286.03 200.22 137.29 234.54CANNULA SHOEHORN SYS AR-2290 286.03 200.22 137.29 234.54CANNULA SELF DRILL 040.0MMX35 829.25 580.48 398.04 679.99CANNULA SELF DRILL 040.0MMX35 829.25 580.48 398.04 679.99CANNULA PARTIALLY THREADED 220.00 154 105.6 180.4CANNULA NOMOLINE CO2 AD NASAL 212.00 148.4 101.76 173.84CANNULA NOMOLINE CO2 AD NASAL 212.00 148.4 101.76 173.84CANNULA NASAL COMF SOFT PLUS> 35.84 25.09 17.2 29.39CANNULA INNER DISP XLT 6.0MM>> 59.48 41.64 28.55 48.77CANNULA INNER DISP XLT 5.0MM>> 59.64 41.75 28.63 48.9CANNULA INNER 8>> 40.93 28.65 19.65 33.56CANNULA INNER 6>> 40.93 28.65 19.65 33.56CANNULA INNER 4>> 41.01 28.71 19.68 33.63CANNULA INNER 10>> 40.93 28.65 19.65 33.56CANNULA INNER #6 99.92 69.94 47.96 81.93CANNULA INER EXT LENG XLT 8.0 59.64 41.75 28.63 48.9CANNULA FLEX 8.0X90MM 297.20 208.04 142.66 243.7CANNULA DOME TIP COOK 301.25 210.88 144.6 247.03CANNULA CLEAR TRAC 7.0X72MM 254.00 177.8 121.92 208.28CANNULA 8.25 220.00 154 105.6 180.4CANNULA 8.25 220.00 154 105.6 180.4CANNULA 7X7 220.00 154 105.6 180.4CANN DRILL 2.45 718.75 503.13 345 589.38CANN DRILL 2.2 DARTFIRE 1,157.50 810.25 555.6 949.15

CANN DRILL 2.2 DARTFIRE 1,157.50 810.25 555.6 949.15CANISTER W/GEL WND VAC 500ML>> 265.06 185.54 127.23 217.35CABLE WIRELESS 650.50 455.35 312.24 533.41CABLE ALLIGATOR CLIP 157.09 109.96 75.4 128.81CABLE ALLIGATOR CLIP 157.09 109.96 75.4 128.81C2201 120MM INSUFFLATION NDL 124.00 86.8 59.52 101.68BURR STONECUTTER 4.0MM ELITE 510.26 357.18 244.92 418.41BURR SIDE CUTTING 2.1 MM 333.68 233.58 160.17 273.62BURR SIDE CUTTING 2.1 MM 333.68 233.58 160.17 273.62BURR OVAL LARGE 237.58 166.31 114.04 194.82BURR OVAL LARGE 237.58 166.31 114.04 194.82BURR DYONICS 4.0MM ELITE ACRO 524.00 366.8 251.52 429.68BULL NOSED GUIDE WIRE 2.0X400M 477.60 334.32 229.25 391.63BUGBEE CORD 119.60 83.72 57.41 98.07BUCK CEMENT RESTRICTION 25MM 1,529.27 1,070.49 734.05 1,254.00BRUSH MICROBIOLOGY BX/5 EA 212.00 148.4 101.76 173.84BRUSH COLONOSCOPY CYTOLOGY 118.40 82.88 56.83 97.09BRIEF PRO SMALL 26-32>> 50.11 35.08 24.05 41.09BRAVO CAPSULE NEW 1,417.40 992.18 680.35 1,162.27BOWL MIC CEMENT W/SPATULA 393.32 275.32 188.79 322.52BOTTLE VACUUM W/DRAIN 500CC>> 360.15 252.11 172.87 295.32BOTTLE DRAINAGE CHEST INF>> 314.92 220.44 151.16 258.23BOTTLE DRAINAGE CHEST INF>> 314.92 220.44 151.16 258.23BONE CLEANING TIP 118.88 83.22 57.06 97.48BONE BIOPSY DEVICE SIZE 3 371.00 259.7 178.08 304.22BOM NICELOOP S25 WHITE/GREEN 394.40 276.08 189.31 323.41BOM NICELOOP S25 WHITE 394.40 276.08 189.31 323.41BOM NICELOOP S25 GREEN 394.40 276.08 189.31 323.41BMT STN PN THD TIP .125X2.5" 621.25 434.88 298.2 509.43BMT RVS 2.7MM DR 930.00 651 446.4 762.6BMT REV SHLDR 9IN STEIN 735.00 514.5 352.8 602.7BMT 1/8 QUICK RELS DRILL 540.00 378 259.2 442.8BLUNT TIP LAP SEALER DIVIDER 1,458.92 1,021.24 700.28 1,196.31BLUNT TIP LAP SEALER DIVIDER 1,458.92 1,021.24 700.28 1,196.31BLUEPRINT REV GLENOID GUIDE 2,457.50 1,720.25 1,179.60 2,015.15BLUE MINI VESSEL LOOPS 34.17 23.92 16.4 28.02BLADE X REAM 1,645.00 1,151.50 789.6 1,348.90BLADE TURB ROTATABLE 830.68 581.48 398.73 681.16BLADE STRAIGHT QUADCUT 1,112.65 778.86 534.07 912.37BLADE SKIMMER 18CM X 2.9 MM 1,801.16 1,260.81 864.56 1,476.95BLADE SAW MED 9MMX30MM STRYKER 258.13 180.69 123.9 211.67BLADE SAW MED 9MMX30MM STRYKER 258.13 180.69 123.9 211.67BLADE SAW 65* ANGLED 376.76 263.73 180.84 308.94BLADE SAG SAW 9.5X25.5MM CRSE 136.24 95.37 65.4 111.72BLADE SAG SAW 5.5X18.5MM FINE 211.03 147.72 101.29 173.04BLADE SAG SAW 14X41MM CRSE 211.03 147.72 101.29 173.04BLADE RECIPROCATING LONG 355.10 248.57 170.45 291.18BLADE OTO-THORACIC EPITOME 4MM 144.80 101.36 69.5 118.74BLADE OSTEOTOME SZ16 800.00 560 384 656BLADE OSTEOTOME SZ14 533.50 373.45 256.08 437.47BLADE OSTEOTOME 8MM X 5" 429.50 300.65 206.16 352.19BLADE OSTEOTOME 12MM 689.50 482.65 330.96 565.39BLADE OSTEOTOME 10MM X 3 614.00 429.8 294.72 503.48BLADE OSTEOTOME 10 MM X 5" 476.48 333.54 228.71 390.71BLADE MSP 67 12/BX 36.36 25.45 17.45 29.82BLADE MSP 67 12/BX 36.36 25.45 17.45 29.82BLADE MSP 62 25/BX 57.21 40.05 27.46 46.91BLADE MSP 62 25/BX 57.21 40.05 27.46 46.91BLADE LARYNGO MILLER SZ 0 DISP 52.98 37.09 25.43 43.44BLADE FULL RADIUS 3.5 357.44 250.21 171.57 293.1BLADE EYE SZ 66 ALCON 146.00 102.2 70.08 119.72BLADE EXPLANT TRUNCATED 60MM 2,295.00 1,606.50 1,101.60 1,881.90BLADE EXPLANT TRUNCATED 52MM 2,457.50 1,720.25 1,179.60 2,015.15BLADE EXPLANT FULL 60MM 2,295.00 1,606.50 1,101.60 1,881.90BLADE EXPLANT FULL 52MM 2,457.50 1,720.25 1,179.60 2,015.15BLADE DOUBLECUT 4.0MM X 13CM 335.00 234.5 160.8 274.7BLADE DERMATOME 283.09 198.16 135.88 232.13BLADE CURVED ROTATE ROHS 1,117.46 782.22 536.38 916.32BLADE ASSEMBLY DISPOSABLE 788.63 552.04 378.54 646.68BLADE ABRADER 4.0 524.00 366.8 251.52 429.68BLADE 3.5 BONE CUTTER FULL RAD 376.17 263.32 180.56 308.46BLADE 2.9 FULL RADIUS MAG-MINI 512.06 358.44 245.79 419.89

BLADE 15 DEG FULL HANDLE 92.16 64.51 44.24 75.57BLADE #64 36.36 25.45 17.45 29.82BLADE #64 36.36 25.45 17.45 29.82BIT DRILL MICRO KNOTLESS 2.2MM 832.50 582.75 399.6 682.65BIT DRILL CANNULATED 2.0 MM AO 588.75 412.13 282.6 482.78BIT DRILL 3.2MM CANN LONG 588.75 412.13 282.6 482.78BIT DRILL 3.0MM X 60MM CANN 751.25 525.88 360.6 616.03BIT DRILL 2.7MM CMP FT CALIBRA 653.75 457.63 313.8 536.08BIT DRILL 2.2MM COMP FT CALIBR 653.75 457.63 313.8 536.08BIT DRILL 2.0MM CMP FT CALIBRA 653.75 457.63 313.8 536.08BIPOLAR PENCIL DISPENSABLE 91.50 64.05 43.92 75.03BI-POLAR ELECTRODE 1,517.71 1,062.40 728.5 1,244.52BIOTENODESIS DISPOSABLES 653.75 457.63 313.8 536.08BIOTENODESIS DISPOSABLES 653.75 457.63 313.8 536.08BIOPSY PORT SEAL 219.20 153.44 105.22 179.74BIO-CORSCREW PUNCH 5.5MM DISP 470.00 329 225.6 385.4BIOCARTILAGE 1CC 2,744.00 1,920.80 1,317.12 2,250.08BASKET ZERO TIP 1.9 X 120 666.39 466.47 319.87 546.44BASKET WEB EXTRACTION 2.5X5 468.50 327.95 224.88 384.17BASKET SEGURA 2.4X120X16 609.52 426.66 292.57 499.81BASKET MEMORY 8-WIRE MB5-3X6-8 752.06 526.44 360.99 616.69BASKET 8-WIRE 2 X 4 787.00 550.9 377.76 645.34BASINS DISPOSABLE STERILE 60.19 42.13 28.89 49.36BARRX CHANNEL RFA ENDO CATH 6,045.50 4,231.85 2,901.84 4,957.31BARRIER RING EAKIN 2">> 43.19 30.23 20.73 35.42BANDER COOK 6 SHOOTER 540.00 378 259.2 442.8BANDER COOK 6 SHOOTER 540.00 378 259.2 442.8BANDAGE PLASTER SPECIAL 5" 31.94 22.36 15.33 26.19BANDAGE PLASTER SPECIAL 4">>> 29.95 20.97 14.38 24.56BANDAGE PLASTER SPECIAL 4">>> 29.95 20.97 14.38 24.56BANDAGE PLASTER SPECIAL 4">>> 29.95 20.97 14.38 24.56BANDAGE PLASTER SPECIAL 4">>> 29.95 20.97 14.38 24.56BANDAGE PLASTER SPECIAL 3">>> 33.77 23.64 16.21 27.69BANDAGE PLASTER SPECIAL 3">>> 33.77 23.64 16.21 27.69BANDAGE PLASTER SPECIAL 3">>> 33.77 23.64 16.21 27.69BANDAGE ELASTIC LF 6">>> 31.50 22.05 15.12 25.83BANDAGE ELASTIC LF 6">>> 31.50 22.05 15.12 25.83BANDAGE ELASTIC LF 6">>> 31.50 22.05 15.12 25.83BANDAGE ELASTIC LF 6">>> 31.50 22.05 15.12 25.83BANDAGE ELASTIC LF 6">>> 31.50 22.05 15.12 25.83BANDAGE ELASTIC LF 4">>> 32.02 22.41 15.37 26.26BANDAGE ELASTIC LF 4">>> 32.02 22.41 15.37 26.26BANDAGE ELASTIC LF 4">>> 32.02 22.41 15.37 26.26BANDAGE ELASTIC LF 4">>> 32.02 22.41 15.37 26.26BANDAGE ELASTIC LF 3">>> 28.84 20.19 13.84 23.65BANDAGE ELASTIC LF 3">>> 28.84 20.19 13.84 23.65BANDAGE ELASTIC LF 2">>> 26.72 18.7 12.83 21.91BAND ELAST GZE ST KLING 3">>> 22.39 15.67 10.75 18.36BAND ELAST GZE ST KLING 3">>> 22.39 15.67 10.75 18.36BAND ELAST GZE ST KLING 3">>> 22.39 15.67 10.75 18.36BAND ELAST GZE ST KLING 3">>> 22.39 15.67 10.75 18.36BAND ELAST GZE ST KLING 2">>> 22.25 15.58 10.68 18.25BAND ELAST GZE ST KLING 2">>> 22.25 15.58 10.68 18.25BAND ELAST GZE ST KLING 2">>> 22.25 15.58 10.68 18.25BAND ELAST GZE ST KLING 1">>> 22.20 15.54 10.66 18.2BAND ELAST GZE ST KLING 1">>> 22.20 15.54 10.66 18.2BAND ELAST GZE ST KLING 1">>> 22.20 15.54 10.66 18.2BAG SUCT DRAIN TRU CLOSE>> 217.60 152.32 104.45 178.43BAG FEEDING KANGAROO>>> 61.64 43.15 29.59 50.54BAG FEEDING KANGAROO>>> 61.64 43.15 29.59 50.54BAG ENDO 3X6 193.04 135.13 92.66 158.29BAG EFFLUENT DIALYSIS>> 109.68 76.78 52.65 89.94BAG DRAIN URINE CLOSED>>> 38.53 26.97 18.49 31.59BAG DRAIN URINE CLOSED>>> 38.53 26.97 18.49 31.59BAG DRAIN URINE CLOSED>>> 38.53 26.97 18.49 31.59BAG DRAIN 15 LITER>> 174.30 122.01 83.66 142.93BAG DEPOT W/CONN TUBE 1400ML>> 58.61 41.03 28.13 48.06BAG DECANTER 31.85 22.3 15.29 26.12BABCOCK DISPOSABLE 5MM 345.66 241.96 165.92 283.44AVIATOR DRILL BIT 12MM 426.25 298.38 204.6 349.53AUXILIARY WATER PORT CONNECTOR 32.71 22.9 15.7 26.82AUXILIARY WATER PORT CONNECTOR 32.71 22.9 15.7 26.82

ASSEMBLY DISP BULB BLADDER 200.98 140.69 96.47 164.8ASPIRATOR MECONIUM>> 52.27 36.59 25.09 42.86ASPIRATOR MECONIUM>> 52.27 36.59 25.09 42.86ASPIRATOR MECONIUM>> 52.27 36.59 25.09 42.86ASPIRATOR MECONIUM>> 52.27 36.59 25.09 42.86ARISTA 3 GRAMS 865.00 605.5 415.2 709.3ARISTA 3 GRAMS 865.00 605.5 415.2 709.3ARGON BEAM HAND PIECE 400.28 280.2 192.13 328.23ARGON BEAM ELECTRODE TIP 379.16 265.41 182 310.91AR SCOPE MEAS PROBE 220 MM 60 670.00 469 321.6 549.4AQUAMANTYS 6.0 1,524.85 1,067.40 731.93 1,250.38APPLICATOR FLEXITIP XL 38CM 136.00 95.2 65.28 111.52AO DRIVER STAFT AND TAP 377.50 264.25 181.2 309.55ANTERIOR CHAMBER CANNULA STRAI 34.85 24.4 16.73 28.58ANTERIOR CHAMBER CANNULA BENT 39.80 27.86 19.1 32.64ANTENNA 500.00 350 240 410ANOSCOPE ANOSPEC DISP W/LIGHT 56.14 39.3 26.95 46.03ANOSCOPE ANOSPEC DISP W/LIGHT 56.14 39.3 26.95 46.03ANK SPN KIT MULT CLMP W/TIN HP 19,192.89 13,435.02 9,212.59 15,738.17ANGIO CATH OMNIF 5FRX65CMX.035 140.00 98 67.2 114.8ANGIO CATH IV 14GA 5 1/4" 117.10 81.97 56.21 96.02ANGIO CATH IV 14GA 5 1/4" 117.10 81.97 56.21 96.02ANGIO CATH IV 14GA 5 1/4" 117.10 81.97 56.21 96.02ANGI ASSIST GAS NGNT DEL SYSEM 620.00 434 297.6 508.4ANCHOR DEVISE>> 67.84 47.49 32.56 55.63ANCHOR DEVISE>> 67.84 47.49 32.56 55.63ANCHOR BIO SWIVEL 1,547.50 1,083.25 742.8 1,268.95ANCHOR ACCESSORY KIT 1,320.00 924 633.6 1,082.40AMBIENT SUPER TURBOVAC 90 IFS 737.70 516.39 354.1 604.91AMBIENT SUPER MULTIVAC 50 IFS 744.75 521.33 357.48 610.7ALEXIS WOUND RET X-SMALL 290.00 203 139.2 237.8ALEXIS WOUND RET SZ MED 260.00 182 124.8 213.2ALEXIS RETRACTOR XX-SM/SHORT 260.00 182 124.8 213.2AIRWAY WILLIAMS ORAL INTUBATOR 68.00 47.6 32.64 55.76AIRWAY ORAL BERMAN 90MM>> 21.25 14.88 10.2 17.43AIRWAY ORAL BERMAN 90MM>> 21.25 14.88 10.2 17.43AIRWAY ORAL BERMAN 90MM>> 21.25 14.88 10.2 17.43AIRWAY ORAL BERMAN 90MM>> 21.25 14.88 10.2 17.43AIRWAY ORAL BERMAN 80MM>>> 23.45 16.42 11.26 19.23AIRWAY ORAL BERMAN 80MM>>> 23.45 16.42 11.26 19.23AIRWAY ORAL BERMAN 80MM>>> 23.45 16.42 11.26 19.23AIRWAY ORAL BERMAN 60MM>> 23.45 16.42 11.26 19.23AIRWAY ORAL BERMAN 40MM>> 24.21 16.95 11.62 19.85AIRWAY ORAL BERMAN 100MM>>> 23.45 16.42 11.26 19.23AIRWAY ORAL BERMAN 100MM>>> 23.45 16.42 11.26 19.23AIRWAY ORAL BERMAN 100MM>>> 23.45 16.42 11.26 19.23AIRWAY NASL TUBE 28FR>> 35.02 24.51 16.81 28.72AIRWAY NASL TUBE 28FR>> 35.02 24.51 16.81 28.72AIRWAY NASL TUBE 28FR>> 35.02 24.51 16.81 28.72AIRWAY NASAL TUBE 32FR>> 35.02 24.51 16.81 28.72AIRWAY NASAL TUBE 32FR>> 35.02 24.51 16.81 28.72AIRWAY NASAL TUBE 32FR>> 35.02 24.51 16.81 28.72AIRWAY NASAL TUBE 26FR>> 35.02 24.51 16.81 28.72AIRWAY NASAL TUBE 26FR>> 35.02 24.51 16.81 28.72AIRWAY NASAL TUBE 26FR>> 35.02 24.51 16.81 28.72AIRWAY NASAL TUBE 26FR>> 35.02 24.51 16.81 28.72AIRSEAL TRI-LUMEN TUBE SET 545.30 381.71 261.74 447.15AIRSEAL BI-LUMEN TUBE SET 483.50 338.45 232.08 396.47AGILE PATENCY CAPSULE 245.00 171.5 117.6 200.9AEQUALIS RESURFAC PIN 3X170 464.44 325.11 222.93 380.84AEQUALIS PERFORM GUIDE PIN 2 553.81 387.67 265.83 454.12AEQUALIS GEN RVS PIN 583.06 408.14 279.87 478.11AEQUALIS DRILL BIT 3X220MM 542.60 379.82 260.45 444.93AEQ RVS SCREW DRIVER BIT 35X25 836.56 585.59 401.55 685.98AEQ REV RETROVERSION ROD 902.80 631.96 433.34 740.3ADVINCULA DELM MANIPULATOR 720.84 504.59 346 591.09ADVINCULA 4.0 CM DELINEATOR 720.84 504.59 346 591.09ADVINCULA 3.0CM MANIPULATOR 720.84 504.59 346 591.09ADJUSTABLE CLAMP 1,918.00 1,342.60 920.64 1,572.76ADAPTOR VENTED SPIKE>> 30.75 21.53 14.76 25.22ADAPTOR FEEDING 14-16>> 52.53 36.77 25.21 43.07ADAPTOR ACCUSEAL>> 20.00 14 9.6 16.4

ACUTRAK FUSION FRILL 24MM 468.50 327.95 224.88 384.17ACUTRACK MINI DRILL LONG 1,264.75 885.33 607.08 1,037.10ACIST SYRINGE STERILE BOX 216.50 151.55 103.92 177.53ACIST MANIFOLD 178.40 124.88 85.63 146.29ACIST HAND CONTROL AT-X65 HC 320.00 224 153.6 262.4ACIST HAND CONTROL 230.00 161 110.4 188.6ACIST HAND CONTROL 230.00 161 110.4 188.6ACE BANDAGE ELASTIC LF 3" 28.73 20.11 13.79 23.56ACE BANDAGE ELASTIC LF 2" 34.73 24.31 16.67 28.48ACE BANDAGE ELASTIC 6" 33.19 23.23 15.93 27.22ACE BANDAGE ELASTIC 4" 29.61 20.73 14.21 24.28ACCU-PASS STR SHUTTLE CRESCENT 466.39 326.47 223.87 382.44ACCU-PASS DIRECT CRESCENT XL 913.75 639.63 438.6 749.28ACCU PASS STR SHUTTLE 45* LT 466.39 326.47 223.87 382.44ACCU PASS STR SHUTTLE 45* LT 466.39 326.47 223.87 382.44ACCU PASS STR 45* RT CRVE 466.39 326.47 223.87 382.44ACCESSORY KIT ANS 1,348.75 944.13 647.4 1,105.98ABRADER 3.5 MAG MINI DISP BLAD 513.98 359.79 246.71 421.46ABC FLEX PROBE 752.52 526.76 361.21 617.078MM AWL FOR USE W/DRILL GUIDE 37.00 25.9 17.76 30.348MM ACC PORT LOW PROFILE 120MM 526.76 368.73 252.84 431.948 MM BLADELESS OBTURATOR OPTIC 245.00 171.5 117.6 200.98 MM BLADELESS OBTURATOR LONG 245.00 171.5 117.6 200.97X12X14X4 DEG AVSAS SPACER 5,490.00 3,843.00 2,635.20 4,501.807/8X10' TUBING W/WND SPNG GURD 94.26 65.98 45.24 77.295MM ACC PORT 120MM 520.58 364.41 249.88 426.885-8 MM UNIVERSAL CANNULA SEAL 164.00 114.8 78.72 134.485.1MM CANN REAMER WITH STOP 686.25 480.38 329.4 562.735% STERILE BETADINE 30ML BX/24 78.32 54.82 37.59 64.224.5MM SYNOVATOR PLATINUM SERIE 362.66 253.86 174.08 297.384.5 DRILL BIT W/ QC 910.60 637.42 437.09 746.694.5 DRILL BIT W/ QC 910.60 637.42 437.09 746.694.5 DRILL BIT QUICK COUPL 195 578.00 404.6 277.44 473.963.5MM DRILL 130MM 516.47 361.53 247.91 423.513.5MM CORTICAL SCREW 32MM 108.73 76.11 52.19 89.163.5MM CORTICAL SCREW 16MM 168.56 117.99 80.91 138.223.5 RELOAD 141.60 99.12 67.97 116.113.5 DRILL BIT QUICK COUPL 195 524.00 366.8 251.52 429.683.5 BLUE LINEAR STAPLER 299.51 209.66 143.76 245.625 DEG CURVE RT QUICKPASS LASS 540.00 378 259.2 442.820" TUNNELING TOOL 320.00 224 153.6 262.42-0 VLOC 6"SUTURE ON GS-21 NEE 242.30 169.61 116.3 198.6920 FR COUNCIL TIP 141.60 99.12 67.97 116.112.8MM PERC DRILL BIT 200/100MM 933.25 653.28 447.96 765.272.8 QUICKK RELEASE SURGIBIT 527.00 368.9 252.96 432.142.7MM CANN DRILL BIT 155MM 1,855.63 1,298.94 890.7 1,521.622.7MM CANN DRILL BIT 155MM 1,855.63 1,298.94 890.7 1,521.622.7 MM SCREW CORTEX REAMER 2,476.55 1,733.59 1,188.74 2,030.772.5MM QUICK CHANGE DRILL 446.56 312.59 214.35 366.182.5MM DRILL BIT CALIBRATED 530.00 371 254.4 434.62.55 CAN DRILL 683.00 478.1 327.84 560.062.45 CAN DRILL 529.44 370.61 254.13 434.142.0MM QUICK CHANGE DRILL 581.60 407.12 279.17 476.912.0MM QUICK CHANGE DRILL 581.60 407.12 279.17 476.912.0MM DRILL BIT CALIBRATED 590.00 413 283.2 483.82.0MM DRILL 191MM 532.66 372.86 255.68 436.782.0 SHORT DRILL 488.16 341.71 234.32 400.292 PORT HEADER 995.00 696.5 477.6 815.911.0 ROD CARBON FIBER 400MM 1,024.25 716.98 491.64 839.8911.0 ROD CARBON FIBER 350MM 891.00 623.7 427.68 730.6211.0 ROD CARBON FIBER 300MM 891.00 623.7 427.68 730.6211.0 ROD CARBON FIBER 250MM 1,151.00 805.7 552.48 943.8211.0 ROD CARBON FIBER 200MM 559.50 391.65 268.56 458.7910MM TENDON STRIPPER BLADE 588.75 412.13 282.6 482.781.8MM PROV FIXATION WIRE SHORT 364.05 254.84 174.74 298.521.7MM DRILL FOR FIBERTAK 361.25 252.88 173.4 296.231.7 FLEX DRILL 664.12 464.88 318.78 544.581.6MM WIRE CAP 120.80 84.56 57.98 99.061.5MM PROVIS FIX WIRE SHORT 395.02 276.51 189.61 323.921.25 WIRE CAP 120.80 84.56 57.98 99.061.1 K-WIRE 260.00 182 124.8 213.21.1 K-WIRE 260.00 182 124.8 213.2

0.86MM GUIDE WIRE TROCAR TIP 196.00 137.2 94.08 160.72.9 K-WIRE 260.00 182 124.8 213.2.9 K-WIRE 260.00 182 124.8 213.2#2 FIBERLOOP W/FIBERTAG 426.25 298.38 204.6 349.53XPOST SMALL 25MM 10,032.98 7,023.09 4,815.83 8,227.04WIRE LIGATURE/SUTURE 26 GA 132.00 92.4 63.36 108.24TUBULAR PLATE W/COL 49MM 4H 280.40 196.28 134.59 229.93TUBULAR PLATE W/COL 25MM 2H 244.05 170.84 117.14 200.12TRIGEN RECON SCREW BLUE6.4X100 1,423.44 996.41 683.25 1,167.22TRIGEN RECON SCREW BLUE 6.4X95 1,423.44 996.41 683.25 1,167.22TRIGEN RECON SCREW BLUE 6.4X80 1,880.02 1,316.01 902.41 1,541.62TRIGEN RECON SCREW BLUE 6.4X75 1,880.02 1,316.01 902.41 1,541.62TRIGEN RECON SCREW BLU 6.4X125 1,423.44 996.41 683.25 1,167.22TRIGEN RECON SCREW BLU 6.4X120 1,423.44 996.41 683.25 1,167.22TRIGEN RECON SCREW BLU 6.4X115 1,423.44 996.41 683.25 1,167.22TRIGEN RECON SCREW BLU 6.4X110 1,423.44 996.41 683.25 1,167.22TRIGEN RECON SCREW BLU 6.4X105 1,423.44 996.41 683.25 1,167.22TRIGEN NAIL CAP 10MM 1,716.54 1,201.58 823.94 1,407.56TRIGEN HUM NAIL 8/7MM X 28CM 9,931.41 6,951.99 4,767.08 8,143.76TRIGEN HUM NAIL 8/7MM X 26CM 7,899.50 5,529.65 3,791.76 6,477.59TRIGEN HUM NAIL 8/7MM X 24CM 14,917.55 10,442.29 7,160.42 12,232.39TRIGEN HUM NAIL 8/7MM X 22CM 14,079.72 9,855.80 6,758.27 11,545.37TRIGEN HUM NAIL 8/7MM X 20CM 11,586.65 8,110.66 5,561.59 9,501.05TRIGEN HUM NAIL 7-8X16 BENT 12,506.22 8,754.35 6,002.99 10,255.10TRIGEN HUM NAIL 10/8.5MMX22CM 14,917.55 10,442.29 7,160.42 12,232.39TRIGEN 5X64 SCREW 1,495.84 1,047.09 718 1,226.59TRIGEN 5X60 SCREW 1,495.84 1,047.09 718 1,226.59TRIGEN 5X58 SCREW 1,495.84 1,047.09 718 1,226.59TRIGEN 5X54 SCREW 1,683.84 1,178.69 808.24 1,380.75TRIGEN 5X52 SCREW 1,661.03 1,162.72 797.29 1,362.04TRIGEN 5X38 SCREW 1,185.23 829.66 568.91 971.89TRIGEN 5X36 SCREW 1,495.84 1,047.09 718 1,226.59TRIGEN 5X34 SCREW 1,683.84 1,178.69 808.24 1,380.75TRIGEN 5X32 SCREW 1,777.85 1,244.50 853.37 1,457.84TRIGEN 5X30 SCREW 1,385.49 969.84 665.04 1,136.10TRIGEN 5X24 SCREW 1,495.84 1,047.09 718 1,226.59TRIGEN 5.0X50 SCREW CANCELLOUS 956.48 669.54 459.11 784.31TRIGEN 5.0X44 SCREW CANCELLOUS 1,683.84 1,178.69 808.24 1,380.75TRIGEN 5.0X40 SCREW 1,777.85 1,244.50 853.37 1,457.84TRIGEN 5.0X28 SCREW CANCELLOUS 824.72 577.3 395.87 676.27TRIGEN 5.0X26 SCREW CANCELLOUS 1,385.49 969.84 665.04 1,136.10TRIGEN 4.0X40 SCREW 681.98 477.39 327.35 559.22TRIGEN 4.0X38 SCREW 1,385.49 969.84 665.04 1,136.10TRIGEN 4.0X34 SCREW 1,471.32 1,029.92 706.23 1,206.48TRIGEN 4.0X32 SCREW 681.98 477.39 327.35 559.22TRIGEN 4.0X30 SCREW 681.98 477.39 327.35 559.22TRIGEN 4.0X26 SCREW 1,054.45 738.12 506.14 864.65TRIGEN 4.0X24 SCREW 1,385.49 969.84 665.04 1,136.10TRIGEN 4.0X22 SCREW 1,230.19 861.13 590.49 1,008.76T-PLATE TITANIUM 1.5MM 811.30 567.91 389.42 665.27THIN WALL GRAFT 6MMX40X40CM 2,463.00 1,724.10 1,182.24 2,019.66TAPER SLEEVE -3 1,825.67 1,277.97 876.32 1,497.05TAPER SLEEVE +12 549.00 384.3 263.52 450.18TANDEM BIPOLAR SHELL 28X 47MM 6,761.48 4,733.04 3,245.51 5,544.41TANDEM BIPOLAR COCR 28 X 55MM 4,933.74 3,453.62 2,368.20 4,045.67TANDEM BIPOLAR COCR 28 X 51MM 4,225.17 2,957.62 2,028.08 3,464.64TANDEM BIPOLAR COCR 28 X 46MM 6,434.40 4,504.08 3,088.51 5,276.21TANDEM BIPOLAR COCR 28 X 43MM 6,919.90 4,843.93 3,321.55 5,674.32TANDEM BIPOLAR COCR 22 X 41MM 8,093.48 5,665.44 3,884.87 6,636.65T TUBE 1.27MM MOD GOODE 185.60 129.92 89.09 152.19SYNERGY STEM STD 15 X 140MM 12,469.50 8,728.65 5,985.36 10,224.99SYNERGY STEM HIOFFST 13X130MM 12,810.00 8,967.00 6,148.80 10,504.20SYNERGY STEM HIOFFST 11X120MM 12,810.00 8,967.00 6,148.80 10,504.20STENT URETERAL 6FR 22CM 377.78 264.45 181.33 309.78STAPLER CUTTER RELOADS TCR55 153.68 107.58 73.77 126.02STAPLE FIX XSM SHORT SPIKES 1,471.32 1,029.92 706.23 1,206.48STAPLE FIX SMALL SHORT SPIKES 1,618.45 1,132.92 776.86 1,327.13STAPLE FIX MEDIUM SHORT SPIKES 1,271.06 889.74 610.11 1,042.27SEPTAL BUTTON 5.0CM STERILE 504.00 352.8 241.92 413.28SCREW MALLEOLAR 4.5MM X 55MM 244.85 171.4 117.53 200.78SCREW MALLEOLAR 4.5MM X 50MM 244.85 171.4 117.53 200.78SCREW MALLEOLAR 4.5MM X 40MM 244.85 171.4 117.53 200.78

SCREW MALLEOLAR 4.5MM X 35MM 244.85 171.4 117.53 200.78SCREW MALLEOLAR 4.5MM X 30MM 244.85 171.4 117.53 200.78SCREW MALLEOLAR 4.5MM X 25MM 244.85 171.4 117.53 200.78SCREW LOCKING 3.5MM X 28MM 536.80 375.76 257.66 440.18SCREW LOCKING 3.5MM X 26MM 536.80 375.76 257.66 440.18SCREW LAG AMBI 95MM 2,954.84 2,068.39 1,418.32 2,422.97SCREW LAG AMBI 90MM 2,954.84 2,068.39 1,418.32 2,422.97SCREW LAG AMBI 85MM 2,914.03 2,039.82 1,398.73 2,389.50SCREW LAG AMBI 75MM 2,914.03 2,039.82 1,398.73 2,389.50SCREW LAG AMBI 60MM 2,914.03 2,039.82 1,398.73 2,389.50SCREW LAG AMBI 110MM 2,954.84 2,068.39 1,418.32 2,422.97SCREW COMPRESSION 19MM 518.81 363.17 249.03 425.42SCREW CANU PAR THR 4.0 X 65MM 181.19 126.83 86.97 148.58SCREW CANU PAR THR 4.0 X 58MM 1,279.23 895.46 614.03 1,048.97SCREW CANU PAR THR 4.0 X 54MM 2,009.16 1,406.41 964.4 1,647.51SCREW CANU PAR THR 4.0 X 52MM 1,553.06 1,087.14 745.47 1,273.51SCREW CANU PAR THR 4.0 X 48MM 1,736.98 1,215.89 833.75 1,424.32SCREW CANU PAR THR 4.0 X 46MM 2,009.16 1,406.41 964.4 1,647.51SCREW CANU PAR THR 4.0 X 36MM 2,009.16 1,406.41 964.4 1,647.51SCREW CANU PAR THR 4.0 X 32MM 1,553.06 1,087.14 745.47 1,273.51SCREW CANU PAR THR 4.0 X 30MM 1,843.24 1,290.27 884.76 1,511.46SCREW CANU PAR THR 4.0 X 30MM 1,843.24 1,290.27 884.76 1,511.46SCREW CANU PAR THR 4.0 X 28MM 181.19 126.83 86.97 148.58SCREW CANU PAR THR 4.0 X 26MM 832.65 582.86 399.67 682.77SCREW CANU PAR THR 4.0 X 24MM 181.19 126.83 86.97 148.58SCREW CANU PAR THR 4.0 X 20MM 181.19 126.83 86.97 148.58SCREW CANU PAR THR 4.0 X 18MM 832.65 582.86 399.67 682.77SCREW CANU PAR THR 4.0 X 12MM 832.65 582.86 399.67 682.77SCREW CANU PAR THR 4.0 X 10MM 832.65 582.86 399.67 682.77SCREW CANU FUL THR 4.0 X 50MM 832.65 582.86 399.67 682.77SCREW CANU FUL THR 4.0 X 40MM 2,009.16 1,406.41 964.4 1,647.51SCREW CANU FUL THR 4.0 X 35MM 832.65 582.86 399.67 682.77SCREW CANU FUL THR 4.0 X 30MM 832.65 582.86 399.67 682.77SCREW CANU FUL THR 4.0 X 28MM 832.65 582.86 399.67 682.77SCREW CANU FUL THR 4.0 X 26MM 832.65 582.86 399.67 682.77SCREW CANU FUL THR 4.0 X 22MM 832.65 582.86 399.67 682.77SCREW CANU 7.0MM 32MM 95MM 2,459.09 1,721.36 1,180.36 2,016.45SCREW CANU 7.0MM 32MM 90MM 2,459.09 1,721.36 1,180.36 2,016.45SCREW CANU 7.0MM 32MM 85MM 2,459.09 1,721.36 1,180.36 2,016.45SCREW CANU 7.0MM 32MM 75MM 2,125.24 1,487.67 1,020.12 1,742.70SCREW CANU 7.0MM 32MM 70MM 1,692.02 1,184.41 812.17 1,387.46SCREW CANU 7.0MM 32MM 65MM 1,777.85 1,244.50 853.37 1,457.84SCREW CANU 7.0MM 32MM 60MM 1,273.68 891.58 611.37 1,044.42SCREW CANU 7.0MM 32MM 55MM 1,577.58 1,104.31 757.24 1,293.62SCREW CANU 7.0MM 32MM 45MM 1,577.58 1,104.31 757.24 1,293.62SCREW CANU 7.0MM 32MM 125MM 1,777.85 1,244.50 853.37 1,457.84SCREW CANU 7.0MM 32MM 120MM 1,066.59 746.61 511.96 874.6SCREW CANU 7.0MM 32MM 110MM 2,125.24 1,487.67 1,020.12 1,742.70SCREW CANU 7.0MM 32MM 105MM 2,125.24 1,487.67 1,020.12 1,742.70SCREW CANU 7.0MM 16MM 95MM 2,459.09 1,721.36 1,180.36 2,016.45SCREW CANU 7.0MM 16MM 90MM 2,125.24 1,487.67 1,020.12 1,742.70SCREW CANU 7.0MM 16MM 90MM 2,125.24 1,487.67 1,020.12 1,742.70SCREW CANU 7.0MM 16MM 85MM 2,459.09 1,721.36 1,180.36 2,016.45SCREW CANU 7.0MM 16MM 80MM 2,459.09 1,721.36 1,180.36 2,016.45SCREW CANU 7.0MM 16MM 75MM 2,459.09 1,721.36 1,180.36 2,016.45SCREW CANU 7.0MM 16MM 65MM 1,273.68 891.58 611.37 1,044.42SCREW CANU 7.0MM 16MM 60MM 1,066.59 746.61 511.96 874.6SCREW CANU 7.0MM 16MM 55MM 1,577.58 1,104.31 757.24 1,293.62SCREW CANU 7.0MM 16MM 45MM 1,577.58 1,104.31 757.24 1,293.62SCREW CANU 7.0MM 16MM 40MM 1,066.59 746.61 511.96 874.6SCREW CANU 7.0MM 16MM 35MM 1,066.59 746.61 511.96 874.6SCREW CANU 7.0MM 16MM 30MM 1,066.59 746.61 511.96 874.6SCREW CANU 7.0MM 16MM 130MM 1,777.85 1,244.50 853.37 1,457.84SCREW CANU 7.0MM 16MM 115MM 1,066.59 746.61 511.96 874.6SCREW CANU 7.0MM 16MM 110MM 2,010.80 1,407.56 965.18 1,648.86SCREW CANN 4.0 X 56MM 1,647.06 1,152.94 790.59 1,350.59SCREW CANN 4.0 X 56MM 1,647.06 1,152.94 790.59 1,350.59SCREW CANC PAR THR 4.0 X 44MM 1,736.98 1,215.89 833.75 1,424.32SCREW CANC FUL THR 6.5 X 35MM 239.91 167.94 115.16 196.73SCREW CANC FUL THR 6.5 X 30MM 239.91 167.94 115.16 196.73SCREW CALAXO 8 X 25MM 1,891.00 1,323.70 907.68 1,550.62RUSH PIN LARGE "I" 664.90 465.43 319.15 545.22

REVISION GRAFT 6MMX10X20CM 1,122.00 785.4 538.56 920.04REF SPHER HEAD SCREW 6.5X35MM 391.07 273.75 187.71 320.68REF SPHER HEAD SCREW 6.5X30MM 1,053.23 737.26 505.55 863.65REF SPHER HEAD SCREW 6.5X15MM 1,053.23 737.26 505.55 863.65RAP-PAC 1.5 CRUCIATE ACL KIT 1,000.46 700.32 480.22 820.38RALLY MV ALL IN ONE SYSTEM 4,085.17 2,859.62 1,960.88 3,349.84RALLY HV BONE CEMENT 40 GRAMS 784.58 549.21 376.6 643.36RALLY HV AB BONE CEMENT 40 GM 1,905.95 1,334.17 914.86 1,562.88RALLY HV AB BONE CEMENT 40 GM 1,905.95 1,334.17 914.86 1,562.88RADIAL PLATE 9 HOLE LT VOL 6,918.93 4,843.25 3,321.09 5,673.52QUARTER TUBULAR PLATE 5 HOLE 379.91 265.94 182.36 311.53PUMP CONNECTOR REV KIT 605.90 424.13 290.83 496.84PROPEL IMPLANT 23MM STEROID 3,400.00 2,380.00 1,632.00 2,788.00P-LOCK 3.5MM COMP PL 22H 330MM 3,386.11 2,370.28 1,625.33 2,776.61P-LOCK 3.5MM COMP PL 20HL275MM 2,057.84 1,440.49 987.76 1,687.43P-LOCK 3.5MM COMP PL 18HL249MM 1,843.73 1,290.61 884.99 1,511.86P-LOCK 3.5MM COMP PL 16HL123MM 1,673.23 1,171.26 803.15 1,372.05P-LOCK 3.5MM COMP PL 14HL197MM 1,459.12 1,021.38 700.38 1,196.48P-LOC VLP 2.7X40MM PF PIN 1,397.75 978.43 670.92 1,146.16P-LOC SCREW 3.5MM CRT LCK 55MM 393.45 275.42 188.86 322.63P-LOC SCREW 3.5MM CRT LCK 40MM 570.96 399.67 274.06 468.19P-LOC SCREW 3.5MM CRT LCK 38MM 479.77 335.84 230.29 393.41P-LOC SCREW 3.5MM CRT LCK 20MM 479.77 335.84 230.29 393.41P-LOC SCREW 3.5MM CRT LCK 16MM 619.27 433.49 297.25 507.8P-LOC PLATE SM T 4H 56MM 483.73 338.61 232.19 396.66P-LOC PLATE OBLIQUE T 5H 73MM 876.27 613.39 420.61 718.54P-LOC PLATE OBLIQUE T 4H 63MM 1,450.89 1,015.62 696.43 1,189.73P-LOC PLATE OBLIQUE T 3H 52MM 812.83 568.98 390.16 666.52P-LOC PLATE 3.5MM RECON 6H 70M 2,864.99 2,005.49 1,375.20 2,349.29P-LOC PLATE 3.5MM LCK 8H 107MM 1,299.67 909.77 623.84 1,065.73P-LOC PLATE 3.5MM LCK 4H 57MM 1,266.97 886.88 608.15 1,038.92P-LOC PLATE 3.5MM LCK 10H 133M 1,299.67 909.77 623.84 1,065.73P-LOC PLATE 3.5MM COM 9H 132MM 662.16 463.51 317.84 542.97P-LOC PLATE 3.5MM COM 4H 67MM 1,118.13 782.69 536.7 916.87P-LOC PLATE 1/3 TUB 7H 86MM 265.47 185.83 127.43 217.69P-LOC PLATE 1/3 TUB 6H 74MM 490.44 343.31 235.41 402.16P-LOC PLATE 1/3 TUB 4H 50MM 256.32 179.42 123.03 210.18P-LOC PLATE 1/3 TUB 3H 38MM 320.01 224.01 153.6 262.41P-LOC PLATE 1/3 TUB 10H 122MM 535.40 374.78 256.99 439.03P-LOC K-WIRE 2.0MMX150MM TRO 435.11 304.58 208.85 356.79P-LOC 6.5MM LP P-T CANC 95MM 183.18 128.23 87.93 150.21P-LOC 6.5MM LP P-T CANC 90MM 388.39 271.87 186.43 318.48P-LOC 6.5MM LP P-T CANC 75MM 441.03 308.72 211.69 361.64P-LOC 6.5MM LP P-T CANC 60MM 404.61 283.23 194.21 331.78P-LOC 6.5MM LP P-T CANC 50MM 351.91 246.34 168.92 288.57P-LOC 6.5MM LP P-T CANC 100MM 183.18 128.23 87.93 150.21P-LOC 5.7MM CANN LOCK 85MM 3,381.23 2,366.86 1,622.99 2,772.61P-LOC 5.7MM CANN LOCK 85MM 3,381.23 2,366.86 1,622.99 2,772.61P-LOC 5.7MM CANN LOCK 60MM 3,381.23 2,366.86 1,622.99 2,772.61P-LOC 5.7MM CANN LOCK 50MM 2,697.42 1,888.19 1,294.76 2,211.88P-LOC 5.7MM CANN LOCK 25MM 3,381.23 2,366.86 1,622.99 2,772.61P-LOC 5.7MM CANN LOCK 100MM 1,019.01 713.31 489.12 835.59P-LOC 4.5MM LP TIB LK PL4HL 94 18,264.80 12,785.36 8,767.10 14,977.14P-LOC 4.5MM L-D FEM 8H R 193MM 20,046.74 14,032.72 9,622.44 16,438.33P-LOC 4.5MM L-D FEM 6H R 155MM 18,933.06 13,253.14 9,087.87 15,525.11P-LOC 4.5MM L-D FEM 6H L 155MM 18,933.06 13,253.14 9,087.87 15,525.11P-LOC 4.5 LP TIB LK PL4H R94MM 13,514.55 9,460.19 6,486.98 11,081.93P-LOC 4.5 LP TIB LK PL 6H L130 18,487.58 12,941.31 8,874.04 15,159.82P-LOC 4.5 LP TIB LK PL 6H L130 18,487.58 12,941.31 8,874.04 15,159.82PLATE-RIGHT 1.5X36MM 1,128.50 789.95 541.68 925.37PLATE T 4.5 6 HOLE 1,839.15 1,287.41 882.79 1,508.10PLATE T 4.5 4 HOLE 1,126.06 788.24 540.51 923.37PLATE T 2MM 3 HOLE 443.23 811.30 567.91 389.42 665.27PLATE T 2.7MM 3 HOLE SHT442.41 3,775.90 2,643.13 1,812.43 3,096.24PLATE T 2.0MM 5 HOLE 443.55 1,055.30 738.71 506.54 865.35PLATE SMALL-T RT ANGLE 650.02 455.01 312.01 533.02PLATE SEMITUBULAR 8 HOLE 135M 604.88 423.42 290.34 496PLATE SEMITUBULAR 7 HOLE 340.81 238.57 163.59 279.46PLATE SEMITUBULAR 4 HOLE 71MM 283.10 198.17 135.89 232.14PLATE SEMITUBULAR 12 HOLE 199 515.45 360.82 247.42 422.67PLATE SEMITUBULAR 10 HOLE 167 479.77 335.84 230.29 393.41PLATE ORBITAL CVD 8 HOLE 640.50 448.35 307.44 525.21

PLATE ORBITAL CVD 6 HOLE 640.50 448.35 307.44 525.21PLATE OBLG T 1.5 5 HOLE 1,086.41 760.49 521.48 890.86PLATE OBLG T 1.5 4 HOLE 1,046.76 732.73 502.44 858.34PLATE OBLG T 1.5 3 HOLE 1,003.15 702.21 481.51 822.58PLATE NARROW 4.5 5 HOLD 87MM 650.26 455.18 312.12 533.21PLATE NARROW 4.5 3 HOLE 55MM 650.26 455.18 312.12 533.21PLATE NARROW 4.5 12 HOLE 199MM 1,393.67 975.57 668.96 1,142.81PLATE NARROW 4.5 11 HOLE 955.57 668.9 458.67 783.57PLATE MINI 41MM 442.05 628.30 439.81 301.58 515.21PLATE MAND ANGLED RT LONG 60* 1,494.50 1,046.15 717.36 1,225.49PLATE L-SHAPED 4 HOLE 2X2 LT. 719.80 503.86 345.5 590.24PLATE L SHAPE 3 X 3 RT MED 0.6 671.00 469.7 322.08 550.22PLATE L SHAPE 3 X 3 LT MED 0.6 671.00 469.7 322.08 550.22PLATE FRACTURE 8 HOLE 70MM 1,634.80 1,144.36 784.7 1,340.54PLATE FRACTURE 6 HOLES 45 MM 1,299.30 909.51 623.66 1,065.43PLATE FRACTURE 4 HOLE 40MM 1,055.30 738.71 506.54 865.35PLATE DCP 3.5 8 HOLE 1,577.58 1,104.31 757.24 1,293.62PLATE DCP 3.5 7 HOLE 1,401.84 981.29 672.88 1,149.51PLATE DCP 3.5 6 HOLE 1,468.88 1,028.22 705.06 1,204.48PLATE DCP 3.5 5 HOLE 610.61 427.43 293.09 500.7PLATE DCP 3.5 2 HOLE 523.38 366.37 251.22 429.17PLATE CLOVERLEAF 2MM 3 HOLE 1,550.38 1,085.27 744.18 1,271.31PLATE CHIN 2.0 6MM 732.00 512.4 351.36 600.24PLATE CHIN 2.0 4MM 01.6454 732.00 512.4 351.36 600.24PLATE BUTT RT LAT TIB 7 HOLE 3,342.80 2,339.96 1,604.54 2,741.10PLATE BUTRS TIB LAT RT 9 HOLE 1,932.48 1,352.74 927.59 1,584.63PLATE BUTRS 4.5 RT 4 HOLE 1,478.95 1,035.27 709.9 1,212.74PLATE BROAD COMP 4.5MM 8 HOLE 1,945.41 1,361.79 933.8 1,595.24PLATE ANGLE MANDIBULARE 60 DEG 1,201.70 841.19 576.82 985.39PLATE 90 DEGREE SUPR 8 HOLE 8,113.00 5,679.10 3,894.24 6,652.66PLATE 90 DEGREE SUPR 12 HOLE 4,897.08 3,427.96 2,350.60 4,015.61PLATE 6 HOLE EX LONG ANGLED 1,525.00 1,067.50 732 1,250.50PLATE 3.5MM RECON 8 HOLE X 94 1,998.36 1,398.85 959.21 1,638.66PLATE 3.5MM RECON 6 HOLE X 70 1,831.83 1,282.28 879.28 1,502.10PLATE 3.5MM RECON 4 HOLE X 46 1,562.21 1,093.55 749.86 1,281.01PLATE 2.7MM 7 HOLE RIGHT442.62 1,335.90 935.13 641.23 1,095.44PLATE 135 DEGREE AMBI 8 HOLE 6,028.33 4,219.83 2,893.60 4,943.23PLATE 135 DEGREE AMBI 4 HOLE 4,454.83 3,118.38 2,138.32 3,652.96PLATE 135 DEGREE AMBI 3 HOLE 4,066.57 2,846.60 1,951.95 3,334.59PLATE 135 DEGREE AMBI 2 HOLE 3,952.13 2,766.49 1,897.02 3,240.75PLATE 135 DEGREE AMBI 10 HOLE 4,434.40 3,104.08 2,128.51 3,636.21PLATE 1/3 TUBULAR 10 HOLE 658.01 460.61 315.84 539.57PIN STEINMAN TRO PT 2.7 7/64X9 134.81 94.37 64.71 110.54PIN RUSH SMALL G 427.00 298.9 204.96 350.14PIN RUSH SMALL E 201.30 140.91 96.62 165.07PIN RUSH MED D 201.30 140.91 96.62 165.07PIN RUSH MED B 201.30 140.91 96.62 165.07PIN RUSH LARGE E 201.30 140.91 96.62 165.07OXINIUM GEN II FEMORAL R 7 12,015.84 8,411.09 5,767.60 9,852.99OXINIUM GEN II FEMORAL R 5 12,440.77 8,708.54 5,971.57 10,201.43OXINIUM GEN II FEMORAL L 7 12,460.29 8,722.20 5,980.94 10,217.44OXINIUM GEN II FEMORAL L 4 11,485.93 8,040.15 5,513.25 9,418.46OXINIUM FEMORAL HD 12/14 32+4 6,138.67 4,297.07 2,946.56 5,033.71OXINIUM FEM HD 28MOD+8 12/14 16,301.64 11,411.15 7,824.79 13,367.34OXINIUM FEM HD 280D+0 12/14 6,333.26 4,433.28 3,039.96 5,193.27OXI FEM HEAD 36MM+4 7,013.78 4,909.65 3,366.61 5,751.30OSTEOSET RESOB BEAD KIT 25CC 15,035.00 10,524.50 7,216.80 12,328.70NONPOROUS TIBIAL IMPLANT R 8 7,651.29 5,355.90 3,672.62 6,274.06NONPOROUS TIBIAL IMPLANT R 4 7,218.68 5,053.08 3,464.97 5,919.32NASAL SEPTAL BUTTON 3CM 542.00 379.4 260.16 444.44MTP COMPRESSION PLATE L TOE 1,657.31 1,160.12 795.51 1,358.99MOD INSERT 1.5 OFFSET 12,450.10 8,715.07 5,976.05 10,209.08MID PHALANX STAYFUSE 5.0 X 6 1,281.00 896.7 614.88 1,050.42MEDICAL ADHESIVE 112.05 78.44 53.78 91.88MCA MULTIPLE CLIP APPLIER SM 166.33 116.43 79.84 136.39LINEAR CUTTER 60MM HANDLE 1,036.85 725.8 497.69 850.22LGN OFFSET COUPLER 6MM 12,589.18 8,812.43 6,042.81 10,323.13LEGION REV TIB B/PLATE SZ 6 RT 17,741.60 12,419.12 8,515.97 14,548.11KYPHON BONE CEMENT CX01B 629.70 440.79 302.26 516.35K-WIRE .062 X 5" 190.02 133.01 91.21 155.82K-WIRE .062 X 5" 190.02 133.01 91.21 155.82K-WIRE .045 X 5" 190.02 133.01 91.21 155.82

K-WIRE .045 X 5" 190.02 133.01 91.21 155.82KIT IPG PORT PLUG 473.10 331.17 227.09 387.94K WIRE 9/64 X 9" 40.67 28.47 19.52 33.35K WIRE 5/64 X 9" 23.38 16.37 11.22 19.17K WIRE 5/32 X 9" 46.77 32.74 22.45 38.35JOURNEY TIBIAL BASE SZ3 LEFT 8,343.34 5,840.34 4,004.80 6,841.54IMPLANT NONPOROUS TIBIAL L 7 7,201.54 5,041.08 3,456.74 5,905.26HEAD SIZE 54MM 1,868.37 1,307.86 896.82 1,532.06HEAD SIZE 50MM 1,779.37 1,245.56 854.1 1,459.08HEAD SIZE 46MM 1,905.76 1,334.03 914.76 1,562.72HEAD SIZE 42MM 1,868.37 1,307.86 896.82 1,532.06HEAD SIZE 40MM 5,460.60 3,822.42 2,621.09 4,477.69HAT TRICK MTP UNI PROC PACK 5,415.28 3,790.70 2,599.33 4,440.53GREEN RELOAD 60 FOR ECHELON 676.31 473.42 324.63 554.57GRAFT JACKET (HAND) 2X4CM 6,596.80 4,617.76 3,166.46 5,409.38GII OXIN P/S FEM LEFT SZ 7 7,815.93 5,471.15 3,751.65 6,409.06GII BICONVEX PATELLA 29MM 2,448.97 1,714.28 1,175.51 2,008.16FLEXION INSERT SZ 7-8 9MM 4,175.69 2,922.98 2,004.33 3,424.07FLEXION INSERT SZ 5-6 9MM 3,913.09 2,739.16 1,878.28 3,208.73FLEXION INSERT SZ 5-6 11MM 3,710.69 2,597.48 1,781.13 3,042.77FLEXION INSERT SZ 3-4 18MM 4,365.16 3,055.61 2,095.28 3,579.43FLEXION INSERT SZ 3-4 15MM 4,142.69 2,899.88 1,988.49 3,397.01FLEXION INSERT SZ 3-4 13MM 4,452.45 3,116.72 2,137.18 3,651.01FLEXION INSERT SZ 3-4 11MM 4,452.45 3,116.72 2,137.18 3,651.01FLEX HINGE TOE IMPLANT SIZE 2 5,795.00 4,056.50 2,781.60 4,751.90FIBULAR SEGMENT 10 CM 1,916.54 1,341.58 919.94 1,571.56FEMORAL HD COB CHR +8HIP 28MM 5,151.39 3,605.97 2,472.67 4,224.14FEM COMP OXI PS SZ 8 RT 10,459.79 7,321.85 5,020.70 8,577.03FEM COMP OXI PS SZ 7 RT 10,302.66 7,211.86 4,945.28 8,448.18FEM COMP OXI PS SIZE 4 RT 11,842.91 8,290.04 5,684.60 9,711.19EVOS SCREW 3.5MMX44MM LCK S-T 1,180.53 826.37 566.65 968.03DISTAL CENT POST 9MM INVIS 496.78 347.75 238.45 407.36DISTAL CENT POST 8MM INVIS 496.78 347.75 238.45 407.36DEEP FLEX INSERT SZ 3-4 9MM 4,098.96 2,869.27 1,967.50 3,361.15DEEP FLEX INSERT SZ 3-4 13MM 11,082.50 7,757.75 5,319.60 9,087.65DEEP FLEX INSERT SZ 3-4 11MM 4,334.84 3,034.39 2,080.72 3,554.57CUTTER LINEAR 100MM 647.12 452.98 310.62 530.64CONTOUR STAPLER RELOAD 1,012.42 708.69 485.96 830.18CONTOUR CURVED CUTTER STAPLER 1,821.89 1,275.32 874.51 1,493.95COMPETITOR PATELLA FEMORAL COM 17,904.23 12,532.96 8,594.03 14,681.47COBALT CHROME FEMORAL HEAD 36M 8,420.44 5,894.31 4,041.81 6,904.76CLIPS LIGATING POLYMER MED 112.86 79 54.17 92.55CLIP APPLIER MED 167.07 116.95 80.19 137CENTRAL HOLE COVER 298.96 209.27 143.5 245.15CEMENT RESTRICTOR 13MM 1,512.80 1,058.96 726.14 1,240.50BUCK CEMENT RESTRICTION 18.5MM 2,043.50 1,430.45 980.88 1,675.67BLUE M8 LEAD ADAPTER KIT 1,888.25 1,321.78 906.36 1,548.37ARTHRO BIOINDOTIVE 1 MED 12,200.00 8,540.00 5,856.00 10,004.00ARMSTRONG "R" TYPE BVD GRO 54.60 38.22 26.21 44.77ANCHORS 186.75 130.73 89.64 153.14ALLOPURE 10MM EVANS BONEWEDGE 13,706.70 9,594.69 6,579.22 11,239.49ALLOMATRIX INJECT PUTTY 5CC 9,493.75 6,645.63 4,557.00 7,784.88ACCORD COCR 2.0MM W/CLAMP 3,336.15 2,335.31 1,601.35 2,735.64ACCORD 5 CABLE 125MM STD 19,080.80 13,356.56 9,158.78 15,646.26ACCORD 5 CABLE 115MM SM 17,981.58 12,587.11 8,631.16 14,744.90ACCORD 2.0 CABLE W/CLAMP 3,395.99 2,377.19 1,630.08 2,784.716X12X14X4 DEG AVSAS SPACER 5,490.00 3,843.00 2,635.20 4,501.805X12X14X4 DEG AVS AS SPACER 5,490.00 3,843.00 2,635.20 4,501.804.5X14MM CORKSCREW FT DISPS 1,067.50 747.25 512.4 875.353.5MM T-PLATE 56MM 4HH 4HS 519.25 363.48 249.24 425.793.5MM RECON PLT STR 82MM 7H 1,874.73 1,312.31 899.87 1,537.283.5MM RECON PLT STR 58MM 5H 1,578.52 1,104.96 757.69 1,294.393.5MM RECON PLT STR 46MM 4H 1,542.17 1,079.52 740.24 1,264.583.5MM RECON PLT STR 35MM 3H 1,474.67 1,032.27 707.84 1,209.233.5MM COM PLATE 73MM 6H 627.44 439.21 301.17 514.53.5MM CLOVERLEAF PLT 88MM 3H 1,322.31 925.62 634.71 1,084.293.5MM CLOVERLEAF PLT 136MM 6H 1,770.64 1,239.45 849.91 1,451.923.5MM CLOVERLEAF PLT 104MM 4H 1,413.91 989.74 678.68 1,159.412.7MM T-PLATE 3 HOLE 249.61 174.73 119.81 204.682.7MM L-PLT 3 HL OBLIQUE LEFT 249.61 174.73 119.81 204.682.7MM CONDYLAR PLATE 6HL LEFT 1,288.63 902.04 618.54 1,056.682.0MM T-PLT 3HL HD 9HL SHAFT 1,049.69 734.78 503.85 860.75

2.0MM STR PLATE 5 HOLE 453.66 317.56 217.76 3722.0MM STR PLATE 3 HOLE 239.91 167.94 115.16 196.732.0MM STR PLATE 20 HOLE 1,011.08 707.76 485.32 829.092.0MM L-PLATE OBLIQUE LEFT 239.91 167.94 115.16 196.732.0MM CONDYLER PLT 6 HL RIGHT 1,209.33 846.53 580.48 991.652.0MM CONDYLAR PLT 6 HL LEFT 1,209.33 846.53 580.48 991.6516 HOLE DCP PLATE 1,657.37 1,160.16 795.54 1,359.041/2 HUMAN SCLERA 980.00 686 470.4 803.61.5MM T-PLT 4 HL HD 9HL SHAFT 951.60 666.12 456.77 780.311.5MM T-PLT 3 HL HD 9 HL SHAFT 900.06 630.04 432.03 738.051.5MM STR PLATE 20 HOLES 1,019.01 713.31 489.12 835.591.5MM CONDYLAR PLT 6 HOLE LEFT 1,264.84 885.39 607.12 1,037.171.5MM CONDYLAR PLT 6 HL RIGHT 1,264.84 885.39 607.12 1,037.17SUT VICRYL SIZE 2-0 J259H 29.53 20.67 14.17 24.21SUT VICRYL SIZE 2-0 J259H 29.53 20.67 14.17 24.21SUT VICRYL SIZE 2-0 J259H 29.53 20.67 14.17 24.21SUT VICRYL SIZE 2-0 J259H 29.53 20.67 14.17 24.21DRESSING COVERLET 4 X 8 SMALL 32.88 23.02 15.78 26.96CULTURETTE>> 27.80 19.46 13.34 22.8CULTURETTE>> 27.80 19.46 13.34 22.8CULTURETTE>> 27.80 19.46 13.34 22.8CULTURETTE>> 27.80 19.46 13.34 22.8CULTURETTE>> 27.80 19.46 13.34 22.8CULTURETTE>> 27.80 19.46 13.34 22.8CATHETER PLUG LG>> 24.21 16.95 11.62 19.85CATHETER PLUG LG>> 24.21 16.95 11.62 19.85CATHETER PLUG LG>> 24.21 16.95 11.62 19.85BANDAGE PLASTER SPECIALIST 2"" 31.48 22.04 15.11 25.81CATH FOLEY 16FR 2-WAY 5CC>> 44.78 31.35 21.49 36.72ESMARK STERILE LF 6X9 46.69 32.68 22.41 38.29BAND ELAST GZE ST KLING 4">>> 23.13 16.19 11.1 18.97BAND ELAST GZE ST KLING 4">>> 23.13 16.19 11.1 18.97CATH 14FR COUDE 5CC 130.64 91.45 62.71 107.12CATH 2WAY BARDEX IC 22FR 74.24 51.97 35.64 60.88AMNIHOOK STERILE>> 30.62 21.43 14.7 25.11AMNIHOOK STERILE>> 30.62 21.43 14.7 25.11AMNIHOOK STERILE>> 30.62 21.43 14.7 25.11AMNIHOOK STERILE>> 30.62 21.43 14.7 25.11AMNIHOOK STERILE>> 30.62 21.43 14.7 25.11AMNIHOOK STERILE>> 30.62 21.43 14.7 25.11AMNIHOOK STERILE>> 30.62 21.43 14.7 25.11AMNIHOOK STERILE>> 30.62 21.43 14.7 25.11AMNIHOOK STERILE>> 30.62 21.43 14.7 25.11AMNIHOOK STERILE>> 30.62 21.43 14.7 25.11AMNIHOOK STERILE>> 30.62 21.43 14.7 25.11AMNIHOOK STERILE>> 30.62 21.43 14.7 25.11AMNIHOOK STERILE>> 30.62 21.43 14.7 25.11AMNIHOOK STERILE>> 30.62 21.43 14.7 25.11TUBE TRACH 8.0 NONFEN UNCUF>> 250.63 175.44 120.3 205.52PACK CYSTO> 96.83 67.78 46.48 79.4MARKER SKIN - ENDOSCOPY 31.02 21.71 14.89 25.44MARKER SKIN - ENDOSCOPY 31.02 21.71 14.89 25.44BOTTLE DRAINAGE THOR KLEX>> 324.14 226.9 155.59 265.79BLADE CAUTERY 4" 76.00 53.2 36.48 62.32SUT CHROMIC SIZE 1 905H 44.45 31.12 21.34 36.45SUT CHROMIC SIZE 1 905H 44.45 31.12 21.34 36.45OMNI SURGICAL SYSTEM 5,220.00 3,654.00 2,505.60 4,280.40PLASMALOOP 12 1,521.50 1,065.05 730.32 1,247.63TUBING IV HYPER-AL 10010454>> 96.41 67.49 46.28 79.06GNS II CMT TIB SIZE 5 RIGHT 7,328.66 5,130.06 3,517.76 6,009.50BRACE MEEK CLAVICAL SMALL>> 58.78 41.15 28.21 48.2TUBING IV BURETROL 2441-0007>> 84.50 59.15 40.56 69.29TUBING IV BURETROL 2441-0007>> 84.50 59.15 40.56 69.29TERUMO TIGER 4.0 110CM 40-5013 368.00 257.6 176.64 301.76TORQUE DEVICE MULTI 88.00 61.6 42.24 72.16TORQUE DEVICE MULTI 88.00 61.6 42.24 72.16DRESSING AQUACEL 4X8>> 73.46 51.42 35.26 60.24TALON GRASPING DEVICE 484.75 339.33 232.68 397.5DRILL BIT OS STAPLE 620.00 434 297.6 508.4LIGASURE RETRACT L-HOOK 37MM 2,026.88 1,418.82 972.9 1,662.04DRILL BIT QUICK COUPLING 2.7MM 444.84 311.39 213.52 364.77TUBE TRACH BIVONA 7.0>> 603.21 422.25 289.54 494.63

TUBE TRACH BIVONA 7.0>> 603.21 422.25 289.54 494.63CATH DIALYS 3 LUMEN CVD 15MM>> 1,021.00 714.7 490.08 837.22PLATE SMALL-T RT ANGLE 737.49 516.24 354 604.74PASSPORT BUTTON CANNULA 380.00 266 182.4 311.6DRILL BIT 2.5 663.50 464.45 318.48 544.07DRILL BIT 2.5 663.50 464.45 318.48 544.07TERUMO 5FR ANG TAP GLIDECATH 515.00 360.5 247.2 422.3KIT REPAIR DIALYSIS>> 683.00 478.1 327.84 560.06SENSATION PLUS IABP 7.5FR 40CC 3,415.21 2,390.65 1,639.30 2,800.47PLATE SMALL-T RT ANGLE 915.49 640.84 439.44 750.7SHOULDER STABIL KIT 432.08 302.46 207.4 354.31CYBERWAND PROBE 2,808.37 1,965.86 1,348.02 2,302.86SCREW CANC PAR THR 4.0 X 50MM 2,009.16 1,406.41 964.4 1,647.51PATIENT CONTROLLER 4,082.50 2,857.75 1,959.60 3,347.65

A4217 HC SOL 0.9% SOL CHLOR 500CC 1.74 1.22 0.84 1.43A4310 HC COBAN 3" TAN 4.88 3.42 2.34 4A4320 HC UNDERPADS CHUX 3.36 2.35 1.61 2.76A4346 HC DRESSING XTRASORB 6X9 8.28 5.8 3.97 6.79A4351 HC ADHESIVE REMOVER ALKARA 6.66 4.66 3.2 5.46A4351 HC 16FR INTERMITTENT STRAIGHT CATH 42.70 29.89 20.5 35.01A4351 HC STRAIGHT CATH 16" 12FR 42.70 29.89 20.5 35.01A4357 HC DRSG FOAM 4X4 2.80 1.96 1.34 2.3A4357 HC PROT HEEL/ANKLE 11.06 7.74 5.31 9.07A4385 HC BARR RING 2 OPN XW 159.58 111.71 76.6 130.86A4385 SEAL EAKIN OSTOMY BARRIER 4" 77.59 54.31 37.24 63.62A4550 HC TRAY MINOR DRESSING 33.30 23.31 15.98 27.31A4648 MARKER BIOZORB 3X4 4,400.00 3,080.00 2,112.00 3,608.00A4648 MARKER BIOZORB 3X3 4,400.00 3,080.00 2,112.00 3,608.00A6197 HC MAXORB XTRA CALCIUM ALGINATE 4X8 19.60 13.72 9.41 16.07A6209 HC CLNSR WND 4OZ 5.80 4.06 2.78 4.76A6209 HC DRSG HYDROFERA FM 4X4 174.40 122.08 83.71 143.01A6212 HC MEPILEX BORDER DRSG 3X3 32.60 22.82 15.65 26.73A6216 HC EAKIN RING CONVATEC 2" 11.60 8.12 5.57 9.51A6250 HC MEDIUM GLOVES NITRILE 11.90 8.33 5.71 9.76A6252 HC DIAPER ADULT LARGE PK/12 6.10 4.27 2.93 5A6253 HC DRSG XTRASORB STR 6X9" 117.20 82.04 56.26 96.1A6258 HC TEGADERM DRSG 6X8 42.30 29.61 20.3 34.69A6402 HC GLOVE LTX PWD PERF+ 7 ST 49.90 34.93 23.95 40.92A6449 HC BNDG ELST 4"X5YDS LF 17.00 11.9 8.16 13.94A6456 ZINC OXIDE 4" X 10 YARD BANDAGE 75.12 52.58 36.06 61.6A9270 ONDANSETRON 4 MG DISINTEGRATING TABLET 13.85 9.7 6.65 11.36A9270 METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION 21.15 14.81 10.15 17.34A9270 PROMETHAZINE 25 MG TABLET 178.50 124.95 85.68 146.37A9270 HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET 193.28 135.3 92.77 158.49A9270 LORAZEPAM 1 MG TABLET 289.05 202.34 138.74 237.02A9270 DOXYCYCLINE MONOHYDRATE 100 MG CAPSULE 404.44 283.11 194.13 331.64A9270 OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET 465.88 326.12 223.62 382.02A9270 CIPROFLOXACIN 500 MG TABLET 1,437.80 1,006.46 690.14 1,179.00A9270 CEFPROZIL 250 MG TABLET 1,468.21 1,027.75 704.74 1,203.93A9270 OINTMENT ANTIFUNGAL>>> 47.80 33.46 22.94 39.2A9575 GADOTERATE MEGLUMINE 0.5 MMOL/ML (376.9 MG/ML) INTRAVENOUS SOLUTION 311.50 218.05 149.52 255.43A9575 GADOTERATE MEGLUMINE 0.5 MMOL/ML (376.9 MG/ML) INTRAVENOUS SOLUTION 311.50 218.05 149.52 255.43A9575 GADOTERATE MEGLUMINE 0.5 MMOL/ML (376.9 MG/ML) INTRAVENOUS SOLUTION 311.50 218.05 149.52 255.43A9575 GADOTERATE MEGLUMINE 0.5 MMOL/ML (376.9 MG/ML) INTRAVENOUS SOLUTION 311.50 218.05 149.52 255.43A9577 GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION 350.11 245.08 168.05 287.09A9577 GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION 350.11 245.08 168.05 287.09A9999 HC ADH RMVR PADS 7.80 5.46 3.74 6.4C1713 P-LOC LG 3.5MM 6 98MM ALD PLT 15,564.15 10,894.91 7,470.79 12,762.60C1713 P-LOC 3.5MM 6 146MM M-D PLATE 11,995.35 8,396.75 5,757.77 9,836.19C1713 META RETRO FEM NAIL 13X30 11,055.34 7,738.74 5,306.56 9,065.38C1713 IMPL DELIVERY SYS DIS BICEPS 6,710.00 4,697.00 3,220.80 5,502.20C1713 OLECRANON LK PL 8H R 107MM 13,303.19 9,312.23 6,385.53 10,908.62C1713 INTERTAN 105 10MMX38CM 125D RT 19,781.08 13,846.76 9,494.92 16,220.49C1713 HEALICOIL RG SA 5.5MM 2,440.98 1,708.69 1,171.67 2,001.60C1713 EVOS 3.5MM CLAV PL 10H L 108MM 6,069.20 4,248.44 2,913.22 4,976.74C1713 SCREW LOCKING 3.5MM X 20MM 845.16 591.61 405.68 693.03C1713 SCREW HEADED DARTFIRE 3.0X30M 1,875.50 1,312.85 900.24 1,537.91C1713 P-LOC 3.5MM 10 196MM M-D PLATE 6,125.93 4,288.15 2,940.45 5,023.26C1713 P-LOC 4.5MM S-T CRTX LOCK 26MM 1,324.19 926.93 635.61 1,085.84C1713 P-LOC 4.5MM S-T CRTX LOCK 24MM 1,324.19 926.93 635.61 1,085.84C1713 SCREW CANU 7.0MM 32MM 100MM 2,010.80 1,407.56 965.18 1,648.86C1713 PERF REV PERI SCREW 5.0X42 1,001.93 701.35 480.93 821.58

C1713 SCREW CORTEX 2.7MM X 20MM 299.14 209.4 143.59 245.29C1713 VLP MINI 2.0MM STR PL 6 HOLE 3,326.82 2,328.77 1,596.87 2,727.99C1713 SCREW CORTEX 2.7MM X 16MM 284.87 199.41 136.74 233.59C1713 SCREW TRIGEN LP 5X65 1,949.50 1,364.65 935.76 1,598.59C1713 P-LOC 6.5MM LP P-T CANC 80MM 277.98 194.59 133.43 227.94C1713 SCREW EVOX 2.7MMX34MM LCK T8 858.27 600.79 411.97 703.78C1713 P-LOC 6.5MM LP P-T CANC 65MM 305.92 214.14 146.84 250.85C1713 VLP TI 2.0X7MM LCK SCREW T6 776.53 543.57 372.73 636.75C1713 SCREW EVOS 2.7MMX28MM LCK T8 911.40 637.98 437.47 747.35C1713 P-LOC LG 4.5MM LP S-T CRTX 26M 231.13 161.79 110.94 189.53C1713 SCREW EVOS 2.7MMX24MM CTX T8 289.14 202.4 138.79 237.09C1713 SCREW CORTEX 2.0MM X 16MM 282.13 197.49 135.42 231.35C1713 SCREW CORTEX 2.0MM X 20MM 195.20 136.64 93.7 160.06C1713 SCREW CORTEX 2.0MM X 18MM 195.20 136.64 93.7 160.06C1713 K-WIRE .035 X 9" 21.86 15.3 10.49 17.93C1713 XEMPLIFI DBM PLUS 1CC BONE PUT 638.40 446.88 306.43 523.49C1713 VDR LCK PLATE STD 5 HOLE 86MM 3,156.14 2,209.30 1,514.95 2,588.03C1713 TUBULAR PLATE W/COL 97MM 8H 499.95 349.97 239.98 409.96C1713 TUBULAR PLATE W/COL 85MM 7H 469.57 328.7 225.39 385.05C1713 TUBULAR PLATE W/COL 73MM 6H 326.28 228.4 156.61 267.55C1713 TUBULAR PLATE W/COL 61MM 5H 459.27 321.49 220.45 376.6C1713 TUBULAR PLATE W/COL 37MM 3H 249.24 174.47 119.64 204.38C1713 TUBULAR PLATE W/COL 145MM 12H 316.74 221.72 152.04 259.73C1713 TUBULAR PLATE W/COL 109MM 9H 311.55 218.09 149.54 255.47C1713 TRIGEN RECON SCREW BLUE 6.4X90 2,762.69 1,933.88 1,326.09 2,265.41C1713 TRIGEN RECON SCREW BLUE 6.4X85 1,423.44 996.41 683.25 1,167.22C1713 TRIGEN RECON SCREW BLUE 6.4X70 2,762.69 1,933.88 1,326.09 2,265.41C1713 TRIGEN RECON SCREW BLUE 6.4X65 2,762.69 1,933.88 1,326.09 2,265.41C1713 TRIGEN HUM NAIL 9/7.5MM X 28CM 6,720.68 4,704.48 3,225.93 5,510.96C1713 TRIGEN HUM NAIL 9/7.5MM X 26CM 9,727.06 6,808.94 4,668.99 7,976.19C1713 TRIGEN HUM NAIL 9/7.5MM X 24CM 11,586.65 8,110.66 5,561.59 9,501.05C1713 TRIGEN HUM NAIL 9/7.5MM X 22CM 12,506.22 8,754.35 6,002.99 10,255.10C1713 TRIGEN HUM NAIL 9/7.5MM X 20CM 6,720.68 4,704.48 3,225.93 5,510.96C1713 TRIGEN HUM NAIL 9/7.5MM X 18CM 14,079.72 9,855.80 6,758.27 11,545.37C1713 TRIGEN HUM NAIL 8/7MM X 18CM 6,720.68 4,704.48 3,225.93 5,510.96C1713 TRIGEN HUM NAIL 10/8.5MMX28CM 6,720.68 4,704.48 3,225.93 5,510.96C1713 TRIGEN HUM NAIL 10/8.5MMX26CM 12,506.22 8,754.35 6,002.99 10,255.10C1713 TRIGEN HUM NAIL 10/8.5MMX24CM 12,506.22 8,754.35 6,002.99 10,255.10C1713 TRIGEN HUM NAIL 10/8.5MMX20CM 6,720.68 4,704.48 3,225.93 5,510.96C1713 TRIGEN HUM NAIL 10/8.5MMX19CM 14,917.55 10,442.29 7,160.42 12,232.39C1713 TRIGEN 5X62 SCREW 1,495.84 1,047.09 718 1,226.59C1713 TRIGEN 5X56 SCREW 1,495.84 1,047.09 718 1,226.59C1713 TRIGEN 5X48 SCREW 824.72 577.3 395.87 676.27C1713 TRIGEN 5X42 SCREW 1,128.01 789.61 541.44 924.97C1713 TRIGEN 4.0X36 SCREW 681.98 477.39 327.35 559.22C1713 TRIGEN 4.0X28 SCREW 681.98 477.39 327.35 559.22C1713 TRIGEN 4.0X20 SCREW 1,471.32 1,029.92 706.23 1,206.48C1713 TITANIUM SCREW TORX 2.7X18 WRI 841.80 589.26 404.06 690.28C1713 TITANIUM SCREW TORX 2.7X18 WRI 841.80 589.26 404.06 690.28C1713 SYSTEM IMPLANT CPR VIPER 6,679.50 4,675.65 3,206.16 5,477.19C1713 SYSTEM IMPLANT CPR VIPER 6,679.50 4,675.65 3,206.16 5,477.19C1713 SUT MICRORAPTOR KNOTLESS RGNSB 2,897.50 2,028.25 1,390.80 2,375.95C1713 STAPLER CR INTRALUMIAL 33 851.76 596.23 408.84 698.44C1713 STAPLE R TABLE FIX SM 13 2,088.46 1,461.92 1,002.46 1,712.54C1713 STAPLE R TABLE FIX MED 16 2,860.90 2,002.63 1,373.23 2,345.94C1713 STAPLE FIX LARGE SHORT SPIKES 1,471.32 1,029.92 706.23 1,206.48C1713 SECONDARY FIX KIT ACL/PCL REPA 3,660.00 2,562.00 1,756.80 3,001.20C1713 SCREW TAP 1.5MM CORTEX 4MM 2,397.30 1,678.11 1,150.70 1,965.79C1713 SCREW MALLEOLAR 4.5MM X 45MM 244.85 171.4 117.53 200.78C1713 SCREW LAG AMBI 80MM 2,505.33 1,753.73 1,202.56 2,054.37C1713 SCREW LAG AMBI 70MM 2,656.55 1,859.59 1,275.14 2,178.37C1713 SCREW LAG AMBI 65MM 2,914.03 2,039.82 1,398.73 2,389.50C1713 SCREW LAG AMBI 105MM 2,914.03 2,039.82 1,398.73 2,389.50C1713 SCREW LAG AMBI 100MM 2,656.55 1,859.59 1,275.14 2,178.37C1713 SCREW EVOS 2.4MMX14MM LCK T7 971.18 679.83 466.17 796.37C1713 SCREW EVOS 2.4MMX12MM LCK T7 971.18 679.83 466.17 796.37C1713 SCREW EVOS 2.4MMX12MM CTX T7 259.13 181.39 124.38 212.49C1713 SCREW EVOS 2.4MMX11MM LCK T7 971.18 679.83 466.17 796.37C1713 SCREW COMPRESSION 28.5MM 518.81 363.17 249.03 425.42C1713 SCREW CENT DRIVE 2.3MM X 7MM 1,866.60 1,306.62 895.97 1,530.61C1713 SCREW CENT DRIVE 2.0MM X 4MM 201.30 140.91 96.62 165.07C1713 SCREW CANU PAR THR 4.0 X 70MM 872.30 610.61 418.7 715.29

C1713 SCREW CANU PAR THR 4.0 X 60MM 1,279.23 895.46 614.03 1,048.97C1713 SCREW CANU PAR THR 4.0 X 54MM 2,009.16 1,406.41 964.4 1,647.51C1713 SCREW CANU PAR THR 4.0 X 34MM 1,736.98 1,215.89 833.75 1,424.32C1713 SCREW CANU PAR THR 4.0 X 16MM 832.65 582.86 399.67 682.77C1713 SCREW CANU PAR THR 4.0 X 14MM 832.65 582.86 399.67 682.77C1713 SCREW CANU FUL THR 4.0 X 70MM 872.30 610.61 418.7 715.29C1713 SCREW CANU FUL THR 4.0 X 65MM 872.30 610.61 418.7 715.29C1713 SCREW CANU FUL THR 4.0 X 60MM 872.30 610.61 418.7 715.29C1713 SCREW CANU FUL THR 4.0 X 55MM 872.30 610.61 418.7 715.29C1713 SCREW CANU FUL THR 4.0 X 45MM 1,279.23 895.46 614.03 1,048.97C1713 SCREW CANU FUL THR 4.0 X 24MM 832.65 582.86 399.67 682.77C1713 SCREW CANU FUL THR 4.0 X 20MM 832.65 582.86 399.67 682.77C1713 SCREW CANU 7.0MM 32MM 80MM 2,256.02 1,579.21 1,082.89 1,849.94C1713 SCREW CANU 7.0MM 32MM 50MM 1,066.59 746.61 511.96 874.6C1713 SCREW CANU 7.0MM 32MM 130MM 1,066.59 746.61 511.96 874.6C1713 SCREW CANU 7.0MM 32MM 115MM 1,777.85 1,244.50 853.37 1,457.84C1713 SCREW CANU 7.0MM 16MM 85MM 2,459.09 1,721.36 1,180.36 2,016.45C1713 SCREW CANU 7.0MM 16MM 70MM 2,125.24 1,487.67 1,020.12 1,742.70C1713 SCREW CANU 7.0MM 16MM 50MM 1,577.58 1,104.31 757.24 1,293.62C1713 SCREW CANU 7.0MM 16MM 125MM 1,066.59 746.61 511.96 874.6C1713 SCREW CANU 7.0MM 16MM 120MM 2,010.80 1,407.56 965.18 1,648.86C1713 SCREW CANU 7.0MM 16MM 105MM 2,125.24 1,487.67 1,020.12 1,742.70C1713 SCREW CANU 7.0MM 16MM 100MM 2,256.02 1,579.21 1,082.89 1,849.94C1713 SCREW CANC FUL THR 6.5 X 40MM 239.91 167.94 115.16 196.73C1713 SCREW 2.5 MICRO 32MM LENGTH 2,135.00 1,494.50 1,024.80 1,750.70C1713 RELOADS LINEAR CUTTER TRT75 232.66 162.86 111.68 190.78C1713 REF SPHER HEAD SCREW 6.5X50MM 925.00 647.5 444 758.5C1713 REF SPHER HEAD SCREW 6.5X40MM 284.14 198.9 136.39 232.99C1713 REF SPHER HEAD SCREW 6.5X25MM 1,450.89 1,015.62 696.43 1,189.73C1713 QUARTER TUBULAR PLATE 6 HOLE 359.84 251.89 172.72 295.07C1713 QUARTER TUBULAR PLATE 4 HOLE 307.07 214.95 147.39 251.8C1713 POLYMER CLIPS HEM-O-LOK LG 84.64 59.25 40.63 69.4C1713 PLT FRAC 14 HOLE LOCK 4,792.99 3,355.09 2,300.64 3,930.25C1713 PLT COMP 6 HOLE 2.3MM 3,165.18 2,215.63 1,519.29 2,595.45C1713 PLT COMP 6 HOLE 2.0MM 3,165.18 2,215.63 1,519.29 2,595.45C1713 PLT COMP 4 HOLE 2.3MM 2,170.39 1,519.27 1,041.79 1,779.72C1713 PLT COMP 4 HOLE 2.0MM 2,170.39 1,519.27 1,041.79 1,779.72C1713 PLT AMNGLE HOLE 140* LOC 4,612.10 3,228.47 2,213.81 3,781.92C1713 PLT 6 HOLE FRAC 3,081.71 2,157.20 1,479.22 2,527.00C1713 PLT 4 HOLE MIN LONG BAR 959.99 671.99 460.8 787.19C1713 P-LOCK 3.5MM RECON PL 14HL166M 1,482.30 1,037.61 711.5 1,215.49C1713 P-LOCK 3.5MM COMP PL 20H 301MM 3,386.11 2,370.28 1,625.33 2,776.61C1713 P-LOCK 3.5MM COMP PL 18H 272MM 3,057.02 2,139.91 1,467.37 2,506.76C1713 P-LOCK 3.5MM COMP PL 14H 214MM 2,529.67 1,770.77 1,214.24 2,074.33C1713 P-LOCK 3.55MM PL 11HL 158MM 709.74 496.82 340.68 581.99C1713 P-LOCK 3.5 COMP PL 16H 243MM 2,716.03 1,901.22 1,303.69 2,227.14C1713 P-LOC SCREW 3.5MM CRT LCK 45MM 570.96 399.67 274.06 468.19C1713 P-LOC SCREW 3.5MM CRT LCK 32MM 479.77 335.84 230.29 393.41C1713 P-LOC SCREW 3.5MM CRT LCK 22MM 570.96 399.67 274.06 468.19C1713 P-LOC PLATE SM T 5H 67MM 598.41 418.89 287.24 490.7C1713 P-LOC PLATE 3.5MM RECON 8H 94M 3,138.82 2,197.17 1,506.63 2,573.83C1713 P-LOC PLATE 3.5MM RECON 4H 46M 2,456.29 1,719.40 1,179.02 2,014.16C1713 P-LOC PLATE 3.5MM RECO 12H 142 3,518.91 2,463.24 1,689.08 2,885.51C1713 P-LOC PLATE 3.5MM RECO 10H 118 3,236.90 2,265.83 1,553.71 2,654.26C1713 P-LOC PLATE 3.5MM LCK 6H 82MM 1,352.80 946.96 649.34 1,109.30C1713 P-LOC PLATE 3.5MM LCK 4H 57MM 1,266.97 886.88 608.15 1,038.92C1713 P-LOC PLATE 3.5MM COM 6H 96MM 2,623.85 1,836.70 1,259.45 2,151.56C1713 P-LOC PLATE 3.5MM COM 12H 183M 1,641.51 1,149.06 787.92 1,346.04C1713 P-LOC PLATE 1/3 TUB 8H 98MM 535.40 374.78 256.99 439.03C1713 P-LOC PLATE 1/3 TUB 5H 62MM 256.32 179.42 123.03 210.18C1713 P-LOC LG 4.5MM LP S-T CRTX 100 162.57 113.8 78.03 133.31C1713 P-LOC K-WIRE 2.0MMX150MM TRO 435.11 304.58 208.85 356.79C1713 P-LOC 6.5MM LP P-T CANC 85MM 564.01 394.81 270.72 462.49C1713 P-LOC 6.5MM LP P-T CANC 70MM 441.03 308.72 211.69 361.64C1713 P-LOC 6.5MM LP P-T CANC 55MM 305.92 214.14 146.84 250.85C1713 P-LOC 5.7MM CANN LOCK 95MM 1,019.01 713.31 489.12 835.59C1713 P-LOC 5.7MM CANN LOCK 90MM 2,350.03 1,645.02 1,128.01 1,927.02C1713 P-LOC 5.7MM CANN LOCK 55MM 3,102.03 2,171.42 1,488.97 2,543.66C1713 P-LOC 5.7MM CANN LOCK 40MM 2,350.03 1,645.02 1,128.01 1,927.02C1713 P-LOC 5.7MM CANN LOCK 20MM 2,135.00 1,494.50 1,024.80 1,750.70C1713 P-LOC 4.5MM L-D FEM 8H L 193MM 20,046.74 14,032.72 9,622.44 16,438.33C1713 P-LOC 4.5MM L-D FEM 16H R 342M 21,739.55 15,217.69 10,434.98 17,826.43

C1713 P-LOC 4.5MM L-D FEM 16H L 342M 21,739.55 15,217.69 10,434.98 17,826.43C1713 P-LOC 4.5MM L-D FEM 13H R 286M 21,338.65 14,937.06 10,242.55 17,497.69C1713 P-LOC 4.5MM L-D FEM 13H L 286M 21,338.65 14,937.06 10,242.55 17,497.69C1713 P-LOC 4.5MM L-D FEM 10H R 230M 20,380.83 14,266.58 9,782.80 16,712.28C1713 P-LOC 4.5MM L-D FEM 10H L 230M 20,380.83 14,266.58 9,782.80 16,712.28C1713 P-LOC 4.5 LP TIB LK PL6H R130M 21,739.55 15,217.69 10,434.98 17,826.43C1713 P-LOC 4.5 LP TIB LK PL 8H L165 18,688.02 13,081.61 8,970.25 15,324.18C1713 P-LOC 4.5 LP TIB LK PL 8H L165 18,688.02 13,081.61 8,970.25 15,324.18C1713 P-LOC 10.0MM OD WASHER 318.12 222.68 152.7 260.86C1713 PLATE-T TITANIAM 2.0X50MM 823.50 576.45 395.28 675.27C1713 PLATE T 4.5 8 HOLE 2,143.30 1,500.31 1,028.78 1,757.51C1713 PLATE T 2.7 LT 442.33 228.75 160.13 109.8 187.58C1713 PLATE T 1.5MM 4 HOLE 446.24 884.50 619.15 424.56 725.29C1713 PLATE SMALL FRAGMENT 4X49MM 903.23 632.26 433.55 740.65C1713 PLATE SMALL FRAGMENT 3X37MM 882.79 617.95 423.74 723.89C1713 PLATE SEMITUBULAR 6-HOLE 311.83 218.28 149.68 255.7C1713 PLATE SEMITUBULAR 5 HOLE 119M 292.80 204.96 140.54 240.1C1713 PLATE RIGHT 1.5 4X3 TITANIUM 945.50 661.85 453.84 775.31C1713 PLATE NARROW 4.5 8 HOLE 135MM 729.56 510.69 350.19 598.24C1713 PLATE NARROW 4.5 7 HOLE DCP 728.95 510.27 349.9 597.74C1713 PLATE NARROW 4.5 6 HOLE 103MM 729.56 510.69 350.19 598.24C1713 PLATE NARROW 4.5 4 HOLE 71MM 650.26 455.18 312.12 533.21C1713 PLATE MINI 443.19 933.30 653.31 447.98 765.31C1713 PLATE MINI 33MM 442.04 597.80 418.46 286.94 490.2C1713 PLATE MICRO BONE ST 6 HOLE 439.20 307.44 210.82 360.14C1713 PLATE L-SHAPED 4 HOLE 2X2 RT. 719.80 503.86 345.5 590.24C1713 PLATE LEFT 1.5X36MM 1,128.50 789.95 541.68 925.37C1713 PLATE LEFT 1.5 4X3 TITANIUM 945.50 661.85 453.84 775.31C1713 PLATE FRAC 4 HOLE W/BAR 2,629.50 1,840.65 1,262.16 2,156.19C1713 PLATE EVOS 2.4MM FLEX 8H 5,333.54 3,733.48 2,560.10 4,373.50C1713 PLATE DOUBLE Y-SHAPED REGULAR 872.30 610.61 418.7 715.29C1713 PLATE DOUBLE Y-SHAPED LONG 872.30 610.61 418.7 715.29C1713 PLATE DCP 9 HOLE BROAD 2,779.16 1,945.41 1,334.00 2,278.91C1713 PLATE DCP 3.5 9 HOLE 737.49 516.24 354 604.74C1713 PLATE DCP 3.5 10 HOLE 1,217.93 852.55 584.61 998.7C1713 PLATE CLOVERLEAF 2MM 4 HOLE 2,284.63 1,599.24 1,096.62 1,873.40C1713 PLATE CHIN 2.0 8MM 732.00 512.4 351.36 600.24C1713 PLATE BUTRS TIB LAT LT 9 HOLE 2,286.77 1,600.74 1,097.65 1,875.15C1713 PLATE BUTRS TIB LAT LT 7 HOLE 3,191.83 2,234.28 1,532.08 2,617.30C1713 PLATE BUTRS 4.5 LT 4 HOLE 1,478.95 1,035.27 709.9 1,212.74C1713 PLATE BROAD COMP 4.5MM 7 HOLE 975.39 682.77 468.19 799.82C1713 PLATE ANGLE MANDIBULAR 60 DEGR 1,201.70 841.19 576.82 985.39C1713 PLATE 95 DEGREE SUPR 10 HOLE 5,823.98 4,076.79 2,795.51 4,775.66C1713 PLATE 90 DEGREE SUPR 6 HOLE 8,113.00 5,679.10 3,894.24 6,652.66C1713 PLATE 90 DEGREE SUPR 10 HOLE 5,803.54 4,062.48 2,785.70 4,758.90C1713 PLATE 6 HOLE 47MM TITAN 442.06 460.55 322.39 221.06 377.65C1713 PLATE 4-HOLE 847.90 593.53 406.99 695.28C1713 PLATE 4.5 6 HOLEX103MM 1,137.53 796.27 546.01 932.77C1713 PLATE 2.7MM 7 HOLE LEFT 2,720.60 1,904.42 1,305.89 2,230.89C1713 PLATE 2.0MM 7 HOLE RIGHT443.62 1,128.50 789.95 541.68 925.37C1713 PLATE 2.0MM 7 HOLE LEFT 443.61 5,654.70 3,958.29 2,714.26 4,636.85C1713 PLATE 16 HOLE STR MINI 968.75 678.13 465 794.38C1713 PLATE 14MM EBI 7,277.30 5,094.11 3,493.10 5,967.39C1713 PLATE 135 DEGREE AMBI 6 HOLE 4,822.66 3,375.86 2,314.88 3,954.58C1713 PLATE 135 DEGREE AMBI 5 HOLE 4,781.79 3,347.25 2,295.26 3,921.07C1713 PLATE 12 HOLEX135MM 2,717.86 1,902.50 1,304.57 2,228.65C1713 PLATE 12 HOLE 3.5 DCP 1,352.80 946.96 649.34 1,109.30C1713 PIN RUSH SMALL M 201.30 140.91 96.62 165.07C1713 PIN RUSH SMALL L 201.30 140.91 96.62 165.07C1713 PIN RUSH SMALL K 201.30 140.91 96.62 165.07C1713 PIN RUSH SMALL J 201.30 140.91 96.62 165.07C1713 PIN RUSH SMALL I 201.30 140.91 96.62 165.07C1713 PIN RUSH SMALL H 323.30 226.31 155.18 265.11C1713 PIN RUSH SMALL F 201.30 140.91 96.62 165.07C1713 PIN RUSH SMALL D 201.30 140.91 96.62 165.07C1713 PIN RUSH SMALL C 201.30 140.91 96.62 165.07C1713 PIN RUSH SMALL B 201.30 140.91 96.62 165.07C1713 PIN RUSH MED I 201.30 140.91 96.62 165.07C1713 PIN RUSH MED H 201.30 140.91 96.62 165.07C1713 PIN RUSH MED G 201.30 140.91 96.62 165.07C1713 PIN RUSH MED F 201.30 140.91 96.62 165.07C1713 PIN RUSH MED E 201.30 140.91 96.62 165.07

C1713 PIN RUSH MED C 201.30 140.91 96.62 165.07C1713 PIN RUSH MED A 201.30 140.91 96.62 165.07C1713 PIN RUSH LARGE H 201.30 140.91 96.62 165.07C1713 PIN RUSH LARGE G 201.30 140.91 96.62 165.07C1713 PIN RUSH LARGE F 201.30 140.91 96.62 165.07C1713 PIN RUSH LARGE D 201.30 140.91 96.62 165.07C1713 PIN RUSH LARGE C 201.30 140.91 96.62 165.07C1713 PIN RUSH LARGE B 201.30 140.91 96.62 165.07C1713 PIN RUSH LARGE A 201.30 140.91 96.62 165.07C1713 PIN RUSH 4" X 1/8" SM. "A" 201.30 140.91 96.62 165.07C1713 PERI-LOC CABLE SADDLE SHORT SS 1,675.67 1,172.97 804.32 1,374.05C1713 OSTEOSET RESOB MINI BEAD 5CC 2,147.60 1,503.32 1,030.85 1,761.03C1713 MUC SCREW 3.0 X 34MM 1,708.00 1,195.60 819.84 1,400.56C1713 LOCKING CALCANEAL PLATE MINI 3,111.00 2,177.70 1,493.28 2,551.02C1713 KYPHON BONE CEMENT CX01B 629.70 440.79 302.26 516.35C1713 KIT INVISIKNOT ANKLE FRACTURE 6,526.33 4,568.43 3,132.64 5,351.59C1713 JOURNEY TIB BASEPLATE SZ 3 RT 7,971.97 5,580.38 3,826.55 6,537.02C1713 IS HIP XL 60 HIGH REL 21,341.77 14,939.24 10,244.05 17,500.25C1713 HYPRO CURE DEVICE SIZE 8 12,139.00 8,497.30 5,826.72 9,953.98C1713 HYPRO CURE DEVICE SIZE 8 12,139.00 8,497.30 5,826.72 9,953.98C1713 HAT TRICK MTP BIL PROC PACK 6,028.33 4,219.83 2,893.60 4,943.23C1713 HAT TRICK MTP BIL PROC PACK 6,028.33 4,219.83 2,893.60 4,943.23C1713 EXPRESS STAPLE 15X14X14 6,016.13 4,211.29 2,887.74 4,933.23C1713 EXPRESS 2.0 PIN 553.58 387.51 265.72 453.94C1713 EVOS SCREW 3.5MMX26MM CTX S-T 226.74 158.72 108.84 185.93C1713 EVOS SCREW 3.5MMX24MM CTX S-T 226.74 158.72 108.84 185.93C1713 CABLE PIN IMPLANT SET 65MM ZIM 3,359.88 2,351.92 1,612.74 2,755.10C1713 CABLE PIN IMPLANT SET 45MM ZIM 3,460.71 2,422.50 1,661.14 2,837.78C1713 CABLE PIN IMPLANT SET 35MM ZIM 3,460.71 2,422.50 1,661.14 2,837.78C1713 CABLE ACCORD COBALT CHROM 2.0 2,455.62 1,718.93 1,178.70 2,013.61C1713 AMBI 4 HOLE PLATE 140 DEGREES 3,089.77 2,162.84 1,483.09 2,533.61C1713 AMBI 4 HOLE PLATE 130 DEGREES 4,526.20 3,168.34 2,172.58 3,711.48C1713 ALLOMATRIX INJECT PUTTY 10CC 13,717.50 9,602.25 6,584.40 11,248.35C1713 AEQUALIS FLEX LOCKING CAP 2,935.32 2,054.72 1,408.95 2,406.96C1713 ACCORD PLATE 150MM 4,745.80 3,322.06 2,277.98 3,891.56C1713 3.5MM T-PLT OBL 53MM 3HH 3HS 862.73 603.91 414.11 707.44C1713 3.5MM T-PLATE 50MM 3HH 3HS 488.10 341.67 234.29 400.24C1713 3.5MM RECON PLT STR 70MM 6H 1,735.46 1,214.82 833.02 1,423.08C1713 3.5MM COM PLATE 85MM 7H 643.95 450.77 309.1 528.04C1713 3.5MM CLOVERLEAF PLT 120MM 5H 1,625.25 1,137.68 780.12 1,332.71C1713 2.7MM CONDYLAR PLATE 6HL RIGHT 1,288.63 902.04 618.54 1,056.68C1713 2.0MM T PLT 4HL HD 9HL SHAFT 951.60 666.12 456.77 780.31C1713 2.0MM T PLT 2HL HD 2 HL SHAFT 239.91 167.94 115.16 196.73C1713 2.0MM STR PLATE 4 HOLE 307.68 215.38 147.69 252.3C1713 XTENOBUTTON ROUND LG 21MM 10MM 1,775.10 1,242.57 852.05 1,455.58C1713 WIRE K 1.25MM X 150MM TRO PT 427.67 299.37 205.28 350.69C1713 WIRE K 1.25MM X 150MM TRO PT 427.67 299.37 205.28 350.69C1713 WIRE K 1.0MM X 150MM TRO PT 23.16 16.21 11.12 18.99C1713 WIRE K 1.0MM X 150MM TRO PT 23.16 16.21 11.12 18.99C1713 WIRE K 0.8MM X 70MM TRO PT 138.96 97.27 66.7 113.95C1713 WIRE K 0.8MM X 70MM TRO PT 138.96 97.27 66.7 113.95C1713 WIRE GUIDE 0.86MM TROCAR THREA 215.00 150.5 103.2 176.3C1713 WIDE POLY RT DISTAL RAD PLATE 5,973.12 4,181.18 2,867.10 4,897.96C1713 WASHER FOR VLP 2.4 T7 SCREWS 332.51 232.76 159.6 272.66C1713 WASHER FOR 3.75 SCREW 350.75 245.53 168.36 287.62C1713 WASHER EVOS 3.5MM 296.09 207.26 142.12 242.79C1713 WASHER 3.5 FOR DARTFIRE 4MM 178.25 124.78 85.56 146.17C1713 WASHER 2.5 FOR DARTFIRE 3.0MM 178.25 124.78 85.56 146.17C1713 WASHER 12.7MM X 6.5MM 410.77 287.54 197.17 336.83C1713 VLPTI 3.0X24MM OST SCR T7 FT 500.69 350.48 240.33 410.57C1713 VLP TI2.4X16MM LCK SCR T7 776.53 543.57 372.73 636.75C1713 VLP TI2.4X16MM LCK SCR T7 776.53 543.57 372.73 636.75C1713 VLP TI 3.0X32MM OST SCR T7 FT 500.69 350.48 240.33 410.57C1713 VLP TI 3.0X28MM OST SCR T7 FT 500.69 350.48 240.33 410.57C1713 VLP TI 3.0X26MM OST SCR T7 FT 500.69 350.48 240.33 410.57C1713 VLP TI 2.4X42MM LCK SCR 17 S-T 685.21 479.65 328.9 561.87C1713 VLP TI 2.4X30MM LCK SCR 17 S-T 685.21 479.65 328.9 561.87C1713 VLP TI 2.4X26MM CTX SCR T7 NS 318.36 222.85 152.81 261.06C1713 VLP TI 2.4X18MM CTX SCR T7 NS 351.06 245.74 168.51 287.87C1713 VLP TI 2.4X11MM LCK SCR T7 776.53 543.57 372.73 636.75C1713 VLP TI 2.4MMX8MM LCK SCR T7 707.05 494.94 339.38 579.78C1713 VLP TI 2.4MMX8MM LCK SCR T7 707.05 494.94 339.38 579.78

C1713 VLP TI 2.4MMX8MM CTX SCR T7 ST 318.36 222.85 152.81 261.06C1713 VLP TI 2.4MMX6MM LCK SCR T7 776.53 543.57 372.73 636.75C1713 VLP TI 2.4MMX13MM LCK SCR T7 738.71 517.1 354.58 605.74C1713 VLP TI 2.4MMX12MM LCK SCR T7 776.53 543.57 372.73 636.75C1713 VLP TI 2.4MMX12MM CTX SCR T7 368.62 258.03 176.94 302.27C1713 VLP TI 2.4MMX11MM CTX SCR T7 368.62 258.03 176.94 302.27C1713 VLP TI 2.4MMX10MM LCK SCR T7 776.53 543.57 372.73 636.75C1713 VLP TI 2.4MMX10MM LCK SCR T7 776.53 543.57 372.73 636.75C1713 VLP TI 2.4MMX10MM CTX SCR T7 351.06 245.74 168.51 287.87C1713 VLP TI 2.4 X 9MM LCK SCR T7 707.05 494.94 339.38 579.78C1713 VLP TI 2.4 X 9MM CTX SCR T7 334.34 234.04 160.48 274.16C1713 VLP TI 2.4 X 7MM LCK SCR T7 670.27 469.19 321.73 549.62C1713 VLP TI 2.0X7MM SCR T6 ST NS 351.06 245.74 168.51 287.87C1713 VLP TI 2.0X6MM CTX SCR T6 S-T 368.62 258.03 176.94 302.27C1713 VLP TI 2.0X28MM LCK SCR T6 NS 685.21 479.65 328.9 561.87C1713 VLP TI 2.0X20MM LCK SCREW T6 817.40 572.18 392.35 670.27C1713 VLP TI 2.0X18MM LCK SCREW T6 685.21 479.65 328.9 561.87C1713 VLP TI 2.0X14MM CTX SCREW T6 351.06 245.74 168.51 287.87C1713 VLP TI 2.0X13MM CTX SCREW T6 349.29 244.5 167.66 286.42C1713 VLP TI 2.0X13MM CTX SCR T6 351.06 245.74 168.51 287.87C1713 VLP TI 2.0X12MM CTX SCREW T6 351.06 245.74 168.51 287.87C1713 VLP TI 2.0X12MM CTX SCREW T6 351.06 245.74 168.51 287.87C1713 VLP TI 2.0X11MM LCK SCR T6 776.53 543.57 372.73 636.75C1713 VLP TI 2.0X11 CTX T6 351.06 245.74 168.51 287.87C1713 VLP TI 2.0X10 CTX SCR T6 368.62 258.03 176.94 302.27C1713 VLP T1 2.0 X 6MM LCK SCR T6 890.97 623.68 427.67 730.6C1713 VLP T1 2.0 X 6MM LCK SCR T6 890.97 623.68 427.67 730.6C1713 VLP SCREW LOCKING 2.7 X 30MM 850.10 595.07 408.05 697.08C1713 VLP SCREW LOCKING 2.7 X 30MM 850.10 595.07 408.05 697.08C1713 VLP PLATE TIB 3.5 6H 74MM 4,965.71 3,476.00 2,383.54 4,071.88C1713 VLP PLATE L PLATE LT 3,506.65 2,454.66 1,683.19 2,875.45C1713 VLP PLATE L PLATE LT 3,506.65 2,454.66 1,683.19 2,875.45C1713 VLP PLATE FIB 3.5 4H K 71MM 5,619.63 3,933.74 2,697.42 4,608.10C1713 VLP PLATE 2.7 3 HOLE 6,281.29 4,396.90 3,015.02 5,150.66C1713 VLP PLATE 2.7 3 HOLE 6,281.29 4,396.90 3,015.02 5,150.66C1713 VLP P-L LOCK SCREW 3.5X16 1,266.97 886.88 608.15 1,038.92C1713 VLP P-L 3.5 X 18MM CRTXSCREW 258.09 180.66 123.88 211.63C1713 VLP P-L 3.5 X 16 CRTX 258.09 180.66 123.88 211.63C1713 VLP P-L 3.5 74MM 2,149.76 1,504.83 1,031.88 1,762.80C1713 VLP MINIMOD 2.O Y-PLATE 8 HL 5,027.01 3,518.91 2,412.96 4,122.15C1713 VLP MINIMOD 2.O Y-PLATE 8 HL 5,027.01 3,518.91 2,412.96 4,122.15C1713 VLP MINI MOD 2.4MM OVERDRILL 391.57 274.1 187.95 321.09C1713 VLP MINI MOD 2.0MM STOUT PLATE 3,510.73 2,457.51 1,685.15 2,878.80C1713 VLP MINI MOD 2.0MM STOUT PLATE 3,510.73 2,457.51 1,685.15 2,878.80C1713 VLP MINI 2.4MM STR PLATE 6 HL 2,730.12 1,911.08 1,310.46 2,238.70C1713 VLP MINI 2.4MM STR PLATE 6 HL 2,730.12 1,911.08 1,310.46 2,238.70C1713 VLP MINI 2.4MM STOUT PLATE 8HL 4,291.35 3,003.95 2,059.85 3,518.91C1713 VLP MINI 2.4MM ST PLATE 6 HL 3,183.77 2,228.64 1,528.21 2,610.69C1713 VLP MINI 2.0MM T-PLATE 3X6 HL 5,537.89 3,876.52 2,658.19 4,541.07C1713 VLP MINI 2.0MM STR PLATE 8HL 4,013.43 2,809.40 1,926.45 3,291.01C1713 VLP LOCK SCREW 3.5X12 258.09 180.66 123.88 211.63C1713 VLP LOCK SCREW 3.5X10 258.09 180.66 123.88 211.63C1713 VLP IT 2.4X14 LCK SCREW T7 S-T 776.53 543.57 372.73 636.75C1713 VLP IT 2.0X16MM LCK SCREW T6 685.21 479.65 328.9 561.87C1713 VLP FUSION PLATE SHORT 2.7 7,328.17 5,129.72 3,517.52 6,009.10C1713 VLP FUSION PLATE SHORT 2.7 7,328.17 5,129.72 3,517.52 6,009.10C1713 VLP FIB PLATE 3.5 5 HOLE 6,825.29 4,777.70 3,276.14 5,596.74C1713 VLP 5.0X75MM OSTEO SCREW FT 633.49 443.44 304.08 519.46C1713 VLP 5.0X40 SCREW 367.04 256.93 176.18 300.97C1713 VLP 5.0X12 SCREW 1,532.63 1,072.84 735.66 1,256.76C1713 VLP 3.5X42 CRTX SCREW 224.36 157.05 107.69 183.98C1713 VLP 3.5X32 CRTX SCREW 224.36 157.05 107.69 183.98C1713 VLP 3.5MM P-D TIBIA LK PL 47MM 4,291.35 3,003.95 2,059.85 3,518.91C1713 VLP 3.5MM FIB LK PL 7H L 107MM 6,253.11 4,377.18 3,001.49 5,127.55C1713 VLP 3.5MM 1/3 LK TUB PL 8H 98M 3,003.95 2,102.77 1,441.90 2,463.24C1713 VLP 3.5 PLATE TIBIAL 6H X93MM 5,987.46 4,191.22 2,873.98 4,909.72C1713 VLP 3.5 LK PL 107MM 8,276.18 5,793.33 3,972.57 6,786.47C1713 VLP 3.5 FIB LOCK PLATE 11 HOLE 5,660.50 3,962.35 2,717.04 4,641.61C1713 VLP 2/4 TUBE PLATE 6 HOLE 1,875.38 1,312.77 900.18 1,537.81C1713 VLP 2/4 TUBE PLATE 6 HOLE 1,875.38 1,312.77 900.18 1,537.81C1713 VLP 2.7MM TUB PLATE 7 HOLE 2,734.20 1,913.94 1,312.42 2,242.04C1713 VLP 2.7MM PLATE REV RT STER 7,728.70 5,410.09 3,709.78 6,337.53

C1713 VLP 2.7 QRT TUB COMP PL 5 HOLE 5,803.54 4,062.48 2,785.70 4,758.90C1713 VLP 2.7 QRT TUB COMP PL 5 HOLE 5,803.54 4,062.48 2,785.70 4,758.90C1713 VLP 2.4X14MM CTX SCREW T7 ST 368.62 258.03 176.94 302.27C1713 VLP 2.4X14MM CTX SCREW T7 ST 368.62 258.03 176.94 302.27C1713 VLP 2.4MM X 15MM LCK SCREW T7 743.83 520.68 357.04 609.94C1713 VLP 2.4MM T-PLATE 2X6 HL 3,510.73 2,457.51 1,685.15 2,878.80C1713 VLP 2.0MM Y-PLATE 8 HL 5,456.15 3,819.31 2,618.95 4,474.04C1713 VLP 2.0MM T-PLATE 2X8 HL 4,740.92 3,318.64 2,275.64 3,887.55C1713 VLD PLATE RT L 1,875.38 1,312.77 900.18 1,537.81C1713 VITOSS BBTRAUMA FOAM PK 1.2CC 4,213.21 2,949.25 2,022.34 3,454.83C1713 VDR LCK PL WDE HD SH L 86MM 8,194.44 5,736.11 3,933.33 6,719.44C1713 VARIABLE 4.0MM SD SCREW 12MM 2,440.00 1,708.00 1,171.20 2,000.80C1713 UTILITY PLATE SMALL 8,308.26 5,815.78 3,987.96 6,812.77C1713 UTILITY PLATE SMALL 8,308.26 5,815.78 3,987.96 6,812.77C1713 UTILITY PLATE MEDIUM 7,560.95 5,292.67 3,629.26 6,199.98C1713 UTILITY PLATE MEDIUM 7,560.95 5,292.67 3,629.26 6,199.98C1713 TWINFIX ULTRA TI 5.5 W/3 UB 278.45 194.92 133.66 228.33C1713 TWINFIX PK 6.5 UB X 3 ANCHOR 2,164.89 1,515.42 1,039.15 1,775.21C1713 TWINFIX PK 6.5 UB X 3 ANCHOR 2,164.89 1,515.42 1,039.15 1,775.21C1713 TROCAR K WIRE 1.0X150MM 158.60 111.02 76.13 130.05C1713 TROCAR K WIRE 1.0X150MM 158.60 111.02 76.13 130.05C1713 TRIGEN ANTEGRADE NAIL11.5X36LT 8,663.53 6,064.47 4,158.49 7,104.09C1713 TRIGEN ANTEGRADE NAIL11.5X34LT 8,663.53 6,064.47 4,158.49 7,104.09C1713 TRIGEN ANTEGRADE NAIL 13X44 RT 8,663.53 6,064.47 4,158.49 7,104.09C1713 TRIGEN ANTEGRADE NAIL 13X38 RT 10,258.37 7,180.86 4,924.02 8,411.86C1713 TRIGEN ANTEGRADE NAIL 10X44 RT 8,663.53 6,064.47 4,158.49 7,104.09C1713 TRIGEN ANTEGRADE NAIL 10X40 LT 9,991.80 6,994.26 4,796.06 8,193.28C1713 TRIGEN ANTEGRADE NAIL 10X36 RT 8,663.53 6,064.47 4,158.49 7,104.09C1713 TRIGEN 5.0X46 SCREW CANCELLOUS 1,777.85 1,244.50 853.37 1,457.84C1713 T-PLATE MINI MOD 2.0 2X6 ROSE 3,862.22 2,703.55 1,853.87 3,167.02C1713 T-PLATE 7 HOLE 3,092.70 2,164.89 1,484.50 2,536.01C1713 T-PLATE 7 HOLE 3,092.70 2,164.89 1,484.50 2,536.01C1713 T-PLATE 35MM 7,789.70 5,452.79 3,739.06 6,387.55C1713 TORX SCR 2.7X20MM LOCK 991.38 693.97 475.86 812.93C1713 TORX SCR 2.3X32MM BONE 581.25 406.88 279 476.63C1713 TORX SCR 2.3X16MM LOCK 991.38 693.97 475.86 812.93C1713 TOEMATE IMPLANT PKG 8,991.40 6,293.98 4,315.87 7,372.95C1713 TOEMATE IMPLANT PKG 8,991.40 6,293.98 4,315.87 7,372.95C1713 TITAN SCREW TORX 2.7X22 WRIGHT 1,049.20 734.44 503.62 860.34C1713 TITAN SCREW TORX 2.7X22 WRIGHT 1,049.20 734.44 503.62 860.34C1713 TITAN SCREW TORX 2.7X16 WRIGHT 841.80 589.26 404.06 690.28C1713 TITAN SCREW TORX 2.7X16 WRIGHT 841.80 589.26 404.06 690.28C1713 TIGHTROPE W/FIBERTAG ABS 2,043.50 1,430.45 980.88 1,675.67C1713 TIGHTROPE W/FIBERTAG 3,202.50 2,241.75 1,537.20 2,626.05C1713 TIGHTROPE RT W/DEPLOYING SUTUR 2,257.00 1,579.90 1,083.36 1,850.74C1713 TIGHTROPE KNOTLESS SYN DESMOSI 5,185.00 3,629.50 2,488.80 4,251.70C1713 TIGHTROPE FIBERTAG W/FLIPCUTTE 6,191.50 4,334.05 2,971.92 5,077.03C1713 TIGHTROPE BUTTON EXTEDER 1,372.50 960.75 658.8 1,125.45C1713 TIGHTROPE ABS IMPLANT OPEN 1,183.40 828.38 568.03 970.39C1713 TIGHTROPE ABS IMPLANT OPEN 1,183.40 828.38 568.03 970.39C1713 TIGHTROPE ABS IMPLANT 1,122.40 785.68 538.75 920.37C1713 TIGHTROPE ABS BUTTON 14MM CONC 1,366.40 956.48 655.87 1,120.45C1713 TIGHTROPE ABS BUTTON 11MM RND 1,366.40 956.48 655.87 1,120.45C1713 TIGHTROPE ABS 20MM BUTTON 1,366.40 956.48 655.87 1,120.45C1713 TIGHTROPE ABS 14MM BUTTON 1,305.40 913.78 626.59 1,070.43C1713 TIGHTROAP ABS BUTTON 8X12 1,006.50 704.55 483.12 825.33C1713 TIGHTROAP ABS BUTTON 8X12 1,006.50 704.55 483.12 825.33C1713 TENDON ANCHOR KIT W/8 ANCHORS 3,660.00 2,562.00 1,756.80 3,001.20C1713 TACK EBI 622.20 435.54 298.66 510.2C1713 SYSTEM IMPLANT FOREFOOT 1B 8,509.50 5,956.65 4,084.56 6,977.79C1713 SYSTEM IMPLANT FOREFOOT 1B 8,509.50 5,956.65 4,084.56 6,977.79C1713 SWIVELOCK W/TAPE 4.75MM BC 3,233.00 2,263.10 1,551.84 2,651.06C1713 SWIVELOCK TENODESIS 7 X 19.1 3,050.00 2,135.00 1,464.00 2,501.00C1713 SWIVELOCK TEND BIO-COMP 8X19.5 2,653.50 1,857.45 1,273.68 2,175.87C1713 SWIVELOCK TEND BIO-COMP 8X19.5 2,653.50 1,857.45 1,273.68 2,175.87C1713 SWIVELOCK PEEK 3.9X17.9MM 2,287.50 1,601.25 1,098.00 1,875.75C1713 SWIVELOCK BIOCOMPOSITE C 4.75 2,440.00 1,708.00 1,171.20 2,000.80C1713 SWIVELOCK BIOCOMPOSITE C 4.75 2,440.00 1,708.00 1,171.20 2,000.80C1713 SWIFT LOCK ANCHOR 560.25 392.18 268.92 459.41C1713 SUTUREFIX ULTRA AHR/2 UB 2,118.35 1,482.85 1,016.81 1,737.05C1713 SUTUREFIX ULTRA AHR W/2 UB 2,418.71 1,693.10 1,160.98 1,983.34C1713 SUTUREFIX ULT AHR S2UB STR BLU 2,101.45 1,471.02 1,008.70 1,723.19

C1713 SUTURE FIBERETAK ANCHOR ST/NDL 2,836.50 1,985.55 1,361.52 2,325.93C1713 SUTURE BUTTON 610.00 427 292.8 500.2C1713 SUTURE ANCHOR SWIVEL TENOD PK 2,470.50 1,729.35 1,185.84 2,025.81C1713 SUTURE ANCHOR MINI PUSHLOCK 2,074.00 1,451.80 995.52 1,700.68C1713 SUTURE ANCHOR 5.5 3,100.00 2,170.00 1,488.00 2,542.00C1713 SUTURE ANCHOR 1.8MM OFIX ALL 2,083.35 1,458.35 1,000.01 1,708.35C1713 SUTR ANCH BIO COMP S-TAK 2,074.00 1,451.80 995.52 1,700.68C1713 SUT ANCHOR SWI 5.5 X 19.1 CLD 2,440.00 1,708.00 1,171.20 2,000.80C1713 SUT ANCHOR PEEK S TAK 3X12.7 2,189.90 1,532.93 1,051.15 1,795.72C1713 SUT ANCHOR BIOCOMP 3.5 X 19.5 2,318.00 1,622.60 1,112.64 1,900.76C1713 SUT ANCH BIO SURETAK SM 1,982.50 1,387.75 951.6 1,625.65C1713 SUT ANCH BIO SURETAK SM 1,982.50 1,387.75 951.6 1,625.65C1713 SUP MED CLAV LK PL 6H R 73MM 4,700.05 3,290.04 2,256.02 3,854.04C1713 SUP MED CLAV LK PL 6H L 73MM 5,394.84 3,776.39 2,589.52 4,423.77C1713 SUP MED CLAV LK PL 10H . 121MM 5,251.80 3,676.26 2,520.86 4,306.48C1713 SUP DIST CLAV LK PL R 109MM 3,395.02 2,376.51 1,629.61 2,783.92C1713 STD PLYXL LOC PT RT 7X6H BLU 11,036.00 7,725.20 5,297.28 9,049.52C1713 STD PLYXL LOC PT RT 7X4H GRN 7,817.58 5,472.31 3,752.44 6,410.42C1713 STD PLYXL LOC PT LT 7X6H GRN 11,036.00 7,725.20 5,297.28 9,049.52C1713 STD PLYXL LOC PT LT 7X4H BLU 7,817.58 5,472.31 3,752.44 6,410.42C1713 STAPLE NITINOL 18 X 16 17,659.50 12,361.65 8,476.56 14,480.79C1713 STAPLE NITINOL 18 X 16 17,659.50 12,361.65 8,476.56 14,480.79C1713 STAPLE NITINOL 10 X 10 12,334.20 8,633.94 5,920.42 10,114.04C1713 SPEEDBRIDGE BIO 10,614.00 7,429.80 5,094.72 8,703.48C1713 SM PHALINX 4,954.73 3,468.31 2,378.27 4,062.88C1713 S-LUTRA 5.5MM KNOTLESS ANCHOR 2,970.52 2,079.36 1,425.85 2,435.83C1713 SELF TAPPING CORTICAL SCR 18 535.28 374.7 256.93 438.93C1713 SELF TAPPING CORTICAL SCR 16 535.28 374.7 256.93 438.93C1713 SELF TAPPING CORTICAL SCR 14 602.64 421.85 289.27 494.16C1713 SELF TAPPING CORTICAL SCR 12 585.90 410.13 281.23 480.44C1713 SELF TAPPING CORTICAL SCR 10 585.90 410.13 281.23 480.44C1713 SELF TAP LOCK SCREW 2.7X18 1,242.88 870.02 596.58 1,019.16C1713 SELF TAP LOCK SCREW 2.7X18 1,242.88 870.02 596.58 1,019.16C1713 SELF TAP LOCK SCREW 2.7X14 1,171.63 820.14 562.38 960.74C1713 SELF TAP LOCK SCREW 2.7X14 1,171.63 820.14 562.38 960.74C1713 SELF TAP LOCK SCREW 2.7X12 1,171.63 820.14 562.38 960.74C1713 SELF TAP LOCK SCREW 2.7X12 1,171.63 820.14 562.38 960.74C1713 SELF TAP LOC SCREW 2.7 X 26MM 850.10 595.07 408.05 697.08C1713 SELF TAP LOC SCREW 2.7 X 26MM 850.10 595.07 408.05 697.08C1713 SELF TAP LOC SCREW 2.7 X 20MM 1,171.63 820.14 562.38 960.74C1713 SELF TAP LOC SCREW 2.7 X 20MM 1,171.63 820.14 562.38 960.74C1713 SELF TAP LOC SCREW 2.7 X 16MM 1,242.88 870.02 596.58 1,019.16C1713 SELF TAP LOC SCREW 2.7 X 16MM 1,242.88 870.02 596.58 1,019.16C1713 SELF TAP LOC SCREW 2.7 X 10MM 1,242.88 870.02 596.58 1,019.16C1713 SELF TAP LOC SCREW 2.7 X 10MM 1,242.88 870.02 596.58 1,019.16C1713 SCREW VLP TI 2.4MMX26MM LCK T7 776.53 543.57 372.73 636.75C1713 SCREW VLP 5.0X12MM OSTEO 555.83 389.08 266.8 455.78C1713 SCREW VLP 4.0MM LCK OST 16MM 1,532.63 1,072.84 735.66 1,256.76C1713 SCREW VLP 4.0MM LCK 5CR 12MM 1,532.63 1,072.84 735.66 1,256.76C1713 SCREW VLP 4.0MM F-T OST 16MM 531.31 371.92 255.03 435.67C1713 SCREW VLP 2.4MMX24MM LCK T7 776.53 543.57 372.73 636.75C1713 SCREW VLP 2.4MMX22MM LCK T7 776.53 543.57 372.73 636.75C1713 SCREW VLP 2.4MMX20MM LCK T7 776.53 543.57 372.73 636.75C1713 SCREW VLP 2.4MMX18MM LCK T7 776.53 543.57 372.73 636.75C1713 SCREW VLP 2.0X22MM LCK T6 817.40 572.18 392.35 670.27C1713 SCREW TRIGEN LPS 4.5X65 1,244.40 871.08 597.31 1,020.41C1713 SCREW TRIGEN LPS 4.5X55 1,839.15 1,287.41 882.79 1,508.10C1713 SCREW TRIGEN LPS 4.5X50 2,124.94 1,487.46 1,019.97 1,742.45C1713 SCREW TRIGEN LPS 4.5X45 2,124.94 1,487.46 1,019.97 1,742.45C1713 SCREW TRIGEN LPS 4.5X35 2,124.94 1,487.46 1,019.97 1,742.45C1713 SCREW TRIGEN LPS 4.5X30 2,124.94 1,487.46 1,019.97 1,742.45C1713 SCREW TRIGEN LPS 4.5X25 1,949.50 1,364.65 935.76 1,598.59C1713 SCREW TRIGEN LPS 4.5X40 2,124.94 1,487.46 1,019.97 1,742.45C1713 SCREW TRIGEN LP 5X95 1,226.10 858.27 588.53 1,005.40C1713 SCREW TRIGEN LP 5X90 1,164.80 815.36 559.1 955.14C1713 SCREW TRIGEN LP 5X85 1,741.06 1,218.74 835.71 1,427.67C1713 SCREW TRIGEN LP 5X80 1,544.89 1,081.42 741.55 1,266.81C1713 SCREW TRIGEN LP 5X75 1,949.50 1,364.65 935.76 1,598.59C1713 SCREW TRIGEN LP 5X70 1,839.15 1,287.41 882.79 1,508.10C1713 SCREW TRIGEN LP 5X60 2,124.94 1,487.46 1,019.97 1,742.45C1713 SCREW TRIGEN LP 5X55 1,839.15 1,287.41 882.79 1,508.10C1713 SCREW TRIGEN LP 5X50 2,124.94 1,487.46 1,019.97 1,742.45

C1713 SCREW TRIGEN LP 5X45 2,124.94 1,487.46 1,019.97 1,742.45C1713 SCREW TRIGEN LP 5X42.5 2,124.94 1,487.46 1,019.97 1,742.45C1713 SCREW TRIGEN LP 5X40 2,124.94 1,487.46 1,019.97 1,742.45C1713 SCREW TRIGEN LP 5X37.5 2,124.94 1,487.46 1,019.97 1,742.45C1713 SCREW TRIGEN LP 5X35 2,124.94 1,487.46 1,019.97 1,742.45C1713 SCREW TRIGEN LP 5X30 2,124.94 1,487.46 1,019.97 1,742.45C1713 SCREW TRIGEN LP 5X27.5 2,124.94 1,487.46 1,019.97 1,742.45C1713 SCREW TRIGEN LP 5X25 1,839.15 1,287.41 882.79 1,508.10C1713 SCREW TRIGEN LP 5X110 1,244.40 871.08 597.31 1,020.41C1713 SCREW TRIGEN LP 5X105 1,244.40 871.08 597.31 1,020.41C1713 SCREW TRIGEN LP 5X100 1,324.19 926.93 635.61 1,085.84C1713 SCREW TRIGEN LP 5 X 32.5 2,124.94 1,487.46 1,019.97 1,742.45C1713 SCREW TRIGEN LOPS 4.5X60 1,244.40 871.08 597.31 1,020.41C1713 SCREW TORX LOCKING 2.7X20 WRIG 841.80 589.26 404.06 690.28C1713 SCREW TORX LOCKING 2.7X20 WRIG 841.80 589.26 404.06 690.28C1713 SCREW TI CANC QCKFIX 3.0X22MM 915.00 640.5 439.2 750.3C1713 SCREW TENO BIO COMP 2,470.50 1,729.35 1,185.84 2,025.81C1713 SCREW TAP LOCK 4.3 X 45MM 3,623.40 2,536.38 1,739.23 2,971.19C1713 SCREW T10 3.5X38 448.35 313.85 215.21 367.65C1713 SCREW SOFTSLK 1.5 9X20 STER 1,187.49 831.24 570 973.74C1713 SCREW SOFTSILK 1.5 9X20" LTXF 1,253.49 877.44 601.68 1,027.86C1713 SCREW SOFTSILK 1.5 8X25MM 1,187.49 831.24 570 973.74C1713 SCREW SOFTSILK MTO 10MMX25MM 2,745.00 1,921.50 1,317.60 2,250.90C1713 SCREW SHORT THREAD 7.0 X 65MM 3,940.60 2,758.42 1,891.49 3,231.29C1713 SCREW SHORT THREAD 7.0 X 55MM 3,940.60 2,758.42 1,891.49 3,231.29C1713 SCREW SFTSLK STRL 11MM X 25MM 3,867.40 2,707.18 1,856.35 3,171.27C1713 SCREW SELFTAP CRSPIN 2.0X8MM 384.17 268.92 184.4 315.02C1713 SCREW SELF TAP M/F 1.7X7MM 312.93 219.05 150.21 256.6C1713 SCREW SELF TAP LOC 2.7X22 890.97 623.68 427.67 730.6C1713 SCREW SELF TAP LOC 2.7X22 890.97 623.68 427.67 730.6C1713 SCREW SELF TAP 4.6X14 1,531.10 1,071.77 734.93 1,255.50C1713 SCREW QCKFIX CANN PT3.0X 20MM 915.00 640.5 439.2 750.3C1713 SCREW QCKFIX CANN PT 3.0X 18MM 915.00 640.5 439.2 750.3C1713 SCREW QCKFIX CANN CANC 4.0X28 1,006.50 704.55 483.12 825.33C1713 SCREW P-L VLP 5.0X42MM OSTEO 555.83 389.08 266.8 455.78C1713 SCREW PL VLP 5.0MMX75MM OSTE 633.49 443.44 304.08 519.46C1713 SCREW PL VLP 5.0MMX70MM OSTE 633.49 443.44 304.08 519.46C1713 SCREW PERI-LOC 3.5X16MM CRTX 281.33 196.93 135.04 230.69C1713 SCREW PERI-LOC 3.5X14MM LCK 1,590.39 1,113.27 763.39 1,304.12C1713 SCREW PERI-LOC 3.5X14MM CRTX 281.33 196.93 135.04 230.69C1713 SCREW PERI-LOC 3.5X12MM 224.36 157.05 107.69 183.98C1713 SCREW PERI-LOC 3.5X10MM LCK 1,590.39 1,113.27 763.39 1,304.12C1713 SCREW PERI LOCKING 5.5X20MM 610.00 427 292.8 500.2C1713 SCREW PERI LOCK 5.5X32MM 610.00 427 292.8 500.2C1713 SCREW PERI LOCK 5.5X16MM 610.00 427 292.8 500.2C1713 SCREW PERI LOC 3.5MM X 28MM 1,266.97 886.88 608.15 1,038.92C1713 SCREW PERI LCK 5.5X28MM 610.00 427 292.8 500.2C1713 SCREW PERI 5.5 X36MM LOCK 610.00 427 292.8 500.2C1713 SCREW PERF REV PERI 5.0X18MM 545.46 381.82 261.82 447.28C1713 SCREW PANTA 5.0MM SZ 70 4,117.50 2,882.25 1,976.40 3,376.35C1713 SCREW PANTA 5.0MM SZ 30 2,592.50 1,814.75 1,244.40 2,125.85C1713 SCREW PANTA 5.0MM SZ 26 2,592.50 1,814.75 1,244.40 2,125.85C1713 SCREW OSTEO 5.0MM X 14MM F-T 633.49 443.44 304.08 519.46C1713 SCREW OSTEO 5.0MM X 12MM F-T 633.49 443.44 304.08 519.46C1713 SCREW OSTEO 5.0MM X 10MM F-T 633.49 443.44 304.08 519.46C1713 SCREW ORTHOLOC MINI 2.0X28MM 1,488.40 1,041.88 714.43 1,220.49C1713 SCREW ORTHOLOC MINI 2.0X22MM 1,488.40 1,041.88 714.43 1,220.49C1713 SCREW ORTHOLOC MINI 2.0X18MM 1,564.65 1,095.26 751.03 1,283.01C1713 SCREW NON-LOCKING 2.7 X 14 878.40 614.88 421.63 720.29C1713 SCREW NON-LOCK 2.4X14 390.40 273.28 187.39 320.13C1713 SCREW NON LOCKING T8, 3.0 C 18 875.47 612.83 420.23 717.89C1713 SCREW NON LOCKING 2.7 X 30 1,055.30 738.71 506.54 865.35C1713 SCREW NON LOCKING 2.7 X 30 1,055.30 738.71 506.54 865.35C1713 SCREW NON LOCKING 2.7 X 28 2,311.90 1,618.33 1,109.71 1,895.76C1713 SCREW NON LOCKING 2.7 X 28 2,311.90 1,618.33 1,109.71 1,895.76C1713 SCREW NON LOCKING 2.7 X 22 2,311.90 1,618.33 1,109.71 1,895.76C1713 SCREW NON LOCKING 2.7 X 22 2,311.90 1,618.33 1,109.71 1,895.76C1713 SCREW NON LOCK HEX 3.5MM X 16M 549.00 384.3 263.52 450.18C1713 SCREW NON LOCK 3.5X14MM 1,000.40 700.28 480.19 820.33C1713 SCREW NON LOCK 2.3X14MM 528.14 369.7 253.51 433.07C1713 SCREW NON LOCK 2.3X14MM 528.14 369.7 253.51 433.07C1713 SCREW MUC 3.0X30MM 1,616.50 1,131.55 775.92 1,325.53

C1713 SCREW MUC 3.0X30MM 1,616.50 1,131.55 775.92 1,325.53C1713 SCREW MALLEOLAR 4.5MM X 70MM 244.85 171.4 117.53 200.78C1713 SCREW MALLEOLAR 4.5MM X 65MM 244.85 171.4 117.53 200.78C1713 SCREW MALLEOLAR 4.5MM X 60MM 244.85 171.4 117.53 200.78C1713 SCREW LOW-PRO CORT 3.5 X 28MM 1,213.90 849.73 582.67 995.4C1713 SCREW LOW-PRO CORT 3.5 X 18MM 878.40 614.88 421.63 720.29C1713 SCREW LOW PRO CORT 3.5 X 32MM 878.40 614.88 421.63 720.29C1713 SCREW LOW PRO CORT 3.5 X 24MM 1,000.40 700.28 480.19 820.33C1713 SCREW LOW PRO CORT 3.5 X 22MM 1,213.90 849.73 582.67 995.4C1713 SCREW LOCKING 65MM 5,276.50 3,693.55 2,532.72 4,326.73C1713 SCREW LOCKING 3.5MM X 34MM 845.16 591.61 405.68 693.03C1713 SCREW LOCKING 3.5MM X 34MM 845.16 591.61 405.68 693.03C1713 SCREW LOCKING 3.5MM X 30MM 845.16 591.61 405.68 693.03C1713 SCREW LOCKING 3.5MM X 24MM 845.16 591.61 405.68 693.03C1713 SCREW LOCKING 3.5MM X 20MM 1,604.30 1,123.01 770.06 1,315.53C1713 SCREW LOCKING 3.5MM X 18MM 1,220.00 854 585.6 1,000.40C1713 SCREW LOCKING 3.5MM X 16MM 1,220.00 854 585.6 1,000.40C1713 SCREW LOCKING 3.5MM X 14MM 1,220.00 854 585.6 1,000.40C1713 SCREW LOCKING 3.2 610.00 427 292.8 500.2C1713 SCREW LOCKING 2.7 X 24MM 1,171.63 820.14 562.38 960.74C1713 SCREW LOCKING 2.7 X 24MM 1,171.63 820.14 562.38 960.74C1713 SCREW LOCKING 2.7 X 20 1,220.00 854 585.6 1,000.40C1713 SCREW LOCKING 2.7 X 12 1,220.00 854 585.6 1,000.40C1713 SCREW LOCKING 2.4X12 1,366.40 956.48 655.87 1,120.45C1713 SCREW LOCKING 2.4X12 1,366.40 956.48 655.87 1,120.45C1713 SCREW LOCKING 2.0 X 14MM 1,280.70 896.49 614.74 1,050.17C1713 SCREW LOCKING 2.0 X 18MM 1,409.10 986.37 676.37 1,155.46C1713 SCREW LOCK T10 3.5X18MM 975.39 682.77 468.19 799.82C1713 SCREW LOCK HEX 3.5MM X 26MM 1,030.90 721.63 494.83 845.34C1713 SCREW LOCK HEX 3.5 X 20MM 1,030.90 721.63 494.83 845.34C1713 SCREW LOCK HEX 3.5 X 18MM 1,030.90 721.63 494.83 845.34C1713 SCREW LOCK 3.5X36MM 2,458.30 1,720.81 1,179.98 2,015.81C1713 SCREW LOCK 3.5X26 1,720.20 1,204.14 825.7 1,410.56C1713 SCREW LOCK 3.5X26 1,720.20 1,204.14 825.7 1,410.56C1713 SCREW LOCK 3.5X24 1,720.20 1,204.14 825.7 1,410.56C1713 SCREW LOCK 3.5X24 1,720.20 1,204.14 825.7 1,410.56C1713 SCREW LOCK 3.5X22 1,720.20 1,204.14 825.7 1,410.56C1713 SCREW LOCK 3.5X22 1,720.20 1,204.14 825.7 1,410.56C1713 SCREW LOCK 3.5X20 1,720.20 1,204.14 825.7 1,410.56C1713 SCREW LOCK 3.5X20 1,720.20 1,204.14 825.7 1,410.56C1713 SCREW LOCK 3.5X18MM 875.35 612.75 420.17 717.79C1713 SCREW LOCK 3.5X18MM 875.35 612.75 420.17 717.79C1713 SCREW LOCK 3.5X16MM 1,720.20 1,204.14 825.7 1,410.56C1713 SCREW LOCK 3.5X16MM 1,720.20 1,204.14 825.7 1,410.56C1713 SCREW LOCK 3.5 X 38MM 1,966.64 1,376.65 943.99 1,612.64C1713 SCREW LOCK 3.5 X 38MM 1,966.64 1,376.65 943.99 1,612.64C1713 SCREW LOCK 3.5 X 32MM 1,970.30 1,379.21 945.74 1,615.65C1713 SCREW LOCK 3.5 X 32MM 1,970.30 1,379.21 945.74 1,615.65C1713 SCREW LOCK 2.7X18 2,311.90 1,618.33 1,109.71 1,895.76C1713 SCREW LOCK 2.7X18 2,311.90 1,618.33 1,109.71 1,895.76C1713 SCREW LOCK 2.0X12MM 1,409.10 986.37 676.37 1,155.46C1713 SCREW LOCK 2.0X12MM 1,409.10 986.37 676.37 1,155.46C1713 SCREW LOCK 2.0X10MM 1,409.10 986.37 676.37 1,155.46C1713 SCREW LOCK 2.0X10MM 1,409.10 986.37 676.37 1,155.46C1713 SCREW LOCK 2.0MM X 9MM T6 890.97 623.68 427.67 730.6C1713 SCREW LOCK 2.0MM X 9MM T6 890.97 623.68 427.67 730.6C1713 SCREW LOCK 2.0MM X 14MM T6 817.40 572.18 392.35 670.27C1713 SCREW LOCK 2.0MM X 14MM T6 817.40 572.18 392.35 670.27C1713 SCREW LOCK 2.0MM X 13MM T6 743.83 520.68 357.04 609.94C1713 SCREW LOCK 2.0MM X 12MM T6 890.97 623.68 427.67 730.6C1713 SCREW LOCK 2.0MM X 12MM T6 890.97 623.68 427.67 730.6C1713 SCREW LOCK 2.0MM X 10MM T6 890.97 623.68 427.67 730.6C1713 SCREW LOCK 2.0MM X 10MM T6 890.97 623.68 427.67 730.6C1713 SCREW LCK 3.5 X 10MM 1,720.20 1,204.14 825.7 1,410.56C1713 SCREW LAG TITANIUM 3.0 22 1,046.25 732.38 502.2 857.93C1713 SCREW LAG Q2 8MM L12MM 452.38 316.67 217.14 370.95C1713 SCREW LAG Q2 8MM 14MM 452.38 316.67 217.14 370.95C1713 SCREW LAG 2.8 X 24 658.80 461.16 316.22 540.22C1713 SCREW LAG 2.8 X 20 658.80 461.16 316.22 540.22C1713 SCREW KIT EQ REV COM 4.5 X18MM 1,884.90 1,319.43 904.75 1,545.62C1713 SCREW HEX NON-LOCK 3.5MMX8MM 549.00 384.3 263.52 450.18C1713 SCREW HEX NON-LOCK 3.5MMX24MM 549.00 384.3 263.52 450.18

C1713 SCREW HEX NON-LOCK 3.5MMX22MM 549.00 384.3 263.52 450.18C1713 SCREW HEX NON LOCK 3.5MMX10MM 549.00 384.3 263.52 450.18C1713 SCREW HEX LOCKING 3.5MM X 16MM 1,085.80 760.06 521.18 890.36C1713 SCREW HEX LOCK 3.5 X 8MM 1,085.80 760.06 521.18 890.36C1713 SCREW HEX LOCK 3.5MM X 14MM 1,085.80 760.06 521.18 890.36C1713 SCREW HEADLS DARTFIRE 3.0X40M 1,635.25 1,144.68 784.92 1,340.91C1713 SCREW HEADLS DARTFIRE 3.0X38M 1,534.50 1,074.15 736.56 1,258.29C1713 SCREW HEADLS DARTFIRE 3.0X34M 1,534.50 1,074.15 736.56 1,258.29C1713 SCREW HEADLS DARTFIRE 3.0X32M 1,534.50 1,074.15 736.56 1,258.29C1713 SCREW HEADLS DARTFIRE 3.0X30M 1,534.50 1,074.15 736.56 1,258.29C1713 SCREW HEADLS DARTFIRE 3.0X28M 1,534.50 1,074.15 736.56 1,258.29C1713 SCREW HEADLS DARTFIRE 3.0X26M 1,534.50 1,074.15 736.56 1,258.29C1713 SCREW HEADLS DARTFIRE 3.0X24M 1,534.50 1,074.15 736.56 1,258.29C1713 SCREW HEADLS DARTFIRE 3.0X22M 1,534.50 1,074.15 736.56 1,258.29C1713 SCREW HEADLS DARTFIRE 3.0X20M 1,534.50 1,074.15 736.56 1,258.29C1713 SCREW HEADLS DARTFIRE 3.0X18M 1,534.50 1,074.15 736.56 1,258.29C1713 SCREW HEADLS DARTFIRE 3.0X16M 1,534.50 1,074.15 736.56 1,258.29C1713 SCREW HEADLS DARTFIRE 3.0X14M 1,534.50 1,074.15 736.56 1,258.29C1713 SCREW HEADLS DARTFIRE 2.5X34M 1,534.50 1,074.15 736.56 1,258.29C1713 SCREW HEADLS DARTFIRE 2.5X32M 1,534.50 1,074.15 736.56 1,258.29C1713 SCREW HEADLS DARTFIRE 2.5X30M 1,534.50 1,074.15 736.56 1,258.29C1713 SCREW HEADLS DARTFIRE 2.5X28M 1,581.00 1,106.70 758.88 1,296.42C1713 SCREW HEADLS DARTFIRE 2.5X26M 1,534.50 1,074.15 736.56 1,258.29C1713 SCREW HEADLS DARTFIRE 2.5X24M 1,534.50 1,074.15 736.56 1,258.29C1713 SCREW HEADLS DARTFIRE 2.5X22M 1,534.50 1,074.15 736.56 1,258.29C1713 SCREW HEADLS DARTFIRE 2.5X20M 1,635.25 1,144.68 784.92 1,340.91C1713 SCREW HEADLS DARTFIRE 2.5X18M 1,534.50 1,074.15 736.56 1,258.29C1713 SCREW HEADLS DARTFIRE 2.5X16M 1,534.50 1,074.15 736.56 1,258.29C1713 SCREW HEADLS DARTFIRE 2.5X14M 3,456.50 2,419.55 1,659.12 2,834.33C1713 SCREW HEADED DARTFIRE 4.0X50M 1,457.00 1,019.90 699.36 1,194.74C1713 SCREW HEADED DARTFIRE 4.0X48M 1,503.50 1,052.45 721.68 1,232.87C1713 SCREW HEADED DARTFIRE 4.0X46M 1,550.00 1,085.00 744 1,271.00C1713 SCREW HEADED DARTFIRE 4.0X44M 1,592.63 1,114.84 764.46 1,305.96C1713 SCREW HEADED DARTFIRE 4.0X44M 1,592.63 1,114.84 764.46 1,305.96C1713 SCREW HEADED DARTFIRE 4.0X40M 3,286.00 2,300.20 1,577.28 2,694.52C1713 SCREW HEADED DARTFIRE 4.0X38M 3,185.25 2,229.68 1,528.92 2,611.91C1713 SCREW HEADED DARTFIRE 4.0X36M 1,457.00 1,019.90 699.36 1,194.74C1713 SCREW HEADED DARTFIRE 4.0X34M 3,286.00 2,300.20 1,577.28 2,694.52C1713 SCREW HEADED DARTFIRE 4.0X32M 1,457.00 1,019.90 699.36 1,194.74C1713 SCREW HEADED DARTFIRE 4.0X30M 3,286.00 2,300.20 1,577.28 2,694.52C1713 SCREW HEADED DARTFIRE 4.0X26M 1,457.00 1,019.90 699.36 1,194.74C1713 SCREW HEADED DARTFIRE 4.0X24M 1,503.50 1,052.45 721.68 1,232.87C1713 SCREW HEADED DARTFIRE 4.0X22M 3,185.25 2,229.68 1,528.92 2,611.91C1713 SCREW HEADED DARTFIRE 4.0X20M 3,185.25 2,229.68 1,528.92 2,611.91C1713 SCREW HEADED DARTFIRE 4.0X18M 1,457.00 1,019.90 699.36 1,194.74C1713 SCREW HEADED DARTFIRE 4.0X16M 1,457.00 1,019.90 699.36 1,194.74C1713 SCREW HEADED DARTFIRE 4.0X14M 1,457.00 1,019.90 699.36 1,194.74C1713 SCREW HEADED DARTFIRE 3.5X50M 1,185.75 830.03 569.16 972.32C1713 SCREW HEADED DARTFIRE 3.5X48M 1,185.75 830.03 569.16 972.32C1713 SCREW HEADED DARTFIRE 3.5X44M 2,681.50 1,877.05 1,287.12 2,198.83C1713 SCREW HEADED DARTFIRE 3.5X42M 2,146.75 1,502.73 1,030.44 1,760.34C1713 SCREW HEADED DARTFIRE 3.5X42M 2,146.75 1,502.73 1,030.44 1,760.34C1713 SCREW HEADED DARTFIRE 3.5X38M 1,263.25 884.28 606.36 1,035.87C1713 SCREW HEADED DARTFIRE 3.5X34M 2,681.50 1,877.05 1,287.12 2,198.83C1713 SCREW HEADED DARTFIRE 3.5X32M 2,681.50 1,877.05 1,287.12 2,198.83C1713 SCREW HEADED DARTFIRE 3.5X24M 1,612.00 1,128.40 773.76 1,321.84C1713 SCREW HEADED DARTFIRE 3.5X22M 2,681.50 1,877.05 1,287.12 2,198.83C1713 SCREW HEADED DARTFIRE 3.5X22M 2,681.50 1,877.05 1,287.12 2,198.83C1713 SCREW HEADED DARTFIRE 3.5X22M 2,681.50 1,877.05 1,287.12 2,198.83C1713 SCREW HEADED DARTFIRE 3.5X20M 1,224.50 857.15 587.76 1,004.09C1713 SCREW HEADED DARTFIRE 3.5X18M 1,185.75 830.03 569.16 972.32C1713 SCREW HEADED DARTFIRE 3.5X16M 2,681.50 1,877.05 1,287.12 2,198.83C1713 SCREW HEADED DARTFIRE 3.5X14M 1,185.75 830.03 569.16 972.32C1713 SCREW HEADED DARTFIRE 3.5X12M 1,185.75 830.03 569.16 972.32C1713 SCREW HEADED DARTFIRE 3.0X40M 2,588.50 1,811.95 1,242.48 2,122.57C1713 SCREW HEADED DARTFIRE 3.0X38M 1,147.00 802.9 550.56 940.54C1713 SCREW HEADED DARTFIRE 3.0X36M 1,147.00 802.9 550.56 940.54C1713 SCREW HEADED DARTFIRE 3.0X34M 1,147.00 802.9 550.56 940.54C1713 SCREW HEADED DARTFIRE 3.0X32M 1,147.00 802.9 550.56 940.54C1713 SCREW HEADED DARTFIRE 3.0X30M 2,588.50 1,811.95 1,242.48 2,122.57C1713 SCREW HEADED DARTFIRE 3.0X28M 1,147.00 802.9 550.56 940.54C1713 SCREW HEADED DARTFIRE 3.0X26M 1,147.00 802.9 550.56 940.54

C1713 SCREW HEADED DARTFIRE 3.0X24M 1,185.75 830.03 569.16 972.32C1713 SCREW HEADED DARTFIRE 3.0X22M 1,224.50 857.15 587.76 1,004.09C1713 SCREW HEADED DARTFIRE 3.0X16M 2,588.50 1,811.95 1,242.48 2,122.57C1713 SCREW HEADED DARTFIRE 3.0X16M 2,588.50 1,811.95 1,242.48 2,122.57C1713 SCREW HEADED DARTFIRE 3.0X14M 2,588.50 1,811.95 1,242.48 2,122.57C1713 SCREW HEADED DARTFIRE 3.0X12M 1,147.00 802.9 550.56 940.54C1713 SCREW HEADED DARTFIRE 3.0X10M 1,147.00 802.9 550.56 940.54C1713 SCREW HEADED DARTFIRE 2.5X34M 1,108.25 775.78 531.96 908.77C1713 SCREW HEADED DARTFIRE 2.5X32M 1,108.25 775.78 531.96 908.77C1713 SCREW HEADED DARTFIRE 2.5X28M 1,147.00 802.9 550.56 940.54C1713 SCREW HEADED DARTFIRE 2.5X26M 1,108.25 775.78 531.96 908.77C1713 SCREW HEADED DARTFIRE 2.5X24M 1,108.25 775.78 531.96 908.77C1713 SCREW HEADED DARTFIRE 2.5X22M 1,108.25 775.78 531.96 908.77C1713 SCREW HEADED DARTFIRE 2.5X20M 2,425.75 1,698.03 1,164.36 1,989.12C1713 SCREW HEADED DARTFIRE 2.5X18M 2,425.75 1,698.03 1,164.36 1,989.12C1713 SCREW HEADED DARTFIRE 2.5X16M 2,503.25 1,752.28 1,201.56 2,052.67C1713 SCREW HEADED DARTFIRE 2.5X14M 2,503.25 1,752.28 1,201.56 2,052.67C1713 SCREW HEADED DARTFIRE 2.5X12M 2,503.25 1,752.28 1,201.56 2,052.67C1713 SCREW HEADED DARTFIRE 2.5X10M 1,108.25 775.78 531.96 908.77C1713 SCREW HEADED DARTFIRE 2.0X24M 1,178.00 824.6 565.44 965.96C1713 SCREW HEADED DARTFIRE 2.0X22M 1,108.25 775.78 531.96 908.77C1713 SCREW HEADED DARTFIRE 2.0X20M 1,108.25 775.78 531.96 908.77C1713 SCREW HEADED DARTFIRE 2.0X18M 1,108.25 775.78 531.96 908.77C1713 SCREW HEADED DARTFIRE 2.0X14M 2,503.25 1,752.28 1,201.56 2,052.67C1713 SCREW HEADED DARTFIRE 2.0X12M 1,147.00 802.9 550.56 940.54C1713 SCREW HEADED DARTFIRE 2.0X10M 2,503.25 1,752.28 1,201.56 2,052.67C1713 SCREW GLENOSPHERE 610.00 427 292.8 500.2C1713 SCREW FULL STEP 5-6 10MM 19,078.06 13,354.64 9,157.47 15,644.01C1713 SCREW FULL STEP 3-4 15MM 14,476.52 10,133.56 6,948.73 11,870.75C1713 SCREW EVOS S-T CTX 3.5X44MM 226.74 158.72 108.84 185.93C1713 SCREW EVOS LCK 2.0X14MM T6 776.53 543.57 372.73 636.75C1713 SCREW EVOS LCK 2.0X10MM T6 944.40 661.08 453.31 774.41C1713 SCREW EVOS CTX 2.7X14MM T8 289.14 202.4 138.79 237.09C1713 SCREW EVOS CTX 2.0X12MM T6 231.56 162.09 111.15 189.88C1713 SCREW EVOS 4.8MMX12MM OST F-T 592.49 414.74 284.4 485.84C1713 SCREW EVOS 4.7MMX75MM OST PT 686.07 480.25 329.31 562.58C1713 SCREW EVOS 4.7MMX70MM OST PT 629.40 440.58 302.11 516.11C1713 SCREW EVOS 4.7MMX65MM OST PT 686.07 480.25 329.31 562.58C1713 SCREW EVOS 4.7MMX60MM OST PT 543.57 380.5 260.91 445.73C1713 SCREW EVOS 4.7MMX55MM OST PT 510.88 357.62 245.22 418.92C1713 SCREW EVOS 4.7MMX40MM OST F-T 592.49 414.74 284.4 485.84C1713 SCREW EVOS 4.7MMX20MM OST F-T 510.88 357.62 245.22 418.92C1713 SCREW EVOS 4.7MMX16MM OST F-T 510.88 357.62 245.22 418.92C1713 SCREW EVOS 4.7MMX14MM OST F-T 592.49 414.74 284.4 485.84C1713 SCREW EVOS 4.0X14MM OST T8 FT 735.05 514.54 352.82 602.74C1713 SCREW EVOS 3.6MMX11MM LCK S-T 1,180.53 826.37 566.65 968.03C1713 SCREW EVOS 3.5MMX65MM LCK S-T 1,180.53 826.37 566.65 968.03C1713 SCREW EVOS 3.5MMX55MM CTX S-T 226.74 158.72 108.84 185.93C1713 SCREW EVOS 3.5MMX46MM CTX S-T 208.01 145.61 99.84 170.57C1713 SCREW EVOS 3.5MMX34MM LCK S-T 1,180.53 826.37 566.65 968.03C1713 SCREW EVOS 3.5MMX32MM LCK S-T 1,180.53 826.37 566.65 968.03C1713 SCREW EVOS 3.5MMX32MM CTX S-T 196.18 137.33 94.17 160.87C1713 SCREW EVOS 3.5MMX30MM LCK S-T 1,180.53 826.37 566.65 968.03C1713 SCREW EVOS 3.5MMX18MM LCK S-T 1,180.53 826.37 566.65 968.03C1713 SCREW EVOS 3.5MMX16MM LCK S-T 1,180.53 826.37 566.65 968.03C1713 SCREW EVOS 3.5MMX15MM LCK S-T 1,180.53 826.37 566.65 968.03C1713 SCREW EVOS 3.5MMX15MM CTX S-T 226.74 158.72 108.84 185.93C1713 SCREW EVOS 3.5MMX13MM LCK S-T 1,180.53 826.37 566.65 968.03C1713 SCREW EVOS 3.5MMX13MM CTX S-T 226.74 158.72 108.84 185.93C1713 SCREW EVOS 3.5MMX11MM CTX S-T 226.74 158.72 108.84 185.93C1713 SCREW EVOS 2.7MMX9MM LCK T8 ST 993.45 695.42 476.86 814.63C1713 SCREW EVOS 2.7MMX55MM CTX T8 315.19 220.63 151.29 258.46C1713 SCREW EVOS 2.7MMX50MM LCK T8 993.45 695.42 476.86 814.63C1713 SCREW EVOS 2.7MMX50MM CTX T8 289.14 202.4 138.79 237.09C1713 SCREW EVOS 2.7MMX46MM LCK T8 911.40 637.98 437.47 747.35C1713 SCREW EVOS 2.7MMX36MM LCK T8 993.45 695.42 476.86 814.63C1713 SCREW EVOS 2.7MMX36MM CTX T8 S 289.14 202.4 138.79 237.09C1713 SCREW EVOS 2.7MMX32MM LCK T8 993.45 695.42 476.86 814.63C1713 SCREW EVOS 2.7MMX30MM LCK T8 911.40 637.98 437.47 747.35C1713 SCREW EVOS 2.7MMX30MM CTX T8 315.19 220.63 151.29 258.46C1713 SCREW EVOS 2.7MMX26MM CTX T8 289.14 202.4 138.79 237.09C1713 SCREW EVOS 2.7MMX24MM LCK T8 911.40 637.98 437.47 747.35

C1713 SCREW EVOS 2.7MMX22MM CTX T8 289.14 202.4 138.79 237.09C1713 SCREW EVOS 2.7MMX20MM LCK T8 993.45 695.42 476.86 814.63C1713 SCREW EVOS 2.7MMX20MM CTX T8 289.14 202.4 138.79 237.09C1713 SCREW EVOS 2.7MMX15MM LCK T8 993.45 695.42 476.86 814.63C1713 SCREW EVOS 2.7MMX13MM LCK T8 993.45 695.42 476.86 814.63C1713 SCREW EVOS 2.4MMX20MM LCK 971.18 679.83 466.17 796.37C1713 SCREW EVOS 2.4MMX16MM LCK T7 971.18 679.83 466.17 796.37C1713 SCREW EVOS 2.4MMX14MM CTX T7 S 274.62 192.23 131.82 225.19C1713 SCREW EVOS 2.4MMX10 MM CTX 299.33 209.53 143.68 245.45C1713 SCREW EVOS 2.4MMX 13MM LCK T7 971.18 679.83 466.17 796.37C1713 SCREW EVOS 2.0MMX9MM LCK T6 944.40 661.08 453.31 774.41C1713 SCREW EVOS 2.0MMX9MM CTX T6 ST 283.59 198.51 136.12 232.54C1713 SCREW EVOS 2.0MMX10MM CTX T6 283.59 198.51 136.12 232.54C1713 SCREW EVOS 4.7MMX40MM OST PT 510.88 357.62 245.22 418.92C1713 SCREW EVOS 2.4MMX18MM LCK T7 971.18 679.83 466.17 796.37C1713 SCREW EVOLVE TRIAD 2.0X24MM 652.70 456.89 313.3 535.21C1713 SCREW EVOLVE TRIAD 2.0X20MM 652.70 456.89 313.3 535.21C1713 SCREW EVOLVE TRIAD 2.0X18MM 686.25 480.38 329.4 562.73C1713 SCREW ECLIPSE CASE S 30MM 12,200.00 8,540.00 5,856.00 10,004.00C1713 SCREW ECLIPSE CAGE L 40MM 12,200.00 8,540.00 5,856.00 10,004.00C1713 SCREW DEPUY 6.5MM X 60MM 933.30 653.31 447.98 765.31C1713 SCREW DEPUY 5.5MM X 55MM 823.50 576.45 395.28 675.27C1713 SCREW DEPUY 4.5MM X 44MM 134.20 93.94 64.42 110.04C1713 SCREW DEPUY 4.5MM X 38MM 109.80 76.86 52.7 90.04C1713 SCREW DARCO HEADED 6.5 X 70 4,300.50 3,010.35 2,064.24 3,526.41C1713 SCREW DARCO HEADED 6.5 X 70 4,300.50 3,010.35 2,064.24 3,526.41C1713 SCREW DARCO 6.5 X 90 X 16MM 2,842.60 1,989.82 1,364.45 2,330.93C1713 SCREW CTX T7 2.4MM X 20MM 351.06 245.74 168.51 287.87C1713 SCREW CTX T7 2.4MM X 16MM 368.62 258.03 176.94 302.27C1713 SCREW CRTX LCK 2.7X50MM 698.88 489.22 335.46 573.08C1713 SCREW CORTYCAL 4.5MM X 48MM 186.78 130.75 89.65 153.16C1713 SCREW CORTICAL STD 02.8X18MM 452.38 316.67 217.14 370.95C1713 SCREW CORTICAL STD 02.8X14MM 452.38 316.67 217.14 370.95C1713 SCREW CORTICAL 4.5MM X 64MM 186.78 130.75 89.65 153.16C1713 SCREW CORTICAL 4.5MM X 60MM 98.15 68.71 47.11 80.48C1713 SCREW CORTICAL 4.5MM X 58MM 98.15 68.71 47.11 80.48C1713 SCREW CORTICAL 4.5MM X 56MM 98.15 68.71 47.11 80.48C1713 SCREW CORTICAL 4.5MM X 54MM 98.15 68.71 47.11 80.48C1713 SCREW CORTICAL 4.5MM X 52MM 150.43 105.3 72.21 123.35C1713 SCREW CORTICAL 4.5MM X 50MM 172.87 121.01 82.98 141.75C1713 SCREW CORTICAL 4.5MM X 46MM 220.15 154.11 105.67 180.52C1713 SCREW CORTICAL 4.5MM X 44MM 198.01 138.61 95.04 162.37C1713 SCREW CORTICAL 4.5MM X 42MM 220.15 154.11 105.67 180.52C1713 SCREW CORTICAL 4.5MM X 40MM 217.04 151.93 104.18 177.97C1713 SCREW CORTICAL 4.5MM X 38MM 217.04 151.93 104.18 177.97C1713 SCREW CORTICAL 4.5MM X 36MM 220.15 154.11 105.67 180.52C1713 SCREW CORTICAL 4.5MM X 34MM 217.04 151.93 104.18 177.97C1713 SCREW CORTICAL 4.5MM X 32MM 186.78 130.75 89.65 153.16C1713 SCREW CORTICAL 4.5MM X 30MM 220.15 154.11 105.67 180.52C1713 SCREW CORTICAL 4.5MM X 28MM 172.87 121.01 82.98 141.75C1713 SCREW CORTICAL 4.5MM X 26MM 98.15 68.71 47.11 80.48C1713 SCREW CORTICAL 3.5MM X 20MM 390.40 273.28 187.39 320.13C1713 SCREW CORTICAL 3.2 506.30 354.41 243.02 415.17C1713 SCREW CORTEX 4.5MM X 70MM 143.96 100.77 69.1 118.05C1713 SCREW CORTEX 4.5MM X 68MM 143.96 100.77 69.1 118.05C1713 SCREW CORTEX 4.5MM X 66MM 143.96 100.77 69.1 118.05C1713 SCREW CORTEX 4.5MM X 64MM 143.96 100.77 69.1 118.05C1713 SCREW CORTEX 4.5MM X 62MM 143.96 100.77 69.1 118.05C1713 SCREW CORTEX 4.5MM X 60MM 143.96 100.77 69.1 118.05C1713 SCREW CORTEX 4.5MM X 58MM 143.96 100.77 69.1 118.05C1713 SCREW CORTEX 4.5MM X 56MM 143.96 100.77 69.1 118.05C1713 SCREW CORTEX 4.5MM X 54MM 143.96 100.77 69.1 118.05C1713 SCREW CORTEX 4.5MM X 52MM 143.96 100.77 69.1 118.05C1713 SCREW CORTEX 4.5MM X 50MM 281.21 196.85 134.98 230.59C1713 SCREW CORTEX 4.5MM X 48MM 196.36 137.45 94.25 161.02C1713 SCREW CORTEX 4.5MM X 46MM 143.96 100.77 69.1 118.05C1713 SCREW CORTEX 4.5MM X 44MM 143.96 100.77 69.1 118.05C1713 SCREW CORTEX 4.5MM X 42MM 143.96 100.77 69.1 118.05C1713 SCREW CORTEX 4.5MM X 40MM 143.96 100.77 69.1 118.05C1713 SCREW CORTEX 4.5MM X 38MM 143.96 100.77 69.1 118.05C1713 SCREW CORTEX 4.5MM X 36MM 171.96 120.37 82.54 141.01C1713 SCREW CORTEX 4.5MM X 34MM 216.79 151.75 104.06 177.77

C1713 SCREW CORTEX 4.5MM X 32MM 196.36 137.45 94.25 161.02C1713 SCREW CORTEX 4.5MM X 30MM 309.39 216.57 148.51 253.7C1713 SCREW CORTEX 4.5MM X 28MM 281.21 196.85 134.98 230.59C1713 SCREW CORTEX 4.5MM X 26MM 206.42 144.49 99.08 169.26C1713 SCREW CORTEX 4.5MM X 24MM 206.42 144.49 99.08 169.26C1713 SCREW CORTEX 4.5MM X 22MM 309.39 216.57 148.51 253.7C1713 SCREW CORTEX 4.5MM X 20MM 143.96 100.77 69.1 118.05C1713 SCREW CORTEX 4.5MM X 18MM 143.96 100.77 69.1 118.05C1713 SCREW CORTEX 4.5MM X 16MM 143.96 100.77 69.1 118.05C1713 SCREW CORTEX 4.5MM X 14MM 143.96 100.77 69.1 118.05C1713 SCREW CORTEX 3.5MM X 50MM 281.21 196.85 134.98 230.59C1713 SCREW CORTEX 3.5MM X 45MM 216.79 151.75 104.06 177.77C1713 SCREW CORTEX 3.5MM X 40MM 216.79 151.75 104.06 177.77C1713 SCREW CORTEX 3.5MM X 38MM 216.79 151.75 104.06 177.77C1713 SCREW CORTEX 3.5MM X 36MM 143.96 100.77 69.1 118.05C1713 SCREW CORTEX 3.5MM X 34MM 281.21 196.85 134.98 230.59C1713 SCREW CORTEX 3.5MM X 32MM 171.96 120.37 82.54 141.01C1713 SCREW CORTEX 3.5MM X 30MM 216.79 151.75 104.06 177.77C1713 SCREW CORTEX 3.5MM X 28MM 196.36 137.45 94.25 161.02C1713 SCREW CORTEX 3.5MM X 26MM 294.69 206.28 141.45 241.65C1713 SCREW CORTEX 3.5MM X 24MM 216.79 151.75 104.06 177.77C1713 SCREW CORTEX 3.5MM X 22MM 309.39 216.57 148.51 253.7C1713 SCREW CORTEX 3.5MM X 20MM 294.69 206.28 141.45 241.65C1713 SCREW CORTEX 3.5MM X 18MM 307.87 215.51 147.78 252.45C1713 SCREW CORTEX 3.5MM X 16MM 237.90 166.53 114.19 195.08C1713 SCREW CORTEX 3.5MM X 12MM 307.87 215.51 147.78 252.45C1713 SCREW CORTEX 3.5MM X 10MM 196.36 137.45 94.25 161.02C1713 SCREW CORTEX 3.5 X 60MM 224.36 157.05 107.69 183.98C1713 SCREW CORTEX 3.5 X 14MM 258.09 180.66 123.88 211.63C1713 SCREW CORTEX 3.5 X 14 MM 237.90 166.53 114.19 195.08C1713 SCREW CORTEX 2.7MM X 8MM 148.90 104.23 71.47 122.1C1713 SCREW CORTEX 2.7MM X 6MM 148.90 104.23 71.47 122.1C1713 SCREW CORTEX 2.7MM X 24MM 158.36 110.85 76.01 129.86C1713 SCREW CORTEX 2.7MM X 22MM 134.44 94.11 64.53 110.24C1713 SCREW CORTEX 2.7MM X 20MM LCK 788.79 552.15 378.62 646.81C1713 SCREW CORTEX 2.7MM X 20MM 628.30 439.81 301.58 515.21C1713 SCREW CORTEX 2.7MM X 18MM 284.87 199.41 136.74 233.59C1713 SCREW CORTEX 2.7MM X 16MM 467.75 327.43 224.52 383.56C1713 SCREW CORTEX 2.7MM X 14MM 180.87 126.61 86.82 148.31C1713 SCREW CORTEX 2.7MM X 12MM 180.87 126.61 86.82 148.31C1713 SCREW CORTEX 2.7MM X 10MM 134.44 94.11 64.53 110.24C1713 SCREW CORTEX 2.0MM X 8MM 153.66 107.56 73.76 126C1713 SCREW CORTEX 2.0MM X 6MM 153.66 107.56 73.76 126C1713 SCREW CORTEX 2.0MM X 24MM 153.66 107.56 73.76 126C1713 SCREW CORTEX 2.0MM X 22MM 153.66 107.56 73.76 126C1713 SCREW CORTEX 2.0MM X 20MM 206.42 144.49 99.08 169.26C1713 SCREW CORTEX 2.0MM X 18MM 206.42 144.49 99.08 169.26C1713 SCREW CORTEX 2.0MM X 16MM 295.06 206.54 141.63 241.95C1713 SCREW CORTEX 2.0MM X 14MM 180.93 126.65 86.85 148.36C1713 SCREW CORTEX 2.0MM X 12MM 206.42 144.49 99.08 169.26C1713 SCREW CORTEX 2.0MM X 10MM 206.42 144.49 99.08 169.26C1713 SCREW CORTEX 1.5MM X 9MM 148.90 104.23 71.47 122.1C1713 SCREW CORTEX 1.5MM X 8MM 148.90 104.23 71.47 122.1C1713 SCREW CORTEX 1.5MM X 7MM 148.90 104.23 71.47 122.1C1713 SCREW CORTEX 1.5MM X 6MM 292.80 204.96 140.54 240.1C1713 SCREW CORTEX 1.5MM X 20MM 148.90 104.23 71.47 122.1C1713 SCREW CORTEX 1.5MM X 18MM 148.90 104.23 71.47 122.1C1713 SCREW CORTEX 1.5MM X 16MM 148.90 104.23 71.47 122.1C1713 SCREW CORTEX 1.5MM X 14MM 148.90 104.23 71.47 122.1C1713 SCREW CORTEX 1.5MM X 12MM 148.90 104.23 71.47 122.1C1713 SCREW CORTEX 1.5MM X 11MM 315.37 220.76 151.38 258.6C1713 SCREW CORTEX 1.5MM X 10MM 201.30 140.91 96.62 165.07C1713 SCREW CORTEX 1.5MM 4MM STER 1,329.80 930.86 638.3 1,090.44C1713 SCREW CORTEX 1.55MM X 6MM 148.90 104.23 71.47 122.1C1713 SCREW CORT STD 2.8 X 16MM 452.38 316.67 217.14 370.95C1713 SCREW CORT STANDARD 2.8X12MM 452.38 316.67 217.14 370.95C1713 SCREW CORT 3.5X32MM MEDSOURCE 518.50 362.95 248.88 425.17C1713 SCREW CORT 2.7 X 55 MM 788.79 552.15 378.62 646.81C1713 SCREW COMPR FT 7.0 XL 70MM LEN 2,897.50 2,028.25 1,390.80 2,375.95C1713 SCREW COMPR FT 7.0 XL 55MM LEN 2,897.50 2,028.25 1,390.80 2,375.95C1713 SCREW COMPR FT 7.0 XL 40MM LEN 2,897.50 2,028.25 1,390.80 2,375.95C1713 SCREW COMPR FT 5.0 LG 50MM LGT 2,897.50 2,028.25 1,390.80 2,375.95

C1713 SCREW COMPR FT 5.0 LG 42MM LGT 1,563.75 1,094.63 750.6 1,282.28C1713 SCREW COMPR FT 5.0 60MM 2,897.50 2,028.25 1,390.80 2,375.95C1713 SCREW COMPR FT 3.5 MINI 18MM L 2,135.00 1,494.50 1,024.80 1,750.70C1713 SCREW COMPR 5.0 LG 44MM LENGTH 2,897.50 2,028.25 1,390.80 2,375.95C1713 SCREW COMPR 2.5 MICRO 28MM LGT 2,135.00 1,494.50 1,024.80 1,750.70C1713 SCREW COMPR 2.5 MICRO 20MM 2,135.00 1,494.50 1,024.80 1,750.70C1713 SCREW COMP FT 5.0 LG 36MM LGTH 2,897.50 2,028.25 1,390.80 2,375.95C1713 SCREW COMP FT 5.0 LG 32MM LGTH 2,897.50 2,028.25 1,390.80 2,375.95C1713 SCREW COMP FT 3.5 MINI 16MM 2,135.00 1,494.50 1,024.80 1,750.70C1713 SCREW COMP 3.5 MINI 28MM LGTH 2,135.00 1,494.50 1,024.80 1,750.70C1713 SCREW COMP 2.5 MICRO 48MM 2,135.00 1,494.50 1,024.80 1,750.70C1713 SCREW CNTL NL UNI REV 6.5X25MM 1,037.00 725.9 497.76 850.34C1713 SCREW CENT DRIVE 3.2MM X 20MM 396.50 277.55 190.32 325.13C1713 SCREW CENT DRIVE 3.2MM X 16MM 396.50 277.55 190.32 325.13C1713 SCREW CENT DRIVE 3.2MM X 12MM 396.50 277.55 190.32 325.13C1713 SCREW CENT DRIVE 3.2MM X 10MM 396.50 277.55 190.32 325.13C1713 SCREW CENT DRIVE 2.7MM X 6MM 262.30 183.61 125.9 215.09C1713 SCREW CENT DRIVE 2.7MM X 18MM 340.58 238.41 163.48 279.28C1713 SCREW CENT DRIVE 2.7MM X 16MM 340.58 238.41 163.48 279.28C1713 SCREW CENT DRIVE 2.7MM X 14MM 330.41 231.29 158.6 270.94C1713 SCREW CENT DRIVE 2.7MM X 12MM 225.70 157.99 108.34 185.07C1713 SCREW CENT DRIVE 2.0MM X 5MM 2.44 1.71 1.17 2C1713 SCREW CENT DRIVE 2.0MM X 19MM 30.50 21.35 14.64 25.01C1713 SCREW CENT DRIVE 2.0MM X 17MM 30.50 21.35 14.64 25.01C1713 SCREW CENT DRIVE 2.0MM X 15MM 30.50 21.35 14.64 25.01C1713 SCREW CENT DRIVE 2.0MM X 13MM 29.48 20.64 14.15 24.17C1713 SCREW CENT DRIVE 2.0MM X 11MM 28.46 19.92 13.66 23.34C1713 SCREW CEMT DRIVE 2.0MM X 9MM 26.43 18.5 12.69 21.67C1713 SCREW CANU PAR THR 4.0 X 42MM 1,736.98 1,215.89 833.75 1,424.32C1713 SCREW CANU PAR THR 4.0 X 42MM 1,736.98 1,215.89 833.75 1,424.32C1713 SCREW CANU PAR THR 4.0 X 40MM 2,009.16 1,406.41 964.4 1,647.51C1713 SCREW CANU PAR THR 4.0 X 40MM 2,009.16 1,406.41 964.4 1,647.51C1713 SCREW CANU PAR THR 4.0 X 22MM 1,647.06 1,152.94 790.59 1,350.59C1713 SCREW CANU PAR THR 4.0 X 22MM 1,647.06 1,152.94 790.59 1,350.59C1713 SCREW CANU FUL THR 4.0 X 10MM 119.93 83.95 57.57 98.34C1713 SCREW CANN 30MM X 3.0MM 1,410.02 987.01 676.81 1,156.22C1713 SCREW CANN 3.75X40PT 1,220.00 854 585.6 1,000.40C1713 SCREW CANN 3.75X34MM FULLY THR 1,220.00 854 585.6 1,000.40C1713 SCREW CANN 3.75X34 FULL THREAD 1,220.00 854 585.6 1,000.40C1713 SCREW CANN 3.75X32 FULL THREAD 1,220.00 854 585.6 1,000.40C1713 SCREW CANN 3.0 MM X 28 MM 1,410.02 987.01 676.81 1,156.22C1713 SCREW CANN 2.5X16MM TITANIUM 884.50 619.15 424.56 725.29C1713 SCREW CANC UNI 30MM 561.20 392.84 269.38 460.18C1713 SCREW CANC UNI 25MM 528.14 369.7 253.51 433.07C1713 SCREW CANC PAR THR 4.0 X 50MM 243.39 170.37 116.83 199.58C1713 SCREW CANC PAR THR 4.0 X 45MM 255.65 178.96 122.71 209.63C1713 SCREW CANC PAR THR 4.0 X 40MM 242.11 169.48 116.21 198.53C1713 SCREW CANC PAR THR 4.0 X 38MM 2,009.16 1,406.41 964.4 1,647.51C1713 SCREW CANC PAR THR 4.0 X 38MM 2,009.16 1,406.41 964.4 1,647.51C1713 SCREW CANC PAR THR 4.0 X 30MM 170.62 119.43 81.9 139.91C1713 SCREW CANC PAR THR 4.0 X 28MM 115.17 80.62 55.28 94.44C1713 SCREW CANC PAR THR 4.0 X 26MM 122.12 85.48 58.62 100.14C1713 SCREW CANC PAR THR 4.0 X 24MM 115.17 80.62 55.28 94.44C1713 SCREW CANC PAR THR 4.0 X 22MM 154.70 108.29 74.26 126.85C1713 SCREW CANC PAR THR 4.0 X 20MM 115.17 80.62 55.28 94.44C1713 SCREW CANC PAR THR 4.0 X 18MM 115.17 80.62 55.28 94.44C1713 SCREW CANC PAR THR 4.0 X 16MM 115.17 80.62 55.28 94.44C1713 SCREW CANC PAR THR 4.0 X 14MM 115.17 80.62 55.28 94.44C1713 SCREW CANC PAR THR 4.0 X 12MM 115.17 80.62 55.28 94.44C1713 SCREW CANC PAR THR 4.0 X 10MM 115.17 80.62 55.28 94.44C1713 SCREW CANC FUL THR 4.0 X 40MM 229.06 160.34 109.95 187.83C1713 SCREW CANC FUL THR 4.0 X 35MM 119.93 83.95 57.57 98.34C1713 SCREW CANC FUL THR 4.0 X 30MM 168.36 117.85 80.81 138.06C1713 SCREW CANC FUL THR 4.0 X 28MM 119.93 83.95 57.57 98.34C1713 SCREW CANC FUL THR 4.0 X 26MM 140.30 98.21 67.34 115.05C1713 SCREW CANC FUL THR 4.0 X 24MM 119.93 83.95 57.57 98.34C1713 SCREW CANC FUL THR 4.0 X 22MM 176.78 123.75 84.85 144.96C1713 SCREW CANC FUL THR 4.0 X 20MM 212.16 148.51 101.84 173.97C1713 SCREW CANC FUL THR 4.0 X 18MM 212.16 148.51 101.84 173.97C1713 SCREW CANC FUL THR 4.0 X 16MM 229.06 160.34 109.95 187.83C1713 SCREW CANC FUL THR 4.0 X 14MM 229.06 160.34 109.95 187.83C1713 SCREW CANC FUL THR 4.0 X 12MM 176.78 123.75 84.85 144.96

C1713 SCREW CANC 6.5MM 32MM 95MM 263.89 184.72 126.67 216.39C1713 SCREW CANC 6.5MM 32MM 90MM 263.89 184.72 126.67 216.39C1713 SCREW CANC 6.5MM 32MM 85MM 263.89 184.72 126.67 216.39C1713 SCREW CANC 6.5MM 32MM 80MM 239.91 167.94 115.16 196.73C1713 SCREW CANC 6.5MM 32MM 75MM 239.91 167.94 115.16 196.73C1713 SCREW CANC 6.5MM 32MM 70MM 457.74 320.42 219.72 375.35C1713 SCREW CANC 6.5MM 32MM 65MM 239.91 167.94 115.16 196.73C1713 SCREW CANC 6.5MM 32MM 60MM 239.91 167.94 115.16 196.73C1713 SCREW CANC 6.5MM 32MM 55MM 239.91 167.94 115.16 196.73C1713 SCREW CANC 6.5MM 32MM 50MM 239.91 167.94 115.16 196.73C1713 SCREW CANC 6.5MM 32MM 45MM 352.70 246.89 169.3 289.21C1713 SCREW CANC 6.5MM 32MM 110MM 263.89 184.72 126.67 216.39C1713 SCREW CANC 6.5MM 32MM 105MM 263.89 184.72 126.67 216.39C1713 SCREW CANC 6.5MM 32MM 100MM 263.89 184.72 126.67 216.39C1713 SCREW CANC 6.5MM 16MM 95MM 263.89 184.72 126.67 216.39C1713 SCREW CANC 6.5MM 16MM 90MM 263.89 184.72 126.67 216.39C1713 SCREW CANC 6.5MM 16MM 85MM 263.89 184.72 126.67 216.39C1713 SCREW CANC 6.5MM 16MM 80MM 239.91 167.94 115.16 196.73C1713 SCREW CANC 6.5MM 16MM 75MM 239.91 167.94 115.16 196.73C1713 SCREW CANC 6.5MM 16MM 70MM 239.91 167.94 115.16 196.73C1713 SCREW CANC 6.5MM 16MM 65MM 239.91 167.94 115.16 196.73C1713 SCREW CANC 6.5MM 16MM 60MM 239.91 167.94 115.16 196.73C1713 SCREW CANC 6.5MM 16MM 55MM 239.91 167.94 115.16 196.73C1713 SCREW CANC 6.5MM 16MM 50MM 239.91 167.94 115.16 196.73C1713 SCREW CANC 6.5MM 16MM 45MM 239.91 167.94 115.16 196.73C1713 SCREW CANC 6.5MM 16MM 40MM 239.91 167.94 115.16 196.73C1713 SCREW CANC 6.5MM 16MM 35MM 239.91 167.94 115.16 196.73C1713 SCREW CANC 6.5MM 16MM 30MM 239.91 167.94 115.16 196.73C1713 SCREW CANC 6.5MM 16MM 110MM 263.89 184.72 126.67 216.39C1713 SCREW CANC 6.5MM 16MM 105MM 263.89 184.72 126.67 216.39C1713 SCREW CANC 6.5MM 16MM 100MM 263.89 184.72 126.67 216.39C1713 SCREW CANC 4.0MM THREADED 16MM 451.40 315.98 216.67 370.15C1713 SCREW BONE T10 3.5X22MM 432.98 303.09 207.83 355.04C1713 SCREW BONE I10, 3.5 X 24MM 432.98 303.09 207.83 355.04C1713 SCREW BONE 1.7X12 NON LOCK 523.38 366.37 251.22 429.17C1713 SCREW BIOSURE REGSRB 11MMX25MM 3,840.13 2,688.09 1,843.26 3,148.91C1713 SCREW BIOSURE REGSRB 11MMX25MM 3,840.13 2,688.09 1,843.26 3,148.91C1713 SCREW BIOSURE REG 9MM X 25MM 3,840.13 2,688.09 1,843.26 3,148.91C1713 SCREW BIOSURE REG 8MM X 30MM 3,840.13 2,688.09 1,843.26 3,148.91C1713 SCREW BIOSURE REG 6MMX20MM 3,840.13 2,688.09 1,843.26 3,148.91C1713 SCREW BIOSURE REG 9MMX20MM 3,840.13 2,688.09 1,843.26 3,148.91C1713 SCREW BIOSURE 7 X 20MM 3,840.13 2,688.09 1,843.26 3,148.91C1713 SCREW BIOSURE 10MM X 25MM 3,840.13 2,688.09 1,843.26 3,148.91C1713 SCREW BIO INTERFER FULL THREAD 1,372.50 960.75 658.8 1,125.45C1713 SCREW BIO INTERF FULL THREAD 1,372.50 960.75 658.8 1,125.45C1713 SCREW BIO INTERF FULL THREAD 1,372.50 960.75 658.8 1,125.45C1713 SCREW BIO INTER W DISP SHEATH 1,372.50 960.75 658.8 1,125.45C1713 SCREW BIO FULL THRD 12X28 1,372.50 960.75 658.8 1,125.45C1713 SCREW BIO FULL THRD 12X28 1,372.50 960.75 658.8 1,125.45C1713 SCREW AVIATOR SD 4X12MM 2,440.00 1,708.00 1,171.20 2,000.80C1713 SCREW ANGLED 4.6 12MM 1,531.10 1,071.77 734.93 1,255.50C1713 SCREW ALTEON 6.5MM 35MM 437.07 305.95 209.79 358.4C1713 SCREW ALTEON 6.5MM 30MM 332.45 232.72 159.58 272.61C1713 SCREW ALTEON 6.5MM 20MM 332.45 232.72 159.58 272.61C1713 SCREW 5.5X80MM CANN SS 16MM TH 2,350.03 1,645.02 1,128.01 1,927.02C1713 SCREW 5.5 X40MM PERI LOCK 610.00 427 292.8 500.2C1713 SCREW 4MX.5 DBL LEAD LOCK 3.0 982.10 687.47 471.41 805.32C1713 SCREW 4MX.5 DBL LEAD LOCK 3.0 982.10 687.47 471.41 805.32C1713 SCREW 4.2 X 14 1,628.70 1,140.09 781.78 1,335.53C1713 SCREW 35MM CENTRAL MODULAR 3,660.00 2,562.00 1,756.80 3,001.20C1713 SCREW 30MM CENTRAL MODULAR 3,660.00 2,562.00 1,756.80 3,001.20C1713 SCREW 3.5X28 CORTEX 952.27 666.59 457.09 780.86C1713 SCREW 3.5X18 CORTEX 1,095.32 766.72 525.75 898.16C1713 SCREW 3.5X18 CORTEX 1,095.32 766.72 525.75 898.16C1713 SCREW 3.5MMX55MM NON LOCK HEXA 713.70 499.59 342.58 585.23C1713 SCREW 3.5MMX45MM NON LOCK HEXA 549.00 384.3 263.52 450.18C1713 SCREW 3.5MMX32MM NON LOCK HEXA 549.00 384.3 263.52 450.18C1713 SCREW 3.5MMX28MM NON LOCK HEXA 549.00 384.3 263.52 450.18C1713 SCREW 3.5MMX14MM NL HEXALOBE 549.00 384.3 263.52 450.18C1713 SCREW 3.5 X 30MM CORTEX 952.27 666.59 457.09 780.86C1713 SCREW 3.5 LOCKING 12MM 1,590.39 1,113.27 763.39 1,304.12C1713 SCREW 3.5 LOCK 20MM 1,095.32 766.72 525.75 898.16

C1713 SCREW 3.5 LOCK 20MM 1,095.32 766.72 525.75 898.16C1713 SCREW 3.2X24 689.30 482.51 330.86 565.23C1713 SCREW 3.2X24 689.30 482.51 330.86 565.23C1713 SCREW 3.2X20 689.30 482.51 330.86 565.23C1713 SCREW 3.2X20 689.30 482.51 330.86 565.23C1713 SCREW 3.0MMX36MM NON LOCK HEXA 549.00 384.3 263.52 450.18C1713 SCREW 3.0MMX18MM LOCK HEXALOBE 1,085.80 760.06 521.18 890.36C1713 SCREW 3.0MMX16MM NON LOCK HEXA 549.00 384.3 263.52 450.18C1713 SCREW 3.0MMX10MM NON LOCK HEXA 549.00 384.3 263.52 450.18C1713 SCREW 3.0MM NON LOCKING 10MM 884.50 619.15 424.56 725.29C1713 SCREW 3.0MM LOCKING 8MM 982.10 687.47 471.41 805.32C1713 SCREW 3.0MM LOCKING 8MM 982.10 687.47 471.41 805.32C1713 SCREW 3.0MM LOCKING 10MM 982.10 687.47 471.41 805.32C1713 SCREW 3.0MM LOCKING 10MM 982.10 687.47 471.41 805.32C1713 SCREW 3.0 X 24 982.10 687.47 471.41 805.32C1713 SCREW 3.0 X 24 982.10 687.47 471.41 805.32C1713 SCREW 3.0 X 20MM LOCKING 884.50 619.15 424.56 725.29C1713 SCREW 3.0 X 20MM LOCKING 884.50 619.15 424.56 725.29C1713 SCREW 3.0 X 20MM LOCK 982.10 687.47 471.41 805.32C1713 SCREW 3.0 X 20MM LOCK 982.10 687.47 471.41 805.32C1713 SCREW 3.0 X 18 LCK 982.10 687.47 471.41 805.32C1713 SCREW 3.0 X 18 LCK 982.10 687.47 471.41 805.32C1713 SCREW 3.0 X 16 982.10 687.47 471.41 805.32C1713 SCREW 3.0 X 16 982.10 687.47 471.41 805.32C1713 SCREW 3.0 X 14 982.10 687.47 471.41 805.32C1713 SCREW 3.0 X 14 982.10 687.47 471.41 805.32C1713 SCREW 3.0 X 12 LCK 982.10 687.47 471.41 805.32C1713 SCREW 3.0 X 12 LCK 982.10 687.47 471.41 805.32C1713 SCREW 26.0MM MICRO ACUTRAK 2 3,287.90 2,301.53 1,578.19 2,696.08C1713 SCREW 25MM CENTRAL MODULAR 3,660.00 2,562.00 1,756.80 3,001.20C1713 SCREW 2.7MM S-T CRTX 36MM 201.90 141.33 96.91 165.56C1713 SCREW 2.7MM S-T CRTX 34MM 698.88 489.22 335.46 573.08C1713 SCREW 2.7MM S-T CRTX 14MM 200.87 140.61 96.42 164.71C1713 SCREW 2.7 X 24MM 788.79 552.15 378.62 646.81C1713 SCREW 2.7 CRTX LOCK 45MM 596.70 417.69 286.42 489.29C1713 SCREW 2.7 CRTX LOCK 40MM 824.11 576.88 395.57 675.77C1713 SCREW 2.7 CRTX LOCK 22MM 539.48 377.64 258.95 442.37C1713 SCREW 2.0MM QFX 16MM 1,405.93 984.15 674.85 1,152.86C1713 SCREW 2.0MM QFX 16MM 1,405.93 984.15 674.85 1,152.86C1713 SCREW 2.0MM QFX 14MM 1,577.58 1,104.31 757.24 1,293.62C1713 SCREW 2.0MM QFX 14MM 1,577.58 1,104.31 757.24 1,293.62C1713 SCREW 2.0MM QFX 12MM 1,405.93 984.15 674.85 1,152.86C1713 SCREW 2.0MM QFX 12MM 1,405.93 984.15 674.85 1,152.86C1713 SCREW 18.0MM MIRCO ACUTRAK 2 3,287.90 2,301.53 1,578.19 2,696.08C1713 SCREW 1.7 X 8 MM LOCKING 670.88 469.62 322.02 550.12C1713 SCREW 1.7 X 6MM LOCKING 670.88 469.62 322.02 550.12C1713 SCREW ORTHOLOC MINI 2.0X24MM 1,488.40 1,041.88 714.43 1,220.49C1713 SCR NON LK 3.5 HEX 4.75 X 25MM 457.50 320.25 219.6 375.15C1713 SCR FULL STEP 7-8 10MM 14,107.53 9,875.27 6,771.61 11,568.17C1713 SCR FUL STEP 3-4 10MM 15,202.42 10,641.69 7,297.16 12,465.98C1713 RVS CNTRL 6.5 X 30 ST RST 457.50 320.25 219.6 375.15C1713 RSP GLENOID HD RET SCREW 36X4 5,885.16 4,119.61 2,824.88 4,825.83C1713 REF SPHER HEAD SCREW 6.5X20MM 1,053.23 737.26 505.55 863.65C1713 RALLY MV BONE CEMENT 40 GRAMS 784.58 549.21 376.6 643.36C1713 RALLY ALL IN ONE SYS 70 GRAMS 4,085.17 2,859.62 1,960.88 3,349.84C1713 QUARTER TUBE PLATE 4HOLE X32MM 3,494.39 2,446.07 1,677.31 2,865.40C1713 QUARTER TUBE PLATE 4HOLE X32MM 3,494.39 2,446.07 1,677.31 2,865.40C1713 PUSHLOCK BIO SHORT 2.9X12.5 3,100.00 2,170.00 1,488.00 2,542.00C1713 PRXHUM PLATE LOCK 3.5MM 5H L 13,221.45 9,255.02 6,346.30 10,841.59C1713 PRXHUM PLATE LOCK 3.5 3H L 14,774.51 10,342.16 7,091.76 12,115.10C1713 PRXHUM PLATE LOCK 11H RT 9,461.41 6,622.99 4,541.48 7,758.36C1713 PRXHUM PLATE LOCK 11H L 11,280.12 7,896.08 5,414.46 9,249.70C1713 PRXHUM PLATE 15H L 246MM 13,691.45 9,584.02 6,571.90 11,226.99C1713 PRXHUM PL 3.5 5H R 115MM 15,203.64 10,642.55 7,297.75 12,466.98C1713 PROSTIM CORE INJ BONEGRAFT SUB 15,972.00 11,180.40 7,666.56 13,097.04C1713 PRO STIM INJ 10CC 36,425.00 25,497.50 17,484.00 29,868.50C1713 PLT 6 HOLE FRAC ANG 115* 4,521.66 3,165.16 2,170.40 3,707.76C1713 P-LOCK VLP 3.5X83 6,784.42 4,749.09 3,256.52 5,563.22C1713 P-LOCK SCR 3.2 FIB PL 4H R 71M 7,397.47 5,178.23 3,550.79 6,065.93C1713 P-LOCK LOK SCREW 3.5X8 1,266.97 886.88 608.15 1,038.92C1713 P-LOCK LOCK SCREW 3.5X80 890.97 623.68 427.67 730.6C1713 P-LOCK LOCK SCREW 3.5X70 890.97 623.68 427.67 730.6

C1713 P-LOCK LOCK SCREW 3.5X50 1,266.97 886.88 608.15 1,038.92C1713 P-LOCK LOCK SCREW 3.5X46 678.44 474.91 325.65 556.32C1713 P-LOCK LOCK SCREW 3.5X44 1,266.97 886.88 608.15 1,038.92C1713 P-LOCK 3.5MM COMP 10HL 145MM 1,490.23 1,043.16 715.31 1,221.99C1713 P-LOCK 3.5MM COMP 10HL 145MM 1,490.23 1,043.16 715.31 1,221.99C1713 P-LOC VLP 5.0X36 OSTEO SCREW 367.04 256.93 176.18 300.97C1713 P-LOC VLP 3.5X8 CRTX SCREW 224.36 157.05 107.69 183.98C1713 PLOC VLP 3.5X40 CRTX SCRW S-T 194.96 136.47 93.58 159.87C1713 P-LOC SCREW 4.0MM P-T CAN 80MM 116.57 81.6 55.95 95.59C1713 P-LOC SCREW 4.0MM P-T CAN 75MM 140.30 98.21 67.34 115.05C1713 P-LOC SCREW 4.0MM P-T CAN 70MM 140.30 98.21 67.34 115.05C1713 P-LOC SCREW 4.0MM P-T CAN 65MM 140.30 98.21 67.34 115.05C1713 P-LOC SCREW 4.0MM P-T CAN 60MM 140.30 98.21 67.34 115.05C1713 P-LOC SCREW 4.0MM P-T CAN 55MM 116.57 81.6 55.95 95.59C1713 P-LOC SCREW 4.0MM P-T CAN 50MM 140.30 98.21 67.34 115.05C1713 P-LOC SCREW 4.0MM P-T CAN 45MM 116.57 81.6 55.95 95.59C1713 P-LOC SCREW 4.0MM P-T CAN 40MM 116.57 81.6 55.95 95.59C1713 P-LOC SCREW 4.0MM P-T CAN 35MM 116.57 81.6 55.95 95.59C1713 P-LOC SCREW 4.0MM P-T CAN 30MM 116.57 81.6 55.95 95.59C1713 P-LOC SCREW 4.0MM P-T CAN 28MM 116.57 81.6 55.95 95.59C1713 P-LOC SCREW 4.0MM P-T CAN 26MM 116.57 81.6 55.95 95.59C1713 P-LOC SCREW 4.0MM P-T CAN 24MM 116.57 81.6 55.95 95.59C1713 P-LOC SCREW 4.0MM P-T CAN 22MM 116.57 81.6 55.95 95.59C1713 P-LOC SCREW 4.0MM P-T CAN 20MM 116.57 81.6 55.95 95.59C1713 P-LOC SCREW 4.0MM P-T CAN 18MM 116.57 81.6 55.95 95.59C1713 P-LOC SCREW 4.0MM P-T CAN 16MM 116.57 81.6 55.95 95.59C1713 P-LOC SCREW 4.0MM P-T CAN 14MM 116.57 81.6 55.95 95.59C1713 P-LOC SCREW 4.0MM P-T CAN 12MM 116.57 81.6 55.95 95.59C1713 P-LOC SCREW 4.0MM P-T CAN 10MM 116.57 81.6 55.95 95.59C1713 P-LOC SCREW 4.0MM F-T CAN 80MM 156.22 109.35 74.99 128.1C1713 P-LOC SCREW 4.0MM F-T CAN 75MM 216.61 151.63 103.97 177.62C1713 P-LOC SCREW 4.0MM F-T CAN 70MM 156.22 109.35 74.99 128.1C1713 P-LOC SCREW 4.0MM F-T CAN 65MM 116.57 81.6 55.95 95.59C1713 P-LOC SCREW 4.0MM F-T CAN 60MM 116.57 81.6 55.95 95.59C1713 P-LOC SCREW 4.0MM F-T CAN 55MM 116.57 81.6 55.95 95.59C1713 P-LOC SCREW 4.0MM F-T CAN 50MM 116.57 81.6 55.95 95.59C1713 P-LOC SCREW 4.0MM F-T CAN 45MM 116.57 81.6 55.95 95.59C1713 P-LOC SCREW 4.0MM F-T CAN 40MM 116.57 81.6 55.95 95.59C1713 P-LOC SCREW 4.0MM F-T CAN 38MM 116.57 81.6 55.95 95.59C1713 P-LOC SCREW 4.0MM F-T CAN 36MM 116.57 81.6 55.95 95.59C1713 P-LOC SCREW 4.0MM F-T CAN 34MM 116.57 81.6 55.95 95.59C1713 P-LOC SCREW 4.0MM F-T CAN 32MM 116.57 81.6 55.95 95.59C1713 P-LOC SCREW 4.0MM F-T CAN 30MM 116.57 81.6 55.95 95.59C1713 P-LOC SCREW 4.0MM F-T CAN 28MM 116.57 81.6 55.95 95.59C1713 P-LOC SCREW 4.0MM F-T CAN 26MM 116.57 81.6 55.95 95.59C1713 P-LOC SCREW 4.0MM F-T CAN 24MM 116.57 81.6 55.95 95.59C1713 P-LOC SCREW 4.0MM F-T CAN 22MM 116.57 81.6 55.95 95.59C1713 P-LOC SCREW 4.0MM F-T CAN 20MM 116.57 81.6 55.95 95.59C1713 P-LOC SCREW 4.0MM F-T CAN 18MM 116.57 81.6 55.95 95.59C1713 P-LOC SCREW 4.0MM F-T CAN 16MM 140.30 98.21 67.34 115.05C1713 P-LOC SCREW 4.0MM F-T CAN 14MM 140.30 98.21 67.34 115.05C1713 P-LOC SCREW 4.0MM F-T CAN 12MM 140.30 98.21 67.34 115.05C1713 P-LOC SCREW 4.0MM F-T CAN 10MM 185.56 129.89 89.07 152.16C1713 P-LOC SCREW 4 X 60MM PT CANC 132.00 92.4 63.36 108.24C1713 P-LOC SCREW 4 X 60MM FT CANC 205.14 143.6 98.47 168.21C1713 P-LOC SCREW 4 X 55MM PT CANC 192.88 135.02 92.58 158.16C1713 P-LOC SCREW 4 X 55MM FT CANC 205.14 143.6 98.47 168.21C1713 P-LOC SCREW 4 X 50MM FT CANC 191.66 134.16 92 157.16C1713 P-LOC SCREW 4 X 45MM PT CANC 191.66 134.16 92 157.16C1713 P-LOC SCREW 4 X 45MM FT CANC 191.66 134.16 92 157.16C1713 P-LOC SCREW 4 X 40MM PT CANC 381.31 266.92 183.03 312.67C1713 P-LOC SCREW 4 X 40MM FT CANC 235.03 164.52 112.81 192.72C1713 P-LOC SCREW 4 X 38MM FT CANC 132.00 92.4 63.36 108.24C1713 P-LOC SCREW 4 X 36MM FT CANC 174.09 121.86 83.56 142.75C1713 P-LOC SCREW 4 X 35MM PT CANC 132.00 92.4 63.36 108.24C1713 P-LOC SCREW 4 X 34MM FT CANC 132.00 92.4 63.36 108.24C1713 P-LOC SCREW 4 X 32MM FT CANC 132.00 92.4 63.36 108.24C1713 P-LOC SCREW 4 X 30MM PT CANC 132.00 92.4 63.36 108.24C1713 P-LOC SCREW 4 X 28MM PT CANC 132.00 92.4 63.36 108.24C1713 P-LOC SCREW 4 X 28MM FT CANC 191.66 134.16 92 157.16C1713 P-LOC SCREW 4 X 26MM PT CANC 132.00 92.4 63.36 108.24C1713 P-LOC SCREW 4 X 26MM FT CANC 132.00 92.4 63.36 108.24

C1713 P-LOC SCREW 4 X 24MM PT CANC 132.00 92.4 63.36 108.24C1713 P-LOC SCREW 4 X 24MM FT CANC 185.56 129.89 89.07 152.16C1713 P-LOC SCREW 4 X 22MM PT CANC 132.00 92.4 63.36 108.24C1713 P-LOC SCREW 4 X 22MM FT CANC 185.56 129.89 89.07 152.16C1713 P-LOC SCREW 4 X 20MM PT CANC 132.00 92.4 63.36 108.24C1713 P-LOC SCREW 4 X 20MM FT CANC 185.56 129.89 89.07 152.16C1713 P-LOC SCREW 4 X 18MM PT CANC 132.00 92.4 63.36 108.24C1713 P-LOC SCREW 4 X 18MM FT CANC 185.56 129.89 89.07 152.16C1713 P-LOC SCREW 4 X 16MM PT CANC 132.00 92.4 63.36 108.24C1713 P-LOC SCREW 4 X 16MM FT CANC 174.09 121.86 83.56 142.75C1713 P-LOC SCREW 4 X 14MM PT CANC 132.00 92.4 63.36 108.24C1713 P-LOC SCREW 4 X 14MM FT CANC 235.03 164.52 112.81 192.72C1713 P-LOC SCREW 4 X 12MM PT CANC 132.00 92.4 63.36 108.24C1713 P-LOC SCREW 4 X 12MM FT CANC 223.75 156.63 107.4 183.48C1713 P-LOC SCREW 4 X 10MM PT CANC 132.00 92.4 63.36 108.24C1713 P-LOC SCREW 4 X 10MM FT CANC 223.75 156.63 107.4 183.48C1713 P-LOC SCREW 3.7MM S-T CRT 10MM 265.84 186.09 127.6 217.99C1713 P-LOC SCREW 3.7MM S-T CRT 10MM 265.84 186.09 127.6 217.99C1713 P-LOC SCREW 3.7MM S-T CRT 10MM 265.84 186.09 127.6 217.99C1713 P-LOC SCREW 3.5MM LP CRT 80MM 87.23 61.06 41.87 71.53C1713 P-LOC SCREW 3.5MM LP CRT 75MM 87.23 61.06 41.87 71.53C1713 P-LOC SCREW 3.5MM LP CRT 70MM 87.23 61.06 41.87 71.53C1713 P-LOC SCREW 3.5MM LP CRT 65MM 87.23 61.06 41.87 71.53C1713 P-LOC SCREW 3.5MM LP CRT 60MM 87.23 61.06 41.87 71.53C1713 P-LOC SCREW 3.5MM LP CRT 55MM 87.23 61.06 41.87 71.53C1713 P-LOC SCREW 3.5MM LP CRT 50MM 104.07 72.85 49.95 85.34C1713 P-LOC SCREW 3.5MM LP CRT 45MM 87.23 61.06 41.87 71.53C1713 P-LOC SCREW 3.5MM LP CRT 40MM 87.23 61.06 41.87 71.53C1713 P-LOC SCREW 3.5MM LP CRT 38MM 87.23 61.06 41.87 71.53C1713 P-LOC SCREW 3.5MM LP CRT 36MM 121.39 84.97 58.27 99.54C1713 P-LOC SCREW 3.5MM LP CRT 34MM 87.23 61.06 41.87 71.53C1713 P-LOC SCREW 3.5MM LP CRT 32MM 87.23 61.06 41.87 71.53C1713 P-LOC SCREW 3.5MM LP CRT 30MM 104.07 72.85 49.95 85.34C1713 P-LOC SCREW 3.5MM LP CRT 28MM 121.39 84.97 58.27 99.54C1713 P-LOC SCREW 3.5MM LP CRT 26MM 104.07 72.85 49.95 85.34C1713 P-LOC SCREW 3.5MM LP CRT 24MM 104.07 72.85 49.95 85.34C1713 P-LOC SCREW 3.5MM LP CRT 22MM 87.23 61.06 41.87 71.53C1713 P-LOC SCREW 3.5MM LP CRT 20MM 121.39 84.97 58.27 99.54C1713 P-LOC SCREW 3.5MM LP CRT 18MM 87.23 61.06 41.87 71.53C1713 P-LOC SCREW 3.5MM LP CRT 16MM 87.23 61.06 41.87 71.53C1713 P-LOC SCREW 3.5MM LP CRT 14MM 121.39 84.97 58.27 99.54C1713 P-LOC SCREW 3.5MM LP CRT 12MM 104.07 72.85 49.95 85.34C1713 P-LOC SCREW 3.5MM LP CRT 10MM 104.07 72.85 49.95 85.34C1713 P-LOC SCREW 3.5MM CRT LCK 80MM 515.45 360.82 247.42 422.67C1713 P-LOC SCREW 3.5MM CRT LCK 75MM 515.45 360.82 247.42 422.67C1713 P-LOC SCREW 3.5MM CRT LCK 70MM 515.45 360.82 247.42 422.67C1713 P-LOC SCREW 3.5MM CRT LCK 65MM 393.45 275.42 188.86 322.63C1713 P-LOC SCREW 3.5MM CRT LCK 60MM 393.45 275.42 188.86 322.63C1713 P-LOC SCREW 3.5MM CRT LCK 50MM 614.88 430.42 295.14 504.2C1713 P-LOC SCREW 3.5MM CRT LCK 36MM 570.96 399.67 274.06 468.19C1713 P-LOC SCREW 3.5MM CRT LCK 34MM 674.36 472.05 323.69 552.98C1713 P-LOC SCREW 3.5MM CRT LCK 30MM 479.77 335.84 230.29 393.41C1713 P-LOC SCREW 3.5MM CRT LCK 28MM 479.77 335.84 230.29 393.41C1713 P-LOC SCREW 3.5MM CRT LCK 26MM 479.77 335.84 230.29 393.41C1713 P-LOC SCREW 3.5MM CRT LCK 24MM 479.77 335.84 230.29 393.41C1713 P-LOC SCREW 3.5MM CRT LCK 18MM 479.77 335.84 230.29 393.41C1713 P-LOC SCREW 3.5MM CRT LCK 14MM 619.27 433.49 297.25 507.8C1713 P-LOC SCREW 3.5MM CRT LCK 12MM 674.36 472.05 323.69 552.98C1713 P-LOC SCREW 3.5MM CRT LCK 10MM 479.77 335.84 230.29 393.41C1713 P-LOC SCREW 3.5 X34MM LOCKING 1,504.02 1,052.81 721.93 1,233.30C1713 P-LOC SCREW 3.5 X34MM LOCKING 1,504.02 1,052.81 721.93 1,233.30C1713 P-LOC SCREW 3.5 X 60MM LOCKING 682.53 477.77 327.61 559.67C1713 P-LOC SCREW 3.5 X 60MM 155.49 108.84 74.64 127.5C1713 P-LOC SCREW 3.5 X 55MM LOCKING 923.66 646.56 443.36 757.4C1713 P-LOC SCREW 3.5 X 55MM LOCKING 923.66 646.56 443.36 757.4C1713 P-LOC SCREW 3.5 X 55MM 169.58 118.71 81.4 139.06C1713 P-LOC SCREW 3.5 X 50MM LOCKING 1,136.19 795.33 545.37 931.68C1713 P-LOC SCREW 3.5 X 50MM LOCKING 1,136.19 795.33 545.37 931.68C1713 P-LOC SCREW 3.5 X 50MM 155.49 108.84 74.64 127.5C1713 P-LOC SCREW 3.5 X 48MM LOCKING 1,136.19 795.33 545.37 931.68C1713 P-LOC SCREW 3.5 X 48MM LOCKING 1,136.19 795.33 545.37 931.68C1713 P-LOC SCREW 3.5 X 48MM 169.58 118.71 81.4 139.06

C1713 P-LOC SCREW 3.5 X 46MM LOCKING 1,307.84 915.49 627.76 1,072.43C1713 P-LOC SCREW 3.5 X 46MM LOCKING 1,307.84 915.49 627.76 1,072.43C1713 P-LOC SCREW 3.5 X 46MM 251.38 175.97 120.66 206.13C1713 P-LOC SCREW 3.5 X 46MM 251.38 175.97 120.66 206.13C1713 P-LOC SCREW 3.5 X 44MM LOCKING 1,136.19 795.33 545.37 931.68C1713 P-LOC SCREW 3.5 X 44MM LOCKING 1,136.19 795.33 545.37 931.68C1713 P-LOC SCREW 3.5 X 44MM 288.96 202.27 138.7 236.95C1713 P-LOC SCREW 3.5 X 44MM 288.96 202.27 138.7 236.95C1713 P-LOC SCREW 3.5 X 42MM LOCKING 1,033.34 723.34 496 847.34C1713 P-LOC SCREW 3.5 X 42MM LOCKING 1,033.34 723.34 496 847.34C1713 P-LOC SCREW 3.5 X 42MM 145.30 101.71 69.74 119.15C1713 P-LOC SCREW 3.5 X 42MM 145.30 101.71 69.74 119.15C1713 P-LOC SCREW 3.5 X 40MM LOCKING 1,307.84 915.49 627.76 1,072.43C1713 P-LOC SCREW 3.5 X 40MM LOCKING 1,307.84 915.49 627.76 1,072.43C1713 P-LOC SCREW 3.5 X 40MM 218.44 152.91 104.85 179.12C1713 P-LOC SCREW 3.5 X 40MM 218.44 152.91 104.85 179.12C1713 P-LOC SCREW 3.5 X 38MM LOCKING 1,639.38 1,147.57 786.9 1,344.29C1713 P-LOC SCREW 3.5 X 38MM LOCKING 1,639.38 1,147.57 786.9 1,344.29C1713 P-LOC SCREW 3.5 X 38MM 251.38 175.97 120.66 206.13C1713 P-LOC SCREW 3.5 X 38MM 251.38 175.97 120.66 206.13C1713 P-LOC SCREW 3.5 X 36MM LOCKING 1,307.84 915.49 627.76 1,072.43C1713 P-LOC SCREW 3.5 X 36MM LOCKING 1,307.84 915.49 627.76 1,072.43C1713 P-LOC SCREW 3.5 X 36MM 288.96 202.27 138.7 236.95C1713 P-LOC SCREW 3.5 X 36MM 288.96 202.27 138.7 236.95C1713 P-LOC SCREW 3.5 X 34MM 314.94 220.46 151.17 258.25C1713 P-LOC SCREW 3.5 X 34MM 314.94 220.46 151.17 258.25C1713 P-LOC SCREW 3.5 X 32MM LOCKING 1,504.02 1,052.81 721.93 1,233.30C1713 P-LOC SCREW 3.5 X 32MM LOCKING 1,504.02 1,052.81 721.93 1,233.30C1713 P-LOC SCREW 3.5 X 32MM 288.96 202.27 138.7 236.95C1713 P-LOC SCREW 3.5 X 32MM 288.96 202.27 138.7 236.95C1713 P-LOC SCREW 3.5 X 30MM LOCKING 1,504.02 1,052.81 721.93 1,233.30C1713 P-LOC SCREW 3.5 X 30MM LOCKING 1,504.02 1,052.81 721.93 1,233.30C1713 P-LOC SCREW 3.5 X 30MM 314.94 220.46 151.17 258.25C1713 P-LOC SCREW 3.5 X 30MM 314.94 220.46 151.17 258.25C1713 P-LOC SCREW 3.5 X 28MM LOCKING 1,307.84 915.49 627.76 1,072.43C1713 P-LOC SCREW 3.5 X 28MM LOCKING 1,307.84 915.49 627.76 1,072.43C1713 P-LOC SCREW 3.5 X 28MM 314.94 220.46 151.17 258.25C1713 P-LOC SCREW 3.5 X 28MM 314.94 220.46 151.17 258.25C1713 P-LOC SCREW 3.5 X 26MM LOCKING 1,136.19 795.33 545.37 931.68C1713 P-LOC SCREW 3.5 X 26MM LOCKING 1,136.19 795.33 545.37 931.68C1713 P-LOC SCREW 3.5 X 26MM 314.94 220.46 151.17 258.25C1713 P-LOC SCREW 3.5 X 26MM 314.94 220.46 151.17 258.25C1713 P-LOC SCREW 3.5 X 24MM LOCKING 1,136.19 795.33 545.37 931.68C1713 P-LOC SCREW 3.5 X 24MM LOCKING 1,136.19 795.33 545.37 931.68C1713 P-LOC SCREW 3.5 X 24MM 314.94 220.46 151.17 258.25C1713 P-LOC SCREW 3.5 X 24MM 314.94 220.46 151.17 258.25C1713 P-LOC SCREW 3.5 X 22MM LOCKING 1,136.19 795.33 545.37 931.68C1713 P-LOC SCREW 3.5 X 22MM LOCKING 1,136.19 795.33 545.37 931.68C1713 P-LOC SCREW 3.5 X 22MM 288.96 202.27 138.7 236.95C1713 P-LOC SCREW 3.5 X 22MM 288.96 202.27 138.7 236.95C1713 P-LOC SCREW 3.5 X 20MM LOCKING 1,639.38 1,147.57 786.9 1,344.29C1713 P-LOC SCREW 3.5 X 20MM LOCKING 1,639.38 1,147.57 786.9 1,344.29C1713 P-LOC SCREW 3.5 X 20MM 314.94 220.46 151.17 258.25C1713 P-LOC SCREW 3.5 X 20MM 314.94 220.46 151.17 258.25C1713 P-LOC SCREW 3.5 X 18MM LOCKING 1,639.38 1,147.57 786.9 1,344.29C1713 P-LOC SCREW 3.5 X 18MM LOCKING 1,639.38 1,147.57 786.9 1,344.29C1713 P-LOC SCREW 3.5 X 16MM LOCKING 1,639.38 1,147.57 786.9 1,344.29C1713 P-LOC SCREW 3.5 X 16MM LOCKING 1,639.38 1,147.57 786.9 1,344.29C1713 P-LOC SCREW 3.5 X 16MM 251.38 175.97 120.66 206.13C1713 P-LOC SCREW 3.5 X 16MM 251.38 175.97 120.66 206.13C1713 P-LOC SCREW 3.5 X 14MM LOCKING 1,504.02 1,052.81 721.93 1,233.30C1713 P-LOC SCREW 3.5 X 14MM LOCKING 1,504.02 1,052.81 721.93 1,233.30C1713 P-LOC SCREW 3.5 X 14MM 288.96 202.27 138.7 236.95C1713 P-LOC SCREW 3.5 X 14MM 288.96 202.27 138.7 236.95C1713 P-LOC SCREW 3.5 X 12MM LOCKING 1,504.02 1,052.81 721.93 1,233.30C1713 P-LOC SCREW 3.5 X 12MM LOCKING 1,504.02 1,052.81 721.93 1,233.30C1713 P-LOC SCREW 3.5 X 12MM 288.96 202.27 138.7 236.95C1713 P-LOC SCREW 3.5 X 12MM 288.96 202.27 138.7 236.95C1713 P-LOC SCREW 3.5 X 10MM LOCKING 1,639.38 1,147.57 786.9 1,344.29C1713 P-LOC SCREW 3.5 X 10MM LOCKING 1,639.38 1,147.57 786.9 1,344.29C1713 P-LOC SCREW 3.5 X 10MM 218.44 152.91 104.85 179.12C1713 P-LOC SCREW 3.5 X 10MM 218.44 152.91 104.85 179.12

C1713 P-LOC SCREW 2.7MM S-T CRT 70MM 142.74 99.92 68.52 117.05C1713 P-LOC SCREW 2.7MM S-T CRT 65MM 142.74 99.92 68.52 117.05C1713 P-LOC SCREW 2.7MM S-T CRT 60MM 142.74 99.92 68.52 117.05C1713 P-LOC SCREW 2.7MM S-T CRT 55MM 87.23 61.06 41.87 71.53C1713 P-LOC SCREW 2.7MM S-T CRT 50MM 87.23 61.06 41.87 71.53C1713 P-LOC SCREW 2.7MM S-T CRT 45MM 87.23 61.06 41.87 71.53C1713 P-LOC SCREW 2.7MM S-T CRT 44MM 155.92 109.14 74.84 127.85C1713 P-LOC SCREW 2.7MM S-T CRT 40MM 104.07 72.85 49.95 85.34C1713 P-LOC SCREW 2.7MM S-T CRT 38MM 87.23 61.06 41.87 71.53C1713 P-LOC SCREW 2.7MM S-T CRT 38MM 87.23 61.06 41.87 71.53C1713 P-LOC SCREW 2.7MM S-T CRT 36MM 182.57 127.8 87.63 149.71C1713 P-LOC SCREW 2.7MM S-T CRT 36MM 182.57 127.8 87.63 149.71C1713 P-LOC SCREW 2.7MM S-T CRT 34MM 87.23 61.06 41.87 71.53C1713 P-LOC SCREW 2.7MM S-T CRT 32MM 87.23 61.06 41.87 71.53C1713 P-LOC SCREW 2.7MM S-T CRT 30MM 104.07 72.85 49.95 85.34C1713 P-LOC SCREW 2.7MM S-T CRT 28MM 87.23 61.06 41.87 71.53C1713 P-LOC SCREW 2.7MM S-T CRT 26MM 87.23 61.06 41.87 71.53C1713 P-LOC SCREW 2.7MM S-T CRT 24MM 104.07 72.85 49.95 85.34C1713 P-LOC SCREW 2.7MM S-T CRT 22MM 87.23 61.06 41.87 71.53C1713 P-LOC SCREW 2.7MM S-T CRT 20MM 200.87 140.61 96.42 164.71C1713 P-LOC SCREW 2.7MM S-T CRT 20MM 200.87 140.61 96.42 164.71C1713 P-LOC SCREW 2.7MM S-T CRT 18MM 104.07 72.85 49.95 85.34C1713 P-LOC SCREW 2.7MM S-T CRT 16MM 200.87 140.61 96.42 164.71C1713 P-LOC SCREW 2.7MM S-T CRT 16MM 200.87 140.61 96.42 164.71C1713 P-LOC SCREW 2.7MM S-T CRT 16MM 200.87 140.61 96.42 164.71C1713 P-LOC SCREW 2.7MM S-T CRT 14MM 200.87 140.61 96.42 164.71C1713 P-LOC SCREW 2.7MM S-T CRT 14MM 200.87 140.61 96.42 164.71C1713 P-LOC SCREW 2.7MM S-T CRT 14MM 200.87 140.61 96.42 164.71C1713 P-LOC SCREW 2.7MM S-T CRT 12MM 182.57 127.8 87.63 149.71C1713 P-LOC SCREW 2.7MM S-T CRT 12MM 182.57 127.8 87.63 149.71C1713 P-LOC SCREW 2.7MM S-T CRT 12MM 182.57 127.8 87.63 149.71C1713 P-LOC SCREW 2.7 X 60MM 429.14 300.4 205.99 351.89C1713 P-LOC SCREW 2.7 X 55MM 218.44 152.91 104.85 179.12C1713 P-LOC SCREW 2.7 X 55MM 218.44 152.91 104.85 179.12C1713 P-LOC SCREW 2.7 X 50MM 218.44 152.91 104.85 179.12C1713 P-LOC SCREW 2.7 X 50MM 218.44 152.91 104.85 179.12C1713 P-LOC SCREW 2.7 X 48MM 178.18 124.73 85.53 146.11C1713 PLOC SCREW 2.7 X 48 1,119.84 783.89 537.52 918.27C1713 P-LOC SCREW 2.7 X 46MM 190.08 133.06 91.24 155.87C1713 P-LOC SCREW 2.7 X 40MM 251.38 175.97 120.66 206.13C1713 P-LOC SCREW 2.7 X 40MM 251.38 175.97 120.66 206.13C1713 P-LOC SCREW 2.7 X 38MM 132.00 92.4 63.36 108.24C1713 P-LOC SCREW 2.7 X 36MM 198.56 138.99 95.31 162.82C1713 P-LOC SCREW 2.7 X 36MM 198.56 138.99 95.31 162.82C1713 P-LOC SCREW 2.7 X 34MM 132.00 92.4 63.36 108.24C1713 P-LOC SCREW 2.7 X 32MM 251.38 175.97 120.66 206.13C1713 P-LOC SCREW 2.7 X 32MM 251.38 175.97 120.66 206.13C1713 P-LOC SCREW 2.7 X 30MM 190.08 133.06 91.24 155.87C1713 P-LOC SCREW 2.7 X 28MM 132.00 92.4 63.36 108.24C1713 P-LOC SCREW 2.7 X 28MM 132.00 92.4 63.36 108.24C1713 P-LOC SCREW 2.7 X 26MM 190.08 133.06 91.24 155.87C1713 P-LOC SCREW 2.7 X 26MM 190.08 133.06 91.24 155.87C1713 P-LOC SCREW 2.7 X 24MM 251.38 175.97 120.66 206.13C1713 P-LOC SCREW 2.7 X 24MM 251.38 175.97 120.66 206.13C1713 P-LOC SCREW 2.7 X 22MM 251.38 175.97 120.66 206.13C1713 P-LOC SCREW 2.7 X 22MM 251.38 175.97 120.66 206.13C1713 P-LOC SCREW 2.7 X 20MM 251.38 175.97 120.66 206.13C1713 P-LOC SCREW 2.7 X 20MM 251.38 175.97 120.66 206.13C1713 P-LOC SCREW 2.7 X 18MM 218.44 152.91 104.85 179.12C1713 P-LOC SCREW 2.7 X 18MM 218.44 152.91 104.85 179.12C1713 P-LOC SCREW 2.7 X 16MM 218.44 152.91 104.85 179.12C1713 P-LOC SCREW 2.7 X 16MM 218.44 152.91 104.85 179.12C1713 P-LOC SCREW 2.7 X 14MM 218.44 152.91 104.85 179.12C1713 P-LOC SCREW 2.7 X 14MM 218.44 152.91 104.85 179.12C1713 P-LOC SCREW 2.7 X 12MM 190.08 133.06 91.24 155.87C1713 P-LOC PLATE 3.5MM COM 8H 125MM 2,877.25 2,014.08 1,381.08 2,359.35C1713 P-LOC PLATE 3.5MM COM 8H 125MM 2,877.25 2,014.08 1,381.08 2,359.35C1713 P-LOC PLATE 3.5MM COM 8H 124MM 626.47 438.53 300.71 513.71C1713 P-LOC PLATE 3.5MM COM 7H 111MM 2,885.42 2,019.79 1,385.00 2,366.04C1713 P-LOC PLATE 3.5MM COM 7H 111MM 2,885.42 2,019.79 1,385.00 2,366.04C1713 P-LOC PLATE 3.5MM COM 7H 106MM 1,226.10 858.27 588.53 1,005.40C1713 P-LOC PLATE 3.5MM COM 6H 93MM 1,310.89 917.62 629.23 1,074.93

C1713 P-LOC PLATE 3.5MM COM 6H 93MM 1,310.89 917.62 629.23 1,074.93C1713 P-LOC PLATE 3.5MM COM 5H 80MM 535.28 374.7 256.93 438.93C1713 P-LOC PLATE 3.5MM COM 4H 72MM 507.52 355.26 243.61 416.17C1713 P-LOC PLATE 3.5MM COM 3H 54MM 499.59 349.71 239.8 409.66C1713 P-LOC PLATE 3.5MM COM 10H 154M 3,514.82 2,460.37 1,687.11 2,882.15C1713 P-LOC PLATE 3.5MM COM 10H 154M 3,514.82 2,460.37 1,687.11 2,882.15C1713 P-LOC PIN 2.7MM PF 40MM 891.00 623.7 427.68 730.62C1713 P-LOC PIN 2.7MM PF 40MM 891.00 623.7 427.68 730.62C1713 P-LOC PIN 2.7MM PF 18MM 1,671.58 1,170.11 802.36 1,370.70C1713 P-LOC PIN 2.7MM PF 18MM 1,671.58 1,170.11 802.36 1,370.70C1713 P-LOC LG4.5MM LP S-T CRTX 14MM 104.07 72.85 49.95 85.34C1713 P-LOC LG 4.5MM LP S-T CRTX 95M 162.57 113.8 78.03 133.31C1713 P-LOC LG 4.5MM LP S-T CRTX 90M 162.57 113.8 78.03 133.31C1713 P-LOC LG 4.5MM LP S-T CRTX 85M 291.58 204.11 139.96 239.1C1713 P-LOC LG 4.5MM LP S-T CRTX 80M 375.58 262.91 180.28 307.98C1713 P-LOC LG 4.5MM LP S-T CRTX 80M 375.58 262.91 180.28 307.98C1713 P-LOC LG 4.5MM LP S-T CRTX 78M 539.06 377.34 258.75 442.03C1713 P-LOC LG 4.5MM LP S-T CRTX 78M 539.06 377.34 258.75 442.03C1713 P-LOC LG 4.5MM LP S-T CRTX 76M 494.53 346.17 237.37 405.51C1713 P-LOC LG 4.5MM LP S-T CRTX 74M 306.10 214.27 146.93 251C1713 P-LOC LG 4.5MM LP S-T CRTX 72M 539.06 377.34 258.75 442.03C1713 P-LOC LG 4.5MM LP S-T CRTX 70M 265.84 186.09 127.6 217.99C1713 P-LOC LG 4.5MM LP S-T CRTX 68M 289.75 202.83 139.08 237.6C1713 P-LOC LG 4.5MM LP S-T CRTX 66M 231.13 161.79 110.94 189.53C1713 P-LOC LG 4.5MM LP S-T CRTX 64M 231.13 161.79 110.94 189.53C1713 P-LOC LG 4.5MM LP S-T CRTX 62M 265.84 186.09 127.6 217.99C1713 P-LOC LG 4.5MM LP S-T CRTX 60M 200.87 140.61 96.42 164.71C1713 P-LOC LG 4.5MM LP S-T CRTX 58M 87.23 61.06 41.87 71.53C1713 P-LOC LG 4.5MM LP S-T CRTX 56M 289.75 202.83 139.08 237.6C1713 P-LOC LG 4.5MM LP S-T CRTX 54M 265.84 186.09 127.6 217.99C1713 P-LOC LG 4.5MM LP S-T CRTX 52M 87.23 61.06 41.87 71.53C1713 P-LOC LG 4.5MM LP S-T CRTX 50M 289.75 202.83 139.08 237.6C1713 P-LOC LG 4.5MM LP S-T CRTX 48M 289.75 202.83 139.08 237.6C1713 P-LOC LG 4.5MM LP S-T CRTX 48M 289.75 202.83 139.08 237.6C1713 P-LOC LG 4.5MM LP S-T CRTX 46M 265.84 186.09 127.6 217.99C1713 P-LOC LG 4.5MM LP S-T CRTX 44M 289.75 202.83 139.08 237.6C1713 P-LOC LG 4.5MM LP S-T CRTX 42M 121.39 84.97 58.27 99.54C1713 P-LOC LG 4.5MM LP S-T CRTX 40M 289.75 202.83 139.08 237.6C1713 P-LOC LG 4.5MM LP S-T CRTX 36M 289.75 202.83 139.08 237.6C1713 P-LOC LG 4.5MM LP S-T CRTX 32M 289.75 202.83 139.08 237.6C1713 P-LOC LG 4.5MM LP S-T CRTX 30M 289.75 202.83 139.08 237.6C1713 P-LOC LG 4.5MM LP S-T CRTX 28M 289.75 202.83 139.08 237.6C1713 P-LOC LG 4.5MM LP S-T CRTX 24M 231.13 161.79 110.94 189.53C1713 P-LOC LG 4.5MM LP S-T CRTX 22M 289.75 202.83 139.08 237.6C1713 P-LOC LG 4.5MM LP S-T CRTX 20M 231.13 161.79 110.94 189.53C1713 P-LOC LG 4.5MM LP S-T CRTX 18M 174.70 122.29 83.86 143.25C1713 P-LOC LG 4.5MM LP S-T CRTX 16M 174.70 122.29 83.86 143.25C1713 P-LOC LG 4.5MM LP S=T CTRX 34M 289.75 202.83 139.08 237.6C1713 P-LOC LG 3.5MM 8 123MM ALD PLT 13,323.62 9,326.53 6,395.34 10,925.37C1713 P-LOC LG 3.5MM 6 98MM ALD PLT 24,702.01 17,291.41 11,856.96 20,255.65C1713 P-LOC LG 3.5MM 13 186MM ALD PL 7,466.40 5,226.48 3,583.87 6,122.45C1713 P-LOC LG 3.5MM 10 148MM ALD PL 13,507.54 9,455.28 6,483.62 11,076.18C1713 P-LOC K-WIRE 1.6MMX150MM TRO 427.67 299.37 205.28 350.69C1713 P-LOC K-WIRE 1.6MMX150MM TRO 427.67 299.37 205.28 350.69C1713 P-LOC K-WIRE 1.6MMX150MM TRO 427.67 299.37 205.28 350.69C1713 P-LOC 7.0MM OD WASHER 290.18 203.13 139.29 237.95C1713 P-LOC 7.0MM OD WASHER 290.18 203.13 139.29 237.95C1713 PLOC 6.5MM T25 CANC SCREW 80MM 270.96 189.67 130.06 222.19C1713 PLOC 6.5MM T25 CANC SCREW 75MM 270.96 189.67 130.06 222.19C1713 PLOC 6.5MM T25 CANC SCREW 65MM 270.96 189.67 130.06 222.19C1713 P-LOC 5.7MM CANN LOCK 80MM 3,381.23 2,366.86 1,622.99 2,772.61C1713 P-LOC 5.7MM CANN LOCK 80MM 3,381.23 2,366.86 1,622.99 2,772.61C1713 P-LOC 5.7MM CANN LOCK 75MM 3,381.23 2,366.86 1,622.99 2,772.61C1713 P-LOC 5.7MM CANN LOCK 75MM 3,381.23 2,366.86 1,622.99 2,772.61C1713 P-LOC 5.7MM CANN LOCK 70MM 3,381.23 2,366.86 1,622.99 2,772.61C1713 P-LOC 5.7MM CANN LOCK 70MM 3,381.23 2,366.86 1,622.99 2,772.61C1713 P-LOC 5.7MM CANN LOCK 65MM 3,381.23 2,366.86 1,622.99 2,772.61C1713 P-LOC 5.7MM CANN LOCK 65MM 3,381.23 2,366.86 1,622.99 2,772.61C1713 P-LOC 5.7MM CANN LOCK 45MM 3,381.23 2,366.86 1,622.99 2,772.61C1713 P-LOC 5.7MM CANN LOCK 45MM 3,381.23 2,366.86 1,622.99 2,772.61C1713 P-LOC 5.7MM CANN LOCK 35MM 2,135.00 1,494.50 1,024.80 1,750.70C1713 P-LOC 5.7MM CANN LOCK 35MM 2,135.00 1,494.50 1,024.80 1,750.70

C1713 P-LOC 5.7MM CANN LOCK 30MM 2,697.42 1,888.19 1,294.76 2,211.88C1713 P-LOC 5.7MM CANN LOCK 30MM 2,697.42 1,888.19 1,294.76 2,211.88C1713 P-LOC 5.0MMX70MM OSTE SCREW 633.49 443.44 304.08 519.46C1713 P-LOC 5.0MMX60MM OSTE SCREW 555.83 389.08 266.8 455.78C1713 P-LOC 5.0MMX50MM OSTE SCREW 396.44 277.51 190.29 325.08C1713 P-LOC 5.0MMX40MM OSTE SCREW 396.44 277.51 190.29 325.08C1713 P-LOC 5.0MMX30MM OSTE SCREW 396.44 277.51 190.29 325.08C1713 PLOC 4.5MM T25 LOCK SCREW 40MM 1,212.68 848.88 582.09 994.4C1713 PLOC 4.5MM T25 CRTX SCREW 38MM 178.18 124.73 85.53 146.11C1713 PLOC 4.5MM T25 CRTX SCREW 36MM 178.18 124.73 85.53 146.11C1713 PLOC 4.5MM T25 CRTX SCREW 34MM 198.56 138.99 95.31 162.82C1713 P-LOC 4.5MM S-T CRTX LOCK 95MM 821.49 575.04 394.32 673.62C1713 P-LOC 4.5MM S-T CRTX LOCK 90MM 1,373.23 961.26 659.15 1,126.05C1713 P-LOC 4.5MM S-T CRTX LOCK 90MM 1,373.23 961.26 659.15 1,126.05C1713 P-LOC 4.5MM S-T CRTX LOCK 85MM 1,924.49 1,347.14 923.76 1,578.08C1713 P-LOC 4.5MM S-T CRTX LOCK 85MM 1,924.49 1,347.14 923.76 1,578.08C1713 P-LOC 4.5MM S-T CRTX LOCK 78MM 1,924.49 1,347.14 923.76 1,578.08C1713 P-LOC 4.5MM S-T CRTX LOCK 76MM 1,924.49 1,347.14 923.76 1,578.08C1713 P-LOC 4.5MM S-T CRTX LOCK 74MM 1,924.49 1,347.14 923.76 1,578.08C1713 P-LOC 4.5MM S-T CRTX LOCK 72MM 1,924.49 1,347.14 923.76 1,578.08C1713 P-LOC 4.5MM S-T CRTX LOCK 70MM 1,924.49 1,347.14 923.76 1,578.08C1713 P-LOC 4.5MM S-T CRTX LOCK 70MM 1,924.49 1,347.14 923.76 1,578.08C1713 P-LOC 4.5MM S-T CRTX LOCK 68MM 1,532.63 1,072.84 735.66 1,256.76C1713 P-LOC 4.5MM S-T CRTX LOCK 66MM 1,924.49 1,347.14 923.76 1,578.08C1713 P-LOC 4.5MM S-T CRTX LOCK 64MM 1,924.49 1,347.14 923.76 1,578.08C1713 P-LOC 4.5MM S-T CRTX LOCK 62MM 1,924.49 1,347.14 923.76 1,578.08C1713 P-LOC 4.5MM S-T CRTX LOCK 60MM 1,924.49 1,347.14 923.76 1,578.08C1713 P-LOC 4.5MM S-T CRTX LOCK 58MM 1,924.49 1,347.14 923.76 1,578.08C1713 P-LOC 4.5MM S-T CRTX LOCK 56MM 1,078.97 755.28 517.91 884.76C1713 P-LOC 4.5MM S-T CRTX LOCK 54MM 1,924.49 1,347.14 923.76 1,578.08C1713 P-LOC 4.5MM S-T CRTX LOCK 52MM 1,532.63 1,072.84 735.66 1,256.76C1713 P-LOC 4.5MM S-T CRTX LOCK 50MM 1,924.49 1,347.14 923.76 1,578.08C1713 P-LOC 4.5MM S-T CRTX LOCK 48MM 1,924.49 1,347.14 923.76 1,578.08C1713 P-LOC 4.5MM S-T CRTX LOCK 46MM 1,924.49 1,347.14 923.76 1,578.08C1713 P-LOC 4.5MM S-T CRTX LOCK 44MM 1,765.58 1,235.91 847.48 1,447.78C1713 P-LOC 4.5MM S-T CRTX LOCK 42MM 1,532.63 1,072.84 735.66 1,256.76C1713 P-LOC 4.5MM S-T CRTX LOCK 40MM 1,924.49 1,347.14 923.76 1,578.08C1713 P-LOC 4.5MM S-T CRTX LOCK 38MM 1,765.58 1,235.91 847.48 1,447.78C1713 P-LOC 4.5MM S-T CRTX LOCK 36MM 1,924.49 1,347.14 923.76 1,578.08C1713 P-LOC 4.5MM S-T CRTX LOCK 34MM 1,532.63 1,072.84 735.66 1,256.76C1713 P-LOC 4.5MM S-T CRTX LOCK 34MM 1,532.63 1,072.84 735.66 1,256.76C1713 P-LOC 4.5MM S-T CRTX LOCK 32MM 1,532.63 1,072.84 735.66 1,256.76C1713 P-LOC 4.5MM S-T CRTX LOCK 30MM 1,924.49 1,347.14 923.76 1,578.08C1713 P-LOC 4.5MM S-T CRTX LOCK 30MM 1,924.49 1,347.14 923.76 1,578.08C1713 P-LOC 4.5MM S-T CRTX LOCK 28MM 1,924.49 1,347.14 923.76 1,578.08C1713 P-LOC 4.5MM S-T CRTX LOCK 22MM 1,204.14 842.9 577.99 987.39C1713 P-LOC 4.5MM S-T CRTX LOCK 20MM 1,025.84 718.09 492.4 841.19C1713 P-LOC 4.5MM S-T CRTX LOCK 20MM 1,025.84 718.09 492.4 841.19C1713 P-LOC 4.5MM S-T CRTX LOCK 18MM 570.96 399.67 274.06 468.19C1713 P-LOC 4.5MM S-T CRTX LOCK 16MM 1,765.58 1,235.91 847.48 1,447.78C1713 P-LOC 4.5MM S-T CRTX LOCK 14MM 940.01 658.01 451.2 770.81C1713 P-LOC 4.5MM S-T CRTX LOCK 100M 586.82 410.77 281.67 481.19C1713 P-LOC 4.5MM BL TIP LOCK 12MM 1,025.84 718.09 492.4 841.19C1713 P-LOC 4.5MM BL TIP LOCK 10MM 1,204.14 842.9 577.99 987.39C1713 P-LOC 4.5 LP TIB LK PL8H R 165 17,512.80 12,258.96 8,406.14 14,360.50C1713 P-LOC 4.5 LP TIB LK PL10H R201 22,185.03 15,529.52 10,648.81 18,191.72C1713 PLOC 4,5MM T25 CRTX SCREW 40MM 198.56 138.99 95.31 162.82C1713 P-LOC 3.5X7H TIB PLATE 9,645.32 6,751.72 4,629.75 7,909.16C1713 P-LOC 3.5X50 CRTX SCREW 151.59 106.11 72.76 124.3C1713 P-LOC 3.5X48MM LOCK SCREW S-T 994.91 696.44 477.56 815.83C1713 P-LOC 3.5X46 CRTX SCREW 224.36 157.05 107.69 183.98C1713 P-LOC 3.5X40 LCK SCREW 952.27 666.59 457.09 780.86C1713 P-LOC 3.5X38MM CRTX SCREW 159.21 111.45 76.42 130.55C1713 P-LOC 3.5X38 LCK SCREW 952.27 666.59 457.09 780.86C1713 P-LOC 3.5X36 LCK SCREW 952.27 666.59 457.09 780.86C1713 P-LOC 3.5X36 CRTX SCREW 194.96 136.47 93.58 159.87C1713 P-LOC 3.5X34 LCK SCREW 1,266.97 886.88 608.15 1,038.92C1713 P-LOC 3.5X30 CRTX SCREW 194.96 136.47 93.58 159.87C1713 P-LOC 3.5X28 CRTX SCREW 224.36 157.05 107.69 183.98C1713 P-LOC 3.5X24 CRTX SCREW 224.36 157.05 107.69 183.98C1713 P-LOC 3.5X20 CRTX SCREW 258.09 180.66 123.88 211.63C1713 P-LOC 3.5X00 CRTX SCREW 177.21 124.05 85.06 145.31

C1713 PLOC 3.5MM TIB PLATE L 5H 72MM 5,807.20 4,065.04 2,787.46 4,761.90C1713 P-LOC 3.5MM 8 171MM M-D PLATE 9,753.90 6,827.73 4,681.87 7,998.20C1713 P-LOC 3.5MM 6 146MM M-D PLATE 19,392.82 13,574.97 9,308.55 15,902.11C1713 P-LOC 3.5MM 13 235MM M-D PLATE 20,005.87 14,004.11 9,602.82 16,404.81C1713 P-LOC 3.5MM 13 186MM ALD PLATE 15,927.10 11,148.97 7,645.01 13,060.22C1713 P-LOC 3.5MM 10 196MM M-D PLATE 6,804.86 4,763.40 3,266.33 5,579.99C1713 P-LOC 3.5MM 10 148MM ALD PLATE 20,005.87 14,004.11 9,602.82 16,404.81C1713 P-LOC 3.5 X 55MM LOCK SCREW 1,266.97 886.88 608.15 1,038.92C1713 P-LOC 3.5 CRTX SCREW 18MM S-T 314.94 220.46 151.17 258.25C1713 P-LOC 3.5 CRTX SCREW 18MM S-T 314.94 220.46 151.17 258.25C1713 P-LOC 2.7X40MM SCREW 1,119.84 783.89 537.52 918.27C1713 P-LOC 2.7X32MM SCREW 911.40 637.98 437.47 747.35C1713 PLOC 2.7MM T15 LOCK SCREW 50MM 1,119.84 783.89 537.52 918.27C1713 PLOC 2.7MM T15 LOCK SCREW 42MM 911.40 637.98 437.47 747.35C1713 PLOC 2.7MM T15 LOCK SCREW 36MM 1,287.41 901.19 617.96 1,055.68C1713 PLOC 2.7MM T15 LOC SCREW 38MM 911.40 637.98 437.47 747.35C1713 P-LOC 2.7 CRTX SCREW 44MM S-T 251.38 175.97 120.66 206.13C1713 P-LOC 2.7 CRTX SCREW 44MM S-T 251.38 175.97 120.66 206.13C1713 P-LOC 2.7 CRTX SCREW 42MM S-T 132.00 92.4 63.36 108.24C1713 P-LOC 2.7 1K SCREW 22MM 1,287.41 901.19 617.96 1,055.68C1713 PLOC VLP 3.5 X 48MM SCREW ST 224.36 157.05 107.69 183.98C1713 PLD HUM LK PL 5H R 80MM 8,562.27 5,993.59 4,109.89 7,021.06C1713 P-L-D HUM LK PL 15H R 207MM 11,770.56 8,239.39 5,649.87 9,651.86C1713 PLD HUM LK PL 11H L 157MM 9,359.23 6,551.46 4,492.43 7,674.57C1713 PLATE VLP MINI-MOD 2.4MM 6 HL 5,272.23 3,690.56 2,530.67 4,323.23C1713 PLATE VLP FIB 3.5 7J 107MM RT 8,998.78 6,299.15 4,319.41 7,379.00C1713 PLATE VLP 3.5MM TIB 3H L 47MM 6,845.73 4,792.01 3,285.95 5,613.50C1713 PLATE VLP 3.5MM LD 4H L 71MM 6,457.46 4,520.22 3,099.58 5,295.12C1713 PLATE VLP 2.7 UTILITY LARGE 4,137.26 2,896.08 1,985.88 3,392.55C1713 PLATE VLP 2.7 UTILITY LARGE 4,137.26 2,896.08 1,985.88 3,392.55C1713 PLATE VLP 2.7 1.4 TUB 5 HOLE 3,326.82 2,328.77 1,596.87 2,727.99C1713 PLATE VLP 2.7 1.4 TUB 5 HOLE 3,326.82 2,328.77 1,596.87 2,727.99C1713 PLATE VLP 2.4MM 2X8 HL 4,483.50 3,138.45 2,152.08 3,676.47C1713 PLATE VLP 1/4 TUB 3 HOLD 4,000.44 2,800.31 1,920.21 3,280.36C1713 PLATE VARIAX STRAIGHT 6 HOLE 2,952.40 2,066.68 1,417.15 2,420.97C1713 PLATE TUBULAR 8 HOLE 1/3 721.63 505.14 346.38 591.74C1713 PLATE TUBULAR 7 HOLE 1/3 649.83 454.88 311.92 532.86C1713 PLATE TUBULAR 5 HOLE 1/2 723.40 506.38 347.23 593.19C1713 PLATE TUBULAR 1/3 4 HOLE 297.56 208.29 142.83 244C1713 PLATE TACK 311.10 217.77 149.33 255.1C1713 PLATE T 3X8 HL VLP MIN-MOD 2.0 7,239.11 5,067.38 3,474.77 5,936.07C1713 PLATE T 2.7MM RT 442.34 228.75 160.13 109.8 187.58C1713 PLATE SUP DIST CLAV LOC 109MM 6,763.99 4,734.79 3,246.72 5,546.47C1713 PLATE STANDARD LAPIDUS RIGHT 15,695.30 10,986.71 7,533.74 12,870.15C1713 PLATE STANDARD LAPIDUS RIGHT 15,695.30 10,986.71 7,533.74 12,870.15C1713 PLATE ST. 2.0 16 HOLE 774.70 542.29 371.86 635.25C1713 PLATE ST 1.5 20 HOLES 446.19 2,360.70 1,652.49 1,133.14 1,935.77C1713 PLATE SCAPULA MEDIAL BORDER 13 16,097.90 11,268.53 7,726.99 13,200.28C1713 PLATE SCAPULA ACROMION 7 HOLE 13,389.50 9,372.65 6,426.96 10,979.39C1713 PLATE SCALLOPED 1.5MM 8 HOLE 1,659.20 1,161.44 796.42 1,360.54C1713 PLATE RECT COMP SZ 2 32MM 4,272.68 2,990.88 2,050.89 3,503.60C1713 PLATE PROX HUMERAL 3H RT 89MM 12,853.62 8,997.53 6,169.74 10,539.97C1713 PLATE PROX HUM LK 13H L216MM 11,607.08 8,124.96 5,571.40 9,517.81C1713 PLATE POLYAXIAL NAR HEAD RT 7,470.79 5,229.55 3,585.98 6,126.05C1713 PLATE POLY DIST RAD STD LEFT 7,470.79 5,229.55 3,585.98 6,126.05C1713 PLATE POLY DIS RAD STD HEAD 2 7,470.79 5,229.55 3,585.98 6,126.05C1713 PLATE POLY DIS RAD RT LONG 3 7,918.53 5,542.97 3,800.89 6,493.19C1713 PLATE ORTHO LOCK MET STRT 4-H 3,050.00 2,135.00 1,464.00 2,501.00C1713 PLATE ORTHO LOCK MET STRT 4-H 3,050.00 2,135.00 1,464.00 2,501.00C1713 PLATE ORITARIM 1.5MM 10 HOLE 2,220.40 1,554.28 1,065.79 1,820.73C1713 PLATE OLECRANON LK 8H L 107MM 11,566.21 8,096.35 5,551.78 9,484.29C1713 PLATE OLECRANON 6HR 81MM 14,202.33 9,941.63 6,817.12 11,645.91C1713 PLATE OLECRANON 6H 8HMM 17,819.32 12,473.52 8,553.27 14,611.84C1713 PLATE NARROW 4.5 9HOLE 745.42 521.79 357.8 611.24C1713 PLATE NARROW 4.5 10 HOLE 167MM 955.57 668.9 458.67 783.57C1713 PLATE N/C FUSION SMALL 13,554.20 9,487.94 6,506.02 11,114.44C1713 PLATE N/C FUSION SMALL 13,554.20 9,487.94 6,506.02 11,114.44C1713 PLATE MULTI-FRAG 4 HOLE 4,306.60 3,014.62 2,067.17 3,531.41C1713 PLATE MINI DCP 6 HOLE 443.56 1,152.90 807.03 553.39 945.38C1713 PLATE MINI DCP 4 HOLE 443.54 1,305.40 913.78 626.59 1,070.43C1713 PLATE MED FUSION SM 15,829.50 11,080.65 7,598.16 12,980.19C1713 PLATE L 2X3 RIGHT 446.51 890.60 623.42 427.49 730.29

C1713 PLATE KAOUDYS 0MM 16,726.20 11,708.34 8,028.58 13,715.48C1713 PLATE HUM LK 15H L 207MM 15,551.04 10,885.73 7,464.50 12,751.85C1713 PLATE HUM 3.5MM 9H L 165MM 14,100.15 9,870.11 6,768.07 11,562.12C1713 PLATE EVOX 2.7/3.5MM LD HUMERU 12,473.52 8,731.46 5,987.29 10,228.29C1713 PLATE EVOS VOLAR 7H L STD 100M 12,028.04 8,419.63 5,773.46 9,862.99C1713 PLATE EVOS FIB 2.7/3.5 7H L 7,461.83 5,223.28 3,581.68 6,118.70C1713 PLATE EVOS 3.5MM TIB 5H L 78MM 9,216.19 6,451.33 4,423.77 7,557.28C1713 PLATE EVOS 3.5MM RECON 4H 44MM 3,238.67 2,267.07 1,554.56 2,655.71C1713 PLATE EVOS 3.5MM LCK 6H 70MM 2,316.54 1,621.58 1,111.94 1,899.56C1713 PLATE EVOS 3.5MM LCK 1/3 7H 82 1,514.63 1,060.24 727.02 1,242.00C1713 PLATE EVOS 3.5MM LCK 1/3 10H 1 2,689.25 1,882.48 1,290.84 2,205.19C1713 PLATE EVOS 3.5MM FIB 9H 125MM 7,149.99 5,004.99 3,432.00 5,862.99C1713 PLATE EVOS 3.5MM FIB 7H 153MM 6,749.04 4,724.33 3,239.54 5,534.21C1713 PLATE EVOS 3.5MM FIB 11H L 147 6,886.60 4,820.62 3,305.57 5,647.01C1713 PLATE EVOS 3.5MM DFIB 5H L 81M 6,392.68 4,474.88 3,068.49 5,242.00C1713 PLATE EVOS 3.5MM CVD PROX HUM 15,079.63 10,555.74 7,238.22 12,365.30C1713 PLATE EVOS 3.5MM CRVD 4H R 92M 12,963.54 9,074.48 6,222.50 10,630.10C1713 PLATE EVOS 3.5MM COMP 7H 90MM 2,321.42 1,624.99 1,114.28 1,903.56C1713 PLATE EVOS 3.5MM COMP 12H 152M 1,986.83 1,390.78 953.68 1,629.20C1713 PLATE EVOS 3.5MM COMP 10H 127M 1,773.03 1,241.12 851.05 1,453.88C1713 PLATE EVOS 3.5MM 13H R 167MM 14,529.29 10,170.50 6,974.06 11,914.02C1713 PLATE EVOS 3.5MM 1/3 TUB 8H 94 2,695.16 1,886.61 1,293.68 2,210.03C1713 PLATE EVOS 2.7MM Y-TINE 7HL SF 8,508.71 5,956.10 4,084.18 6,977.14C1713 PLATE EVOS 2.7/3.5MM HUM 6H 85 9,624.89 6,737.42 4,619.95 7,892.41C1713 PLATE EVOS 2.7/3.5MM HUM 3H 80 10,201.58 7,141.11 4,896.76 8,365.30C1713 PLATE EVOS 2.7/3.5 OLCRNN 4H82 12,339.87 8,637.91 5,923.14 10,118.69C1713 PLATE EVOS 2.7/3.5 HUM 7H R 90 11,538.03 8,076.62 5,538.25 9,461.18C1713 PLATE EVOS 2.7/3.5 FIB 5H R 81 6,949.55 4,864.69 3,335.78 5,698.63C1713 PLATE EVOS 2.7/3.5 CLAV 5H L80 6,580.07 4,606.05 3,158.43 5,395.66C1713 PLATE EVOS 2.7/3.5 4H L 82MM 11,320.99 7,924.69 5,434.08 9,283.21C1713 PLATE EVOS 2.7/3.5 2H R 61MM 10,380.98 7,266.69 4,982.87 8,512.40C1713 PLATE EVOS 2.6MM CVD PROX HUM 15,079.63 10,555.74 7,238.22 12,365.30C1713 PLATE EVOS 2.5MM RECON 6H 66MM 3,777.67 2,644.37 1,813.28 3,097.69C1713 PLATE EVOS 2.0MM STR 5 HOLE 4,761.36 3,332.95 2,285.45 3,904.32C1713 PLATE EVOS 2.0MM 8 HOLE 4,900.31 3,430.22 2,352.15 4,018.25C1713 PLATE EVIS VOLAR 3H L WIDE 48M 6,293.98 4,405.79 3,021.11 5,161.06C1713 PLATE EVANS OPENING WEDGE 8MM 12,871.00 9,009.70 6,178.08 10,554.22C1713 PLATE EVANS OPENING WEDGE 8MM 12,871.00 9,009.70 6,178.08 10,554.22C1713 PLATE DISTAL RADIUS NARROW LEF 7,470.79 5,229.55 3,585.98 6,126.05C1713 PLATE DCP 14 HOLE BROAD 1,308.45 915.92 628.06 1,072.93C1713 PLATE DCP 10 HOLE BROAD 2,779.16 1,945.41 1,334.00 2,278.91C1713 PLATE CLAV LK 8H R 97MM 7,499.65 5,249.76 3,599.83 6,149.71C1713 PLATE CERV 15MM 9,290.30 6,503.21 4,459.34 7,618.05C1713 PLATE BUTTRESS 4.5 1,352.07 946.45 648.99 1,108.70C1713 PLATE BOW II WEDGE 6MM 6,984.50 4,889.15 3,352.56 5,727.29C1713 PLATE BOW II WEDGE 6MM 6,984.50 4,889.15 3,352.56 5,727.29C1713 PLATE BOW 5MM 12,065.80 8,446.06 5,791.58 9,893.96C1713 PLATE BONE LT META-PHALANGEAL 6,764.90 4,735.43 3,247.15 5,547.22C1713 PLATE 6 HOLE SCAPULA ACROM RT 13,176.00 9,223.20 6,324.48 10,804.32C1713 PLATE 30MM 2 LEVEL CERVICAL 10,943.40 7,660.38 5,252.83 8,973.59C1713 PLATE 3.5MM PRXHUM LK 3H L 89M 17,001.92 11,901.34 8,160.92 13,941.57C1713 PLATE 3.5MM PRXHUM LK 13HL216M 17,185.84 12,030.09 8,249.20 14,092.39C1713 PLATE 3.5MM PRXHUM 13H 216MM 11,607.08 8,124.96 5,571.40 9,517.81C1713 PLATE 3.5MM LK RECON 8H 94MM 6,927.47 4,849.23 3,325.19 5,680.53C1713 PLATE 3.5MM CVD PROX HUM 147MM 13,743.18 9,620.23 6,596.73 11,269.41C1713 PLATE 3.5 PROX HUM 3 HOLE LT 12,853.62 8,997.53 6,169.74 10,539.97C1713 PLATE 3.5 3H LT 59MM 4,803.75 3,362.63 2,305.80 3,939.08C1713 PLATE 2X3 LEFT 446.50 890.60 623.42 427.49 730.29C1713 PLATE 14MM 9,290.30 6,503.21 4,459.34 7,618.05C1713 PLATE 10 HOLE SCAPULA LAT BORD 16,903.10 11,832.17 8,113.49 13,860.54C1713 PLATE 10 HOLE LAT BORDER R 16,097.90 11,268.53 7,726.99 13,200.28C1713 PLATE 1/3 TUBULAR 6 HOLE 713.09 499.16 342.28 584.73C1713 PLATE 1/3 TUBULAR 3 HOLE 254.37 178.06 122.1 208.58C1713 PLATE 1/3 TUBULAR 2 HOLE 297.56 208.29 142.83 244C1713 PLATE EVOS 3.5MM 13H L 167MM 14,529.29 10,170.50 6,974.06 11,914.02C1713 PLANTER PLATE IMPLANT SET 10,065.00 7,045.50 4,831.20 8,253.30C1713 PLANTAR PYTHON R PLATE 6,100.00 4,270.00 2,928.00 5,002.00C1713 PLANTAR PYTHON R PLATE 6,100.00 4,270.00 2,928.00 5,002.00C1713 PLANTAR PYTHON L PLATE 6,100.00 4,270.00 2,928.00 5,002.00C1713 PLA EVOS 2.7/3.5 FB 7H R 103MM 6,457.46 4,520.22 3,099.58 5,295.12C1713 P-L VLP 5.0X18MM OSTEO SCREW F 555.83 389.08 266.8 455.78C1713 PL VLP 3.5MM TUB PL 7H 86MM 2,072.11 1,450.48 994.61 1,699.13

C1713 PL VLP 3.5MM TIB LK PL 3H 74MM 7,663.13 5,364.19 3,678.30 6,283.77C1713 PL VLP 3.5MM M-D TIB 3H L 89MM 10,687.51 7,481.26 5,130.00 8,763.76C1713 P-L VLP 3.5MM LD FIB LK PL3H 5,231.36 3,661.95 2,511.05 4,289.72C1713 P-L VLP 3.5MM L-D FIB LK PL 7H 8,255.74 5,779.02 3,962.76 6,769.71C1713 PL VLP 3.5MM FIB L 131MM 7,622.26 5,335.58 3,658.68 6,250.25C1713 P-L VLP 3.5 PF FIB 5H 62MM 2,824.12 1,976.88 1,355.58 2,315.78C1713 P-L VLP 3.5 L-O FIB LK PL 9H R 8,705.31 6,093.72 4,178.55 7,138.35C1713 P-L VLP 3.5 FIB LK PL 7H R 86 5,374.41 3,762.09 2,579.72 4,407.02C1713 P-L VLP 3.5 1/3 LK TUB PL 7H 2,738.29 1,916.80 1,314.38 2,245.40C1713 P-L VLP 3.5 1/3 LK TUB PL 6H 1,951.39 1,365.97 936.67 1,600.14C1713 P-L SCREW CRTX 3.5X44 258.09 180.66 123.88 211.63C1713 P-L SCREW CRTX 3.5 X 65 129.99 90.99 62.4 106.59C1713 P-L SCREW CRTX 3.5 X 55 194.96 136.47 93.58 159.87C1713 PL EVOS 3.5MM MED CLAV 8H 87MM 6,437.03 4,505.92 3,089.77 5,278.36C1713 PL EVOS 3.5MM L-D FIB 11H 147M 6,886.60 4,820.62 3,305.57 5,647.01C1713 PL EVOS 3.5MM CVD HUM 4H L 92 11,893.17 8,325.22 5,708.72 9,752.40C1713 P-L 5.9 X 80 OSTEO SCREW 490.44 343.31 235.41 402.16C1713 P-L 5.0 X 80MM OSTEO SCREW 633.49 443.44 304.08 519.46C1713 PL 5.0 X 80 OSTEO SCREW 453.66 317.56 217.76 372C1713 PL 4.5MM BROAD 8HL 159MM 2,456.29 1,719.40 1,179.02 2,014.16C1713 PL 3.5MM 1/3 LK TUB PL 5H 62MM 1,733.62 1,213.53 832.14 1,421.57C1713 PINNC ACETABULAR LINER 32ID 5,252.10 3,676.47 2,521.01 4,306.72C1713 PIN 4MMX30MM TIN HALF 607.93 425.55 291.81 498.5C1713 PIN 4MMX30MM TIN HALF 607.93 425.55 291.81 498.5C1713 PIN 4MMX25MM TIN HALF 607.93 425.55 291.81 498.5C1713 PIN 4MMX25MM TIN HALF 607.93 425.55 291.81 498.5C1713 PF PIN 2.7X14MM 1,647.06 1,152.94 790.59 1,350.59C1713 PF PIN 2.7X14MM 1,647.06 1,152.94 790.59 1,350.59C1713 PERI-LOC VLP 3.5MM X 24MM LCK 1,266.97 886.88 608.15 1,038.92C1713 PERI-LOC VLP 3.5MM PL-D FIB 4,679.62 3,275.73 2,246.22 3,837.29C1713 PERI-LOC TIS LK SCREW 1200 1,617.11 1,131.98 776.21 1,326.03C1713 PERI-LOC T15 LK SCREW 34MM 972.71 680.9 466.9 797.62C1713 PERI-LOC SCREW 3.5 LOCKNG 14MM 1,459.06 1,021.34 700.35 1,196.43C1713 PERI-LOC SCREW 3.5 LOCKNG 14MM 1,459.06 1,021.34 700.35 1,196.43C1713 PERI-LOC SCREW 3.5 LOCKNG 12MM 1,459.06 1,021.34 700.35 1,196.43C1713 PERI-LOC LOCK SCREW 3.5X10 1,459.06 1,021.34 700.35 1,196.43C1713 PERI-LOC 5.0MMX22MM OSTEO SCRE 396.44 277.51 190.29 325.08C1713 PERI-LOC 4.5 X 64MM SCREW 198.56 138.99 95.31 162.82C1713 PERI-LOC 4.5 X 54MM SCREW 198.56 138.99 95.31 162.82C1713 PERI-LOC 4.5 X 32MM LCK SCREW 1,212.68 848.88 582.09 994.4C1713 PERI-LOC 4.5 X 30MM SCREW 198.56 138.99 95.31 162.82C1713 PERI-LOC 3.5X26MM LCK SCREW 1,266.97 886.88 608.15 1,038.92C1713 PERILOC 3.5X26 CRT SCREW 177.21 124.05 85.06 145.31C1713 PERILOC 3.5X26 CRT SCREW 177.21 124.05 85.06 145.31C1713 PERI-LOC 3.5MMX22MM LCK SCREW 1,266.97 886.88 608.15 1,038.92C1713 PERI-LOC 3.5MMX18MM LCK SCREW 1,095.32 766.72 525.75 898.16C1713 PERI-LOC 3.5MMX16MM LCK SCREW 1,459.06 1,021.34 700.35 1,196.43C1713 PERI-LOC 3.5MM X 6MM CRTX SCRE 177.21 124.05 85.06 145.31C1713 PERI-LOC 3.5MM X 32MM LK SCREW 1,266.97 886.88 608.15 1,038.92C1713 PERI-LOC 2.7X10MM LOCK SCREW 1,287.41 901.19 617.96 1,055.68C1713 PERI-LOC 2.7 T15 LK SCREW 18MM 1,617.11 1,131.98 776.21 1,326.03C1713 PERI-LOC 2.7 T15 LK SCREW 16MM 1,617.11 1,131.98 776.21 1,326.03C1713 PERI-LOC 2.7 T15 LK SCREW 14MM 1,617.11 1,131.98 776.21 1,326.03C1713 PERI LOC VLP 3.5 X 6MM SCREW 1,266.97 886.88 608.15 1,038.92C1713 PERI LOC 3.5MM X 20MM LCK SCRE 1,459.06 1,021.34 700.35 1,196.43C1713 PERI LOC 3.5MM X 20MM LCK SCRE 1,459.06 1,021.34 700.35 1,196.43C1713 PERI LOC 3.5 X 10MM CRTX SCREW 224.36 157.05 107.69 183.98C1713 PERI LOC 2.7MM T15 LK SCREW 60 1,033.34 723.34 496 847.34C1713 PERFORM REV STANDARD BASE 12,603.09 8,822.16 6,049.48 10,334.53C1713 PERFORM REV PERI SCREW 5.0X50 783.18 548.23 375.93 642.21C1713 PERFORM REV PERI SCREW 5.0X46 1,385.62 969.93 665.1 1,136.21C1713 PERFORM REV PERI SCREW 5.0X38 1,386.23 970.36 665.39 1,136.71C1713 PERFORM REV PERI SCREW 5.0X34 1,386.23 970.36 665.39 1,136.71C1713 PERFORM REV PERI SCREW 5.0X26 1,211.46 848.02 581.5 993.4C1713 PERFORM REV PERI SCREW 5.0X22 1,386.23 970.36 665.39 1,136.71C1713 PERFORM REV CENT SCREW 9.5X45 6,209.80 4,346.86 2,980.70 5,092.04C1713 PERFORM REV CENT SCREW 9.5X40 4,069.92 2,848.94 1,953.56 3,337.33C1713 PERFORM REV CENT SCREW 9.5X35 4,657.35 3,260.15 2,235.53 3,819.03C1713 PERFORM REV CENT SCREW 9.5X30 4,657.35 3,260.15 2,235.53 3,819.03C1713 PERFORM REV CENT SCREW 9.5X25 2,317.57 1,622.30 1,112.43 1,900.41C1713 PERFORM REV CENT SCREW 6.5X50 2,631.30 1,841.91 1,263.02 2,157.67C1713 PERFORM REV CENT SCREW 6.5X45 4,657.35 3,260.15 2,235.53 3,819.03

C1713 PERFORM REV CENT SCREW 6.5X40 4,657.35 3,260.15 2,235.53 3,819.03C1713 PERFORM REV CENT SCREW 6.5X35 4,657.35 3,260.15 2,235.53 3,819.03C1713 PERFORM REV CENT SCREW 6.5X30 1,819.33 1,273.53 873.28 1,491.85C1713 PERFORM REV CENT SCREW 6.5X25 4,657.35 3,260.15 2,235.53 3,819.03C1713 PERF REV PERI SCREW 5.0X30 1,386.23 970.36 665.39 1,136.71C1713 PATELLA THREE PEG 32M M 2,128.60 1,490.02 1,021.73 1,745.45C1713 P LOC VLP 5.0X16 OSTEO SCREW 633.49 443.44 304.08 519.46C1713 P LOC SCREW 4 X 50MM PT CANC 132.00 92.4 63.36 108.24C1713 P LOC SCREW 2.7MMX28MM 1,119.84 783.89 537.52 918.27C1713 P LOC 4.5MM LK HL INSRT HEX SS 940.01 658.01 451.2 770.81C1713 P LOC 3.5MM LD FIB PL 5HR83MM 5,905.72 4,134.00 2,834.75 4,842.69C1713 P LOC 3.5 X 75 LK SCREW 890.97 623.68 427.67 730.6C1713 P LOC 3.5 X 65 LK SCREW 890.97 623.68 427.67 730.6C1713 P LOC 2.7MM T15 SCREW 44MM S-T 1,119.84 783.89 537.52 918.27C1713 P L VLP 5.0 X 60 OSTEO PT SCRE 555.83 389.08 266.8 455.78C1713 P L VLP 5.0 X 55 OSTEO SCREW 555.83 389.08 266.8 455.78C1713 OXINIUM FEMORAL HD 32MM +12 6,337.90 4,436.53 3,042.19 5,197.08C1713 OSTEORAPTOR CRVD 2.3 COBRD BLK 3,344.51 2,341.16 1,605.36 2,742.50C1713 OSTEORAPTOR CRVD 2.3 COBRD BLK 3,344.51 2,341.16 1,605.36 2,742.50C1713 OSTEORAPTOR 2.3 W COBRAID BLK 1,860.50 1,302.35 893.04 1,525.61C1713 OSTEORAPTOR 2.3 W COBRAID BLK 1,860.50 1,302.35 893.04 1,525.61C1713 OSTEO CRVD 2.3 SA UB COBRD BLU 2,409.50 1,686.65 1,156.56 1,975.79C1713 ORTHOLOC MINI SCREW 2.0 X 18MM 1,564.65 1,095.26 751.03 1,283.01C1713 OLECRANON LK PL 8H R 107MM 15,305.82 10,714.07 7,346.79 12,550.77C1713 OLECRANON LK PL 4H R 56MM 8,787.05 6,150.94 4,217.78 7,205.38C1713 OLECRANON LK PL 4H L 56MM 13,017.10 9,111.97 6,248.21 10,674.02C1713 OLEC PL 4H 56MM 16,326.96 11,428.87 7,836.94 13,388.11C1713 NON LOCK SCREW 2.4 X 12 573.40 401.38 275.23 470.19C1713 NON LOCK SCREW 2.4 X 12 573.40 401.38 275.23 470.19C1713 NLK SCREW 3.5 HEX 4.75 X 30 ST 457.50 320.25 219.6 375.15C1713 NITINOL STAPLE 20X20X20 2X3MM 7,015.00 4,910.50 3,367.20 5,752.30C1713 NITINOL STAPLE 20X20X20 2MM 7,015.00 4,910.50 3,367.20 5,752.30C1713 NARROW RT LOCKING PLATE GREEN 7,817.89 5,472.52 3,752.59 6,410.67C1713 NARROW PL 7 4.5MM HL 142MM 1,483.58 1,038.51 712.12 1,216.54C1713 NAIL PANTA 13MM DIA X 180MM 16,107.50 11,275.25 7,731.60 13,208.15C1713 NAIL META RETRO FEM 13 X 32 15,060.60 10,542.42 7,229.09 12,349.69C1713 NAIL INTERTAN 13MMX20CM 125D 14,815.38 10,370.77 7,111.38 12,148.61C1713 NAIL INT 10S 10MM X 20CM 1250 16,148.77 11,304.14 7,751.41 13,241.99C1713 MUC SCREW 3.0X28MM 1,616.50 1,131.55 775.92 1,325.53C1713 MUC SCREW 3.0X28MM 1,616.50 1,131.55 775.92 1,325.53C1713 MUC SCREW 3.0MM X 32MM WRIGHT 1,616.50 1,131.55 775.92 1,325.53C1713 MUC SCREW 3.0MM X 32MM WRIGHT 1,616.50 1,131.55 775.92 1,325.53C1713 MUC SCREW 3.0 X 26 1,616.50 1,131.55 775.92 1,325.53C1713 MUC SCREW 3.0 X 26 1,616.50 1,131.55 775.92 1,325.53C1713 MUC SCREW 3.0 X 24MM 1,616.50 1,131.55 775.92 1,325.53C1713 MUC SCREW 3.0 X 24MM 1,616.50 1,131.55 775.92 1,325.53C1713 MTP SCREW 3.2X22MM 652.70 456.89 313.3 535.21C1713 MTP SCREW 3.2X22MM 652.70 456.89 313.3 535.21C1713 MTP SCREW 3.2X18 689.30 482.51 330.86 565.23C1713 MTP SCREW 3.2X18 689.30 482.51 330.86 565.23C1713 MTP SCREW 3.2X14 689.30 482.51 330.86 565.23C1713 MTP SCREW 3.2X14 689.30 482.51 330.86 565.23C1713 MTP SCREW 3.2X12MM 689.30 482.51 330.86 565.23C1713 MTP SCREW 3.2X12MM 689.30 482.51 330.86 565.23C1713 MTP SCREW 2.7X16 689.30 482.51 330.86 565.23C1713 MTP SCREW 2.7X16 689.30 482.51 330.86 565.23C1713 MTP PLATE 2.7 PRIMARY RT 6,063.40 4,244.38 2,910.43 4,971.99C1713 MTP PLATE 2.7 PRIMARY RT 6,063.40 4,244.38 2,910.43 4,971.99C1713 MTP LT PLATE 7,435.90 5,205.13 3,569.23 6,097.44C1713 MTP LT PLATE 7,435.90 5,205.13 3,569.23 6,097.44C1713 MTP HEX SCREW 3.2MM X 10MM 689.30 482.51 330.86 565.23C1713 MTP HEX SCREW 3.2MM X 10MM 689.30 482.51 330.86 565.23C1713 MTP FUSION PLATE SML RIGHT 7,435.90 5,205.13 3,569.23 6,097.44C1713 MTP FUSION PLATE SML RIGHT 7,435.90 5,205.13 3,569.23 6,097.44C1713 MTP FUSION PLATE SLIM RIGHT 7,435.90 5,205.13 3,569.23 6,097.44C1713 MTP FUSION PLATE SLIM RIGHT 7,435.90 5,205.13 3,569.23 6,097.44C1713 MINISCAL CINCH 1,738.50 1,216.95 834.48 1,425.57C1713 MINI TIGHTROPE FT TITANIUM 3,843.00 2,690.10 1,844.64 3,151.26C1713 MINI MET HEAD COCR SZ 11 17,659.50 12,361.65 8,476.56 14,480.79C1713 MINI MET HEAD COCR SZ 11 17,659.50 12,361.65 8,476.56 14,480.79C1713 MIDFOOT FUSION UPLATE SM RT 15,372.00 10,760.40 7,378.56 12,605.04C1713 MIDFOOT FUSION U PLATE SM LT 18,653.80 13,057.66 8,953.82 15,296.12

C1713 MICRO-ACUTRAK 2 BONE SCREW 28. 3,287.90 2,301.53 1,578.19 2,696.08C1713 MICRO 2.0 BONE SCREW X30MM 3,287.90 2,301.53 1,578.19 2,696.08C1713 METRO RETRO FEM NAIL 10X30 16,123.22 11,286.25 7,739.15 13,221.04C1713 META-TAN 11.5MM X 36CM RIGHT 16,661.05 11,662.74 7,997.30 13,662.06C1713 META-TAN 10MM X 42CM LEFT 12,015.78 8,411.05 5,767.57 9,852.94C1713 METANAIL TIBIAL 13X42CM 14,488.42 10,141.89 6,954.44 11,880.50C1713 META TAN 13MM X 38 CM LEFT 13,589.28 9,512.50 6,522.85 11,143.21C1713 META TAN 11.5MM X 38CM LEFT 13,589.28 9,512.50 6,522.85 11,143.21C1713 META TAN 10MM X 38CM LEFT 13,589.28 9,512.50 6,522.85 11,143.21C1713 META RETRO FEM NAIL 13 X 40 13,160.14 9,212.10 6,316.87 10,791.31C1713 META RETRO FEM NAIL 13 X 38 14,079.72 9,855.80 6,758.27 11,545.37C1713 META RETRO FEM NAIL 13 X 36 11,055.34 7,738.74 5,306.56 9,065.38C1713 META RETRO FEM NAIL 11.5X42 17,574.28 12,302.00 8,435.65 14,410.91C1713 META RETRO FEM NAIL 11.5X40 17,574.28 12,302.00 8,435.65 14,410.91C1713 META RETRO FEM NAIL 11.5X38 14,079.72 9,855.80 6,758.27 11,545.37C1713 META RETRO FEM NAIL 11.5X36 14,079.72 9,855.80 6,758.27 11,545.37C1713 META RETRO FEM NAIL 11.5X34 8,932.84 6,252.99 4,287.76 7,324.93C1713 META RETRO FEM NAIL 11.5X32 15,060.60 10,542.42 7,229.09 12,349.69C1713 META RETRO FEM NAIL 11.5X30 11,055.34 7,738.74 5,306.56 9,065.38C1713 META RETRO FEM NAIL 10X42 8,932.84 6,252.99 4,287.76 7,324.93C1713 META RETRO FEM NAIL 10X40 17,574.28 12,302.00 8,435.65 14,410.91C1713 META RETRO FEM NAIL 10X38 14,079.72 9,855.80 6,758.27 11,545.37C1713 META RETRO FEM NAIL 10X36 8,932.84 6,252.99 4,287.76 7,324.93C1713 META RETRO FEM NAIL 10X34 8,932.84 6,252.99 4,287.76 7,324.93C1713 META RETRO FEM NAIL 10X32 8,932.84 6,252.99 4,287.76 7,324.93C1713 META NAIL TIBIAL 8.5MMX38CM 17,173.39 12,021.37 8,243.23 14,082.18C1713 META NAIL TIBIAL 8.5MMX36CM 14,713.20 10,299.24 7,062.34 12,064.82C1713 META NAIL TIBIAL 8.5MMX34CM 10,054.02 7,037.81 4,825.93 8,244.30C1713 META NAIL TIBIAL 8.5MMX32CM 17,173.39 12,021.37 8,243.23 14,082.18C1713 META NAIL TIBIAL 8.5MMX30CM 15,755.39 11,028.77 7,562.59 12,919.42C1713 META NAIL TIBIAL 8.5MMX28CM 11,218.82 7,853.17 5,385.03 9,199.43C1713 META NAIL TIBIAL 8.5MMX26CM 11,218.82 7,853.17 5,385.03 9,199.43C1713 META NAIL TIBIAL 8.5MMX24CM 10,054.02 7,037.81 4,825.93 8,244.30C1713 META NAIL TIBIAL 13MM X 35CM 13,548.41 9,483.89 6,503.24 11,109.70C1713 META NAIL TIBIAL 11.5MMX40CM 15,755.39 11,028.77 7,562.59 12,919.42C1713 META NAIL TIBIAL 11.5MMX38CM 14,713.20 10,299.24 7,062.34 12,064.82C1713 META NAIL TIBIAL 11.5MMX36CM 14,713.20 10,299.24 7,062.34 12,064.82C1713 META NAIL TIBIAL 11.5MMX34CM 17,173.39 12,021.37 8,243.23 14,082.18C1713 META NAIL TIBIAL 11.5MMX32CM 14,713.20 10,299.24 7,062.34 12,064.82C1713 META NAIL TIBIAL 11.5MMX30CM 14,713.20 10,299.24 7,062.34 12,064.82C1713 META NAIL TIBIAL 10MMX40CM 8,441.79 5,909.25 4,052.06 6,922.27C1713 META NAIL TIBIAL 10MMX38CM 14,713.20 10,299.24 7,062.34 12,064.82C1713 META NAIL TIBIAL 10MMX36CM 15,755.39 11,028.77 7,562.59 12,919.42C1713 META NAIL TIBIAL 10MMX34CM 17,173.39 12,021.37 8,243.23 14,082.18C1713 META NAIL TIBIAL 10MMX32CM 17,173.39 12,021.37 8,243.23 14,082.18C1713 META NAIL TIBIAL 10MMX30CM 15,755.39 11,028.77 7,562.59 12,919.42C1713 META NAIL TIBIAL 10MMX28CM 14,713.20 10,299.24 7,062.34 12,064.82C1713 META NAIL TIB 13MM X 33 CM 13,237.00 9,265.90 6,353.76 10,854.34C1713 META NAIL CAP SET SCREW 0MM 1,577.58 1,104.31 757.24 1,293.62C1713 MENISCAL CINCH II 2,409.50 1,686.65 1,156.56 1,975.79C1713 MED DIST HUM LK PL 9H L 127MM 9,972.28 6,980.60 4,786.69 8,177.27C1713 MED DIST HUM LK PL 7H R 103MM 9,890.54 6,923.38 4,747.46 8,110.24C1713 MED DIST HUM LK PL 5HL 79MM RT 8,337.48 5,836.24 4,001.99 6,836.73C1713 MED DIST HUM LK PL 5HL 79MM LT 8,337.48 5,836.24 4,001.99 6,836.73C1713 LT NARROW LOCKING PLATE BLUE 7,588.80 5,312.16 3,642.62 6,222.82C1713 LO-PRO SCREW TM SS 3.5X14MM 213.50 149.45 102.48 175.07C1713 LO-PRO LOCK SCREW SS 2.7X12MM 640.50 448.35 307.44 525.21C1713 LOK SCREW 3.5 X 30 1,358.35 950.85 652.01 1,113.85C1713 LOK SCREW 3.5 X 28 1,358.35 950.85 652.01 1,113.85C1713 LOK SCREW 3.5 X 24 1,358.35 950.85 652.01 1,113.85C1713 LOK SCREW 3.5 X 20 1,358.35 950.85 652.01 1,113.85C1713 LOK SCREW 3.5 X 18 1,358.35 950.85 652.01 1,113.85C1713 LOK SCREW 3.5 X 14 1,358.35 950.85 652.01 1,113.85C1713 LOK SCREW 2.7 X 26 894.75 626.33 429.48 733.7C1713 LOK SCREW 2.7 X 22 894.75 626.33 429.48 733.7C1713 LOK SCREW 2.7 X 18 894.75 626.33 429.48 733.7C1713 LOCKING SCREW T8 3.0 X 18MM 1,275.14 892.6 612.07 1,045.61C1713 LOCKING SCREW T8 3.0 X 18MM 1,275.14 892.6 612.07 1,045.61C1713 LOCKING SCREW 90MM 5,727.90 4,009.53 2,749.39 4,696.88C1713 LOCKING SCREW 75MM 3,818.60 2,673.02 1,832.93 3,131.25C1713 LOCKING SCREW 3.5 X 34MM 1,720.20 1,204.14 825.7 1,410.56C1713 LOCKING SCREW 3.5 X 34MM 1,720.20 1,204.14 825.7 1,410.56

C1713 LOCKING SCREW 3.5 X 30MM 1,966.64 1,376.65 943.99 1,612.64C1713 LOCKING SCREW 3.5 X 30MM 1,966.64 1,376.65 943.99 1,612.64C1713 LOCKING SCREW 3.5 X 28MM 1,720.20 1,204.14 825.7 1,410.56C1713 LOCKING SCREW 3.5 X 28MM 1,720.20 1,204.14 825.7 1,410.56C1713 LOCKING SCREW 3.5 X 14MM 1,720.20 1,204.14 825.7 1,410.56C1713 LOCKING SCREW 3.5 X 14MM 1,720.20 1,204.14 825.7 1,410.56C1713 LOCKING PEG 26MM 620.00 434 297.6 508.4C1713 LOCKING CORTICAL SCREW 18 922.32 645.62 442.71 756.3C1713 LOCKING CORTICAL SCREW 16 948.67 664.07 455.36 777.91C1713 LOCKING CORTICAL SCREW 14 1,205.28 843.7 578.53 988.33C1713 LOCKING CORTICAL SCREW 10 1,171.80 820.26 562.46 960.88C1713 LOCKING CORTIAL SCREW 12 948.67 664.07 455.36 777.91C1713 LOCKING CORT SCREW 3.5X28.0 896.70 627.69 430.42 735.29C1713 LOCK SCREW TB 3.0 X 26MM 1,130.03 791.02 542.41 926.62C1713 LOCK SCREW TB 3.0 X 16MM 1,275.14 892.6 612.07 1,045.61C1713 LOCK SCREW TB 3.0 X 16MM 1,275.14 892.6 612.07 1,045.61C1713 LOCK PLATE MTP LT SM 6,764.90 4,735.43 3,247.15 5,547.22C1713 LOCK PLATE MTP LT SM 6,764.90 4,735.43 3,247.15 5,547.22C1713 LK SCR 3.5 HEX 4.75 X 25 457.50 320.25 219.6 375.15C1713 LK SCR 3.5 HEX 4.75 X 15 457.50 320.25 219.6 375.15C1713 LK LG HD SCREW 2.7 X 16 1,451.80 1,016.26 696.86 1,190.48C1713 LG PEC BUTTON KIT 10,065.00 7,045.50 4,831.20 8,253.30C1713 LESS METT PLATE 6-HOLE 3,728.02 2,609.61 1,789.45 3,056.98C1713 LENS ZLBOO 6.5 2,863.75 2,004.63 1,374.60 2,348.28C1713 LEGION 5 X 5 SCREW FEM L-WEDGE 7,344.40 5,141.08 3,525.31 6,022.41C1713 LEFT EXTRA LONG PLATE 7,435.90 5,205.13 3,569.23 6,097.44C1713 LEAD SENTUS PROMRI OTW QP S-85 9,375.00 6,562.50 4,500.00 7,687.50C1713 LEAD ANCHOR KIT 705.50 493.85 338.64 578.51C1713 LCK PLATE MTP FUSION RT SMALL 6,764.90 4,735.43 3,247.15 5,547.22C1713 LCK PLATE MTP FUSION RT SMALL 6,764.90 4,735.43 3,247.15 5,547.22C1713 LAT DIST HUM PL 5H R 77MM 7,479.21 5,235.45 3,590.02 6,132.95C1713 LAT DIST HUM LK PL 5H 77MM 5,374.41 3,762.09 2,579.72 4,407.02C1713 LAT DIST HUM LK PL 5H 77MM 5,374.41 3,762.09 2,579.72 4,407.02C1713 LARGE CANN PHALINX 7,076.00 4,953.20 3,396.48 5,802.32C1713 LARGE CANN PHALINX 7,076.00 4,953.20 3,396.48 5,802.32C1713 LAPIPLASTY SYTEM 2 IMPLANT 30,500.00 21,350.00 14,640.00 25,010.00C1713 LAPIPLASTY SYTEM 2 IMPLANT 30,500.00 21,350.00 14,640.00 25,010.00C1713 LAPIDUS CP PLATE/RIGHT 9,468.42 6,627.89 4,544.84 7,764.10C1713 LAPIDUS CP PLATE/RIGHT 9,468.42 6,627.89 4,544.84 7,764.10C1713 LAPIDUS CP PLATE STEP 1MM RT 9,468.42 6,627.89 4,544.84 7,764.10C1713 LAPIDUS CP PLATE LT 9,468.42 6,627.89 4,544.84 7,764.10C1713 LAG/COMP SCREW KIT 90/85 6,905.02 4,833.51 3,314.41 5,662.12C1713 LAG/COMP SCREW KIT 75/70 4,883.97 3,418.78 2,344.31 4,004.86C1713 LAG/COMP SCREW 110/105 6,905.02 4,833.51 3,314.41 5,662.12C1713 LAG/COMP SCREW 105/100 6,905.02 4,833.51 3,314.41 5,662.12C1713 LAG/COM SCREW KT 120/115 4,883.97 3,418.78 2,344.31 4,004.86C1713 LAG/COM SCREW KIT 125/120 5,380.20 3,766.14 2,582.50 4,411.76C1713 LAG/COM SCREW KIT 115/110 6,905.02 4,833.51 3,314.41 5,662.12C1713 LAG COMP SCREW KIT 85/80 6,905.02 4,833.51 3,314.41 5,662.12C1713 K-WIRES W 17MM OLIVE STOP 265.44 185.81 127.41 217.66C1713 K-WIRE DART-FIRE 9X150MM 271.25 189.88 130.2 222.43C1713 K-WIRE DART-FIRE 9X150MM 271.25 189.88 130.2 222.43C1713 K-WIRE DART-FIRE 9X150MM 271.25 189.88 130.2 222.43C1713 KWIRE 2.0 MM X 228 267.30 187.11 128.3 219.19C1713 K-WIRE .045X160MM 162.50 113.75 78 133.25C1713 KNOTLESS AC REPAIR SYSTEM 10,437.10 7,305.97 5,009.81 8,558.42C1713 KNOTLESS AC IMPLANT DEVICE 5,185.00 3,629.50 2,488.80 4,251.70C1713 KNEE FUSION FAN R 13MMX70CM 25,135.05 17,594.54 12,064.82 20,610.74C1713 KIT QFIX 1.8 MINI ANCHOR XL 832.50 582.75 399.6 682.65C1713 KIT ANCHOR QFIX 1.8 MINI DISP 1,525.00 1,067.50 732 1,250.50C1713 K WIRE TROCAR 2.0MM 150MM 38.42 26.89 18.44 31.5C1713 K WIRE 1.4MM X 100MM 83.45 58.42 40.06 68.43C1713 JRNY XR INS XLPE MED 5-6 LT 10 2,063.20 1,444.24 990.34 1,691.82C1713 JRNY XR INS XLPE LAT 5-6 LT 10 2,063.20 1,444.24 990.34 1,691.82C1713 JRNY XR BASEPLATE SZ 6 LT 7,548.20 5,283.74 3,623.14 6,189.52C1713 JRNY BCS XLPE ISRT SZ 1-2 10MM 8,990.00 6,293.00 4,315.20 7,371.80C1713 JRNY BASEPLATE SZ 3 LT 7,588.71 5,312.10 3,642.58 6,222.74C1713 JET X MINI DISTAL RADIUS KIT 22,563.72 15,794.60 10,830.59 18,502.25C1713 INTERTAN NAIL TRIGEN 11.5X18CM 11,464.04 8,024.83 5,502.74 9,400.51C1713 INTERTAN LOCKING SCREW 80MM 6,905.02 4,833.51 3,314.41 5,662.12C1713 INTERTAN LOCKING LAG 100MM 6,905.02 4,833.51 3,314.41 5,662.12C1713 INTERTAN LAG SCREW 95MM 6,905.02 4,833.51 3,314.41 5,662.12

C1713 INTERTAN LAG SCREW 11X105CM 3,927.61 2,749.33 1,885.25 3,220.64C1713 INTERTAN 13MM X 18CM 125D 16,148.77 11,304.14 7,751.41 13,241.99C1713 INTERTAN 11MMX100MM SCREW 5,546.24 3,882.37 2,662.20 4,547.92C1713 INTERTAN 11.5MMX38CM 125D LT 19,781.08 13,846.76 9,494.92 16,220.49C1713 INTERTAN 11.5MMX34CM 125D RT 17,267.58 12,087.31 8,288.44 14,159.42C1713 INTERTAN 11.5MMX32CM 13OD RT 11,341.43 7,939.00 5,443.89 9,299.97C1713 INTERTAN 11.5MM X 20CM 130D 10,912.29 7,638.60 5,237.90 8,948.08C1713 INTERTAN 11.5MM X 20CM 125D 12,935.36 9,054.75 6,208.97 10,607.00C1713 INTERTAN 11.5MM X 18CM 125D 16,148.77 11,304.14 7,751.41 13,241.99C1713 INTERTAN 10S 10MMX40CM 125D LF 17,267.58 12,087.31 8,288.44 14,159.42C1713 INTERTAN 10S 10MMX38CM 130D RT 17,267.58 12,087.31 8,288.44 14,159.42C1713 INTERTAN 10S 10MMX36CM 125D RT 17,267.58 12,087.31 8,288.44 14,159.42C1713 INTERTAN 10S 10MMX36CM 125D LF 18,473.24 12,931.27 8,867.16 15,148.06C1713 INTERTAN 10S 10MMX34CM 125D LF 18,473.24 12,931.27 8,867.16 15,148.06C1713 INTERTAN 10S 10MMX32CM 125D LT 17,267.58 12,087.31 8,288.44 14,159.42C1713 INTERTAN 10S 10MM X 18CM 130D 16,148.77 11,304.14 7,751.41 13,241.99C1713 INTERTAN 10S 10MM X 18 CM 125D 16,148.77 11,304.14 7,751.41 13,241.99C1713 INTERTAN 1.5 11.5X42CM 130D RT 15,305.82 10,714.07 7,346.79 12,550.77C1713 INTERTAN 1.5 11.5X40CM 21,561.37 15,092.96 10,349.46 17,680.32C1713 INTERTAN 1.5 11.5X40 130D RT 15,305.82 10,714.07 7,346.79 12,550.77C1713 INTERTAN 1.5 11.5X38CM 15,305.82 10,714.07 7,346.79 12,550.77C1713 INTERTAN 1.5 11.5X38 130D RT 15,305.82 10,714.07 7,346.79 12,550.77C1713 INTERTAN 1.5 11.5X36CM 130D LT 14,570.16 10,199.11 6,993.68 11,947.53C1713 INTERTAN 1.5 11.5X36 125D 19,781.08 13,846.76 9,494.92 16,220.49C1713 INTERTAN 1.5 11.5X34CN 1300 RT 15,305.82 10,714.07 7,346.79 12,550.77C1713 INTERTAN 1.5 11.5X34 130D LT 15,305.82 10,714.07 7,346.79 12,550.77C1713 INTERTAN 1.5 11.5MMX42CM 125D 21,561.37 15,092.96 10,349.46 17,680.32C1713 INTERTAN 1.5 11.5MMX40CM 125D 21,561.37 15,092.96 10,349.46 17,680.32C1713 INTERTAN 1.5 11.5MMX38CM 125D 18,473.24 12,931.27 8,867.16 15,148.06C1713 INTERTAN 1.5 11.5MMX36CM 130DR 15,305.82 10,714.07 7,346.79 12,550.77C1713 INTERTAN 1.5 11.5MMX36CM 125D 18,473.24 12,931.27 8,867.16 15,148.06C1713 INTERTAIN 10S 10MMX20CM 1300 10,912.29 7,638.60 5,237.90 8,948.08C1713 INTERNALBRACE LISFRANC REP KIT 9,119.50 6,383.65 4,377.36 7,477.99C1713 INTERNAL BRACE LIGAMENT 6,557.50 4,590.25 3,147.60 5,377.15C1713 INT 10S 10MMX32CM 125D RT 16,866.50 11,806.55 8,095.92 13,830.53C1713 INSERT TRULIANT TIB SZ4 10MM 5,292.54 3,704.78 2,540.42 4,339.88C1713 INSERT TIB XLPE SZ 5-6 9MM RML 3,455.28 2,418.70 1,658.53 2,833.33C1713 INSERT TIB FIT TRAY CEM 3.5F-T 6,540.05 4,578.04 3,139.22 5,362.84C1713 INF MED CLAV LK PL 10H 117MM 5,517.45 3,862.22 2,648.38 4,524.31C1713 IMPLSYS 2NDRY FIX BIO 4.75X19 4,422.50 3,095.75 2,122.80 3,626.45C1713 IMPLANT TIGHTROPE MPFL 12,169.50 8,518.65 5,841.36 9,978.99C1713 IMPLANT SYSTEM MPFL 9,070.70 6,349.49 4,353.94 7,437.97C1713 IMPLANT SYSTEM MPFL 9,070.70 6,349.49 4,353.94 7,437.97C1713 IMPLANT SYS MINI TIGHTROPE 1.1 5,459.50 3,821.65 2,620.56 4,476.79C1713 IMPLANT SMALL CANN 7,435.90 5,205.13 3,569.23 6,097.44C1713 IMPLANT PKG XSM TOEMATE 8,991.40 6,293.98 4,315.87 7,372.95C1713 IMPLANT PKG XSM TOEMATE 8,991.40 6,293.98 4,315.87 7,372.95C1713 IMPLANT MED CANNULATED 7,216.30 5,051.41 3,463.82 5,917.37C1713 IMPLANT ECLIPES SPEDCAP SYSTEM 15,250.00 10,675.00 7,320.00 12,505.00C1713 IMPLANT BIOINDUCTIVE WAR LG 12,200.00 8,540.00 5,856.00 10,004.00C1713 IMPL SYS MPFL ACL T-ROPE BIOCO 10,290.70 7,203.49 4,939.54 8,438.37C1713 IMPL SYS INTBRACE KNEE LIG 7,289.50 5,102.65 3,498.96 5,977.39C1713 IMPL S T-ROPE RT J W/7.0MM FLP 4,239.50 2,967.65 2,034.96 3,476.39C1713 IMP SYS TROPE BTB-J W9.5MM FLP 4,697.00 3,287.90 2,254.56 3,851.54C1713 IMP SYS TROPE BTB-J 11.0MM PLP 4,697.00 3,287.90 2,254.56 3,851.54C1713 IMP SYS BTB TIGHTROPE CUTTER 4,270.00 2,989.00 2,049.60 3,501.40C1713 IMP SYS BTB TIGHTROPE CUTTER 4,270.00 2,989.00 2,049.60 3,501.40C1713 HYPROCURE DEVICE 17,385.00 12,169.50 8,344.80 14,255.70C1713 HYPROCURE DEVICE 17,385.00 12,169.50 8,344.80 14,255.70C1713 H-PLATE SM 3,292.54 2,304.78 1,580.42 2,699.88C1713 HEXALOBE NON LK SCREW 3.5 X 12 549.00 384.3 263.52 450.18C1713 HEXALOBE LCK SCREW 3.5 X 12 1,085.80 760.06 521.18 890.36C1713 HEXALOBE LCK SCREW 3.5 X 10 1,085.80 760.06 521.18 890.36C1713 HEALICOIL SA 4.75MM BL 2,103.78 1,472.65 1,009.81 1,725.10C1713 HEALICOIL RSB SA 5.5MM W/1 UT 2,759.64 1,931.75 1,324.63 2,262.90C1713 HEALICOIL RSB SA 5.5MM W/1 UT 2,759.64 1,931.75 1,324.63 2,262.90C1713 HEALICOIL RS9 SA 4.75MM W/1 UT 2,701.69 1,891.18 1,296.81 2,215.39C1713 HEALICOIL RG SA 5.5MM 3,432.48 2,402.74 1,647.59 2,814.63C1713 HEALICOIL PK 4.5MM ULTRA TAPE 2,745.00 1,921.50 1,317.60 2,250.90C1713 HEALICOIL KNOTLESS RGNST 2,745.00 1,921.50 1,317.60 2,250.90C1713 HEALICOIL KNOTLESS PK NST 2,592.50 1,814.75 1,244.40 2,125.85C1713 HEALICOIL 5 MM W/UB2 CBR UTP 2,318.00 1,622.60 1,112.64 1,900.76

C1713 HEALICOIL 4.5MM W/ULTRA TAPE 2,745.00 1,921.50 1,317.60 2,250.90C1713 HEADLESS CANN SCREW 26MM 2,121.15 1,484.81 1,018.15 1,739.34C1713 HEADED SCREW DARTFIRE 2.5X30M 1,108.25 775.78 531.96 908.77C1713 FUSION PLATE LK R 6,764.90 4,735.43 3,247.15 5,547.22C1713 FUSION PLATE LK R 6,764.90 4,735.43 3,247.15 5,547.22C1713 FULLY THREADED LAG SCR 28MM 620.00 434 297.6 508.4C1713 FULLY THREADED LAG SCR 26MM 558.00 390.6 267.84 457.56C1713 FULLY THREADED LAG SCR 24MM 558.00 390.6 267.84 457.56C1713 FULLY THREADED LAG SCR 22MM 620.00 434 297.6 508.4C1713 FULLY THREADED LAG SCR 20MM 558.00 390.6 267.84 457.56C1713 FULLY THREADED LAG SCR 20MM 558.00 390.6 267.84 457.56C1713 FULLY THREADED LAG SCR 18MM 558.00 390.6 267.84 457.56C1713 FULLY THREADED LAG SCR 16MM 574.74 402.32 275.88 471.29C1713 FRNY II BPLATE SZ 3 RT 8,452.04 5,916.43 4,056.98 6,930.67C1713 FOOTPRINT ULTRA ARCH 4.5 2,041.98 1,429.39 980.15 1,674.42C1713 FIXSOS 4.0 X 24 MM 2,549.80 1,784.86 1,223.90 2,090.84C1713 FIBERTAK WITH SUTURE TAPE 2,165.50 1,515.85 1,039.44 1,775.71C1713 FIBERTAK WHITE TT BL/BLK 2,897.50 2,028.25 1,390.80 2,375.95C1713 FIBERTAK SUTURE ANCHOR #1 2,592.50 1,814.75 1,244.40 2,125.85C1713 FIBERTAK LBRLTAPE WH TT BL BLK 2,745.00 1,921.50 1,317.60 2,250.90C1713 FIBERTAK DR WH/BLK TT W/G/BL 2,745.00 1,921.50 1,317.60 2,250.90C1713 FIBERTAK ANCHOR 2.6 W/ DBL TAP 2,257.00 1,579.90 1,083.36 1,850.74C1713 FIBERSTITCH IMPLANT CURVED 3,019.50 2,113.65 1,449.36 2,475.99C1713 FEMORAL HEAD <4.7" FROZEN 12,361.25 8,652.88 5,933.40 10,136.23C1713 EVOS SCREW 4.7MMX60MM OST F-T 510.88 357.62 245.22 418.92C1713 EVOS SCREW 4.7MMX44MM OST F-T 510.88 357.62 245.22 418.92C1713 EVOS SCREW 3.5MMX70MM LCK S-T 1,083.06 758.14 519.87 888.11C1713 EVOS SCREW 3.5MMX60MM LCK S-T 1,180.53 826.37 566.65 968.03C1713 EVOS SCREW 3.5MMX55MM LCK S-T 1,180.53 826.37 566.65 968.03C1713 EVOS SCREW 3.5MMX50MM LCK S-T 1,180.53 826.37 566.65 968.03C1713 EVOS SCREW 3.5MMX48MM LCK S-T 1,180.53 826.37 566.65 968.03C1713 EVOS SCREW 3.5MMX46MM LCK S-T 1,180.53 826.37 566.65 968.03C1713 EVOS SCREW 3.5MMX42MM LCK S-T 1,180.53 826.37 566.65 968.03C1713 EVOS SCREW 3.5MMX40MM LCK S-T 1,180.53 826.37 566.65 968.03C1713 EVOS SCREW 3.5MMX40MM CTX S-T 226.74 158.72 108.84 185.93C1713 EVOS SCREW 3.5MMX38MM LCK S-T 1,180.53 826.37 566.65 968.03C1713 EVOS SCREW 3.5MMX38MM CTX S-T 226.74 158.72 108.84 185.93C1713 EVOS SCREW 3.5MMX36MM LCK S-T 1,180.53 826.37 566.65 968.03C1713 EVOS SCREW 3.5MMX36MM CTX S-T 226.74 158.72 108.84 185.93C1713 EVOS SCREW 3.5MMX34MM CTX S-T 226.74 158.72 108.84 185.93C1713 EVOS SCREW 3.5MMX30MM CTX S-T 226.74 158.72 108.84 185.93C1713 EVOS SCREW 3.5MMX28MM LCK S-T 1,180.53 826.37 566.65 968.03C1713 EVOS SCREW 3.5MMX28MM CTX S-T 226.74 158.72 108.84 185.93C1713 EVOS SCREW 3.5MMX26MM LCK S-T 1,180.53 826.37 566.65 968.03C1713 EVOS SCREW 3.5MMX24MM LCK S-T 1,180.53 826.37 566.65 968.03C1713 EVOS SCREW 3.5MMX22MM LCK S-T 1,180.53 826.37 566.65 968.03C1713 EVOS SCREW 3.5MMX22MM CTX S-T 226.74 158.72 108.84 185.93C1713 EVOS SCREW 3.5MMX20MM LCK S-T 1,180.53 826.37 566.65 968.03C1713 EVOS SCREW 3.5MMX20MM CTX S-T 226.74 158.72 108.84 185.93C1713 EVOS SCREW 3.5MMX18MM CTX S-T 226.74 158.72 108.84 185.93C1713 EVOS SCREW 3.5MMX16MM CTX S-T 226.74 158.72 108.84 185.93C1713 EVOS SCREW 3.5MMX14MM LCK S-T 1,180.53 826.37 566.65 968.03C1713 EVOS SCREW 3.5MMX14MM CTX S-T 226.74 158.72 108.84 185.93C1713 EVOS SCREW 3.5MMX12MM LCK S-T 1,180.53 826.37 566.65 968.03C1713 EVOS SCREW 3.5MMX12MM CTX S-T 226.74 158.72 108.84 185.93C1713 EVOS SCREW 3.5MMX10MM LCK S-T 1,180.53 826.37 566.65 968.03C1713 EVOS SCREW 3.5MMX10MM CTX S-T 226.74 158.72 108.84 185.93C1713 EVOS SCREW 2.7MMX65MM CTX S-T 622.20 435.54 298.66 510.2C1713 EVOS SCREW 2.7MMX38MM CTX S-T 315.19 220.63 151.29 258.46C1713 EVOS SCREW 2.7MMX32MM CTX S-T 315.19 220.63 151.29 258.46C1713 EVOS SCREW 2.7MMX18MM LCK T8 993.45 695.42 476.86 814.63C1713 EVOS PLATE 3.5MM LCK 14H 162MM 5,578.76 3,905.13 2,677.80 4,574.58C1713 EVOS PL 3.5MM SUP MS CLAV 7,016.34 4,911.44 3,367.84 5,753.40C1713 EVOS PL 3.5MM STR PL 3H 92MM 12,629.44 8,840.61 6,062.13 10,356.14C1713 EVOS PL 3.5MM P/A TIB 4H L 8,684.88 6,079.42 4,168.74 7,121.60C1713 EVOS PL 3.5MM P/A L-P TIBIA 6H 9,032.27 6,322.59 4,335.49 7,406.46C1713 EVOS PL 3.5MM LP 10H L 134MM 14,324.94 10,027.46 6,875.97 11,746.45C1713 EVOS PL 3.5MM LD FIB SH R 81MM 6,392.68 4,474.88 3,068.49 5,242.00C1713 EVOS PL 3.5MM LD FIB 7H R 103M 6,749.04 4,724.33 3,239.54 5,534.21C1713 EVOS PL 2.7/3.5 SUP DIST 5H R 6,191.81 4,334.27 2,972.07 5,077.28C1713 EVOS DIST ULNA PLATE 7HR 56MM 7,581.39 5,306.97 3,639.07 6,216.74C1713 EVOS 3.5X48MM CTX SCR S-T 226.74 158.72 108.84 185.93

C1713 EVOS 3.5MMX42MM CTX SCR S-T 226.74 158.72 108.84 185.93C1713 EVOS 3.5MM LCK COMP 10H 116MM 3,777.67 2,644.37 1,813.28 3,097.69C1713 EVOS 3.5MM CVD PROX HUM PL 6H 13,342.23 9,339.56 6,404.27 10,940.63C1713 EVOS 3.5MM CVD HUM PL 6H 114M 12,240.57 8,568.40 5,875.47 10,037.27C1713 EVOS 2.7MMX38MM LCK SCR T8 S-T 993.45 695.42 476.86 814.63C1713 EVOS 2.7MMX16MM LCK SCR T8 S-T 993.45 695.42 476.86 814.63C1713 EVOS 2.7MMX16MM CTX SCR T8 S-T 315.19 220.63 151.29 258.46C1713 EVOS 2.7MMX14MM LCK SCR T8 S-T 993.45 695.42 476.86 814.63C1713 EVOS 2.7MMX12MM LCK SCR T8 S-T 993.45 695.42 476.86 814.63C1713 EVOS 2.7MMX12MM CTX SCR T8 S-T 257.30 180.11 123.5 210.99C1713 EVOS 2.7MMX10MM LCK SCR T8 S-T 993.45 695.42 476.86 814.63C1713 EVOS 2.7MMX10MM CTX SCR T8 S-T 257.30 180.11 123.5 210.99C1713 EVOS 2.7MM TRIA PLATE 6 HL SFT 6,089.63 4,262.74 2,923.02 4,993.50C1713 EVOLVE TRIAD SCREW 2.0X22MM 686.25 480.38 329.4 562.73C1713 EVOLVE TRIAD SCREW 2.0X10 MM 686.25 480.38 329.4 562.73C1713 EVOLVE TRIAD RHP 24MM 9,949.10 6,964.37 4,775.57 8,158.26C1713 EVOL TRIAD RHP 20MM 10,449.30 7,314.51 5,015.66 8,568.43C1713 DTS LOCKING SCREW 28MM 558.00 390.6 267.84 457.56C1713 DTS LOCKING SCREW 24MM 452.38 316.67 217.14 370.95C1713 DTS LOCKING SCREW 22MM 452.38 316.67 217.14 370.95C1713 DTS LOCKING SCREW 20MM 452.38 316.67 217.14 370.95C1713 DTS LOCKING SCREW 18MM GRN 452.38 316.67 217.14 370.95C1713 DTS LOCKING SCREW 16MM GRN 452.38 316.67 217.14 370.95C1713 DTS LOCKING SCREW 14MM GRN 574.74 402.32 275.88 471.29C1713 DTS LOCKING SCREW 12MM GREEN 574.74 402.32 275.88 471.29C1713 DTS LOCKING SCREW 12MM GREEN 574.74 402.32 275.88 471.29C1713 DRILL TWIST 5/16 426.19 298.33 204.57 349.48C1713 DISTAL CLAV REPAIR ASSEMBLY 3,355.00 2,348.50 1,610.40 2,751.10C1713 DISTAL CLAV PLATE SHORT LFT SS 3,355.00 2,348.50 1,610.40 2,751.10C1713 DISTAL CLAV PLATE 81MM 5,251.80 3,676.26 2,520.86 4,306.48C1713 DISTAL BICEPS DEIVERY SYSTEM 5,185.00 3,629.50 2,488.80 4,251.70C1713 DISTAL BICEPS DEIVERY SYSTEM 5,185.00 3,629.50 2,488.80 4,251.70C1713 DIST CLAV LK PL SHORT L 84MM 5,251.80 3,676.26 2,520.86 4,306.48C1713 DARCO SCREW 6.5X50 16MM 4,733.60 3,313.52 2,272.13 3,881.55C1713 DARCO SCREW 6.5X45 16MM 4,733.60 3,313.52 2,272.13 3,881.55C1713 CUTTER TIGHTROPE RT W/10.0MM 3,660.00 2,562.00 1,756.80 3,001.20C1713 CTX SCREW T6 2.0MM X 9MM 387.05 270.94 185.78 317.38C1713 CTX SCREW T6 2.0MM X 8MM 368.62 258.03 176.94 302.27C1713 CTX SCREW T6 2.0MM X 8MM 368.62 258.03 176.94 302.27C1713 CORT SCREW 2.7X18MM 200.87 140.61 96.42 164.71C1713 CORT SCREW 2.7X18MM 200.87 140.61 96.42 164.71C1713 CONTROL 360 SYSTEM LAPIPLASTY 24,400.00 17,080.00 11,712.00 20,008.00C1713 CONTROL 360 SYSTEM LAPIPLASTY 24,400.00 17,080.00 11,712.00 20,008.00C1713 COMP SCREW 2.5 X 14MM 2,135.00 1,494.50 1,024.80 1,750.70C1713 COMP RVRS 25MM BSPLT HA+ADPTR 10,065.00 7,045.50 4,831.20 8,253.30C1713 COMP RUS CNTRL 6.5X25MM ST/RST 457.50 320.25 219.6 375.15C1713 COMP PLATE UOCP 5,032.50 3,522.75 2,415.60 4,126.65C1713 COMP NON-LK SCR 3.5X4.75X20 457.50 320.25 219.6 375.15C1713 COMP NLK SCR 3.5 HEX 44.75X15 457.50 320.25 219.6 375.15C1713 COMP LK SCREW HEX 3.5X4.75X30 457.50 320.25 219.6 375.15C1713 COMP LK SCREW 3.5 X 4.75 X 20 457.50 320.25 219.6 375.15C1713 COMP 12MM ART 1.0MMX2.0MM MTP 13,066.20 9,146.34 6,271.78 10,714.28C1713 CLIP LAG SCREW 1,025.84 718.09 492.4 841.19C1713 CLIP APPLIER EPIX UNIVERSAL 530.00 371 254.4 434.6C1713 CLAV LK PL 6H R 73MM 5,129.19 3,590.43 2,462.01 4,205.94C1713 CLAMP QUICK 6MM TO 4MM 2,197.50 1,538.25 1,054.80 1,801.95C1713 CLAMP QUICK 6MM TO 4MM 2,197.50 1,538.25 1,054.80 1,801.95C1713 CHI MINI 11 TI, MAGENTA 13,999.50 9,799.65 6,719.76 11,479.59C1713 CERCLAGE WIRE COIL 1.25 22.77 15.94 10.93 18.67C1713 CANNULA SET FST FIX FLX REV 3,225.92 2,258.14 1,548.44 2,645.25C1713 CANN SCREW TI 5.5X44MM 16THD 2,063.94 1,444.76 990.69 1,692.43C1713 CANCELLOUS CHIPS 15CC FR DRIED 1,162.50 813.75 558 953.25C1713 BUTTON DOG BONE 2,135.00 1,494.50 1,024.80 1,750.70C1713 BUTTON DOG BONE 2,135.00 1,494.50 1,024.80 1,750.70C1713 BUTTON CLAVICLE 2,135.00 1,494.50 1,024.80 1,750.70C1713 BTB TIGHTROPE 2,592.50 1,814.75 1,244.40 2,125.85C1713 BTB TIGHTROPE 2,592.50 1,814.75 1,244.40 2,125.85C1713 BOW PLATE 3MM 8,180.10 5,726.07 3,926.45 6,707.68C1713 BOW PLATE 3MM 8,180.10 5,726.07 3,926.45 6,707.68C1713 BONE SCREW A33 EBI 567.30 397.11 272.3 465.19C1713 BONE SCREW A30 EBI 616.10 431.27 295.73 505.2C1713 BONE SCREW 6.5 X 30 ZIMMER 503.98 352.79 241.91 413.26

C1713 BONE SCREW 6.5 X 20 1,007.66 705.36 483.68 826.28C1713 BONE SCREW 6.5 X 15 503.98 352.79 241.91 413.26C1713 BONE PLATE LT META PHALA FLOCK 6,764.90 4,735.43 3,247.15 5,547.22C1713 BONE PLATE LT META PHALA FLOCK 6,764.90 4,735.43 3,247.15 5,547.22C1713 BONE ANCHORS W/DELIVERY SYSTEM 6,100.00 4,270.00 2,928.00 5,002.00C1713 BIORAPTOR ANCHOR KNOTTESS 2,568.41 1,797.89 1,232.84 2,106.10C1713 BIORAPTOR ANCHOR KNOTTESS 2,568.41 1,797.89 1,232.84 2,106.10C1713 BIOINDUCTIVE IMPL W/ARTH DEL 12,200.00 8,540.00 5,856.00 10,004.00C1713 BIOC ACHILLES SPEEDB W/JUMP 12,169.50 8,518.65 5,841.36 9,978.99C1713 BIOC ACHILLES SPEEDB W/JUMP 12,169.50 8,518.65 5,841.36 9,978.99C1713 BIOARCH 8MM 10,266.30 7,186.41 4,927.82 8,418.37C1713 BIOARCH 8MM 10,266.30 7,186.41 4,927.82 8,418.37C1713 BIO INT SCREW FULL THREAD 1,372.50 960.75 658.8 1,125.45C1713 BIO INT SCREW FULL THREAD 1,372.50 960.75 658.8 1,125.45C1713 BIO CORKSCREW 5.5X14.7 2,596.25 1,817.38 1,246.20 2,128.93C1713 BICORTICAL POST 4.5 X 42.5 610.00 427 292.8 500.2C1713 BI-CORTICAL POST 610.00 427 292.8 500.2C1713 BI-CORTICAL POST 610.00 427 292.8 500.2C1713 BI-CORTICAL POST 610.00 427 292.8 500.2C1713 BI-CORTICAL POST 610.00 427 292.8 500.2C1713 BCREW BONE T10 3.5X20MM 432.98 303.09 207.83 355.04C1713 BASEPLATE MODULAR 24MM +2 LAT 12,505.00 8,753.50 6,002.40 10,254.10C1713 BASEPLATE JRNY XR SZ 5 LT 6,445.57 4,511.90 3,093.87 5,285.37C1713 BASEPLATE 24MM +4 LAT MODULAR 12,505.00 8,753.50 6,002.40 10,254.10C1713 BAR 6MM X 110MM 749.46 524.62 359.74 614.56C1713 BAR 6MM X 110MM 749.46 524.62 359.74 614.56C1713 AVIATOR VAR SD SCREW 4X14MM 2,440.00 1,708.00 1,171.20 2,000.80C1713 AVIATOR VAR S T SCREW 4.35X12M 2,440.00 1,708.00 1,171.20 2,000.80C1713 AVIATOR VAR S D SCREW 4X12MM 2,440.00 1,708.00 1,171.20 2,000.80C1713 AVIATOR 2 LEVEL PLATE SZ 30 5,185.00 3,629.50 2,488.80 4,251.70C1713 AVIATOR 2 LEVEL PLATE SIZE 32 11,872.74 8,310.92 5,698.92 9,735.65C1713 AVIATOR 1 LEVEL PLATE SZ 14 10,980.00 7,686.00 5,270.40 9,003.60C1713 AUTOGRAFT GRAFTLINK IMP SYSTEM 4,148.00 2,903.60 1,991.04 3,401.36C1713 ARTICU LINEAR CUTTER HANDLE 929.35 650.55 446.09 762.07C1713 ANCHOR XTENDBUTTON ULTRA 10MM 1,075.31 752.72 516.15 881.75C1713 ANCHOR TIGHTROPEII BTB RECON 1,290.00 903 619.2 1,057.80C1713 ANCHOR TIGHTROPEII ABS OPEN 590.00 413 283.2 483.8C1713 ANCHOR TI 2.8 2.2-0 ULTRABAND 2,163.85 1,514.70 1,038.65 1,774.36C1713 ANCHOR TI 2.8 2.2-0 ULTRABAND 2,163.85 1,514.70 1,038.65 1,774.36C1713 ANCHOR SWIVELOCK TENODESIS 2,842.60 1,989.82 1,364.45 2,330.93C1713 ANCHOR SWIVELLOCK 3.5X8.5MM 2,592.50 1,814.75 1,244.40 2,125.85C1713 ANCHOR SUTURE MICRO KNOTLESS 2,745.00 1,921.50 1,317.60 2,250.90C1713 ANCHOR SUPER QUICK 3,977.20 2,784.04 1,909.06 3,261.30C1713 ANCHOR STANDARD SCREW 3.5X34MM 875.47 612.83 420.23 717.89C1713 ANCHOR QFIX 1.8 MINI SUTURE 2,696.20 1,887.34 1,294.18 2,210.88C1713 ANCHOR LOCK SCREW 3.5X38MM 1,275.14 892.6 612.07 1,045.61C1713 ANCHOR ENDOBUTTON ULTRA 10MM 2,045.15 1,431.61 981.67 1,677.02C1713 ANCHOR CURVED 1.7MM X 46" 2,642.83 1,849.98 1,268.56 2,167.12C1713 ANCHOR CURVED 1.7MM 2,642.83 1,849.98 1,268.56 2,167.12C1713 ANCHOR BUMPY COMPONENT 922A260 904.70 633.29 434.26 741.85C1713 ANCHOR BONE 3W ARTHRO DEL SYST 6,100.00 4,270.00 2,928.00 5,002.00C1713 ANCHOR 5.5 #2 SUTURE 2,897.50 2,028.25 1,390.80 2,375.95C1713 ANCHOR 3.5MM #0 SUTURE 2,897.50 2,028.25 1,390.80 2,375.95C1713 ALOMATRIX CUS BONE PUTTY 10+CC 9,460.00 6,622.00 4,540.80 7,757.20C1713 ALLOGRAFT CONVENIENCE PACK 5,734.00 4,013.80 2,752.32 4,701.88C1713 ALLOFUSE PLUS DBM PASTE 3CC 3,603.75 2,522.63 1,729.80 2,955.08C1713 ALLOFUSE GEL 5CC AMBIENT 4,688.75 3,282.13 2,250.60 3,844.78C1713 ALLOFUSE GEL 1CC AMBIENT 2,053.75 1,437.63 985.8 1,684.08C1713 AEQUALIS RVS GLEN BASE 29MM 6,755.75 4,729.03 3,242.76 5,539.72C1713 AEQUALIS FLEX ASSEMBLY SCR 0MM 6,287.88 4,401.52 3,018.18 5,156.06C1713 AEQ RVSD COMP SCREW 4.5X32 653.92 457.74 313.88 536.21C1713 AEQ RVS LOCK SCRWE 4.5X32 1,180.96 826.67 566.86 968.39C1713 AEQ RVS LOCK SCREW 4.5X44 659.90 461.93 316.75 541.12C1713 AEQ RVS LOCK SCREW 4.5X29 1,180.96 826.67 566.86 968.39C1713 AEQ RVS LOCK SCREW 4.5X23 625.62 437.93 300.3 513.01C1713 AEQ RVS LOCK SCREW 4.5 X 41MM 631.23 441.86 302.99 517.61C1713 AEQ RVS ECC GLENOID 42X25X+2MM 13,248.53 9,273.97 6,359.29 10,863.79C1713 AEQ RVS COMP SCREW 45X23 568.95 398.27 273.1 466.54C1713 AEQ RVS COMP SCREW 4.5X45 365.09 255.56 175.24 299.37C1713 AEQ RVS COMP SCREW 4.5X41 365.09 255.56 175.24 299.37C1713 AEQ RVS COMP SCREW 4.5X38 346.05 242.24 166.1 283.76C1713 AEQ RVS COMP SCREW 4.5X35 362.34 253.64 173.92 297.12

C1713 AEQ RVS COMP SCREW 4.5X29 653.92 457.74 313.88 536.21C1713 AEQ RVS COMP SCREW 4.5X26 653.92 457.74 313.88 536.21C1713 AEQ RVS COMP SCREW 4.5X20 346.05 242.24 166.1 283.76C1713 AEQ REV LOCK SCREW 4.5X38 659.90 461.93 316.75 541.12C1713 AEQ REV ECC GLENOID SPH 36X2 24,604.96 17,223.47 11,810.38 20,176.07C1713 AEQ REV COMP SCREW 4.5X18 653.92 457.74 313.88 536.21C1713 AEQ PERFORM SF CORTILOC 8,159.30 5,711.51 3,916.46 6,690.63C1713 AEQ LOCK SCREW 4.5X26 603.72 422.6 289.79 495.05C1713 AEQ LOC SCREW 4.5X35 707.36 495.15 339.53 580.04C1713 ACUTRAK MINI BONE SCREW 24.0MM 3,287.90 2,301.53 1,578.19 2,696.08C1713 ACUTRAK 30MM FUSION DEVICE 6MM 2,092.30 1,464.61 1,004.30 1,715.69C1713 ACUTE AC REPAIR KIT 6,862.50 4,803.75 3,294.00 5,627.25C1713 ACL TIGHTROPE RT WITH PIN 2,440.00 1,708.00 1,171.20 2,000.80C1713 ACL TIGHTROPE RT WITH PIN 2,440.00 1,708.00 1,171.20 2,000.80C1713 ACL TIGHTROPE RT 2,135.00 1,494.50 1,024.80 1,750.70C1713 ACL TIGHTROPE RT 2,135.00 1,494.50 1,024.80 1,750.70C1713 ACL BKUP FIX SYS SWLK 4.7X19.1 4,422.50 3,095.75 2,122.80 3,626.45C1713 ACHILLES SPEEDBRIDGE 10,614.00 7,429.80 5,094.72 8,703.48C1713 ACHILLES SPEEDBRIDGE 10,614.00 7,429.80 5,094.72 8,703.48C1713 ACCESS 3.2MM THD STEINMANN 9" 3,156.63 2,209.64 1,515.18 2,588.44C1713 7.0X130X32MM THRD CANN SCREW 1,123.75 786.63 539.4 921.48C1713 6H SCAPULA ACROMION PLATE LEFT 12,547.70 8,783.39 6,022.90 10,289.11C1713 4.6 X 14 STD SCREW 1,531.10 1,071.77 734.93 1,255.50C1713 4.5MMX80 S/T CORTEX LOCK SCREW 1,924.49 1,347.14 923.76 1,578.08C1713 4.5MMX80 S/T CORTEX LOCK SCREW 1,924.49 1,347.14 923.76 1,578.08C1713 4.5MM PRXHUM LK PL 9H L 168MM 14,624.75 10,237.33 7,019.88 11,992.30C1713 4.5MM PRXHUM LK PL 15H R 246MM 12,547.09 8,782.96 6,022.60 10,288.61C1713 4.5MM NARROW PL 9 HL178MM 1,291.49 904.04 619.92 1,059.02C1713 4.5MM LCK COMP PL SH 157MM 4,504.85 3,153.40 2,162.33 3,693.98C1713 4.5MM LCK COMP PL 8H 157MM 6,559.64 4,591.75 3,148.63 5,378.90C1713 4.5MM LCK COMP PL 14H 265MM 5,967.02 4,176.91 2,864.17 4,892.96C1713 4.5MM BROAD PL 9 HL 177MM 2,233.21 1,563.25 1,071.94 1,831.23C1713 4.5 X 14MM ST SCREW 1,628.70 1,140.09 781.78 1,335.53C1713 4.5 CORTICAL SCREW 38MM 289.75 202.83 139.08 237.6C1713 4.5 CORTICAL SCREW 38MM 289.75 202.83 139.08 237.6C1713 4.0MM CANC SCREW HEX 55MM 91.53 64.07 43.93 75.05C1713 4.0MM CANC SCREW HEX 50X15 93.54 65.48 44.9 76.7C1713 4.0MM CANC SCREW HEX 50MM 83.08 58.16 39.88 68.13C1713 4.0MM CANC SCREW HEX 45X15 93.54 65.48 44.9 76.7C1713 4.0MM CANC SCREW HEX 45MM 83.31 58.32 39.99 68.31C1713 4.0MM CANC SCREW HEX 40X14 133.69 93.58 64.17 109.63C1713 4.0MM CANC SCREW HEX 40MM 83.08 58.16 39.88 68.13C1713 4.0MM CANC SCREW HEX 38MM 93.54 65.48 44.9 76.7C1713 4.0MM CANC SCREW HEX 36MM 91.53 64.07 43.93 75.05C1713 4.0MM CANC SCREW HEX 35X14 133.69 93.58 64.17 109.63C1713 4.0MM CANC SCREW HEX 34MM 93.54 65.48 44.9 76.7C1713 4.0MM CANC SCREW HEX 32MM 83.08 58.16 39.88 68.13C1713 4.0MM CANC SCREW HEX 30X14 133.69 93.58 64.17 109.63C1713 4.0MM CANC SCREW HEX 30MM 93.54 65.48 44.9 76.7C1713 4.0MM CANC SCREW HEX 28X14 88.27 61.79 42.37 72.38C1713 4.0MM CANC SCREW HEX 28MM 88.27 61.79 42.37 72.38C1713 4.0MM CANC SCREW HEX 26X12 88.27 61.79 42.37 72.38C1713 4.0MM CANC SCREW HEX 26MM 97.26 68.08 46.68 79.75C1713 4.0MM CANC SCREW HEX 24X10 88.27 61.79 42.37 72.38C1713 4.0MM CANC SCREW HEX 24MM 133.69 93.58 64.17 109.63C1713 4.0MM CANC SCREW HEX 22X9 97.26 68.08 46.68 79.75C1713 4.0MM CANC SCREW HEX 22MM 130.12 91.08 62.46 106.7C1713 4.0MM CANC SCREW HEX 20MM 91.53 64.07 43.93 75.05C1713 4.0MM CANC SCREW HEX 18X7 88.27 61.79 42.37 72.38C1713 4.0MM CANC SCREW HEX 18MM 133.69 93.58 64.17 109.63C1713 4.0MM CANC SCREW HEX 16X6 88.27 61.79 42.37 72.38C1713 4.0MM CANC SCREW HEX 16MM 91.53 64.07 43.93 75.05C1713 4.0MM CANC SCREW HEX 14X5 88.27 61.79 42.37 72.38C1713 4.0MM CANC SCREW HEX 14MM 91.53 64.07 43.93 75.05C1713 4.0MM CANC SCREW HEX 12X5 88.27 61.79 42.37 72.38C1713 4.0MM CANC SCREW HEX 12MM 130.12 91.08 62.46 106.7C1713 4.0MM CANC SCREW HEX 10X4.5 88.27 61.79 42.37 72.38C1713 4.0MM CANC SCREW HEX 10MM 130.12 91.08 62.46 106.7C1713 4.0MM CAN SCREW HEX 20X8 93.54 65.48 44.9 76.7C1713 3DICROSS CHECK LAP 0 LT 20,136.10 14,095.27 9,665.33 16,511.60C1713 3DICROSS CHECK LAP 0 LT 20,136.10 14,095.27 9,665.33 16,511.60C1713 3DICROSS CHECK LAG 3.5 X 36 1,909.30 1,336.51 916.46 1,565.63

C1713 3DI CROSSCHECK LAP 2 RIGHT 19,544.40 13,681.08 9,381.31 16,026.41C1713 3DI CROSSCHECK LAP 2 RIGHT 19,544.40 13,681.08 9,381.31 16,026.41C1713 3DI CROSSCHECK LAG 3.5X34 2,235.04 1,564.53 1,072.82 1,832.73C1713 3DI CROSSCHECK LAG 3.5X26 2,629.10 1,840.37 1,261.97 2,155.86C1713 3D PLATE 4,738.97 3,317.28 2,274.71 3,885.96C1713 3D CROSSCHECK PLATE 16,596.88 11,617.82 7,966.50 13,609.44C1713 30 MM PLATE 9,918.60 6,943.02 4,760.93 8,133.25C1713 3.9MM KNOTLESS CORSCREW PEEK 2,348.50 1,643.95 1,127.28 1,925.77C1713 3.5NN ABJ FSB 5H 92MM ST 7,213.56 5,049.49 3,462.51 5,915.12C1713 3.5MM T-PLATE 89MM 4HH 7HS 835.99 585.19 401.28 685.51C1713 3.5MM T-PLATE 78MM 4HH 6HS 704.55 493.19 338.18 577.73C1713 3.5MM T-PLATE 100MM 4HH 8HS 1,012.77 708.94 486.13 830.47C1713 3.5MM PRXHUM LK PL 9H R 165MM 14,100.15 9,870.11 6,768.07 11,562.12C1713 3.5MM PRXHUM LK PL 7H R 140MM 15,673.65 10,971.56 7,523.35 12,852.39C1713 3.5MM PRXHUM LK PL 11H R 191MM 14,549.72 10,184.80 6,983.87 11,930.77C1713 3.5MM PRXHUM LK PL 11H L 191MM 13,215.65 9,250.96 6,343.51 10,836.83C1713 3.5MM PRXHUM LCK PL 9H L 165MM 11,484.47 8,039.13 5,512.55 9,417.27C1713 3.5MM PRXHUM LCK PL 7H L 140MM 11,116.64 7,781.65 5,335.99 9,115.64C1713 3.5MM LK RECON PL 6H 70MM 3,866.30 2,706.41 1,855.82 3,170.37C1713 3.5MM CORTICAL SCREW 45MM 108.73 76.11 52.19 89.16C1713 3.5MM CORTICAL SCREW 40MM 108.73 76.11 52.19 89.16C1713 3.5MM CORTICAL SCREW 38MM 98.66 69.06 47.36 80.9C1713 3.5MM CORTICAL SCREW 36MM 98.66 69.06 47.36 80.9C1713 3.5MM CORTICAL SCREW 34MM 98.66 69.06 47.36 80.9C1713 3.5MM CORTICAL SCREW 30MM 164.07 114.85 78.75 134.54C1713 3.5MM CORTICAL SCREW 28MM 108.73 76.11 52.19 89.16C1713 3.5MM CORTICAL SCREW 26MM 108.73 76.11 52.19 89.16C1713 3.5MM CORTICAL SCREW 24MM 108.73 76.11 52.19 89.16C1713 3.5MM CORTICAL SCREW 22MM 108.73 76.11 52.19 89.16C1713 3.5MM CORTICAL SCREW 20MM 168.56 117.99 80.91 138.22C1713 3.5MM CORTICAL SCREW 18MM 164.07 114.85 78.75 134.54C1713 3.5MM CORTICAL SCREW 14MM 168.56 117.99 80.91 138.22C1713 3.5MM CORTICAL SCREW 12MM 164.07 114.85 78.75 134.54C1713 3.5MM CORTICAL SCREW 10MM 99.05 69.34 47.54 81.22C1713 3.5MM CORTEX SCREW 40MM SYNTHE 115.90 81.13 55.63 95.04C1713 3.5MM CORTEX SCREW 28MM SYNTHE 115.90 81.13 55.63 95.04C1713 3.5MM COR SCREW SELF TAP 18MM 237.90 166.53 114.19 195.08C1713 3.5MM COM PLATE 97MM 8H 643.87 450.71 309.06 527.97C1713 3.5MM COM PLATE 121MM 10H 761.36 532.95 365.45 624.32C1713 3.5MM COM PLATE 109MM 9H 669.83 468.88 321.52 549.26C1713 3.5MM CLAVICLE HOOK PL7H15MM 16,579.80 11,605.86 7,958.30 13,595.44C1713 3.5MM CLAV HK PL 7H15/86MM 8,460.70 5,922.49 4,061.14 6,937.77C1713 3.5MM ANK FSN L COMP 3H 67MM S 7,397.47 5,178.23 3,550.79 6,065.93C1713 3.5MM ANK FSN ANT PRIM R COM 8,991.40 6,293.98 4,315.87 7,372.95C1713 3.5 X 26MM NON LOCK HEX SCREW 549.00 384.3 263.52 450.18C1713 3.5 MM LK RECON PL 10H 118MM 4,740.92 3,318.64 2,275.64 3,887.55C1713 3.0 NON LCK SCREW T8 BLUE 16MM 811.30 567.91 389.42 665.27C1713 3 X 2 HOLE PLATE 3,092.70 2,164.89 1,484.50 2,536.01C1713 22.0MM MINI ACUTRAK 2 BONE SCR 3,287.90 2,301.53 1,578.19 2,696.08C1713 20.0MM MINI ACUTRAK 2 BONE SCR 3,287.90 2,301.53 1,578.19 2,696.08C1713 2.8MM Q-FIX ALL SUTURE ANCHOR 2,675.46 1,872.82 1,284.22 2,193.88C1713 2.7MM S-T CRTX LCK SCREW 60MM 854.18 597.93 410.01 700.43C1713 2.7MM L-PLT 3 HL OBLIQUE RIGHT 249.61 174.73 119.81 204.68C1713 2.7MM CORTEX SCREW 50MM SYNTHE 115.90 81.13 55.63 95.04C1713 2.7MM CORTEX SCREW 36MM SYNTHE 115.90 81.13 55.63 95.04C1713 2.7MM CORTEX SCREW 20MM SYNTHE 115.90 81.13 55.63 95.04C1713 2.5MM CANN SCREW 40MM 1,609.79 1,126.85 772.7 1,320.03C1713 2.5MM CANN SCREW 36MM 1,609.79 1,126.85 772.7 1,320.03C1713 2.5MM CANN SCREW 34MM 1,609.79 1,126.85 772.7 1,320.03C1713 2.5MM CANN SCREW 30MM 1,609.79 1,126.85 772.7 1,320.03C1713 2.0MM L-PLATE 2-HOLE OBLIQUE R 239.91 167.94 115.16 196.73C1713 18.0MM MINI ACUTRAK 2 BONE SCR 3,287.90 2,301.53 1,578.19 2,696.08C1713 16MM PLATE 10,900.70 7,630.49 5,232.34 8,938.57C1713 13 HOLE SCAPULA PLATE L 16,903.10 11,832.17 8,113.49 13,860.54C1713 1 LEVEL PLATE 14MM 10,980.00 7,686.00 5,270.40 9,003.60C1713 SCREW CORTEX 1.5MM X 18MM 183.00 128.1 87.84 150.06C1713 SCREW CORTEX 1.5MM X 16MM 183.00 128.1 87.84 150.06C1713 SCREW CORTEX 1.5MM X 14MM 183.00 128.1 87.84 150.06C1713 P-LOC LG 4.5MM LP S-T CRTX 42M 155.92 109.14 74.84 127.85C1713 SCREW CORTEX 2.7MM X 8MM 186.05 130.24 89.3 152.56C1713 SCREW CORTEX 2.7MM X 6MM 186.05 130.24 89.3 152.56C1713 SCREW CORTEX 2.7MM X 22MM 172.33 120.63 82.72 141.31

C1713 SCREW CORTEX 1.5MM X 9MM 192.15 134.51 92.23 157.56C1713 SCREW CORTEX 1.5MM X 7MM 192.15 134.51 92.23 157.56C1713 SCREW CORTEX 1.5MM X 12MM 192.15 134.51 92.23 157.56C1713 SCREW CORTEX 2.0MM X 8MM 205.88 144.12 98.82 168.82C1713 SCREW CORTEX 3.5MM X 16MM 307.87 215.51 147.78 252.45C1713 SCREW CORTEX 2.0MM X 10MM 282.13 197.49 135.42 231.35C1713 SCREW CORTEX 2.0MM X 6MM 230.28 161.2 110.53 188.83C1713 SCREW CORTEX 1.5MM X 11MM 396.50 277.55 190.32 325.13C1713 SCREW CORTEX 2.0MM X 12MM 291.28 203.9 139.81 238.85C1713 SCREW CORTEX 2.7MM X 12MM 276.03 193.22 132.49 226.34C1713 SCREW CORTICAL 3.2 610.00 427 292.8 500.2C1713 SCREW CORTEX 1.5MM X 10MM 314.15 219.91 150.79 257.6C1713 SCREW CORTEX 1.5MM X 8MM 288.23 201.76 138.35 236.35C1713 SCREW CORTEX 2.7MM X 18MM 439.20 307.44 210.82 360.14C1713 SCREW CORTEX 2.7MM X 10MM 332.45 232.72 159.58 272.61C1713 SCREW CENT DRIVE 2.0MM X 5MM 201.30 140.91 96.62 165.07C1713 SCREW CORTEX 2.0MM X 14MM 396.50 277.55 190.32 325.13C1713 SCREW CORTEX 2.7MM X 14MM 480.74 336.52 230.76 394.21C1713 SCREW CORTEX 2.7MM X 24MM 467.75 327.43 224.52 383.56C1713 SCREW LOCKING 3.5MM X 24MM 1,220.00 854 585.6 1,000.40C1713 OLECRANON LK PL 4H R 56MM 9,236.62 6,465.63 4,433.58 7,574.03C1713 CTX SCREW T6 2.0MM X 8MM 890.97 623.68 427.67 730.6C1713 CTX SCREW T6 2.0MM X 8MM 890.97 623.68 427.67 730.6C1713 P-LOC SCREW 2.7 X 46MM 1,016.26 711.38 487.8 833.33C1713 SCREW LOCK 3.5X18MM 1,720.20 1,204.14 825.7 1,410.56C1713 SCREW LOCK 3.5X18MM 1,720.20 1,204.14 825.7 1,410.56C1713 P-LOC SCREW 2.7 X 55MM 1,119.84 783.89 537.52 918.27C1713 TOEMATE INSTRUMENT PKG 1,994.70 1,396.29 957.46 1,635.65C1713 VLP MINI MOD 2.0MM STOUT PLATE 4,483.50 3,138.45 2,152.08 3,676.47C1713 PLD HUM LK PL 11H L 157MM 10,728.38 7,509.87 5,149.62 8,797.27C1713 VLP 2.7MM TUB PLATE 7 HOLE 4,986.14 3,490.30 2,393.35 4,088.63C1713 P-LOC LG 3.5MM 8 123MM ALD PLT 15,606.85 10,924.80 7,491.29 12,797.62C1713 P-LOC 3.5MM 8 171MM M-D PLATE 13,875.37 9,712.76 6,660.18 11,377.80C1713 P-LOC 3.5MM 13 235MM M-D PLATE 25,080.70 17,556.49 12,038.74 20,566.17C1721 ILIVIA 7 DR-T DF-1 PROMRI 183,403.00 128,382.10 88,033.44 150,390.46C1721 ICD FORTIFY ASSURA DR CD2357-4 97,050.00 67,935.00 46,584.00 79,581.00C1721 ELLIPSE DR DUAL ICD 97,050.00 67,935.00 46,584.00 79,581.00C1721 VIGILANT DR DF-4 AICD 85,000.00 59,500.00 40,800.00 69,700.00C1721 MOMENTUM EL DR ICD 86,613.00 60,629.10 41,574.24 71,022.66C1721 ICD DUAL CHAMBER MAXIMO DR 168,750.00 118,125.00 81,000.00 138,375.00C1721 EVERA XT DR 110,674.20 77,471.94 53,123.62 90,752.84C1721 EVERA MRI XT DR 110,741.70 77,519.19 53,156.02 90,808.19C1721 EVERA XT DR 114,750.00 80,325.00 55,080.00 94,095.00C1722 BOSTON SICD 25,930.00 18,151.00 12,446.40 21,262.60C1722 VISIA MRI 102,647.18 71,853.03 49,270.65 84,170.69C1722 EMBLEM S-ICD MRI 95,157.00 66,609.90 45,675.36 78,028.74C1725 CUTTING BALLOON 3.5 X 10 MR 2,484.00 1,738.80 1,192.32 2,036.88C1725 CUTTING BALLOON 3.0 X 10 MR 2,484.00 1,738.80 1,192.32 2,036.88C1725 CATH BALLOON 7FR 14MMX4CMX75CM 1,312.40 918.68 629.95 1,076.17C1725 CATH ATLAS GOLD 14MMX4CMX80CM 1,076.25 753.38 516.6 882.53C1725 ULTRAVERSE BALLOON 6MMX40MMX75 530.00 371 254.4 434.6C1725 ULTRAVERSE BALLOON 12MMX40MM 530.00 371 254.4 434.6C1725 ULTRAVERSE 035 5.0X40MM ANG BA 530.00 371 254.4 434.6C1725 FLASH OSTIAL SYSTEM 4.5 X 8 3,595.00 2,516.50 1,725.60 2,947.90C1725 FLASH OSTIAL SYSTEM 4.0 X 8 3,595.00 2,516.50 1,725.60 2,947.90C1725 FLASH OSTIAL SYSTEM 3.5 X 8 3,595.00 2,516.50 1,725.60 2,947.90C1725 FLASH OSTIAL SYSTEM 3.0 X 8 3,595.00 2,516.50 1,725.60 2,947.90C1725 CUTTING BALLOON 4.0 X 10 MR 2,484.00 1,738.80 1,192.32 2,036.88C1725 CUTTING BALLOON 2.5 X 10 MR 2,484.00 1,738.80 1,192.32 2,036.88C1725 CONQUEST 40 8X40 1,317.50 922.25 632.4 1,080.35C1725 CON NC QUANTUM MR 8 X3.5MM 697.50 488.25 334.8 571.95C1725 CON NC QUANTUM MR 8 X 4.50MM 697.50 488.25 334.8 571.95C1725 CON NC QUANTUM MR 8 X 3.00MM 697.50 488.25 334.8 571.95C1725 CON NC QUANTUM MR 8 X 2.50MM 697.50 488.25 334.8 571.95C1725 CON NC QUANTUM MR 8 X 2.00MM 697.50 488.25 334.8 571.95C1725 CON NC QUANTUM MR 6 X 5.00MM 930.00 651 446.4 762.6C1725 CON NC QUANTUM MR 6 X 4.00MM 697.50 488.25 334.8 571.95C1725 CON NC QUANTUM MR 6 X 3.00MM 697.50 488.25 334.8 571.95C1725 CON NC QUANTUM MR 6 X 2.75MM 930.00 651 446.4 762.6C1725 CON NC QUANTUM MR 6 X 2.50MM 697.50 488.25 334.8 571.95C1725 CON NC QUANTUM MR 6 X 2.00MM 930.00 651 446.4 762.6C1725 CON NC QUANTUM MR 30 X 4.00MM 697.50 488.25 334.8 571.95

C1725 CON NC QUANTUM MR 20 X 4.50MM 697.50 488.25 334.8 571.95C1725 CON NC QUANTUM MR 15 X 4.50MM 697.50 488.25 334.8 571.95C1725 CON NC QUANTUM MR 12 X 5.00MM 697.50 488.25 334.8 571.95C1725 CON NC QUANTUM MR 12 X 4.50MM 697.50 488.25 334.8 571.95C1725 CON NC QUANTUM MR 12 X 2.75MM 697.50 488.25 334.8 571.95C1725 CON NC EMERGE MR BALLOON 6X20 6,083.75 4,258.63 2,920.20 4,988.68C1725 CON NC EMERGE MR BALLOON 6X15 6,083.75 4,258.63 2,920.20 4,988.68C1725 CON EMERGE OTW 1.5 X 15 775.00 542.5 372 635.5C1725 CON EMERGE OTW 1.5 X 12 775.00 542.5 372 635.5C1725 CON EMERGE MR 8 X 3.25 930.00 651 446.4 762.6C1725 CON EMERGE MR 8 X 3.00 775.00 542.5 372 635.5C1725 CON EMERGE MR 8 X 1.50 775.00 542.5 372 635.5C1725 CON EMERGE MR 30 X 4.00 852.50 596.75 409.2 699.05C1725 CON EMERGE MR 30 X 3.00 775.00 542.5 372 635.5C1725 CON EMERGE MR 30 X 2.50 852.50 596.75 409.2 699.05C1725 CON EMERGE MR 30 X 2.00 775.00 542.5 372 635.5C1725 CON EMERGE MR 20 X 1.50 775.00 542.5 372 635.5C1725 CON EMERGE MR 15 X 1.50 775.00 542.5 372 635.5C1725 CON EMERGE MR 12 X 4.00 775.00 542.5 372 635.5C1725 CON EMERGE MR 12 X 1.50 775.00 542.5 372 635.5C1725 CATH STERLING OTW 6MMX20MMX40C 1,205.93 844.15 578.85 988.86C1725 BALLOON STERLING MR 8X40X135 1,715.85 1,201.10 823.61 1,407.00C1725 BALLOON STERLING MR 7X40X135 1,715.85 1,201.10 823.61 1,407.00C1725 BALLOON STERLING MR 6X60X135 2,062.98 1,444.09 990.23 1,691.64C1725 BALLOON STERLING MR 6X40X135 1,715.85 1,201.10 823.61 1,407.00C1725 BALLOON STERLING MR 6X20X135 1,715.85 1,201.10 823.61 1,407.00C1725 BALLOON STERLING MR 5X60X135 1,576.88 1,103.82 756.9 1,293.04C1725 BALLOON STERLING MR 5X40X135 1,259.23 881.46 604.43 1,032.57C1725 BALLOON STERLING MR 4X40X135 1,576.88 1,103.82 756.9 1,293.04C1725 BALLOON STERLING MR 4X20X135 1,715.85 1,201.10 823.61 1,407.00C1725 BALLOON STERLING MR 4X60X135 2,062.98 1,444.09 990.23 1,691.64C1725 BALLOON CUTTING 2.0 X 10 2,711.00 1,897.70 1,301.28 2,223.02C1725 BALLOON APEX OTW 2.25X12 560.00 392 268.8 459.2C1725 ANGIOSCULPT BALLOON 3.5X20MM 6,448.00 4,513.60 3,095.04 5,287.36C1725 ANGIOSCULPT BALLOON 3.0X10 MM 6,448.00 4,513.60 3,095.04 5,287.36C1725 ANGIOSCULPT BALLOON 3.0X0.6MM 6,448.00 4,513.60 3,095.04 5,287.36C1725 ANGIOSCULPT BALLOON 2.0X10 MM 6,448.00 4,513.60 3,095.04 5,287.36C1725 CON EMERGE OTW 1.5 X 20 930.00 651 446.4 762.6C1725 CON NC EMERGE MR BALLOON 6X12 6,083.75 4,258.63 2,920.20 4,988.68C1726 DIALATION BALLOON BILIARY 6MM 663.50 464.45 318.48 544.07C1726 DILATION BALLOON BILIARY 8MM 686.25 480.38 329.4 562.73C1726 DILATION BALLOON BILIARY 4MM 663.50 464.45 318.48 544.07C1726 DILATION BALLOON BILIARY 10MM 686.25 480.38 329.4 562.73C1726 UROMAX DILATION KIT 8MMX24FR 818.33 572.83 392.8 671.03C1726 URETER DILATION SET 574.06 401.84 275.55 470.73C1726 STEM REDAPT SLVLS MONO 300MM 70,304.88 49,213.42 33,746.34 57,650.00C1726 STEM PRESERVE HUMERAL 12MM 13,712.86 9,599.00 6,582.17 11,244.55C1726 STEM HUMERAL FX 12.5MM RT 27,730.60 19,411.42 13,310.69 22,739.09C1726 PIN PF 2.0 X 14MM 1,054.45 738.12 506.14 864.65C1726 PIN PF 2.0 X 14MM 1,054.45 738.12 506.14 864.65C1726 LINER HUMERAL 36MM 2.5MM 8,715.68 6,100.98 4,183.53 7,146.86C1726 GLENOSPHERE EXPAND SM REV 36MM 21,676.66 15,173.66 10,404.80 17,774.86C1726 EQ REVERSE 38MM GLENOSPHERE 9,014.76 6,310.33 4,327.08 7,392.10C1726 EQ REV COMPRESS KIT 4.5 X 42MM 1,225.19 857.63 588.09 1,004.66C1726 EQ REV COMPRESS KIT 4.5 X 38MM 2,069.55 1,448.69 993.38 1,697.03C1726 BALLOON UROMAX 18 X 4 788.11 551.68 378.29 646.25C1726 BALLOON UROMAX 18 X 10 788.11 551.68 378.29 646.25C1726 BALLOON UROMAX 15 X 4 788.11 551.68 378.29 646.25C1726 BALLOON UROMAX 15 X 10 647.25 453.08 310.68 530.75C1726 BALLOON HERCULES WG 12-13.5-15 670.00 469 321.6 549.4C1726 BALLOON HERCULES WG 12-13.5-15 670.00 469 321.6 549.4C1726 BALLOON HERCULES WG 10-11-12 670.00 469 321.6 549.4C1726 BALLOON HERCULES WG 10-11-12 670.00 469 321.6 549.4C1726 BALLOON AERA EUSTACHIAN 6,552.50 4,586.75 3,145.20 5,373.05C1726 BALLOON 3 STAGE WG 18-19-20 670.00 469 321.6 549.4C1726 BALLOON 3 STAGE WG 18-19-20 670.00 469 321.6 549.4C1726 BALLOON 3 STAGE WG 15-16.5-18 670.00 469 321.6 549.4C1726 BALLOON 3 STAGE WG 15-16.5-18 670.00 469 321.6 549.4C1726 BALLOON 3 STAGE 18-19-20 549.75 384.83 263.88 450.8C1726 BALLOON 3 STAGE 18-19-20 549.75 384.83 263.88 450.8C1726 BALLOON 3 STAGE 15-16.5-18 549.75 384.83 263.88 450.8C1726 BALLOON 3 STAGE 15-16.5-18 549.75 384.83 263.88 450.8

C1726 BALLOON 3 STAGE 12-13.5-15 549.75 384.83 263.88 450.8C1726 BALLOON 3 STAGE 12-13.5-15 549.75 384.83 263.88 450.8C1726 AMPLATZ DILATION SET 738.80 517.16 354.62 605.82C1726 AMPLATZ DILATION SET 738.80 517.16 354.62 605.82C1726 STEM EQ PRESERVE 13MM 16,330.07 11,431.05 7,838.43 13,390.66C1729 CATHETER DILATION BILIARY 8.5M 605.00 423.5 290.4 496.1C1729 CATHETER DILATION BILIARY 10MM 605.00 423.5 290.4 496.1C1729 CATHETER BILIARY DIL 7X5 COOK 572.00 400.4 274.56 469.04C1729 ASPIRA PLEURAL 5 KIT 2,340.50 1,638.35 1,123.44 1,919.21C1750 DIALYSIS CATH BARD 16 X 27 CM 507.50 355.25 243.6 416.15C1750 DIALYSIS CATH BARD 16 X 23CM 507.50 355.25 243.6 416.15C1750 CATHETER EXTEND FLEXNECK ADULT 1,330.21 931.15 638.5 1,090.77C1751 KIT CVC 7FR 3 LUMEN>> 509.71 356.8 244.66 417.96C1751 KIT CVC 7FR 3 LUMEN>> 509.71 356.8 244.66 417.96C1751 KIT CVC 7FR 3 LUMEN>> 509.71 356.8 244.66 417.96C1751 KIT CVC 7FR 3 LUMEN>> 509.71 356.8 244.66 417.96C1751 KIT CVC 7FR 3 LUMEN>> 509.71 356.8 244.66 417.96C1751 KIT CVC 7FR 3 LUMEN>> 509.71 356.8 244.66 417.96C1751 KIT CATH CV QUAD LUMEN>> 433.92 303.74 208.28 355.81C1751 CATHETER INFUSION 5FX135X10 566.00 396.2 271.68 464.12C1751 CATHETER INFUSION 4FX135X20 566.00 396.2 271.68 464.12C1751 CATHETER HICKMAN 9.0FR 1,729.00 1,210.30 829.92 1,417.78C1752 CATH DIALYS 3LUM STR 24MM>> 718.75 503.13 345 589.38C1752 CATH DIALYS 3LUM STR 15MM>> 718.75 503.13 345 589.38C1752 CATH DIALYS 3 LUM CVD 24MM>> 735.00 514.5 352.8 602.7C1753 EAGLE EYE PLATINUM 859000P 2,343.75 1,640.63 1,125.00 1,921.88C1753 CATHETER REFINITY IVUS 2,132.50 1,492.75 1,023.60 1,748.65C1753 CATH VISIONS PV.035 8.5FR 3,107.50 2,175.25 1,491.60 2,548.15C1753 CATH VISIONS PV.014 5FR 2,376.25 1,663.38 1,140.60 1,948.53C1755 PROX CATH RV KIT 1,660.00 1,162.00 796.8 1,361.20C1755 CATHETER 3,942.50 2,759.75 1,892.40 3,232.85C1757 CVD METRO 0.035X480 COOK 387.25 271.08 185.88 317.55C1757 CATHETER INFUSION 4FX90CMX50CM 926.75 648.73 444.84 759.94C1757 CATH FOGARTY ART EMBOLECT 4FR 323.48 226.44 155.27 265.25C1757 CATH EMBOLECTORY 6FR 323.48 226.44 155.27 265.25C1757 CATH EMBOLECTOMY 5FR 80CM 323.48 226.44 155.27 265.25C1757 CATH EMBOLECTOMY 3FR 323.48 226.44 155.27 265.25C1757 OTW THRU LUMEN CATH 5.5FRX40CM 560.00 392 268.8 459.2C1757 CATH ADVANCE ASPIR EXPORT NSR 1,190.00 833 571.2 975.8C1758 CONE TIP URETER CATH 5 FR 93.15 65.21 44.71 76.38C1758 URE CATH OPEN TIP 4FR X 70CM 145.60 101.92 69.89 119.39C1758 OPEN END URETER CATH 5 FR 95.10 66.57 45.65 77.98C1758 CATH DUAL LUMEN URE 128.21 89.75 61.54 105.13C1760 PROGLIDE 740.00 518 355.2 606.8C1760 ANGIOSEAL VIP 8FR 920.00 644 441.6 754.4C1760 ANGIOSEAL VIP 6FR 920.00 644 441.6 754.4C1762 TENDON ANT TIBIALIS FROZEN 15,112.50 10,578.75 7,254.00 12,392.25C1762 PROCHONDRIX SZ 170 X 10 14,000.00 9,800.00 6,720.00 11,480.00C1762 PROCHONDRIX SZ 15 10,990.00 7,693.00 5,275.20 9,011.80C1762 PROCHONDRIX CRYO 15MM 10,990.00 7,693.00 5,275.20 9,011.80C1762 PROCHONDRIX SZ 11 6,300.00 4,410.00 3,024.00 5,166.00C1762 PROCHONDRIX SZ 11 6,300.00 4,410.00 3,024.00 5,166.00C1762 GRAFT LINK 6,440.00 4,508.00 3,091.20 5,280.80C1762 FASCIA LATA AREA 46CM-95.99CM 3,371.25 2,359.88 1,618.20 2,764.43C1762 CARTILAGE COSTAL 5-6 CM 4,018.00 2,812.60 1,928.64 3,294.76C1762 CARTILAGE 60-90 MM 1,675.80 1,173.06 804.38 1,374.16C1762 CARTILAGE 30-59 MM 1,400.00 980 672 1,148.00C1762 CARTIFORM 20MM OSTEO ALLOGRAFT 23,800.00 16,660.00 11,424.00 19,516.00C1762 ALLOMEND 4X8 THICK 4,312.00 3,018.40 2,069.76 3,535.84C1762 ALLOGFT NAIL 2.7 X 22 10,522.50 7,365.75 5,050.80 8,628.45C1762 ALLODERM 4X4 4-1.0 THICKNESS 3,220.00 2,254.00 1,545.60 2,640.40C1762 ACHILLES TENDON FROZEN 15,112.50 10,578.75 7,254.00 12,392.25C1763 SURGISIS ONE LAYER TISSUE 740.51 518.36 355.44 607.22C1763 BIOINDUCTIVE LG IMPLANT 12,200.00 8,540.00 5,856.00 10,004.00C1764 MONITOR LUX DX INSERT CARDIAC 33,750.00 23,625.00 16,200.00 27,675.00C1764 BIOMONITOR 2-AF 31,500.00 22,050.00 15,120.00 25,830.00C1767 PULSE GENERATOR 85,075.00 59,552.50 40,836.00 69,761.50C1767 PROCLAIM ELITE GENERATOR 76,858.00 53,800.60 36,891.84 63,023.56C1767 PRIME SURESCAN STIMULATOR 46,560.00 32,592.00 22,348.80 38,179.20C1767 NEUROSTIMULATOR IMPLANT 79,887.50 55,921.25 38,346.00 65,507.75C1767 IP GENERATOR 76,858.00 53,800.60 36,891.84 63,023.56C1768 XENOSURE VASC PATCH 1CMX10CM 810.00 567 388.8 664.2

C1768 XENOSURE VASC PATCH 1.5CMX10CM 792.00 554.4 380.16 649.44C1768 XENOSURE VASC PATCH 0.8CMX8CM 618.00 432.6 296.64 506.76C1768 VENAFLO II CFLEX 6 MM X 50 CM 5,541.25 3,878.88 2,659.80 4,543.83C1768 VENAFLO II 4-7MM X 30 CM 5,541.25 3,878.88 2,659.80 4,543.83C1768 PROPATEN VASCULAR GRAFT 8X40CM 3,138.00 2,196.60 1,506.24 2,573.16C1768 PROPATEN VASCULAR GRAFT 8X40CM 3,138.00 2,196.60 1,506.24 2,573.16C1768 PROPATEN VASCULAR GRAFT 6X60CM 4,692.00 3,284.40 2,252.16 3,847.44C1768 GRAFT 7MMX50CM STRAIGHT 2,145.00 1,501.50 1,029.60 1,758.90C1768 GRAFT 7MMX40CM STRAIGHT 2,145.00 1,501.50 1,029.60 1,758.90C1768 GRAFT 7MMX30CM STRAIGHT 2,145.00 1,501.50 1,029.60 1,758.90C1768 ACUSEAL VASCULAR GRAFT 6X40CM 3,876.00 2,713.20 1,860.48 3,178.32C1768 ACUSEAL VASCULAR GRAFT 6X10CM 1,164.00 814.8 558.72 954.48C1768 ACUSEAL VASC GRAFT 4-7MMX45CM 4,497.00 3,147.90 2,158.56 3,687.54C1769 STANDARD ANGLED ZIPWIRE 260CM 365.62 255.93 175.5 299.81C1769 WIRE BMW 300 ABBOTT 530.00 371 254.4 434.6C1769 WIRE BMW 190 ELITE ABBOTT 560.00 392 268.8 459.2C1769 PIN GUIDE 6" 172.00 120.4 82.56 141.04C1769 GWIRE V18 0.018 X 150CM 381.60 267.12 183.17 312.91C1769 GUIDEWIRE J 035X145CM 80.00 56 38.4 65.6C1769 GUIDEWIRE J 035 X 260CM 100.00 70 48 82C1769 GUIDEWIRE J 025X145CM 96.00 67.2 46.08 78.72C1769 GUIDEWIRE HALO 579.00 405.3 277.92 474.78C1769 GUIDEWIRE CHOICE ES 300 CM 422.00 295.4 202.56 346.04C1769 GUIDEWIRE 0.038X150 STRAIGHT 324.31 227.02 155.67 265.93C1769 GUIDE WIRE 600MM BALL TIP 2,292.81 1,604.97 1,100.55 1,880.10C1769 GUIDE WIRE 1.1 172.00 120.4 82.56 141.04C1769 GUIDE PIN 3.2X343MM 581.80 407.26 279.26 477.08C1769 CON GUIDEWIRE LUGE 182 CM 422.00 295.4 202.56 346.04C1769 CON GUIDEWIRE CHOICE ES 182 CM 422.00 295.4 202.56 346.04C1769 ABBOTT HI TORQUE .014X300 ST 560.00 392 268.8 459.2C1769 ABBOTT HI TORQUE .014X190 ST 530.00 371 254.4 434.6C1769 035 GUIDEWIRE DBL TIPPED 164.00 114.8 78.72 134.48C1769 WIRE V-18 START 0.018X300CM 524.00 366.8 251.52 429.68C1769 WIRE V-14 START .014X300CM 719.76 503.83 345.48 590.2C1769 WIRE ANPLATZ STIFF .035X145 218.37 152.86 104.82 179.06C1769 WEDGE PLASMA S/O SZ 1 12,184.45 8,529.12 5,848.54 9,991.25C1769 VAULTILOCK UNI GLENOID SM 6,100.00 4,270.00 2,928.00 5,002.00C1769 TERUMO GLIDEWIRE 0.035X180CM 328.63 230.04 157.74 269.48C1769 SYN FOR FEM COMP SZ 9 10,210.18 7,147.13 4,900.89 8,372.35C1769 SUREGLIDE GUIDEWIRE 240.95 168.67 115.66 197.58C1769 SUREGLIDE GUIDEWIRE 240.95 168.67 115.66 197.58C1769 STIFF STRAIGHT ZIPWIRE 180CM 386.54 270.58 185.54 316.96C1769 STIFF ANGLED ZIPWIRE 180CM 387.50 271.25 186 317.75C1769 STEM UNI REVERSE HUMERAL 5MM 14,640.00 10,248.00 7,027.20 12,004.80C1769 STANDARD STRAIT ZIPWIRE 260CM 351.20 245.84 168.58 287.98C1769 STANDARD STRAIT ZIPWIRE 260CM 351.20 245.84 168.58 287.98C1769 STANDARD STRAIT ZIPWIRE 180CM 374.00 261.8 179.52 306.68C1769 ROTAWIRE FLOPPY 705.43 493.8 338.61 578.45C1769 ROTAWIRE EXTRA SUPPORT 705.43 493.8 338.61 578.45C1769 R-O SHEATH 7FR X 11CM MARKER 251.41 175.99 120.68 206.16C1769 R-O SHEATH 5FR X 11CM MARKER 251.41 175.99 120.68 206.16C1769 MICROPUNCTURE 5 FR KIT 304.78 213.35 146.29 249.92C1769 METII 21-260 387.25 271.08 185.88 317.55C1769 MAILMAN 300CM WIRE 422.00 295.4 202.56 346.04C1769 KIT MICRO INTRODUCER 4FR 180.00 126 86.4 147.6C1769 INTRODUCER SP TUBE 268.13 187.69 128.7 219.87C1769 HEAD HUMERAL ECLIPSE 41/18 6,100.00 4,270.00 2,928.00 5,002.00C1769 HEAD FEMORAL 32MM OD +0MM 5,111.13 3,577.79 2,453.34 4,191.13C1769 GWIRE DUAL FLEX .035X150X3CM 330.35 231.25 158.57 270.89C1769 GUIDEWIRE ZIPWIRE .035X150 294.46 206.12 141.34 241.46C1769 GUIDEWIRE ZIPWIRE .035X150 294.46 206.12 141.34 241.46C1769 GUIDEWIRE ZIPWIRE .035X150 294.46 206.12 141.34 241.46C1769 GUIDEWIRE HT PILOT 50 STR TIP 530.00 371 254.4 434.6C1769 GUIDEWIRE HT PILOT 200 STR TIP 560.00 392 268.8 459.2C1769 GUIDEWIRE DUAL-FLEX .035X150 336.22 235.35 161.39 275.7C1769 GUIDEWIRE BOSTON SCI 3MM 260CM 153.76 107.63 73.8 126.08C1769 GUIDEWIRE 1.2 X 9" CALAXO 202.83 141.98 97.36 166.32C1769 GUIDEWIRE .035 284.23 198.96 136.43 233.07C1769 GUIDEWIRE .035 284.23 198.96 136.43 233.07C1769 GUIDE WIRE SZ 1.6 X 150MM 128.10 89.67 61.49 105.04C1769 GUIDE WIRE SZ 1.6 X 150MM 128.10 89.67 61.49 105.04C1769 FIELDER XT PTCA GW 190CM 442.50 309.75 212.4 362.85

C1769 CUP UNI REV SUTURE 36 +2 LEFT 7,625.00 5,337.50 3,660.00 6,252.50C1769 CUP ALT CLSTR G2 SZ 46 6,556.46 4,589.52 3,147.10 5,376.30C1769 CON WIRE SAMURAI 190CM 530.00 371 254.4 434.6C1769 CON FORTE FLOPPY ST 185 CM 422.00 295.4 202.56 346.04C1769 CAP ECLIPSE TRU 39MM SLOT TPS 15,250.00 10,675.00 7,320.00 12,505.00C1769 BENTSON STR .035 X 260CM 176.80 123.76 84.86 144.98C1769 BENTSON STR .035 X 260CM 176.80 123.76 84.86 144.98C1769 BENTSON STR .035 X 180CM 147.68 103.38 70.89 121.1C1769 ALT XLE LNR NTRL G2 32 4,943.01 3,460.11 2,372.64 4,053.27C1769 ACROBAT 2 WIRE GUIDE 35-450 533.50 373.45 256.08 437.47C1769 ACROBAT 2 WIRE GUIDE 35-260 533.50 373.45 256.08 437.47C1769 014 DOC EXTENSION WIRE 530.00 371 254.4 434.6C1772 SYNCHROMED II PUMP 8637-20 43,575.00 30,502.50 20,916.00 35,731.50C1772 PUMP SYNCHROMED II INFUSION 42,267.75 29,587.43 20,288.52 34,659.56C1773 GUNTHAR TULIP VENA CAVE FILTER 751.25 525.88 360.6 616.03C1776 JRNY ART ISRT 5-6 RT 15M 8,034.92 5,624.44 3,856.76 6,588.63C1776 LEGION FEM WEDGE SZ 7 X 5MM 8,361.61 5,853.13 4,013.57 6,856.52C1776 SIMP STB HUMERAL HEAD DI 15,074.32 10,552.02 7,235.67 12,360.94C1776 LINER R3 560.0X36ID 4,170.08 2,919.06 2,001.64 3,419.47C1776 TANDEM BIPOLAR COCR 28 X 52MM 6,008.20 4,205.74 2,883.94 4,926.72C1776 GII BICONVEX PATELLA 23MM 4,375.59 3,062.91 2,100.28 3,587.98C1776 R3 XLPE LINER 200 ACE 5,536.24 3,875.37 2,657.40 4,539.72C1776 LINER 50 OD 32 ID XLPE 5,731.87 4,012.31 2,751.30 4,700.13C1776 ANTHOLOGY AFIT HO POR SZ 6 8,160.40 5,712.28 3,916.99 6,691.53C1776 JRNY BCS FEM LT SZ 5 8,452.71 5,916.90 4,057.30 6,931.22C1776 ACE SHELL 50MM 6,364.68 4,455.28 3,055.05 5,219.04C1776 ANTHOLOGY HO POR PL HA SZ 3 8,179.25 5,725.48 3,926.04 6,706.99C1776 PATELLA OVAL 35MM 6,342.41 4,439.69 3,044.36 5,200.78C1776 JRNY II BCS FEM OXIN LT SZ 7 7,803.36 5,462.35 3,745.61 6,398.76C1776 OXINIUM FEMORAL HD12/14 32 -3 6,222.98 4,356.09 2,987.03 5,102.84C1776 JRNY ART ISRT SZ 7-8 LT 10MM 7,280.05 5,096.04 3,494.42 5,969.64C1776 HUM LINER 36MM +0 UNCONSTRAINE 10,057.38 7,040.17 4,827.54 8,247.05C1776 JRNY BCS FEMORAL OXIN LT SZ 9 9,317.99 6,522.59 4,472.64 7,640.75C1776 GLENOSPHERE 36MM 1,036.39 725.47 497.47 849.84C1776 SIMP STB HUMERAL HEAD DI 16,712.84 11,698.99 8,022.16 13,704.53C1776 AEQUALIS PERF SP CORTILOC 15,134.47 10,594.13 7,264.55 12,410.27C1776 R354OD 3 HOLE HEIMI ACE SHELL 7,008.05 4,905.64 3,363.86 5,746.60C1776 PATELLA 32MM OVAL RESURFACE 6,737.69 4,716.38 3,234.09 5,524.91C1776 JRNY ISERT SZ 1-2 RT 10MM 7,404.73 5,183.31 3,554.27 6,071.88C1776 FEM COMP PS OXI SZ 5 RT 9,028.55 6,319.99 4,333.70 7,403.41C1776 JRNY II BCS XLPE ART ISRT S3-4 7,290.78 5,103.55 3,499.57 5,978.44C1776 JRNY II BCS ISRT SZ 5-6 RT 12M 7,362.70 5,153.89 3,534.10 6,037.41C1776 JRNY II BCS FEM OXIN RT SZ 5 9,448.84 6,614.19 4,535.44 7,748.05C1776 JRNY BCS ISRT SZ 3-4 RT 10MM 7,526.24 5,268.37 3,612.60 6,171.52C1776 ANTHOLOGY HO PRO PL HA SZ 6 9,035.81 6,325.07 4,337.19 7,409.36C1776 SIMP HUMERAL HEAD 16,082.41 11,257.69 7,719.56 13,187.58C1776 TOE IMPLANT POROUS MED/20MM 6,557.50 4,590.25 3,147.60 5,377.15C1776 TAPER SLEEVE +0 720.53 504.37 345.85 590.83C1776 TANDEM COCR LINER 420D 22ID 7,189.28 5,032.50 3,450.85 5,895.21C1776 TANDEM BIPOLAR COCR 28 X 57MM 8,649.80 6,054.86 4,151.90 7,092.84C1776 TANDEM BIPOLAR COCR 28 X 54MM 8,144.17 5,700.92 3,909.20 6,678.22C1776 TANDEM BIPOLAR COCR 28 X 53MM 4,498.75 3,149.13 2,159.40 3,688.98C1776 TANDEM BIPOLAR COCR 28 X 50MM 5,895.89 4,127.12 2,830.03 4,834.63C1776 TANDEM BIPOLAR COCR 28 X 49MM 6,814.86 4,770.40 3,271.13 5,588.19C1776 TANDEM BIPOLAR COCR 28 X 48MM 6,271.47 4,390.03 3,010.31 5,142.61C1776 TANDEM BIPOLAR COCR 28 X 45MM 6,416.90 4,491.83 3,080.11 5,261.86C1776 TANDEM BIPOLAR COCR 28 X 44MM 6,710.79 4,697.55 3,221.18 5,502.85C1776 SYNERGY STEM STD 14 X 135MM 8,690.37 6,083.26 4,171.38 7,126.10C1776 SYNERGY STEM STD 13 X 130MM 7,488.42 5,241.89 3,594.44 6,140.50C1776 SYNERGY STEM STD 12 X 125MM 10,045.24 7,031.67 4,821.72 8,237.10C1776 SYNERGY STEM STD 11 X 120MM 8,028.76 5,620.13 3,853.80 6,583.58C1776 SYNERGY STEM STD 10 X 115MM 9,091.26 6,363.88 4,363.80 7,454.83C1776 RESURFACING PATELLA 35MM 2,840.16 1,988.11 1,363.28 2,328.93C1776 RESURFACING PATELLA 32MM 2,840.16 1,988.11 1,363.28 2,328.93C1776 RESURFACING PATELLA 29MM 2,840.16 1,988.11 1,363.28 2,328.93C1776 PSILIZED ART INSR SZ 5-6 13MM 7,320.00 5,124.00 3,513.60 6,002.40C1776 PSILIZED ART INSR SZ 3-4 9MM 4,263.90 2,984.73 2,046.67 3,496.40C1776 OXINIUM GEN II FEMORAL R 6 5,802.26 4,061.58 2,785.08 4,757.85C1776 OXINIUM GEN II FEMORAL R 4 = 11,925.93 8,348.15 5,724.45 9,779.26C1776 OXINIUM GEN II FEMORAL L 8 12,166.51 8,516.56 5,839.92 9,976.54C1776 OXINIUM GEN II FEMORAL L 6 11,354.78 7,948.35 5,450.29 9,310.92C1776 OXINIUM GEN II FEMORAL L 5 12,072.94 8,451.06 5,795.01 9,899.81

C1776 OXINIUM FEMORAL HEAD 32MM +8 5,973.36 4,181.35 2,867.21 4,898.16C1776 OXINIUM FEMORAL HD 12/14 32 0 5,301.33 3,710.93 2,544.64 4,347.09C1776 OXI PS FEM COMP SIZE 8 10,304.67 7,213.27 4,946.24 8,449.83C1776 NONPOROUS TIBIAL IMPLANT L 6 5,673.12 3,971.18 2,723.10 4,651.96C1776 NONPOROUS TIBIAL IMPLANT L 5 5,832.58 4,082.81 2,799.64 4,782.72C1776 NONPOROUS TIBIAL IMPLANT L 4 5,549.54 3,884.68 2,663.78 4,550.62C1776 METATARSAL HEAD STANDARD 6,100.00 4,270.00 2,928.00 5,002.00C1776 METATARSAL HEAD STANDARD 6,100.00 4,270.00 2,928.00 5,002.00C1776 LEGION STEM 15MMX120MM 14,530.51 10,171.36 6,974.64 11,915.02C1776 JOURNEY PATELLA COMP 26MM 2,636.24 1,845.37 1,265.40 2,161.72C1776 IMPLANT NONPOROUS TIBIAL R 7 7,716.87 5,401.81 3,704.10 6,327.83C1776 IMPLANT NONPOROUS TIBIAL R 6 5,710.21 3,997.15 2,740.90 4,682.37C1776 IMPLANT NONPOROUS TIBIAL R 3 5,761.39 4,032.97 2,765.47 4,724.34C1776 IMPLANT NONPOROUS TIBIAL L 8 5,896.26 4,127.38 2,830.20 4,834.93C1776 IMPLANT NONPOROUS TIBIAL L 3 7,031.29 4,921.90 3,375.02 5,765.66C1776 HEAD SIZE 51MM 1,868.37 1,307.86 896.82 1,532.06C1776 GII OXINIUM P/S FEM SZ 6 LT 8,738.56 6,116.99 4,194.51 7,165.62C1776 GII BICONVEX PATELLA 26MM 4,127.57 2,889.30 1,981.23 3,384.61C1776 FLEXION INSERT SZ 3-4 21MM 5,050.80 3,535.56 2,424.38 4,141.66C1776 FEMORAL SIZE 6 RT OX 8,304.24 5,812.97 3,986.04 6,809.48C1776 FEMORAL HD COB CHR 0 28MM HIP 7,438.16 5,206.71 3,570.32 6,099.29C1776 FEMORAL HD COB CHR +4 HIP 28M 6,615.45 4,630.82 3,175.42 5,424.67C1776 DISTAL CENT POST 12MM INVIS 530.15 371.11 254.47 434.72C1776 DISTAL CENT POST 10MM INVIS 414.86 290.4 199.13 340.19C1776 DEEP FLEX INSERT SZ 7-8 9MM 4,207.11 2,944.98 2,019.41 3,449.83C1776 DEEP FLEX INSERT SZ 5-6 9MM 4,308.37 3,015.86 2,068.02 3,532.86C1776 ARTICULAR INSERT SIZE 3-4 11MM 7,320.00 5,124.00 3,513.60 6,002.40C1776 ALLOPURE 10MM EVANS BONEWEDGE 13,706.70 9,594.69 6,579.22 11,239.49C1776 WEDGE PLASMA X/O SZ 3 29,621.60 20,735.12 14,218.37 24,289.71C1776 WEDGE PLASMA S/O SZ 7 8,335.47 5,834.83 4,001.03 6,835.09C1776 WEDGE PLASMA S/O SZ 6 7,113.33 4,979.33 3,414.40 5,832.93C1776 WEDGE PLASMA S/O SZ 5 7,113.33 4,979.33 3,414.40 5,832.93C1776 WEDGE HIM STP 15MM 9,455.00 6,618.50 4,538.40 7,753.10C1776 VERSA DIAL 42X18X46 HUM HEAD 7,350.50 5,145.35 3,528.24 6,027.41C1776 VAULTLOCK UNI GLENOID MED 6,100.00 4,270.00 2,928.00 5,002.00C1776 VAULTLOCK GLENOID LARGE 6,100.00 4,270.00 2,928.00 5,002.00C1776 UNIV RVS GLENO 36 6,845.00 4,791.50 3,285.60 5,612.90C1776 TRULIANT TIB IMP CR STD 2.5 4,881.34 3,416.94 2,343.04 4,002.70C1776 TRULIANT TIB IMP CR INS 1.11MM 8,912.10 6,238.47 4,277.81 7,307.92C1776 TRULIANT TIB FIT TRAY CEM 3F/3 4,686.00 3,280.20 2,249.28 3,842.52C1776 TRULIANT TB IMP CR STD SZ 4 8,912.10 6,238.47 4,277.81 7,307.92C1776 TRULIANT CR CEM FEM RT SZ 3.5 27,398.15 19,178.71 13,151.11 22,466.48C1776 TRIGEN HUM PROX ST NAIL 1/2X16 6,720.68 4,704.48 3,225.93 5,510.96C1776 TRAY TRULIANT TIB FIT CEM 1.5F 6,799.79 4,759.85 3,263.90 5,575.83C1776 TRAY TRULIANT FIT CEM SZ 2.5F 6,088.29 4,261.80 2,922.38 4,992.40C1776 TRAY TIB FIT CEM SZ 4.0F/4.0T 6,975.35 4,882.75 3,348.17 5,719.79C1776 TRAY RVS LOW 1.5 X +6MM 13,786.00 9,650.20 6,617.28 11,304.52C1776 TRAY EQUIN REV ADAPTER PL +10 11,684.61 8,179.23 5,608.61 9,581.38C1776 TRAY ASCEMD FLEX RVS TH+6EC O 12,320.48 8,624.34 5,913.83 10,102.79C1776 TOE IMPLANT REQ #2 WRIGHT 10,780.25 7,546.18 5,174.52 8,839.81C1776 TIBIAL INSERT SZ 8 14MM 19,605.40 13,723.78 9,410.59 16,076.43C1776 TIBIAL INSERT LEFT 12MM L 10,481.02 7,336.71 5,030.89 8,594.44C1776 TIBIA JRNY UNI MED SZ 5 RIGHT 7,945.86 5,562.10 3,814.01 6,515.61C1776 TIB TRULIANT FIT TRAY SZ 3F/2T 6,540.05 4,578.04 3,139.22 5,362.84C1776 TIB TRU IMP CR STD SZ 3 10MM 4,077.24 2,854.07 1,957.08 3,343.34C1776 TIB INSERT 3-4/13MM CON 17,938.58 12,557.01 8,610.52 14,709.64C1776 TAPER POST 9.5 X 18 2,580.30 1,806.21 1,238.54 2,115.85C1776 TAPER POST 9.5 X 18 2,580.30 1,806.21 1,238.54 2,115.85C1776 TAPER POST 7.0MM X 13MM 2,580.30 1,806.21 1,238.54 2,115.85C1776 TAPER POST 7.0MM X 13MM 2,580.30 1,806.21 1,238.54 2,115.85C1776 SYNG FEM SZ 15 8,197.73 5,738.41 3,934.91 6,722.14C1776 SYNERGY TITA STEM SZ 17 8,989.57 6,292.70 4,314.99 7,371.45C1776 SYNERGY TITA STEM SZ 16 9,842.96 6,890.07 4,724.62 8,071.23C1776 SYNERGY TITA STEM SZ 10 8,861.78 6,203.25 4,253.65 7,266.66C1776 SYNERGY TITA STEM PRESS SZ 13 7,986.61 5,590.63 3,833.57 6,549.02C1776 SYNERGY TITA STEM PRESS SZ 12 13,387.18 9,371.03 6,425.85 10,977.49C1776 SYNERGY TITA STEM PRESS SZ 11 13,452.76 9,416.93 6,457.32 11,031.26C1776 SYNERGY SZ 14 9,235.40 6,464.78 4,432.99 7,573.03C1776 SYNERGY STEM SZ 18 8,572.57 6,000.80 4,114.83 7,029.51C1776 SYNERGY STEM STD 9 X 110MM 9,248.09 6,473.66 4,439.08 7,583.43C1776 SYNERGY STEM PORUS SZ 18 13,218.52 9,252.96 6,344.89 10,839.19C1776 SYNERGY STEM POROUS 12H 8,630.04 6,041.03 4,142.42 7,076.63

C1776 SYNERGY FEM SZ 14 HI OFFSET 13,246.58 9,272.61 6,358.36 10,862.20C1776 SYNERGY FEM COMP SZ 15 9,085.95 6,360.17 4,361.26 7,450.48C1776 SYN POR HO FEM COMP SZ 10 10,829.57 7,580.70 5,198.19 8,880.25C1776 SYN POR HO FEM COM SZ 11 8,801.51 6,161.06 4,224.72 7,217.24C1776 SYN POR FEM COMP SZ 10 9,358.62 6,551.03 4,492.14 7,674.07C1776 SYN POR FEM COM SZ 18 12,713.74 8,899.62 6,102.60 10,425.27C1776 SYN FEM SZ 13 9,520.94 6,664.66 4,570.05 7,807.17C1776 SWANSON TOE SZ 5S 9,067.50 6,347.25 4,352.40 7,435.35C1776 SWANSON TOE SZ 5S 9,067.50 6,347.25 4,352.40 7,435.35C1776 SWANSON TOE SZ 4S 9,067.50 6,347.25 4,352.40 7,435.35C1776 SWANSON TOE SZ 4S 9,067.50 6,347.25 4,352.40 7,435.35C1776 SWANSON TOE SZ 3S 11,098.00 7,768.60 5,327.04 9,100.36C1776 SWANSON TOE SZ 3S 11,098.00 7,768.60 5,327.04 9,100.36C1776 SWANSON TOE SZ 1S 6,355.00 4,448.50 3,050.40 5,211.10C1776 SWANSON TOE SZ 1S 6,355.00 4,448.50 3,050.40 5,211.10C1776 SWANSON TOE SZ 0S 6,355.00 4,448.50 3,050.40 5,211.10C1776 SWANSON TOE SZ 0 9,067.50 6,347.25 4,352.40 7,435.35C1776 SUTURE CUP UNI REVERSE 36 +2RT 7,625.00 5,337.50 3,660.00 6,252.50C1776 STEMLESS HUM HEAD 53MMX20MM 21,192.93 14,835.05 10,172.61 17,378.20C1776 STEMLESS HUM COMP LSR CAGE SZ3 34,261.57 23,983.10 16,445.55 28,094.49C1776 STEM UNIVERS RVS HUMERAL SZ 10 14,640.00 10,248.00 7,027.20 12,004.80C1776 STEM UNIVER REVER HUMERAL SZ12 14,640.00 10,248.00 7,027.20 12,004.80C1776 STEM UNI REVERSE APEX SZ 6 14,640.00 10,248.00 7,027.20 12,004.80C1776 STEM UNI REV HUMERAL SZ 6 14,640.00 10,248.00 7,027.20 12,004.80C1776 STEM UNI REV HUMERAL SZ 11 14,640.00 10,248.00 7,027.20 12,004.80C1776 STEM UNI REV APEX SZ 9 14,640.00 10,248.00 7,027.20 12,004.80C1776 STEM UNI REV APEX SZ 7 14,640.00 10,248.00 7,027.20 12,004.80C1776 STEM SZ 15 STRAIT 190 52,258.70 36,581.09 25,084.18 42,852.13C1776 STEM SYNERGY HO SZ 17 13,735.55 9,614.89 6,593.06 11,263.15C1776 STEM SYN POR HO FEM COM SZ 16 9,417.79 6,592.45 4,520.54 7,722.59C1776 STEM STRAIGHT 14 X 160MM 10,746.68 7,522.68 5,158.41 8,812.28C1776 STEM REV PRESSFIT SLOT 12X150M 11,089.80 7,762.86 5,323.10 9,093.64C1776 STEM RADIAL IMPLANT 03 13,725.00 9,607.50 6,588.00 11,254.50C1776 STEM QUINOXE PRESERVE 14 MM 10,550.50 7,385.35 5,064.24 8,651.41C1776 STEM PRIMARY COMP 16MM MINI 12,261.00 8,582.70 5,885.28 10,054.02C1776 STEM PRIMARY COMP 15MM MINI 16,567.42 11,597.19 7,952.36 13,585.28C1776 STEM PRIMARY COMP 10MM MINI 11,785.20 8,249.64 5,656.90 9,663.86C1776 STEM PRIMARY 10MM STD 18,574.50 13,002.15 8,915.76 15,231.09C1776 STEM METATARSAL MEDIUM 8,225.85 5,758.10 3,948.41 6,745.20C1776 STEM METATARSAL MEDIUM 8,225.85 5,758.10 3,948.41 6,745.20C1776 STEM LGN PRESSFIT 22MM X 150MM 10,746.68 7,522.68 5,158.41 8,812.28C1776 STEM HUMERAL PRIMARY PRESS FIT 21,573.57 15,101.50 10,355.31 17,690.33C1776 STEM HM ST7-8 5MM LTLA-RTMED 11,981.93 8,387.35 5,751.33 9,825.18C1776 STEM EQUINOXE PRESERVE 9MM 14,973.85 10,481.70 7,187.45 12,278.56C1776 STEM EQUINOXE PRESERVE 11MM 18,062.77 12,643.94 8,670.13 14,811.47C1776 STEM EQU HUMERAL PRI 12MM 10,068.17 7,047.72 4,832.72 8,255.90C1776 STEM EQ HUMERAL PRI PRFIT 10MM 9,645.38 6,751.77 4,629.78 7,909.21C1776 STEM EQ HUM PRI PRESS FIT 17MM 21,573.57 15,101.50 10,355.31 17,690.33C1776 STEM CONQUEST FX #10 10,862.27 7,603.59 5,213.89 8,907.06C1776 STEM COATED TI 11MM X 90 26,391.04 18,473.73 12,667.70 21,640.65C1776 STEM ANTH POROUS SZ 7 14,917.25 10,442.08 7,160.28 12,232.15C1776 STEM 15MM X 50MM SPAC 19,466.63 13,626.64 9,343.98 15,962.64C1776 STEM 15MM X 25MM SPAC 19,466.63 13,626.64 9,343.98 15,962.64C1776 STEM 15MM X 15MM SPAC 19,466.63 13,626.64 9,343.98 15,962.64C1776 STEM 15MM METAPHYSIS 31,553.78 22,087.65 15,145.81 25,874.10C1776 STEM 15 7,882.54 5,517.78 3,783.62 6,463.68C1776 STEM 14 X100 5,953.60 4,167.52 2,857.73 4,881.95C1776 STEM 14 X 150 6,275.07 4,392.55 3,012.03 5,145.56C1776 STEM 10.5MM PLATFORM FX RIGHT 27,146.40 19,002.48 13,030.27 22,260.05C1776 STEM DIA 11MM METAPHYSIS 29,079.92 20,355.94 13,958.36 23,845.53C1776 STD OFFSET MOD NECK 11,801.06 8,260.74 5,664.51 9,676.87C1776 SPACER UNI REV 36+6MM 3,050.00 2,135.00 1,464.00 2,501.00C1776 SPACER UNI REV 36+12MM 2,745.00 1,921.50 1,317.60 2,250.90C1776 SPACER STEM 11MM X 50MM 16,813.13 11,769.19 8,070.30 13,786.77C1776 SPACER STEM 11MM X 15MM 17,934.00 12,553.80 8,608.32 14,705.88C1776 SLEEVE MOD +0 1,681.53 1,177.07 807.13 1,378.85C1776 SLEEVE 12/14 TAPER +4 1,585.82 1,110.07 761.19 1,300.37C1776 SIZE 3 + 18 INSERT 26,440.76 18,508.53 12,691.56 21,681.42C1776 SIZE 16 STEM 9,813.74 6,869.62 4,710.60 8,047.27C1776 SINUSTARSI IMP SZ 10 HYPROCURE 7,899.50 5,529.65 3,791.76 6,477.59C1776 SIMPLICITI NUCLEUS SZ 3 17,770.46 12,439.32 8,529.82 14,571.78C1776 SIMP STB HUMERAL HEAD DI 17,224.33 12,057.03 8,267.68 14,123.95

C1776 SIMP STB HUMERAL HEAD 16,419.92 11,493.94 7,881.56 13,464.33C1776 SIMP STB HUM HEAD DI 15,895.38 11,126.77 7,629.78 13,034.21C1776 SIMP NUCLEUS SZ 2 22,587.75 15,811.43 10,842.12 18,521.96C1776 SIMP NUCLEUS SIZE 1 20,146.23 14,102.36 9,670.19 16,519.91C1776 SIMP HUMERAL HEAD 16,084.11 11,258.88 7,720.37 13,188.97C1776 SIMP HUM HEAD DI 16,269.37 11,388.56 7,809.30 13,340.88C1776 SIMP HUM HEAD 52MM X 18MM 22,176.25 15,523.38 10,644.60 18,184.53C1776 SIM STB HUMERAL HEAD DI 16,076.25 11,253.38 7,716.60 13,182.53C1776 SIM HUMERAL HEAD 52 X 21MM 16,112.54 11,278.78 7,734.02 13,212.28C1776 SIGMA STABILIZED INSERT 2.1 20,355.70 14,248.99 9,770.74 16,691.67C1776 SECURITIZATION SET 3,197.93 2,238.55 1,535.01 2,622.30C1776 SCREW LWDG S8 15D X 5P 15,564.15 10,894.91 7,470.79 12,762.60C1776 SCREW KIT EQ REV ANG TORQUE 2,644.66 1,851.26 1,269.44 2,168.62C1776 SCREW GELNOSPHERE 39 +4 LAT/24 10,370.00 7,259.00 4,977.60 8,503.40C1776 SCREW FULL STEP 1-2 15MM 14,476.52 10,133.56 6,948.73 11,870.75C1776 SCREW EQ REV COMP LOCK 4.5X30 843.45 590.42 404.86 691.63C1776 SCREW EQ REV COMP LOCK 4.5X26 1,992.38 1,394.67 956.34 1,633.75C1776 SCREW EQ REV COMP LOCK 4.5X22 2,070.58 1,449.41 993.88 1,697.88C1776 SCREW ECLIPSE CAGE M 35MM 12,200.00 8,540.00 5,856.00 10,004.00C1776 SCREW COMP LCK CAP KIT 4.5X34 1,211.09 847.76 581.32 993.09C1776 SCR FULL STEP 5-6 15MM 15,202.42 10,641.69 7,297.16 12,465.98C1776 SC HM ST 5-6 10MM LTLA RTMD 15,591.60 10,914.12 7,483.97 12,785.11C1776 RX XLPE 0 DEG ACE LINER 5,756.45 4,029.52 2,763.10 4,720.29C1776 RVS INSERT 42X6X12.5 6,883.12 4,818.18 3,303.90 5,644.16C1776 RVS INSERT 36X6X12.5 9,598.35 6,718.85 4,607.21 7,870.65C1776 RHS SHT STEM 10 MM NECK 13MM 16,726.20 11,708.34 8,028.58 13,715.48C1776 RHS RADIAL PROTHESIS LONG RA 16,726.20 11,708.34 8,028.58 13,715.48C1776 RHS RADIAL HEAD SHT STEM 9X13 16,726.20 11,708.34 8,028.58 13,715.48C1776 RHS RADIAL HEAD 7MM DIA 16,726.20 11,708.34 8,028.58 13,715.48C1776 RHS RADIAL HEAD 24 MM DTJ304 7,383.44 5,168.41 3,544.05 6,054.42C1776 RHS RADIAL HEAD 22MM DIA 9,008.18 6,305.73 4,323.93 7,386.71C1776 RHS RADIAL HEAD 18MM DIA 9,008.18 6,305.73 4,323.93 7,386.71C1776 RHS RADIAL HEAD 10MM X 16MM 13,903.12 9,732.18 6,673.50 11,400.56C1776 REVERSED INSERT 42X9X12.5 16,250.40 11,375.28 7,800.19 13,325.33C1776 REVERSED INSERT 42X6X12.5 16,250.40 11,375.28 7,800.19 13,325.33C1776 REVERSED INSERT 42 X 9 X 12.5 9,598.35 6,718.85 4,607.21 7,870.65C1776 REV TIBIAL BASE SIZE 5 RT 22,563.90 15,794.73 10,830.67 18,502.40C1776 REV PRESSFIT STEM NSLT10X100 5,953.60 4,167.52 2,857.73 4,881.95C1776 REV PRESSFIT STEM 16 X 100MM 6,314.72 4,420.30 3,031.07 5,178.07C1776 REV PRESSFIT STEM 12 X 100MM 4,605.20 3,223.64 2,210.50 3,776.26C1776 REV INSERT 42X6X7.5 8,213.65 5,749.56 3,942.55 6,735.19C1776 REV INSERT 36X6X7.5 12,320.48 8,624.34 5,913.83 10,102.79C1776 REV GLEN BASE PLATE 29MM 6,340.95 4,438.67 3,043.66 5,199.58C1776 RET REVERSED INSERT 36X9 15,708.72 10,996.10 7,540.19 12,881.15C1776 RET REV INSERT 36X6X12.5 15,708.72 10,996.10 7,540.19 12,881.15C1776 REFLECTION SP3 SHELL 5MM 7,338.30 5,136.81 3,522.38 6,017.41C1776 REF XLPE LINER 32-20 50-52 E 21,438.45 15,006.92 10,290.46 17,579.53C1776 REDAPT SLVLS STEM 300MM SZ 17 70,304.88 49,213.42 33,746.34 57,650.00C1776 REDAPT SLVLS STEM 240MM SZ 15 81,837.60 57,286.32 39,282.05 67,106.83C1776 REDAPT SLVLS STEM 240MM 20 SO 70,020.38 49,014.27 33,609.78 57,416.71C1776 REDAPT SLVLS STEM 190MM SZ 16 60,161.25 42,112.88 28,877.40 49,332.23C1776 REDAPT SLVLS MONO STEM 240MM13 66,063.00 46,244.10 31,710.24 54,171.66C1776 REDAPT SLV STEM 190MM SZ 18 SO 57,301.88 40,111.32 27,504.90 46,987.54C1776 REDAPT SF STEM 300 MM SZ 20 71,736.00 50,215.20 34,433.28 58,823.52C1776 REDAPT PF STEM 300MM SZ14 68,320.00 47,824.00 32,793.60 56,022.40C1776 REDAPT PF STEM 300MM SZ 18 71,736.00 50,215.20 34,433.28 58,823.52C1776 REDAPT PF STEM 240MM SZ 20 66,247.53 46,373.27 31,798.81 54,322.97C1776 REDAPT PF STEM 240MM SZ 19 63,074.00 44,151.80 30,275.52 51,720.68C1776 REDAPT PF STEM 240MM SZ 18 63,074.00 44,151.80 30,275.52 51,720.68C1776 REDAPT MONO STEM 300MM SZ13 SO 81,409.38 56,986.57 39,076.50 66,755.69C1776 REDAPT MONO STEM 300MM SZ 18 S 76,794.12 53,755.88 36,861.18 62,971.18C1776 REDAPT MONO STEM 240MM SZ 17 S 77,198.55 54,038.99 37,055.30 63,302.81C1776 REDAPT MONO STEM 240MM SZ 16 77,198.55 54,038.99 37,055.30 63,302.81C1776 RDAPT SLVLS MONO STEM SZ 21 HD 72,821.19 50,974.83 34,954.17 59,713.38C1776 RAP-PAC CRUCIATE ACL KIT 1,108.13 775.69 531.9 908.67C1776 RAD PROTHESIS RADIAL HEAD 20MM 9,008.18 6,305.73 4,323.93 7,386.71C1776 R3 XLPE 36MM ID X 54MM OD ACE 6,194.79 4,336.35 2,973.50 5,079.73C1776 R3 XLPE 20 DEG ACE LINER 36ID 3,739.30 2,617.51 1,794.86 3,066.23C1776 R3 XLPE 20 DEG 36MM ID 4,943.75 3,460.63 2,373.00 4,053.88C1776 R3 STIKTITE SHELL 58 OD 14,443.89 10,110.72 6,933.07 11,843.99C1776 R3 STIKTITE SHELL 54 OD 5,703.68 3,992.58 2,737.77 4,677.02C1776 R3 SHELL THREE HOLE 48MM 7,006.77 4,904.74 3,363.25 5,745.55

C1776 R3 SHELL 62OD 6,120.98 4,284.69 2,938.07 5,019.20C1776 R3 SHELL 62MM 15,808.15 11,065.71 7,587.91 12,962.68C1776 R3 SHELL 60MM 14,443.89 10,110.72 6,933.07 11,843.99C1776 R3 SHELL 58MM 6,656.63 4,659.64 3,195.18 5,458.44C1776 R3 LINER 36MMID 60MMOD 20* LIP 4,004.77 2,803.34 1,922.29 3,283.91C1776 R3 LINER 36MMID 58OD 6,214.13 4,349.89 2,982.78 5,095.59C1776 R3 LINER 32ID X 50OD 6,106.83 4,274.78 2,931.28 5,007.60C1776 R3 LINER 20* 40IDX60OD 6,478.20 4,534.74 3,109.54 5,312.12C1776 R3 LINER 20 DEG 40MM ID X62 OD 4,975.40 3,482.78 2,388.19 4,079.83C1776 R3 LINER 0 DEG 40 X 58MM 5,019.51 3,513.66 2,409.36 4,116.00C1776 R3 LINER 0 DEG 32MM X 48MM OD 6,935.21 4,854.65 3,328.90 5,686.87C1776 R3 HOLE ACET SHELL 64MM 7,158.35 5,010.85 3,436.01 5,869.85C1776 R3 HEMISPHR ACE 56 OD 6,408.17 4,485.72 3,075.92 5,254.70C1776 R3 CONST 54MM 23,249.54 16,274.68 11,159.78 19,064.62C1776 R3 ACELINER 560DX40ID 13,703.59 9,592.51 6,577.72 11,236.94C1776 R3 ACE LINER XLPE 20 DEGREE 6,095.67 4,266.97 2,925.92 4,998.45C1776 R3 ACE LINDER 0 DEG 40IDX60OD 5,123.27 3,586.29 2,459.17 4,201.08C1776 R3 3 HOLE ACET SHELL MM46 7,187.45 5,031.22 3,449.98 5,893.71C1776 R3 20 DEG LNR 40MMX64OD 5,862.10 4,103.47 2,813.81 4,806.92C1776 R3 20 DEG LINER 40 ID X 58 OD 4,634.72 3,244.30 2,224.67 3,800.47C1776 R3 20 DEG ACET LNR 36MM X 54MM 12,174.38 8,522.07 5,843.70 9,982.99C1776 R3 20 DEG ACET LNR 28 X 46MM 4,078.03 2,854.62 1,957.45 3,343.98C1776 R3 0 DEGREE XLPE 40MM X 560D 12,658.72 8,861.10 6,076.19 10,380.15C1776 R3 0 DEG XLPE LNR 28MM X 46MM 3,420.94 2,394.66 1,642.05 2,805.17C1776 PS FEM SZ 5 LT 11,620.50 8,134.35 5,577.84 9,528.81C1776 PROSTHESIS SH RADIAL 7X16MM 15,860.00 11,102.00 7,612.80 13,005.20C1776 PROMOS BODY REVERSE 36X10MM 14,120.59 9,884.41 6,777.88 11,578.88C1776 PRIMARY STEM 8MM STD 18,574.50 13,002.15 8,915.76 15,231.09C1776 PRIMARY STEM 8MM MINI 30,981.90 21,687.33 14,871.31 25,405.16C1776 POLARCUP XL INSERT 53/28 NONCE 7,777.50 5,444.25 3,733.20 6,377.55C1776 P-LOCK LOCK VLP PLATE 93MM 7,867.48 5,507.24 3,776.39 6,451.33C1776 PLATE GLENOID SM EXTENDED CAGE 15,061.57 10,543.10 7,229.55 12,350.49C1776 PLATE ANTHOLOGY HO POR HA SZ 4 10,140.58 7,098.41 4,867.48 8,315.28C1776 PLATE 6 HOLE ANTERIOR CLAVICLE 9,540.40 6,678.28 4,579.39 7,823.13C1776 PFC TIB INSERT 20,984.00 14,688.80 10,072.32 17,206.88C1776 PERFORM REVERSED AUGMENT BASEP 16,861.93 11,803.35 8,093.73 13,826.78C1776 PERFORM REV STANDARD GLEN 8,747.40 6,123.18 4,198.75 7,172.87C1776 PERFORM REV PERI SCREW 5.0X54 1,128.68 790.08 541.77 925.52C1776 PERFORM REV LATERALIZED G 26,265.08 18,385.56 12,607.24 21,537.37C1776 PERFORM REV LATERALIZED 3MM39M 14,065.08 9,845.56 6,751.24 11,533.37C1776 PERFORM REV LAT BASEPLATE 12,397.46 8,678.22 5,950.78 10,165.92C1776 PERFORM REV LAT B 10,367.80 7,257.46 4,976.54 8,501.60C1776 PERFORM REV AUGMENT BASEPLATE 10,089.10 7,062.37 4,842.77 8,273.06C1776 PERFORM REV AUG BASEPL 35DX25M 22,961.93 16,073.35 11,021.73 18,828.78C1776 PERF REV STANDARD GLEN 11,968.20 8,377.74 5,744.74 9,813.92C1776 PERF REV STANDARD BASE 13,976.63 9,783.64 6,708.78 11,460.84C1776 PERF REV ECCENTRIC GLE 7,607.74 5,325.42 3,651.72 6,238.35C1776 PERF REV AUGMENT BASE PLATE 22,961.93 16,073.35 11,021.73 18,828.78C1776 PATELLA THREE PEG 29MM 2,076.32 1,453.42 996.63 1,702.58C1776 PATELLA RESURFACE OVAL 29MM 6,837.12 4,785.98 3,281.82 5,606.44C1776 OXNM FEM HD 28MM + 12 4,580.67 3,206.47 2,198.72 3,756.15C1776 OXINIUM TAPER FEM HD 36+8 6,031.68 4,222.18 2,895.21 4,945.98C1776 OXINIUM FEM HEAD 28MM -3 12/14 4,239.80 2,967.86 2,035.10 3,476.64C1776 OXINIUM FEM HD 28MMOD+4 12/14 6,248.72 4,374.10 2,999.39 5,123.95C1776 OXINIUM FEM HD 12/14 22MM+8 16,301.64 11,411.15 7,824.79 13,367.34C1776 OX 36OD+4 TAPER FEM HD 6,031.68 4,222.18 2,895.21 4,945.98C1776 OVAL RESURFACE PATELLA 38MM 6,374.38 4,462.07 3,059.70 5,226.99C1776 NEXGEN LPS FLEX EF 5-6,12MM 4,880.00 3,416.00 2,342.40 4,001.60C1776 NECK 36M + 0 6,830.90 4,781.63 3,278.83 5,601.34C1776 MONO STEM 240MM SZ 18 SO 77,198.55 54,038.99 37,055.30 63,302.81C1776 MODULAR INSERT 1.5MM OFFSET 12,450.10 8,715.07 5,976.05 10,209.08C1776 MODULAR HEAD SLEEVE 4MM 1,542.69 1,079.88 740.49 1,265.01C1776 MOD INSERT 2.5MM OFFSET -1 3.6 12,450.10 8,715.07 5,976.05 10,209.08C1776 MOD INSERT 2.5MM OFFSET -1 3.6 12,450.10 8,715.07 5,976.05 10,209.08C1776 MOD INSERT 1.5MM OFFSET 01 12,450.10 8,715.07 5,976.05 10,209.08C1776 MOD HEAD SLV + 8 LONG 2,586.40 1,810.48 1,241.47 2,120.85C1776 MINI TIGHTROPE FT 3,965.00 2,775.50 1,903.20 3,251.30C1776 MINI TIGHTROPE FT 3,965.00 2,775.50 1,903.20 3,251.30C1776 MINI IGNITE 4CC 10,656.25 7,459.38 5,115.00 8,738.13C1776 MED PHALINX 7,216.30 5,051.41 3,463.82 5,917.37C1776 MED PHALINX 7,216.30 5,051.41 3,463.82 5,917.37C1776 LOW OFFSET REVERSE TRAY (+)12 14,474.08 10,131.86 6,947.56 11,868.75

C1776 LINER XLPE 20 DEG +4 36X56MM 4,217.78 2,952.45 2,024.53 3,458.58C1776 LINER HUMERAL 40MM +2.5 7,007.38 4,905.17 3,363.54 5,746.05C1776 LINER EQU REV 38MM HUM +2.5 5,937.62 4,156.33 2,850.06 4,868.85C1776 LINER EQ REVERSE 42MM HUMERAL 8,227.38 5,759.17 3,949.14 6,746.45C1776 LINER EQ REV 38MM HUMERAL +0 7,742.06 5,419.44 3,716.19 6,348.49C1776 LIGION TIBLA BASE SZ 3 LT 24,594.65 17,216.26 11,805.43 20,167.61C1776 LGN XLPE ISERT SZ 5-6 9MM 21,460.11 15,022.08 10,300.85 17,597.29C1776 LGN XLPE DSHD ISRT SZ5-6 11MM 21,460.11 15,022.08 10,300.85 17,597.29C1776 LGN XLPE DISHED ISRT SZ 3-4 15 17,753.44 12,427.41 8,521.65 14,557.82C1776 LGN STEM 20X160 11,713.89 8,199.72 5,622.67 9,605.39C1776 LGN STEM 11MMX160MM 9,913.72 6,939.60 4,758.59 8,129.25C1776 LGN STEM 11MM X 120MM 11,697.36 8,188.15 5,614.73 9,591.84C1776 LGN SLPE DISHED ISRT SZ5-6 13M 18,645.26 13,051.68 8,949.72 15,289.11C1776 LGN SCRW DIS FEM WDG SZ8 5MM 11,579.26 8,105.48 5,558.04 9,494.99C1776 LGN SCRW DIS FEM WDG SZ3 5MM 7,037.88 4,926.52 3,378.18 5,771.06C1776 LGN SCRW DIS FEM WDG SZ3 10MM 7,037.88 4,926.52 3,378.18 5,771.06C1776 LGN REV TIBIA BASE SZ 2 RT 25,240.58 17,668.41 12,115.48 20,697.28C1776 LGN PRESSFIT STEM 20MM X 120MM 13,707.62 9,595.33 6,579.66 11,240.25C1776 LGN PRESSFIT STEM 18MMX120MM 9,644.10 6,750.87 4,629.17 7,908.16C1776 LGN PRESSFIT STEM 14MM X 120MM 14,530.51 10,171.36 6,974.64 11,915.02C1776 LGN POS FEM WDGG 5MM SZ3-4 LNG 9,955.20 6,968.64 4,778.50 8,163.26C1776 LGN POS FEM WDG 5MM SZ7-8 LNG 9,154.58 6,408.21 4,394.20 7,506.76C1776 LGN OX CONSTRAINED FEM 3 RT 56,450.93 39,515.65 27,096.45 46,289.76C1776 LGN OFFSET COUPLER 4MM 10,719.23 7,503.46 5,145.23 8,789.77C1776 LGN INSERT DISHED SZ7-8 9MM 14,766.88 10,336.82 7,088.10 12,108.84C1776 LGN HM ST 3-4 5MM LTMD-RTLA 12,174.38 8,522.07 5,843.70 9,982.99C1776 LGN CONST FEM SZ 8 LT 74,060.10 51,842.07 35,548.85 60,729.28C1776 LGLN REV TIBIA BASE SZ 3 RT 22,563.90 15,794.73 10,830.67 18,502.40C1776 LEGION XLPE 5-6X11MM 7,719.00 5,403.30 3,705.12 6,329.58C1776 LEGION WEGE 5MM SZ 5-6 LNG 7,860.77 5,502.54 3,773.17 6,445.83C1776 LEGION WEDGE 10 X 5 8,309.42 5,816.59 3,988.52 6,813.72C1776 LEGION TIB PLATE SZ 4 LT 31,378.10 21,964.67 15,061.49 25,730.04C1776 LEGION TIB CONE ID 22 LONG 43,613.17 30,529.22 20,934.32 35,762.80C1776 LEGION TIB BASE SZ 7 LT 22,563.90 15,794.73 10,830.67 18,502.40C1776 LEGION TIB BASE RT SZ4 33,262.08 23,283.46 15,965.80 27,274.91C1776 LEGION STEM STRT 13X120MM 10,444.73 7,311.31 5,013.47 8,564.68C1776 LEGION STEM STRT 12MMX160MM 15,829.81 11,080.87 7,598.31 12,980.44C1776 LEGION STEM STR 16X160MM 10,746.68 7,522.68 5,158.41 8,812.28C1776 LEGION STEM 12MMX120MM 11,384.74 7,969.32 5,464.68 9,335.49C1776 LEGION STEM 12MM X 160 9,760.00 6,832.00 4,684.80 8,003.20C1776 LEGION REV TIB BASE 5 LT 24,594.65 17,216.26 11,805.43 20,167.61C1776 LEGION PS OXIN FEM SZ5 RT 12,344.08 8,640.86 5,925.16 10,122.15C1776 LEGION PS NP FEM SZ 6 RT 12,200.00 8,540.00 5,856.00 10,004.00C1776 LEGION PRESS FIT STM 18 X 160 10,746.68 7,522.68 5,158.41 8,812.28C1776 LEGION PRESS FIT STEM 16X120MM 10,444.73 7,311.31 5,013.47 8,564.68C1776 LEGION PFIT STEM ST 15 X 160MM 15,829.81 11,080.87 7,598.31 12,980.44C1776 LEGION OX FEM SZ 6 LT 78,499.38 54,949.57 37,679.70 64,369.49C1776 LEGION OX FEM CON SZ 8 RT 37,614.74 26,330.32 18,055.08 30,844.09C1776 LEGION OX FEM COMP SZ 5 LT 61,531.49 43,072.04 29,535.12 50,455.82C1776 LEGION OFFSET COUPLER 14,898.64 10,429.05 7,151.35 12,216.88C1776 LEGION INSERT XLPE PS SZ 5-6 7,594.87 5,316.41 3,645.54 6,227.79C1776 LEGION INSERT XLPE 3-4X11MM 7,785.61 5,449.93 3,737.09 6,384.20C1776 LEGION INSERT SZ 7-8 X 9MN 6,031.25 4,221.88 2,895.00 4,945.63C1776 LEGION INSERT SZ 7-8 X 11MM 7,567.66 5,297.36 3,632.48 6,205.48C1776 LEGION INSERT SZ 3-4 9MM 24,946.56 17,462.59 11,974.35 20,456.18C1776 LEGION INSERT PS SZ 7-8X9MM 7,719.00 5,403.30 3,705.12 6,329.58C1776 LEGION INSERT PS S25-6X11MM 6,153.07 4,307.15 2,953.47 5,045.52C1776 LEGION INSERT CONST SZ 5-6 9MM 16,758.23 11,730.76 8,043.95 13,741.75C1776 LEGION HIFLX SZ 3-4 9MM ART CR 6,244.57 4,371.20 2,997.39 5,120.55C1776 LEGION FEM WEDGE SZ 6.5MM 9,923.18 6,946.23 4,763.13 8,137.01C1776 LEGION FEM WEDGE SZ 5 X 5MM 8,361.61 5,853.13 4,013.57 6,856.52C1776 LEGION FEM WEDGE SZ 4 X 5MM 15,656.57 10,959.60 7,515.15 12,838.39C1776 LEGION FEM STEM 13 X 160 11,713.89 8,199.72 5,622.67 9,605.39C1776 LEGION FEM CONST SZ 4 LT 61,531.49 43,072.04 29,535.12 50,455.82C1776 LEGION FEM COMP RT SZ6 56,450.93 39,515.65 27,096.45 46,289.76C1776 LEGION FEM COMP CONS SZ4 RT 78,499.38 54,949.57 37,679.70 64,369.49C1776 LEGION CR XLPE ART 13MM 5-8 7,207.27 5,045.09 3,459.49 5,909.96C1776 LEGION CR XLPE 11MM 3-4 6,031.25 4,221.88 2,895.00 4,945.63C1776 LEGION CR NP FEM SZ 3 RT 12,200.00 8,540.00 5,856.00 10,004.00C1776 LEGION CR HIFLEX ART 9MM SZ5-6 6,528.22 4,569.75 3,133.55 5,353.14C1776 LEGION CON FEM COMP RT5 56,450.93 39,515.65 27,096.45 46,289.76C1776 LAT ULNER STEM LENGTH 47MM STE 11,972.29 8,380.60 5,746.70 9,817.28

C1776 LAT ULNAR STEM LENGTH 80MM ST 26,840.00 18,788.00 12,883.20 22,008.80C1776 LAT HUMERAL STEM LENGTH 83MM 34,160.00 23,912.00 16,396.80 28,011.20C1776 LAT HUM STEM LENGTH 77 MM 15,237.50 10,666.25 7,314.00 12,494.75C1776 LAT HMRL INSRT 36MM X 6MM 3,933.52 2,753.46 1,888.09 3,225.49C1776 LAT HMRL INSRT 35 MM X 9MM 7,101.62 4,971.13 3,408.78 5,823.33C1776 LAT ELBOW ULNER MOD MOYEN 3,265.15 2,285.61 1,567.27 2,677.42C1776 LAT ELBOW ULNAR 7,320.00 5,124.00 3,513.60 6,002.40C1776 LAT ELBOW RADIAL HEAD GRAND 9,760.00 6,832.00 4,684.80 8,003.20C1776 LAT ELBOW RAD STEM D 65MM 12,200.00 8,540.00 5,856.00 10,004.00C1776 LAT ELBOW RAD HEAD MODEL MOYEN 4,353.57 3,047.50 2,089.71 3,569.93C1776 LAT ELBOW HUM MOYEN/DROIT OFF 7,618.72 5,333.10 3,656.99 6,247.35C1776 LAT ELBOW HMRL SPOOL GRAND 17,080.00 11,956.00 8,198.40 14,005.60C1776 JUNI OX FEM SZ 6 RM LL 14,764.68 10,335.28 7,087.05 12,107.04C1776 JUNI OX FB FEM SZ 7 RM LL 16,487.87 11,541.51 7,914.18 13,520.05C1776 JUNI OX FB FEM SZ 5 LM RL 15,292.21 10,704.55 7,340.26 12,539.61C1776 JUNI FB FEM SZ 6 LM RL 10,285.27 7,199.69 4,936.93 8,433.92C1776 JRY TIBIA BASE NP RT SZ 8 6,971.57 4,880.10 3,346.35 5,716.69C1776 JRY II XLPE ISRT SZ 7-8 RT 13M 7,383.56 5,168.49 3,544.11 6,054.52C1776 JRY II FEMORAL OXIN RT SZ 9 9,383.14 6,568.20 4,503.91 7,694.17C1776 JRNYUNI APTIBS4LM/RL9MM TIB 14,839.90 10,387.93 7,123.15 12,168.72C1776 JRNYII INSERT XLPE DD LT SZ3-4 21,512.87 15,059.01 10,326.18 17,640.55C1776 JRNYII CRISRT XLPE RT SZ 5-6 7,283.40 5,098.38 3,496.03 5,972.39C1776 JRNY XR INS MED 7-8 RT 8MM 2,207.90 1,545.53 1,059.79 1,810.48C1776 JRNY XR INS LAT 7-8 RT 8MM 2,207.90 1,545.53 1,059.79 1,810.48C1776 JRNY XR BASEPLATE SZ 7 RT 8,093.60 5,665.52 3,884.93 6,636.75C1776 JRNY XR BASEPLATE SZ 6 RT 8,097.08 5,667.96 3,886.60 6,639.61C1776 JRNY XR BASEPLATE SZ 4 LT 7,572.42 5,300.69 3,634.76 6,209.38C1776 JRNY XLPE MED 3-4 RT 9MM 1,900.58 1,330.41 912.28 1,558.48C1776 JRNY XLPE LAT 3-4 RT 9MM 2,014.34 1,410.04 966.88 1,651.76C1776 JRNY XLPE ISRT SZ7-8 LT 11MM 8,301.49 5,811.04 3,984.72 6,807.22C1776 JRNY XLPE ISRT SZ 5-6 LT 15MM 7,647.88 5,353.52 3,670.98 6,271.26C1776 JRNY XLPE ISRT SZ 1-2 RT 11MM 9,165.74 6,416.02 4,399.56 7,515.91C1776 JRNY XLPE ISRT SZ 1-2 LT 9MM 7,419.19 5,193.43 3,561.21 6,083.74C1776 JRNY XLPE INSERT SZ 3-4RT 18MM 6,661.81 4,663.27 3,197.67 5,462.68C1776 JRNY XLPE ART ISRT SZ7-8 LT 18 7,470.49 5,229.34 3,585.84 6,125.80C1776 JRNY XLPE ART ISRT SZ 7-8 12MM 6,843.47 4,790.43 3,284.87 5,611.65C1776 JRNY XLPE ART ISRT SZ 1-2 13MM 7,860.22 5,502.15 3,772.91 6,445.38C1776 JRNY XLPE ART ISRT 3-4 LT 15MM 8,867.88 6,207.52 4,256.58 7,271.66C1776 JRNY UNI TIBINRT S3-4RM/LL9MM 3,218.54 2,252.98 1,544.90 2,639.20C1776 JRNY UNI TIBIAL BASE RM/LL SZ3 6,116.84 4,281.79 2,936.08 5,015.81C1776 JRNY UNI TIB SZ2RM/LL7MM 9,660.27 6,762.19 4,636.93 7,921.42C1776 JRNY UNI TIB SZ2 RM/LL 8MM 10,266.30 7,186.41 4,927.82 8,418.37C1776 JRNY UNI TIB SZ 5 RM LL 7MM 9,189.53 6,432.67 4,410.97 7,535.41C1776 JRNY UNI TIB S5-6M/LL8MM 3,723.38 2,606.37 1,787.22 3,053.17C1776 JRNY UNI TIB S3-4LM/RL9MM 3,720.51 2,604.36 1,785.84 3,050.82C1776 JRNY UNI TIB LM/RL SZ3X7MM 11,343.93 7,940.75 5,445.09 9,302.02C1776 JRNY UNI TIB INS S3-4RM/LL8MM 3,649.33 2,554.53 1,751.68 2,992.45C1776 JRNY UNI TIB INRT S1-2M/LL8MM 3,719.60 2,603.72 1,785.41 3,050.07C1776 JRNY UNI TIB BASE RM/LL SZ 5 7,070.45 4,949.32 3,393.82 5,797.77C1776 JRNY UNI TIB BASE RM/LL SZ 4 6,936.19 4,855.33 3,329.37 5,687.68C1776 JRNY UNI TIB BASE LM/RL SZ 3 7,070.69 4,949.48 3,393.93 5,797.97C1776 JRNY UNI OX FEMORAL 5 LM/RL 15,742.76 11,019.93 7,556.52 12,909.06C1776 JRNY UNI MEDIAL TIBIA SZ 7 RT 7,945.07 5,561.55 3,813.63 6,514.96C1776 JRNY UNI LM/RL SZ 4 14,767.31 10,337.12 7,088.31 12,109.19C1776 JRNY UNI LM/RL SZ 3 14,214.59 9,950.21 6,823.00 11,655.96C1776 JRNY UNI LM/RL POLYTIB SZ4X7MM 10,266.30 7,186.41 4,927.82 8,418.37C1776 JRNY UNI FEM SZ 3 RT MED 15,898.25 11,128.78 7,631.16 13,036.57C1776 JRNY UNI FEM SZ 2 RM/LL 19,113.98 13,379.79 9,174.71 15,673.46C1776 JRNY UNI APTIB SZ2 LM/RL 7MM 12,547.70 8,783.39 6,022.90 10,289.11C1776 JRNY UNI APT SZ 6 LM RL X 7 MM 8,534.51 5,974.16 4,096.56 6,998.30C1776 JRNY UNI 3RM LL X 7 MM 8,534.51 5,974.16 4,096.56 6,998.30C1776 JRNY TIP BASE NP RT SZ 4 8,100.68 5,670.48 3,888.33 6,642.56C1776 JRNY TIBIAL BASE RT SZ 2 6,769.11 4,738.38 3,249.17 5,550.67C1776 JRNY TIBIAL BASE LM/RL SZ 4 5,594.01 3,915.81 2,685.12 4,587.09C1776 JRNY TIBIA LT SZ 6 7,888.64 5,522.05 3,786.55 6,468.68C1776 JRNY TIBIA LT SZ 5 8,174.00 5,721.80 3,923.52 6,702.68C1776 JRNY TIBIA BASE NP RT SZ 7 7,168.78 5,018.15 3,441.01 5,878.40C1776 JRNY TIBIA BASE NP LT SZ 8 7,608.35 5,325.85 3,652.01 6,238.85C1776 JRNY TIBIA BASE NP LT SZ 2 7,765.42 5,435.79 3,727.40 6,367.64C1776 JRNY TIB BASE RM/LL SZ 2 7,069.72 4,948.80 3,393.47 5,797.17C1776 JRNY PFJ IMPLANT X-SM LT 21,021.64 14,715.15 10,090.39 17,237.74C1776 JRNY PAT RESRF 35MM 4,790.09 3,353.06 2,299.24 3,927.87

C1776 JRNY MEDIAL TIBIA SZ 5 LEF T 7,661.36 5,362.95 3,677.45 6,282.32C1776 JRNY INS XLPE MED 7-8 LT 8MM 2,092.30 1,464.61 1,004.30 1,715.69C1776 JRNY INS XLPE MED 3-4 RT 8MM 2,308.36 1,615.85 1,108.01 1,892.86C1776 JRNY INS XLPE MED 3-4 RT 10MM 4,344.91 3,041.44 2,085.56 3,562.83C1776 JRNY INS XLPE MED 3-4 LT 9MM 1,882.89 1,318.02 903.79 1,543.97C1776 JRNY INS XLPE MED 3-4 LT 8MM 2,186.55 1,530.59 1,049.54 1,792.97C1776 JRNY INS XLPE MED 1-2 LT 9MM 2,196.06 1,537.24 1,054.11 1,800.77C1776 JRNY INS XLPE LAT 3-4 RT 8MM 2,308.36 1,615.85 1,108.01 1,892.86C1776 JRNY INS XLPE LAT 3-4 RT 10MM 4,344.91 3,041.44 2,085.56 3,562.83C1776 JRNY INS XLPE LAT 3-4 LT 9MM 7,006.09 4,904.26 3,362.92 5,744.99C1776 JRNY INS XLPE LAT 3-4 LT 8MM 6,022.29 4,215.60 2,890.70 4,938.28C1776 JRNY INS XLPE LAT 1-2 LT 9MM 2,196.06 1,537.24 1,054.11 1,800.77C1776 JRNY II XLPE LAT 5-6 RT 11MM 3,681.41 2,576.99 1,767.08 3,018.76C1776 JRNY II XLPE ISRT 7-8 LT 21MM 25,676.12 17,973.28 12,324.54 21,054.42C1776 JRNY II UNI MED XLPE INS SZ3-4 7,121.75 4,985.23 3,418.44 5,839.84C1776 JRNY II UNI FEMORAL 6RM/LL 16,013.96 11,209.77 7,686.70 13,131.45C1776 JRNY II UNI FEMORAL 4LM/RL 9,760.00 6,832.00 4,684.80 8,003.20C1776 JRNY II UI MEDIAL TIBIA SZ4 LT 16,622.50 11,635.75 7,978.80 13,630.45C1776 JRNY II ISRT XLPE RT 5-6 15MM 19,889.66 13,922.76 9,547.04 16,309.52C1776 JRNY II ISRT XLPE RT 5-6 10MM 21,880.70 15,316.49 10,502.74 17,942.17C1776 JRNY II ISRT RT SZ 7-8 10MM 21,880.70 15,316.49 10,502.74 17,942.17C1776 JRNY II ISRT DD LT SZ 7-8 12MM 7,253.14 5,077.20 3,481.51 5,947.57C1776 JRNY II INS XLPE MED 5-6 RT 11 3,994.16 2,795.91 1,917.20 3,275.21C1776 JRNY II FEMORAL OXI SZ 3 LT 9,675.39 6,772.77 4,644.19 7,933.82C1776 JRNY II FEM RT SZ 6 7,320.00 5,124.00 3,513.60 6,002.40C1776 JRNY II FEM OX RT SZ 7 13,684.44 9,579.11 6,568.53 11,221.24C1776 JRNY II CR XLPE RT SZ5-6 15MM 7,835.76 5,485.03 3,761.16 6,425.32C1776 JRNY II CR XLPE LT SZ3-4 11MM 7,299.75 5,109.83 3,503.88 5,985.80C1776 JRNY II CR ISRT XLPE RT SZ 5-6 7,182.20 5,027.54 3,447.46 5,889.40C1776 JRNY II CR ISRT XLPE LT 5-6X10 7,299.75 5,109.83 3,503.88 5,985.80C1776 JRNY II CR ISRT RT SZ 7-8 11MM 7,395.82 5,177.07 3,549.99 6,064.57C1776 JRNY II CR ISRT LT SZ 5-6 9MM 19,907.96 13,935.57 9,555.82 16,324.53C1776 JRNY II CR FEM OX NP LT SZ 8 14,302.18 10,011.53 6,865.05 11,727.79C1776 JRNY II CR FEM OX NP LT SZ 3 14,205.62 9,943.93 6,818.70 11,648.61C1776 JRNY II CR FEM COMP SZ 3 RT 13,103.65 9,172.56 6,289.75 10,744.99C1776 JRNY II BSC FEM OXIN LT SZ 9 7,223.19 5,056.23 3,467.13 5,923.02C1776 JRNY II BCS XLPE SZ 7-8 RT 12M 7,404.73 5,183.31 3,554.27 6,071.88C1776 JRNY II BCS XLPE SZ 5-6 LT 9MM 7,372.64 5,160.85 3,538.87 6,045.56C1776 JRNY II BCS XLPE SZ 3-4 13MM 7,418.82 5,193.17 3,561.03 6,083.43C1776 JRNY II BCS XLPE INSERT SZ1-2 7,449.08 5,214.36 3,575.56 6,108.25C1776 JRNY II BCS XLPE ART ISR S7-8L 7,212.09 5,048.46 3,461.80 5,913.91C1776 JRNY II BCS SZ 7-8 RT 18MM 30,122.11 21,085.48 14,458.61 24,700.13C1776 JRNY II BCS SZ 7-8 LT 9MM 6,780.03 4,746.02 3,254.41 5,559.62C1776 JRNY II BCS SZ 5-6 LT 18MM 9,135.73 6,395.01 4,385.15 7,491.30C1776 JRNY II BCS ISRT SZ 7-8 RT 9MM 8,110.93 5,677.65 3,893.25 6,650.96C1776 JRNY II BCS ISRT SZ 5-6LT 13MM 7,088.93 4,962.25 3,402.69 5,812.92C1776 JRNY II BCS ISRT SZ 5-6 LT 10M 7,945.31 5,561.72 3,813.75 6,515.15C1776 JRNY II BCS ISRT SZ 1-2 LT 11M 7,404.73 5,183.31 3,554.27 6,071.88C1776 JRNY II BCS ISRT 5-6 RT 15MM 6,339.55 4,437.69 3,042.98 5,198.43C1776 JRNY II BCS INSRT SZ 3-4 11MM 8,475.34 5,932.74 4,068.16 6,949.78C1776 JRNY II BCS INSERT SZ 3-4X12 R 7,235.03 5,064.52 3,472.81 5,932.72C1776 JRNY II BCS FEM OXIN RT SZ 4 9,713.21 6,799.25 4,662.34 7,964.83C1776 JRNY II BCS FEM OXI LT SZ 8 10,363.78 7,254.65 4,974.61 8,498.30C1776 JRNY II BCS CNSTRD ART 3-4 LT 7,591.94 5,314.36 3,644.13 6,225.39C1776 JRNY II BCS ART ISRT RT 5-6 10 23,140.35 16,198.25 11,107.37 18,975.09C1776 JRNY FEM SZ5 RM/LL 16,368.98 11,458.29 7,857.11 13,422.56C1776 JRNY FEM OXIN LT SZ 2 13,832.85 9,683.00 6,639.77 11,342.94C1776 JRNY FEM OX RT S 5 13,507.41 9,455.19 6,483.56 11,076.08C1776 JRNY FEM OX NP RT SZ 4 13,507.41 9,455.19 6,483.56 11,076.08C1776 JRNY FEM OX NP LT SZ 7 12,308.40 8,615.88 5,908.03 10,092.89C1776 JRNY CR INSERT RT SZ 3-4X11MM 7,299.75 5,109.83 3,503.88 5,985.80C1776 JRNY CR INSERT RT SZ 3-4 9MM 7,299.75 5,109.83 3,503.88 5,985.80C1776 JRNY CR INSERT LT SZ 5-6X13MM 7,299.75 5,109.83 3,503.88 5,985.80C1776 JRNY CR INSERT LT SZ 3-4X9MM 7,299.75 5,109.83 3,503.88 5,985.80C1776 JRNY CR FEM OX NP RT SZ 8 15,300.33 10,710.23 7,344.16 12,546.27C1776 JRNY CR FEM LT SZ 6 7,407.35 5,185.15 3,555.53 6,074.03C1776 JRNY CR FEM LT SZ 5 8,062.68 5,643.88 3,870.09 6,611.40C1776 JRNY CR FEM LT SZ 4 9,231.37 6,461.96 4,431.06 7,569.72C1776 JRNY CNSTRD ISRT 3-4 LT 12M 25,223.01 17,656.11 12,107.04 20,682.87C1776 JRNY CNSTRD ART ISRT 3-4 LT 13 8,224.45 5,757.12 3,947.74 6,744.05C1776 JRNY BCS ZLPE ISRT SZ 7-8 RT 2 7,418.82 5,193.17 3,561.03 6,083.43C1776 JRNY BCS XLPR SZ 5-6 RT 9MM 8,169.55 5,718.69 3,921.38 6,699.03

C1776 JRNY BCS XLPR ISRT SZ 5-6 13MM 8,474.00 5,931.80 4,067.52 6,948.68C1776 JRNY BCS XLPE SZ 7-8 RT 10MM 6,567.44 4,597.21 3,152.37 5,385.30C1776 JRNY BCS XLPE ISRT 7-8LT 15MM 8,851.71 6,196.20 4,248.82 7,258.40C1776 JRNY BCS PATELLA RESURGACE 26M 2,507.34 1,755.14 1,203.52 2,056.02C1776 JRNY BCS PAT RESRT RD 32 5,006.88 3,504.82 2,403.30 4,105.64C1776 JRNY BCS PAT RESRF RD SZ 29MM 2,461.53 1,723.07 1,181.53 2,018.45C1776 JRNY BCS ISRT SZ 5-6 RT 18MM 7,418.82 5,193.17 3,561.03 6,083.43C1776 JRNY BCS ISRT SZ 3-4 LT 12MM 7,368.31 5,157.82 3,536.79 6,042.01C1776 JRNY BCS ISRT SZ 1-2 RT 12MM 7,475.31 5,232.72 3,588.15 6,129.75C1776 JRNY BCS INSERT SZ 7-8 RT 15MM 7,413.94 5,189.76 3,558.69 6,079.43C1776 JRNY BCS INSERT SZ 5-6X11MM RT 8,589.29 6,012.50 4,122.86 7,043.22C1776 JRNY BCS INSERT SZ 5-6X11MM LT 6,162.65 4,313.86 2,958.07 5,053.37C1776 JRNY BCS INSERT SZ 5-6 X 10MM 7,414.55 5,190.19 3,558.98 6,079.93C1776 JRNY BCS INSERT SZ 3-4X9MM RT 7,654.46 5,358.12 3,674.14 6,276.66C1776 JRNY BCS INSERT SZ 3-4X9MM LT 7,494.70 5,246.29 3,597.46 6,145.65C1776 JRNY BCS INSERT SZ 3-4X15MM LT 7,197.09 5,037.96 3,454.60 5,901.61C1776 JRNY BCS INSERT SZ 3-4X13MM LT 7,541.43 5,279.00 3,619.89 6,183.97C1776 JRNY BCS INSERT SZ 3-4X10MM LT 6,883.18 4,818.23 3,303.93 5,644.21C1776 JRNY BCS INSERT LT SZ5-6X12MM 6,903.68 4,832.58 3,313.77 5,661.02C1776 JRNY BCS FEMORAL RT SZ 7 8,965.35 6,275.75 4,303.37 7,351.59C1776 JRNY BCS FEMORAL RT SZ 2 12,602.66 8,821.86 6,049.28 10,334.18C1776 JRNY BCS FEM RT SZ 8 9,551.32 6,685.92 4,584.63 7,832.08C1776 JRNY BCS FEM RT SZ 3 9,774.70 6,842.29 4,691.86 8,015.25C1776 JRNY BCS CNSTRD ISRT 5-6 LT 15 7,350.74 5,145.52 3,528.36 6,027.61C1776 JRNY BCS CNSTR ISRT 3-4 RT 18M 7,716.38 5,401.47 3,703.86 6,327.43C1776 JRNY BCS CMSTRD ISRT 3-4 RT 10 7,833.19 5,483.23 3,759.93 6,423.22C1776 JRNY BCS ART ISRT SZ 7-8 RT 7,404.73 5,183.31 3,554.27 6,071.88C1776 JRNY BCS ART ISRT 7-8 LT 13M 7,518.92 5,263.24 3,609.08 6,165.51C1776 JRNY APTIBS4LM/RL 8MM 8,932.11 6,252.48 4,287.41 7,324.33C1776 JRMY INS XLPE LAT 7-8 LT 8MM 2,092.30 1,464.61 1,004.30 1,715.69C1776 JOURNEY UNI OX FEM COMP 14,769.20 10,338.44 7,089.22 12,110.74C1776 JOURNEY UNI ALLPOLY TIP SZ 4X7 8,534.57 5,974.20 4,096.59 6,998.35C1776 JOURNEY TIBIAL BASE LT SZ 4 8,254.58 5,778.21 3,962.20 6,768.76C1776 JOURNEY TIBIA BASE NP LT SZ 7 8,264.52 5,785.16 3,966.97 6,776.91C1776 JOURNEY TIB BASE RT SZ 5 7,698.69 5,389.08 3,695.37 6,312.93C1776 JOURNEY TIB BASE NP RT SZ 6 8,210.11 5,747.08 3,940.85 6,732.29C1776 JOURNEY PFJ OXINIUM TROCHLEAR 19,815.30 13,870.71 9,511.34 16,248.55C1776 JOURNEY PAT 23MM 2,785.32 1,949.72 1,336.95 2,283.96C1776 JOURNEY OX TROCH COMP SM LEFT 20,956.86 14,669.80 10,059.29 17,184.63C1776 JOURNEY OX TROCH COMP LRG RT 24,247.50 16,973.25 11,638.80 19,882.95C1776 JOURNEY II UNI MED TIBIA 6 RT 10,740.58 7,518.41 5,155.48 8,807.28C1776 JOURNEY II BCS SZ 3-4 LT 18MM 42,425.50 29,697.85 20,364.24 34,788.91C1776 INSERT TRULIANT TIB SZ 2.5 10M 4,829.55 3,380.69 2,318.18 3,960.23C1776 INSERT TRULIANT SZ 4.5 10MM 4,546.21 3,182.35 2,182.18 3,727.89C1776 INSERT TIB TRULIANT SZ 3 9MM 4,077.24 2,854.07 1,957.08 3,343.34C1776 INSERT TIB CR SZ 1.5 9MM 4,239.13 2,967.39 2,034.78 3,476.09C1776 INSERT TIB BASE SZ 5 RM/LL 6,903.31 4,832.32 3,313.59 5,660.71C1776 INSERT TIB CR INS SZ 3.5 9MM 4,077.24 2,854.07 1,957.08 3,343.34C1776 INSERT SIZE 5 - 6 11 26,440.76 18,508.53 12,691.56 21,681.42C1776 INSERT LGN SZ 7-8X13MM 7,719.00 5,403.30 3,705.12 6,329.58C1776 INSERT LGN PS SZ 3-4 X9 6,944.97 4,861.48 3,333.59 5,694.88C1776 INSERT LGN PS SZ 3-4 X 15MM 7,661.30 5,362.91 3,677.42 6,282.27C1776 INSERT LGN PS S27-8 X 11MM 6,615.02 4,630.51 3,175.21 5,424.32C1776 INSERT JRNY XLPE SZ 7-8 11MM 7,121.75 4,985.23 3,418.44 5,839.84C1776 INSERT JRNY XLPE SZ 7-8 10MM 3,403.98 2,382.79 1,633.91 2,791.26C1776 INSERT JRNY XLPE MED 5-6 LT 9M 1,761.80 1,233.26 845.66 1,444.68C1776 INSERT JRNY UNI OX FEM 5RM/LL 15,204.25 10,642.98 7,298.04 12,467.49C1776 INSERT JRNY UNI MED SZ 5-6 9MM 3,407.34 2,385.14 1,635.52 2,794.02C1776 INSERT JRNY MED XLPE SZ 5-6 8M 4,092.49 2,864.74 1,964.40 3,355.84C1776 INSERT JRNY MED XLPE SZ 5-6 10 8,748.50 6,123.95 4,199.28 7,173.77C1776 INSERT JRNY MED TIBIA SZ 6 LFT 7,661.36 5,362.95 3,677.45 6,282.32C1776 INSERT JRNY MED 3-4 LT 10MM 3,731.03 2,611.72 1,790.89 3,059.44C1776 INSERT JRNY LOCK SZ 3-4 13MM 23,125.10 16,187.57 11,100.05 18,962.58C1776 INSERT JRNY LAT 5-6 LT 9MM 1,761.80 1,233.26 845.66 1,444.68C1776 INSERT JRNY LAT 3-4 LT 10MM 3,731.03 2,611.72 1,790.89 3,059.44C1776 INSERT JRNY II SZ 1-2 15MM 6,433.98 4,503.79 3,088.31 5,275.86C1776 INSERT JRNY II MED SZ3-4 12MM 7,121.75 4,985.23 3,418.44 5,839.84C1776 INSERT HUM S/36+3 TO FIT 36CUP 6,100.00 4,270.00 2,928.00 5,002.00C1776 INSERT HUM M/39 +6 FIT 39 CUP 6,100.00 4,270.00 2,928.00 5,002.00C1776 INSERT GNS II CON SZ7-8 13MM 17,938.58 12,557.01 8,610.52 14,709.64C1776 INSERT CONST SZ 3-4X11MM 7,041.84 4,929.29 3,380.08 5,774.31C1776 INSERT CONST SZ 3-4 X 30MM 14,683.92 10,278.74 7,048.28 12,040.81

C1776 INSERT ATTUNE CR FB SZ4 10MM 20,502.10 14,351.47 9,841.01 16,811.72C1776 INS JRNY XR XLPE MED 5-6 RT 8M 3,654.94 2,558.46 1,754.37 2,997.05C1776 INS JRNY XR XLPE LAT 5-6 RT 8M 3,654.94 2,558.46 1,754.37 2,997.05C1776 INLAY UNIV GLENOID MEDIUM 3,660.00 2,562.00 1,756.80 3,001.20C1776 IMPLANT SIZE 1 20,215.40 14,150.78 9,703.39 16,576.63C1776 HYPROCURE STENT SZ 7 17,385.00 12,169.50 8,344.80 14,255.70C1776 HYPROCURE STENT SZ 7 17,385.00 12,169.50 8,344.80 14,255.70C1776 HUMERAL STEM 11MM 9,189.65 6,432.76 4,411.03 7,535.51C1776 HUMERAL HEAD 46 X 17MM 16,179.34 11,325.54 7,766.08 13,267.06C1776 HUM STEM EQ PLATFORM 6.5MM RT 19,927.18 13,949.03 9,565.05 16,340.29C1776 HUM INSERT S 36 + TO FIT 36 6,100.00 4,270.00 2,928.00 5,002.00C1776 HUM HEAD DIA 52 H 23 EXC 4 12,982.87 9,088.01 6,231.78 10,645.95C1776 HMRL STEM 7MM X 130MM 11,793.19 8,255.23 5,660.73 9,670.42C1776 HIGH OFFSET REVERSE TRAY (+)12 14,973.98 10,481.79 7,187.51 12,278.66C1776 HFN 11.5MMX16CM RIGHT 20,394.13 14,275.89 9,789.18 16,723.19C1776 HEAD RADIAL IMPLANT 22L 13,725.00 9,607.50 6,588.00 11,254.50C1776 HEAD MODULAR RADIAL SZ 24S WW 13,725.00 9,607.50 6,588.00 11,254.50C1776 HEAD HUMERAL ECLIPSE 47/20 6,100.00 4,270.00 2,928.00 5,002.00C1776 HEAD HUM FLEX STB 51X17X1.5 12,858.74 9,001.12 6,172.20 10,544.17C1776 HEAD ECLIPSE HUMERAL 53/22 6,100.00 4,270.00 2,928.00 5,002.00C1776 HEAD ECLIPSE HUMERAL 51/19 6,100.00 4,270.00 2,928.00 5,002.00C1776 HEAD ECLIPSE HUMERAL 47/18 6,100.00 4,270.00 2,928.00 5,002.00C1776 HEAD ECLIPSE HUMERAL 43/18 6,100.00 4,270.00 2,928.00 5,002.00C1776 HEAD ECLIPSE HUMERAL 41/16 6,100.00 4,270.00 2,928.00 5,002.00C1776 HEAD BIOLOX FEM 36MM OD +0MM 5,845.94 4,092.16 2,806.05 4,793.67C1776 GNS II CON INS SZ3-4 21MM 12,559.90 8,791.93 6,028.75 10,299.12C1776 GLENOSPHERE EXP 40MM SM REV 21,676.66 15,173.66 10,404.80 17,774.86C1776 GLENOSPHERE 40MM 6,353.21 4,447.25 3,049.54 5,209.63C1776 GLENOSPHERE 39/24 10,370.00 7,259.00 4,977.60 8,503.40C1776 GLENOSPHERE 36MM 465.49 325.84 223.44 381.7C1776 GLENOSPHERE 36 +4 LAT 24 10,370.00 7,259.00 4,977.60 8,503.40C1776 GLENOID RT 15 DEG 15,137.64 10,596.35 7,266.07 12,412.86C1776 GLENOID PEGGED CORTILOC S30 9,057.46 6,340.22 4,347.58 7,427.12C1776 GLENOID CORTILOC PEGGED S40 9,919.15 6,943.41 4,761.19 8,133.70C1776 GLENOID CORTILOC PEGGED S35 11,412.92 7,989.04 5,478.20 9,358.59C1776 GLENOID CORTILOC PEGGED M L50 8,741.54 6,119.08 4,195.94 7,168.06C1776 GLENOID CORTILOC PEGGED 10,056.77 7,039.74 4,827.25 8,246.55C1776 GLENOID CORTILOC PEGGE 10,066.71 7,046.70 4,832.02 8,254.70C1776 GLENOID CORTILOC PEG GLEN L60 9,301.65 6,511.16 4,464.79 7,627.35C1776 GLENOID CORTILOC MODEL M40 10,401.66 7,281.16 4,992.80 8,529.36C1776 GLENOID CORTILOC MODEL L40 9,476.05 6,633.24 4,548.50 7,770.36C1776 GII OXINIUM P/S FEM S24 LT 10,415.08 7,290.56 4,999.24 8,540.37C1776 GII OVAL RESURFACING PAT 41MM 6,090.18 4,263.13 2,923.29 4,993.95C1776 GII INSR SIZE 5-6 32MM 24,946.56 17,462.59 11,974.35 20,456.18C1776 GII DISHED INS SZ 3-4 18MM 13,149.16 9,204.41 6,311.60 10,782.31C1776 GII CONSTRAINED ART 5-6 15MM 19,553.06 13,687.14 9,385.47 16,033.51C1776 GENII DISH ART INS 11MM SZ 5-6 4,222.18 2,955.53 2,026.65 3,462.19C1776 GEN II INSERT CONST 5-6X18MM 19,553.06 13,687.14 9,385.47 16,033.51C1776 GEN II INSERT CONS SZ 3-4X15MM 19,553.06 13,687.14 9,385.47 16,033.51C1776 GEN II CONST INSERT SZ7-8X15MM 23,538.99 16,477.29 11,298.72 19,301.97C1776 G2 INSRT SZ 1-2 15MM 20,076.32 14,053.42 9,636.63 16,462.58C1776 G2 CONST INSRT SZ 1-2 18MM 20,076.32 14,053.42 9,636.63 16,462.58C1776 G2 CONST INSRT SZ 1-2 11MM 24,946.56 17,462.59 11,974.35 20,456.18C1776 FRNY BASEPLATE SZ 4 RT 6,959.12 4,871.38 3,340.38 5,706.48C1776 FLEXION INSERT SZ 3-4 9MM 4,142.69 2,899.88 1,988.49 3,397.01C1776 FLEX STB HUM HEAD ECC 54X24X4 14,071.24 9,849.87 6,754.20 11,538.42C1776 FLEX STB HUM HEAD ECC 54X18X4 14,964.83 10,475.38 7,183.12 12,271.16C1776 FLEX STB HUM HEAD 54X24X1.5 23,750.96 16,625.67 11,400.46 19,475.79C1776 FLEX STB HUM HEAD 48X20X1.5 23,750.96 16,625.67 11,400.46 19,475.79C1776 FLEX STB HUM HEAD 45X17X1.7 15,462.89 10,824.02 7,422.19 12,679.57C1776 FLEX STB HUM HEAD 45X15X1.5 23,750.96 16,625.67 11,400.46 19,475.79C1776 FLEX STB HUM HEAD 42X14X1.5 23,750.96 16,625.67 11,400.46 19,475.79C1776 FLEX SHOULDER SYSTEM REV INSER 16,250.40 11,375.28 7,800.19 13,325.33C1776 FLEX SHOULDER SYSTEM INSERT 9,314.70 6,520.29 4,471.06 7,638.05C1776 FLEX SHOULDER SYS INSERT 9,314.70 6,520.29 4,471.06 7,638.05C1776 FLEX SHOULDER SYS HUM DIA 52 17,171.50 12,020.05 8,242.32 14,080.63C1776 FLEX SHOUDLER SYSTEM REV INS 16,250.40 11,375.28 7,800.19 13,325.33C1776 FIXATION COMPONENT DF-P 5,160.60 3,612.42 2,477.09 4,231.69C1776 FIXATION COMPONENT DF-P 5,160.60 3,612.42 2,477.09 4,231.69C1776 FIXATION COMP DF-P 5,160.60 3,612.42 2,477.09 4,231.69C1776 FIXATION COMP DF-P 5,160.60 3,612.42 2,477.09 4,231.69C1776 FEMORAL SZ 11 COMPONENT 9,266.33 6,486.43 4,447.84 7,598.39

C1776 FEMORAL JRNY UNI OX 4 RM/LL 16,009.69 11,206.78 7,684.65 13,127.95C1776 FEMORAL HEAD 12/14 36MM +8 6,903.61 4,832.53 3,313.73 5,660.96C1776 FEMORAL HD COB CHR +12 HIP 28 8,027.36 5,619.15 3,853.13 6,582.44C1776 FEMORAL COMPONENT SZ 14 9,611.47 6,728.03 4,613.51 7,881.41C1776 FEM TRULIANT FEM CR RT SZ 4.5 12,850.38 8,995.27 6,168.18 10,537.31C1776 FEM TRULIANT CR CEM RT SZ 1.5 13,032.35 9,122.65 6,255.53 10,686.53C1776 FEM TRULIANT CR CEM LFT SZ 2.5 11,668.69 8,168.08 5,600.97 9,568.33C1776 FEM TRULIANT CR CEM LEFT SZ 3 12,278.02 8,594.61 5,893.45 10,067.98C1776 FEM TRU CR CEM RIGHT SZ 3 10,704.52 7,493.16 5,138.17 8,777.71C1776 FEM HEAD MODULAR 40MM 6,293.31 4,405.32 3,020.79 5,160.51C1776 FEM HEAD 2200X +0 7,210.87 5,047.61 3,461.22 5,912.91C1776 FEM HD 22MM +4 COBALT CROME 3,396.48 2,377.54 1,630.31 2,785.11C1776 FEM CR CEM LEF T SZ 1.5 11,599.39 8,119.57 5,567.71 9,511.50C1776 EXPLOR 7X26MM INPL STEM W/SCR 12,200.00 8,540.00 5,856.00 10,004.00C1776 EXPLOR 14X22MM IMPLANT HEAD 9,150.00 6,405.00 4,392.00 7,503.00C1776 EVOLVE STEM 6.5MM + 2 15,408.60 10,786.02 7,396.13 12,635.05C1776 EVOLVE HEAD 24MM 12,962.50 9,073.75 6,222.00 10,629.25C1776 EQUINOXE PRESERVE STEM 7MM 20,082.05 14,057.44 9,639.38 16,467.28C1776 EQUINOXE CAGE GLENOID LG BETA 17,818.10 12,472.67 8,552.69 14,610.84C1776 EQ REV LOCK GLENOSPHERE SCREW 884.20 618.94 424.42 725.04C1776 EQ REV GLENOSPHERE 38MM 10,119.60 7,083.72 4,857.41 8,298.07C1776 EQ PLATE REV GLENOID 8,082.50 5,657.75 3,879.60 6,627.65C1776 ECHELON STEM SIZE 17 30,057.14 21,040.00 14,427.43 24,646.85C1776 ECH STR SZ 15 + 15 CALCAR 190M 53,390.01 37,373.01 25,627.20 43,779.81C1776 ECH CEM FEM 15MM CAL SZ 16 225 41,480.00 29,036.00 19,910.40 34,013.60C1776 DISTAL CENT POST 11MM INVIS 545.04 381.53 261.62 446.93C1776 DIMENSION FIXATOR EBI 14,530.20 10,171.14 6,974.50 11,914.76C1776 CUP UNI REV SUTURE 39 +2 LEFT 7,625.00 5,337.50 3,660.00 6,252.50C1776 CUP UNI REV SUTURE 36 NEUTRAL 7,625.00 5,337.50 3,660.00 6,252.50C1776 CUP ALT CLSTR G5 SZ 52 4,575.00 3,202.50 2,196.00 3,751.50C1776 CUP ALT CLSTR G3 SZ 48 15,939.30 11,157.51 7,650.86 13,070.23C1776 CORTILOC PEGGED GLENOID SZ 44 8,760.88 6,132.62 4,205.22 7,183.92C1776 CONTINUUM LONG 7MM LL 36X58 10,697.57 7,488.30 5,134.83 8,772.01C1776 CONSTR ART INSRT SZ 5-6 13MM 16,758.23 11,730.76 8,043.95 13,741.75C1776 CONQUEST STEM SZ 9 11,755.07 8,228.55 5,642.43 9,639.16C1776 CONQUEST FEM SZ 14 13,273.60 9,291.52 6,371.33 10,884.35C1776 CONQUEST FEM STEM SZ 13 7,560.34 5,292.24 3,628.96 6,199.48C1776 CON EMERGE OTW 2.75 X 12 775.00 542.5 372 635.5C1776 COMPETITOR TROCHLEAR COMP RT 21,017.37 14,712.16 10,088.34 17,234.24C1776 COMPETITOR TIBIAL INSRT 5-69MM 5,197.20 3,638.04 2,494.66 4,261.70C1776 COMPETITOR TIB INSERT 3-4 8MM 5,197.20 3,638.04 2,494.66 4,261.70C1776 COMPETITOR TIB BASEPLATE SZ 6 10,095.50 7,066.85 4,845.84 8,278.31C1776 COMPETITOR TIB BASEPLATE SZ 3 10,095.50 7,066.85 4,845.84 8,278.31C1776 COMPETITOR FEMORAL COMP 7 RT 20,801.00 14,560.70 9,984.48 17,056.82C1776 COMPETITOR FEMORAL COMP 6LT 20,801.00 14,560.70 9,984.48 17,056.82C1776 COMP RVS TRAY 10MM CO 44MM 9,760.00 6,832.00 4,684.80 8,003.20C1776 COMP RVS TRAY +5MM CO 44MM 9,760.00 6,832.00 4,684.80 8,003.20C1776 COMP RVRS SHLDR GL STD 36MM 8,845.00 6,191.50 4,245.60 7,252.90C1776 COMP PRIMARY STEM 17MM MINI 15,451.30 10,815.91 7,416.62 12,670.07C1776 COMP PRIM STM 9MM MINI 18,076.31 12,653.42 8,676.63 14,822.57C1776 COMP FEM CR CEM RT SZ 4 9,098.15 6,368.71 4,367.11 7,460.48C1776 COCR 12/14 FEM HEAD 22 + 8 3,478.65 2,435.06 1,669.75 2,852.49C1776 CEMENT RESTRICTOR STER 24 MM 615.67 430.97 295.52 504.85C1776 CAP ECLPS TRUNION 51MM SLOT TP 15,250.00 10,675.00 7,320.00 12,505.00C1776 CAP ECLIPSE TRUNION 53MM SLOTT 15,250.00 10,675.00 7,320.00 12,505.00C1776 CAP ECLIPSE TRUNION 43MM SLOTT 15,250.00 10,675.00 7,320.00 12,505.00C1776 CAP ECLIPSE TRU 45MM SLOT TPS 15,250.00 10,675.00 7,320.00 12,505.00C1776 CAP ECLIPSE 47MM SLOTTED TPS 15,250.00 10,675.00 7,320.00 12,505.00C1776 BMT VERSA-DIAL CSTD TAPER 1,220.00 854 585.6 1,000.40C1776 BMT RVRS SHLDR GLNSP STD 41MM 8,845.00 6,191.50 4,245.60 7,252.90C1776 BMT RVRS SHLDR GLEN BSPLT +HA 8,845.00 6,191.50 4,245.60 7,252.90C1776 BMT COMP RVS TRAY 44MM 9,760.00 6,832.00 4,684.80 8,003.20C1776 BMT ACROM XL 44-41 STD HMRL 5,795.00 4,056.50 2,781.60 4,751.90C1776 BIOLOX HEAD 36MMX+4 7,940.98 5,558.69 3,811.67 6,511.60C1776 BIOLOX DELTA HEAD 36X+8 10,995.25 7,696.68 5,277.72 9,016.11C1776 BIOLOX DELTA HEAD 36MM OD/3.5M 5,235.94 3,665.16 2,513.25 4,293.47C1776 BIOLOX DELTA HEAD 35MM X +0 5,659.76 3,961.83 2,716.68 4,641.00C1776 BASEPLATE SMALL GLENOID 9,776.47 6,843.53 4,692.71 8,016.71C1776 BASEPLATE RVS 2 LINE EXT 29X30 3,050.00 2,135.00 1,464.00 2,501.00C1776 BASEPLATE JRNY XR SZ 5 RT 13,398.28 9,378.80 6,431.17 10,986.59C1776 BASEPLATE JRNY SZ 2 LT 8,050.23 5,635.16 3,864.11 6,601.19C1776 BASE ECLIPSE TRUNION 37MM SLOT 15,250.00 10,675.00 7,320.00 12,505.00

C1776 ATTUNE TIBIAL INSERT SZ8 18MM 19,898.20 13,928.74 9,551.14 16,316.52C1776 ATTUNE PATELLA 35MM 12,498.90 8,749.23 5,999.47 10,249.10C1776 ATTUNE MED ANAT PAT 32MM 13,072.30 9,150.61 6,274.70 10,719.29C1776 ASCEND FLEX STD STEM SZ 7C 21,899.00 15,329.30 10,511.52 17,957.18C1776 ASCEND FLEX STD STEM SZ 3A 17,465.22 12,225.65 8,383.31 14,321.48C1776 ASCEND FLEX STD PTC STEM SZ 6C 17,176.87 12,023.81 8,244.90 14,085.03C1776 ASCEND FLEX STD PTC STEM SZ 5C 17,176.87 12,023.81 8,244.90 14,085.03C1776 ASCEND FLEX STD PTC STEM SZ 5B 33,388.35 23,371.85 16,026.41 27,378.45C1776 ASCEND FLEX STD PTC STEM SZ 2B 17,266.23 12,086.36 8,287.79 14,158.31C1776 ASCEND FLEX STD PTC STEM 4B 8,821.70 6,175.19 4,234.42 7,233.79C1776 ASCEND FLEX STD PTC 5A 21,825.68 15,277.98 10,476.33 17,897.06C1776 ASCEND FLEX STD PIC STEM SZ 3B 15,088.35 10,561.85 7,242.41 12,372.45C1776 ASCEND FLEX STANDARD PTC STEM 17,617.17 12,332.02 8,456.24 14,446.08C1776 ASCEND FLEX ST PTC STEM SZ 4A 17,407.88 12,185.52 8,355.78 14,274.46C1776 ASCEND FLEX ST PTC STEM 3C 21,996.23 15,397.36 10,558.19 18,036.91C1776 ASCEND FLEX REV TH +12 EC 0 12,320.48 8,624.34 5,913.83 10,102.79C1776 ASCEND FLEX PTC STEM SZ 8C 17,465.22 12,225.65 8,383.31 14,321.48C1776 ASCEND FLEX LONG PTC SZ 8B 20,496.18 14,347.33 9,838.17 16,806.87C1776 ASCEND FLEX LONG PTC STEM 7B 18,115.72 12,681.00 8,695.55 14,854.89C1776 ASCEND FLEX LONG PTC STEM 6B 18,813.86 13,169.70 9,030.65 15,427.37C1776 ASCEND FLEX LONG PTC STEM 2B 15,227.86 10,659.50 7,309.37 12,486.85C1776 ASCEND FLEX LNG STEM SZ 3B 19,345.48 13,541.84 9,285.83 15,863.29C1776 ASCEND FLEX LG PTC STEM SZ 4B 12,484.44 8,739.11 5,992.53 10,237.24C1776 ASCEND FLEX HUM HEAD DIA 52 12,784.56 8,949.19 6,136.59 10,483.34C1776 ASCEND FLEX HUM HEAD DIA 43H 13,234.68 9,264.28 6,352.65 10,852.44C1776 ASCEND FLEX ECCENTRIC REV 14,973.98 10,481.79 7,187.51 12,278.66C1776 ASCEND FLEX ECCENTRIC HD 46H 13,423.90 9,396.73 6,443.47 11,007.60C1776 ASCEND FLEX ECCEN HUM HEAD 50 15,262.20 10,683.54 7,325.86 12,515.00C1776 ASCEND FLEX ECC RVS 40 10,703.98 7,492.79 5,137.91 8,777.26C1776 ASCEND FLEX ECC HUM HD SZ 50 13,598.36 9,518.85 6,527.21 11,150.66C1776 ASCEND FLEX ECC HUM HD 46 12,094.59 8,466.21 5,805.40 9,917.56C1776 ASCEND FLEX ECC HD 50H 16 EXE4 13,598.43 9,518.90 6,527.25 11,150.71C1776 ASCEND FLEX ECC HD 43H 12,968.84 9,078.19 6,225.04 10,634.45C1776 ASCEND ECCENTRIC HUM HD 48 H 13,598.36 9,518.85 6,527.21 11,150.66C1776 ASCD FLX ECC REV TRAY 40 TH 0 11,018.49 7,712.94 5,288.88 9,035.16C1776 ASCD FLEX ECC RVS 40TH 0 EC3.5 10,171.32 7,119.92 4,882.23 8,340.48C1776 ART COMPONENT 12MMX1.0MMX1.5 13,066.20 9,146.34 6,271.78 10,714.28C1776 ART COMPONENT 12MMX1.0MMX1.5 13,066.20 9,146.34 6,271.78 10,714.28C1776 ART COMP 12MM X 2.5MM X 2.5MM 15,646.50 10,952.55 7,510.32 12,830.13C1776 ARCOM XL 44-36 STD HUM BRNG 5,795.00 4,056.50 2,781.60 4,751.90C1776 ARCOM XL 44-36 STD +3 HMRL BRG 5,795.00 4,056.50 2,781.60 4,751.90C1776 ANTHOLOGY STEN HA SZ 7 9,620.37 6,734.26 4,617.78 7,888.70C1776 ANTHOLOGY STEM POR HA SZ 5 9,343.98 6,540.79 4,485.11 7,662.06C1776 ANTHOLOGY SO POR PL HA SZ 4 9,465.19 6,625.63 4,543.29 7,761.46C1776 ANTHOLOGY SO POR PL HA SZ 3 7,187.33 5,031.13 3,449.92 5,893.61C1776 ANTHOLOGY SO POR PL HA SZ 12 14,740.71 10,318.50 7,075.54 12,087.38C1776 ANTHOLOGY SO POR PL HA SZ 11 11,128.29 7,789.80 5,341.58 9,125.20C1776 ANTHOLOGY POR SZ 10 8,341.08 5,838.76 4,003.72 6,839.69C1776 ANTHOLOGY HO STEM HA SZ 7 8,400.37 5,880.26 4,032.18 6,888.30C1776 ANTHOLOGY HO POR PL HA SZ 5 8,242.50 5,769.75 3,956.40 6,758.85C1776 ANTHOLOGY HO POR PL HA SZ 11 8,482.42 5,937.69 4,071.56 6,955.58C1776 ANTHOLOGY HO POR PL HA SZ 10 7,368.98 5,158.29 3,537.11 6,042.56C1776 ANTHOLOGY HD POROUS SZ 8 10,329.56 7,230.69 4,958.19 8,470.24C1776 ANTHOLOGY SZ 8 9,645.38 6,751.77 4,629.78 7,909.21C1776 ANGLED TOE IMPLANT WRIGHT SZ 1 10,780.25 7,546.18 5,174.52 8,839.81C1776 ANCHOR BIO SWIVELOCK 2,867.00 2,006.90 1,376.16 2,350.94C1776 ANCHOR BIO SWIVELOCK 2,867.00 2,006.90 1,376.16 2,350.94C1776 ALT XLE LNR NTRL G6 36 12,639.20 8,847.44 6,066.82 10,364.14C1776 ALT XLE LNR NTRL G5 36 15,250.00 10,675.00 7,320.00 12,505.00C1776 ALT XLE LNR NTRL G4 36 6,461.36 4,522.95 3,101.45 5,298.32C1776 ALIGNMENT ROD SW1106 372.10 260.47 178.61 305.12C1776 ALIGNMENT ROD SW1106 372.10 260.47 178.61 305.12C1776 AFQ REVII 10 TILT 42MM X 29MM 24,604.96 17,223.47 11,810.38 20,176.07C1776 AFFINTI GLENOID PEGGED SZ 48 8,874.77 6,212.34 4,259.89 7,277.31C1776 AFFINIT PEGGED GLENOID SZ 52 8,874.71 6,212.30 4,259.86 7,277.26C1776 AEQUALIS PERFORM SP CORTILOC 20,469.22 14,328.45 9,825.23 16,784.76C1776 AEQUALIS PERF SP CORTILOC 15,616.24 10,931.37 7,495.80 12,805.32C1776 AEQUALIS PERF SP CORILOC 13,295.44 9,306.81 6,381.81 10,902.26C1776 AEQUALIS FLEX REV PROXIMAL 39,308.40 27,515.88 18,868.03 32,232.89C1776 AEQUALIS FLEX REV DISTAL ST 35,378.48 24,764.94 16,981.67 29,010.35C1776 AEQUALIS FLEX PROX BODY 13 DIA 39,308.40 27,515.88 18,868.03 32,232.89C1776 AEQUALIS DISTAL STEM 13 DIA 35,378.48 24,764.94 16,981.67 29,010.35

C1776 AEQ RVS GLEN CENT SPHERE 42X25 12,724.17 8,906.92 6,107.60 10,433.82C1776 AEQ RVS CENTERED GLEN 36X29MM 14,297.73 10,008.41 6,862.91 11,724.14C1776 AEQ RVS CENT GLENOID 36MM 23,877.84 16,714.49 11,461.36 19,579.83C1776 AEQ RVS ASCEND FLEX THO EC O 12,320.48 8,624.34 5,913.83 10,102.79C1776 AEQ REVSD FRAC HMRL STEN D 16,337.26 11,436.08 7,841.88 13,396.55C1776 AEQ REV PTC HUMERAL STEM 28,639.50 20,047.65 13,746.96 23,484.39C1776 AEQ REV INSERT 36X9X12.5 9,598.35 6,718.85 4,607.21 7,870.65C1776 AEQ REV II GLEN PLATE 25MM 6,455.02 4,518.51 3,098.41 5,293.12C1776 AEQ REV II CENT GLEN SPHERE 11,934.77 8,354.34 5,728.69 9,786.51C1776 AEQ REV GLEN BASE PLATE 25MM 11,936.48 8,355.54 5,729.51 9,787.91C1776 AEQ REV FRACTURE SPA 3,933.65 2,753.56 1,888.15 3,225.59C1776 AEQ REV FRACTURE LATERALIZED 7,854.91 5,498.44 3,770.36 6,441.03C1776 AEQ REV FRAC INS 36MM 6MM 15,884.40 11,119.08 7,624.51 13,025.21C1776 AEQ PERFORM SP CORTILOC 14,832.46 10,382.72 7,119.58 12,162.62C1776 AEQ LOCK SCREW 4.5X20 1,180.96 826.67 566.86 968.39C1776 AEQ HMRL STEM 9MM X 130 MM 8,019.30 5,613.51 3,849.26 6,575.83C1776 AEQ FX/ADAPT LAT HUMRLINST 12M 9,942.45 6,959.72 4,772.38 8,152.81C1776 AEQ CONSTR INSERT 36MM X 12MM 8,068.78 5,648.15 3,873.01 6,616.40C1776 AEQ ASCEND PTC STEM SZ 7B 12,745.52 8,921.86 6,117.85 10,451.33C1776 52MM REFLECTION 3 HOLE SHELL 7,338.30 5,136.81 3,522.38 6,017.41C1776 3R XLPE 20DEG ACE LINER 5,975.74 4,183.02 2,868.36 4,900.11C1776 15MM ART COMP TOE2 2.5MMX3.5MM 15,030.40 10,521.28 7,214.59 12,324.93C1776 15MM ART COMP TOE2 2.5 X 4.5MM 15,030.40 10,521.28 7,214.59 12,324.93C1776 15MM ART COMP TOE2 2.5 X 4.5MM 15,030.40 10,521.28 7,214.59 12,324.93C1776 15MM ART COMP TOE2 1.5X3.5MM 15,030.40 10,521.28 7,214.59 12,324.93C1776 15MM ART COMP TOE2 1.5X3.5MM 15,030.40 10,521.28 7,214.59 12,324.93C1776 15MM ART COMP TOE 2 15,030.40 10,521.28 7,214.59 12,324.93C1776 15MM ART COMP TOE 2 15,030.40 10,521.28 7,214.59 12,324.93C1776 12 MM STEM 9,170.92 6,419.64 4,402.04 7,520.15C1776 ASCEND FLEX STANDARD PTC STEM 17,651.51 12,356.06 8,472.72 14,474.24C1776 SYNERGY FEM SZ 17 9,519.05 6,663.34 4,569.14 7,805.62C1776 ANTHOLOGY SO POR PL HA SZ 6 10,313.39 7,219.37 4,950.43 8,456.98C1776 JRNY BCS FEM COMP LT SZ 6 9,279.75 6,495.83 4,454.28 7,609.40C1776 OX TRP FEM HD 36+8 6,611.18 4,627.83 3,173.37 5,421.17C1776 AEQ PERFORM SP CORTILOC 15,137.94 10,596.56 7,266.21 12,413.11C1776 SIMP STB HUM HEAD DI 16,269.37 11,388.56 7,809.30 13,340.88C1776 STEM ANTHO STD OFST PL HA SZ9 10,158.88 7,111.22 4,876.26 8,330.28C1776 HEAD FEMORAL 36MM OD -3.5MM 8,784.00 6,148.80 4,216.32 7,202.88C1776 FEM HEAD OXINUM 36X-3 6,872.57 4,810.80 3,298.83 5,635.51C1776 HUMERAL EQ REV TRAY ADAPTER +0 9,896.70 6,927.69 4,750.42 8,115.29C1776 STEM EQUINOX PRESERVE 10MM 13,515.77 9,461.04 6,487.57 11,082.93C1776 SZ 52 R3 SHELL 7,562.17 5,293.52 3,629.84 6,200.98C1776 SYNERGY POROUS STEM SIZE 13 9,119.07 6,383.35 4,377.15 7,477.64C1776 LINER HUMERAL 40MM +0 7,617.38 5,332.17 3,656.34 6,246.25C1776 CUP ALT CLSTR G4 SZ 50 8,152.28 5,706.60 3,913.09 6,684.87C1776 ANTHOLOGY HO POR PL HA SZ 8 10,140.88 7,098.62 4,867.62 8,315.52C1776 JRNY II BCS FEM LT SZ 4 9,754.08 6,827.86 4,681.96 7,998.35C1776 JRNY BCS FEMORAL RT SZ 6 9,699.43 6,789.60 4,655.73 7,953.53C1776 INSERT LGN PS SZ5-6X13 13,057.97 9,140.58 6,267.83 10,707.54C1776 ANTHOLOGY HD POR PL HA SZ 9 9,360.02 6,552.01 4,492.81 7,675.22C1776 R3 XLPE 20 DEG 36MM ACT LINER 11,205.21 7,843.65 5,378.50 9,188.27C1776 INSERT FEM CR CEM LEFT SZ 3.5 12,534.52 8,774.16 6,016.57 10,278.31C1776 TRAY EQUINOX REV ADAPTER PL +5 18,397.60 12,878.32 8,830.85 15,086.03C1776 GLENOID CORTILOC PEGGE 16,258.27 11,380.79 7,803.97 13,331.78C1776 OXINIUM FEM HD 12/14 36MM +12 15,618.50 10,932.95 7,496.88 12,807.17C1776 43 SHELL 3HOLE 60MM 14,197.26 9,938.08 6,814.68 11,641.75C1776 SHELL R3 MULTIHOLE ACETAB 64MM 15,708.29 10,995.80 7,539.98 12,880.80C1776 LEGION FEM WEDGE SZ 5 X 5MM 17,380.12 12,166.08 8,342.46 14,251.70C1776 PERFORM REV STANDARD GLEN 26,265.08 18,385.56 12,607.24 21,537.37C1776 JRNY II UNI OX FEM 3 LM/RL 33,504.25 23,452.98 16,082.04 27,473.49C1778 REM COMP CONSTRAINED RT SZ7 52,745.18 36,921.63 25,317.69 43,251.05C1778 TRIAL LEAD S-Q QUAD 3888-33 3,735.00 2,614.50 1,792.80 3,062.70C1778 TRIAL LEAD 1X8 3,320.00 2,324.00 1,593.60 2,722.40C1778 NEUROSTIM LEAD KIT 977A260 8,777.25 6,144.08 4,213.08 7,197.35C1778 MED TRIAL LEAD QUAD 56CM 3,735.00 2,614.50 1,792.80 3,062.70C1778 MED TRIAL LEAD QUAD 56CM 3,735.00 2,614.50 1,792.80 3,062.70C1778 MED LEAD QUAD PLUS 56 CM 3,735.00 2,614.50 1,792.80 3,062.70C1778 MED LEAD QUAD PLUS 56 CM 3,735.00 2,614.50 1,792.80 3,062.70C1778 LEADS OCTRODE PERCUTANEOUS SCS 7,140.00 4,998.00 3,427.20 5,854.80C1778 LEADS OCTRODE PERC 7,407.75 5,185.43 3,555.72 6,074.36C1778 LEAD KIT SURSCAN COMPACT 9,047.00 6,332.90 4,342.56 7,418.54C1778 LEAD KIT 13,298.00 9,308.60 6,383.04 10,904.36

C1778 LEAD IMPLANT 50CM SLIM TIP 8,300.00 5,810.00 3,984.00 6,806.00C1778 BLUE PERC LEAD KIT 2,075.00 1,452.50 996 1,701.50C1778 BLUE PERC LEAD KIT 2,075.00 1,452.50 996 1,701.50C1781 MESH VENTRIO ST 7.7" X 9.7" 4,669.78 3,268.85 2,241.49 3,829.22C1781 MESH SOFT 6" X 6" 558.20 390.74 267.94 457.72C1781 VICRYL MES KNITTED 12 X 12 2,534.40 1,774.08 1,216.51 2,078.21C1781 VENTRIO ST XL 6X10 OVAL 17,912.04 12,538.43 8,597.78 14,687.87C1781 MOSIAC MESH 966.69 676.68 464.01 792.69C1781 MOSAIC MESH 10 X 15 1,062.76 743.93 510.12 871.46C1781 MESH VENTRIO ST 5.4" X 7" 5,935.33 4,154.73 2,848.96 4,866.97C1781 MESH VENTRALIGHT ST 8" X 10" 7,361.43 5,153.00 3,533.49 6,036.37C1781 MESH VENTRALIGHT ST 6" X 8" 4,356.48 3,049.54 2,091.11 3,572.31C1781 MESH VENTRALIGHT ST 6" ROUND 3,656.10 2,559.27 1,754.93 2,998.00C1781 MESH VENTRALIGHT ST 4" X 6" 2,553.05 1,787.14 1,225.46 2,093.50C1781 MESH VENTRALIGHT ECHO SYS 3,245.59 2,271.91 1,557.88 2,661.38C1781 MESH VENTRALEX ST 8.0CM CIRCLE 2,800.38 1,960.27 1,344.18 2,296.31C1781 MESH VENTRALEX ST 6.4CM CIRCLE 2,622.93 1,836.05 1,259.01 2,150.80C1781 MESH VENTRALEX ST 4.3CM CIRCLE 2,189.05 1,532.34 1,050.74 1,795.02C1781 MESH SYMBOTEX ROUND 15 CM 3,137.69 2,196.38 1,506.09 2,572.91C1781 MESH SYMBOTEX COMPOSITE 2,648.41 1,853.89 1,271.24 2,171.70C1781 MESH SYMBOTEX 9CM 1,756.77 1,229.74 843.25 1,440.55C1781 MESH SYMBOTEX 25CM X 15CM 4,115.65 2,880.96 1,975.51 3,374.83C1781 MESH SYMBOTEX 20CM 3,407.64 2,385.35 1,635.67 2,794.26C1781 MESH ST PHASIX 15 X 20 CM 15,083.75 10,558.63 7,240.20 12,368.68C1781 MESH SOFT PRESHAPED 2.4X5.4" 442.50 309.75 212.4 362.85C1781 MESH SOFT 2" X 4" 435.68 304.98 209.13 357.26C1781 MESH PRO-GRIP 15X10 CM 1,827.13 1,278.99 877.02 1,498.25C1781 MESH PRO GRIP 15X10 CM RIGHT 1,890.12 1,323.08 907.26 1,549.90C1781 MESH PLUG MARLEX X-LARGE 1,138.00 796.6 546.24 933.16C1781 MESH PLUG MARLEX PERF MED 980.70 686.49 470.74 804.17C1781 MESH PLUG MARLEX PERF LG 989.48 692.64 474.95 811.37C1781 MESH PHASIX ST 20 X 25 CM 24,525.00 17,167.50 11,772.00 20,110.50C1781 MESH PHASIX ST 15CM 11,720.07 8,204.05 5,625.63 9,610.46C1781 MESH HERNIA SOFT 30CM X 30CM 712.25 498.58 341.88 584.05C1781 MESH HERNIA 3D MAX RT XLARGE 637.50 446.25 306 522.75C1781 MESH HERNIA 3D MAX LIGHT LG RT 708.68 496.08 340.17 581.12C1781 MESH HERNIA 3D MAX LIGHT LG LF 708.68 496.08 340.17 581.12C1781 MESH ECHO 2 15CM 6 IN CIRCLE 3,692.83 2,584.98 1,772.56 3,028.12C1781 MESH 3DMAX MID LARGE RIGHT 1,258.90 881.23 604.27 1,032.30C1781 MESH 3DMAX MID LARGE LEFT 1,258.90 881.23 604.27 1,032.30C1781 MESH 3D MID RIGHT XLARGE 1,333.00 933.1 639.84 1,093.06C1781 MESH 3D MAX MID LEFT XLARGE 1,333.00 933.1 639.84 1,093.06C1781 CQUR MOSAIC MESH 9X9 CM 886.48 620.54 425.51 726.91C1783 STENT XEN EYE 6,682.50 4,677.75 3,207.60 5,479.65C1783 ISTENT INJECT W 7,088.75 4,962.13 3,402.60 5,812.78C1783 EX-PRESS P-50 SHUNT 3,416.25 2,391.38 1,639.80 2,801.33C1783 AHMED VALVE SLICONE 2,295.00 1,606.50 1,101.60 1,881.90C1785 VERSA VEDRO1 DR GENERATOR 20,521.20 14,364.84 9,850.18 16,827.38C1785 PACEMAKER KDR 701 47,212.50 33,048.75 22,662.00 38,714.25C1785 PACEMAKER DUAL CHAMBER 42,750.00 29,925.00 20,520.00 35,055.00C1785 PACEMAKER ACCOLADE MRI DR 32,277.00 22,593.90 15,492.96 26,467.14C1785 MEDTRONIC ADAPTA ADDR03 26,512.50 18,558.75 12,726.00 21,740.25C1785 MEDTRONIC ADAPTA ADDR01 26,512.50 18,558.75 12,726.00 21,740.25C1785 ETRINSA 8 DR-T 40,839.00 28,587.30 19,602.72 33,487.98C1785 ELUNA 8 DR-T 32,437.50 22,706.25 15,570.00 26,598.75C1785 EDORA 8 DR-T 38,979.00 27,285.30 18,709.92 31,962.78C1785 BIOTRONIK EVIA DR-T 359529 27,915.00 19,540.50 13,399.20 22,890.30C1785 AZURE XT DR MRI PACEMAKER 36,900.00 25,830.00 17,712.00 30,258.00C1785 ASSURITY PACEMAKER PM2240 29,456.25 20,619.38 14,139.00 24,154.13C1785 ADVISA DR MRI 42,157.00 29,509.90 20,235.36 34,568.74C1786 PACEMKR INS EN SR VVIR 123162 39,000.00 27,300.00 18,720.00 31,980.00C1786 PACEMAKER VERITY ADX XL SR 32,250.00 22,575.00 15,480.00 26,445.00C1786 PACEMAKER SENSIA SR 16,716.15 11,701.31 8,023.75 13,707.24C1786 PACEMAKER ACCOLADE MRI SR 31,252.00 21,876.40 15,000.96 25,626.64C1786 PACEMAKER ACCOLADE MRI SR 31,252.00 21,876.40 15,000.96 25,626.64C1786 ASSURITY PACEMAKER PM1240 23,250.00 16,275.00 11,160.00 19,065.00C1787 REMOTE CONTROL KIT 4,544.00 3,180.80 2,181.12 3,726.08C1787 PATIENT PROGRAMMER 97740 2,701.25 1,890.88 1,296.60 2,215.03C1787 PATIENT PROGRAMMER 4,082.50 2,857.75 1,959.60 3,347.65C1787 INTELLIS CONTROLLER PTM 2,701.25 1,890.88 1,296.60 2,215.03C1787 CHARGING SYSTEM KIT 8,142.95 5,700.07 3,908.62 6,677.22C1788 PORT VACCESS CT 720.00 504 345.6 590.4

C1788 DUAL LUMEN PORT 10FR 1,340.00 938 643.2 1,098.80C1813 RESERVOIR CONCEAL AMS 6,127.98 4,289.59 2,941.43 5,024.94C1813 INFRAPUBIC CYLINDER 15CX-MS 16,745.00 11,721.50 8,037.60 13,730.90C1813 CYLINDER/PUMP 15CM PENILE LGX 24,475.53 17,132.87 11,748.25 20,069.93C1813 CYLINDER/PUMP 15CM PENILE LGX 24,475.53 17,132.87 11,748.25 20,069.93C1813 AMS 65MI PC-IZ RESERVOIR 4,097.50 2,868.25 1,966.80 3,359.95C1813 AMS 65MI PC-IZ RESERVOIR 4,097.50 2,868.25 1,966.80 3,359.95C1813 65 ML INHIBIZONE RESERVOIR 3,175.00 2,222.50 1,524.00 2,603.50C1815 KIT IZ ACC AMS 800 3,047.50 2,133.25 1,462.80 2,498.95C1815 CUFF OCCLUSIVE 4.0CM 6,187.50 4,331.25 2,970.00 5,073.75C1815 CONTROL PUMP 6,650.00 4,655.00 3,192.00 5,453.00C1815 BALLOON PRESSURE 51-60 8,394.00 5,875.80 4,029.12 6,883.08C1815 AMS 800 CUFF WITH IZ 15,295.00 10,706.50 7,341.60 12,541.90C1815 AMS 800 CONTROL PUMP IZ 14,727.50 10,309.25 7,069.20 12,076.55C1820 SENSOR SCS GENERATOR 63,495.00 44,446.50 30,477.60 52,065.90C1820 NEUROSTIMULATOR SYS 60,175.00 42,122.50 28,884.00 49,343.50C1820 INTELLIS ADAPT PAIN GENERATOR 61,590.15 43,113.11 29,563.27 50,503.92C1820 IMPLANTABLE PULSE GEN KIT 71,795.00 50,256.50 34,461.60 58,871.90C1820 GENERATOR NEURO STIMULATOR 61,200.00 42,840.00 29,376.00 50,184.00C1820 GENERATOR NEURO STIMULATOR 63,495.00 44,446.50 30,477.60 52,065.90C1822 IPG KIT 78,376.90 54,863.83 37,620.91 64,269.06C1822 IMPLANT IPG KIT 88,519.50 61,963.65 42,489.36 72,585.99C1874 CON SYNERGY XD MR 4.00X48.00MM 6,975.00 4,882.50 3,348.00 5,719.50C1874 CON SYNERGY XD MR 3.00X48.00MM 6,975.00 4,882.50 3,348.00 5,719.50C1874 CON SYNERGY XD MR 3.50X48.00MM 8,912.50 6,238.75 4,278.00 7,308.25C1874 VIABAHN RADIO MARKER 8X5X7FR 10,311.00 7,217.70 4,949.28 8,455.02C1874 VIABAHN RADIO MARKER 7/10FR 11,280.00 7,896.00 5,414.40 9,249.60C1874 VIABAHN ENDOPROTHESIS 5MMX2.5C 10,569.00 7,398.30 5,073.12 8,666.58C1874 STENT VIABAHN 7FR 7MM X 5CM 10,569.00 7,398.30 5,073.12 8,666.58C1874 STENT VIABAHN 6FR 6NN X 7.5CM 11,562.00 8,093.40 5,549.76 9,480.84C1874 STENT VIABAHN 6FR 6MM X 5CM 10,569.00 7,398.30 5,073.12 8,666.58C1874 STENT TTS ESOPHAGEAL 8X20 11,162.50 7,813.75 5,358.00 9,153.25C1874 STENT PK PAPYRUS COV 4.0X15 9,770.00 6,839.00 4,689.60 8,011.40C1874 STENT PK PAPYRUS COV 3.5X20 12,000.00 8,400.00 5,760.00 9,840.00C1874 STENT PK PAPYRUS COV 3.5X15 9,770.00 6,839.00 4,689.60 8,011.40C1874 STENT PK PAPYRUS COV 3.0X20 9,770.00 6,839.00 4,689.60 8,011.40C1874 STENT EVOL ESOPH 20X25X8 11,268.50 7,887.95 5,408.88 9,240.17C1874 STENT ELUVIA 6MMX80MMX130MCN 7,785.00 5,449.50 3,736.80 6,383.70C1874 STENT ELUVIA 6MMX60MMX130MM 6,885.00 4,819.50 3,304.80 5,645.70C1874 STENT ELUVIA 6MMX100MMX130CM 7,785.00 5,449.50 3,736.80 6,383.70C1874 STENT COVERA 7MM X 40MM 6,900.00 4,830.00 3,312.00 5,658.00C1874 STENT COR COV PAPYRUS 5.0X20 9,770.00 6,839.00 4,689.60 8,011.40C1874 COVERA STENT 9MMX60MMX80MM FLR 17,825.00 12,477.50 8,556.00 14,616.50C1874 CON SYNERGY XD MR 5.00X32.00MM 6,975.00 4,882.50 3,348.00 5,719.50C1874 CON SYNERGY XD MR 5.00X20.00MM 6,975.00 4,882.50 3,348.00 5,719.50C1874 CON SYNERGY XD MR 5.00X16.00MM 6,975.00 4,882.50 3,348.00 5,719.50C1874 CON SYNERGY XD MR 5.00X12.00MM 6,975.00 4,882.50 3,348.00 5,719.50C1874 CON SYNERGY XD MR 4.50X24.00MM 6,975.00 4,882.50 3,348.00 5,719.50C1874 CON SYNERGY XD MR 4.50X20.00MM 6,975.00 4,882.50 3,348.00 5,719.50C1874 CON SYNERGY XD MR 4.50X12.00MM 6,975.00 4,882.50 3,348.00 5,719.50C1874 CON SYNERGY XD MR 4.00X8.00MM 6,975.00 4,882.50 3,348.00 5,719.50C1874 CON SYNERGY XD MR 4.00X38.00MM 6,975.00 4,882.50 3,348.00 5,719.50C1874 CON SYNERGY XD MR 4.00X28.00MM 6,975.00 4,882.50 3,348.00 5,719.50C1874 CON SYNERGY XD MR 4.00X20.00MM 6,975.00 4,882.50 3,348.00 5,719.50C1874 CON SYNERGY XD MR 4.00X16.00MM 6,975.00 4,882.50 3,348.00 5,719.50C1874 CON SYNERGY XD MR 3.50X8.00MM 6,975.00 4,882.50 3,348.00 5,719.50C1874 CON SYNERGY XD MR 3.50X32.00MM 6,975.00 4,882.50 3,348.00 5,719.50C1874 CON SYNERGY XD MR 3.50X28.00MM 6,975.00 4,882.50 3,348.00 5,719.50C1874 CON SYNERGY XD MR 3.50X24.00MM 6,975.00 4,882.50 3,348.00 5,719.50C1874 CON SYNERGY XD MR 3.50X20.00MM 6,975.00 4,882.50 3,348.00 5,719.50C1874 CON SYNERGY XD MR 3.00X28.00MM 6,975.00 4,882.50 3,348.00 5,719.50C1874 CON SYNERGY XD MR 3.00X24.00MM 6,975.00 4,882.50 3,348.00 5,719.50C1874 CON SYNERGY XD MR 3.00X20.00MM 6,975.00 4,882.50 3,348.00 5,719.50C1874 CON SYNERGY XD MR 3.00X16.00MM 6,975.00 4,882.50 3,348.00 5,719.50C1874 CON SYNERGY XD MR 3.00X12.00MM 6,975.00 4,882.50 3,348.00 5,719.50C1874 CON SYNERGY XD MR 2.75X8.00MM 6,975.00 4,882.50 3,348.00 5,719.50C1874 CON SYNERGY XD MR 2.75X38.00MM 6,975.00 4,882.50 3,348.00 5,719.50C1874 CON SYNERGY XD MR 2.75X32.00MM 6,975.00 4,882.50 3,348.00 5,719.50C1874 CON SYNERGY XD MR 2.75X28.00MM 6,975.00 4,882.50 3,348.00 5,719.50C1874 CON SYNERGY XD MR 2.75X24.00MM 6,975.00 4,882.50 3,348.00 5,719.50C1874 CON SYNERGY XD MR 2.75X20.00MM 6,975.00 4,882.50 3,348.00 5,719.50C1874 CON SYNERGY XD MR 2.75X16.00MM 6,975.00 4,882.50 3,348.00 5,719.50

C1874 CON SYNERGY XD MR 2.75X12.00MM 6,975.00 4,882.50 3,348.00 5,719.50C1874 CON SYNERGY XD MR 2.50X8.00MM 6,975.00 4,882.50 3,348.00 5,719.50C1874 CON SYNERGY XD MR 2.50X38.00MM 6,975.00 4,882.50 3,348.00 5,719.50C1874 CON SYNERGY XD MR 2.50X32.00MM 6,975.00 4,882.50 3,348.00 5,719.50C1874 CON SYNERGY XD MR 2.50X28.00MM 6,975.00 4,882.50 3,348.00 5,719.50C1874 CON SYNERGY XD MR 2.50X20.00MM 6,975.00 4,882.50 3,348.00 5,719.50C1874 CON SYNERGY XD MR 2.50X16.00MM 6,975.00 4,882.50 3,348.00 5,719.50C1874 CON SYNERGY XD MR 2.50X12.00MM 6,975.00 4,882.50 3,348.00 5,719.50C1874 CON SYNERGY XD MR 2.25X38.00MM 6,975.00 4,882.50 3,348.00 5,719.50C1874 CON SYNERGY XD MR 2.25X32.00MM 6,975.00 4,882.50 3,348.00 5,719.50C1874 CON SYNERGY XD MR 2.25X24.00MM 6,975.00 4,882.50 3,348.00 5,719.50C1874 CON SYNERGY XD MR 2.25X16.00MM 6,975.00 4,882.50 3,348.00 5,719.50C1874 CON SYNERGY XD MR 2.25 X8.00MM 6,975.00 4,882.50 3,348.00 5,719.50C1874 CON STENT ONYX 2.0 X 8 5,386.25 3,770.38 2,585.40 4,416.73C1874 CON STENT ONYX 2.0 X 30 5,386.25 3,770.38 2,585.40 4,416.73C1874 CON STENT ONYX 2.0 X 26 6,975.00 4,882.50 3,348.00 5,719.50C1874 CON STENT ONYX 2.0 X 22 5,386.25 3,770.38 2,585.40 4,416.73C1874 CON STENT ONYX 2.0 X 18 5,386.25 3,770.38 2,585.40 4,416.73C1874 CON STENT ONYX 2.0 X 15 5,386.25 3,770.38 2,585.40 4,416.73C1874 CON STENT ONYX 2.0 X 12 5,386.25 3,770.38 2,585.40 4,416.73C1874 BALLOON LIFESTREAM 10MMX38MM 6,900.00 4,830.00 3,312.00 5,658.00C1874 CON SYNERGY MEG MR 5.00X8.0MM 8,912.50 6,238.75 4,278.00 7,308.25C1874 CON SYNERGY MEG MR 5.00X28.0MM 8,912.50 6,238.75 4,278.00 7,308.25C1874 CON SYNERGY MEG MR 5.00X24.0MM 8,912.50 6,238.75 4,278.00 7,308.25C1874 CON SYNERGY MEG MR 5.00X20.0MM 8,912.50 6,238.75 4,278.00 7,308.25C1874 CON SYNERGY MEG MR 5.00X16.0MM 8,912.50 6,238.75 4,278.00 7,308.25C1874 CON SYNERGY MEG MR 4.50X28.0MM 8,912.50 6,238.75 4,278.00 7,308.25C1874 CON SYNERGY MEG MR 4.50X20.0MM 8,912.50 6,238.75 4,278.00 7,308.25C1874 CON SYNERGY MEG MR 4.50X12.0MM 8,912.50 6,238.75 4,278.00 7,308.25C1874 CON SYNERGY MEG MR 4.00X8.0MM 8,912.50 6,238.75 4,278.00 7,308.25C1874 CON SYNERGY MEG MR 4.00X24.0MM 8,912.50 6,238.75 4,278.00 7,308.25C1874 CON SYNERGY MEG MR 3.50X32.0MM 8,912.50 6,238.75 4,278.00 7,308.25C1874 CON SYNERGY MEG MR 3.50X28.0MM 8,912.50 6,238.75 4,278.00 7,308.25C1874 CON SYNERGY MEG MR 3.50X16.0MM 8,912.50 6,238.75 4,278.00 7,308.25C1874 CON SYNERGY MEG MR 4.50X8.0MM 19,762.50 13,833.75 9,486.00 16,205.25C1876 WALLSTENT 20MM X 55MM 75CM 4,151.34 2,905.94 1,992.64 3,404.10C1876 STENT VICI 16X60X100CM 8,400.00 5,880.00 4,032.00 6,888.00C1876 STENT VICI 14X60X100CM 8,400.00 5,880.00 4,032.00 6,888.00C1876 STENT PANCREATIC 7FR 7CM FLANG 225.63 157.94 108.3 185.02C1876 STENT OASIS INTRO 8.5FR 365.00 255.5 175.2 299.3C1876 STENT OASIS INTRO 10FR 365.00 255.5 175.2 299.3C1876 STENT INNOVA 6MMX100MMX130CM 4,275.00 2,992.50 2,052.00 3,505.50C1876 STENT EX BILI SD 7X19X90 5,962.50 4,173.75 2,862.00 4,889.25C1876 STENT EX BILI SD 7X15X90 5,962.50 4,173.75 2,862.00 4,889.25C1876 STENT EX BILI SD 6X18X90 5,962.50 4,173.75 2,862.00 4,889.25C1876 STENT EX BILI SD 6X14X90 5,962.50 4,173.75 2,862.00 4,889.25C1876 STENT EX BILI SD 5X19X90 5,962.50 4,173.75 2,862.00 4,889.25C1876 STENT EX BILI SD 5X15X90 5,962.50 4,173.75 2,862.00 4,889.25C1876 STENT EX BILI SD 4X19X90 5,962.50 4,173.75 2,862.00 4,889.25C1876 STENT EX BILI SD 4X15X90 5,962.50 4,173.75 2,862.00 4,889.25C1876 STENT EVOL ESPOH 20X25X10 11,268.50 7,887.95 5,408.88 9,240.17C1876 STENT EVOL COLONIC 25X30X8 15,414.75 10,790.33 7,399.08 12,640.10C1876 STENT EVOL COLONIC 25X30X10 15,414.75 10,790.33 7,399.08 12,640.10C1876 STENT EPIC 7 X 20 X 120 5,000.00 3,500.00 2,400.00 4,100.00C1876 CON REBEL MR 28 MM X 2.75 MM 4,650.00 3,255.00 2,232.00 3,813.00C1876 CON REBEL MR 20 MM X 2.50 MM 4,650.00 3,255.00 2,232.00 3,813.00C1876 CON REBEL MR 16 MM X 3.00 MM 4,650.00 3,255.00 2,232.00 3,813.00C1876 CON REBEL MR 12 MM X 3.50 MM 4,650.00 3,255.00 2,232.00 3,813.00C1876 CON REBEL MR 12 MM X 2.50 MM 4,650.00 3,255.00 2,232.00 3,813.00C1878 PROLARYN VOICE GEL 1.0CC 2,500.00 1,750.00 1,200.00 2,050.00C1878 PROLARYN PLUS INJ SYRINGE 1CC 2,500.00 1,750.00 1,200.00 2,050.00C1880 FILTER DENALI JUGLAR 3,285.00 2,299.50 1,576.80 2,693.70C1880 FILTER DENALI FEM VENA CAVA 3,285.00 2,299.50 1,576.80 2,693.70C1880 FILTER DENALI FEM VENA CAVA 3,285.00 2,299.50 1,576.80 2,693.70C1882 MOMENTUM CRT-D 97,400.00 68,180.00 46,752.00 79,868.00C1882 ICD UNIFY ASSURA BIV 128,625.00 90,037.50 61,740.00 105,472.50C1882 CRT-D GALLANT HF DF-4 50,000.00 35,000.00 24,000.00 41,000.00C1882 VIVA XT CRT-D 151,462.50 106,023.75 72,702.00 124,199.25C1882 VIGILANT X4 CRT-D 102,500.00 71,750.00 49,200.00 84,050.00C1882 MOMENTUM X4 CRT-D 103,480.00 72,436.00 49,670.40 84,853.60C1882 MOMENTUM CRT-D DFI 99,000.00 69,300.00 47,520.00 81,180.00C1882 MOMENTUM CRT-D 99,000.00 69,300.00 47,520.00 81,180.00

C1882 INCEPTA N164 CRT-D ICD LV1 117,210.00 82,047.00 56,260.80 96,112.20C1882 ICD UNIFY ASSURA CRT-D 158,660.00 111,062.00 76,156.80 130,101.20C1882 ICD CRT V-343 ST JUDE 210,000.00 147,000.00 100,800.00 172,200.00C1882 CRT-D RIVACOR HF-T QP DR4 IS4 32,500.00 22,750.00 15,600.00 26,650.00C1882 CRTD COBALT HF QUAD MRI IS4 DF 36,400.00 25,480.00 17,472.00 29,848.00C1882 CLARIA MRI CRT-D 163,387.50 114,371.25 78,426.00 133,977.75C1882 AMPLIA MRI QUAD US CRTD DF4 110,495.00 77,346.50 53,037.60 90,605.90C1882 AMPLIA MRI CRTD 146,171.63 102,320.14 70,162.38 119,860.74C1883 LEAD EXTENSION SVC SPLITTER 9,700.00 6,790.00 4,656.00 7,954.00C1883 LEAD BLUE EXTENSION KIT 2,830.30 1,981.21 1,358.54 2,320.85C1883 EXTENSIONS 10CM 4,150.00 2,905.00 1,992.00 3,403.00C1883 EXTENSION KIT PAIN 5,938.65 4,157.06 2,850.55 4,869.69C1883 EXTENSION KIT 1X7 40CM 2,593.75 1,815.63 1,245.00 2,126.88C1883 EXTENSION 60CM IMPLANT 3,423.75 2,396.63 1,643.40 2,807.48C1883 EXTENSION 1 X 8 MEDTRONIC 2,593.75 1,815.63 1,245.00 2,126.88C1883 EXTENSION 1 X 8 60 CM 3708260 5,938.65 4,157.06 2,850.55 4,869.69C1883 8 CHANNEL ADAPTER 60CM 3,270.00 2,289.00 1,569.60 2,681.40C1883 30CM EXTENSION 3,423.75 2,396.63 1,643.40 2,807.48C1887 TERUMO NT GLIDECATH 4FR 515.00 360.5 247.2 422.3C1887 MB2 GUIDE CATH MEDTRONIC 670.00 469 321.6 549.4C1887 MACH 1 7FR GUIDE CATH FL4 350.00 245 168 287C1887 GUIDE RENAL MACH1 55CM 6FR RES 380.75 266.53 182.76 312.22C1887 GUIDE RENAL M1 55CM 7FR RDC 380.75 266.53 182.76 312.22C1887 GUIDE MACH1 REN 55CM 7FR RE-SS 380.75 266.53 182.76 312.22C1887 GUIDE MACH 1 REN 55CM 7FR RES 381.60 267.12 183.17 312.91C1887 GUIDE MACH 1 6FR RE-SS 380.75 266.53 182.76 312.22C1887 GUIDE MACH 1 6FR RDC 55 CM 380.75 266.53 182.76 312.22C1887 GUIDE 7F MACH 1 CLS 3.5 326.00 228.2 156.48 267.32C1887 GLIDECATH TERUMO ST TA 5FRX100 515.00 360.5 247.2 422.3C1887 ATTAIN GUIDE CATH 1,645.00 1,151.50 789.6 1,348.90C1887 MICROCATHETER RENOGADE ANGLED 1,617.83 1,132.48 776.56 1,326.62C1887 MICROCATHETER 135CM COR PRO 2,782.50 1,947.75 1,335.60 2,281.65C1887 GUIDEWIRE MAMBA FLEX 135CM 2,018.75 1,413.13 969 1,655.38C1887 GUIDE RUNWAY 6FR LBU4 SH 326.00 228.2 156.48 267.32C1887 GUIDE RUNWAY 6FR LBU3.5 SH 326.00 228.2 156.48 267.32C1887 GUIDE RUNWAY 6FR LBU3 SH 326.00 228.2 156.48 267.32C1887 GUIDE RUNWAY 6FR FL4 SH 326.00 228.2 156.48 267.32C1887 GUIDE RUNWAY 6FR AR1 SH 326.00 228.2 156.48 267.32C1887 GUIDE CONVEY 7F LBU 3.5 326.00 228.2 156.48 267.32C1887 GUIDE CATH 6FR MP 90CM 416.50 291.55 199.92 341.53C1887 GUIDE 6FR XBRCA 275.00 192.5 132 225.5C1887 GUIDE 6FR XB3 275.00 192.5 132 225.5C1887 GLIDECATH 5FR X 65CM 449.00 314.3 215.52 368.18C1887 GLIDECATH 4FR X 65CM 515.00 360.5 247.2 422.3C1887 CONVEY 8FR LBU 4 326.00 228.2 156.48 267.32C1887 CONVEY 8FR LBU 3.5 326.00 228.2 156.48 267.32C1887 CON RUNWAY 6FR HS CATH GUIDE 326.00 228.2 156.48 267.32C1887 CON RUNWAY 6F WRP 38969-609 326.00 228.2 156.48 267.32C1887 CON RUNWAY 6F RCB CATH GUIDING 326.00 228.2 156.48 267.32C1887 CON RUNWAY 6F LCB CATH GUIDING 326.00 228.2 156.48 267.32C1887 CON RUNWAY 6F LBU3 CATH GUIDE 326.00 228.2 156.48 267.32C1887 CON RUNWAY 6F LBU 4.0 CATH GUI 326.00 228.2 156.48 267.32C1887 CON RUNWAY 6F LBU 3.5 CATH GUI 326.00 228.2 156.48 267.32C1887 CON RUNWAY 6F IM CATH GUIDING 326.00 228.2 156.48 267.32C1887 CON RUNWAY 6F FR4 CATH GUIDING 326.00 228.2 156.48 267.32C1887 CON RUNWAY 6F FR3 38969-442 326.00 228.2 156.48 267.32C1887 CON RUNWAY 6F FR 5 CATH GUIDIN 326.00 228.2 156.48 267.32C1887 CON RUNWAY 6F FR 4.5 CATH GUID 326.00 228.2 156.48 267.32C1887 CON RUNWAY 6F FL5 CATH GUIDING 326.00 228.2 156.48 267.32C1887 CON RUNWAY 6F FL4 CATH GUIDING 326.00 228.2 156.48 267.32C1887 CON RUNWAY 6F FL 4.5 CATH GUID 326.00 228.2 156.48 267.32C1887 CON RUNWAY 6F FL 3.5 CATH GUID 326.00 228.2 156.48 267.32C1887 CON RUNWAY 6F CLS 4.0 CATH GUI 326.00 228.2 156.48 267.32C1887 CON RUNWAY 6F CLS 3.5 CATH GUI 326.00 228.2 156.48 267.32C1887 CON RUNWAY 6F AL2SH CATH GUID 338.00 236.6 162.24 277.16C1887 CON RUNWAY 6F AL2 CATH GUIDING 326.00 228.2 156.48 267.32C1887 CON RUNWAY 6F AL1 CATH GUIDING 326.00 228.2 156.48 267.32C1887 CON RUNWAY 6F AL 3 CATH GUIDIN 326.00 228.2 156.48 267.32C1887 CON RUNWAY 6F AL 1 SH CATH GUI 338.00 236.6 162.24 277.16C1887 CON LEFT 5F CONVEY FL 4 326.00 228.2 156.48 267.32C1887 CON GUIDE RUNWAY 6FR MP1 326.00 228.2 156.48 267.32C1887 CON GUIDE RUNWAY 6FR FR4 SH 326.00 228.2 156.48 267.32

C1887 CON GUIDE RUNWAY 6FR AR1 326.00 228.2 156.48 267.32C1887 CON 8F FR 4 34358-02 350.00 245 168 287C1887 CON 8F FL4 MACH 34358-07 350.00 245 168 287C1887 CON 8F FL 4 34358-07 350.00 245 168 287C1887 CON 8F AL2 34358-20 350.00 245 168 287C1887 CON 8F AL 1 34358-16 350.00 245 168 287C1887 CON 7FR FR4 SH 34357-48 350.00 245 168 287C1887 CON 7FR FL3.5 34357-06 350.00 245 168 287C1887 CON 7F RCB 34357-24 350.00 245 168 287C1887 CON 7F LCB 34357-258 350.00 245 168 287C1887 CON 7F IM 34357-26 350.00 245 168 287C1887 CON 7F FR 4 34357-02 350.00 245 168 287C1887 CON 7F FL4 SH 34357-53 326.00 228.2 156.48 267.32C1887 CON 7F FL4 MACH 326.00 228.2 156.48 267.32C1887 CON 7F FL 5 34357-09 338.00 236.6 162.24 277.16C1887 CON 7F FL 4.5 34357-08 350.00 245 168 287C1887 CON 7F CONVEY LEFTBU4 326.00 228.2 156.48 267.32C1887 CON 7F CLS 4 34357-575 350.00 245 168 287C1887 CON 7F AR1 34357-17 326.00 228.2 156.48 267.32C1887 CON 7F AL2 SH 34357-69 350.00 245 168 287C1887 CON 7F AL2 34357-20 326.00 228.2 156.48 267.32C1887 CON 7F AL1SH 34357-68 326.00 228.2 156.48 267.32C1887 CON 7F AL 1 34357-19 326.00 228.2 156.48 267.32C1887 CON 6F FR 3.5 38969-01 326.00 228.2 156.48 267.32C1887 CON 6F CONVEY LEFTBU4 326.00 228.2 156.48 267.32C1887 CON 6F CONVEY LBU3.5 326.00 228.2 156.48 267.32C1887 CON 5F CONVEY RBR 3.5 326.00 228.2 156.48 267.32C1887 CON 5F CONVEY RBR 3 326.00 228.2 156.48 267.32C1887 CON 5F CONVEY RBL 4 326.00 228.2 156.48 267.32C1887 CON 5F CONVEY RBL 3.5 326.00 228.2 156.48 267.32C1887 CON 5F CONVEY RB 326.00 228.2 156.48 267.32C1887 CON 5F CONVEY RADIAL 326.00 228.2 156.48 267.32C1887 CON 5F CONVEY LBU 3.5 326.00 228.2 156.48 267.32C1887 CON 5F CONVEY KIMNY 326.00 228.2 156.48 267.32C1887 CON 5F CONVEY FR 4 326.00 228.2 156.48 267.32C1887 CON 5F CONVEY FL 3.5 326.00 228.2 156.48 267.32C1887 CON 5F CONVEY CLS 3.5 326.00 228.2 156.48 267.32C1887 CON 5F CONVEY AR2 326.00 228.2 156.48 267.32C1887 BS ACUITY CS EXT HOOK CAT ! 37.00 25.9 17.76 30.34C1887 6 FR RUNWAY FR4 125 CM 335.18 234.63 160.89 274.85C1887 6 FR RUNWAY FL4 125 CM 383.00 268.1 183.84 314.06C1889 KIT MILD/TISSUE SCULPTER/TROCR 10,338.75 7,237.13 4,962.60 8,477.78C1892 SAFESHEATH II 7FR 13CM PLI KIT 487.50 341.25 234 399.75C1892 INTRO SU7 SAFESHEATH ULTRA 124.00 86.8 59.52 101.68C1892 CATH GUIDE SAFESHEATH 109M 2,437.50 1,706.25 1,170.00 1,998.75C1894 GLIDE SHEATH 7 FR SLENDER 361.25 252.88 173.4 296.23C1894 PINNACLE DESTINATION 45CM 7FR 509.13 356.39 244.38 417.49C1894 PINNACLE DESTINATION 45CM 6FR 509.13 356.39 244.38 417.49C1894 URETER DILATION SHEATH 8/10 332.90 233.03 159.79 272.98C1894 SHEATH NAVIGATOR 12/14 X 46 410.75 287.53 197.16 336.82C1894 SHEATH NAVIGATOR 12/14 X 36 410.75 287.53 197.16 336.82C1894 SHEATH NAVIGATOR 12/14 X 28 410.75 287.53 197.16 336.82C1894 SHEATH NAVIGATOR 11/13 X 46CM 410.75 287.53 197.16 336.82C1894 SHEATH NAVIGATOR 11/13 X 36CM 410.75 287.53 197.16 336.82C1894 SHEATH FLEXOR 12/14 X45 555.54 388.88 266.66 455.54C1894 SHEATH 7FRX2.5X45CM STR TIP 380.00 266 182.4 311.6C1894 SHEATH 6FRX2.2X45CM STR TIP 380.00 266 182.4 311.6C1894 SHEATH 5FRX1.9X45CM STR TIP 365.00 255.5 175.2 299.3C1894 R-O SHEATH 8FR X 11CM MARKER 251.02 175.71 120.49 205.84C1894 NAVIGATOR URETER SHEATH SET 410.75 287.53 197.16 336.82C1894 NAVIGATOR HD 13/15 410.00 287 196.8 336.2C1894 INTRODUCER PERFORMER 14FR 419.60 293.72 201.41 344.07C1894 INTRODUCER PERFORMER 383.06 268.14 183.87 314.11C1894 GUIDEWIRE SHEATH 9FR X 11CM 180.71 126.5 86.74 148.18C1894 GLIDESHEATH SLENDER 5FR 365.31 255.72 175.35 299.55C1894 CON 8F SHEATH 96.00 67.2 46.08 78.72C1894 CON 5F SHEATH 96.00 67.2 46.08 78.72C1894 GLIDESHEATH 6FR 25CM 398.00 278.6 191.04 326.36C1894 FLEX STR 0.025X45 SS KIT 6FR 461.00 322.7 221.28 378.02C1895 LEAD RELIANCE 4 FRONT RV 21,400.00 14,980.00 10,272.00 17,548.00C1895 LEAD ICD 6949 55,500.00 38,850.00 26,640.00 45,510.00C1895 LEAD ENDOTAK RELIANCE RV 20,000.00 14,000.00 9,600.00 16,400.00

C1895 LEAD RELIANCE 4 FRONT RV 26,250.00 18,375.00 12,600.00 21,525.00C1896 LEAD SVC 65CM UNI MPRI 2,976.00 2,083.20 1,428.48 2,440.32C1896 LEAD CS SVC UNIPOLAR 58CM 2,400.00 1,680.00 1,152.00 1,968.00C1896 EMBLEM SUB Q ELECTRODE 3501 22,550.00 15,785.00 10,824.00 18,491.00C1896 BOSTON Q-TRAK SQ ELECTRODE 25,930.00 18,151.00 12,446.40 21,262.60C1897 TRIAL LEAD 3,320.00 2,324.00 1,593.60 2,722.40C1897 LEAD TRIAL OCTRODE SCS 9,770.00 6,839.00 4,689.60 8,011.40C1898 LEAD SOLIA S 45 4,090.00 2,863.00 1,963.20 3,353.80C1898 LEAD PACEMAKER MR SOLIA S 60 3,990.00 2,793.00 1,915.20 3,271.80C1898 LEAD PACEMAKER MR SOLIA S 53 3,990.00 2,793.00 1,915.20 3,271.80C1898 LEAD LV TENDRIL STS 52CM 2,812.50 1,968.75 1,350.00 2,306.25C1898 LEAD INGEVITY PLUS 59CM V 3,000.00 2,100.00 1,440.00 2,460.00C1898 LEAD INGEVITY PLUS 52CM 3,250.00 2,275.00 1,560.00 2,665.00C1898 STJ TENDRIL 58CM 2088TC 2,887.50 2,021.25 1,386.00 2,367.75C1898 OPTISENSE HV LEAD 1999-52 3,000.00 2,100.00 1,440.00 2,460.00C1898 LEAD TENDRILL 46CM 3,000.00 2,100.00 1,440.00 2,460.00C1898 LEAD SENTUS PROMRI QTW QP L 22,000.00 15,400.00 10,560.00 18,040.00C1898 LEAD LV TENDRIL STS 46CM 2,812.50 1,968.75 1,350.00 2,306.25C1898 LEAD INGEVITY PLUS 45 CM 3,250.00 2,275.00 1,560.00 2,665.00C1898 LEAD FINELINE II EZRV 4471 4,162.50 2,913.75 1,998.00 3,413.25C1898 LEAD CAPSURE FIX NOVUS 5076-52 4,137.00 2,895.90 1,985.76 3,392.34C1898 LEAD CAPSURE FIX 5076-58 4,137.00 2,895.90 1,985.76 3,392.34C1898 FINE LINE II EZ LEAD 3,937.50 2,756.25 1,890.00 3,228.75C1900 LEAD QUARTET 86 15,000.00 10,500.00 7,200.00 12,300.00C1900 LEAD ATTAIN PERFORMA 12,000.00 8,400.00 5,760.00 9,840.00C1900 LEAD ATTAIN MRI 4,368.00 3,057.60 2,096.64 3,581.76C1900 LEAD ATTAIN MRI 4,368.00 3,057.60 2,096.64 3,581.76C1900 LEAD ACUITY X4 SPIRAL S 94 CM 14,257.50 9,980.25 6,843.60 11,691.15C1900 LEAD ACUITY X4 SPIRAL S 86 CM 21,000.00 14,700.00 10,080.00 17,220.00C1900 LEAD ACUITY X4 SPIRAL L 86 CM 14,257.50 9,980.25 6,843.60 11,691.15C2617 STENT PERC PLUS 7 X 24 269.33 188.53 129.28 220.85C2617 STENT SOFT DOUBLE J 6FR 24CM 377.78 264.45 181.33 309.78C2617 STENT SOFT DOUBLE J 6 FR 26 CM 377.78 264.45 181.33 309.78C2617 STENT TRIA URET 6 X 28 497.50 348.25 238.8 407.95C2617 STENT TRIA URET 4.8 X 26 339.03 237.32 162.73 278C2617 STENT TRIA URET 4.8 X 24 339.03 237.32 162.73 278C2617 STENT PERC PLUS 7 X 30 269.33 188.53 129.28 220.85C2617 STENT PERC PLUS 7 X 28 269.33 188.53 129.28 220.85C2617 STENT PERC PLUS 7 X 26 276.50 193.55 132.72 226.73C2617 STENT PERC PLUS 4.8 X 28 276.50 193.55 132.72 226.73C2617 STENT PERC PLUS 4.8 X 26 276.50 193.55 132.72 226.73C2617 STENT PANCREATIC HOBBS 7 X 9 225.63 157.94 108.3 185.02C2617 STENT LUBRI-FLEX 4.8 X30CM 276.50 193.55 132.72 226.73C2617 STENT IRIS LIGHTED 1,292.00 904.4 620.16 1,059.44C2617 STENT CONTOUR 7 X 28 276.50 193.55 132.72 226.73C2617 STENT CONTOUR 7 X 26 276.50 193.55 132.72 226.73C2617 STENT CONTOUR 7 X 24 276.50 193.55 132.72 226.73C2617 STENT CONTOUR 6 X 30 276.50 193.55 132.72 226.73C2617 STENT CONTOUR 6 X 28 276.50 193.55 132.72 226.73C2617 STENT CONTOUR 6 X 26 581.43 407 279.09 476.77C2617 STENT CONTOUR 6 X 24 269.33 188.53 129.28 220.85C2617 STENT CONTOUR 6 X 22 269.33 188.53 129.28 220.85C2617 STENT 168.13 117.69 80.7 137.87C2617 SOF-CURL STENT 7.0 X 26CM 168.13 117.69 80.7 137.87C2617 SOF-CURL STENT 7.0 X 26CM 168.13 117.69 80.7 137.87C2621 VISIONIST X4 CRT-P 35,455.00 24,818.50 17,018.40 29,073.10C2621 VISIONIST CRT-P 59,062.50 41,343.75 28,350.00 48,431.25C2621 VALITUDE X4 CRT 32,246.00 22,572.20 15,478.08 26,441.72C2621 VALITUDE CRT-P 59,062.50 41,343.75 28,350.00 48,431.25C2621 INVIVE V173 BIV 65,160.00 45,612.00 31,276.80 53,431.20C2621 INTUA CRT-P PACEMAKER 28,256.00 19,779.20 13,562.88 23,169.92C2621 C4TR01 CONSULTA MEDTRONIC 55,998.75 39,199.13 26,879.40 45,918.98C2621 ALLURE QUADRA PACEMAKER 54,750.00 38,325.00 26,280.00 44,895.00C2623 LUTONIX AV BALLOON 12X40MMX100 5,057.50 3,540.25 2,427.60 4,147.15C2623 LUTONIX DCB 7X40X75 3,750.00 2,625.00 1,800.00 3,075.00C2623 LUTONIX DCB 7MM X 60MM 3,750.00 2,625.00 1,800.00 3,075.00C2623 LUTONIX DCB 6MMX150MMXX130CM 4,650.00 3,255.00 2,232.00 3,813.00C2625 STENT BILIARY 10 X 5 COOK 218.50 152.95 104.88 179.17C2625 STENT BILIARY 10 X 15 COOK 218.50 152.95 104.88 179.17C2625 STENT BILIARY 10 X 12 COOK 218.50 152.95 104.88 179.17C2625 STENT 7X7 BILIARY COOK 117.50 82.25 56.4 96.35C2625 PROPEL IMPLANT CONTOUR 8MM 3,400.00 2,380.00 1,632.00 2,788.00

C2625 FLEXIMA BILI STENT 10X7 COOK 223.25 156.28 107.16 183.07C2625 BILIARY STENT 10FR 9CM 223.25 156.28 107.16 183.07C9046 COCAINE 4 % NASAL SOLUTION 989.02 692.31 474.73 811C9113 PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION 40.15 28.11 19.27 32.92C9113 PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION 40.15 28.11 19.27 32.92C9113 PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION 40.15 28.11 19.27 32.92C9113 PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION 40.15 28.11 19.27 32.92J0129 ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION 2,958.32 2,070.82 1,419.99 2,425.82J0131 ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) IV SOLN (WRAPPED) 157.85 110.5 75.77 129.44J0131 ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) IV SOLN (WRAPPED) 157.85 110.5 75.77 129.44J0131 ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) IV SOLN (WRAPPED) 157.85 110.5 75.77 129.44J0132 ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION 761.25 532.88 365.4 624.23J0132 ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION 761.25 532.88 365.4 624.23J0133 ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION 111.52 78.06 53.53 91.45J0133 ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION 111.52 78.06 53.53 91.45J0153 ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION 72.42 50.69 34.76 59.38J0153 ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION 72.42 50.69 34.76 59.38J0153 ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION 72.42 50.69 34.76 59.38J0153 ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION 520.09 364.06 249.64 426.47J0171 EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE 59.88 41.92 28.74 49.1J0171 EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE 59.88 41.92 28.74 49.1J0171 EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION (WRAPPED) 88.75 62.13 42.6 72.78J0171 EPINEPHRINE HCL (PF) 1 MG/ML (1 ML) INJECTION SOLUTION 88.75 62.13 42.6 72.78J0171 EPINEPHRINE HCL (PF) 1 MG/ML (1 ML) INJECTION SOLUTION 88.75 62.13 42.6 72.78J0171 EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION (WRAPPED) 88.75 62.13 42.6 72.78J0171 EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION (WRAPPED) 88.75 62.13 42.6 72.78J0171 EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION (WRAPPED) 88.75 62.13 42.6 72.78J0171 EPINEPHRINE 1 MG/ML INJECTION SOLUTION 1,011.30 707.91 485.42 829.27J0171 EPINEPHRINE 1 MG/ML INJECTION SOLUTION 1,011.30 707.91 485.42 829.27J0171 EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR 1,917.98 1,342.59 920.63 1,572.74J0171 EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR 1,917.98 1,342.59 920.63 1,572.74J0171 EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR 1,917.98 1,342.59 920.63 1,572.74J0185 APREPITANT 7.2 MG/ML INTRAVENOUS EMULSION - #VALUE! #VALUE! #VALUE!J0270 ALPROSTADIL 500 MCG/ML INJECTION SOLUTION 530.95 371.67 254.86 435.38J0270 ALPROSTADIL 500 MCG/ML INJECTION SOLUTION 530.95 371.67 254.86 435.38J0278 AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION 107.94 75.56 51.81 88.51J0278 AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION 107.94 75.56 51.81 88.51J0278 AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION 107.94 75.56 51.81 88.51J0280 AMINOPHYLLINE 500 MG/20 ML INTRAVENOUS SOLUTION 58.30 40.81 27.98 47.81J0280 AMINOPHYLLINE 500 MG/20 ML INTRAVENOUS SOLUTION 58.30 40.81 27.98 47.81J0280 AMINOPHYLLINE 250 MG/10 ML INTRAVENOUS SOLUTION 81.25 56.88 39 66.63J0280 AMINOPHYLLINE 250 MG/10 ML INTRAVENOUS SOLUTION 81.25 56.88 39 66.63J0282 AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION 22.00 15.4 10.56 18.04J0282 AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION 22.00 15.4 10.56 18.04J0282 AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION 22.00 15.4 10.56 18.04J0282 AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION 22.00 15.4 10.56 18.04J0282 AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION 22.00 15.4 10.56 18.04J0282 AMIODARONE 150 MG/100 ML (1.5 MG/ML) IN DEXTROSE, ISO-OSMOTIC IV 148.53 103.97 71.29 121.79J0282 AMIODARONE 360 MG/200 ML (1.8 MG/ML) IN DEXTROSE, ISO-OSMOTIC IV 194.48 136.14 93.35 159.47J0285 AMPHOTERICIN B 50 MG SOLUTION FOR INJECTION 191.92 134.34 92.12 157.37J0289 AMPHOTERICIN B LIPOSOME 50 MG INTRAVENOUS SUSPENSION 1,046.96 732.87 502.54 858.51J0290 AMPICILLIN 250 MG SOLUTION FOR INJECTION 22.00 15.4 10.56 18.04J0290 AMPICILLIN 250 MG SOLUTION FOR INJECTION 22.00 15.4 10.56 18.04J0290 AMPICILLIN 250 MG SOLUTION FOR INJECTION 22.00 15.4 10.56 18.04J0290 AMPICILLIN 250 MG SOLUTION FOR INJECTION 22.00 15.4 10.56 18.04J0290 AMPICILLIN 250 MG SOLUTION FOR INJECTION 22.00 15.4 10.56 18.04J0290 AMPICILLIN 500 MG SOLUTION FOR INJECTION 30.93 21.65 14.85 25.36J0290 AMPICILLIN 500 MG SOLUTION FOR INJECTION 30.93 21.65 14.85 25.36J0290 AMPICILLIN 1 GRAM SOLUTION FOR INJECTION 53.20 37.24 25.54 43.62J0290 AMPICILLIN 1 GRAM SOLUTION FOR INJECTION 53.20 37.24 25.54 43.62J0290 AMPICILLIN 1 GRAM SOLUTION FOR INJECTION 53.20 37.24 25.54 43.62J0290 AMPICILLIN 2 GRAM SOLUTION FOR INJECTION 85.39 59.77 40.99 70.02J0290 AMPICILLIN 2 GRAM SOLUTION FOR INJECTION 85.39 59.77 40.99 70.02J0290 AMPICILLIN 2 GRAM SOLUTION FOR INJECTION 85.39 59.77 40.99 70.02J0295 AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION 55.82 39.07 26.79 45.77J0295 AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION 55.82 39.07 26.79 45.77J0295 AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION 55.82 39.07 26.79 45.77J0295 AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION 55.82 39.07 26.79 45.77J0295 AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION 55.82 39.07 26.79 45.77J0295 AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION 55.82 39.07 26.79 45.77J0295 AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION 55.82 39.07 26.79 45.77J0295 AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION 55.82 39.07 26.79 45.77

J0295 AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION 87.86 61.5 42.17 72.05J0295 AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION 87.86 61.5 42.17 72.05J0295 AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION 87.86 61.5 42.17 72.05J0295 AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION 87.86 61.5 42.17 72.05J0330 SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION 117.91 82.54 56.6 96.69J0330 SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION 117.91 82.54 56.6 96.69J0330 SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION 117.91 82.54 56.6 96.69J0330 SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION 117.91 82.54 56.6 96.69J0348 ANIDULAFUNGIN 100 MG INTRAVENOUS SOLUTION 765.24 535.67 367.32 627.5J0360 HYDRALAZINE 20 MG/ML INJECTION SOLUTION 63.44 44.41 30.45 52.02J0360 HYDRALAZINE 20 MG/ML INJECTION SOLUTION 63.44 44.41 30.45 52.02J0360 HYDRALAZINE 20 MG/ML INJECTION SOLUTION 63.44 44.41 30.45 52.02J0401 ARIPIPRAZOLE ER 400 MG SUSPENSION, EXTENDED REL.INTRAMUSCULAR SYRINGE 5,469.36 3,828.55 2,625.29 4,484.88J0401 ARIPIPRAZOLE ER 400 MG SUSPENSION, EXTENDED REL.INTRAMUSCULAR SYRINGE 5,469.36 3,828.55 2,625.29 4,484.88J0456 AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION 54.58 38.21 26.2 44.76J0456 AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION 54.58 38.21 26.2 44.76J0461 ATROPINE 0.4 MG/ML INJECTION SOLUTION DDCI SYRINGE FROM MDV - #VALUE! #VALUE! #VALUE!J0461 ATROPINE 0.4 MG/ML INJECTION SOLUTION DDCI SYRINGE FROM MDV - #VALUE! #VALUE! #VALUE!J0461 ATROPINE 0.1 MG/ML INJECTION SYRINGE 44.75 31.33 21.48 36.7J0461 ATROPINE 0.1 MG/ML INJECTION SYRINGE 44.75 31.33 21.48 36.7J0461 ATROPINE 0.1 MG/ML INJECTION SYRINGE 44.75 31.33 21.48 36.7J0461 ATROPINE 0.1 MG/ML INJECTION SYRINGE 44.75 31.33 21.48 36.7J0461 ATROPINE 0.1 MG/ML INJECTION SYRINGE 44.75 31.33 21.48 36.7J0461 ATROPINE 0.4 MG/ML INJECTION SOLUTION 58.00 40.6 27.84 47.56J0461 ATROPINE 0.4 MG/ML INJECTION SOLUTION 58.00 40.6 27.84 47.56J0461 ATROPINE 0.4 MG/ML INJECTION SOLUTION 58.00 40.6 27.84 47.56J0461 ATROPINE 1 MG/ML INJECTION SOLUTION 77.82 54.47 37.35 63.81J0476 BACLOFEN 50 MCG/ML INTRATHECAL SOLUTION 141.75 99.23 68.04 116.24J0490 BELIMUMAB 120 MG INTRAVENOUS SOLUTION 1,771.76 1,240.23 850.44 1,452.84J0490 BELIMUMAB 400 MG INTRAVENOUS SOLUTION 4,280.84 2,996.59 2,054.80 3,510.29J0515 BENZTROPINE 1 MG/ML INJECTION SOLUTION 229.78 160.85 110.29 188.42J0515 BENZTROPINE 1 MG/ML INJECTION SOLUTION 229.78 160.85 110.29 188.42J0517 BENRALIZUMAB 30 MG/ML SUBCUTANEOUS SYRINGE 11,936.04 8,355.23 5,729.30 9,787.55J0517 BENRALIZUMAB 30 MG/ML SUBCUTANEOUS SYRINGE 11,936.04 8,355.23 5,729.30 9,787.55J0561 PENICILLIN G BENZATHINE 1,200,000 UNIT/2 ML INTRAMUSCULAR SYRINGE 697.95 488.57 335.02 572.32J0561 PENICILLIN G BENZATHINE 1,200,000 UNIT/2 ML INTRAMUSCULAR SYRINGE 697.95 488.57 335.02 572.32J0565 BEZLOTOXUMAB 25 MG/ML INTRAVENOUS SOLUTION - #VALUE! #VALUE! #VALUE!J0565 BEZLOTOXUMAB 25 MG/ML INTRAVENOUS SOLUTION - #VALUE! #VALUE! #VALUE!J0583 BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION 1,751.16 1,225.81 840.56 1,435.95J0583 BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION 1,751.16 1,225.81 840.56 1,435.95J0583 BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION 1,751.16 1,225.81 840.56 1,435.95J0583 BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION 1,751.16 1,225.81 840.56 1,435.95J0583 BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION 1,751.16 1,225.81 840.56 1,435.95J0585 ONABOTULINUMTOXINA 100 UNIT SOLUTION FOR INJECTION 1,993.30 1,395.31 956.78 1,634.51J0585 ONABOTULINUMTOXINA 200 UNIT SOLUTION FOR INJECTION 2,894.80 2,026.36 1,389.50 2,373.74J0610 CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION 62.16 43.51 29.84 50.97J0610 CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION 62.16 43.51 29.84 50.97J0610 CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION 62.16 43.51 29.84 50.97J0630 CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION 6,497.36 4,548.15 3,118.73 5,327.84J0630 CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION 6,497.36 4,548.15 3,118.73 5,327.84J0640 LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION - #VALUE! #VALUE! #VALUE!J0640 LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION - #VALUE! #VALUE! #VALUE!J0640 LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION 138.45 96.92 66.46 113.53J0640 LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION 138.45 96.92 66.46 113.53J0640 LEUCOVORIN CALCIUM 100 MG SOLUTION FOR INJECTION 152.00 106.4 72.96 124.64J0640 LEUCOVORIN CALCIUM 100 MG SOLUTION FOR INJECTION 152.00 106.4 72.96 124.64J0640 LEUCOVORIN CALCIUM 500 MG SOLUTION FOR INJECTION 380.58 266.41 182.68 312.08J0670 MEPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION 54.70 38.29 26.26 44.85J0670 MEPIVACAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION 59.60 41.72 28.61 48.87J0690 CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION 23.06 16.14 11.07 18.91J0690 CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION 23.06 16.14 11.07 18.91J0690 CEFAZOLIN 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK 74.70 52.29 35.86 61.25J0690 CEFAZOLIN 2 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK 78.95 55.27 37.9 64.74J0690 CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION 97.25 68.08 46.68 79.75J0690 CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION 97.25 68.08 46.68 79.75J0690 CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION 97.25 68.08 46.68 79.75J0692 CEFEPIME 1 GRAM SOLUTION FOR INJECTION 46.00 32.2 22.08 37.72J0692 CEFEPIME 2 GRAM SOLUTION FOR INJECTION 67.00 46.9 32.16 54.94J0692 CEFEPIME 2 GRAM SOLUTION FOR INJECTION 67.00 46.9 32.16 54.94J0692 CEFEPIME 1 GRAM/50 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK 101.94 71.36 48.93 83.59J0692 CEFEPIME 2 GRAM/50 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK 107.06 74.94 51.39 87.79J0694 CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION 46.00 32.2 22.08 37.72

J0694 CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION 46.00 32.2 22.08 37.72J0694 CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION 46.00 32.2 22.08 37.72J0694 CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION 78.85 55.2 37.85 64.66J0694 CEFOXITIN 1 GRAM/50 ML IN DEXTROSE, ISO-OSMOTIC INTRAVENOUS PIGGYBACK 98.10 68.67 47.09 80.44J0694 CEFOXITIN 2 GRAM/50 ML IN DEXTROSE(ISO-OSMOTIC) INTRAVENOUS PIGGYBACK 126.79 88.75 60.86 103.97J0696 CEFTRIAXONE 500 MG SOLUTION FOR INJECTION 15.73 11.01 7.55 12.9J0696 CEFTRIAXONE 500 MG SOLUTION FOR INJECTION 15.73 11.01 7.55 12.9J0696 CEFTRIAXONE 500 MG SOLUTION FOR INJECTION 15.73 11.01 7.55 12.9J0696 CEFTRIAXONE 500 MG SOLUTION FOR INJECTION 15.73 11.01 7.55 12.9J0696 CEFTRIAXONE 500 MG SOLUTION FOR INJECTION 15.73 11.01 7.55 12.9J0696 CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION 19.05 13.34 9.14 15.62J0696 CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION 19.05 13.34 9.14 15.62J0696 CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION 19.05 13.34 9.14 15.62J0696 CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION 19.05 13.34 9.14 15.62J0696 CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION 19.05 13.34 9.14 15.62J0696 CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION 19.05 13.34 9.14 15.62J0696 CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION 19.05 13.34 9.14 15.62J0696 CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION 19.05 13.34 9.14 15.62J0696 CEFTRIAXONE 250 MG SOLUTION FOR INJECTION 23.50 16.45 11.28 19.27J0696 CEFTRIAXONE 250 MG SOLUTION FOR INJECTION 23.50 16.45 11.28 19.27J0696 CEFTRIAXONE 250 MG SOLUTION FOR INJECTION 23.50 16.45 11.28 19.27J0696 CEFTRIAXONE 250 MG SOLUTION FOR INJECTION 23.50 16.45 11.28 19.27J0696 CEFTRIAXONE 250 MG SOLUTION FOR INJECTION 23.50 16.45 11.28 19.27J0696 CEFTRIAXONE 250 MG SOLUTION FOR INJECTION 23.50 16.45 11.28 19.27J0696 CEFTRIAXONE 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOT) INTRAVENOUS PIGGYBACK 101.94 71.36 48.93 83.59J0696 CEFTRIAXONE 2 GRAM/50 ML IN DEXTROSE (ISO-OSM) INTRAVENOUS PIGGYBACK 107.26 75.08 51.48 87.95J0696 CEFTRIAXONE 2 GRAM/50 ML IN DEXTROSE (ISO-OSM) INTRAVENOUS PIGGYBACK 107.26 75.08 51.48 87.95J0696 CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION 314.39 220.07 150.91 257.8J0696 CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION 314.39 220.07 150.91 257.8J0696 CEFTRIAXONE 350 MG/ML IM INJECTION - #VALUE! #VALUE! #VALUE!J0698 CEFOTAXIME 1 GRAM SOLUTION FOR INJECTION - #VALUE! #VALUE! #VALUE!J0698 CEFOTAXIME 1 GRAM SOLUTION FOR INJECTION - #VALUE! #VALUE! #VALUE!J0702 BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION 215.79 151.05 103.58 176.95J0702 BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION 215.79 151.05 103.58 176.95J0702 BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION 215.79 151.05 103.58 176.95J0712 CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION 816.73 571.71 392.03 669.72J0712 CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION 816.73 571.71 392.03 669.72J0713 CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION 35.33 24.73 16.96 28.97J0713 CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION 35.33 24.73 16.96 28.97J0744 CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK 36.00 25.2 17.28 29.52J0770 COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION 121.86 85.3 58.49 99.93J0775 COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 0.9 MG SOLUTION FOR INJECTION 11,646.02 8,152.21 5,590.09 9,549.74J0780 PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION 109.90 76.93 52.75 90.12J0780 PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION 109.90 76.93 52.75 90.12J0834 COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION 435.89 305.12 209.23 357.43J0834 COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION 435.89 305.12 209.23 357.43J0840 CROTALIDAE POLYVAL IMMUNE FAB SOLUTION FOR INJECTION 7,685.20 5,379.64 3,688.90 6,301.86J0875 DALBAVANCIN 500 MG INTRAVENOUS SOLUTION 3,803.78 2,662.65 1,825.81 3,119.10J0878 DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION 1,480.12 1,036.08 710.46 1,213.70J0878 DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION 1,480.12 1,036.08 710.46 1,213.70J0878 DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION 1,480.12 1,036.08 710.46 1,213.70J0878 DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION 1,480.12 1,036.08 710.46 1,213.70J0878 DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION 1,480.12 1,036.08 710.46 1,213.70J0878 DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION 1,480.12 1,036.08 710.46 1,213.70J0878 DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION 1,480.12 1,036.08 710.46 1,213.70J0881 DARBEPOETIN ALFA 500 MCG/ML IN POLYSORBATE INJECTION SYRINGE - #VALUE! #VALUE! #VALUE!J0881 DARBEPOETIN ALFA 200 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE - #VALUE! #VALUE! #VALUE!J0881 DARBEPOETIN ALFA 60 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE 1,542.52 1,079.76 740.41 1,264.87J0881 DARBEPOETIN ALFA 100 MCG/0.5 ML IN POLYSORBATE INJECTION SYRINGE 2,564.20 1,794.94 1,230.82 2,102.64J0881 DARBEPOETIN ALFA 100 MCG/0.5 ML IN POLYSORBATE INJECTION SYRINGE 2,564.20 1,794.94 1,230.82 2,102.64J0881 DARBEPOETIN ALFA 300 MCG/0.6 ML IN POLYSORBATE INJECTION SYRINGE 5,582.80 3,907.96 2,679.74 4,577.90J0883 ARGATROBAN 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION 801.21 560.85 384.58 656.99J0883 ARGATROBAN 100 MG/ML INTRAVENOUS SOLUTION 1,660.00 1,162.00 796.8 1,361.20J0885 EPOETIN ALFA 3,000 UNIT/ML INJECTION SOLUTION - #VALUE! #VALUE! #VALUE!J0885 EPOETIN ALFA 4,000 UNIT/ML INJECTION SOLUTION - #VALUE! #VALUE! #VALUE!J0885 EPOETIN ALFA 4,000 UNIT/ML INJECTION SOLUTION - #VALUE! #VALUE! #VALUE!J0894 DECITABINE 50 MG INTRAVENOUS SOLUTION 2,461.10 1,722.77 1,181.33 2,018.10J0894 DECITABINE 50 MG INTRAVENOUS SOLUTION 2,461.10 1,722.77 1,181.33 2,018.10J0894 DECITABINE 50 MG INTRAVENOUS SOLUTION 2,461.10 1,722.77 1,181.33 2,018.10J0895 DEFEROXAMINE 500 MG SOLUTION FOR INJECTION 79.93 55.95 38.37 65.54J0896 LUSPATERCEPT-AAMT 25 MG SUBCUTANEOUS SOLUTION - #VALUE! #VALUE! #VALUE!J0896 LUSPATERCEPT-AAMT 75 MG SUBCUTANEOUS SOLUTION - #VALUE! #VALUE! #VALUE!

J0897 DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE 3,079.10 2,155.37 1,477.97 2,524.86J0897 DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION 6,020.01 4,214.01 2,889.60 4,936.41J1030 METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION 70.52 49.36 33.85 57.83J1030 METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION 70.52 49.36 33.85 57.83J1030 METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION 70.52 49.36 33.85 57.83J1030 METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION 70.52 49.36 33.85 57.83J1040 METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION 109.54 76.68 52.58 89.82J1040 METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION 109.54 76.68 52.58 89.82J1040 METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION 109.54 76.68 52.58 89.82J1040 METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION 109.54 76.68 52.58 89.82J1040 METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION 109.54 76.68 52.58 89.82J1071 TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL 93.92 65.74 45.08 77.01J1071 TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL 93.92 65.74 45.08 77.01J1100 DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION 17.80 12.46 8.54 14.6J1100 DEXAMETHASONE 10 MG/ML INJ FOR PO 17.80 12.46 8.54 14.6J1100 DEXAMETHASONE 10 MG/ML INJ FOR PO 17.80 12.46 8.54 14.6J1100 DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION 17.80 12.46 8.54 14.6J1100 DEXAMETHASONE 10 MG/ML INJ FOR PO 17.80 12.46 8.54 14.6J1100 DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION 17.80 12.46 8.54 14.6J1100 DEXAMETHASONE 10 MG/ML INJ FOR PO 17.80 12.46 8.54 14.6J1100 DEXAMETHASONE 10 MG/ML INJ FOR PO 17.80 12.46 8.54 14.6J1100 DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION 17.80 12.46 8.54 14.6J1100 DEXAMETHASONE 10 MG/ML INJ FOR PO 17.80 12.46 8.54 14.6J1100 DEXAMETHASONE 10 MG/ML INJ FOR PO 17.80 12.46 8.54 14.6J1100 DEXAMETHASONE 10 MG/ML INJ FOR PO 17.80 12.46 8.54 14.6J1100 DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION (WRAPPED) 47.56 33.29 22.83 39J1100 DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION (WRAPPED) 47.56 33.29 22.83 39J1100 DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION (WRAPPED) 47.56 33.29 22.83 39J1100 DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION (WRAPPED) 47.56 33.29 22.83 39J1100 DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION (WRAPPED) 47.56 33.29 22.83 39J1100 DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION (WRAPPED) 47.56 33.29 22.83 39J1100 DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION (WRAPPED) 47.56 33.29 22.83 39J1100 DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION (WRAPPED) 47.56 33.29 22.83 39J1100 DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION (WRAPPED) 47.56 33.29 22.83 39J1100 DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION 10 ML MDV 51.60 36.12 24.77 42.31J1110 DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION 534.88 374.42 256.74 438.6J1110 DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION 534.88 374.42 256.74 438.6J1120 ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION 185.66 129.96 89.12 152.24J1120 ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION 185.66 129.96 89.12 152.24J1160 DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION 47.38 33.17 22.74 38.85J1160 DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION 47.38 33.17 22.74 38.85J1162 DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION 9,547.60 6,683.32 4,582.85 7,829.03J1170 HYDROMORPHONE 2 MG/ML INJECTION SOLUTION - #VALUE! #VALUE! #VALUE!J1170 HYDROMORPHONE 1 MG/ML INJECTION SYRINGE 25.44 17.81 12.21 20.86J1170 HYDROMORPHONE 1 MG/ML INJECTION FORMS (WRAPPED) 25.44 17.81 12.21 20.86J1170 HYDROMORPHONE 1 MG/ML INJECTION FORMS (WRAPPED) 25.44 17.81 12.21 20.86J1170 HYDROMORPHONE 1 MG/ML INJECTION FORMS (WRAPPED) 25.44 17.81 12.21 20.86J1170 HYDROMORPHONE 1 MG/ML INJECTION SYRINGE 25.44 17.81 12.21 20.86J1170 HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION 27.97 19.58 13.43 22.94J1170 HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION 27.97 19.58 13.43 22.94J1170 HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION 27.97 19.58 13.43 22.94J1170 HYDROMORPHONE (PF) 1 MG/ML INJECTION SOLUTION 31.60 22.12 15.17 25.91J1190 DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION 1,860.08 1,302.06 892.84 1,525.27J1200 DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION 16.40 11.48 7.87 13.45J1200 DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION 16.40 11.48 7.87 13.45J1200 DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION 16.40 11.48 7.87 13.45J1200 DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION 16.40 11.48 7.87 13.45J1200 DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION 16.40 11.48 7.87 13.45J1205 CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION 425.42 297.79 204.2 348.84J1240 DIMENHYDRINATE 50 MG/ML INJECTION SOLUTION 67.17 47.02 32.24 55.08J1250 DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION 61.95 43.37 29.74 50.8J1250 DOBUTAMINE 500 MG/250 ML (2,000 MCG/ML) IN 5 % DEXTROSE IV 81.25 56.88 39 66.63J1250 DOBUTAMINE 500 MG/250 ML (2,000 MCG/ML) IN 5 % DEXTROSE IV 81.25 56.88 39 66.63J1265 DOPAMINE 400 MG/250 ML (1,600 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN 78.88 55.22 37.86 64.68J1301 EDARAVONE 30 MG/100 ML INTRAVENOUS SOLUTION 1,911.63 1,338.14 917.58 1,567.54J1327 EPTIFIBATIDE 2 MG/ML INTRAVENOUS SOLUTION 704.67 493.27 338.24 577.83J1327 EPTIFIBATIDE 2 MG/ML INTRAVENOUS SOLUTION 704.67 493.27 338.24 577.83J1327 EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLUTION 1,088.92 762.24 522.68 892.91J1327 EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLUTION 1,088.92 762.24 522.68 892.91J1327 EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLUTION 1,088.92 762.24 522.68 892.91J1327 EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLUTION 1,088.92 762.24 522.68 892.91J1335 ERTAPENEM 1 GRAM SOLUTION FOR INJECTION 477.81 334.47 229.35 391.8

J1335 ERTAPENEM 1 GRAM SOLUTION FOR INJECTION 477.81 334.47 229.35 391.8J1335 ERTAPENEM 1 GRAM SOLUTION FOR INJECTION 477.81 334.47 229.35 391.8J1364 ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION 336.89 235.82 161.71 276.25J1364 ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION 336.89 235.82 161.71 276.25J1410 CONJUGATED ESTROGENS 25 MG SOLUTION FOR INJECTION 1,317.56 922.29 632.43 1,080.40J1439 FERRIC CARBOXYMALTOSE 50 MG IRON/ML INTRAVENOUS SOLUTION 2,827.27 1,979.09 1,357.09 2,318.36J1442 FILGRASTIM 480 MCG/0.8 ML INJECTION SYRINGE - #VALUE! #VALUE! #VALUE!J1450 FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK 54.50 38.15 26.16 44.69J1450 FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK 54.50 38.15 26.16 44.69J1450 FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK 122.50 85.75 58.8 100.45J1451 FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION 2,474.32 1,732.02 1,187.67 2,028.94J1451 FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION 2,474.32 1,732.02 1,187.67 2,028.94J1453 FOSAPREPITANT 150 MG INTRAVENOUS SOLUTION 1,347.20 943.04 646.66 1,104.70J1453 FOSAPREPITANT 150 MG INTRAVENOUS SOLUTION 1,347.20 943.04 646.66 1,104.70J1453 FOSAPREPITANT 150 MG INTRAVENOUS SOLUTION 1,347.20 943.04 646.66 1,104.70J1453 FOSAPREPITANT 150 MG INTRAVENOUS SOLUTION 1,347.20 943.04 646.66 1,104.70J1453 FOSAPREPITANT 150 MG INTRAVENOUS SOLUTION 1,347.20 943.04 646.66 1,104.70J1453 FOSAPREPITANT 150 MG INTRAVENOUS SOLUTION 1,347.20 943.04 646.66 1,104.70J1557 IMMUNE GLOB,GAMM(IGG) 5 %-SORB-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION 2,577.03 1,803.92 1,236.97 2,113.16J1561 IMMUNE GLOB G (10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN (WRAPPED) 616.48 431.54 295.91 505.51J1561 IMMUNE GLOB G (10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN (WRAPPED) 616.48 431.54 295.91 505.51J1561 IMMUNE GLOB G (10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN (WRAPPED) 616.48 431.54 295.91 505.51J1561 IMMUNE GLOBU G 1 GRAM/10 ML(10 %)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN 616.48 431.54 295.91 505.51J1561 IMMUNE GLOB G (10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN (WRAPPED) 616.48 431.54 295.91 505.51J1561 IMMUNE GLOB G (10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN (WRAPPED) 616.48 431.54 295.91 505.51J1561 IMMUNE GLOB G (10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN (WRAPPED) 616.48 431.54 295.91 505.51J1561 IMMUNE GLOB G (10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN (WRAPPED) 616.48 431.54 295.91 505.51J1561 IMMUNE GLOB G (10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN (WRAPPED) 616.48 431.54 295.91 505.51J1561 IMMUNE GLOB G (10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN (WRAPPED) 616.48 431.54 295.91 505.51J1561 IMMUNE GLOBU G 1 GRAM/10 ML(10 %)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN 616.48 431.54 295.91 505.51J1561 IMMUNE GLOB G (10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN (WRAPPED) 616.48 431.54 295.91 505.51J1561 IMMUNE GLOB G (10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN (WRAPPED) 616.48 431.54 295.91 505.51J1561 IMMUNE GLOB G (10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN (WRAPPED) 616.48 431.54 295.91 505.51J1561 IMMUNE GLOB G 2.5 GRAM/25 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN 1,496.20 1,047.34 718.18 1,226.88J1561 IMMUNE GLOB G 2.5 GRAM/25 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN 1,496.20 1,047.34 718.18 1,226.88J1561 IMMUNE GLOBU G 5 GRAM/50 ML(10 %)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN 2,962.40 2,073.68 1,421.95 2,429.17J1561 IMMUNE GLOBU G 5 GRAM/50 ML(10 %)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN 2,962.40 2,073.68 1,421.95 2,429.17J1561 IMMUNE GLOB G 10 GRAM/100 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN 5,894.80 4,126.36 2,829.50 4,833.74J1561 IMMUNE GLOB G 10 GRAM/100 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN 5,894.80 4,126.36 2,829.50 4,833.74J1561 IMMUNE GLOB G 20 GRAM/200 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN 11,759.60 8,231.72 5,644.61 9,642.87J1561 IMMUNE GLOB G 20 GRAM/200 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN 11,759.60 8,231.72 5,644.61 9,642.87J1561 IMMUNE GLOB G 40 GRAM/400 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN 23,489.20 16,442.44 11,274.82 19,261.14J1561 IMMUNE GLOB G 40 GRAM/400 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN 23,489.20 16,442.44 11,274.82 19,261.14J1570 GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION 398.69 279.08 191.37 326.93J1572 IMMUNE GLOB,GAMM(IGG) 5 %-SORB-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION 2,577.03 1,803.92 1,236.97 2,113.16J1572 IMMUNE GLOB,GAMM(IGG) 5 %-SORB-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION 2,577.03 1,803.92 1,236.97 2,113.16J1572 IMMUNE GLOB,GAMM(IGG) 10%-SORB-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION 4,824.40 3,377.08 2,315.71 3,956.01J1580 GENTAMICIN 40 MG/ML INJECTION SOLUTION 29.38 20.57 14.1 24.09J1580 GENTAMICIN SULFATE (PEDIATRIC) (PF) 20 MG/2 ML INJECTION SOLUTION 33.64 23.55 16.15 27.58J1580 GENTAMICIN 100 MG/50 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK 49.13 34.39 23.58 40.29J1602 GOLIMUMAB 12.5 MG/ML INTRAVENOUS SOLUTION 4,588.28 3,211.80 2,202.37 3,762.39J1610 GLUCAGON 1 MG/ML SOLUTION FOR INJECTION 695.71 487 333.94 570.48J1610 GLUCAGON 1 MG SOLUTION FOR INJECTION 1,132.08 792.46 543.4 928.31J1626 GRANISETRON HCL 1 MG/ML (1 ML) INTRAVENOUS SOLUTION 61.30 42.91 29.42 50.27J1626 GRANISETRON HCL 1 MG/ML (1 ML) INTRAVENOUS SOLUTION 61.30 42.91 29.42 50.27J1630 HALOPERIDOL LACTATE 5 MG/ML INTRAMUSCULAR SYRINGE 34.00 23.8 16.32 27.88J1630 HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION 45.94 32.16 22.05 37.67J1631 HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION 105.90 74.13 50.83 86.84J1631 HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION 105.90 74.13 50.83 86.84J1631 HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION 105.90 74.13 50.83 86.84J1631 HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION 105.90 74.13 50.83 86.84J1631 HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION 169.84 118.89 81.52 139.27J1631 HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION 169.84 118.89 81.52 139.27J1631 HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION 169.84 118.89 81.52 139.27J1642 HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE 23.05 16.14 11.06 18.9J1642 HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE 28.55 19.99 13.7 23.41J1642 HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE 28.55 19.99 13.7 23.41J1642 HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE 28.55 19.99 13.7 23.41J1644 HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION 30.05 21.04 14.42 24.64J1644 HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION 30.05 21.04 14.42 24.64J1644 HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION 30.05 21.04 14.42 24.64J1644 HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION 30.05 21.04 14.42 24.64

J1644 HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION 30.05 21.04 14.42 24.64J1644 HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION 30.05 21.04 14.42 24.64J1644 HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION 30.05 21.04 14.42 24.64J1644 HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION 30.05 21.04 14.42 24.64J1644 HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION 30.05 21.04 14.42 24.64J1644 HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION 30.05 21.04 14.42 24.64J1644 HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION 30.05 21.04 14.42 24.64J1644 HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION 30.05 21.04 14.42 24.64J1644 HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION 30.05 21.04 14.42 24.64J1644 HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION 30.05 21.04 14.42 24.64J1644 HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION 34.97 24.48 16.79 28.68J1644 HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION 34.97 24.48 16.79 28.68J1644 HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV 42.50 29.75 20.4 34.85J1644 HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV 42.50 29.75 20.4 34.85J1644 HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV 42.50 29.75 20.4 34.85J1644 HEPARIN (PORCINE) 25,000 UNIT/500 ML IN 0.45 % SODIUM CHLORIDE IV SOLN 55.00 38.5 26.4 45.1J1644 HEPARIN (PORCINE) 25,000 UNIT/500 ML IN 0.45 % SODIUM CHLORIDE IV SOLN 55.00 38.5 26.4 45.1J1644 HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION 55.78 39.05 26.77 45.74J1644 HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION 55.78 39.05 26.77 45.74J1644 HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION 55.78 39.05 26.77 45.74J1644 HEPARIN (PORCINE) 25,000 UNIT/500 ML (50 UNIT/ML) IN DEXTROSE 5 % IV 88.75 62.13 42.6 72.78J1644 HEPARIN (PORCINE) 25,000 UNIT/500 ML (50 UNIT/ML) IN DEXTROSE 5 % IV 88.75 62.13 42.6 72.78J1644 HEPARIN (PORCINE) 25,000 UNIT/500 ML (50 UNIT/ML) IN DEXTROSE 5 % IV 88.75 62.13 42.6 72.78J1650 ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE 37.00 25.9 17.76 30.34J1650 ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE 46.00 32.2 22.08 37.72J1650 ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE 46.00 32.2 22.08 37.72J1650 ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE 46.00 32.2 22.08 37.72J1650 ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE 46.00 32.2 22.08 37.72J1650 ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE 79.25 55.48 38.04 64.99J1650 ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE 79.25 55.48 38.04 64.99J1650 ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE 91.00 63.7 43.68 74.62J1650 ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE 91.00 63.7 43.68 74.62J1650 ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE 91.00 63.7 43.68 74.62J1650 ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE 91.00 63.7 43.68 74.62J1650 ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE 105.31 73.72 50.55 86.35J1650 ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE 105.31 73.72 50.55 86.35J1650 ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE 105.31 73.72 50.55 86.35J1650 ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE 274.66 192.26 131.84 225.22J1650 ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE 274.66 192.26 131.84 225.22J1650 ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE 274.66 192.26 131.84 225.22J1650 ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE 274.66 192.26 131.84 225.22J1650 ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE 506.40 354.48 243.07 415.25J1650 ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE 506.40 354.48 243.07 415.25J1650 ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE 506.40 354.48 243.07 415.25J1650 ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE 506.40 354.48 243.07 415.25J1652 FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE 129.88 90.92 62.34 106.5J1652 FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE 129.88 90.92 62.34 106.5J1670 TETANUS IMMUNE GLOBULIN (PF) 250 UNIT INTRAMUSCULAR SYRINGE 1,846.12 1,292.28 886.14 1,513.82J1720 HYDROCORTISONE SODIUM SUCCINATE 100 MG SOLUTION FOR INJECTION - #VALUE! #VALUE! #VALUE!J1720 HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML SOLUTION FOR INJECTION - #VALUE! #VALUE! #VALUE!J1720 HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML SOLUTION FOR INJECTION - #VALUE! #VALUE! #VALUE!J1720 HYDROCORTISONE SODIUM SUCCINATE 100 MG/2 ML SOLUTION FOR INJECTION (WRAPPED) 89.34 62.54 42.88 73.26J1720 HYDROCORTISONE SODIUM SUCCINATE 100 MG/2 ML SOLUTION FOR INJECTION (WRAPPED) 89.34 62.54 42.88 73.26J1720 HYDROCORTISONE SODIUM SUCCINATE 100 MG/2 ML SOLUTION FOR INJECTION (WRAPPED) 89.34 62.54 42.88 73.26J1720 HYDROCORTISONE SOD SUCCINATE (PF) 250 MG/2 ML SOLUTION FOR INJECTION 146.82 102.77 70.47 120.39J1720 HYDROCORTISONE SOD SUCCINATE (PF) 250 MG/2 ML SOLUTION FOR INJECTION 146.82 102.77 70.47 120.39J1720 HYDROCORTISONE SOD SUCCINATE (PF) 1,000 MG/8 ML SOLUTION FOR INJECTION 466.14 326.3 223.75 382.23J1738 MELOXICAM 30 MG/ML INTRAVENOUS SUSPENSION 385.62 269.93 185.1 316.21J1740 IBANDRONATE 3 MG/3 ML INTRAVENOUS SYRINGE 1,750.42 1,225.29 840.2 1,435.34J1740 IBANDRONATE 3 MG/3 ML INTRAVENOUS SYRINGE 1,750.42 1,225.29 840.2 1,435.34J1741 IBUPROFEN 800 MG/8 ML (100 MG/ML) INTRAVENOUS SOLUTION 107.60 75.32 51.65 88.23J1741 IBUPROFEN 800 MG/200 ML (4 MG/ML) INTRAVENOUS PIGGYBACK 120.70 84.49 57.94 98.97J1741 IBUPROFEN 800 MG/200 ML (4 MG/ML) INTRAVENOUS PIGGYBACK 120.70 84.49 57.94 98.97J1741 IBUPROFEN 800 MG/200 ML (4 MG/ML) INTRAVENOUS PIGGYBACK 120.70 84.49 57.94 98.97J1741 IBUPROFEN 800 MG/200 ML (4 MG/ML) INTRAVENOUS PIGGYBACK 120.70 84.49 57.94 98.97J1745 INFLIXIMAB 100 MG INTRAVENOUS SOLUTION 3,443.38 2,410.37 1,652.82 2,823.57J1750 IRON DEXTRAN 50 MG/ML INJECTION SOLUTION - #VALUE! #VALUE! #VALUE!J1756 IRON SUCROSE 200 MG IRON/10 ML INTRAVENOUS SOLUTION - #VALUE! #VALUE! #VALUE!J1756 IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION 229.78 160.85 110.29 188.42J1756 IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION 229.78 160.85 110.29 188.42J1815 INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION 188.25 131.78 90.36 154.37J1815 INSULIN REGULAR SUB-Q SLIDING SCALE 188.25 131.78 90.36 154.37

J1815 INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION 339.30 237.51 162.86 278.23J1815 INSULIN LISPRO SUB-Q SLIDING SCALE 339.30 237.51 162.86 278.23J1815 INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML SUBCUTANEOUS SUSPENSION 604.21 422.95 290.02 495.45J1815 INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML SUBCUTANEOUS SUSPENSION 604.21 422.95 290.02 495.45J1815 INSULIN HUMAN U-100 NPH-REGULR 70-30 MIX 100 UNIT/ML SUBCUTANEOUS SUSP 604.21 422.95 290.02 495.45J1815 INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION 1,143.10 800.17 548.69 937.34J1815 INSULIN LISPRO PROTAMINE-LISPRO 100 UNIT/ML (75-25) SUBCUTANEOUS SUSP 1,147.66 803.36 550.88 941.08J1885 KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION 17.44 12.21 8.37 14.3J1885 KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION 17.44 12.21 8.37 14.3J1885 KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION 17.44 12.21 8.37 14.3J1885 KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION 17.44 12.21 8.37 14.3J1885 KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION 17.44 12.21 8.37 14.3J1885 KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION 17.44 12.21 8.37 14.3J1885 KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION 17.44 12.21 8.37 14.3J1885 KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION 17.44 12.21 8.37 14.3J1885 KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION 17.44 12.21 8.37 14.3J1885 KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION 17.44 12.21 8.37 14.3J1885 KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION 17.44 12.21 8.37 14.3J1885 KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION 46.23 32.36 22.19 37.91J1885 KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION 46.23 32.36 22.19 37.91J1885 KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION 46.23 32.36 22.19 37.91J1885 KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION 46.23 32.36 22.19 37.91J1885 KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION 46.23 32.36 22.19 37.91J1885 KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION 46.23 32.36 22.19 37.91J1885 KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION 46.23 32.36 22.19 37.91J1885 KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION 46.23 32.36 22.19 37.91J1930 LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE - #VALUE! #VALUE! #VALUE!J1940 FUROSEMIDE 10 MG/ML INJECTION SOLUTION 31.18 21.83 14.97 25.57J1940 FUROSEMIDE 10 MG/ML INJECTION SOLUTION 31.18 21.83 14.97 25.57J1940 FUROSEMIDE 10 MG/ML INJECTION SOLUTION 31.18 21.83 14.97 25.57J1940 FUROSEMIDE 10 MG/ML INJECTION SOLUTION 31.18 21.83 14.97 25.57J1940 FUROSEMIDE 10 MG/ML INJECTION SOLUTION 31.18 21.83 14.97 25.57J1940 FUROSEMIDE 10 MG/ML INJECTION SOLUTION 31.18 21.83 14.97 25.57J1940 FUROSEMIDE 10 MG/ML INJECTION SOLUTION 31.18 21.83 14.97 25.57J1940 FUROSEMIDE 10 MG/ML INJECTION SOLUTION 31.18 21.83 14.97 25.57J1940 FUROSEMIDE 10 MG/ML INJECTION SOLUTION 31.18 21.83 14.97 25.57J1940 FUROSEMIDE 10 MG/ML INJECTION SOLUTION 31.18 21.83 14.97 25.57J1940 FUROSEMIDE 10 MG/ML INJECTION SOLUTION 31.18 21.83 14.97 25.57J1950 LEUPROLIDE 3.75 MG INTRAMUSCULAR SYRINGE KIT 3,594.57 2,516.20 1,725.39 2,947.55J1950 LEUPROLIDE 11.25 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT 10,065.62 7,045.93 4,831.50 8,253.81J1953 LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION 33.10 23.17 15.89 27.14J1953 LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION 33.10 23.17 15.89 27.14J1953 LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION 33.10 23.17 15.89 27.14J1953 LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION 33.10 23.17 15.89 27.14J1953 LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK 128.88 90.22 61.86 105.68J1953 LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK 129.88 90.92 62.34 106.5J1956 LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK 46.50 32.55 22.32 38.13J1956 LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK 47.50 33.25 22.8 38.95J1956 LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK 47.50 33.25 22.8 38.95J1956 LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK 52.00 36.4 24.96 42.64J1956 LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK 52.00 36.4 24.96 42.64J1956 LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK 52.00 36.4 24.96 42.64J1956 LEVOFLOXACIN 25 MG/ML INTRAVENOUS SOLUTION 156.52 109.56 75.13 128.35J1956 LEVOFLOXACIN 25 MG/ML INTRAVENOUS SOLUTION 156.52 109.56 75.13 128.35J2001 LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION 22.70 15.89 10.9 18.61J2001 LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION 22.70 15.89 10.9 18.61J2001 LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION 22.70 15.89 10.9 18.61J2001 LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION 22.70 15.89 10.9 18.61J2001 LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION 22.70 15.89 10.9 18.61J2001 LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION 22.70 15.89 10.9 18.61J2001 LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION 25.38 17.77 12.18 20.81J2001 LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION 25.38 17.77 12.18 20.81J2001 LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION 25.38 17.77 12.18 20.81J2001 LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION 25.38 17.77 12.18 20.81J2001 LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION 25.38 17.77 12.18 20.81J2001 LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION 25.38 17.77 12.18 20.81J2001 LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION 25.38 17.77 12.18 20.81J2001 LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION 25.38 17.77 12.18 20.81J2001 LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION 25.38 17.77 12.18 20.81J2001 LIDOCAINE (PF) 20 MG/ML (2 %) INTRAVENOUS SOLUTION 26.38 18.47 12.66 21.63J2001 LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE 30.35 21.25 14.57 24.89J2001 LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE 30.35 21.25 14.57 24.89

J2001 LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION 32.25 22.58 15.48 26.45J2001 LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION 32.25 22.58 15.48 26.45J2001 LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION 32.25 22.58 15.48 26.45J2001 LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION 32.25 22.58 15.48 26.45J2001 LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION 32.25 22.58 15.48 26.45J2001 LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION (WRAPPED) 33.00 23.1 15.84 27.06J2001 LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION 33.00 23.1 15.84 27.06J2001 LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION 33.00 23.1 15.84 27.06J2001 LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION (WRAPPED) 33.00 23.1 15.84 27.06J2001 LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION (WRAPPED) 33.00 23.1 15.84 27.06J2001 LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION (WRAPPED) 33.00 23.1 15.84 27.06J2001 LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION (WRAPPED) 33.00 23.1 15.84 27.06J2001 LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION 33.00 23.1 15.84 27.06J2001 LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION 33.00 23.1 15.84 27.06J2001 LIDOCAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION 33.25 23.28 15.96 27.27J2001 LIDOCAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION 33.25 23.28 15.96 27.27J2001 LIDOCAINE (PF) 50 MG/5 ML (1 %) INTRAVENOUS SYRINGE 51.95 36.37 24.94 42.6J2001 LIDOCAINE (PF) 50 MG/5 ML (1 %) INTRAVENOUS SYRINGE 51.95 36.37 24.94 42.6J2001 LIDOCAINE (PF) 50 MG/5 ML (1 %) INTRAVENOUS SYRINGE 51.95 36.37 24.94 42.6J2020 LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK 199.81 139.87 95.91 163.84J2060 LORAZEPAM 2 MG/ML INJECTION SOLUTION 67.00 46.9 32.16 54.94J2060 LORAZEPAM 2 MG/ML INJECTION SOLUTION 67.00 46.9 32.16 54.94J2060 LORAZEPAM 2 MG/ML INJECTION SOLUTION 67.00 46.9 32.16 54.94J2060 LORAZEPAM 2 MG/ML INJECTION SOLUTION 67.00 46.9 32.16 54.94J2060 LORAZEPAM 2 MG/ML INJECTION SOLUTION 67.00 46.9 32.16 54.94J2150 MANNITOL 25 % INTRAVENOUS SOLUTION 23.25 16.28 11.16 19.07J2150 MANNITOL 25 % INTRAVENOUS SOLUTION 23.25 16.28 11.16 19.07J2150 MANNITOL 25 % INTRAVENOUS SOLUTION 23.25 16.28 11.16 19.07J2175 MEPERIDINE (PF) 50 MG/ML INJECTION SOLUTION - #VALUE! #VALUE! #VALUE!J2175 MEPERIDINE (PF) 25 MG/ML INJECTION SOLUTION 25.22 17.65 12.11 20.68J2175 MEPERIDINE (PF) 25 MG/ML INJECTION SOLUTION 25.22 17.65 12.11 20.68J2182 MEPOLIZUMAB 100 MG SUBCUTANEOUS SOLUTION 7,260.90 5,082.63 3,485.23 5,953.94J2185 MEROPENEM 1 GRAM INTRAVENOUS SOLUTION 72.70 50.89 34.9 59.61J2185 MEROPENEM 1 GRAM INTRAVENOUS SOLUTION 72.70 50.89 34.9 59.61J2185 MEROPENEM 1 GRAM INTRAVENOUS SOLUTION 72.70 50.89 34.9 59.61J2185 MEROPENEM 500 MG INTRAVENOUS SOLUTION 91.96 64.37 44.14 75.41J2185 MEROPENEM 500 MG INTRAVENOUS SOLUTION 91.96 64.37 44.14 75.41J2185 MEROPENEM 500 MG INTRAVENOUS SOLUTION 91.96 64.37 44.14 75.41J2185 MEROPENEM 500 MG/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK 105.77 74.04 50.77 86.73J2185 MEROPENEM 1 GRAM/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK 109.21 76.45 52.42 89.55J2210 METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION 118.37 82.86 56.82 97.06J2210 METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION 118.37 82.86 56.82 97.06J2210 METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION 118.37 82.86 56.82 97.06J2210 METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION 118.37 82.86 56.82 97.06J2248 MICAFUNGIN 50 MG INTRAVENOUS SOLUTION 383.63 268.54 184.14 314.58J2248 MICAFUNGIN 50 MG INTRAVENOUS SOLUTION 383.63 268.54 184.14 314.58J2250 MIDAZOLAM 1 MG/ML INJECTION SOLUTION (WRAPPED) 16.15 11.31 7.75 13.24J2250 MIDAZOLAM 1 MG/ML INJECTION SOLUTION (WRAPPED) 16.15 11.31 7.75 13.24J2250 MIDAZOLAM 1 MG/ML INJECTION SOLUTION (WRAPPED) 16.15 11.31 7.75 13.24J2250 MIDAZOLAM 1 MG/ML INJECTION SOLUTION (WRAPPED) 16.15 11.31 7.75 13.24J2250 MIDAZOLAM 1 MG/ML INJECTION SOLUTION (WRAPPED) 16.15 11.31 7.75 13.24J2250 MIDAZOLAM 1 MG/ML INJECTION SOLUTION (WRAPPED) 16.15 11.31 7.75 13.24J2250 MIDAZOLAM 1 MG/ML INJECTION SOLUTION (WRAPPED) 16.15 11.31 7.75 13.24J2250 MIDAZOLAM 1 MG/ML INJECTION SOLUTION (WRAPPED) 16.15 11.31 7.75 13.24J2250 MIDAZOLAM 1 MG/ML INJECTION SOLUTION (WRAPPED) 16.15 11.31 7.75 13.24J2250 MIDAZOLAM 5 MG/ML INJECTION SOLUTION (WRAPPED) 17.33 12.13 8.32 14.21J2250 MIDAZOLAM 5 MG/ML INJECTION SOLUTION (WRAPPED) 17.33 12.13 8.32 14.21J2250 MIDAZOLAM 5 MG/ML INJECTION SOLUTION (WRAPPED) 17.33 12.13 8.32 14.21J2250 MIDAZOLAM 5 MG/ML INJECTION SOLUTION (WRAPPED) 17.33 12.13 8.32 14.21J2250 MIDAZOLAM 5 MG/ML INJECTION SOLUTION (WRAPPED) 17.33 12.13 8.32 14.21J2250 MIDAZOLAM 5 MG/ML INJECTION SOLUTION (WRAPPED) 17.33 12.13 8.32 14.21J2250 MIDAZOLAM 5 MG/ML INJECTION SOLUTION (WRAPPED) 17.33 12.13 8.32 14.21J2250 MIDAZOLAM 5 MG/ML INJECTION SOLUTION (WRAPPED) 17.33 12.13 8.32 14.21J2250 MIDAZOLAM 5 MG/ML INJECTION SOLUTION (WRAPPED) 17.33 12.13 8.32 14.21J2250 MIDAZOLAM 5 MG/ML INJECTION SOLUTION (WRAPPED) 17.33 12.13 8.32 14.21J2250 MIDAZOLAM 5 MG/ML INJECTION SOLUTION (WRAPPED) 17.33 12.13 8.32 14.21J2250 MIDAZOLAM 5 MG/ML INJECTION SOLUTION (WRAPPED) 17.33 12.13 8.32 14.21J2250 MIDAZOLAM 1 MG/ML INJECTION SOLUTION 27.05 18.94 12.98 22.18J2250 MIDAZOLAM 1 MG/ML INJECTION SOLUTION 27.05 18.94 12.98 22.18J2250 MIDAZOLAM 1 MG/ML INJECTION SOLUTION 27.05 18.94 12.98 22.18J2250 MIDAZOLAM 1 MG/ML INJECTION SOLUTION 27.05 18.94 12.98 22.18J2250 MIDAZOLAM 1 MG/ML INJECTION SOLUTION 27.05 18.94 12.98 22.18

J2250 MIDAZOLAM 1 MG/ML INJECTION SOLUTION 27.05 18.94 12.98 22.18J2250 MIDAZOLAM 1 MG/ML INJECTION SOLUTION 27.05 18.94 12.98 22.18J2250 MIDAZOLAM 5 MG/ML INJECTION SOLUTION 36.40 25.48 17.47 29.85J2250 MIDAZOLAM 5 MG/ML INJECTION SOLUTION 36.40 25.48 17.47 29.85J2250 MIDAZOLAM 5 MG/ML INJECTION SOLUTION 36.40 25.48 17.47 29.85J2250 MIDAZOLAM 5 MG/ML INJECTION SOLUTION 36.40 25.48 17.47 29.85J2250 MIDAZOLAM 5 MG/ML INJECTION SOLUTION 36.40 25.48 17.47 29.85J2250 MIDAZOLAM 5 MG/ML INJECTION SOLUTION 36.40 25.48 17.47 29.85J2250 MIDAZOLAM 5 MG/ML INJECTION SOLUTION 36.40 25.48 17.47 29.85J2250 MIDAZOLAM 5 MG/ML INJECTION SOLUTION 36.40 25.48 17.47 29.85J2250 MIDAZOLAM 5 MG/ML INJECTION SOLUTION 36.40 25.48 17.47 29.85J2250 MIDAZOLAM 5 MG/ML INJECTION SOLUTION 36.40 25.48 17.47 29.85J2250 MIDAZOLAM 5 MG/ML INJECTION SOLUTION 36.40 25.48 17.47 29.85J2250 MIDAZOLAM 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS (WRAPPED) 122.27 85.59 58.69 100.26J2250 MIDAZOLAM 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS (WRAPPED) 122.27 85.59 58.69 100.26J2250 MIDAZOLAM 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS (WRAPPED) 122.27 85.59 58.69 100.26J2250 MIDAZOLAM 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS (WRAPPED) 122.27 85.59 58.69 100.26J2250 MIDAZOLAM 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS (WRAPPED) 122.27 85.59 58.69 100.26J2260 MILRINONE 1 MG/ML INTRAVENOUS SOLUTION 79.59 55.71 38.2 65.26J2260 MILRINONE 1 MG/ML INTRAVENOUS SOLUTION 79.59 55.71 38.2 65.26J2270 MORPHINE 2 MG/ML INTRAVENOUS SYRINGE 22.40 15.68 10.75 18.37J2270 MORPHINE 2 MG/ML INTRAVENOUS SYRINGE 22.40 15.68 10.75 18.37J2270 MORPHINE 4 MG/ML INJECTION FORMS (WRAPPED) 23.64 16.55 11.35 19.38J2270 MORPHINE 4 MG/ML INJECTION FORMS (WRAPPED) 23.64 16.55 11.35 19.38J2270 MORPHINE 4 MG/ML INTRAVENOUS SOLUTION 23.64 16.55 11.35 19.38J2270 MORPHINE 4 MG/ML INJECTION FORMS (WRAPPED) 23.64 16.55 11.35 19.38J2270 MORPHINE 4 MG/ML INTRAVENOUS SOLUTION 23.64 16.55 11.35 19.38J2270 MORPHINE 10 MG/ML INTRAVENOUS SOLUTION 23.91 16.74 11.48 19.61J2270 MORPHINE 10 MG/ML INTRAVENOUS SOLUTION 23.91 16.74 11.48 19.61J2270 MORPHINE 8 MG/ML INTRAVENOUS SOLUTION 25.42 17.79 12.2 20.84J2270 MORPHINE 8 MG/ML INTRAVENOUS SOLUTION 25.42 17.79 12.2 20.84J2270 MORPHINE 4 MG/ML INJECTION SOLUTION 27.22 19.05 13.07 22.32J2270 MORPHINE SULFATE 1 MG/ML PCA 78.40 54.88 37.63 64.29J2270 MORPHINE SULFATE 1 MG/ML PCA (PEDIATRIC) 94.80 66.36 45.5 77.74J2274 MORPHINE (PF) 0.5 MG/ML INJECTION SOLUTION 50.40 35.28 24.19 41.33J2274 MORPHINE (PF) 1 MG/ML INJECTION SOLUTION 125.72 88 60.35 103.09J2274 MORPHINE (PF) 1 MG/ML INJECTION SOLUTION 125.72 88 60.35 103.09J2278 ZICONOTIDE 100 MCG/ML INTRATHECAL SOLUTION 2,749.00 1,924.30 1,319.52 2,254.18J2300 NALBUPHINE 10 MG/ML INJECTION SOLUTION 31.84 22.29 15.28 26.11J2300 NALBUPHINE 10 MG/ML INJECTION SOLUTION 31.84 22.29 15.28 26.11J2310 NALOXONE 0.4 MG/ML INJECTION SOLUTION 80.71 56.5 38.74 66.18J2310 NALOXONE 0.4 MG/ML INJECTION SOLUTION 80.71 56.5 38.74 66.18J2310 NALOXONE 0.4 MG/ML INJECTION SOLUTION 80.71 56.5 38.74 66.18J2310 NALOXONE 1 MG/ML INJECTION SYRINGE 141.87 99.31 68.1 116.33J2323 NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION 16,454.47 11,518.13 7,898.15 13,492.67J2350 OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION 39,010.00 27,307.00 18,724.80 31,988.20J2353 OCTREOTIDE,MICROSPHERES ER 20 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE 10,245.38 7,171.77 4,917.78 8,401.21J2353 OCTREOTIDE,MICROSPHERES ER 30 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE 15,336.74 10,735.72 7,361.64 12,576.13J2354 OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION 49.00 34.3 23.52 40.18J2354 OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION 49.00 34.3 23.52 40.18J2354 OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION 49.00 34.3 23.52 40.18J2354 OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION 49.00 34.3 23.52 40.18J2354 OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION 49.00 34.3 23.52 40.18J2354 OCTREOTIDE ACETATE 200 MCG/ML INJECTION SOLUTION 407.14 285 195.43 333.85J2354 OCTREOTIDE ACETATE 200 MCG/ML INJECTION SOLUTION 407.14 285 195.43 333.85J2357 OMALIZUMAB 150 MG SUBCUTANEOUS SOLUTION 2,718.36 1,902.85 1,304.81 2,229.06J2357 OMALIZUMAB 150 MG/ML SUBCUTANEOUS SYRINGE 2,718.36 1,902.85 1,304.81 2,229.06J2357 OMALIZUMAB 150 MG/ML SUBCUTANEOUS INJECTION FORMS (WRAPPED) 2,718.36 1,902.85 1,304.81 2,229.06J2357 OMALIZUMAB 150 MG/ML SUBCUTANEOUS INJECTION FORMS (WRAPPED) 2,718.36 1,902.85 1,304.81 2,229.06J2360 ORPHENADRINE CITRATE 30 MG/ML INJECTION SOLUTION 94.24 65.97 45.24 77.28J2360 ORPHENADRINE CITRATE 30 MG/ML INJECTION SOLUTION 94.24 65.97 45.24 77.28J2370 PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION 46.00 32.2 22.08 37.72J2370 PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION 46.00 32.2 22.08 37.72J2370 PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION 46.00 32.2 22.08 37.72J2400 CHLOROPROCAINE (PF) 10 MG/ML (1 %) INTRATHECAL SOLUTION 27.90 19.53 13.39 22.88J2400 CHLOROPROCAINE (PF) 10 MG/ML (1 %) INTRATHECAL SOLUTION 27.90 19.53 13.39 22.88J2400 CHLOROPROCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION 95.18 66.63 45.69 78.05J2400 CHLOROPROCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION 95.18 66.63 45.69 78.05J2400 CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJECTION SOLUTION 99.44 69.61 47.73 81.54J2400 CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJECTION SOLUTION 99.44 69.61 47.73 81.54J2400 CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJECTION SOLUTION 99.44 69.61 47.73 81.54J2400 CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJECTION SOLUTION 99.44 69.61 47.73 81.54

J2405 ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION 12.78 8.95 6.13 10.48J2405 ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION 12.78 8.95 6.13 10.48J2405 ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION 12.78 8.95 6.13 10.48J2405 ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION 12.78 8.95 6.13 10.48J2405 ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION 72.39 50.67 34.75 59.36J2405 ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION 72.39 50.67 34.75 59.36J2405 ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION 72.39 50.67 34.75 59.36J2405 ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION 72.39 50.67 34.75 59.36J2405 ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION 72.39 50.67 34.75 59.36J2407 ORITAVANCIN 400 MG INTRAVENOUS SOLUTION 7,178.82 5,025.17 3,445.83 5,886.63J2426 PALIPERIDONE PALMITATE 78 MG/0.5 ML INTRAMUSCULAR SYRINGE 2,254.22 1,577.95 1,082.03 1,848.46J2426 PALIPERIDONE PALMITATE 117 MG/0.75 ML INTRAMUSCULAR SYRINGE 3,376.36 2,363.45 1,620.65 2,768.62J2426 PALIPERIDONE PALMITATE 156 MG/ML INTRAMUSCULAR SYRINGE 4,498.68 3,149.08 2,159.37 3,688.92J2426 PALIPERIDONE PALMITATE 156 MG/ML INTRAMUSCULAR SYRINGE 4,498.68 3,149.08 2,159.37 3,688.92J2426 PALIPERIDONE PALMITATE 234 MG/1.5 ML INTRAMUSCULAR SYRINGE 6,742.84 4,719.99 3,236.56 5,529.13J2430 PAMIDRONATE 30 MG INTRAVENOUS SOLUTION 111.48 78.04 53.51 91.41J2430 PAMIDRONATE 30 MG/10 ML (3 MG/ML) INTRAVENOUS SOLUTION 117.89 82.52 56.59 96.67J2430 PAMIDRONATE 30 MG/10 ML (3 MG/ML) INTRAVENOUS SOLUTION 117.89 82.52 56.59 96.67J2469 PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION 409.60 286.72 196.61 335.87J2469 PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION 409.60 286.72 196.61 335.87J2469 PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION 409.60 286.72 196.61 335.87J2469 PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION 409.60 286.72 196.61 335.87J2469 PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION 409.60 286.72 196.61 335.87J2469 PALONOSETRON 0.25 MG/5 ML INTRAVENOUS FORMS (WRAPPED) 1,208.80 846.16 580.22 991.22J2469 PALONOSETRON 0.25 MG/5 ML INTRAVENOUS FORMS (WRAPPED) 1,208.80 846.16 580.22 991.22J2469 PALONOSETRON 0.25 MG/5 ML INTRAVENOUS FORMS (WRAPPED) 1,208.80 846.16 580.22 991.22J2469 PALONOSETRON 0.25 MG/5 ML INTRAVENOUS FORMS (WRAPPED) 1,208.80 846.16 580.22 991.22J2469 PALONOSETRON 0.25 MG/5 ML INTRAVENOUS FORMS (WRAPPED) 1,208.80 846.16 580.22 991.22J2469 PALONOSETRON 0.25 MG/5 ML INTRAVENOUS FORMS (WRAPPED) 1,208.80 846.16 580.22 991.22J2469 PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SYRINGE 1,208.80 846.16 580.22 991.22J2469 PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SYRINGE 1,208.80 846.16 580.22 991.22J2469 PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SYRINGE 1,208.80 846.16 580.22 991.22J2501 PARICALCITOL 5 MCG/ML INTRAVENOUS SOLUTION 91.81 64.27 44.07 75.28J2540 PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION 78.69 55.08 37.77 64.53J2540 PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION 78.69 55.08 37.77 64.53J2540 PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION 78.69 55.08 37.77 64.53J2540 PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION 78.69 55.08 37.77 64.53J2540 PENICILLIN G POTASSIUM 20 MILLION UNIT SOLUTION FOR INJECTION 469.54 328.68 225.38 385.02J2540 PENICILLIN G POTASSIUM 20 MILLION UNIT SOLUTION FOR INJECTION 469.54 328.68 225.38 385.02J2543 PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION 68.46 47.92 32.86 56.14J2543 PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION 68.46 47.92 32.86 56.14J2543 PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION 68.46 47.92 32.86 56.14J2543 PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION 68.46 47.92 32.86 56.14J2543 PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION 68.46 47.92 32.86 56.14J2543 PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION 87.29 61.1 41.9 71.58J2543 PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION 87.29 61.1 41.9 71.58J2543 PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION 87.29 61.1 41.9 71.58J2543 PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION 87.29 61.1 41.9 71.58J2543 PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION 89.22 62.45 42.83 73.16J2543 PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION 89.22 62.45 42.83 73.16J2543 PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION 89.22 62.45 42.83 73.16J2543 PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION 89.22 62.45 42.83 73.16J2543 PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION 89.22 62.45 42.83 73.16J2543 PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION 89.22 62.45 42.83 73.16J2545 PENTAMIDINE 300 MG SOLUTION FOR INHALATION 676.90 473.83 324.91 555.06J2550 PROMETHAZINE 25 MG/ML INJECTION SOLUTION 21.09 14.76 10.12 17.29J2550 PROMETHAZINE 25 MG/ML INJECTION SOLUTION 21.09 14.76 10.12 17.29J2550 PROMETHAZINE 25 MG/ML INJECTION SOLUTION 21.09 14.76 10.12 17.29J2550 PROMETHAZINE 25 MG/ML INJECTION SOLUTION 21.09 14.76 10.12 17.29J2560 PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION 258.70 181.09 124.18 212.13J2560 PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION 258.70 181.09 124.18 212.13J2590 OXYTOCIN 10 UNIT/ML INJECTION SOLUTION 56.80 39.76 27.26 46.58J2590 OXYTOCIN 10 UNIT/ML INJECTION SOLUTION 56.80 39.76 27.26 46.58J2590 OXYTOCIN 10 UNIT/ML INJECTION SOLUTION 56.80 39.76 27.26 46.58J2590 OXYTOCIN 10 UNIT/ML INJECTION SOLUTION 56.80 39.76 27.26 46.58J2590 OXYTOCIN IN LACTATED RINGERS 30 UNIT/500 ML INTRAVENOUS SOLUTION 114.44 80.11 54.93 93.84J2590 OXYTOCIN IN LACTATED RINGERS 30 UNIT/500 ML INTRAVENOUS SOLUTION 114.44 80.11 54.93 93.84J2597 DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION 244.94 171.46 117.57 200.85J2597 DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION 244.94 171.46 117.57 200.85J2680 FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLUTION 629.25 440.48 302.04 515.99J2690 PROCAINAMIDE 100 MG/ML INJECTION SOLUTION 356.92 249.84 171.32 292.67J2690 PROCAINAMIDE 100 MG/ML INJECTION SOLUTION 356.92 249.84 171.32 292.67

J2700 OXACILLIN 1 GRAM SOLUTION FOR INJECTION 78.88 55.22 37.86 64.68J2700 OXACILLIN 1 GRAM SOLUTION FOR INJECTION 78.88 55.22 37.86 64.68J2700 OXACILLIN 1 GRAM SOLUTION FOR INJECTION 78.88 55.22 37.86 64.68J2700 OXACILLIN 2 GRAM SOLUTION FOR INJECTION 99.91 69.94 47.96 81.93J2700 OXACILLIN 2 GRAM SOLUTION FOR INJECTION 99.91 69.94 47.96 81.93J2700 OXACILLIN 10 GRAM SOLUTION FOR INJECTION 469.54 328.68 225.38 385.02J2704 PROPOFOL 10 MG/ML IV INJECTION (WRAPPED) 53.13 37.19 25.5 43.57J2704 PROPOFOL 10 MG/ML IV INJECTION (WRAPPED) 53.13 37.19 25.5 43.57J2704 PROPOFOL 10 MG/ML IV INJECTION (WRAPPED) 53.13 37.19 25.5 43.57J2704 PROPOFOL 10 MG/ML IV INJECTION (WRAPPED) 53.13 37.19 25.5 43.57J2704 PROPOFOL 10 MG/ML IV INJECTION (WRAPPED) 53.13 37.19 25.5 43.57J2704 PROPOFOL INFUSION 10 MG/ML (WRAPPED) 62.40 43.68 29.95 51.17J2704 PROPOFOL INFUSION 10 MG/ML (WRAPPED) 62.40 43.68 29.95 51.17J2704 PROPOFOL INFUSION 10 MG/ML (WRAPPED) 62.40 43.68 29.95 51.17J2704 PROPOFOL INFUSION 10 MG/ML (WRAPPED) 62.40 43.68 29.95 51.17J2704 PROPOFOL 10 MG/ML INTRAVENOUS EMULSION 145.65 101.96 69.91 119.43J2704 PROPOFOL 10 MG/ML INTRAVENOUS EMULSION 145.65 101.96 69.91 119.43J2704 PROPOFOL 10 MG/ML INTRAVENOUS EMULSION 145.65 101.96 69.91 119.43J2704 PROPOFOL 10 MG/ML INTRAVENOUS EMULSION 145.65 101.96 69.91 119.43J2704 PROPOFOL 10 MG/ML INTRAVENOUS EMULSION 145.65 101.96 69.91 119.43J2704 PROPOFOL 10 MG/ML INTRAVENOUS EMULSION 145.65 101.96 69.91 119.43J2704 PROPOFOL 10 MG/ML INTRAVENOUS EMULSION 145.65 101.96 69.91 119.43J2704 PROPOFOL 10 MG/ML INTRAVENOUS EMULSION 145.65 101.96 69.91 119.43J2704 PROPOFOL 10 MG/ML INTRAVENOUS EMULSION 145.65 101.96 69.91 119.43J2710 NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION 109.14 76.4 52.39 89.49J2710 NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION 109.14 76.4 52.39 89.49J2710 NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION 109.14 76.4 52.39 89.49J2720 PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION 80.06 56.04 38.43 65.65J2720 PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION 80.06 56.04 38.43 65.65J2730 PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION 356.45 249.52 171.1 292.29J2760 PHENTOLAMINE 5 MG INJECTION SOLUTION 1,481.20 1,036.84 710.98 1,214.58J2760 PHENTOLAMINE 5 MG INJECTION SOLUTION 1,481.20 1,036.84 710.98 1,214.58J2765 METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION 16.66 11.66 8 13.66J2765 METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION 16.66 11.66 8 13.66J2765 METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION (WRAPPED) 16.66 11.66 8 13.66J2765 METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION 16.66 11.66 8 13.66J2765 METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION (WRAPPED) 16.66 11.66 8 13.66J2765 METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION (WRAPPED) 16.66 11.66 8 13.66J2765 METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION 16.66 11.66 8 13.66J2765 METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION (WRAPPED) 16.66 11.66 8 13.66J2765 METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION (WRAPPED) 16.66 11.66 8 13.66J2765 METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION 16.66 11.66 8 13.66J2765 METOCLOPRAMIDE 5 MG/ML INJECTION SYRINGE 25.96 18.17 12.46 21.29J2770 QUINUPRISTIN-DALFOPRISTIN 500 MG INTRAVENOUS SOLUTION 1,547.83 1,083.48 742.96 1,269.22J2783 RASBURICASE 7.5 MG INTRAVENOUS SOLUTION - #VALUE! #VALUE! #VALUE!J2783 RASBURICASE 1.5 MG INTRAVENOUS SOLUTION 2,422.18 1,695.53 1,162.65 1,986.19J2783 RASBURICASE 1.5 MG INTRAVENOUS SOLUTION 2,422.18 1,695.53 1,162.65 1,986.19J2785 REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE 980.86 686.6 470.81 804.31J2791 RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG)/2 ML INJECTION SYRINGE 650.88 455.62 312.42 533.72J2791 RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG)/2 ML INJECTION SYRINGE 650.88 455.62 312.42 533.72J2794 RISPERIDONE MICROSPHERES ER 25 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEASE 1,688.05 1,181.64 810.26 1,384.20J2794 RISPERIDONE MICROSPHERES ER 50 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEASE 2,450.96 1,715.67 1,176.46 2,009.79J2794 RISPERIDONE MICROSPHERES ER 37.5 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEAS 2,527.21 1,769.05 1,213.06 2,072.31J2795 ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION 51.40 35.98 24.67 42.15J2795 ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION 51.40 35.98 24.67 42.15J2795 ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION 51.40 35.98 24.67 42.15J2795 ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION 51.40 35.98 24.67 42.15J2795 ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION 238.80 167.16 114.62 195.82J2795 ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION 238.80 167.16 114.62 195.82J2795 ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION 238.80 167.16 114.62 195.82J2795 ROPIVACAINE(PF) 0.2 %-0.9 % SODCHL 545 ML INFIL,HI VAR RATE ELAST PUMP 1,222.12 855.48 586.62 1,002.14J2795 ROPIVACAINE(PF) 0.2 %-0.9 % SODCHL 545 ML INFIL,HI VAR RATE ELAST PUMP 1,222.12 855.48 586.62 1,002.14J2795 ROPIVACAINE(PF) 0.2 %-0.9 %SODCHL 745 ML INFILT,HI VAR RATE ELAST PUMP 1,580.25 1,106.18 758.52 1,295.81J2796 ROMIPLOSTIM 125 MCG SUBCUTANEOUS SOLUTION - #VALUE! #VALUE! #VALUE!J2796 ROMIPLOSTIM 250 MCG SUBCUTANEOUS SOLUTION 4,689.16 3,282.41 2,250.80 3,845.11J2796 ROMIPLOSTIM 500 MCG SUBCUTANEOUS SOLUTION 9,368.32 6,557.82 4,496.79 7,682.02J2805 SINCALIDE 5 MCG SOLUTION FOR INJECTION 414.28 290 198.85 339.71J2916 SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS 137.07 95.95 65.79 112.4J2916 SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS 137.07 95.95 65.79 112.4J2916 SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS 137.07 95.95 65.79 112.4J2920 METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION 46.28 32.4 22.21 37.95J2920 METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION 46.28 32.4 22.21 37.95

J2930 METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION 65.50 45.85 31.44 53.71J2930 METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION 65.50 45.85 31.44 53.71J2930 METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION 107.04 74.93 51.38 87.77J2930 METHYLPREDNISOLONE SOD SUCC (PF) 1,000 MG/8 ML INTRAVENOUS SOLUTION 248.33 173.83 119.2 203.63J2997 ALTEPLASE 2 MG INTRA-CATHETER SOLUTION 621.62 435.13 298.38 509.73J2997 ALTEPLASE 50 MG INTRAVENOUS SOLUTION 10,570.44 7,399.31 5,073.81 8,667.76J2997 ALTEPLASE 50 MG INTRAVENOUS SOLUTION 10,570.44 7,399.31 5,073.81 8,667.76J2997 ALTEPLASE 100 MG INTRAVENOUS SOLUTION 21,130.86 14,791.60 10,142.81 17,327.31J3010 FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION 21.35 14.95 10.25 17.51J3010 FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN (WRAPPED) 21.35 14.95 10.25 17.51J3010 FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION 21.35 14.95 10.25 17.51J3010 FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION 21.35 14.95 10.25 17.51J3010 FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION 21.35 14.95 10.25 17.51J3010 FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN (WRAPPED) 21.35 14.95 10.25 17.51J3010 FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION 21.35 14.95 10.25 17.51J3010 FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION 21.35 14.95 10.25 17.51J3010 FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN (WRAPPED) 21.35 14.95 10.25 17.51J3010 FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN (WRAPPED) 21.35 14.95 10.25 17.51J3010 FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN (WRAPPED) 21.35 14.95 10.25 17.51J3010 FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION 21.35 14.95 10.25 17.51J3010 FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN (WRAPPED) 21.35 14.95 10.25 17.51J3010 FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN (WRAPPED) 21.35 14.95 10.25 17.51J3010 FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION 21.35 14.95 10.25 17.51J3010 FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION 21.35 14.95 10.25 17.51J3010 FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN (WRAPPED) 21.35 14.95 10.25 17.51J3010 FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN (WRAPPED) 21.35 14.95 10.25 17.51J3101 TENECTEPLASE 50 MG INTRAVENOUS KIT (WRAPPED) 14,935.26 10,454.68 7,168.92 12,246.91J3101 TENECTEPLASE 50 MG INTRAVENOUS KIT (WRAPPED) 14,935.26 10,454.68 7,168.92 12,246.91J3101 TENECTEPLASE 50 MG INTRAVENOUS KIT 14,935.26 10,454.68 7,168.92 12,246.91J3105 TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION 107.15 75.01 51.43 87.86J3105 TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION 107.15 75.01 51.43 87.86J3230 CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION 142.28 99.6 68.29 116.67J3230 CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION 142.28 99.6 68.29 116.67J3240 THYROTROPIN ALFA 0.9 MG INTRAMUSCULAR SOLUTION 8,124.40 5,687.08 3,899.71 6,662.01J3240 THYROTROPIN ALFA 0.9 MG INTRAMUSCULAR SOLUTION 8,124.40 5,687.08 3,899.71 6,662.01J3243 TIGECYCLINE 50 MG INTRAVENOUS SOLUTION 529.48 370.64 254.15 434.17J3260 TOBRAMYCIN 40 MG/ML INJECTION SOLUTION 21.88 15.32 10.5 17.94J3260 TOBRAMYCIN 40 MG/ML INJECTION SOLUTION 21.88 15.32 10.5 17.94J3260 TOBRAMYCIN 40 MG/ML INJECTION SOLUTION 21.88 15.32 10.5 17.94J3260 TOBRAMYCIN 40 MG/ML INJECTION SOLUTION 21.88 15.32 10.5 17.94J3262 TOCILIZUMAB 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION 1,571.83 1,100.28 754.48 1,288.90J3262 TOCILIZUMAB 200 MG/10 ML (20 MG/ML) INTRAVENOUS SOLUTION 2,976.06 2,083.24 1,428.51 2,440.37J3262 TOCILIZUMAB 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION 5,902.12 4,131.48 2,833.02 4,839.74J3301 TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION 63.34 44.34 30.4 51.94J3301 TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION 63.34 44.34 30.4 51.94J3301 TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION 63.34 44.34 30.4 51.94J3301 TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION 63.34 44.34 30.4 51.94J3301 TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION 63.34 44.34 30.4 51.94J3301 TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION 63.34 44.34 30.4 51.94J3301 TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION 63.34 44.34 30.4 51.94J3301 TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION 63.34 44.34 30.4 51.94J3301 TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION 63.34 44.34 30.4 51.94J3301 TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION 63.34 44.34 30.4 51.94J3301 TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION 63.34 44.34 30.4 51.94J3315 TRIPTORELIN PAMOATE 3.75 MG INTRAMUSCULAR SUSPENSION 2,693.70 1,885.59 1,292.98 2,208.83J3357 USTEKINUMAB 90 MG/ML SUBCUTANEOUS SYRINGE 55,408.82 38,786.17 26,596.23 45,435.23J3358 USTEKINUMAB 130 MG/26 ML INTRAVENOUS SOLUTION 4,038.18 2,826.73 1,938.33 3,311.31J3360 DIAZEPAM 5 MG/ML INJECTION FORMS (WRAPPED) 120.07 84.05 57.63 98.46J3360 DIAZEPAM 5 MG/ML INJECTION FORMS (WRAPPED) 120.07 84.05 57.63 98.46J3360 DIAZEPAM 5 MG/ML INJECTION FORMS (WRAPPED) 120.07 84.05 57.63 98.46J3360 DIAZEPAM 5 MG/ML INJECTION SYRINGE 120.07 84.05 57.63 98.46J3360 DIAZEPAM 5 MG/ML INJECTION FORMS (WRAPPED) 120.07 84.05 57.63 98.46J3360 DIAZEPAM 5 MG/ML INJECTION SYRINGE 120.07 84.05 57.63 98.46J3360 DIAZEPAM 5 MG/ML INJECTION FORMS (WRAPPED) 120.07 84.05 57.63 98.46J3360 DIAZEPAM 5 MG/ML INJECTION SYRINGE 120.07 84.05 57.63 98.46J3360 DIAZEPAM 5 MG/ML INJECTION SYRINGE 120.07 84.05 57.63 98.46J3360 DIAZEPAM 5 MG/ML INJECTION SOLUTION 170.27 119.19 81.73 139.62J3370 VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION 45.94 32.16 22.05 37.67J3370 VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION 45.94 32.16 22.05 37.67J3370 VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION 45.94 32.16 22.05 37.67J3370 VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION 45.94 32.16 22.05 37.67J3370 VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION 45.94 32.16 22.05 37.67

J3370 VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION 45.94 32.16 22.05 37.67J3370 VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION 45.94 32.16 22.05 37.67J3370 VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION 865.18 605.63 415.29 709.45J3370 VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION 865.18 605.63 415.29 709.45J3370 VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION 865.18 605.63 415.29 709.45J3380 VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION 17,807.78 12,465.45 8,547.73 14,602.38J3410 HYDROXYZINE HCL 50 MG/ML INTRAMUSCULAR SOLUTION 98.91 69.24 47.48 81.11J3411 THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION 66.72 46.7 32.03 54.71J3411 THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION 66.72 46.7 32.03 54.71J3411 THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION 66.72 46.7 32.03 54.71J3415 PYRIDOXINE (VITAMIN B6) 100 MG/ML INJECTION SOLUTION 92.08 64.46 44.2 75.51J3420 CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION 53.70 37.59 25.78 44.03J3420 CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION 53.70 37.59 25.78 44.03J3420 CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION 53.70 37.59 25.78 44.03J3420 CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION 53.70 37.59 25.78 44.03J3420 CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION 53.70 37.59 25.78 44.03J3420 CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION 53.70 37.59 25.78 44.03J3430 PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION 203.74 142.62 97.8 167.07J3430 PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION 203.74 142.62 97.8 167.07J3465 VORICONAZOLE 200 MG INTRAVENOUS SOLUTION 518.09 362.66 248.68 424.83J3465 VORICONAZOLE 200 MG INTRAVENOUS SOLUTION 518.09 362.66 248.68 424.83J3465 VORICONAZOLE 200 MG INTRAVENOUS SOLUTION 518.09 362.66 248.68 424.83J3471 HYALURONIDASE (OVINE) 200 UNIT/ML INJECTION SOLUTION 443.80 310.66 213.02 363.92J3475 MAGNESIUM SULFATE 4 MEQ/ML (50 %) INJECTION SOLUTION 23.20 16.24 11.14 19.02J3475 MAGNESIUM SULFATE 4 MEQ/ML (50 %) INJECTION SOLUTION 23.20 16.24 11.14 19.02J3475 MAGNESIUM SULFATE 4 MEQ/ML (50 %) INJECTION SOLUTION 23.20 16.24 11.14 19.02J3475 MAGNESIUM SULFATE 4 MEQ/ML (50 %) INJECTION SOLUTION 23.20 16.24 11.14 19.02J3475 MAGNESIUM SULFATE 4 MEQ/ML (50 %) INJECTION SOLUTION 23.20 16.24 11.14 19.02J3475 MAGNESIUM SULFATE 8% IN WATER FOR INFUSION 54.50 38.15 26.16 44.69J3475 MAGNESIUM SULFATE 4 GRAM/50 ML (8 %) IN WATER INTRAVENOUS PIGGYBACK 54.50 38.15 26.16 44.69J3475 MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK 89.20 62.44 42.82 73.14J3475 MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK 89.20 62.44 42.82 73.14J3475 MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK 89.20 62.44 42.82 73.14J3475 MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK 89.20 62.44 42.82 73.14J3475 MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK 89.20 62.44 42.82 73.14J3480 POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION 22.00 15.4 10.56 18.04J3480 POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION 22.00 15.4 10.56 18.04J3480 POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION 22.00 15.4 10.56 18.04J3480 POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION 22.00 15.4 10.56 18.04J3480 POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION 22.00 15.4 10.56 18.04J3480 POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION 22.00 15.4 10.56 18.04J3480 POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION 22.00 15.4 10.56 18.04J3480 POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION 22.00 15.4 10.56 18.04J3480 POTASSIUM CHLORIDE 20 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS 30.00 21 14.4 24.6J3480 POTASSIUM CHLORIDE 10 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK 30.50 21.35 14.64 25.01J3480 POTASSIUM CHLORIDE 10 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK 30.50 21.35 14.64 25.01J3480 POTASSIUM CHLORIDE 40 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS 62.25 43.58 29.88 51.05J3480 POTASSIUM CHLORIDE 40 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS 62.25 43.58 29.88 51.05J3486 ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION 228.46 159.92 109.66 187.34J3486 ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION 228.46 159.92 109.66 187.34J3489 ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION 729.28 510.5 350.05 598.01J3489 ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION 729.28 510.5 350.05 598.01J3489 ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION 729.28 510.5 350.05 598.01J3489 ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION 729.28 510.5 350.05 598.01J3489 ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION 729.28 510.5 350.05 598.01J3489 ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION 729.28 510.5 350.05 598.01J3489 ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK 1,208.80 846.16 580.22 991.22J3489 ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK 1,208.80 846.16 580.22 991.22J3490 CLINDAMYCIN 150 MG/ML INJECTION SOLUTION 31.06 21.74 14.91 25.47J3490 CLINDAMYCIN 150 MG/ML INJECTION SOLUTION 31.06 21.74 14.91 25.47J3490 CLINDAMYCIN 150 MG/ML INJECTION SOLUTION 31.06 21.74 14.91 25.47J3490 CLINDAMYCIN 150 MG/ML INJECTION SOLUTION 31.06 21.74 14.91 25.47J3490 CLINDAMYCIN 150 MG/ML INJECTION SOLUTION 31.06 21.74 14.91 25.47J3490 CLINDAMYCIN 150 MG/ML INJECTION SOLUTION 31.06 21.74 14.91 25.47J3490 CLINDAMYCIN 150 MG/ML INJECTION SOLUTION 31.06 21.74 14.91 25.47J3490 CLINDAMYCIN 150 MG/ML INJECTION SOLUTION 31.06 21.74 14.91 25.47J3490 AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION 53.20 37.24 25.54 43.62J3490 CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK 80.54 56.38 38.66 66.04J3490 CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK 80.54 56.38 38.66 66.04J3490 CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK 91.45 64.02 43.9 74.99J3490 CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK 91.45 64.02 43.9 74.99J3490 DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION 115.22 80.65 55.31 94.48

J3490 DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION 115.22 80.65 55.31 94.48J3490 DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION 115.22 80.65 55.31 94.48J3490 DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION 115.22 80.65 55.31 94.48J3490 AZTREONAM 1 GRAM SOLUTION FOR INJECTION 125.88 88.12 60.42 103.22J3490 AZTREONAM 1 GRAM SOLUTION FOR INJECTION 125.88 88.12 60.42 103.22J3490 ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION 135.74 95.02 65.16 111.31J3490 ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION 135.74 95.02 65.16 111.31J3490 ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION 135.74 95.02 65.16 111.31J3490 SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION 438.41 306.89 210.44 359.5J3490 SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION 438.41 306.89 210.44 359.5J3490 SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION 438.41 306.89 210.44 359.5J3490 SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION 438.41 306.89 210.44 359.5J3490 IDARUCIZUMAB 2.5 GRAM/50 ML INTRAVENOUS SOLUTION 5,480.37 3,836.26 2,630.58 4,493.90J7030 SODIUM CHLORIDE 0.9 % IV FLUSH BAG - #VALUE! #VALUE! #VALUE!J7030 SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION 23.50 16.45 11.28 19.27J7030 SODIUM CHLORIDE 0.9 % IV BOLUS 23.50 16.45 11.28 19.27J7030 SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION 23.50 16.45 11.28 19.27J7030 SODIUM CHLORIDE 0.9 % IV BOLUS 23.50 16.45 11.28 19.27J7040 SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION 23.50 16.45 11.28 19.27J7040 SODIUM CHLORIDE 0.9 % IV BOLUS 23.50 16.45 11.28 19.27J7042 DEXTROSE 5 % AND 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION 35.00 24.5 16.8 28.7J7050 SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION 23.50 16.45 11.28 19.27J7050 SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION 23.50 16.45 11.28 19.27J7050 SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION 23.50 16.45 11.28 19.27J7050 SODIUM CHLORIDE 0.9 % IV BOLUS 23.50 16.45 11.28 19.27J7060 DEXTROSE 5 % IN WATER (D5W) IV FLUSH BAG - #VALUE! #VALUE! #VALUE!J7060 DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION 23.50 16.45 11.28 19.27J7070 DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION 23.50 16.45 11.28 19.27J7120 LACTATED RINGERS INTRAVENOUS SOLUTION 25.00 17.5 12 20.5J7120 LACTATED RINGERS INTRAVENOUS SOLUTION 25.00 17.5 12 20.5J7120 LACTATED RINGERS INTRAVENOUS SOLUTION 25.00 17.5 12 20.5J7120 LACTATED RINGERS IV BOLUS 43.50 30.45 20.88 35.67J7120 LACTATED RINGERS IV BOLUS 43.50 30.45 20.88 35.67J7120 LACTATED RINGERS IV BOLUS 43.50 30.45 20.88 35.67J7168 HUM PROTHROMBIN CPLX(PCC)4FACT 1,000 UNIT (800-1,240 UNIT) IV SOLUTION 17.70 12.39 8.5 14.51J7168 HUM PROTHROMBIN CPLX(PCC)4FACT 1,000 UNIT (800-1,240 UNIT) IV SOLUTION 17.70 12.39 8.5 14.51J7169 FACTOR XA,INACTIVATED-ZHZO (RECOMBINANT) 200 MG INTRAVENOUS SOLUTION 13,230.00 9,261.00 6,350.40 10,848.60J7323 SODIUM HYALURONATE 10 MG/ML(MW 2.4-3.6 MILLION)INTRA-ARTICULAR SYRINGE 1,368.35 957.85 656.81 1,122.05J7323 SODIUM HYALURONATE 10 MG/ML(MW 2.4-3.6 MILLION)INTRA-ARTICULAR SYRINGE 1,368.35 957.85 656.81 1,122.05J7500 AZATHIOPRINE 50 MG TABLET 400.44 280.31 192.21 328.36J7500 AZATHIOPRINE 50 MG TABLET 400.44 280.31 192.21 328.36J7507 TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE 752.59 526.81 361.24 617.12J7507 TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE 936.74 655.72 449.64 768.13J7507 TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE 936.74 655.72 449.64 768.13J7507 TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE 936.74 655.72 449.64 768.13J7509 METHYLPREDNISOLONE 4 MG TABLET 485.86 340.1 233.21 398.41J7510 PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION 256.23 179.36 122.99 210.11J7510 PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION 256.23 179.36 122.99 210.11J7510 PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION 256.23 179.36 122.99 210.11J7510 PREDNISOLONE SODIUM PHOSPHATE 5 MG BASE/5 ML (6.7 MG/5 ML) ORAL SOLN 336.47 235.53 161.51 275.91J7510 PREDNISOLONE SODIUM PHOSPHATE 5 MG BASE/5 ML (6.7 MG/5 ML) ORAL SOLN 336.47 235.53 161.51 275.91J7510 PREDNISOLONE SODIUM PHOSPHATE 5 MG BASE/5 ML (6.7 MG/5 ML) ORAL SOLN 336.47 235.53 161.51 275.91J7512 PREDNISONE 1 MG TABLET 94.25 65.98 45.24 77.29J7512 PREDNISONE 1 MG TABLET 94.25 65.98 45.24 77.29J7512 PREDNISONE 20 MG TABLET 96.25 67.38 46.2 78.93J7512 PREDNISONE 20 MG TABLET 96.25 67.38 46.2 78.93J7512 PREDNISONE 10 MG TABLET 108.10 75.67 51.89 88.64J7512 PREDNISONE 10 MG TABLET 108.10 75.67 51.89 88.64J7512 PREDNISONE 10 MG TABLET 108.10 75.67 51.89 88.64J7512 PREDNISONE 5 MG TABLET 122.05 85.44 58.58 100.08J7512 PREDNISONE 50 MG TABLET 149.53 104.67 71.77 122.61J7515 CYCLOSPORINE MODIFIED 25 MG CAPSULE 147.36 103.15 70.73 120.84J7515 CYCLOSPORINE MODIFIED 25 MG CAPSULE 147.36 103.15 70.73 120.84J7515 CYCLOSPORINE MODIFIED 25 MG CAPSULE 147.36 103.15 70.73 120.84J7515 CYCLOSPORINE MODIFIED 25 MG CAPSULE 147.36 103.15 70.73 120.84J7515 CYCLOSPORINE 25 MG CAPSULE 473.84 331.69 227.44 388.55J7515 CYCLOSPORINE 25 MG CAPSULE 473.84 331.69 227.44 388.55J7517 MYCOPHENOLATE MOFETIL 250 MG CAPSULE 1,316.36 921.45 631.85 1,079.42J7518 MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE 509.50 356.65 244.56 417.79J7518 MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE 509.50 356.65 244.56 417.79J7518 MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE 2,035.80 1,425.06 977.18 1,669.36J7518 MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE 2,035.80 1,425.06 977.18 1,669.36

J7525 TACROLIMUS 5 MG/ML INTRAVENOUS SOLUTION 840.81 588.57 403.59 689.46J7606 FORMOTEROL FUMARATE 20 MCG/2 ML SOLUTION FOR NEBULIZATION 105.59 73.91 50.68 86.58J7606 FORMOTEROL FUMARATE 20 MCG/2 ML SOLUTION FOR NEBULIZATION 105.59 73.91 50.68 86.58J7608 ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION 59.08 41.36 28.36 48.45J7608 ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION 59.08 41.36 28.36 48.45J7608 ACETYLCYSTEINE 100 MG/ML (10 %) SOLUTION 59.10 41.37 28.37 48.46J7608 ACETYLCYSTEINE 100 MG/ML (10 %) SOLUTION 59.10 41.37 28.37 48.46J7611 ALBUTEROL SULFATE CONCENTRATE 2.5 MG/0.5 ML SOLUTION FOR NEBULIZATION 12.28 8.6 5.89 10.07J7612 LEVALBUTEROL CONCENTRATE 1.25 MG/0.5 ML SOLUTION FOR NEBULIZATION 52.70 36.89 25.3 43.21J7612 LEVALBUTEROL CONCENTRATE 1.25 MG/0.5 ML SOLUTION FOR NEBULIZATION 52.70 36.89 25.3 43.21J7613 ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION - #VALUE! #VALUE! #VALUE!J7613 ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION - #VALUE! #VALUE! #VALUE!J7613 ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION - #VALUE! #VALUE! #VALUE!J7613 ALBUTEROL SULFATE 1.25 MG/3 ML SOLUTION FOR NEBULIZATION 17.97 12.58 8.63 14.74J7614 LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION 20.01 14.01 9.6 16.41J7614 LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION 20.01 14.01 9.6 16.41J7614 LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION 20.01 14.01 9.6 16.41J7620 IPRATROPIUM-ALBUTEROL 0.5-2.5 (3) MG/3ML IN SOLN 13.00 9.1 6.24 10.66J7620 IPRATROPIUM-ALBUTEROL 0.5-2.5 (3) MG/3ML IN SOLN 13.00 9.1 6.24 10.66J7620 IPRATROPIUM-ALBUTEROL 0.5-2.5 (3) MG/3ML IN SOLN 13.00 9.1 6.24 10.66J7626 BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION 57.04 39.93 27.38 46.77J7626 BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION 57.04 39.93 27.38 46.77J7626 BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION 63.04 44.13 30.26 51.69J7626 BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION 63.04 44.13 30.26 51.69J7639 DORNASE ALFA 1 MG/ML SOLUTION FOR INHALATION 469.22 328.45 225.23 384.76J7644 IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION 11.26 7.88 5.4 9.23J7644 IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION 11.26 7.88 5.4 9.23J7674 METHACHOLINE CHLORIDE 100 MG SOLUTION FOR INHALATION 309.70 216.79 148.66 253.95J7674 METHACHOLINE CHLORIDE 100 MG SOLUTION FOR INHALATION 309.70 216.79 148.66 253.95J8521 CAPECITABINE 500 MG TABLET 9,398.56 6,578.99 4,511.31 7,706.82J8540 DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION 25.78 18.05 12.37 21.14J8540 DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION 25.78 18.05 12.37 21.14J8540 DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION 25.78 18.05 12.37 21.14J8540 DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION 25.78 18.05 12.37 21.14J8540 DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION 25.78 18.05 12.37 21.14J8540 DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION 25.78 18.05 12.37 21.14J8540 DEXAMETHASONE 4 MG TABLET 405.94 284.16 194.85 332.87J8540 DEXAMETHASONE 4 MG TABLET 405.94 284.16 194.85 332.87J8540 DEXAMETHASONE 4 MG TABLET 405.94 284.16 194.85 332.87J8610 METHOTREXATE SODIUM 2.5 MG TABLET 425.39 297.77 204.19 348.82J8610 METHOTREXATE SODIUM 2.5 MG TABLET 425.39 297.77 204.19 348.82J9000 DOXORUBICIN 10 MG/5 ML INTRAVENOUS SOLUTION - #VALUE! #VALUE! #VALUE!J9000 DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION 152.20 106.54 73.06 124.8J9000 DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION 152.20 106.54 73.06 124.8J9000 DOXORUBICIN 20 MG/10 ML INTRAVENOUS SOLUTION 152.51 106.76 73.2 125.06J9000 DOXORUBICIN 20 MG/10 ML INTRAVENOUS SOLUTION 152.51 106.76 73.2 125.06J9000 DOXORUBICIN 20 MG/10 ML INTRAVENOUS SOLUTION 152.51 106.76 73.2 125.06J9022 ATEZOLIZUMAB 840 MG/14 ML (60 MG/ML) INTRAVENOUS SOLUTION 16,384.09 11,468.86 7,864.36 13,434.95J9022 ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION 23,384.46 16,369.12 11,224.54 19,175.26J9023 AVELUMAB 20 MG/ML INTRAVENOUS SOLUTION - #VALUE! #VALUE! #VALUE!J9025 AZACITIDINE 100 MG SOLUTION FOR INJECTION - #VALUE! #VALUE! #VALUE!J9033 BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION 6,328.51 4,429.96 3,037.68 5,189.38J9035 BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION - #VALUE! #VALUE! #VALUE!J9035 BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION - #VALUE! #VALUE! #VALUE!J9040 BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION - #VALUE! #VALUE! #VALUE!J9041 BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION 4,118.41 2,882.89 1,976.84 3,377.10J9042 BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION - #VALUE! #VALUE! #VALUE!J9043 CABAZITAXEL 60 MG/6 ML IV SOLN 28,824.43 20,177.10 13,835.73 23,636.03J9043 CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION 28,824.43 20,177.10 13,835.73 23,636.03J9045 CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION 327.62 229.33 157.26 268.65J9045 CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION 327.62 229.33 157.26 268.65J9045 CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION 327.62 229.33 157.26 268.65J9045 CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION 327.62 229.33 157.26 268.65J9047 CARFILZOMIB 10 MG INTRAVENOUS SOLUTION 1,754.78 1,228.35 842.29 1,438.92J9047 CARFILZOMIB 30 MG INTRAVENOUS SOLUTION 3,140.55 2,198.39 1,507.46 2,575.25J9047 CARFILZOMIB 60 MG INTRAVENOUS SOLUTION - #VALUE! #VALUE! #VALUE!J9055 CETUXIMAB 100 MG/50 ML INTRAVENOUS SOLUTION 2,249.45 1,574.62 1,079.74 1,844.55J9055 CETUXIMAB 200 MG/100 ML INTRAVENOUS SOLUTION 3,433.15 2,403.21 1,647.91 2,815.18J9060 CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION 201.55 141.09 96.74 165.27J9060 CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION 201.55 141.09 96.74 165.27J9060 CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION 201.55 141.09 96.74 165.27J9060 CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION 201.55 141.09 96.74 165.27

J9065 CLADRIBINE 10 MG/10 ML INTRAVENOUS SOLUTION - #VALUE! #VALUE! #VALUE!J9070 CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION - #VALUE! #VALUE! #VALUE!J9070 CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION - #VALUE! #VALUE! #VALUE!J9070 CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION - #VALUE! #VALUE! #VALUE!J9119 CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION 23,145.80 16,202.06 11,109.98 18,979.56J9130 DACARBAZINE 200 MG INTRAVENOUS SOLUTION 133.68 93.58 64.17 109.62J9130 DACARBAZINE 200 MG INTRAVENOUS SOLUTION 133.68 93.58 64.17 109.62J9144 DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN - #VALUE! #VALUE! #VALUE!J9145 DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION 1,883.76 1,318.63 904.2 1,544.68J9145 DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION 1,883.76 1,318.63 904.2 1,544.68J9155 DEGARELIX 80 MG SUBCUTANEOUS SOLUTION 1,661.89 1,163.32 797.71 1,362.75J9171 DOCETAXEL 20 MG/ML (1 ML) INTRAVENOUS SOLUTION 365.00 255.5 175.2 299.3J9171 DOCETAXEL 20 MG/ML (1 ML) INTRAVENOUS SOLUTION 365.00 255.5 175.2 299.3J9171 DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION 1,485.50 1,039.85 713.04 1,218.11J9171 DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION 1,485.50 1,039.85 713.04 1,218.11J9173 DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION 2,282.43 1,597.70 1,095.57 1,871.59J9173 DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION 2,282.43 1,597.70 1,095.57 1,871.59J9176 ELOTUZUMAB 300 MG INTRAVENOUS SOLUTION 4,978.69 3,485.08 2,389.77 4,082.53J9176 ELOTUZUMAB 400 MG INTRAVENOUS SOLUTION 6,621.56 4,635.09 3,178.35 5,429.68J9177 ENFORTUMAB VEDOTIN-EJFV 30 MG INTRAVENOUS SOLUTION - #VALUE! #VALUE! #VALUE!J9177 ENFORTUMAB VEDOTIN-EJFV 20 MG INTRAVENOUS SOLUTION - #VALUE! #VALUE! #VALUE!J9178 EPIRUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION 253.26 177.28 121.56 207.67J9179 ERIBULIN 1 MG/2 ML (0.5 MG/ML) INTRAVENOUS SOLUTION 3,044.84 2,131.39 1,461.52 2,496.77J9181 ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION 97.77 68.44 46.93 80.17J9181 ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION 97.77 68.44 46.93 80.17J9185 FLUDARABINE 50 MG/2 ML INTRAVENOUS SOLUTION 963.50 674.45 462.48 790.07J9190 FLUOROURACIL 1 GRAM/20 ML INTRAVENOUS SOLUTION 80.60 56.42 38.69 66.09J9190 FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION 290.80 203.56 139.58 238.46J9190 FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION 290.80 203.56 139.58 238.46J9201 GEMCITABINE 200 MG/5.26 ML (38 MG/ML) INTRAVENOUS SOLUTION 90.98 63.69 43.67 74.6J9201 GEMCITABINE 200 MG/5.26 ML (38 MG/ML) INTRAVENOUS SOLUTION 90.98 63.69 43.67 74.6J9201 GEMCITABINE 1 GRAM/26.3 ML (38 MG/ML) INTRAVENOUS SOLUTION 238.34 166.84 114.4 195.44J9201 GEMCITABINE 1 GRAM/26.3 ML (38 MG/ML) INTRAVENOUS SOLUTION 238.34 166.84 114.4 195.44J9201 GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION 242.92 170.04 116.6 199.19J9201 GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION 242.92 170.04 116.6 199.19J9201 GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION 242.92 170.04 116.6 199.19J9201 GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION 242.92 170.04 116.6 199.19J9202 GOSERELIN 3.6 MG SUBCUTANEOUS IMPLANT 2,106.33 1,474.43 1,011.04 1,727.19J9205 IRINOTECAN LIPOSOMAL 4.3 MG/ML INTRAVENOUS 6,054.91 4,238.44 2,906.36 4,965.03J9206 IRINOTECAN 40 MG/2 ML INTRAVENOUS SOLUTION 124.16 86.91 59.6 101.81J9206 IRINOTECAN 40 MG/2 ML INTRAVENOUS SOLUTION 124.16 86.91 59.6 101.81J9206 IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION 312.50 218.75 150 256.25J9206 IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION 312.50 218.75 150 256.25J9208 IFOSFAMIDE 1 GRAM/20 ML INTRAVENOUS SOLUTION 204.35 143.05 98.09 167.57J9209 MESNA 100 MG/ML INTRAVENOUS SOLUTION 188.60 132.02 90.53 154.65J9217 LEUPROLIDE 7.5 MG (1 MONTH) SUBCUTANEOUS SYRINGE 1,500.58 1,050.41 720.28 1,230.48J9217 LEUPROLIDE 7.5 MG (1 MONTH) SUBCUTANEOUS SYRINGE 1,500.58 1,050.41 720.28 1,230.48J9217 LEUPROLIDE 22.5 MG (3 MONTH) SUBCUTANEOUS SYRINGE 3,262.16 2,283.51 1,565.84 2,674.97J9217 LEUPROLIDE 30 MG (4 MONTH) SUBCUTANEOUS SYRINGE 4,346.22 3,042.35 2,086.19 3,563.90J9217 LEUPROLIDE 45 MG (6 MONTH) SUBCUTANEOUS SYRINGE 6,514.32 4,560.02 3,126.87 5,341.74J9217 LEUPROLIDE 22.5 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT 11,992.70 8,394.89 5,756.50 9,834.01J9223 LURBINECTEDIN 4 MG INTRAVENOUS SOLUTION - #VALUE! #VALUE! #VALUE!J9228 IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION - #VALUE! #VALUE! #VALUE!J9228 IPILIMUMAB 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION 19,088.58 13,362.01 9,162.52 15,652.64J9250 METHOTREXATE SODIUM 25 MG/ML INJECTION SOLUTION 86.70 60.69 41.62 71.09J9250 METHOTREXATE SODIUM 25 MG/ML INJECTION SOLUTION 86.70 60.69 41.62 71.09J9260 METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION 69.15 48.41 33.19 56.7J9260 METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION 69.15 48.41 33.19 56.7J9260 METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION 69.15 48.41 33.19 56.7J9263 OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION 260.00 182 124.8 213.2J9263 OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION 260.00 182 124.8 213.2J9263 OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION 260.00 182 124.8 213.2J9263 OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION 470.00 329 225.6 385.4J9263 OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION 470.00 329 225.6 385.4J9263 OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION 470.00 329 225.6 385.4J9263 OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION 470.00 329 225.6 385.4J9264 PACLITAXEL-PROTEIN BOUND 100 MG INTRAVENOUS SUSPENSION 3,722.25 2,605.58 1,786.68 3,052.25J9267 PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS 157.67 110.37 75.68 129.29J9267 PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS 157.67 110.37 75.68 129.29J9267 PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS 157.67 110.37 75.68 129.29J9271 PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION 12,389.87 8,672.91 5,947.14 10,159.69J9271 PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION 12,389.87 8,672.91 5,947.14 10,159.69

J9271 PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION 12,389.87 8,672.91 5,947.14 10,159.69J9280 MITOMYCIN 5 MG INTRAVENOUS SOLUTION 1,003.61 702.53 481.73 822.96J9280 MITOMYCIN 5 MG INTRAVENOUS SOLUTION 1,003.61 702.53 481.73 822.96J9280 MITOMYCIN 20 MG INTRAVENOUS SOLUTION 1,996.51 1,397.56 958.32 1,637.14J9280 MITOMYCIN 20 MG INTRAVENOUS SOLUTION 1,996.51 1,397.56 958.32 1,637.14J9299 NIVOLUMAB 40 MG/4 ML INTRAVENOUS SOLUTION 2,833.54 1,983.48 1,360.10 2,323.50J9299 NIVOLUMAB 100 MG/10 ML INTRAVENOUS SOLUTION 7,008.82 4,906.17 3,364.23 5,747.23J9299 NIVOLUMAB 240 MG/24 ML INTRAVENOUS SOLUTION 16,751.21 11,725.85 8,040.58 13,735.99J9301 OBINUTUZUMAB 1,000 MG/40 ML INTRAVENOUS SOLUTION 16,925.84 11,848.09 8,124.40 13,879.19J9303 PANITUMUMAB 100 MG/5 ML (20 MG/ML) INTRAVENOUS SOLUTION 3,306.23 2,314.36 1,586.99 2,711.11J9303 PANITUMUMAB 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION 13,074.93 9,152.45 6,275.97 10,721.44J9305 PEMETREXED 100 MG INTRAVENOUS SOLUTION - #VALUE! #VALUE! #VALUE!J9305 PEMETREXED 500 MG INTRAVENOUS SOLUTION - #VALUE! #VALUE! #VALUE!J9306 PERTUZUMAB 420 MG/14 ML (30 MG/ML) INTRAVENOUS SOLUTION 13,481.13 9,436.79 6,470.94 11,054.53J9308 RAMUCIRUMAB 10 MG/ML INTRAVENOUS SOLUTION 4,669.64 3,268.75 2,241.43 3,829.10J9308 RAMUCIRUMAB 10 MG/ML INTRAVENOUS SOLUTION 4,669.64 3,268.75 2,241.43 3,829.10J9311 RITUXIMAB 1,400 MG/11.7 ML (120 MG/ML)-HYALURONIDASE SUBCUTANEOUS SOLN - #VALUE! #VALUE! #VALUE!J9312 RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS 2,434.49 1,704.14 1,168.56 1,996.28J9312 RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS 2,434.49 1,704.14 1,168.56 1,996.28J9316 PERTUZUMAB 1,200 MG-TRASTUZUMAB 600 MG-HYALURON-ZZXF/15 ML SUBCUT SOLN - #VALUE! #VALUE! #VALUE!J9316 PERTUZUMAB 600 MG-TRASTUZUMAB 600 MG-HYALURONID-ZZXF/10 ML SUBCUT SOLN - #VALUE! #VALUE! #VALUE!J9317 SACITUZUMAB GOVITECAN-HZIY 180 MG INTRAVENOUS SOLUTION - #VALUE! #VALUE! #VALUE!J9330 TEMSIROLIMUS 30 MG/3 ML (10 MG/ML) (FIRST DILUTION) INTRAVENOUS SOLN 13,591.06 9,513.74 6,523.71 11,144.67J9351 TOPOTECAN 4 MG/4 ML (1 MG/ML) INTRAVENOUS SOLUTION 680.00 476 326.4 557.6J9354 ADO-TRASTUZUMAB EMTANSINE 100 MG INTRAVENOUS SOLUTION 8,056.10 5,639.27 3,866.93 6,606.00J9354 ADO-TRASTUZUMAB EMTANSINE 160 MG INTRAVENOUS SOLUTION 12,859.75 9,001.83 6,172.68 10,545.00J9355 TRASTUZUMAB 150 MG INTRAVENOUS SOLUTION 4,005.26 2,803.68 1,922.52 3,284.31J9358 FAM-TRASTUZUMAB DERUXTECAN-NXKI 100 MG INTRAVENOUS SOLUTION - #VALUE! #VALUE! #VALUE!J9360 VINBLASTINE 1 MG/ML INTRAVENOUS SOLUTION 230.88 161.62 110.82 189.32J9370 VINCRISTINE 1 MG/ML INTRAVENOUS SOLUTION - #VALUE! #VALUE! #VALUE!J9370 VINCRISTINE 2 MG/2 ML INTRAVENOUS SOLUTION 104.74 73.32 50.28 85.89J9390 VINORELBINE 10 MG/ML INTRAVENOUS SOLUTION 176.00 123.2 84.48 144.32J9390 VINORELBINE 50 MG/5 ML INTRAVENOUS SOLUTION 407.00 284.9 195.36 333.74J9395 FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE 2,336.86 1,635.80 1,121.69 1,916.23J9395 FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE 2,336.86 1,635.80 1,121.69 1,916.23J9395 FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE 2,336.86 1,635.80 1,121.69 1,916.23J9395 FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE 2,336.86 1,635.80 1,121.69 1,916.23J9400 ZIV-AFLIBERCEPT 100 MG/4 ML (25 MG/ML) INTRAVENOUS SOLUTION 4,110.80 2,877.56 1,973.18 3,370.86J9400 ZIV-AFLIBERCEPT 200 MG/8 ML (25 MG/ML) INTRAVENOUS SOLUTION 8,171.60 5,720.12 3,922.37 6,700.71P9046 ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION 526.80 368.76 252.86 431.98Q0138 FERUMOXYTOL 510 MG/17 ML (30 MG/ML) INTRAVENOUS SOLUTION 2,581.39 1,806.97 1,239.07 2,116.74Q0161 CHLORPROMAZINE 10 MG TABLET 1,408.93 986.25 676.29 1,155.32Q0161 CHLORPROMAZINE 25 MG TABLET 2,111.28 1,477.90 1,013.41 1,731.25Q0161 CHLORPROMAZINE 100 MG TABLET 2,987.40 2,091.18 1,433.95 2,449.67Q0161 CHLORPROMAZINE 100 MG TABLET 2,987.40 2,091.18 1,433.95 2,449.67Q0162 ONDANSETRON 4 MG DISINTEGRATING TABLET 13.85 9.7 6.65 11.36Q0162 ONDANSETRON 4 MG DISINTEGRATING TABLET 13.85 9.7 6.65 11.36Q0162 ONDANSETRON 4 MG DISINTEGRATING TABLET 13.85 9.7 6.65 11.36Q0162 ONDANSETRON 4 MG DISINTEGRATING TABLET 13.85 9.7 6.65 11.36Q0162 ONDANSETRON 4 MG DISINTEGRATING TABLET 13.85 9.7 6.65 11.36Q0162 ONDANSETRON HCL 4 MG TABLET 257.42 180.19 123.56 211.08Q0162 ONDANSETRON HCL 4 MG TABLET 257.42 180.19 123.56 211.08Q0162 ONDANSETRON HCL 4 MG TABLET 257.42 180.19 123.56 211.08Q0162 ONDANSETRON HCL 4 MG TABLET 257.42 180.19 123.56 211.08Q0162 ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION 805.87 564.11 386.82 660.81Q0162 ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION 805.87 564.11 386.82 660.81Q0162 ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION 805.87 564.11 386.82 660.81Q0163 DIPHENHYDRAMINE 25 MG TABLET - #VALUE! #VALUE! #VALUE!Q0163 DIPHENHYDRAMINE 25 MG CAPSULE - #VALUE! #VALUE! #VALUE!Q0164 PROCHLORPERAZINE MALEATE 10 MG TABLET 14.86 10.4 7.13 12.19Q0164 PROCHLORPERAZINE MALEATE 10 MG TABLET 14.86 10.4 7.13 12.19Q0169 PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP 72.91 51.04 35 59.79Q0169 PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP 72.91 51.04 35 59.79Q0169 PROMETHAZINE 25 MG TABLET 178.50 124.95 85.68 146.37Q0169 PROMETHAZINE 25 MG TABLET 178.50 124.95 85.68 146.37Q0169 PROMETHAZINE 25 MG TABLET 178.50 124.95 85.68 146.37Q0177 HYDROXYZINE PAMOATE 25 MG CAPSULE 492.85 345 236.57 404.14Q0244 CASIRIVIMAB (REGN10933) 120 MG/ML INTRAVENOUS SOLUTION (1 OF 2) (EUA) - #VALUE! #VALUE! #VALUE!Q0244 CASIRIVIMAB 60 MG-IMDEVIMAB 60 MG/ML INTRAVENOUS SOLUTION (EUA) - #VALUE! #VALUE! #VALUE!Q0244 CASIRIVIMAB 120 MG/ML-IMDEVIMAB 120 MG/ML INTRAVENOUS SOLUTION (EUA) - #VALUE! #VALUE! #VALUE!Q0244 CASIRIVIMAB 120 MG/ML-IMDEVIMAB 120 MG/ML INTRAVENOUS SOLUTION (EUA) - #VALUE! #VALUE! #VALUE!Q0244 CASIRIVIMAB 60 MG-IMDEVIMAB 60 MG/ML INTRAVENOUS SOLUTION (EUA) - #VALUE! #VALUE! #VALUE!

Q0244 CASIRIVIMAB (REGN10933) 120 MG/ML INTRAVENOUS SOLUTION (1 OF 2) (EUA) - #VALUE! #VALUE! #VALUE!Q0244 IMDEVIMAB (REGN10987) 120 MG/ML INTRAVENOUS SOLUTION (2 OF 2) (EUA) - #VALUE! #VALUE! #VALUE!Q0244 IMDEVIMAB (REGN10987) 120 MG/ML INTRAVENOUS SOLUTION (2 OF 2) (EUA) - #VALUE! #VALUE! #VALUE!Q0245 ETESEVIMAB 700 MG/20 ML (35 MG/ML) INTRAVENOUS SOLUTION (2 OF 2) (EUA) - #VALUE! #VALUE! #VALUE!Q0247 SOTROVIMAB 500 MG/8 ML (62.5 MG/ML) INTRAVENOUS SOLUTION (EUA) - #VALUE! #VALUE! #VALUE!Q2043 SIPULEUCEL-T IN LACTATED RINGERS 50 MILLION CELL/250 ML IV SUSPENSION - #VALUE! #VALUE! #VALUE!Q2050 DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION - #VALUE! #VALUE! #VALUE!Q2050 DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION - #VALUE! #VALUE! #VALUE!Q2050 DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION - #VALUE! #VALUE! #VALUE!Q2050 DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION - #VALUE! #VALUE! #VALUE!Q3027 INTERFERON BETA-1A 30 MCG/0.5 ML INTRAMUSCULAR SYRINGE KIT 4,248.56 2,973.99 2,039.31 3,483.82Q4116 ALLODERM 4X7 THIN 1,744.40 1,221.08 837.31 1,430.41Q4116 ALLODERM 4X7 THIN 1,744.40 1,221.08 837.31 1,430.41Q5101 FILGRASTIM-SNDZ 300 MCG/0.5 ML INJECTION SYRINGE 1,106.36 774.45 531.05 907.22Q5101 FILGRASTIM-SNDZ 300 MCG/0.5 ML INJECTION SYRINGE 1,106.36 774.45 531.05 907.22Q5101 FILGRASTIM-SNDZ 300 MCG/0.5 ML INJECTION SYRINGE 1,106.36 774.45 531.05 907.22Q5101 FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE 1,458.63 1,021.04 700.14 1,196.08Q5101 FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE 1,458.63 1,021.04 700.14 1,196.08Q5104 INFLIXIMAB-ABDA 100 MG INTRAVENOUS SOLUTION - #VALUE! #VALUE! #VALUE!Q5104 INFLIXIMAB-ABDA 100 MG INTRAVENOUS SOLUTION - #VALUE! #VALUE! #VALUE!Q5106 EPOETIN ALFA-EPBX 4,000 UNIT/ML INJECTION SOLUTION 186.30 130.41 89.42 152.77Q5106 EPOETIN ALFA-EPBX 4,000 UNIT/ML INJECTION SOLUTION 186.30 130.41 89.42 152.77Q5106 EPOETIN ALFA-EPBX 10,000 UNIT/ML INJECTION SOLUTION 450.76 315.53 216.36 369.62Q5106 EPOETIN ALFA-EPBX 10,000 UNIT/ML INJECTION SOLUTION 450.76 315.53 216.36 369.62Q5106 EPOETIN ALFA-EPBX 40,000 UNIT/ML INJECTION SOLUTION 1,465.96 1,026.17 703.66 1,202.09Q5106 EPOETIN ALFA-EPBX 40,000 UNIT/ML INJECTION SOLUTION 1,465.96 1,026.17 703.66 1,202.09Q5107 BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION - #VALUE! #VALUE! #VALUE!Q5107 BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION - #VALUE! #VALUE! #VALUE!Q5111 PEGFILGRASTIM-CBQV 6 MG/0.6 ML SUBCUTANEOUS SYRINGE 10,030.00 7,021.00 4,814.40 8,224.60Q5113 TRASTUZUMAB-PKRB 420 MG INTRAVENOUS SOLUTION - #VALUE! #VALUE! #VALUE!Q5113 TRASTUZUMAB-PKRB 420 MG INTRAVENOUS SOLUTION - #VALUE! #VALUE! #VALUE!Q5113 TRASTUZUMAB-PKRB 150 MG INTRAVENOUS SOLUTION 3,609.55 2,526.69 1,732.58 2,959.83Q5117 TRASTUZUMAB-ANNS 150 MG INTRAVENOUS SOLUTION 3,401.30 2,380.91 1,632.62 2,789.07Q5118 BEVACIZUMAB-BVZR 25 MG/ML INTRAVENOUS SOLUTION 2,074.22 1,451.95 995.63 1,700.86Q5118 BEVACIZUMAB-BVZR 25 MG/ML INTRAVENOUS SOLUTION 2,074.22 1,451.95 995.63 1,700.86Q5119 RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS SOLUTION 2,415.44 1,690.81 1,159.41 1,980.66Q5119 RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS SOLUTION 2,415.44 1,690.81 1,159.41 1,980.66Q5121 INFLIXIMAB-AXXQ 100 MG INTRAVENOUS SOLUTION 1,680.00 1,176.00 806.4 1,377.60Q9957 PERFLUTREN LIPID MICROSPHERES 1.1 MG/ML INTRAVENOUS SUSPENSION 1,071.46 750.02 514.3 878.6Q9957 PERFLUTREN LIPID MICROSPHERES 1.1 MG/ML INTRAVENOUS SUSPENSION 1,071.46 750.02 514.3 878.6Q9958 IOTHALAMATE MEGLUMINE 17.2 % URETHRAL SOLUTION - #VALUE! #VALUE! #VALUE!Q9961 IOTHALAMATE MEGLUMINE 60 % INJECTION SOLUTION 92.58 64.81 44.44 75.92Q9965 IOHEXOL 180 MG IODINE/ML INTRATHECAL SOLUTION 218.39 152.87 104.83 179.08Q9965 IOHEXOL 180 MG IODINE/ML INTRATHECAL SOLUTION 218.39 152.87 104.83 179.08Q9966 IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION 212.76 148.93 102.12 174.46Q9966 IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION 212.76 148.93 102.12 174.46Q9967 IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION 197.21 138.05 94.66 161.71Q9967 IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION 211.63 148.14 101.58 173.54Q9967 IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION 211.63 148.14 101.58 173.54Q9967 IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION 211.63 148.14 101.58 173.54Q9967 IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION 211.63 148.14 101.58 173.54Q9967 IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION 468.21 327.75 224.74 383.93S5010 DEXTROSE 5 % AND LACTATED RINGERS INTRAVENOUS SOLUTION 25.00 17.5 12 20.5T4522 HC BRIEF CLTH BACK MED 32-44 56.80 39.76 27.26 46.58T4541 HC UPAD MED ABSORB 30X36 55.50 38.85 26.64 45.51T4541 HC UPAD HVY ABSORB 30X36 68.60 48.02 32.93 56.25V2632 TIGERLINK 350.00 245 168 287V2632 LENS ZXT225 DIOP 21.5 3,148.13 2,203.69 1,511.10 2,581.47V2632 LENS ZCT525 18.0 1,563.75 1,094.63 750.6 1,282.28V2632 LENS ZCT300 17.0 1,563.75 1,094.63 750.6 1,282.28V2632 LENS ZCT150 23.0 1,563.75 1,094.63 750.6 1,282.28V2632 LENS ZCT 225 17.5 1,563.75 1,094.63 750.6 1,282.28V2632 LENS TORIC DIOP 24.0 2,928.75 2,050.13 1,405.80 2,401.58V2632 LENS TORIC DIOP 21.0 2,928.75 2,050.13 1,405.80 2,401.58V2632 LENS TORIC 22.5 1,563.75 1,094.63 750.6 1,282.28V2632 LENS TORIC 22.0 1,563.75 1,094.63 750.6 1,282.28V2632 LENS TORIC 21.5 1,563.75 1,094.63 750.6 1,282.28V2632 LENS TORIC 21.5 1,563.75 1,094.63 750.6 1,282.28V2632 LENS TORIC 18.0 1,563.75 1,094.63 750.6 1,282.28V2632 LENS TORIC 17.5 DIOP 1,563.75 1,094.63 750.6 1,282.28V2632 LENS TORIC 17.0 1,563.75 1,094.63 750.6 1,282.28V2632 LENS TORIC 16.0 1,563.75 1,094.63 750.6 1,282.28

V2632 LENS TORIC 16.0 1,563.75 1,094.63 750.6 1,282.28V2632 LENS TORIC 15.0 1,563.75 1,094.63 750.6 1,282.28V2632 LENS TORIC 10.0 1,563.75 1,094.63 750.6 1,282.28V2632 LENS TORIC DIOP 21.5 1,563.75 1,094.63 750.6 1,282.28V2632 LENS TECNIS SYMFONY TORIC 22.0 2,863.75 2,004.63 1,374.60 2,348.28V2632 LENS TECNIS SYMFONY TORIC 20.5 20.00 14 9.6 16.4V2632 LENS SYMPONY ZXT225 18.5 3,148.13 2,203.69 1,511.10 2,581.47V2632 LENS SYMFONY TORIC 28.0 DIOP 3,148.13 2,203.69 1,511.10 2,581.47V2632 LENS SYMFONY TORIC 26.0 2,863.75 2,004.63 1,374.60 2,348.28V2632 LENS SYMFONY TORIC 21.5 7,459.38 5,221.57 3,580.50 6,116.69V2632 LENS SYMFONY TORIC 17.5 20.00 14 9.6 16.4V2632 LENS SYMFONY 19.0 3,148.13 2,203.69 1,511.10 2,581.47V2632 LENS SYMFONY 18.0 3,148.13 2,203.69 1,511.10 2,581.47V2632 LENS SYMFONY 16.5 2,863.75 2,004.63 1,374.60 2,348.28V2632 LENS SV25TO DIOP 21.5 2,928.75 2,050.13 1,405.80 2,401.58V2632 LENS SV25TO DIOP 21.0 2,928.75 2,050.13 1,405.80 2,401.58V2632 LENS SV25T5 DIOP 21.5 2,928.75 2,050.13 1,405.80 2,401.58V2632 LENS SV25T3 DIOP 18.5 2,928.75 2,050.13 1,405.80 2,401.58V2632 LENS SND1T5 DIOP 18.5 2,928.75 2,050.13 1,405.80 2,401.58V2632 LENS SA6AT7 DIOP 13.0 1,628.75 1,140.13 781.8 1,335.58V2632 LENS PANOPTIX TFNT50 DIOP 21.0 995.00 696.5 477.6 815.9V2632 LENS PANOPTIX TFAT50 DIOP 21.0 995.00 696.5 477.6 815.9V2632 LENS PANOPTIX 21.0 3,253.75 2,277.63 1,561.80 2,668.08V2632 LENS PANOPTIX 19.5 3,253.75 2,277.63 1,561.80 2,668.08V2632 LENS PANOPTIX 18.5 3,253.75 2,277.63 1,561.80 2,668.08V2632 LENS PANOPTIX 23.0 3,253.75 2,277.63 1,561.80 2,668.08V2632 LENS PANOPTIX 16.5 3,253.75 2,277.63 1,561.80 2,668.08V2632 LENS PANOPTIX 13.5 3,253.75 2,277.63 1,561.80 2,668.08V2632 LENS MX60TP275 DIOP 20.0 1,628.75 1,140.13 781.8 1,335.58V2632 LENS MX60TP200 DIOP 20.0 1,628.75 1,140.13 781.8 1,335.58V2632 LENS MX60TP200 DIOP 16.0 1,628.75 1,140.13 781.8 1,335.58V2632 LENS MX60TP200 16.5 1,628.75 1,140.13 781.8 1,335.58V2632 LENS MX60TP125 DIOP 19.0 1,628.75 1,140.13 781.8 1,335.58V2632 LENS MX60TP 350 20.0 1,628.75 1,140.13 781.8 1,335.58V2632 LENS MX60TP 350 DIOP 19.5 1,628.75 1,140.13 781.8 1,335.58V2632 LENS MX60TP 200 DIOP 20.5 1,628.75 1,140.13 781.8 1,335.58V2632 LENS DIOP 23.0 MX60T275 1,628.75 1,140.13 781.8 1,335.58V2632 LENS DIOP 20.5 + 3.00 TORIC 2,928.75 2,050.13 1,405.80 2,401.58V2632 LENS DIOP 18.5 TORIC 1,628.75 1,140.13 781.8 1,335.58V2632 LENS 17.5 ZCT300 SYMFONY 1,563.75 1,094.63 750.6 1,282.28V2632 LEMS TORIC 22.5 1,563.75 1,094.63 750.6 1,282.28V2632 LENS ZLBOO 21.0 2,863.75 2,004.63 1,374.60 2,348.28V2632 LENS ZCBOO 6.5 361.25 252.88 173.4 296.23V2632 LENS TORIC DIOP 19.0 + 3.5 543.25 380.28 260.76 445.47V2632 LENS TORIC AQ2010 DIOP +5.0 995.00 696.5 477.6 815.9V2632 LENS TORIC 8.0 361.25 252.88 173.4 296.23V2632 LENS TORIC 7.0 361.25 252.88 173.4 296.23V2632 LENS TORIC 6.0 813.75 569.63 390.6 667.28V2632 LENS TORIC 5.0 361.25 252.88 173.4 296.23V2632 LENS TORIC 21.5 X 2.0 507.50 355.25 243.6 416.15V2632 LENS SENSOR ACRYLIC DIOP 7.0 590.00 413 283.2 483.8V2632 LENS SENSAR ACRYLIC DIOP 8.0 590.00 413 283.2 483.8V2632 LENS SENSAR ACRYLIC DIOP 6.0 560.00 392 268.8 459.2V2632 LENS MX60ET200 DIOP 14.0 375.00 262.5 180 307.5V2632 LENS MX60ET 200 DIOP 16.5 1,563.75 1,094.63 750.6 1,282.28V2632 LENS MX60ET 125 DIOP 16.5 1,563.75 1,094.63 750.6 1,282.28V2632 LENS MX60E DIOP 7.0 968.75 678.13 465 794.38V2632 LENS MX60E DIOP 4.0 426.25 298.38 204.6 349.53V2632 LENS MA6OMA -1.00 504.25 352.98 242.04 413.49V2632 LENS MA6OMA -1.00 504.25 352.98 242.04 413.49V2632 LENS MA60MA ICL MINUS 4.0 504.25 352.98 242.04 413.49V2632 LENS LI61SE DIOP 8.0 395.00 276.5 189.6 323.9V2632 LENS ENVISTA MX60 5.0 DIOP 426.25 298.38 204.6 349.53V2632 LENS DIOP 9.0 968.75 678.13 465 794.38V2632 LENS DIOP 8.0 968.75 678.13 465 794.38V2632 LENS DIOP 31.0 968.75 678.13 465 794.38V2632 LENS DIOP 30.0 TECNIS ZA9003 813.75 569.63 390.6 667.28V2632 LENS DIOP 30.0 ENVISTA MX60 968.75 678.13 465 794.38V2632 LENS DIOP 30.0 968.75 678.13 465 794.38V2632 LENS DIOP 29.5 TECNIS ZA9003-> 813.75 569.63 390.6 667.28V2632 LENS DIOP 29.5 TECNIS 403.00 282.1 193.44 330.46V2632 LENS DIOP 29.5 ENVISTA MX60 968.75 678.13 465 794.38

V2632 LENS DIOP 29.5 968.75 678.13 465 794.38V2632 LENS DIOP 29.0 TECNIS ZA9003-> 813.75 569.63 390.6 667.28V2632 LENS DIOP 29.0 TECNIS 403.00 282.1 193.44 330.46V2632 LENS DIOP 29.0 ENVISTA MX60 968.75 678.13 465 794.38V2632 LENS DIOP 28.5 TECNIS ZA9003-> 813.75 569.63 390.6 667.28V2632 LENS DIOP 28.5 TECNIS 403.00 282.1 193.44 330.46V2632 LENS DIOP 28.5 ENVISTA MX60 968.75 678.13 465 794.38V2632 LENS DIOP 28.0 TECNIS ZA9003-> 813.75 569.63 390.6 667.28V2632 LENS DIOP 28.0 TECNIS 332.00 232.4 159.36 272.24V2632 LENS DIOP 28.0 968.75 678.13 465 794.38V2632 LENS DIOP 27.5 TECNIS ZA9003-> 813.75 569.63 390.6 667.28V2632 LENS DIOP 27.5 TECNIS 403.00 282.1 193.44 330.46V2632 LENS DIOP 27.5 ENVISTA MX60 968.75 678.13 465 794.38V2632 LENS DIOP 27.5 968.75 678.13 465 794.38V2632 LENS DIOP 27.0 TECNIS ZA9003-> 813.75 569.63 390.6 667.28V2632 LENS DIOP 27.0 TECNIS 332.00 232.4 159.36 272.24V2632 LENS DIOP 27.0 ENVISTA MX60 968.75 678.13 465 794.38V2632 LENS DIOP 27.0 968.75 678.13 465 794.38V2632 LENS DIOP 26.5 TECNIS ZA9003-> 813.75 569.63 390.6 667.28V2632 LENS DIOP 26.5 TECNIS 403.00 282.1 193.44 330.46V2632 LENS DIOP 26.5 ENVISTA MX60 968.75 678.13 465 794.38V2632 LENS DIOP 26.5 968.75 678.13 465 794.38V2632 LENS DIOP 26.0 TECNIS ZA9003 813.75 569.63 390.6 667.28V2632 LENS DIOP 26.0 TECNIS 403.00 282.1 193.44 330.46V2632 LENS DIOP 26.0 ENVISTA MX60 968.75 678.13 465 794.38V2632 LENS DIOP 25.5 TECNIS ZA9003 813.75 569.63 390.6 667.28V2632 LENS DIOP 25.5 TECNIS 403.00 282.1 193.44 330.46V2632 LENS DIOP 25.5 ENVISTA MX60 968.75 678.13 465 794.38V2632 LENS DIOP 25.5 968.75 678.13 465 794.38V2632 LENS DIOP 25.0 TECNIS ZA9003 813.75 569.63 390.6 667.28V2632 LENS DIOP 25.0 TECNIS 403.00 282.1 193.44 330.46V2632 LENS DIOP 25.0 ENVISTA MX60 968.75 678.13 465 794.38V2632 LENS DIOP 25.0 968.75 678.13 465 794.38V2632 LENS DIOP 24.5 TECNIS ZA9003 813.75 569.63 390.6 667.28V2632 LENS DIOP 24.5 TECNIS 403.00 282.1 193.44 330.46V2632 LENS DIOP 24.5 ENVISTA MX60 968.75 678.13 465 794.38V2632 LENS DIOP 24.5 968.75 678.13 465 794.38V2632 LENS DIOP 24.0 TENCIS ZA9003 813.75 569.63 390.6 667.28V2632 LENS DIOP 24.0 ENVISTA MX60 968.75 678.13 465 794.38V2632 LENS DIOP 24.0 968.75 678.13 465 794.38V2632 LENS DIOP 23.5 TECNIS ZA9003 813.75 569.63 390.6 667.28V2632 LENS DIOP 23.5 TECNIS 403.00 282.1 193.44 330.46V2632 LENS DIOP 23.5 ENVISTA MX60 968.75 678.13 465 794.38V2632 LENS DIOP 23.5 968.75 678.13 465 794.38V2632 LENS DIOP 23.0 TECNIS ZA9003 813.75 569.63 390.6 667.28V2632 LENS DIOP 23.0 TECNIS 403.00 282.1 193.44 330.46V2632 LENS DIOP 23.0 ENVISTA MX60 968.75 678.13 465 794.38V2632 LENS DIOP 23.0 968.75 678.13 465 794.38V2632 LENS DIOP 22.5-3.5 TORIC STAAR 543.25 380.28 260.76 445.47V2632 LENS DIOP 22.5 TECNIS ZA9003 813.75 569.63 390.6 667.28V2632 LENS DIOP 22.5 TECNIS 403.00 282.1 193.44 330.46V2632 LENS DIOP 22.5 ENVISTA MX60 968.75 678.13 465 794.38V2632 LENS DIOP 22.5 968.75 678.13 465 794.38V2632 LENS DIOP 22.0 TECNIS ZA9003 813.75 569.63 390.6 667.28V2632 LENS DIOP 22.0 TECNIS 403.00 282.1 193.44 330.46V2632 LENS DIOP 22.0 ENVISTA MX60 968.75 678.13 465 794.38V2632 LENS DIOP 22.0 968.75 678.13 465 794.38V2632 LENS DIOP 21.5 TECNIS ZA9003 813.75 569.63 390.6 667.28V2632 LENS DIOP 21.5 TECNIS 403.00 282.1 193.44 330.46V2632 LENS DIOP 21.5 ENVISTA MX60 968.75 678.13 465 794.38V2632 LENS DIOP 21.5 968.75 678.13 465 794.38V2632 LENS DIOP 21.0+3.5 TORIC 507.50 355.25 243.6 416.15V2632 LENS DIOP 21.0 TECNIS ZA9003 813.75 569.63 390.6 667.28V2632 LENS DIOP 21.0 TECNIS 403.00 282.1 193.44 330.46V2632 LENS DIOP 21.0 ENVISTA MX60 968.75 678.13 465 794.38V2632 LENS DIOP 21.0 968.75 678.13 465 794.38V2632 LENS DIOP 20.5 TECNIS ZA9003 813.75 569.63 390.6 667.28V2632 LENS DIOP 20.5 TECNIS 403.00 282.1 193.44 330.46V2632 LENS DIOP 20.5 ENVISTA MX60 968.75 678.13 465 794.38V2632 LENS DIOP 20.5 968.75 678.13 465 794.38V2632 LENS DIOP 20.0+2.0 TORIC STAAR 507.50 355.25 243.6 416.15V2632 LENS DIOP 20.0 TECNIS ZA9003 813.75 569.63 390.6 667.28

V2632 LENS DIOP 20.0 TECNIS 403.00 282.1 193.44 330.46V2632 LENS DIOP 20.0 ENVISTA MX60 968.75 678.13 465 794.38V2632 LENS DIOP 20.0 + 3.5 TORIC 507.50 355.25 243.6 416.15V2632 LENS DIOP 20.0 968.75 678.13 465 794.38V2632 LENS DIOP 19.5 TECNIS ZA9003 813.75 569.63 390.6 667.28V2632 LENS DIOP 19.5 968.75 678.13 465 794.38V2632 LENS DIOP 19.0 TECNIS ZA9003 813.75 569.63 390.6 667.28V2632 LENS DIOP 19.0 TECNIS 403.00 282.1 193.44 330.46V2632 LENS DIOP 19.0 ENVISTA MX60 968.75 678.13 465 794.38V2632 LENS DIOP 19.0 968.75 678.13 465 794.38V2632 LENS DIOP 18.5 TECNIS ZA9003 813.75 569.63 390.6 667.28V2632 LENS DIOP 18.5 TECNIS 403.00 282.1 193.44 330.46V2632 LENS DIOP 18.5 ENVISTA MX60 968.75 678.13 465 794.38V2632 LENS DIOP 18.5 968.75 678.13 465 794.38V2632 LENS DIOP 18.0 TECNIS ZA9003 813.75 569.63 390.6 667.28V2632 LENS DIOP 18.0 TECNIS 403.00 282.1 193.44 330.46V2632 LENS DIOP 18.0 968.75 678.13 465 794.38V2632 LENS DIOP 17.5 TECNIS ZA9003 813.75 569.63 390.6 667.28V2632 LENS DIOP 17.5 TECNIS 403.00 282.1 193.44 330.46V2632 LENS DIOP 17.5 968.75 678.13 465 794.38V2632 LENS DIOP 17.0 TECNIS ZA9003 813.75 569.63 390.6 667.28V2632 LENS DIOP 17.0 ENVISTA MX60 968.75 678.13 465 794.38V2632 LENS DIOP 17.0 968.75 678.13 465 794.38V2632 LENS DIOP 16.5 TECNIS ZA9003 813.75 569.63 390.6 667.28V2632 LENS DIOP 16.5 TECNIS 403.00 282.1 193.44 330.46V2632 LENS DIOP 16.5 ENVISTA MX60 968.75 678.13 465 794.38V2632 LENS DIOP 16.5 968.75 678.13 465 794.38V2632 LENS DIOP 16.0+3.5 TORIC 507.50 355.25 243.6 416.15V2632 LENS DIOP 16.0 TECNIS ZA9003 813.75 569.63 390.6 667.28V2632 LENS DIOP 16.0 TECNIS 403.00 282.1 193.44 330.46V2632 LENS DIOP 16.0 ENVISTA MX60 968.75 678.13 465 794.38V2632 LENS DIOP 16.0 968.75 678.13 465 794.38V2632 LENS DIOP 15.5+3.5 TORIC 507.50 355.25 243.6 416.15V2632 LENS DIOP 15.5 TECNIS 403.00 282.1 193.44 330.46V2632 LENS DIOP 15.5 ENVISTA MX60 968.75 678.13 465 794.38V2632 LENS DIOP 15.5 968.75 678.13 465 794.38V2632 LENS DIOP 15.0+3.5 TORIC 507.50 355.25 243.6 416.15V2632 LENS DIOP 15.0 TECNIS 403.00 282.1 193.44 330.46V2632 LENS DIOP 15.0 ENVISTA MX60 968.75 678.13 465 794.38V2632 LENS DIOP 15.0 968.75 678.13 465 794.38V2632 LENS DIOP 14.5 TECNIS ZA9003 813.75 569.63 390.6 667.28V2632 LENS DIOP 14.5 TECNIS 403.00 282.1 193.44 330.46V2632 LENS DIOP 14.5 ENVISTA MX60 968.75 678.13 465 794.38V2632 LENS DIOP 14.5 968.75 678.13 465 794.38V2632 LENS DIOP 14.0 TECNIS 403.00 282.1 193.44 330.46V2632 LENS DIOP 14.0 ENVISTA MX60 968.75 678.13 465 794.38V2632 LENS DIOP 14.0 968.75 678.13 465 794.38V2632 LENS DIOP 13.5 TECNIS ZA9003 813.75 569.63 390.6 667.28V2632 LENS DIOP 13.5 TECNIS 403.00 282.1 193.44 330.46V2632 LENS DIOP 13.5 ENVISTA MX60 968.75 678.13 465 794.38V2632 LENS DIOP 13.5 968.75 678.13 465 794.38V2632 LENS DIOP 13.0 TECNIS ZA9003 813.75 569.63 390.6 667.28V2632 LENS DIOP 13.0 ENVISTA MX60 968.75 678.13 465 794.38V2632 LENS DIOP 13.0 968.75 678.13 465 794.38V2632 LENS DIOP 12.5+3.5 TORIC 507.50 355.25 243.6 416.15V2632 LENS DIOP 12.5 TECNIS ZA9003 813.75 569.63 390.6 667.28V2632 LENS DIOP 12.5 TECNIS 403.00 282.1 193.44 330.46V2632 LENS DIOP 12.5 ENVISTA MX60 968.75 678.13 465 794.38V2632 LENS DIOP 12.5 968.75 678.13 465 794.38V2632 LENS DIOP 12.0 TECNIS ZA9003 813.75 569.63 390.6 667.28V2632 LENS DIOP 12.0 TECNIS 403.00 282.1 193.44 330.46V2632 LENS DIOP 12.0 ENVISTA MX60 968.75 678.13 465 794.38V2632 LENS DIOP 12.0 968.75 678.13 465 794.38V2632 LENS DIOP 11.5 TECNIS ZA9003 813.75 569.63 390.6 667.28V2632 LENS DIOP 11.5 TECNIS 403.00 282.1 193.44 330.46V2632 LENS DIOP 11.5 ENVISTA MX60 968.75 678.13 465 794.38V2632 LENS DIOP 11.5 968.75 678.13 465 794.38V2632 LENS DIOP 11.0 TECNIS ZA9003 813.75 569.63 390.6 667.28V2632 LENS DIOP 11.0 ENVISTA MX60 968.75 678.13 465 794.38V2632 LENS DIOP 10.5 TECNIS ZA9003 813.75 569.63 390.6 667.28V2632 LENS DIOP 10.5 TECNIS 332.00 232.4 159.36 272.24V2632 LENS DIOP 10.5 ENVISTA MX60 968.75 678.13 465 794.38

V2632 LENS DIOP 10.5 968.75 678.13 465 794.38V2632 LENS DIOP 10.0 TECNIS ZA9003 813.75 569.63 390.6 667.28V2632 LENS DIOP 10.0 TECNIS 403.00 282.1 193.44 330.46V2632 LENS DIOP 10.0 ENVISTA MX60 968.75 678.13 465 794.38V2632 LENS DIOP 10.0 968.75 678.13 465 794.38V2632 LENS AR40E DIOP 7.50 560.00 392 268.8 459.2V2632 LENS 61SE 5.0 395.00 276.5 189.6 323.9V2632 LENS MX60E 6.0 426.25 298.38 204.6 349.53V2632 ACRYSOF LENS DIOP 27.5 504.25 352.98 242.04 413.49V2632 ACRYSOF LENS DIOP 23.5 504.25 352.98 242.04 413.49V2632 ACRYSOF LENS DIOP 21.5 504.25 352.98 242.04 413.49V2632 ACRYSOF LENS DIOP 21.0 504.25 352.98 242.04 413.49V2632 ACRYSOF LENS DIOP 20.5 507.50 355.25 243.6 416.15V2632 ACRYSOF LENS DIOP 20.0 504.25 352.98 242.04 413.49V2632 ACRYSOF LENS DIOP 18.0 504.25 352.98 242.04 413.49V2632 ACRYSOF LENS DIOP 17.0 504.25 352.98 242.04 413.49V2632 LENS DIOP 19.0 1,628.75 1,140.13 781.8 1,335.58V2632 LENS DIOP 17.5 1,628.75 1,140.13 781.8 1,335.58V2632 LENS DIOP 11.5 1,628.75 1,140.13 781.8 1,335.58V2632 LENS DIOP 29.0 968.75 678.13 465 794.38V2632 LENS DIOP 26.0 968.75 678.13 465 794.38V2632 LENS DIOP 11.0 968.75 678.13 465 794.38V2632 LENS DIOP 22.5 TORIC 1,628.75 1,140.13 781.8 1,335.58V2632 LENS DIOP 16.0 2,928.75 2,050.13 1,405.80 2,401.58V2632 LENS DIOP 15.5 2,928.75 2,050.13 1,405.80 2,401.58V2632 LENS DIOP 13.5 2,928.75 2,050.13 1,405.80 2,401.58V2632 LENS DIOP 19.5 TORIC 2,928.75 2,050.13 1,405.80 2,401.58V2787 LENS DIOP 15.5 TORIC 395.00 276.5 189.6 323.9V2787 LENS DIOP 19.0 395.00 276.5 189.6 323.9V2787 LENS ZLU300 DIOP 19.5 795.00 556.5 381.6 651.9V2787 LENS ZLU225 18.5 795.00 556.5 381.6 651.9V2787 LENS ZLU150 20.0 795.00 556.5 381.6 651.9V2787 LENS TORIC DIOP 18.5 1,628.75 1,140.13 781.8 1,335.58V2787 LENS TORIC 16.5 395.00 276.5 189.6 323.9V2787 LENS TORIC 12.5 395.00 276.5 189.6 323.9V2787 LENS TORIC 26.0 395.00 276.5 189.6 323.9V2787 LENS TFAT60 DIOP 20.5 3,253.75 2,277.63 1,561.80 2,668.08V2787 LENS SA6AT9 DIOP 16.5 1,628.75 1,140.13 781.8 1,335.58V2787 LENS SA6AT7 DIOP 17.0 1,628.75 1,140.13 781.8 1,335.58V2787 LENS SA6AT6 DIOP 17.0 1,628.75 1,140.13 781.8 1,335.58V2787 LENS SA6AT6 DIOP 14.0 1,628.75 1,140.13 781.8 1,335.58V2787 LENS SA6AT6 DIOP 14.0 1,628.75 1,140.13 781.8 1,335.58V2787 LENS SA6AT5 DIOP 16.5 1,628.75 1,140.13 781.8 1,335.58V2787 LENS SA6AT5 DIOP 15.0 1,628.75 1,140.13 781.8 1,335.58V2787 LENS SA6AT3 DIOP 25.5 1,628.75 1,140.13 781.8 1,335.58V2787 LENS SA6AT3 27.0 395.00 276.5 189.6 323.9V2787 LENS PANOPTIX TFNT30 DIOP 20.0 895.00 626.5 429.6 733.9V2787 LENS MX60T 125 DIOP 19.5 395.00 276.5 189.6 323.9V2787 LENS MX60ET 425 DIOP 14.5 375.00 262.5 180 307.5V2787 LENS MX60ET 200 DIOP 23.0 375.00 262.5 180 307.5V2787 LENS MX60ET 200 DIOP 22.0 375.00 262.5 180 307.5V2787 LENS MX60ET 200 DIOP 19.5 1,563.75 1,094.63 750.6 1,282.28V2787 LENS MX60ET 200 DIOP 10.0 375.00 262.5 180 307.5V2787 LENS MX60ET 200 15.0 375.00 262.5 180 307.5V2787 LENS MX60ET 2.75 DIOP 18.0 375.00 262.5 180 307.5V2787 LENS MX60ET 2.75 26.0 395.00 276.5 189.6 323.9V2787 LENS MX60ET 125 DIOP 8.0 1,563.75 1,094.63 750.6 1,282.28V2787 LENS MX60ET 125 DIOP 26.5 1,563.75 1,094.63 750.6 1,282.28V2787 LENS MX60ET 125 DIOP 16.0 375.00 262.5 180 307.5V2787 LENS MX60ET 125 DIOP 15.5 375.00 262.5 180 307.5V2787 LENS DIOP 28.0 TORIC 395.00 276.5 189.6 323.9V2787 LENS DIOP 25.5 TORIC SA6AT4 1,628.75 1,140.13 781.8 1,335.58V2787 LENS DIOP 25.5 TORIC 395.00 276.5 189.6 323.9V2787 LENS DIOP 25.0 TORIC SN6AT6 395.00 276.5 189.6 323.9V2787 LENS DIOP 25.0 TORIC 1,628.75 1,140.13 781.8 1,335.58V2787 LENS DIOP 24.5 TORIC 395.00 276.5 189.6 323.9V2787 LENS DIOP 24.0 TORIC 395.00 276.5 189.6 323.9V2787 LENS DIOP 23.0 TORIC 1,628.75 1,140.13 781.8 1,335.58V2787 LENS DIOP 22.5 TORIC SNGAT4 395.00 276.5 189.6 323.9V2787 LENS DIOP 22.5 TORIC 395.00 276.5 189.6 323.9V2787 LENS DIOP 22.0 TORIC SN6AT3 1,628.75 1,140.13 781.8 1,335.58V2787 LENS DIOP 20.0 TORIC 395.00 276.5 189.6 323.9

V2787 LENS DIOP 18.5 TORIC SN6AT3 395.00 276.5 189.6 323.9V2787 LENS DIOP 18.0 TORIC 1,628.75 1,140.13 781.8 1,335.58V2787 LENS DIOP 17.0 TORIC 1,628.75 1,140.13 781.8 1,335.58V2787 LENS DIOP 16.5 TORIC 395.00 276.5 189.6 323.9V2787 LENS DIOP 16.0 TORIC 395.00 276.5 189.6 323.9V2787 LENS SA6AT5 DIOP 22.0 1,628.75 1,140.13 781.8 1,335.58V2787 TRULIGN TORIC LENS 25.5 + 2.75 20.00 14 9.6 16.4V2787 LENS ZCT300 DIOP 15.0 1,563.75 1,094.63 750.6 1,282.28V2787 LENS ZCT225 DIOP 20.5 1,563.75 1,094.63 750.6 1,282.28V2787 LENS ZCT150 DIOP 19.0 1,563.75 1,094.63 750.6 1,282.28V2787 LENS SA6AT5 DIOP 19.5 395.00 276.5 189.6 323.9V2787 LENS SA6AT5 DIOP 19.0 1,628.75 1,140.13 781.8 1,335.58V2787 LENS SA6AT5 DIOP 18.0 1,628.75 1,140.13 781.8 1,335.58V2787 LENS MX60TP575 DIOP 14.0 1,628.75 1,140.13 781.8 1,335.58V2787 LENS MX60TP500 DIOP 20.0 395.00 276.5 189.6 323.9V2787 LENS MX60ET 125 DIOP 19.0 375.00 262.5 180 307.5V2787 LENS DIOP 27.0 TORIC 395.00 276.5 189.6 323.9V2787 LENS DIOP 25.5 TORIC 395.00 276.5 189.6 323.9V2787 LENS DIOP 22.5 TORIC 395.00 276.5 189.6 323.9V2787 LENS DIOP 21.0 TORIC SA6AT5 1,628.75 1,140.13 781.8 1,335.58V2787 LENS DIOP 21.0 TORIC 395.00 276.5 189.6 323.9V2787 LENS DIOP 20.5 TORIC 395.00 276.5 189.6 323.9V2787 LENS DIOP 20.0 TORIC 395.00 276.5 189.6 323.9V2787 LENS DIOP 19.5 TORIC 395.00 276.5 189.6 323.9V2787 LENS DIOP 19.5 TORIC 395.00 276.5 189.6 323.9V2787 LENS DIOP 19.0 TORIC SN6AT4 1,628.75 1,140.13 781.8 1,335.58V2787 LENS DIOP 19.0 TORIC 1,628.75 1,140.13 781.8 1,335.58V2787 LENS DIOP 15.0 TORIC 395.00 276.5 189.6 323.9V2787 LENS DIOP 14.0 TORIC 395.00 276.5 189.6 323.9V2787 LENS DIOP 13.0 TORIC 1,628.75 1,140.13 781.8 1,335.58V2787 LENS 26.5 395.00 276.5 189.6 323.9V2787 LENS 24.5 TORIC 395.00 276.5 189.6 323.9V2787 LENS MX60TP125 16.0 395.00 276.5 189.6 323.9V2787 LENS MX60T 125 DIOP 17.0 395.00 276.5 189.6 323.9V2787 LENS MX60ET 125 DIOP 20.5 375.00 262.5 180 307.5V2787 LENS DIOP 20.0 1,628.75 1,140.13 781.8 1,335.58V2787 LENS DIOP 17.5 1,628.75 1,140.13 781.8 1,335.58V2787 LENS DIOP 15.5 1,628.75 1,140.13 781.8 1,335.58V2787 LENS DIOP 24.5 2,928.75 2,050.13 1,405.80 2,401.58V2788 LENS DIOP 19.5 395.00 276.5 189.6 323.9V2788 LENS ZMB00 17.5 775.00 542.5 372 635.5V2788 LENS ZLU375 DIOP 21.5 2,928.75 2,050.13 1,405.80 2,401.58V2788 LENS ZLU375 DIOP 18.0 775.00 542.5 372 635.5V2788 LENS ZLU300 DIOP 19.0 2,928.75 2,050.13 1,405.80 2,401.58V2788 LENS ZLU225 27.5 775.00 542.5 372 635.5V2788 LENS ZLU150 DIOP 15.0 795.00 556.5 381.6 651.9V2788 LENS ZLU150 19.5 775.00 542.5 372 635.5V2788 LENS ZLU150 17.5 795.00 556.5 381.6 651.9V2788 LENS ZLBOO DIOP 16.5 775.00 542.5 372 635.5V2788 LENS ZLBOO 24.5 2,863.75 2,004.63 1,374.60 2,348.28V2788 LENS ZLBOO 24.0 775.00 542.5 372 635.5V2788 LENS ZLBOO 23.5 775.00 542.5 372 635.5V2788 LENS ZLBOO 23.0 20.00 14 9.6 16.4V2788 LENS ZLBOO 22.5 20.00 14 9.6 16.4V2788 LENS ZLBOO 22.0 775.00 542.5 372 635.5V2788 LENS ZLBOO 21.5 795.00 556.5 381.6 651.9V2788 LENS ZLBOO 20.5 2,863.75 2,004.63 1,374.60 2,348.28V2788 LENS ZLBOO 20.0 775.00 542.5 372 635.5V2788 LENS ZLBOO 19.0 2,863.75 2,004.63 1,374.60 2,348.28V2788 LENS ZLBOO 17.5 2,863.75 2,004.63 1,374.60 2,348.28V2788 LENS ZLBOO 17.0 775.00 542.5 372 635.5V2788 LENS ZLBOO 15.5 775.00 542.5 372 635.5V2788 LENS ZLBOO 15.0 775.00 542.5 372 635.5V2788 LENS ZLBOO 14.5 2,863.75 2,004.63 1,374.60 2,348.28V2788 LENS ZLBOO 14.0 775.00 542.5 372 635.5V2788 LENS ZLBOO 13.0 775.00 542.5 372 635.5V2788 LENS ZLBOO 13.5 2,863.75 2,004.63 1,374.60 2,348.28V2788 LENS ZLB00 19.5 2,863.75 2,004.63 1,374.60 2,348.28V2788 LENS ZLB00 18.5 2,863.75 2,004.63 1,374.60 2,348.28V2788 LENS ZLB00 18.0 775.00 542.5 372 635.5V2788 LENS SV25TO DIOP 27.0 2,928.75 2,050.13 1,405.80 2,401.58V2788 LENS SV25TO DIOP 26.5 2,928.75 2,050.13 1,405.80 2,401.58

V2788 LENS SV25TO DIOP 18.5 2,928.75 2,050.13 1,405.80 2,401.58V2788 LENS SV25TO DIOP 16.5 2,928.75 2,050.13 1,405.80 2,401.58V2788 LENS SV25T4 DIOP 22.5 2,928.75 2,050.13 1,405.80 2,401.58V2788 LENS PANOPTIX 23.0 895.00 626.5 429.6 733.9V2788 LENS PANOPTIX 17.5 895.00 626.5 429.6 733.9V2788 LENS MX60ET200 DIOP 17.0 375.00 262.5 180 307.5V2788 LENS MX60ET 23.0 375.00 262.5 180 307.5V2788 LENS MFT ZLU300 18.5 775.00 542.5 372 635.5V2788 LENS DIOP ZLB00 7.5 775.00 542.5 372 635.5V2788 LENS DIOP AQ5010 + 2.0 1,320.00 924 633.6 1,082.40V2788 LENS DIOP 24.0 TECNIS ZMB00 2,863.75 2,004.63 1,374.60 2,348.28V2788 LENS DIOP 21.5 TECNIS ZMB00 6,781.25 4,746.88 3,255.00 5,560.63V2788 LENS DIOP 17.0 TECNIS ZMB00 2,863.75 2,004.63 1,374.60 2,348.28V2788 LENS DIOP 17.0 ACRYSOFT IQ 2,928.75 2,050.13 1,405.80 2,401.58V2788 LENS DIOP 15.5 TORIC 1,628.75 1,140.13 781.8 1,335.58V2788 LENS DIOP 13.5 TORIC 1,628.75 1,140.13 781.8 1,335.58V2788 LENS DIOP 12.5 TORIC 1,628.75 1,140.13 781.8 1,335.58V2788 CRYSTALENS 20.5 3,107.50 2,175.25 1,491.60 2,548.15V2788 LENS DIOP 22.0 2,928.75 2,050.13 1,405.80 2,401.58