Ohio Regional Medical Center. It is not a helpful tool for ... · icu services pleurodesis $ 390 icu services glucose; quan blood-cicu $ 30 icu services debride skin/tissue $ 291

Service Description Charge State of Ohio Requirment

ROOM/BOARD ROOM & BED 1,360$ X

NURSERY ROOM & BED 990$ X

ICU SERVICES ROOM & BED 3,200$

ICU SERVICES ICU SECONDARY 1,360$

LABOR/DELIVERY SERVICES CHARGE BIRTHING ROOM - LABOR B 2,000$

LABOR/DELIVERY SERVICES OXYGEN DAILY CHARGE 160$

LABOR/DELIVERY SERVICES OXYGEN SET UP CBC 45$

LABOR/DELIVERY SERVICES CIRCUMCISION W/REGIONL BLOCK 2,343$

LABOR/DELIVERY SERVICES AMNIOCENTESIS-DIAGNOSTIC 493$ X

LABOR/DELIVERY SERVICES TEST NON-STRESS - CBC TEST NON 559$

LABOR/DELIVERY SERVICES CHARGE TONGUE CLIP TONGUE CLIP 1,043$

LABOR/DELIVERY SERVICES IV HYDRATION INITIAL HOUR-CBC 426$

LABOR/DELIVERY SERVICES INJECTION-SUBCUT/INTRAMUS 130$

LABOR/DELIVERY SERVICES INJECTION-INTRAVENOUS 281$

LABOR/DELIVERY SERVICES TX/PROPH/DG ADDL SEQ IV INF 232$

LABOR/DELIVERY SERVICES IV INF THER ADD HOUR(S)-CBC 143$

LABOR/DELIVERY SERVICES INJ IV PUSH NEW DRUG-CBC 153$

LABOR/DELIVERY SERVICES THER/PROPH/DG IV INF INIT-CBC 510$

LABOR/DELIVERY SERVICES THER/PROPH/DG IV INF ADD-CBC 155$

LABOR/DELIVERY SERVICES MISC IN-ROOM PROCEDURE 370$

LABOR/DELIVERY SERVICES CHARGE SURGERY PER MIN CBC SUR 82$ X

LABOR/DELIVERY SERVICES CHARGE SURGERY BASE FEE CBC SU 1,816$ X

LABOR/DELIVERY SERVICES CHARGE BLADDER SCAN CBC 130$

LABOR/DELIVERY SERVICES CHARGE FETALSCAN ULTRASOUND FE 823$

LABOR/DELIVERY SERVICES FOLEY CATH INSERTION - CBC FOL 222$

LABOR/DELIVERY SERVICES STRAIGHT CATH INSERTION - CBC 223$

LABOR/DELIVERY SERVICES GLUCOSE; QUAN BLOOD CBC 30$

LABOR/DELIVERY SERVICES US-1ST TRIMESTER 739$

LABOR/DELIVERY SERVICES US-COMPLETE 2ND/3RD TRIMESTER 746$

LABOR/DELIVERY SERVICES US-COMPLETE 2ND/3RD TRIMESTER- 892$

LABOR/DELIVERY SERVICES US-LEVEL II 778$

LABOR/DELIVERY SERVICES US-OB VAGINAL 731$

LABOR/DELIVERY SERVICES US-BIOPHYSICAL W/NST 1,550$

LABOR/DELIVERY SERVICES CATH - UVC 349$

LABOR/DELIVERY SERVICES NB RESUSICATION 484$

LABOR/DELIVERY SERVICES EXTERNAL CEPHALIC VERSION 707$

LABOR/DELIVERY SERVICES EVOKED OAE - LIMITED 265$

LABOR/DELIVERY SERVICES ANES BLOCK LOCAL OR NERVE 779$

LABOR/DELIVERY SERVICES INTUBATION ENDOTRACHEAL 728$

LABOR/DELIVERY SERVICES STRAIGHT CATH INSERT-SPECIMEN 56$

LABOR/DELIVERY SERVICES ABR HEARING TEST 319$

LABOR/DELIVERY SERVICES TOTAL MIN RECOVERY-CBC PHASE 1 26$



LABOR/DELIVERY SERVICES TREATMENT LEVEL I - CBC 124$

LABOR/DELIVERY SERVICES TREATMENT LEVEL II CBC 171$

LABOR/DELIVERY SERVICES TREATMENT LEVEL III CBC 274$

LABOR/DELIVERY SERVICES REPEAT MEDICATION-IV PUSH-CBC 133$

LABOR/DELIVERY SERVICES CHARGE EPIDURAL PATCH CBC 893$

LABOR/DELIVERY SERVICES DELIVERY OF PLACENTA 2,724$

LABOR/DELIVERY SERVICES TREATMENT LEVEL IV CBC 315$

LABOR/DELIVERY SERVICES TREATMENT LEVEL V CBC 459$

LABOR/DELIVERY SERVICES TREATMENT I CBC - 25 124$

LABOR/DELIVERY SERVICES TREATMENT LEVEL II CBC 171$

LABOR/DELIVERY SERVICES TREATMENT III CBC - 25 274$

LABOR/DELIVERY SERVICES TREATMENT LEVEL IV CBC - 25 315$

LABOR/DELIVERY SERVICES TREATMENT LEVEL V CBC - 25 459$

LABOR/DELIVERY SERVICES CAR SEAT/BED TEST 60 MIN 119$

LABOR/DELIVERY SERVICES CAR SEAT/BED TEST +30 MIN 119$

LABOR/DELIVERY SERVICES CAR SEAT FIT TEST OVER 28 DAYS 174$

LABOR/DELIVERY SERVICES US BIOPHYSICIAL W/INST-TWINS 1,550$

LABOR/DELIVERY SERVICES EDUCATIONAL FEE 32$

RADIOLOGY SERVICES MAMMOGRAPHY CHL - BILATERAL 165$

RADIOLOGY SERVICES 3D CHL SCREENING MAMMO BILAT 83$

ICU SERVICES EMERG DIALYSIS ESDR PT 1,458$

ICU SERVICES BRONCHOSCOPY PROCEDURES 2,266$

ICU SERVICES RECOVERY PHASE I - CICU 13$

ICU SERVICES RECOVERY PHASE II - CICU 8$

ICU SERVICES TOTAL MINUTES RECOVERY PHASE 3 3$

ICU SERVICES IV HYDRATION INITIAL HOUR-CICU 426$

ICU SERVICES HYDRATE IV INFUSION ADD-ON-CIC 143$

The information provided below is a comprehensive list of charges for each inpatient and outpatient service or item provided by Southeastern

Ohio Regional Medical Center. It is not a helpful tool for patients to comparison shop between hospitals or to estimate what health care

services are going to cost them out of their own pocket. For more information about the cost of your care, please contact our Patient Financial

Services staff by calling 740-439-8140 , option 2 or by email at [email protected] .

ICU SERVICES THER/PROPH/DG IV INF INIT-CICU 510$

ICU SERVICES THER/PROPH/DG IV INF ADD-CICU 155$

ICU SERVICES THER/DIAG CONCURRENT INF-CICU 229$

ICU SERVICES TX/PROPH DG ADDL SEQ IV INF 232$

ICU SERVICES INJECTION-SUBCUT/INTRAMUS 130$

ICU SERVICES INJECTION-INTRAVENOUS 281$

ICU SERVICES INJ IV PUSH NEW DRUG-CICU 153$

ICU SERVICES HEMODIALYSIS - CRONIC 1,549$

ICU SERVICES HEMODIALYSIS-ACUTE 1,184$

ICU SERVICES BLADDER SCAN 130$

ICU SERVICES BONE MARROW 374$

ICU SERVICES LIVER BIOPSY 878$

ICU SERVICES PARACENTESIS 584$

ICU SERVICES THORACENTESIS 905$

ICU SERVICES CHEST TUBE INSERTION 407$

ICU SERVICES LUMBAR PUNCTURE 800$

ICU SERVICES DECLOT VASCULAR DEVICE 456$

ICU SERVICES CENTRAL LINE INSERTION 1,572$

ICU SERVICES SWAN GANZ INSERTION 1,965$

ICU SERVICES INTUBATION ENDOTRACHEAL 728$

ICU SERVICES ARTERIAL LINE INSERTION 1,613$

ICU SERVICES CARDIOVERSION 1,147$

ICU SERVICES TEMPORARY EXTERNAL PACING 484$

ICU SERVICES FOLEY CATH INSERTION 222$

ICU SERVICES STRAIGHT CATH INSERTION 203$

ICU SERVICES PLEURODESIS 390$

ICU SERVICES GLUCOSE; QUAN BLOOD-CICU 30$

ICU SERVICES DEBRIDE SKIN/TISSUE 291$

ICU SERVICES CLOSURE OF WOUND 222$

ICU SERVICES DRAINAGE OF SKIN ABSCESS 643$

ICU SERVICES VACCINE ADMIN-FLU-CICU 112$

ICU SERVICES VACCINE ADMIN-PNEUMONIA-CICU 112$

ICU SERVICES STRAIGHT CATH INSERT-SPECIMEN 56$

ICU SERVICES REPEAT MEDICATION-IV PUSH-CICU 133$

ICU SERVICES MISC IN-ROOM PROCEDURE 370$

ICU SERVICES US-GUIDANCE FOR VASCULAR ACCES 731$

ICU SERVICES SLING DISP REPOSITIONING 250$

ICU SERVICES BICARBONATE POWDER 30$

ICU SERVICES DIALYZER 118$

CARDIAC CATH SERVICES LHC LV CORONARY ANGIOGRAPHY 13,251$

CARDIAC CATH SERVICES LHC CORONARY ANGIOGRAPHY 13,251$

CARDIAC CATH SERVICES LHC LV CORONARY & SVG ANGIO 16,272$

CARDIAC CATH SERVICES AORTOGRAM W/FL 2,063$

CARDIAC CATH SERVICES LHC LV CORONARY SVG & IMA ANGI 16,272$

CARDIAC CATH SERVICES LHC CORONARY & SVG ANGIOGRAPHY 16,272$

CARDIAC CATH SERVICES LHC CORONARY SVG & IMA ANGIO 16,272$

CARDIAC CATH SERVICES INT-AORT BALL PUMP INS W/FL 1,153$

CARDIAC CATH SERVICES RHC/LHC LV CORONARY SVG & IMA 16,974$

CARDIAC CATH SERVICES RHC/LHC LV CORONARY ANGIOGRAPH 13,920$

CARDIAC CATH SERVICES RHC/LHC CORONARY ANGIOGRAPHY 13,920$

CARDIAC CATH SERVICES RHC/LHCLVCORONARY AND SVG ANGI 16,974$

CARDIAC CATH SERVICES RIGHT HEART CATH W/FL 4,683$

CARDIAC CATH SERVICES ULTRASOUND GUIDED NEEDLE PLMNT 582$

CARDIAC CATH SERVICES RHC/LHCCORONARY AND SVG ANGIOG 16,974$

CARDIAC CATH SERVICES RHC/LHCCORONARYSVG AND IMA ANG 16,974$

CARDIAC CATH SERVICES INJECTION-SUBCUT/INTRAMUS 130$

CARDIAC CATH SERVICES RECOVERY ROOM 29$

CARDIAC CATH SERVICES RECOVERY PHASE II - CATH LAB 8$

CARDIAC CATH SERVICES IMPL PT ACTIVATED CARD EVENT 5,736$

CARDIAC CATH SERVICES REMOVE CARDIAC IMPLANT DEVICE 2,477$

CARDIAC CATH SERVICES EVENT RECORDER CARDIAC 11,583$

CARDIAC CATH SERVICES CATH ANGIO M 5FR JUDKINS 534-5 44$

CARDIAC CATH SERVICES CATH ANGIO PIG 5FR INFINITI 53 44$

CARDIAC CATH SERVICES VASCULAR CLOSE DEVICE 6FR ANG 918$

CARDIAC CATH SERVICES CATH ANGIO JL3.5 5.0FR INFINIT 44$

CARDIAC CATH SERVICES CATH ANGIO JL4.0 5FR JUDKINS 5 44$

CARDIAC CATH SERVICES CATH ANGIO MPA2 5FR JUDKINS 53 44$

CARDIAC CATH SERVICES CATH ANGIO JR5 5FR JUDKINS 533 44$

CARDIAC CATH SERVICES CATH ANGIO MULTIPAK 5FR JUDKIN 127$

CARDIAC CATH SERVICES CATH ANGIO MULTIPK 6FR JUDKINS 130$

CARDIAC CATH SERVICES OMNI 300 OR VISI 320 PER ML 1$

CARDIAC CATH SERVICES CATH ANGIO NO TORQ 5FR 3DRC 53 44$

CARDIAC CATH SERVICES CATH ANGIO IM 6FR JUDKINS 44$

CARDIAC CATH SERVICES CATH ANGIO LCB 6FR JUDKINS 44$

CARDIAC CATH SERVICES CATH ANGIO AL1 5FR INFINITI 44$

CARDIAC CATH SERVICES CATH ANGIO AL2 5FR INFINITI 44$

RESPERATORY THERAPY SERVICES ARTERIAL PUNCTURE BLOOD FOR DX 128$

RESPERATORY THERAPY SERVICES AQUAPAK HUMIDIFIER PREFILL 320 5$

RESPERATORY THERAPY SERVICES OXYGENATOR 396049 6$

RESPERATORY THERAPY SERVICES ADAPTOR AEROSOL T 1077 0$

RESPERATORY THERAPY SERVICES TUBE AEROSOL CORROGATED 48 IN 2$

RESPERATORY THERAPY SERVICES TUBE AEROSOL CORROGATED 72 IN 4$

RESPERATORY THERAPY SERVICES SPIROMETER DISPOSABLE 88847190 7$

RESPERATORY THERAPY SERVICES 6 MINUTE WALK TEST 250$

RESPERATORY THERAPY SERVICES NEBULIZER PED W/MASK AND 7 FT 4$

RESPERATORY THERAPY SERVICES AIRWAY INHALATION TRETMENT INT 143$ X

RESPERATORY THERAPY SERVICES AIRWAY INHALATION TREATMENT-76 143$

RESPERATORY THERAPY SERVICES EVAL PT USE OF INHALER PER DAY 137$

RESPERATORY THERAPY SERVICES VENTILATOR SET UP/FIRST DAY 908$

RESPERATORY THERAPY SERVICES VENTILATOR SUBSEQUENT DAY 990$

RESPERATORY THERAPY SERVICES CPAP/BIPAP INITIATION & MNGMNT 455$

RESPERATORY THERAPY SERVICES POSTURL DRAINGE / PERCUSS INIT 240$

RESPERATORY THERAPY SERVICES PERCUSSION TREATMENT 240$

RESPERATORY THERAPY SERVICES OXYGEN SET UP 48$

RESPERATORY THERAPY SERVICES OXYGEN-DAILY SERVICE 160$

RESPERATORY THERAPY SERVICES CBT 1ST HOUR 177$

RESPERATORY THERAPY SERVICES CBT EACH ADDL HOUR 177$

RESPERATORY THERAPY SERVICES PEAK FLOW 239$

RESPERATORY THERAPY SERVICES INCENTIVE SPIROMETRY TX 288$

RESPERATORY THERAPY SERVICES PULSE OXIMETRY OVERNIGHT 301$

RESPERATORY THERAPY SERVICES CPR 690$

RESPERATORY THERAPY SERVICES BAG AMBU RESUSCITATE COMP ADLT 26$

RESPERATORY THERAPY SERVICES BAG AMBU RESUSCITATE COMP PED 41$

RESPERATORY THERAPY SERVICES VALVE PEEP RESUSCITATION BAG 8 7$

RESPERATORY THERAPY SERVICES FILTER DISP PORT VENTILATOR 16 2$

RESPERATORY THERAPY SERVICES ARTERIAL BLOOD GAS (POC) 177$

RESPERATORY THERAPY SERVICES METER PEAK FLOW 96510 33$

RESPERATORY THERAPY SERVICES WATER CONCHA 1650ML 381-50 9$

RESPERATORY THERAPY SERVICES ADAPTER ENTRANTMENT AQUAPAK 03 8$

RESPERATORY THERAPY SERVICES VALVE ONE-WAY 1644 2$

RESPERATORY THERAPY SERVICES CIRCUIT BIPAP DISP 312107 32$

RESPERATORY THERAPY SERVICES T-ASSEMBLY NON REBREATHING 33- 9$

RESPERATORY THERAPY SERVICES MASK W/HEADGEAR MED PERFORMATR 96$

RESPERATORY THERAPY SERVICES MASK WITH HEADGEAR LARGE PERFO 96$

RESPERATORY THERAPY SERVICES MASK W/HEADGEAR SM PERFORMATRA 96$

SLEEP LAB SERVICES MULTIPLE SLEEP LATENCY 3,142$

SLEEP LAB SERVICES SLEEP STUDY-UNATTENDED 1,934$

SLEEP LAB SERVICES SLEEP STUDY-ATTENDED 2,073$

SLEEP LAB SERVICES POLYSCOMNOGRAPHY 1-3 ADDITIONA 2,073$

SLEEP LAB SERVICES POLYSOMNOGRAPHY-4 PLUS ADDITIO 3,487$

SLEEP LAB SERVICES PSS W 4/> P W CPAP/BIPAP 3,804$

SLEEP LAB SERVICES POLYSOMNOGRAPHY-4+ADD PARAM-52 3,487$

SLEEP LAB SERVICES POLYSOMNOGRAPHY - 52 3,804$

SLEEP LAB SERVICES MULTIPLE SLEEP LATENCY-52 3,142$

SURGICAL SERVICES ENDOVASC ABLATION CATH NON-CAR 2,307$

SURGICAL SERVICES LITHOVIEW SCOPE - DISPOSABLE 4,354$

SURGICAL SERVICES BOVIE PAD-BLUE 9160V 12$

SURGICAL SERVICES PEANUT 7103 MEDICAL ACTION 3$

SURGICAL SERVICES BILE BAGS 0015850 20$

SURGICAL SERVICES SUCTION CATH. 18 1$

SURGICAL SERVICES SUCTION CATH 14 1$

SURGICAL SERVICES SUCTION 10 1$

SURGICAL SERVICES URINE METER W/BAG 153214 40$

SURGICAL SERVICES TUBE RECTAL 36FR 43670036 34$

SURGICAL SERVICES STERI-STRIPS 1/4 IN R1541 2$

SURGICAL SERVICES PACKING IODOFORM 1/4 IN 7831 9$

SURGICAL SERVICES PACKING PLAIN 1/4 IN 7631 6$

SURGICAL SERVICES PAD EYE STERILE KENDALL 0$

SURGICAL SERVICES SUSPENSORY LARGE 201255 38$

SURGICAL SERVICES CATHETER THORACIC 40 FR 570572 21$

SURGICAL SERVICES UROGATE IRRIGATION TUBING SET 17$

SURGICAL SERVICES PAD UNDERCAST 2IN 2$




SURGICAL SERVICES ADAPTIC 3 IN X 3 IN 6112 1$



SURGICAL SERVICES STAPLE REMOVER SKIN STERILE PS 3$

SURGICAL SERVICES TEGADERM 8 IN X 12 IN 1629 6$

SURGICAL SERVICES TEGADERM 2 3/8 INX2 3/4 1624W 1$

SURGICAL SERVICES TUBE ENDO MUR UNCUFFED 6.0MM 5 3$

SURGICAL SERVICES TUBE ENDO MUR CUFFED 8.5MM V5 5$

SURGICAL SERVICES TEGADERM 4 IN X 4 3/4 IN 1626W 2$

SURGICAL SERVICES TRANSDUCER W/MONITOR KIT DISP 54$

SURGICAL SERVICES IRR SODIUM CHLORIDE 3000ML 797 19$

SURGICAL SERVICES AIRWAY ORAL YELLOW 90MM 1159 2$

SURGICAL SERVICES AIRWAY NASOPHARYNGEAL 26FR 888 24$

SURGICAL SERVICES TOOMEY 70CC SYRINGE 0038460 5$

SURGICAL SERVICES FEMORAL ART LINE C-PMS-400-FA 141$

SURGICAL SERVICES KIT RADIAL ARTERY CATHETER20GA 90$

SURGICAL SERVICES NEEDLE INFUSION BENT 20GA 3/4 20$

SURGICAL SERVICES 3M CAST FIBERGLASS 2"" 82002 7$

SURGICAL SERVICES 3M CAST FIBERGLASS 3"" 82003 9$

SURGICAL SERVICES HOLDER SUCT TUBE NASAL 7$

SURGICAL SERVICES HOLDER DRAIN TUBE STERILE 9780 17$

SURGICAL SERVICES TRANSDUCER OXYGEN PEDIATRIC DI 34$

SURGICAL SERVICES PROBE SKIN TEMP STRIP DISPOSAB 14$

SURGICAL SERVICES SET EXTENSION LOW VOL 60 IN 53 3$

SURGICAL SERVICES COVER WARMING UNIT UPPER BODY 18$

SURGICAL SERVICES SWATHE AND SLING SHOULDER UNIV 26$

SURGICAL SERVICES SUCTION INS POOLE W/10 4$

SURGICAL SERVICES CHEST DRAIN CONT THORA-SEAL 71 69$

SURGICAL SERVICES TUBE TRACH ORAL RAE CUFFED 4.5 13$

SURGICAL SERVICES PACKING NASAL POSTERIOR POPE 4 103$

SURGICAL SERVICES COVER WARMING UNIT LOWER BODY 18$

SURGICAL SERVICES TUBING INSUFFLATION LAPAROSCOP 30$

SURGICAL SERVICES RADIAL ARTERY CATH.20GA SINGLE 40$

SURGICAL SERVICES KIT PERC INTRO 8.5FR W/LOCK AK 154$

SURGICAL SERVICES RESERVOIR SUCT JACKSON PRATT 0 15$

SURGICAL SERVICES SET BLOOD NONVENTED Y-TYPE 126 11$

SURGICAL SERVICES SHIELD EYE UNIVERSAL 581040 7$

SURGICAL SERVICES SHOE POST-OP YOUTH 8601-697-02 15$

SURGICAL SERVICES KITTNER ENDO BLUNT DISSECTOR 64$

SURGICAL SERVICES SET W/BAG BLOOD COLLECTION 4R3 20$

SURGICAL SERVICES TUBE TRACHEAL EXCHANGER TTX 15$

SURGICAL SERVICES GUARD PIN WHITE 1.1MM S 14$

SURGICAL SERVICES BLADE SAW GIGLE 300MM LENGTH 2 110$

SURGICAL SERVICES BOVIE NEEDLE TIP 138102 4$

SURGICAL SERVICES BOVIE 6 IN EXTENDED BLADE 1381 10$

SURGICAL SERVICES EAR WICK POPE 24/BX 8$

SURGICAL SERVICES BLADE EYE SLIT 3.2MM ANGLED 37 97$

SURGICAL SERVICES LOOP BLUE MAXI 01-1-012 4$

SURGICAL SERVICES ENDO BABCOCK 10MM 174001 767$

SURGICAL SERVICES PURSTRING 65 020242 679$

SURGICAL SERVICES ENDO STITCH 10MM SUTURE DEVICE 1,182$

SURGICAL SERVICES ENDO PADDLE RETRACT 10MM INSTR 1,195$

SURGICAL SERVICES ENDO RETRACT MAXI 10MM INSTRMT 1,276$

SURGICAL SERVICES ROTICULATOR ENDO GRASP 5MM 174 1,183$

SURGICAL SERVICES SCREW CORTICAL 1.5MMX6MM 1,541$

SURGICAL SERVICES BLADE SAW SAGITTAL KM-101 KM-1 24$

SURGICAL SERVICES BLADE SAGITTAL NARROW MED LONG 143$

SURGICAL SERVICES CEMENT RESTRICTOR 18MM 0100-18 251$

SURGICAL SERVICES COTTONOID 1/2 INX 3 IN PATTIE 50$

SURGICAL SERVICES PAD ELECTROSURG INF SPLIT CORD 13$

SURGICAL SERVICES BLADE LONG MED AGGRESSIVE 163$

SURGICAL SERVICES CEMENT BONE OSTEOBOND SINGLES 225$

SURGICAL SERVICES PROBE LAPAROSCOPIC 5MM 464$

SURGICAL SERVICES SUTURE PROLENE 2 12/BX 120$

SURGICAL SERVICES SUTURE VICRYL 3-0 12/BX 11$

SURGICAL SERVICES SUTURE BOLSTER RETENTION ABDOM 10$

SURGICAL SERVICES SUTURE ETH BLK MONO 1 12/BX 36$

SURGICAL SERVICES SUTURE ETH BLK MONO 2-0 36/BX 8$









SURGICAL SERVICES SUTURE ETHIBOND EXCEL 0 CX45D 53$

SURGICAL SERVICES SUTURE ETHIBOND EXCEL 2 MX69 69$

SURGICAL SERVICES SUTURE GUT CHR 3-0 36/BX 13$




SURGICAL SERVICES SUTURE GUT PL 2-0 36/BX 13$

SURGICAL SERVICES SUTURE ETH BLK MONO 2 24/BX 8$

SURGICAL SERVICES SUTURE NYLON ALCON 10-0 12/BX 62$

SURGICAL SERVICES SUTURE PDS II MONO 4-0 36/BX 11$

SURGICAL SERVICES SUTURE PDS II MONO 1 36/BX 10$

SURGICAL SERVICES SUTURE PDS II MONO 3-0 36/BX 10$

SURGICAL SERVICES SUTURE PDS II MONO 1 12/BX 32$

SURGICAL SERVICES SUTURE PRO BL MONO 0 36/BX 10$

SURGICAL SERVICES SUTURE PRO BL MONO 1 12/BX 15$

SURGICAL SERVICES SUTURE PRO BL MONO 2-0 36/BX 81$





SURGICAL SERVICES SUTURE PROLENE 0 36/BX 13$

SURGICAL SERVICES SUTURE PROLENE 4-0 36/BX 22$




SURGICAL SERVICES SUTURE SILK BLK BR 0 36/BX 6$

SURGICAL SERVICES SUTURE SILK BLK BR 1 36/BX 5$

SURGICAL SERVICES SUTURE SILK BLK BR 2-0 36/BX 10$










SURGICAL SERVICES SUTURE VICRYL 1 36/BX 7$



SURGICAL SERVICES SUTURE VICRYL UND BR 3-0 36/BX 16$


SURGICAL SERVICES SUTURE VICRYL UND BR 0 36/BX 10$


SURGICAL SERVICES SUTURE VICRYL UND BR NO 2 12/ 57$











SURGICAL SERVICES SUTURE VICRYL VIL BR 2-0 36/BX 6$

SURGICAL SERVICES TAPE UMBILICAL STER 1/8 INX18 5$


SURGICAL SERVICES BINDER BREAST QUEEN 958 Q 176$

SURGICAL SERVICES BINDER BREAST X-LARGE 958 XL 157$

SURGICAL SERVICES BINDER BREAST LARGE 958 LG 140$

SURGICAL SERVICES BINDER BREAST MEDIUM 958 MED 134$

SURGICAL SERVICES BAG-A-JET 2002S 3$

SURGICAL SERVICES CEMENT MIX SUPER BOWL 5049-30 167$

SURGICAL SERVICES STERI-STRIP 2 3/8 IN X 1 7/8 I 11$

SURGICAL SERVICES BLUE FISH VISCERAL RETAINER 32 95$

SURGICAL SERVICES NISSENS FUNDOPLICATION ENDO ST 205$

SURGICAL SERVICES ACE 6 IN SUPER ACE 1661 4$

SURGICAL SERVICES COBAN 4 IN 2084S 10$

SURGICAL SERVICES NEEDLE ANCHOR MAYO 1/2CIRC 11$

SURGICAL SERVICES SLEEVE PROTECTIVE DISP STERILE 2$

SURGICAL SERVICES ORTHOGLASS 2 IN OG-2L2 8$




SURGICAL SERVICES CAST 3M FIBERGLASS ROLL 6 IN 20$

SURGICAL SERVICES SET COLLECTION BERKLEY 23116 25$

SURGICAL SERVICES BONE WAX W31G 20$

SURGICAL SERVICES KIT ACCESSORY 700 72401850 249$

SURGICAL SERVICES FILTER ASSEMBLY BERKLEY DISP. 22$

SURGICAL SERVICES CURETTE CURVED 14MM BERKLEY 21 16$

SURGICAL SERVICES CATHETER CHOLANGIOGRAM 4.5FR 2 198$

SURGICAL SERVICES CATH FOLEY COUNCIL TIP 16FR 5C 37$

SURGICAL SERVICES BLADE OSCILLATING KM-005 AC-K 381$

SURGICAL SERVICES TAPE MEDIPORE HYPO 2 IN 2962 12$

SURGICAL SERVICES RETRACTOR IRIS FLEXIBLE 611.74 245$

SURGICAL SERVICES KNIFE STRAIGHT ULTRASHARP 681. 229$

SURGICAL SERVICES CAUTERY HIGH TEMP/FINE TP DISP 29$


SURGICAL SERVICES NEEDLE PNEUMOPERITONEUM 120MM 174$

SURGICAL SERVICES CLIP APPLIER LARGE ER420 308$

SURGICAL SERVICES CUTTER LINEAR W/LOCKOUT 75MM T 471$

SURGICAL SERVICES CUTTER LINEAR W/LOCKOUT 75MM T 530$

SURGICAL SERVICES CUTTER LINEAR RELOAD BLUE 75MM 255$

SURGICAL SERVICES STAPLER LINEAR 60MM 3.5 TX60B 314$

SURGICAL SERVICES CLIP APPLIER MED MCM20 178$

SURGICAL SERVICES STAPLER LINEAR 90MM TLH90 371$

SURGICAL SERVICES STAPLER LINEAR RELOAD 60MM 3.5 170$

SURGICAL SERVICES CUTTER LINEAR RELOAD 45MM REG 454$

SURGICAL SERVICES BLADE CRESCENT BEVEL UP 37-380 101$

SURGICAL SERVICES ANESTHESIA PRIMARY IV SET 1266 17$

SURGICAL SERVICES SUTURE VICRYL VIO BR 3-0 12/BX 44$

SURGICAL SERVICES SUTURE VICRYL TIES 0 36/BX 8$

SURGICAL SERVICES ADHESIVE WOUND CLOSE DERMABOND 58$



SURGICAL SERVICES ADHESIVE LIQUID MASTISOL 2/3 M 22$

SURGICAL SERVICES TRAY SPINAL BUPIVACAINE P25BK 57$

SURGICAL SERVICES FIXATION SYSTEM 30 FASTENERS L 1,529$

SURGICAL SERVICES IRR STERILE WATER (BTL) 1000ML 11$

SURGICAL SERVICES IRR SODIUM CHLORIDE 1000ML 11$

SURGICAL SERVICES PACK I/A ALCON INFINITY SYST 8 370$

SURGICAL SERVICES SCISSOR TIP MINI-ENDO DISPOSAB 80$

SURGICAL SERVICES CHAMBER AEROSOL HOLDING SPACER 21$

SURGICAL SERVICES SET ATRERIOVENOUS FISTULA 16GA 2$

SURGICAL SERVICES DRAIN 10MM JP 0070370 17$

SURGICAL SERVICES CIRCUIT VENT HEATED 7200/SERVO 89$

SURGICAL SERVICES DRAIN H2O CLOSED CIRCT W/PROBE 7$

SURGICAL SERVICES GAUZE STRETCH ROLL 6 X 6.75YD 2$

SURGICAL SERVICES TEDS THIGH EX-LARGE 959 XL-REG 14$

SURGICAL SERVICES TEDS KNEE XX-LARGE 7470 28$

SURGICAL SERVICES TEDS KNEE 3X-LARGE 7472 36$

SURGICAL SERVICES PACKING IODOFORM 1/2 IN 7832 10$

SURGICAL SERVICES PACKING IODOFORM 1 IN 7833 8$

SURGICAL SERVICES PACKING PLAIN 1/2 IN 7632 6$

SURGICAL SERVICES PACKING PLAIN 2 IN 7634 10$

SURGICAL SERVICES CATHETER COUDE 2-WAY HEMATURIA 85$

SURGICAL SERVICES CATHETER COUDE 12FR 5ML 0102L1 18$



SURGICAL SERVICES TEGADERM 2 INX2 1/4 PED 1610 3 1$

SURGICAL SERVICES TUBE ENDO MUR CUFFED 3.0MM 86 8$

SURGICAL SERVICES SUTURE GUT PL 4-0 SC-1 12$

SURGICAL SERVICES BLADE RECIPROCATING DOUBLE SID 146$


SURGICAL SERVICES TEGADERM 3 1/2 INX4 1/2 1655 6$

SURGICAL SERVICES SUTURE ETHIBOND 5LRLR GRN BR 3 16$

SURGICAL SERVICES DRILL BIT 2.0MM SHORT W/QC 711 276$

SURGICAL SERVICES GUIDEWIRE .035 IN 150CM EMERAL 296$

SURGICAL SERVICES DRILL BIT 2.7MM SHORT W/QC 711 415$

SURGICAL SERVICES DRILL BIT 2.7MM 155MM 7117-350 481$

SURGICAL SERVICES DRILL BIT 3.5MM 155MM 7117-350 266$

SURGICAL SERVICES COVER WARMING UNIT FULL BODY 4 16$

SURGICAL SERVICES SLEEVE SEQUENTIAL COMP KNEE XL 43$

SURGICAL SERVICES IMMOBILIZER SHOULDER MEDIUM 90 23$

SURGICAL SERVICES BITE GUARD FOR LMA DISP 5495-0 4$

SURGICAL SERVICES PACKING NASAL 8CM W/O TUBE DOY 336$

SURGICAL SERVICES GLIDEWIRE STIFF .035IN D 180CM 170$

SURGICAL SERVICES CATHETER SINUS BALLOON INFLATI 97$

SURGICAL SERVICES SLEEVE TROCAR NON-THREAD 12MM 54$

SURGICAL SERVICES TUBING SMOKE EVACUATOR CONMED 89$

SURGICAL SERVICES PROTECTIVE EYE MASK(ANESTHESIA 20$

SURGICAL SERVICES WAND EVAC 70 XTRA ARTHROSCOPY 588$

SURGICAL SERVICES MASK ANESTHESIA SMALL ADULT 22 6$

SURGICAL SERVICES MASK ANESTHESIA MED ADULT VDYN 6$

SURGICAL SERVICES MASK ANESTHESIA TODDLER 3-4YR 6$

SURGICAL SERVICES STOPCOCK 3 WAY DISP STERILE MX 1$

SURGICAL SERVICES BLADE EYE MICRO-SHARP 3.0MM 37 24$

SURGICAL SERVICES CEMENT MIX SYST W/FEM NOZZEL 6 297$

SURGICAL SERVICES NEEDLE SUTURE PASSER EZPRESSEW 459$

SURGICAL SERVICES SET LTA (ANESTHESIA) KIT 4698- 78$

SURGICAL SERVICES UROGATE EXTENSION TUBING NON-L 11$

SURGICAL SERVICES SET FLUID WARM HI FLOW REPL FI 40$

SURGICAL SERVICES SET IV FLUID HIGH FLOW RANGER 139$

SURGICAL SERVICES HOLDER ENDOTRACHEAL TUBE ETAD 34$

SURGICAL SERVICES ELECTRODE LEEP 2.0CM X 1.0CM R 58$

SURGICAL SERVICES SENSOR BIS MONITOR ASPECT 186- 62$

SURGICAL SERVICES CATHETER/ABLATION THERMACHOICE 3,367$

SURGICAL SERVICES BOVIE COAG.SUCTION DISP 10FR E 38$

SURGICAL SERVICES TROCAR NON-THREAD 5MM X 100MM 75$

SURGICAL SERVICES WATERBUG FLOOR SUCTION 26$

SURGICAL SERVICES DRESSING SILVER ACTICOAT 6X6 2 94$

SURGICAL SERVICES SPLINT NASAL PRECUT SMALL PS13 33$

SURGICAL SERVICES SPLINT NASAL PRECUT LARGE 37$

SURGICAL SERVICES ZERO TIP NITINOL 390-101 599$

SURGICAL SERVICES GRASPIT NITINOL 320-401 584$

SURGICAL SERVICES BOVIE PENCIL COATED BLADE 1313 20$

SURGICAL SERVICES PROBE GI ABC FLEX ARGON BEAM 1 1,020$

SURGICAL SERVICES GUIDEWIRE 0.035 SOFTWIRE 50035 118$

SURGICAL SERVICES BLADE MYRINGOTOMY 377121 40$

SURGICAL SERVICES COVER CLAMP SILICONE STERILE B 7$

SURGICAL SERVICES PLATE BREAST COMPRESSION 8390 142$

SURGICAL SERVICES NEEDLE INSULATED 20GAX6 IN PAI 57$

SURGICAL SERVICES CATHETER KUMAR CHOLANGIOGRAM C 127$

SURGICAL SERVICES STAPLE RELOAD GRAY VASCULAR 6R 118$

SURGICAL SERVICES KIT MANIFOLD AUTOMATED 60$

SURGICAL SERVICES GRASPER SUTURE RANFAC RSG-14 36$

SURGICAL SERVICES STONE CRUSHER TRAPIZIOD 861$

SURGICAL SERVICES GRAFT AXILLO BIFEM GORTEX 8,542$

SURGICAL SERVICES TISSUE FLOSEAL SEALNAT 5ML 811$

SURGICAL SERVICES BLADE SINUS STR SERRATED 3.5MM 628$

SURGICAL SERVICES GUIDEWIRE .035 3CM STR 150CM 6 153$

SURGICAL SERVICES COVER ULTRASOUND PROBE STERILE 76$

SURGICAL SERVICES DISP SEQ STOCKINGS AND PUMP-VE 490$

SURGICAL SERVICES PATCH HERNIA VENTRALEX SMALL 1,216$

SURGICAL SERVICES PATCH HERNIA VENTRALEX MEDIUM 1,452$

SURGICAL SERVICES PATCH HERNIA VENTRALEX LARGE 0 1,663$

SURGICAL SERVICES X-STREAM IRRIGATION TUBING 555 118$

SURGICAL SERVICES CANNULA 30GA ULTRAPOINT 60-121 18$

SURGICAL SERVICES STARCLOSE 14679 539$

SURGICAL SERVICES CLOTH 2% CHLOREXIDINE 9706 8$

SURGICAL SERVICES PACK ANTER VITRECTOMY INFINITI 392$

SURGICAL SERVICES CLIP APPLIER MULTIPLE 5MM MED/ 246$

SURGICAL SERVICES INTRODUCER CHECK FLO PERFORMER 355$

SURGICAL SERVICES CATHETER CODA BALLOON 10FR 120 1,490$

SURGICAL SERVICES SNARE 7FR ENDOVASCULAR ENDOLOG 1,184$

SURGICAL SERVICES INTRODUCER SHEATH 6FR RSS601 128$

SURGICAL SERVICES BOVIE 1IN GUARDED TIP 139104EX 14$

SURGICAL SERVICES TUBE VENT MODIFIED T SILICONE 103$

SURGICAL SERVICES HEMOCLIP TITANIUM MEDIUM 52380 50$

SURGICAL SERVICES SUTURE ETHILON 4-0 12/BX 16$

SURGICAL SERVICES SHEAR HARMONIC FOCUS 9CM FCS9 2,676$

SURGICAL SERVICES TOURNIQUET DISPOSABLE 30 IN 60 100$

SURGICAL SERVICES NEEDLE BIOPSY DISPOSABLE QUICK 137$

SURGICAL SERVICES MANIFOLD NEPTUNE 4 PORT 702-20 52$

SURGICAL SERVICES MANIFOLD NEPTUNE 1 PORT 702-25 33$

SURGICAL SERVICES BURR BARREL 6 FLUTE 5.5MM 375- 163$

SURGICAL SERVICES TUBING CASSETTE ARTHROSCOPY-DI 157$

SURGICAL SERVICES ANCHOR GRYPHON P BR W/ORTHOCOR 3,281$

SURGICAL SERVICES SLEEVE SEQUENTIAL KNEE MEDIUM 36$

SURGICAL SERVICES SLEEVE SEQUENTIAL KNEE LARGE 39$

SURGICAL SERVICES ANCHOR T HERNIA SET TA-008 195$

SURGICAL SERVICES BINDER BREAST SMALL 958 SM 134$

SURGICAL SERVICES NEEDLE ANCHOR 1859-3D 1859-3D 9$

SURGICAL SERVICES STAPLER CIRCULAR CURVED 33MM C 478$



SURGICAL SERVICES SHEAR HARMONIC 5MM ACE36P 1,343$

SURGICAL SERVICES CATHETER COUDE 18FR 30ML 0103L 28$

SURGICAL SERVICES TUBE ENDOBRONCHIAL 39FR LEFT V 172$

SURGICAL SERVICES CLIP APPLIER MULTIPLE 13 1/4IN 178$

SURGICAL SERVICES NEEDLE SPINAL 20GAX3 405172 42$


SURGICAL SERVICES AIRWAY EXCHANGE CATHETER 19FR 187$

SURGICAL SERVICES SUTURE ORTHOCORD VIOLET W/OS-6 135$

SURGICAL SERVICES LOOP YELLOW MAXI 01-1-013 4$

SURGICAL SERVICES CATHETER FOLEY 18FR 5ML 0165S 14$



SURGICAL SERVICES TEDS THIGH LARGE REG. 631 17$

SURGICAL SERVICES TEDS KNEE MEDIUM REG. 521 9$

SURGICAL SERVICES TEDS KNEE LARGE REG. 531 9$

SURGICAL SERVICES TEDS KNEE EXLARGE REG. 541 9$

SURGICAL SERVICES CATHETER TROCAR 24 FR 88885610 58$

SURGICAL SERVICES SUSPENSORY MEDIUM 201161 38$







SURGICAL SERVICES TUBE ENDO MUR CUFFED 5.5MM 5- 5$






SURGICAL SERVICES AIRWAY ORAL BLUE 50MM 1155 2$

SURGICAL SERVICES AIRWAY ORAL BLACK 60MM 1156 2$

SURGICAL SERVICES AIRWAY ORAL GREEN 80MM 1158 HU 2$

SURGICAL SERVICES AIRWAY ORAL RED 100MM 1160 2$

SURGICAL SERVICES AIRWAY ORAL WHITE 70MM 1157 2$




SURGICAL SERVICES NEEDLE INFUSION BENT 20GA 1.5 21$

SURGICAL SERVICES CATHETER NELATON RED 12FR 0561 13$



SURGICAL SERVICES TRANSDUCER OXYGEN ADULT DIGIT 46$

SURGICAL SERVICES IMMOBILIZER SHOULDER SMALL 900 23$







SURGICAL SERVICES SHOE POST-OP WOMEN MEDIUM 2044 15$

SURGICAL SERVICES SHOE POST-OP WOMEN LARGE 2044- 15$

SURGICAL SERVICES SHOE POST-OP MEN SMALL 2044-01 15$

SURGICAL SERVICES SHOE POST-OP MEN MEDIUM 2044-0 15$

SURGICAL SERVICES SHOE POST-OP MEN LARGE 15$




SURGICAL SERVICES SUTURE VICRYL TIES 2-0 36/BX 9$


SURGICAL SERVICES SUTURE VICRYL VIL BR 0 36/BX 6$

SURGICAL SERVICES NISSENS FUNDOPLICATION ENDO ST 187$





SURGICAL SERVICES COLLAR BUTTON VENT TUBE 1.27MM 194$

SURGICAL SERVICES CANNULA DRI-LOCK 8.0MM X 75MM 595$

SURGICAL SERVICES STAPLER LINEAR 60MM 4.8 TX60G 312$





SURGICAL SERVICES TUBE ENDO MUR CUFFED 3.5MM 8$




SURGICAL SERVICES GUIDEWIRE .035 IN 260CM EMERAL 35$

SURGICAL SERVICES COVER CLAMP RED FOR INST VS-10 7$

SURGICAL SERVICES BURR ROUND DIAMOND 3.0MM 5820- 533$

SURGICAL SERVICES BURR ROUND DIAMOND 4.0MM 5820- 443$

SURGICAL SERVICES CATHETER COUDE 16FR 30ML 0103L 41$

SURGICAL SERVICES CATHETER EMBOLECOTMY L-F 4FR 1 342$

SURGICAL SERVICES T-TUBE CATTELL 16FR 12 INT DAV 26$

SURGICAL SERVICES CUTTER LINEAR RELOAD GREN 75MM 256$

SURGICAL SERVICES SLEEVE TROCAR NON-THR 5MMX100M 38$



SURGICAL SERVICES CANNULA ANTERIOR CHAMBER 27GA 21$

SURGICAL SERVICES ADAPTOR DUAL IRRIGATION 250-07 47$

SURGICAL SERVICES TUBE TRACHEOSTOMY SZ 6.0MM XLT 207$

SURGICAL SERVICES SUTURE MONOCRYL 4-0 PS-2 UND M 25$

SURGICAL SERVICES ANCHOR W/ORTHORCORD CP-2 NEEDL 2,293$

SURGICAL SERVICES CATHETER URETERAL OPEN ENDED 5 34$

SURGICAL SERVICES CATHETER URETERAL 5FR ANGLED T 104$

SURGICAL SERVICES CATHETER URETERAL 5FR CONE TIP 35$

SURGICAL SERVICES STENT BSC POLARIS 5 X 24 192-1 469$

SURGICAL SERVICES ENCORE 26 710-113 145$

SURGICAL SERVICES ROLLERBALL 3MM 26FR 880-216 328$

SURGICAL SERVICES LOOP CUTTING 26FR 880-214 374$

SURGICAL SERVICES DRILL BIT 3.5MM W/QC 7117-3505 382$


SURGICAL SERVICES SUTURE SUPRAMID 3-0 HEA-30 52$

SURGICAL SERVICES HEMOSTATIC POWDER ARISTA 3.0 G 681$

SURGICAL SERVICES APPLICATOR HEMOSTATIC POWDER A 62$

SURGICAL SERVICES CATHETER FOLEY SILICONE 14FR 5 11$

SURGICAL SERVICES PACKING ORTHO DRI FEMORAL 8 IN 175$

SURGICAL SERVICES STAPLER SKIN INSORB 2030 164$

SURGICAL SERVICES TORQUE DEVICE ACCOMODATES WIRE 57$

SURGICAL SERVICES GUIDE STENT 270MM STERILE 1102 196$

SURGICAL SERVICES PROGEL PLEURAL AIR LEAK SEALAN 2,467$

SURGICAL SERVICES CUSHION INSERT LARGE PRONEVIEW 164$

SURGICAL SERVICES CATHETER RIVAL PTA BALLON 4CM 314$

SURGICAL SERVICES BLADE SAGITTAL THIN WITH WIDE 114$

SURGICAL SERVICES CABLE PSA DISPOSABLE SURGICAL 127$

SURGICAL SERVICES DERMACARRIER II 1.5 TO 1 EXPAN 125$

SURGICAL SERVICES SET PATIENT ARTHROSCOPY TUBING 199$

SURGICAL SERVICES SET PATIENT ARTHROSCOPY TUBING 193$

SURGICAL SERVICES BURR ROUND FLUTED 5.0MM 562$

SURGICAL SERVICES CATHETER HEMODIALYSIS 24CM DUR 1,095$

SURGICAL SERVICES ANCHOR W/ORTHOCORD 5.5 HEALIX 1,366$

SURGICAL SERVICES MASK INTUBATING AIR-Q 4.5 38$

SURGICAL SERVICES VENTRALIGHT MESH 10X13 4,878$



SURGICAL SERVICES TENDON ANTERIOR TIBIALIS 5,582$

SURGICAL SERVICES BIOPOLAR SEALER 6.0 AQUAMANTYS 866$

SURGICAL SERVICES GLIDESCOPE DISP BLADE 66$

SURGICAL SERVICES SURGIFOAM GELATIN SPONGE 129$

SURGICAL SERVICES MISC CHARGE FOR OR -$

SURGICAL SERVICES LEAD-PACEMAKER IMPLANT GUIDANT 1,099$

SURGICAL SERVICES GENERATOR SINGLE CHAMBER GUIDA 7,755$

SURGICAL SERVICES GENERATOR DUAL CHAMBER GUIDANT 8,609$

SURGICAL SERVICES LENS IO FOLD 30.0 B+L LI61AOR3 408$




































SURGICAL SERVICES JOINT IMPLANT HAMMER TUBE-PARA 3,130$

SURGICAL SERVICES STAPLE-ORTHOPEDIC 3,979$

SURGICAL SERVICES PIN THREADED GUIDE 3.2X230MM 1 997$

SURGICAL SERVICES WIRE K STYLE .045 47-186-62 343$

SURGICAL SERVICES GRAFT VAS CENTER FLEX 4,635$

SURGICAL SERVICES MESH MARLEX PLUG LARGE 0112770 547$

SURGICAL SERVICES MESH MARLEX PLUG X LARGE 01127 671$

SURGICAL SERVICES PLATE DISTAL RADIUS STANDARD 3 455$

SURGICAL SERVICES WIRE K DISTAL RADIUS 1.6MM X 193$

SURGICAL SERVICES TISSUE VASCU-GUARD PERIPHERAL 647$

SURGICAL SERVICES ROD GUIDE BALL TIP 3.0MM X 100 353$

SURGICAL SERVICES GUIDE PIN 3.2MM X 343MM 7167-4 714$

SURGICAL SERVICES ANCHOR W/ORTHOCORD 5.5 HEALIX 2,023$

SURGICAL SERVICES MESH ATRIUM 2"" X 4"" 1000204- 501$

SURGICAL SERVICES PATCH HERNIA KUGEL SMALL OVAL 1,592$

SURGICAL SERVICES PATCH HERNIA KUGEL MEDIUM OVAL 2,117$

SURGICAL SERVICES GRAFT VAS CENTER FLEX 50CMX6MM 1,519$

SURGICAL SERVICES SHUNT ENDARTERECTOMY 3MMX4MM N 1,447$

SURGICAL SERVICES PATCH HERNIA KUGEL LARGE OVAL 2,656$

SURGICAL SERVICES SCREW CORTEX 2.7MM X 10MM 4827 480$

SURGICAL SERVICES SHUNT ENDARTERECTOMY 3MMX5MM N 1,447$

SURGICAL SERVICES MESH MARLEX PLUG MEDIUM 011276 562$

SURGICAL SERVICES SCREW CANNULATED 4.0MM 44MM PT 681$

SURGICAL SERVICES DRILL SHORT4.0MM 7163-1123 486$

SURGICAL SERVICES NAIL INTERTAN 11.5MM X 18CM 12 5,665$

SURGICAL SERVICES GUIDE PIN 1.3MM X 140MM BAYONE 451$

SURGICAL SERVICES WASHER 8.0MM OD 7112-0006 129$

SURGICAL SERVICES SCREW CANC 4.0MM FULLY THREADE 120$

SURGICAL SERVICES ANCHOR SHOULDER IMPLANT SIZE 2 3,303$

SURGICAL SERVICES COMPONENT PATELLAR 32MM 7142- 1,195$

SURGICAL SERVICES PORT IMPLANTABLE MRI WITH 8.0 1,241$




SURGICAL SERVICES PLATE VOLAR DISTAL RADIUS WIDE 2,489$

SURGICAL SERVICES STENT VASCULAR 6MM D 40MM L EX 1,893$

SURGICAL SERVICES STENT VASCULAR 7MM D 170MM L E 3,700$

SURGICAL SERVICES CATHETER BALLOON DILATATION 5F 578$

SURGICAL SERVICES MESH HERNIA 10 X 13 ELLIPSE VE 617$

SURGICAL SERVICES MESH HERNIA 8 X 10 ELLIPSE VEN 3,402$

SURGICAL SERVICES AIRWAY LMA SUPREME SIZE 5 45$

SURGICAL SERVICES AIRWAY LMA REGULAR SIZE 3 22$



SURGICAL SERVICES LARYNGOSCOPE HANDLE DISPOSABLE 29$



SURGICAL SERVICES GRAFT XENMATRIX 15X20 20,081$

SURGICAL SERVICES PIN PASSING DRILL TIP 2.4X3.81 295$

SURGICAL SERVICES GUIDE WIRE 1.2MM X 18 72201201 156$

SURGICAL SERVICES ENDOBUTTON CL ULTRA 15MM 72200 1,362$

SURGICAL SERVICES QUICK LOAD STITCH 153$

SURGICAL SERVICES KNOT DEVICE-LCI SOLUTIONS 637$

SURGICAL SERVICES ACT-HEMACHRON OR CHARGE 54$

SURGICAL SERVICES HIP - STEM 4,969$

SURGICAL SERVICES SHELL HIP IMPLANT 4,914$

SURGICAL SERVICES HIP - LINER 1,789$

SURGICAL SERVICES HIP-HEAD COMPONENT 1,128$

SURGICAL SERVICES HIP-SLEEVE COMPONENT 2,329$

SURGICAL SERVICES HUMERAL BEARING BIOMET REVERSE 3,187$

SURGICAL SERVICES GLENOSPHERE REV SHOULDER BIOME 7,082$

SURGICAL SERVICES HOLDER-GUIDE WIRE-SPINR-5X-GW 6,332$

SURGICAL SERVICES HIP - HEAD COMPONENT 1,492$

SURGICAL SERVICES STENT GORE VIABAHN HEP COATED 4,911$

SURGICAL SERVICES ARTHREX-DISP INSTRUMENTS 857$

SURGICAL SERVICES HUMERAL TRAY-REVERSE SHOULDER- 4,342$

SURGICAL SERVICES CORD CAUTERY AEM 81$

SURGICAL SERVICES ALEXIS WOUND PROT/RETR.-LARGE 238$

SURGICAL SERVICES SYNTHETIC CARTILAGE IMPLANT 9,360$

SURGICAL SERVICES KNEE-FEMORAL COMPONENT 4,866$

SURGICAL SERVICES KNEE - TIBIAL COMPONENT 3,585$

SURGICAL SERVICES KNEE - TIBIAL INSERT 2,138$

SURGICAL SERVICES KNEE - WEDGE INSERTS 5,230$

SURGICAL SERVICES ORTHO-CEMENT RESTRICTOR 6,419$

SURGICAL SERVICES STEM HUMERAL 10MM-BIOMET-11-11 9,955$

SURGICAL SERVICES BASEPLATE HA+ADAPTOR REVERSE 12,388$

SURGICAL SERVICES KNEE - TIBIAL INSERT 1,037$

SURGICAL SERVICES ANT CER ROI LORDOTIC IMPLANT 5,355$

SURGICAL SERVICES ANT CERV ROI ANCHORING PLATE 5,355$

SURGICAL SERVICES ANT CERV LDR IMPLANT 5,119$

SURGICAL SERVICES ALEXIS WOUND PROT/RETR.-C8404 308$

SURGICAL SERVICES KIT JET-X MINI DISTAL RADIUS 7,780$

SURGICAL SERVICES GRAFT - BIFURCATED 37,386$

SURGICAL SERVICES GRAFT - EXTENTION 14,002$

SURGICAL SERVICES GUIDEWIRE ASAHI ASTATO 30 300C 555$

SURGICAL SERVICES OTHER MISC CHARGE 1,009$

SURGICAL SERVICES TISSUE-OSIRIS 5X5 PS 102055 8,637$

SURGICAL SERVICES HANDPIECE INTREPID 0.3MM ANGLE 55$

SURGICAL SERVICES DURAMATRIX SEALANT 1,490$

SURGICAL SERVICES DURASEAL TISSUE SEALANT 2,061$

SURGICAL SERVICES SACRO-ILIAC JOINT ALLOGRAFT 5,355$

SURGICAL SERVICES PLATE-LANX LOCKING 4,739$

SURGICAL SERVICES PLATE-LANX POSTERIOR COMPONENT 6,778$

SURGICAL SERVICES SCREW BIOSURE HA 9X25MM 722017 1,020$

SURGICAL SERVICES IMPLANT METATARSAL HEAD 10,120$

SURGICAL SERVICES SURGERY LEVEL 1 184$

SURGICAL SERVICES SURGERY BASE FEE 1,842$ X

SURGICAL SERVICES SURGERY PER MINUTE 83$ X

SURGICAL SERVICES CHARGE EPIDURAL PATCH 906$

SURGICAL SERVICES NEEDLE IRRIG CYSTOTOME 581610 20$

SURGICAL SERVICES CIRCUIT ANESTHESIA NONCOND PED 28$

SURGICAL SERVICES ADAPTER SWIVEL 625191 16$

SURGICAL SERVICES DRAPE UNIVERSAL CASSETTE 36/BX 37$

SURGICAL SERVICES ASEPTO SYRINGE 0045280 3$

SURGICAL SERVICES STAPLER SKIN DISP 35W PXW35 24$

SURGICAL SERVICES TUR TUBING SET 6542-02 DISPOSA 24$

SURGICAL SERVICES INJ IV PUSH NEW DRUG-SUR 153$

SURGICAL SERVICES INJECTION SC/IM OP SURGERY 130$

SURGICAL SERVICES INJECTION IA OP SURGERY 143$

SURGICAL SERVICES INJECTION IV OP SURGERY 281$

SURGICAL SERVICES INJECTION THER/PROP OP SURGERY 162$

SURGICAL SERVICES GLUCOSE; QUAN BLOODSURG 30$

SURGICAL SERVICES BREATHING TREATMENT AEROSOL BR 143$

SURGICAL SERVICES STRAIGHT CATH INSERTION 203$

SURGICAL SERVICES HYDRATE IV INFUSION ADD-ON-SUR 143$

SURGICAL SERVICES SONISITE ULTRASOUND CHARGE SON 582$

SURGICAL SERVICES UROVAC BLADDER EVACUATOR 89$

SURGICAL SERVICES CATHETER BALLOON ARMADA PTA 35 255$

SURGICAL SERVICES STENT FEM/RENAL-ABBOTT 7,197$

SURGICAL SERVICES LENS ENVISTA 19.0 MX60 425$

SURGICAL SERVICES LENS ENVISTA 16.5 MX60 425$

SURGICAL SERVICES ANESTHESIA PAIN BLOCK PRE-OP/P 791$

SURGICAL SERVICES ANESTHESIA PAIN BLOCK INTRA-OP 791$

SURGICAL SERVICES MARGIN MARKER PAINT KIT 470$

SURGICAL SERVICES PACK CUSTOM SURGERY 340$

SURGICAL SERVICES VIPERSLIDE LUBRICANT 100ML 261$

SURGICAL SERVICES DIAMONDBACK 360 1.25MM MICROCR 11,015$

SURGICAL SERVICES STEALTH 1.25MM CROWN CATH 9,854$


SURGICAL SERVICES STEALTH 1.25MM MICRO CROWN CAT 9,854$


SURGICAL SERVICES VIPER-WIRE ADVANCE .014 TIP 555$

SURGICAL SERVICES VIPERWIRE ADVANCE VPR-GW-200 555$

SURGICAL SERVICES CELLERATE COLLAGEN POWDER 1,388$

AMBULATORY SURGICAL SERVICES RECOVERY PHASE II - AMB SURG 9$

AMBULATORY SURGICAL SERVICES TOTAL MINUTES RECOVERY PHASE 3 3$

AMBULATORY SURGICAL SERVICES RECOVERY TIME PER MINUTE 30$

AMBULATORY SURGICAL SERVICES CHARGE BLADDER SCAN AMBULATORY 130$

AMBULATORY SURGICAL SERVICES GLUCOSE; QUAN BLOOD AMBULA 30$

AMBULATORY SURGICAL SERVICES CHARGE EPIDURAL PATCH AMBULATO 781$

AMBULATORY SURGICAL SERVICES BREATHING TREATMENT AEROSOL AM 143$

PACU SERVICES RECOVERY PHASE II - OPS 9$

PACU SERVICES RECOVERY ROOM 30$

PACU SERVICES INSERTION CHEST TUBE RECOVERY 413$

PACU SERVICES INSERTION CENTRAL LINE RECOVER 1,566$

PACU SERVICES INSERTION ARTERIAL LINE RECOVE 1,637$

PACU SERVICES INJECTION SUBCUT/INTRAMUS-PACU 130$

PACU SERVICES CHARGE BLADDER SCAN RECOVERY R 130$

PACU SERVICES GLUCOSE; QUAN BLOOD 30$

PACU SERVICES CHARGE EPIDURAL PATCH RECOVERY 906$

PACU SERVICES BREATHING TREATMENT AEROSOL RE 143$

EMERGENCY SERVICES STENT WALLFLEX FULLY COVERED 6,876$

EMERGENCY SERVICES DECLOT VASCULAR DEVICE 462$

EMERGENCY SERVICES TEMPORARY EXTERNAL PACING 484$

EMERGENCY SERVICES FOLEY CATHETER TECHNIQUE 198$

EMERGENCY SERVICES US-GUIDANCE FOR VASCULAR ACCES 731$

EMERGENCY SERVICES CPR PROCEDURE 690$

EMERGENCY SERVICES ER LEVEL I 178$ X

EMERGENCY SERVICES ER LEVEL II 271$ X

EMERGENCY SERVICES ER LEVEL III 418$ X

EMERGENCY SERVICES ER LEVEL IV 650$ X

EMERGENCY SERVICES ER LEVEL V 1,081$ X

EMERGENCY SERVICES CHARGE ER OXYGEN 43$

EMERGENCY SERVICES GLUCOSE; QUAN BLOOD ER 30$

EMERGENCY SERVICES PROCEDURE CARDIOVERSION-ED CAR 1,147$

EMERGENCY SERVICES ARTERIAL LINE INSERTION 1,423$

EMERGENCY SERVICES INTUBATIONENDOTRACHEALEMER 728$

EMERGENCY SERVICES SPINAL PUNCTURE LUMBAR DIAG 800$

EMERGENCY SERVICES INSERTION OF NON-TUNNELED CENT 1,450$

EMERGENCY SERVICES APPLY SHORT ARM SPLINT; STATIC 303$

EMERGENCY SERVICES INSERTION OF CHEST TUBE 407$

EMERGENCY SERVICES APPLICATION/SHORT LEG SPLINT 318$

EMERGENCY SERVICES APPLICATION/FINGER SPLINT 209$

EMERGENCY SERVICES APPLICATION/LONG ARM SPLINT 351$

EMERGENCY SERVICES APPLICATION/LONG LEG SPLINT 390$

EMERGENCY SERVICES APPLICATION ORTHO GLASS SPLINT 283$

EMERGENCY SERVICES INJECTION/ANESTHESTIC FACIAL N 288$

EMERGENCY SERVICES REMOVAL FOREIGH BODY/EAR W/O A 281$

EMERGENCY SERVICES DRAIN/INJECT JOINT/BURSA 706$

EMERGENCY SERVICES REMOVE FOREIGN BODY 349$

EMERGENCY SERVICES REMOVE IMPACTED EAR WAX 312$

EMERGENCY SERVICES REMOVAL OF NAIL PLATE 154$

EMERGENCY SERVICES TREATMENT OF BURN(S) 321$



EMERGENCY SERVICES TREAT SHOULDER DISLOCATION 260$

EMERGENCY SERVICES CL TX ELBOW DISLOC W/ MANIP 243$

EMERGENCY SERVICES REMVE FOREIGN BODY EYE WO SLIT 271$

EMERGENCY SERVICES GASTRIC INTUBATION TREATMENT 176$

EMERGENCY SERVICES REMOVE NASAL FOREIGN BODY 195$

EMERGENCY SERVICES REMOVE FOREIGN BODY FROM EYE 271$

EMERGENCY SERVICES CHANGE GASTROSTOMY TUBE 261$

EMERGENCY SERVICES STRAPPING OF SHOULDER 124$

EMERGENCY SERVICES REMOVAL/REVISION OF CAST 145$

EMERGENCY SERVICES INITIAL TREATMENT OF BURN(S) 373$

EMERGENCY SERVICES PLACE NEEDLE/INTRAOSSEOUS INFU 274$

EMERGENCY SERVICES LARYNGOSCOPY-EXTRACT FORIEGN B 416$

EMERGENCY SERVICES FOLEY CATH INSERTION 222$

EMERGENCY SERVICES STRAIGHT CATH INSERTION 203$

EMERGENCY SERVICES STRAIGHT CATH INSERT-SPECIMEN 56$

EMERGENCY SERVICES SMOKING CESSATION CONSULT<10 M 36$

EMERGENCY SERVICES I & D ABSCESS 241$

EMERGENCY SERVICES LACERATION REPAIR (SIMPLE) 400$

EMERGENCY SERVICES LACERATION REPAIR(INTERMEDIATE 581$

EMERGENCY SERVICES LACERATION REPAIR (COMPLEX) 834$

EMERGENCY SERVICES NOSEBLEED CONTROL 191$

EMERGENCY SERVICES ASPIRATION OF ABSCESS 237$

EMERGENCY SERVICES CLOSED TX ANKLE 940$

EMERGENCY SERVICES CLOSED TX FINGER DISLOCATION 511$

EMERGENCY SERVICES CLOSD TX TOE FX DISLOCATION 254$

EMERGENCY SERVICES CLOSED TX OF WRIST 481$

EMERGENCY SERVICES MAJOR PROCEDURE - ED 1,708$

EMERGENCY SERVICES MINOR PROCEDURE - ED 342$

EMERGENCY SERVICES PARACENTESIS 584$

EMERGENCY SERVICES CHARGE CRITICAL CARE FIRST HR 1,842$ X

EMERGENCY SERVICES CRITICAL CARE - 25 1,842$

EMERGENCY SERVICES CRITICAL CARE EA ADD'L 3O MIN. 231$

EMERGENCY SERVICES INJECTION SC/IM EMER DEPT 130$

EMERGENCY SERVICES INJECTION IV EMER DEPT 281$

EMERGENCY SERVICES VACCINE ADMINISTRATION-TOXOID 106$

EMERGENCY SERVICES IV HYDRATION INITIAL HOUR-ED 426$

EMERGENCY SERVICES HYDRATE IV INFUSION ADD-ON-ED 143$

EMERGENCY SERVICES INJ IV PUSH NEW DRUG-ED 153$

EMERGENCY SERVICES THER/DIAG CONCURRENT INF-ED 229$

EMERGENCY SERVICES THER/PROPH/DG IV INF ADD-ED 155$

EMERGENCY SERVICES THER/PROPH/DG IV INF INIT-ED 510$

EMERGENCY SERVICES REPEAT MEDICATION-IV PUSH-ED 133$

EMERGENCY SERVICES THORACENTESIS 879$

EMERGENCY SERVICES IV MED THER SEQ DRUG - ED 232$

EMERGENCY SERVICES TELESTROKE FACILITY FEE 96$

EMERGENCY SERVICES REMOVED OF NAIL PLATE EA ADDTL 172$

EMERGENCY SERVICES ER LEVEL I - 25 178$

EMERGENCY SERVICES ER LEVEL II - 25 271$

EMERGENCY SERVICES ER LEVEL III - 25 418$

EMERGENCY SERVICES ER LEVEL IV - 25 650$

EMERGENCY SERVICES ER LEVEL V - 25 1,081$

EMERGENCY SERVICES IMMUNIZATION ADM EA ADDL VACC 54$

EMERGENCY SERVICES COLLECT BLOOD FROM PICC 189$

EMERGENCY SERVICES DRAW BLOOD OFF VENIOUS DEVICE 189$

EMERGENCY SERVICES BLADDER SCAN ED 130$

ENDOSCOPY SERVICES CANNULA ERCP DISP STAND PR416Q 189$

ENDOSCOPY SERVICES BRUSH CLEANING ESOPHAGEAL 76$

ENDOSCOPY SERVICES STONE REMOVAL 5MM SHORT NOSE 3 1,104$

ENDOSCOPY SERVICES GUIDEWIRE .035 450CM ZEBRA STR 557$

ENDOSCOPY SERVICES BANDS 100225 165$

ENDOSCOPY SERVICES SNARE LARGE OLYMPUS 49$

ENDOSCOPY SERVICES DILATOR ESOPHAGEAL 18-19-20MM 612$

ENDOSCOPY SERVICES BRUSH CHANNEL CLEANING OLYMPUS 8$

ENDOSCOPY SERVICES FORCEP BIOPSY RAT-TOOTH ALLIGA 27$

ENDOSCOPY SERVICES PROBE BRAVO PH SYSTEM 947$

ENDOSCOPY SERVICES CAPSULE PILLCAM SB 2 1,484$

ENDOSCOPY SERVICES STENT PIGTAIL 7FRX 5CM 163$

ENDOSCOPY SERVICES LINE SAMPLING CAPNOLINE 49$

ENDOSCOPY SERVICES TUBING NASAL/ORAL 67$

ENDOSCOPY SERVICES TRAP POLYP 10$

ENDOSCOPY SERVICES KIT COLON PROCEDURE 60$

ENDOSCOPY SERVICES CATHETER SPYSCOPE DS ACCESS & 8,226$

ENDOSCOPY SERVICES TENJET HYDROCISION KIT 2,177$

ENDOSCOPY SERVICES HEMOSTATSIS CLIP REPOSITIONAL 474$

ENDOSCOPY SERVICES NEEDLE ACQUIRE USE FNB 22GA 1,290$

ENDOSCOPY SERVICES STENT INTRODUCER BILIARY 7FR 3 239$

ENDOSCOPY SERVICES B. PERTUSIS IGG IB REFLEX 161$

ENDOSCOPY SERVICES TENOTOMY W/LOCAL ANESTH 569$

ENDOSCOPY SERVICES EEG - ELECTROENCEPHALOGRAPHY 509$

ENDOSCOPY SERVICES CHARGE EKG PROCEDURE 151$

ENDOSCOPY SERVICES CHARGE EKG RHYTHM STRIP 164$

ENDOSCOPY SERVICES CHEMOTHER SQ/IM HORMONAL 269$

ENDOSCOPY SERVICES CHEMOTHER IV INF SECOND DRUG 1 349$

ENDOSCOPY SERVICES RECOVERY PHASE I - ENDO 13$

ENDOSCOPY SERVICES RECOVERY PHASE II - ENDO 9$

ENDOSCOPY SERVICES TREATMENT LEVEL II - ENDO 171$

ENDOSCOPY SERVICES TREATMENT LEVEL IV - ENDO 315$

ENDOSCOPY SERVICES TREATMENT LEVEL V - ENDO 459$

ENDOSCOPY SERVICES ERCP-CHOLANGIOSCOPY SPYSCOPE 1,805$

ENDOSCOPY SERVICES CAPSULOTOMY 1,030$

ENDOSCOPY SERVICES IRIDOTOMY 2,031$

ENDOSCOPY SERVICES CHEMOTHERAPY - IV PUSH 438$

ENDOSCOPY SERVICES CHEMOTHERPY - IV INFUSION 842$

ENDOSCOPY SERVICES CHEMOTHER IV INFUSION ADDITION 279$

ENDOSCOPY SERVICES CHEMOTHER IV INF ADD 10 + HOUR 279$

ENDOSCOPY SERVICES CHEMOTHERAPY SQ/IM NON-HORMONA 312$

ENDOSCOPY SERVICES CHEMO PUSH ADD 386$

ENDOSCOPY SERVICES VACCINE ADMINISTRATION 54$

ENDOSCOPY SERVICES CHANGE GASTROSTOMY TUBE 750$

ENDOSCOPY SERVICES ADMIN HEPATITIS B VACCINE 70$

ENDOSCOPY SERVICES PANENDOSCOPY-BIOPSY 1,835$

ENDOSCOPY SERVICES PANENDOSCOPY-DILATION 1,833$

ENDOSCOPY SERVICES PANENDOSCOPY-HEMORRHAGE 1,833$

ENDOSCOPY SERVICES PANENDOSCOPY-INJECT VARICES 1,595$

ENDOSCOPY SERVICES PANENDOSC-REMOVE BODY 1,568$

ENDOSCOPY SERVICES PANENDOSCOPY-TUBE REPLACEMENT 1,309$

ENDOSCOPY SERVICES PANENDOSCOPY-EXPLORATION 1,835$

ENDOSCOPY SERVICES PANENDOSCOPY-TUBE PLACEMENT 2,648$

ENDOSCOPY SERVICES PANENDOSCOPY - POLYP REMOVAL 1,387$

ENDOSCOPY SERVICES PANENDOSCOPY-STENT PLACEMENT 4,340$

ENDOSCOPY SERVICES PANENDOSCOPY - ABLATION 2,492$

ENDOSCOPY SERVICES PANENDOSCOPY - INJ INDIA INK 1,833$

ENDOSCOPY SERVICES COLONOSCOPY - INJ INDIA INK 2,029$

ENDOSCOPY SERVICES COLONOSCOPY-BIOPSY 2,009$

ENDOSCOPY SERVICES COLONOSPY-DESTRUC TUMOR 1,747$

ENDOSCOPY SERVICES COLONOSCOPY-EXPLORATION 2,009$

ENDOSCOPY SERVICES COLONOSCOPY-HEMORRHAGE 2,310$

ENDOSCOPY SERVICES COLOSPY-REMOVE BODY 1,686$

ENDOSCOPY SERVICES COLOSPY-REMOVE POLYP 2,310$

ENDOSCOPY SERVICES COLONOSCOPY - ABLATIN 2,492$

ENDOSCOPY SERVICES COLONOSCOPY-DILATION 1,225$

ENDOSCOPY SERVICES COLONOSCOPY-STENT PLACEMENT 1,777$

ENDOSCOPY SERVICES MINOR SURGERY - ASA 1,130$

ENDOSCOPY SERVICES ERCP-DILATION ENDOSCOPIC 1,600$

ENDOSCOPY SERVICES ERCP-COLLECT SPECIMEN 2,164$

ENDOSCOPY SERVICES ERCP-DESTRUCT STONE 3,218$

ENDOSCOPY SERVICES ERCP-SHINCTEROTOMY 1,872$

ENDOSCOPY SERVICES ERCP-TUBE PLACEMENT 1,628$

ENDOSCOPY SERVICES ERCP-REMOVAL OF STENT 1,916$

ENDOSCOPY SERVICES ERCP-REMOVAL OF STONE 1,916$

ENDOSCOPY SERVICES ERCP-EXPLORATION 2,670$

ENDOSCOPY SERVICES ERCP - ABLATION 2,091$

ENDOSCOPY SERVICES LIGATION OF HEMORRHOID(S) 629$

ENDOSCOPY SERVICES TREATMENT LEVEL I - ENDO 124$

ENDOSCOPY SERVICES TREATMENT LEVEL III - ENDO 274$

ENDOSCOPY SERVICES PARACENTESIS 1,665$

ENDOSCOPY SERVICES THORACENTESIS 977$

ENDOSCOPY SERVICES BONE MARROW BIOPSY 1,721$

ENDOSCOPY SERVICES CHALAZION 381$

ENDOSCOPY SERVICES FLEX SIGMOID-BIOPSY 1,080$

ENDOSCOPY SERVICES FLEX SIG-DESTRUCT LESION 910$

ENDOSCOPY SERVICES FLEX SIG-REMOVE POLYP 1,131$

ENDOSCOPY SERVICES FLEXIBLE SIGMOID-EXP.W/O MEDS 774$

ENDOSCOPY SERVICES FLEX SIG.EXP. W/MEDS 1,533$

ENDOSCOPY SERVICES MINOR SURGERY-ENDO 582$

ENDOSCOPY SERVICES FLEX SIGMOID W/STENT PLACEMENT 661$

ENDOSCOPY SERVICES FLEX SIGMOID-ABLATIION W/MEDS 2,129$

ENDOSCOPY SERVICES REMOVAL OF SKIN TAGS 0-15 164$

ENDOSCOPY SERVICES REMOVAL SKIN TAGS-EA ADD 10 225$

ENDOSCOPY SERVICES GLUCOSE; QUAN BLOOD ENDO 30$

ENDOSCOPY SERVICES THERAPEUTIC PHLEBOTOMY-VOLUME 223$

ENDOSCOPY SERVICES BRAVO 48 HR PH MONITORING 2,371$

ENDOSCOPY SERVICES TRACH/ESOPHEAL VOICE PROSTHESI 1,003$

ENDOSCOPY SERVICES THERAPEUTIC PHLEBOTOMY 238$

ENDOSCOPY SERVICES COLLECT BLOOD FROM PICC 189$

ENDOSCOPY SERVICES BLOOD COLLECTION-IMPLENTABLE V 189$

ENDOSCOPY SERVICES INJ IV PUSH NEW DRUG-ENDO 153$

ENDOSCOPY SERVICES INJECTION SC/IM ENDOSCOPY 130$

ENDOSCOPY SERVICES INJECTION IV ENDOSCOPY 281$

ENDOSCOPY SERVICES IV HYDRATION INITIAL HOUR-ENDO 426$

ENDOSCOPY SERVICES CENTRAL LINE INSERTION 1,471$

ENDOSCOPY SERVICES FOLEY CATH INSERTION 222$

ENDOSCOPY SERVICES STRAIGHT CATH INSERTION 203$

ENDOSCOPY SERVICES ENDO ONPRO APPLICATION SQ 144$

ENDOSCOPY SERVICES LUMBAR PUNCTURE 325$

ENDOSCOPY SERVICES BLADDER SCAN 130$

ENDOSCOPY SERVICES I & D OF ABSESS 643$

ENDOSCOPY SERVICES I&D ABSC; COMPL OR MULTI 725$

ENDOSCOPY SERVICES IV INF HYD ADD HOUR 143$

ENDOSCOPY SERVICES DECLOT VASCULAR DEVICE 462$

ENDOSCOPY SERVICES THER/PROPH/DG IV INF INIT-ENDO 510$

ENDOSCOPY SERVICES THER/PROPH/DG IV INF ADD-ENDO 155$

ENDOSCOPY SERVICES TX/PROPH/DG ADD SEQ IVINF-ENDO 232$

ENDOSCOPY SERVICES THER/DIAG CONCURRENT INF-ENDO 229$

ENDOSCOPY SERVICES SELF MGMT EDUC/TRAIN-1 PT 168$

ENDOSCOPY SERVICES SELF MGMT EDUC/TRAIN-2-4 PT 171$

ENDOSCOPY SERVICES STRAIGHT CATH INSERT-SPECIMEN 57$

ENDOSCOPY SERVICES BLADDER IRRIGATION 312$

ENDOSCOPY SERVICES REPEAT MEDICATION-IV PUSH-ENDO 133$

ENDOSCOPY SERVICES GI TRACT CAPSULE ENDO 2,421$

ENDOSCOPY SERVICES TREATMENT LEVEL I-ENDO-25 124$

ENDOSCOPY SERVICES TREATMENT LEVEL II-END0-25 171$

ENDOSCOPY SERVICES TREATMENT LEVEL III-ENDO-25 274$

ENDOSCOPY SERVICES TREATMENT LEVEL IV-ENDO-25 315$

ENDOSCOPY SERVICES TREATMENT LEVEL V-ENDO-25 459$

ENDOSCOPY SERVICES ADDITIONAL PROCEDURE CHARGE 620$

ENDOSCOPY SERVICES DX GASTRO PROC UNLISTED 542$

ENDOSCOPY SERVICES DEBRIDEMENT NAIL 1-5 99$

ENDOSCOPY SERVICES REMOVAL FOREIGN BODY 333$

ENDOSCOPY SERVICES REMOVAL FOREIGN BODY-COMPL 2,091$

ENDOSCOPY SERVICES TRIM SKIN LESION 123$

ENDOSCOPY SERVICES TRIM SKIN LESION 2-4 118$

ENDOSCOPY SERVICES TRIM SKIN LESION >4 142$

ENDOSCOPY SERVICES CHEMO PROLONG 8+HRS W/INF PUMP 961$

ENDOSCOPY SERVICES IRRIGATION OF IMPLANT DEVICE 207$

ENDOSCOPY SERVICES UGI W ABLATION T/P/LES OTHER 2,325$

ENDOSCOPY SERVICES COLONOSCOPY BPSY W HOT FORCEPT 1,721$

ENDOSCOPY SERVICES BONE MARROW ASPIRATION 1,182$

ENDOSCOPY SERVICES VACCINE ADMINISTRATION-TOXOID 106$

ENDOSCOPY SERVICES BONE MARROW ASPIRATE & BIOPSY 2,089$

ENDOSCOPY SERVICES TENOTOMY MULTIPLE TENDONS WITH 9,355$

ENDOSCOPY SERVICES TENOTOMY ELBOW W/LOCAL 5,882$

ENDOSCOPY SERVICES TENTOTOMY SHOULDER AREA W/ 7,382$

ENDOSCOPY SERVICES TENOTOMY ABDUCTOR OR HAMSTRING 7,035$

ENDOSCOPY SERVICES FASCIOTOMY FOOT AND/OR TOE WIT 6,172$

ENDOSCOPY SERVICES TENOTOMY HIP W/LOCAL ANESTH 7,035$

ENDOSCOPY SERVICES FASCIECTOMY FASCIA PAR WITH 5,882$

ENDOSCOPY SERVICES TENOTOMY ACHELLIES W/LOCAL 5,882$

ENDOSCOPY SERVICES REMOVAL TUNNEL CVAD W PORT/PUM 2,565$

ENDOSCOPY SERVICES SKIN TEST (PPD) 60$

ENDOSCOPY SERVICES ESOPHEAL MANOMETRY 1,392$

ENDOSCOPY SERVICES LARYNGOSCOPY FLEXABLE DIAGNOST 357$

ENDOSCOPY SERVICES US GUIDANCE FOR ACCESS 582$

ENDOSCOPY SERVICES ERCP- WITH REMOVAL AND EXCHANG 7,754$

ENDOSCOPY SERVICES COLONOSCOPY THROUGH STOMA WITH 1,929$


ENDOSCOPY SERVICES COLONOSCOPY-EXPLORATION WITH B 2,545$


ENDOSCOPY SERVICES SIGMOIDOSCOPY WITH BAND LIGATI 2,019$

ENDOSCOPY SERVICES SIGMOIDOSCOPY WITH ABLATION 2,019$

ENDOSCOPY SERVICES CHANGE OF GASTROSTOMY TUBE PER 635$

ENDOSCOPY SERVICES MODERATE SEDATION MONITORING I 208$

ENDOSCOPY SERVICES MODERATE SEDATION MONITORING E 104$

WOUND CARE SERVICES AFFINITY 7 SQ CM 157$

WOUND CARE SERVICES WOUND VAC APPLICATION >50SQ CM 354$

WOUND CARE SERVICES WOUND VAC APPLICATION DISPOSAB 347$

WOUND CARE SERVICES HYFRECATION DESTRUCTION B9 LES 207$

WOUND CARE SERVICES PURAPLY PER SQ. CM 257$

WOUND CARE SERVICES AFFINITY 3 SQ CM 183$

WOUND CARE SERVICES AMPUTION TOE 3,237$

WOUND CARE SERVICES TRIM NAIL (S) 180$

WOUND CARE SERVICES TREATMENT LEVEL I - WC 124$

WOUND CARE SERVICES TREATMENT LEVEL III - WC 274$

WOUND CARE SERVICES NON-SELECTIVE DEBRIDEMENT; DEB 342$

WOUND CARE SERVICES DEBRIDEMENT NAIL 1-5 176$

WOUND CARE SERVICES DEBRIDEMENT NAIL 6+ 83$

WOUND CARE SERVICES SLCTV WND DEBRIDEM 20 CM OR < 378$

WOUND CARE SERVICES SLCTV WND DEBRIDEM ADDL 20 CM 304$

WOUND CARE SERVICES DEBRIDE SKIN/TISSUE 1,078$

WOUND CARE SERVICES DEBRIDE TISSUE/MUSCLE 2,399$

WOUND CARE SERVICES DEBRIDE TISSUE/MUSCLE/BONE 3,112$

WOUND CARE SERVICES DRAINAGE OF SKIN ABSCESS-COMPL 725$

WOUND CARE SERVICES DRAINAGE OF HEMATOME/FLUID 3,270$

WOUND CARE SERVICES PUNCTURE DRAINAGE OF LESION 527$

WOUND CARE SERVICES INITIAL TREATMENT OF BURN(S) 373$

WOUND CARE SERVICES PUNCH BIOPSY OF SKIN LESION 336$

WOUND CARE SERVICES INJECTION-SUBCUT/INTRAMUS 130$

WOUND CARE SERVICES INJECTION-INTRAVENOUS 281$

WOUND CARE SERVICES INJECTION OF ANTIBIOTIC-IM 130$

WOUND CARE SERVICES IV HYDRATION INITIAL HOUR-WC 426$

WOUND CARE SERVICES APPLICATION OF PASTE BOOT 468$

WOUND CARE SERVICES TREATMENT LEVEL II - WC 171$

WOUND CARE SERVICES TREATMENT LEVEL IV - WC 315$

WOUND CARE SERVICES TREATMENT LEVEL V - WC 459$

WOUND CARE SERVICES MINOR SURGERY - WC 1,937$

WOUND CARE SERVICES I & D OF ABSESS 729$

WOUND CARE SERVICES WOUND VAC APPLICATION <50SQ CM 306$

WOUND CARE SERVICES WOUND VAC APPLICATION >50SQ CM 351$

WOUND CARE SERVICES SELF MGMT EDUC/TRAIN-2-4 PT 171$

WOUND CARE SERVICES THERASKIN 13 SQ CM 44$


WOUND CARE SERVICES DRESSINGS AND/OR DEBRIDEMENT O 321$



WOUND CARE SERVICES APPLICATION OF PASTE BOOT-LT 468$

WOUND CARE SERVICES APPLICATION OF PASTE BOOT-RT 468$

WOUND CARE SERVICES REPEAT MEDICATION-IV PUSH-WC 133$

WOUND CARE SERVICES A B I 431$

WOUND CARE SERVICES APPLICATION OF PASTE BOOT-BIL 468$

WOUND CARE SERVICES TREATMENT LEVEL I-WC-25 124$

WOUND CARE SERVICES TREATMENT LEVEL II-WC-25 171$

WOUND CARE SERVICES TREATMENT LEVEL III-WC-25 274$

WOUND CARE SERVICES TREATMENT LEVEL IV-WC-25 315$

WOUND CARE SERVICES TREATMENT LEVEL V-WC-25 459$

WOUND CARE SERVICES SKIN SUB GRAFT TRNK/ARM/LEG 1,944$

WOUND CARE SERVICES NSW DEBRIDEM WO ANES EACH ADDI 304$

WOUND CARE SERVICES NSW DEBRIDEM WO ANES 378$

WOUND CARE SERVICES DEB SUBQ TISSUE-EA ADDL 20 SQ 678$

WOUND CARE SERVICES DEB MUSC/FASCIA-EA ADDL 20 S 1,250$

WOUND CARE SERVICES DEB BONE-EA ADDL 20 SQ CM 1,359$

WOUND CARE SERVICES CHEM CAUT GRANULATION TISS 425$

WOUND CARE SERVICES APPLY MULTLAY COMPRS LWR LEG 255$

WOUND CARE SERVICES SKIN SUB GRAFT F/N/HF/G;<100 2,041$

WOUND CARE SERVICES APPLY RIGID TOTAL CONTACT CAST 712$


WOUND CARE SERVICES APPLY MULTLAY COMPRS LWR LEG 255$

WOUND CARE SERVICES GRAFIX CORE PER SQ. CM. UNIT 257$

WOUND CARE SERVICES GRAFIX CORE PER SQ. CM. UNIT 500$

WOUND CARE SERVICES GRAFIX PER SQ. CM UNIT 257$

WOUND CARE SERVICES EPIDERMAL AUTOGRAFT ,TRUNK,ARM 3,098$

WOUND CARE SERVICES APPLICATION OF APLIGRAF FIRST 3,133$

WOUND CARE SERVICES APPLICATION OF EACH ADDITIONAL 3,133$

WOUND CARE SERVICES GRAFT FISH SKIN 1.75X1.75CM 1,627$

WOUND CARE SERVICES GRAFT FISH SKIN 3X3.5CM 2,154$

WOUND CARE SERVICES GRAFT FISH SKIN 3X7CM 4,049$

WOUND CARE SERVICES INCISIONAL EACH ADDITIONAL BIO 299$

WOUND CARE SERVICES INCISIONAL BIOPSY OF SKIN LESI 598$

WOUND CARE SERVICES BIOPSY EACH ADDITIONAL SKIN L 162$

SUPPLIES TISSUE VEIN SAPH ALLOGRAFT-RES 24,671$

SUPPLIES SHEATH INTRODUCER NON-LASER 111$

SUPPLIES LAMBS WOOL COIL 1 OZ SCHOLL 9$

SUPPLIES ABDONIMAL BINDER 30$

SUPPLIES TUBE SALEM SUMP STOMACH VENT W 14$



SUPPLIES STERI-STRIPS 1/2 IN R1547 3$

SUPPLIES PACK BURN CARE 10/CS 12$

SUPPLIES GAUZE VASELINE 1 IN X 36 IN 2$

SUPPLIES AMNIHOOK 9601V 3$

SUPPLIES ACE 6 IN X 62 IN V3360 2$




SUPPLIES BAG URINARY DRAINAGE 154102 7$

SUPPLIES BLUE BULB SYRINGE 44402 1$

SUPPLIES DRESSING SURG BAND-AID 8 IN X 3$

SUPPLIES DRESSING SURG BAND-AID 4 IN X 1$

SUPPLIES CATHETER 3-WAY FOLEY 18FR 5ML 21$

SUPPLIES TRAY CATHETER FOLEY 18FR 90001 32$


SUPPLIES TRAY CATHETER FOLEY W/O CATH 3 23$

SUPPLIES TUBE FEEDING INFANT 8FRX15 I 5$

SUPPLIES TUBE FEED PREM INFANT 5FRX15 I 5$

SUPPLIES TRAY LUMBAR PUNCTURE ADULT 482 48$

SUPPLIES TRAP MUCOUS SPECIMEN 70CC MST7 5$

SUPPLIES KERLEX 4 IN 3332 2$

SUPPLIES BANDAGE CONFORMING 2$



SUPPLIES UNIT CHEST DRAINAGE THORASEAL 207$

SUPPLIES TELFA 8 IN X 3 IN 7663 1$



SUPPLIES TEDS KNEE SMALL REG. 511 9$

SUPPLIES CATHETER SUCTION 6 FR 1$

SUPPLIES STRAINER URINE DISPOSABLE 4712 2$

SUPPLIES PAD TEMPERATURE LARGE GAYMAR 17$

SUPPLIES PAD TEMPERATURE MEDIUM GAYMAR 16$

SUPPLIES SPECULA VAGINAL MED DISPOSABLE 13$

SUPPLIES SET MICRODRIP VENOSET W/CLAMP 14$

SUPPLIES SECONDARY PIGGYBACK 11953-48 3$

SUPPLIES CHARGE BILIRUBIN LIGHT BILIRUB 47$

SUPPLIES TRAY CATHETER URET W/16FR CATH 4$

SUPPLIES PAD BRA 2630 3$

SUPPLIES SHIELD EYE ALUM (FOX) G-F 8$

SUPPLIES INTRODUCER SET SUBCLAVIAN 10FR 173$

SUPPLIES WIRE GUIDES SCF-35-40-3 C-SCF3 149$

SUPPLIES PASTE STOMAHESIVE 183910 12$

SUPPLIES BAG LEG URINE DRAINAGE LARGE 1 7$

SUPPLIES BAG LEG URINE DRAINAGE MEDIUM 8$

SUPPLIES IRR GLYCINE 3000ML 25$

SUPPLIES CUP INFANT TRAINING 70Z 261300 3$

SUPPLIES ABDOMINAL BINDER 35$

SUPPLIES TEST PKU FOR NEWBORN TEST PKU 244$

SUPPLIES SLING ARM LARGE TX9901-44 8$

SUPPLIES KIT CATHETER FEMALE 8FR 003538 8$

SUPPLIES ELECTRODE FETAL SCALP 2100 SIN 12$

SUPPLIES STRAP CATHETER LEG ADULT 316 17$

SUPPLIES PROBE TEMPERATURE DISP 9FR ER4 16$

SUPPLIES DRESSING ODOR ABSORBENT 27$

SUPPLIES CLOSED TRACH SUCT SYS 49$

SUPPLIES GASTROSTOMY KIT 20FR W/SNARE 6 593$

SUPPLIES DETANGLER SPRAY ON NO MORE TAN 13$

SUPPLIES CHECK-FLO SHEATH SET COOK VC 73$

SUPPLIES BLADE ASSEMBLY CLIPPER DISPOS 8$

SUPPLIES BOTTLE BABY PLASTIC ASST 9OZ 7 4$

SUPPLIES DRESSING PETROLATUM 1 X 8 IN X 1$

SUPPLIES KIT OB VACUUM DELIVERY W/FILTR 95$

SUPPLIES LENS THERAPUTIC EYE W/ TUBING 89$

SUPPLIES SET IV FLUID WARMING 4 LEVEL1 149$

SUPPLIES WIPE BABY 7 IN X 7.7 IN 36/PK 3$

SUPPLIES BALM BAG ANTISEPTIC 10 OZ DAIR 20$

SUPPLIES IRRIGATOR-PULSE LAVAGE 210-114 115$

SUPPLIES DETECTOR CO2 FOR ENDO TUBE EAS 34$

SUPPLIES SET TRIFUSE ADMINISTRATION TF- 9$

SUPPLIES CLEANSER SKIN DERMAL WOUND 8OZ 14$

SUPPLIES PAD LEG PLATE ATTACHMENT 31481 1$

SUPPLIES SET MORGAN LENS DELIVERY MT202 22$

SUPPLIES SHIELD NIPPLE STERILE 67203S 16$

SUPPLIES BRUSH TOOTH SUCTION 2200 22$

SUPPLIES MITT POSEY 2816 51$

SUPPLIES TUBE ENDOBRONCHIAL 35FR LEFT V 170$

SUPPLIES SET PNEUMOTHORAX C-TPT-200 598$

SUPPLIES COLUMN CONCHA W/WATER 1650ML 3 34$

SUPPLIES HOOD INFANT REGULAR NECK 0305 52$

SUPPLIES BAG PRESSURE INFUSER 1000ML 40 31$

SUPPLIES BAG PRESSURE INFUSER 500ML 305 31$

SUPPLIES NEEDLE SCLEROTHERAPY TDVI-25-2 173$

SUPPLIES SPONGE DRAIN 4X4 SPLIT 2EA/PKG 1$

SUPPLIES SET EXTEN 1.2MICRON FILTER 15 11$

SUPPLIES OINTMENT PROTECTIVE 2OZ 594315 3$

SUPPLIES PANTY FOR OB PAD MED-XL CMI-90 2$

SUPPLIES SET IV PUMP PLUM XL 1194312 18$

SUPPLIES SET EPIDURAL FOR GEMSTAR 13744 72$

SUPPLIES CATHETER INTRAUTERINE PRESS CA 86$

SUPPLIES TRAY EPIDURAL ANESTH W/MED CE1 85$

SUPPLIES SET BLOOD PUMP FOR PLUM XL 116 34$

SUPPLIES PACK HOT INFANT HEEL WARMER 12 3$

SUPPLIES CATHETER FOLEY SILICONE 16FR 5 10$

SUPPLIES TUBE GASTROSTOMY 18FR MAGNA-PT 221$

SUPPLIES GUIDEWIRE 365$

SUPPLIES GUARD PIN GREEN 1.6MM STEINMAN 6$

SUPPLIES SET ARTERIAL/VENOUS BLOOD TUBE 20$

SUPPLIES AQUAPAK 700 STERILE H20 60ML 0 3$

SUPPLIES GUIDEWIRE STRAIGHT .035IN 5193 97$

SUPPLIES CLOSURE DUOLOCK CURVED TAIL 17 3$

SUPPLIES DRESSING WOUND 6""X6"" REPLICA 17$

SUPPLIES OINTMENT ANTIFUNGAL 59432800 7$

SUPPLIES POUCH DRAINABLE 1 PIECE 22771 30$

SUPPLIES VOLU-FEED DISPOSABLE NURSER 18 -$

SUPPLIES LANCET TENDERFOOT 8$

SUPPLIES POWDER STOMAHESIVE 225-10 8$

SUPPLIES SET EXTENSION 30-SL 12656-28 3$

SUPPLIES BRACE KNEE 18 1/4 IN-21 IN LA 18$

SUPPLIES STYLET STIFFENING COIL CATH 41 145$

SUPPLIES GROSHONG 9.5 DUAL 7726950 1,529$

SUPPLIES DRILL BIT QUICK COUPLING 3.5MM 367$

SUPPLIES UTERINE MANIPULATOR INJECTOR 6 78$

SUPPLIES CATHETER BALLOON DILATION 1,437$

SUPPLIES SUTURE PROLENE 2-0 36/BX 29$

SUPPLIES GUIDE WIRE SPRING TIP 210 CM 0 44$

SUPPLIES CATHETER IRR FOGARTY 4FR 22080 203$

SUPPLIES SOFTROLL 3 IN 9033 2$



SUPPLIES GUIDE WIRE MOVABLE CORE TSM381 539$

SUPPLIES WIRE SUTURE(MONO) 16GA 1.22MM 43$

SUPPLIES REAMER CANNULATED 5MM MAGNA-FX 911$

SUPPLIES CANNULA NASAL BI-FLO 1843 7$

SUPPLIES KIT FOLEY INDUCTION CBC 68$

SUPPLIES NET FOREIGN BODY RETRIEVAL 2.5 292$

SUPPLIES SET PUMP FEEDING STER W/O DIE 14$

SUPPLIES BAG FEEDING PUMP SET TOP FILL 16$

SUPPLIES HOLDER TRACH TUBE 6$

SUPPLIES STAPLER CURVED CUTTER CS40B 1,503$

SUPPLIES SET MACRO EXTENSION 5" 7$

SUPPLIES SET IV NUTRITIONAL 51$

SUPPLIES CATHETER HEMODIALYSIS 617$

SUPPLIES TUBE EXCHANGE 8MM 2255-17 345$

SUPPLIES SUTURE PDS MONO 0 12/BX 23$

SUPPLIES SUTURE VICRYL 0 36/BX 18$

SUPPLIES ARTHROSCOPIC SURG BLADE 180$

SUPPLIES MASK TRACHEOSTOMY ADULT 1075 2$

SUPPLIES BAG AMBU RESUSCITATE COMP INF 37$

SUPPLIES TEDS THIGH XX-LARGE 961 XXL-RE 27$

SUPPLIES DILATOR 7FR 20CM .035 IN W GUI 39$

SUPPLIES CATHETER MALE EXTERNAL MEDIUM 4$

SUPPLIES TEGADERM 2 3/4 INX3 1/4 1633 1$

SUPPLIES DRILL BIT 2.0MM 157MM 7117-358 320$

SUPPLIES BELT FETAL MONITOR LOOP STYLE 3$

SUPPLIES HOOD INFANT SMALL NECK DISP 03 38$

SUPPLIES TRANSDUCER OXYGEN INFANT DIGIT 44$

SUPPLIES CLEANSER PERSONAL NURSING CARE 4$

SUPPLIES NEEDLE BIOPSY 14GA X 6 IN 2N27 129$

SUPPLIES KERLEX 2 IN 6720 11$

SUPPLIES GRIP SYSTEM CABLE READY 2232-0 5,271$

SUPPLIES SOLUTION PD 4.25% 131$

SUPPLIES ARTHROSCOPIC SURG BLADE 246$

SUPPLIES CASSETTE WOUND VAC 174$

SUPPLIES NEEDLE SET IO PD 15GA X 15MM L 220$

SUPPLIES NEEDLE SET IO 15GA X 45MM LENG 446$

SUPPLIES SYSTEM STOOL MANAGEMENT DIGNI 431$

SUPPLIES BAGS COLLECTION FOR DIGNICARE 14$

SUPPLIES INTRODUCER SHEATH BRITE TIP 10 99$

SUPPLIES RAPID RHINO RR750 88$

SUPPLIES ANGIOGRAPHIC CATHETER 10720403 46$

SUPPLIES SPECULA VAGINAL LRG DISPOSABLE 18$

SUPPLIES GRAFT BONE PUTTY 0.5CC 1105-00 1,680$

SUPPLIES GUIDEWIRE 3.2 TIP THREADED 716 77$

SUPPLIES SUTURE ULTRA BRAIDED NO 2 7210 74$


SUPPLIES HOLDER CATHETER STATLOCK FOAM 11$

SUPPLIES DRESSING BIOPATCH 35$

SUPPLIES SPLINT NASAL DOYLE II INTRANAS 135$

SUPPLIES SUTURE PRO BL MONO 5-0 24$

SUPPLIES BANDAGE COBAN 5$

SUPPLIES COLLAR BUTTON VENT TUBE 1.27MM 125$

SUPPLIES SUTURE ETHILON 5-0 12/BX 16$

SUPPLIES SUTURE ETH BLK MONO 3-0 36/BX 5$

SUPPLIES SUTURE ETHIBOND EXCEL 2-0 30 I 73$

SUPPLIES SUTURE ETHIBOND EXCEL 5 MB66 61$

SUPPLIES SUTURE ETHIBOND 2-0 X873 59$

SUPPLIES SUTURE ETHIBOND EXCEL 1 X425H 7$

SUPPLIES SUTURE GUT CHR 2-0 36/BX 13$



SUPPLIES SUTURE ETHIBOND EXCEL 2 X496T 15$

SUPPLIES SUTURE PRO BL MONO 5-0 12/BX 17$




SUPPLIES SUTURE SILK BLK BR 0 36/BX 6$

SUPPLIES SUTURE SILK BLK BR 2-0 36/BX K 5$

SUPPLIES SUTURE SULK BLK BR 3-0 6$

SUPPLIES SUTURE VICRYL COATED 1 36/BX 10$

SUPPLIES SUTURE VICRYL UND BR 2-0 36/BX 6$

SUPPLIES CANNULA THREADED CLEAR 8.5MM X 154$

SUPPLIES CHARGE ISOLETTE SHIFT ISOLETTE 64$

SUPPLIES SPLINT FINGER WITH FOAM LARGE 3$

SUPPLIES PROTECTOR FINGER MEDIUM 66-002 8$

SUPPLIES SPLINT FINGER W/FOAM 1 5/8 IN 4$

SUPPLIES SPLINT FINGER UNIV 3/4 IN X 1 3$

SUPPLIES SEAL 0-7FR URETEROSCOPY BLUE C 29$

SUPPLIES SUTURE VICRYL 2-0 VR6 NDL J602 7$

SUPPLIES TISSUE SKIN 7.5CM X 3 APLIGRAF 64$

SUPPLIES DRESSING FOAM ADH 7X7 ALLEVYN 19$

SUPPLIES BROSELOW PROC MODULE INTUBATIO 137$

SUPPLIES TRANSFER SCRUB SAFE 25-2244 8$

SUPPLIES WOUND IRRIGATION SYST ZEROWET 35$

SUPPLIES WRIST SUPPORT ARTERIAL LINE 29 25$

SUPPLIES DRESSING ALLEVYN ADHESIVE 5X5 9$


SUPPLIES OINTMENT EXTRA PROTECTIVE 5943 8$

SUPPLIES DRESSING ALLEVYN SACRUM ADHESI 20$

SUPPLIES HEEL ALLEVYN 25$

SUPPLIES DRESSING FOAM TRACHEOSTOMY 19$

SUPPLIES DRESSING ALLEVYN 4X4 PLUS CAVI 8$

SUPPLIES DRESSING CALCIUM ALGINATE 6X8 23$

SUPPLIES CHAMBER AEROSOL ADULT W/MASK 49$

SUPPLIES PAD OB X-LARGE LIBERTY 9623 11$

SUPPLIES SWABSTICK CHLORASCRUB LARGE S4 3$

SUPPLIES UROMAX ULTRA 5.8FR 225-102 792$

SUPPLIES LITHOCATCH 840-412 618$

SUPPLIES CONNECTOR ELBOW SUPERSET FIXED 8$

SUPPLIES KIT INCONTINENCE SUPPLIER 29$


SUPPLIES TUBE ENDO TRACH REINFORCED 6.5 96$

SUPPLIES TAPE MEDIPORE HYPO 8 IN X 10 Y 49$

SUPPLIES INTRADUCER PERCUTANEOUS P.I.-1 164$

SUPPLIES QUIK-COMBO PED 11996-000093 206$

SUPPLIES PUNCH BIOPSY DISP 4MM 33-34 5$

SUPPLIES ADAPTOR CONCHA TUBING 384-00 3$

SUPPLIES STRIP PASTE COLOPLAST 10/BX 26 5$

SUPPLIES VALVE ENTERAL FEEDING LOPEZ M9 11$

SUPPLIES PAD COLD THER SYST ALL PURPOSE 246$

SUPPLIES PASTE BANDG ZINC 3 IN VISCOPAS 16$

SUPPLIES DRESSING WOUND V.A.C SMALL M62 157$

SUPPLIES DRESSING WOUND V.A.C MEDIUM M6 167$

SUPPLIES DRESSING WHITE VERSAFOAM LG V. 126$

SUPPLIES CANISTER W/GEL WOUND V.A.C M62 123$

SUPPLIES CATH BALLOON TIP PACING 5FR 52 599$

SUPPLIES SYSTEM IPPB DISP VORTRAN 127$

SUPPLIES CUSHION HEEL GEL-FOAM 95$

SUPPLIES DRAPE WOUND V.A.C. M6275009/10 24$

SUPPLIES DRESSING ANTIMICROBIAL SILVER 15$

SUPPLIES GEL HYDROGEL SILVASORB 62$

SUPPLIES HAND CONTROL W/TUBING 75$

SUPPLIES DRESSING HYDROGEL 4X4 FLEXIGEL 27$

SUPPLIES KIT ABDOMINAL PRESSURE ABVISER 349$

SUPPLIES TRAC PAD WOUND VAC 69$

SUPPLIES STAPLER UNIVERSAL 879$

SUPPLIES GUIDEWIRE .035 IN 180CM CURVED 160$

SUPPLIES SYRINGE/GAUGE ASSEMBLY 110$

SUPPLIES DEVICE SECURE STATLOCK 15$

SUPPLIES TRAP FINGER STERILE 81$

SUPPLIES RESOLUTION CLIP M00522610 516$

SUPPLIES BLANKET HYPOTHERMIA DISP 35$

SUPPLIES SUCTION CLEANSING SYST ORAL 68 72$

SUPPLIES QUIK-COMBO PED 11996-000093 217$

SUPPLIES TAPE ADH ZINC OX HY-TAPE 1 IN 21$

SUPPLIES INTROD BOUGIE 15FR SUNMED 23$

SUPPLIES PACK INFINITY PARTS 8065750263 181$

SUPPLIES INTRODUCER/SHEATH MPIS-501 121$

SUPPLIES KIT SEX CRIMES TEST 6075 40$

SUPPLIES HOLDER MUTLI PURPOSE TUBE 5445 5$

SUPPLIES CANNULA ERCP DISP SWING-TIP PR 551$

SUPPLIES CAPSULE ENDO DELIVERY DEVICE 604$

SUPPLIES BLOCK BITE ENDO ADULT DISP OLY 6$

SUPPLIES SET INFUSION SAFETY 20GAX1.0IN 24$

SUPPLIES CATHETER SIZING PIGTAIL NON BR 591$

SUPPLIES LINE CONNECTING HIGH PRESSURE 49$

SUPPLIES STOPCOCK 3 WAY HIGH PRESSURE C 24$

SUPPLIES FILTER INSPIRATORY D/FLEX 4-0 17$

SUPPLIES FILTER EXPIRATORY D/X 800 4-07 40$

SUPPLIES CHAMBER HOLDING SPACER AEROVEN 51$

SUPPLIES BLOCK BITE ENDO PEDIATRIC KB-3 12$

SUPPLIES TOURNIQUET DISPOSABLE 18 IN 60 81$

SUPPLIES TOURNIQUET DISPOSABLE 24 IN 60 92$

SUPPLIES EAR MUFFIN HALO WITH TAB ELECT 48$

SUPPLIES BLADE OPHTHALMOLOGY 180 DEG 37 38$

SUPPLIES DRESSING AQUACEL AG SILVER 4X4 122$

SUPPLIES DRESSING AQUACEL AG SILVER 6X6 61$


SUPPLIES TRAP TISSUE BERKLEY 003853-902 32$

SUPPLIES STAPLER LINEAR RELOAD 60MM 4.8 175$

SUPPLIES CABLE PSA DISPOSABLE SURGICAL 127$

SUPPLIES CHAMBER AEROSOL CHILD W/MASK 8 47$

SUPPLIES CATHETER EMBOLECOTMY L-F 3FR 1 2,502$

SUPPLIES PUMP BREAST DOUBLE PUMPING SYM 101$

SUPPLIES SPLINT FINGER WITH FOAM LARGE 3$

SUPPLIES PROTECTOR FINGER LARGE 66-0025 8$


SUPPLIES SPLINT FINGER W/FOAM 6 IN 66-0 4$





SUPPLIES DRESSING ALLEVYN ADHESIVE THIN 8$

SUPPLIES DRESSING ALLEVYN ADHESIVE THIN 4$

SUPPLIES PASTE CALAZIME PROTECTANT 4OZ 11$

SUPPLIES DRESSING ALLEVYN 4X4 PLUS CAVI 7$

SUPPLIES GEMINI HELICAL 330-210 713$


SUPPLIES DRESSING WHITE VERSAFOAM LG 48$

SUPPLIES INTRODUCER 9 FR OSCOR FOR PACE 162$





SUPPLIES SPECULA VAGINAL SML DISPOSABLE 14$

SUPPLIES CATHETER TROCAR 10 FR 561019 59$

SUPPLIES CATHETER TROCAR 20 FR 561043 37$

SUPPLIES CATHETER FOLEY 30FR 30ML 0166S 12$

SUPPLIES CATHETER THORACIC 24 FR 570531 19$

SUPPLIES SLING ARM MEDIUM TX9901-43 8$

SUPPLIES SLING ARM SMALL TX9901-42 8$

SUPPLIES SLING ARM X-LARGE TX9901-45 8$

SUPPLIES SLING ARM CHILD TX9901-41 8$

SUPPLIES TUBE ENDO MUR UNCUFFED 6.0MM 5 3$

SUPPLIES SPLINT BUCKS TRACTION MEDIUM 1 50$

SUPPLIES TUBE TRACHEOSTOMY CUFFED SZ 6 164$

SUPPLIES TUBE TRACHEOSTOMY CUFFED SZ 8 164$

SUPPLIES NEEDLE INFUSION BENT 22GA 3/4 20$

SUPPLIES NEEDLE INFUSION BENT 22GA 1 IN 21$

SUPPLIES TUBE TRACHEAL ENDOTROL 8.0MM 8 36$

SUPPLIES COLLAR CERVICAL PEDIATRIC 2602 23$

SUPPLIES COLLAR CERVICAL ADULT SHORT CM 23$

SUPPLIES COLLAR CERVICAL ADULT NO NECK 23$

SUPPLIES COLLAR CERVICAL ADULT REGULAR 23$

SUPPLIES TUBE TRACH ORAL RAE CUFFED 6.5 13$

SUPPLIES CANNULA ERCP DISP LONG PR-420Q 108$

SUPPLIES CANNULA ERCP DISP SHORT PR-18Q 186$

SUPPLIES TUBE GASTROSTOMY 20FR MAGNA-PT 222$

SUPPLIES STONE REMOVAL 20MM LONG NOSE 3 1,104$

SUPPLIES DRILL BIT QUICK COUPLING 2.7MM 403$

SUPPLIES TUBE TRACH NON-FEN CUFFLES SZ8 147$

SUPPLIES SUTURE SILK BLK BR 2-0 12/BX 7$

SUPPLIES CATH FOLEY COUNCIL TIP 18FR 5C 37$

SUPPLIES CATH FOLEY COUNCIL TIP 20FR 5M 37$



SUPPLIES -DRILL BIT 4.5MM SHORT W/QC 71 574$

SUPPLIES TUBE ENDO MUR CUFFED 9.5MM 86 8$

SUPPLIES BLADE PATELLA REAMER WITH PILO 457$

SUPPLIES BLADE PATELLA REAMER WITH PILO 1,548$

SUPPLIES TUBE TRACHEOSTOMY FENESTR SZ 8 170$

SUPPLIES INTRODUCER SHEATH 5FR RSS501 32$

SUPPLIES NEEDLE SET IO AD 15GA X 25MM L 437$

SUPPLIES INTRODUCER SHEATH BRITE TIP 11 87$

SUPPLIES SHEATH INTRODUCER SUPER 11FR 38$

SUPPLIES BROSELOW PROC MODULE O2 56$



SUPPLIES BROSELOW PROC MODULE IV 131$

SUPPLIES CANNULA NASAL PREMATURE 1610 9$

SUPPLIES BLADE SINUS CURVED RAD40 4.0MM 566$

SUPPLIES CATHETER BALLOON 14 X 4 14-51 284$

SUPPLIES MASK FULL FACE SM RESPIRONICS 121$

SUPPLIES CATHETER PEZZER 28FR 064028 64$

SUPPLIES CATHETER PEZZER 36FR 064036 64$

SUPPLIES IMMOBILIZER SHOULDER LARGE 900 23$

SUPPLIES DEVICE MUCOSAL ATOMIZATION 20$

SUPPLIES PAD COMFORT CARE BIPAP 7510 54$

SUPPLIES CUTTER AGRESSIVE 3.5MM 375-638 146$

SUPPLIES DRESSING CONTACT SILVER LAYER 32$

SUPPLIES GUIDEWIRE .035 IN 260 CM EMERA 169$

SUPPLIES DRESSING PURACOL AG 4.25 X 4.2 84$

SUPPLIES VALVE SUCTION DISPOSABLE FOR F 40$

SUPPLIES DEVICE SECURE STATLOCK 19$

SUPPLIES TEGADERM DRESSING 4X4 1/ 20$

SUPPLIES GLIDEWIRE STIFF .035IN D 180CM 133$

SUPPLIES GLIDEWIRE PERIPHERAL GWA 25CM 444$

SUPPLIES GLIDEWIRE PERIPHERAL GWA 25CM 624$

SUPPLIES INTRODUCER SHEATH 7FR RSS701 31$

SUPPLIES SHEATH GUIDING 5FR INNER DIAM 220$

SUPPLIES KIT CENTRAL LINE 3 LUMEN W/DRA 338$

SUPPLIES CATHETER SOS OMNI 0 5F/80CM 43$

SUPPLIES WIRE GUIDE EXTRA STIFF .035 30 147$

SUPPLIES PLUG ADAPTER MALE MICROCLAVE 1 3$

SUPPLIES TRACHEOSTOMY CARE TRAY MEDLINE 5$

SUPPLIES BALLOON 3 LUMEN EXTRACTION 323$

SUPPLIES GUIDE WIRE WHOLEY STANDARD 300 191$

SUPPLIES ADAPTER HEMOSTATIC VALVE HVA-1 73$

SUPPLIES SHEATH GUIDING 7FR X 45CM PINN 291$

SUPPLIES ACCESS SYS 5X150MM SHIELDED BL 67$

SUPPLIES RETRIEVAL SYSTEM 10MM CD001 149$

SUPPLIES TUBE GASTROSTOMY PEG 20 PEG-20 91$

SUPPLIES NEEDLE SMART 22GA 392$

SUPPLIES KIT GLIDESHEATH RADIAL ACCESS 259$

SUPPLIES BAND TR RADIAL COMPRESSION DV 120$

SUPPLIES BAND TR RADIAL COMP DEVICE LNG 120$

SUPPLIES CREAM SKIN REPAIR 4OZ 10$

SUPPLIES CATH BALLOON 225$

SUPPLIES CATHETER DIAG JACKY RADIAL 5FR 127$

SUPPLIES ADAPTER UNIVERSAL MDI 19$

SUPPLIES SNARE LARGE OVAL POLYPECTOMY 69$

SUPPLIES DRESSING ALLEV GENT BORDER 3X3 7$

SUPPLIES KIT URINE COLLECTION 4$

SUPPLIES CONNECTOR NEUTRON CATHETER 7$

SUPPLIES ELECTRODE BALL 5MM 44$

SUPPLIES PULSE OX SENSOR 45$

SUPPLIES STOCKING COMPRESSION 40-50 MMH 127$

SUPPLIES CASTING SYSTM W/BOOT TCC-EZ 1,562$

SUPPLIES SOLUTION WOUND THERAPY 145$

SUPPLIES SET FILTER LINE ADULT/PED 30$

SUPPLIES MARKER ENDOSCOPIC SPOT 138$

SUPPLIES CANNULA CAPNOFLEX 31$

SUPPLIES KIT PLEURX DRAINAGE 2,133$

SUPPLIES CARTRIDGE WOUND CARE SNAP 453$

SUPPLIES DRESSING KIT WOUND CARE FOAM 170$

SUPPLIES STRAP WOUND CARE 40$

SUPPLIES DRESSING PROMOGRAN MATRIX 27$

SUPPLIES MATTRESS INFANT TRANSPORT 97$

SUPPLIES COMPRESSION STOCING SLIDE AID 82$

SUPPLIES CLAMP CIRCUMCISION 78$

SUPPLIES TRAY CIRCUMCISION DISP 125$

SUPPLIES PROTECTOR CAST 36$

SUPPLIES WAND DEBRISOFT 70$

SUPPLIES CONNECTOR DIALYSIS TEGO 10$

SUPPLIES COVER DRESSING MEDIPORE SOFT 6$

SUPPLIES TRAY LACERATION STER DISP 33$

SUPPLIES RETRACTOR ALEXIS O C SECTION 238$

SUPPLIES SLING PASSIVE CLIP DISP 112$

SUPPLIES CATH INTRAVASCULAR 190$

SUPPLIES PROTHESIS VOICE 1,013$

SUPPLIES CLEANSER SKIN HIBICLENS 40Z BT 8$

SUPPLIES IV D 5W 500ML 11$

SUPPLIES IV NSS 1000ML 11$

SUPPLIES IV NSS 500ML 11$

SUPPLIES IV ADD-VANTAGE D-5-W 50ML 071 4$

SUPPLIES IV SOD CHLOR .45% 250ML 9$

SUPPLIES IV NSS ADD-VANTAGE 100ML 5$

SUPPLIES IV NSS ADD-VANTAGE 250ML 13$

SUPPLIES IMMOBILIZER 12 IN SMALL KNEE 1 41$

SUPPLIES BRACE ANKLE STANDARD FOAM UNIV 45$

SUPPLIES IMMOBILIZER 12 IN X-LARGE KNEE 53$

SUPPLIES IMMOBILIZER 16 IN UNIVERSAL KN 36$



SUPPLIES BRACE ANKLE SMALL FOAM UNIVERS 48$

SUPPLIES SPLINT WRIST SMALL RIGHT 5002 35$

SUPPLIES SUPPORT BACK SACRAL CRISS CROS 69$

SUPPLIES COLLAR CERV 20 IN X 4 IN MED 1 14$

SUPPLIES COLLAR CERV 22 IN X 4 IN LARGE 14$

SUPPLIES SUPPORT BACK SACRAL CRISS CROS 69$

SUPPLIES SPLINT WRIST SMALL RIGHT 35$

SUPPLIES SPLINT WRIST MEDIUM LEFT 5002- 35$

SUPPLIES SPLINT WRIST MEDIUM RIGHT 5002 35$

SUPPLIES SPLINT WRIST LARGE LEFT 5002- 35$

SUPPLIES SPLINT WRIST LARGE RIGHT 5002 35$

SUPPLIES LENS IO FOLD DIOPTER 20.5 AMO 501$

SUPPLIES LENS IO FOLD 28.5 B+L LI61AOR2 408$



SUPPLIES SCREW CORTEX 4.5MM 44MM 214.04 138$

SUPPLIES PLATE CALCANEAL 87MM 241.65 3,574$

SUPPLIES PLATE CALCANEAL 241.52 3,455$

SUPPLIES SCREW CANCELLOUS 4.0MM X 10MM 47$

SUPPLIES SCREW LAG DHS 85MM 280.85 897$

SUPPLIES TISSUE BONE CANC CRUSHED 30CC 6,595$

SUPPLIES WEDGE TIBIAL HALF SIZE7 4,057$

SUPPLIES SCREW CORT SELF-TAP 3.5MMX110M 310$

SUPPLIES KIT CATHETER INFANT 5FR 003563 9$

SUPPLIES ANCHOR SUPER QUICK SZ 2 212032 3,070$

SUPPLIES SCREW BLUNT TROCAR 5.0MM 200MM 369$

SUPPLIES GRAFT CANCELLOUS CUBES 4-6MM 3 5,230$

SUPPLIES SCREW COMPRESSION 30MM 7167-20 531$

SUPPLIES NAIL TIBIAL 8.5MM X 26CM 7165- 6,332$

SUPPLIES PLATE MINI STRAIGHT 5HOLE 37MM 2,464$

SUPPLIES SLING SOLYX SINGLE INCISION SI 3,159$

SUPPLIES STENT BILLIARY PIGTAIL 7FR10CM 163$

SUPPLIES PLATE DIST DORSAL T RAD 6H RI 3,365$

SUPPLIES SCREW CORT SELF-TAP 2.7MMX16MM 204$

SUPPLIES SCREW SELF TAP 3.5MM X 24MM 48 616$

SUPPLIES SCREW SELF TAP 3.5MM X 40MM 48 1,307$

SUPPLIES HEAD HUMERAL STANDARD 26MM X 4 5,506$

SUPPLIES HEAD FEMORAL ENDO 44MM DIA 781 1,301$

SUPPLIES CENTRALIZER VERSYS DIGITAL 785 155$

SUPPLIES SCREW INT HEX CAP 5.0MM X 95MM 621$

SUPPLIES NAIL TIBIAL 10MM X 30CM 7165-5 4,050$

SUPPLIES NAIL TIBIAL 10MM X 39CM 7165-5 4,707$

SUPPLIES SCREW CORTEX SELF TAPPING 3.5M 387$

SUPPLIES SCREW CANCELLOUS 4.0MM X 60MM 671$

SUPPLIES SCREW CANC FUL THRD 4.0MMX26MM 516$

SUPPLIES SCREW LOCKING 2.7MM 44MM 4828- 360$

SUPPLIES SCREW KIT LAG/COMP INTERTAN 80 2,029$

SUPPLIES SHELL MODULAR CUP 56MM CLUSTER 2,202$

SUPPLIES INSERT ARTICULAR 15MM SIZE 3-4 4,378$

SUPPLIES SCREW CANNULATED 4.0MM 34MM PT 647$

SUPPLIES PLATE LATERAL PROXIMAL TIBIA L 1,427$

SUPPLIES PLATE COMP LOCK 4.5M 6H 121MM 1,405$

SUPPLIES SCREW CANC PAR THRD 4.0MMX40MM 573$

SUPPLIES PLATE CLAVICLE LOCKING 8H RIGH 2,324$

SUPPLIES BOLT 10MM 10-3200 697$

SUPPLIES PLATE 1/3 TUB 10 HOLE 122MM 71 514$

SUPPLIES SCREW PERI-LOC 4.5MM T25 80MM 1,579$

LABORATORY SERVICES MRSA STAPH DNA AMP PROBE 195$

LABORATORY SERVICES STAPH A DNA AMP PROBE 108$

LABORATORY SERVICES FFP THAWING EA UNIT 215$

LABORATORY SERVICES MANUAL RETICULOCYTE COUNT 50$

LABORATORY SERVICES RH CORD 48$

LABORATORY SERVICES B-HYDROXYBUTYRATE 58$

LABORATORY SERVICES RBC COUNT 35$

LABORATORY SERVICES SURG PATH LEVEL 1 ADDITIONAL 68$

LABORATORY SERVICES SURG PATH TECH COMP LEVEL 2 AD 128$





LABORATORY SERVICES URINE TOTAL VOLUME 16$

LABORATORY SERVICES O&P IN HOUSE 74$

LABORATORY SERVICES HGB BLOOD GAS PNL 10$

LABORATORY SERVICES LACTATE BLOOD GAS PNL 96$

LABORATORY SERVICES TRANSFERRIN 64$

LABORATORY SERVICES VITAMIN D INHOUSE 84$

LABORATORY SERVICES LACTOFERRIN QUAL (WBC STOOL) 97$

LABORATORY SERVICES 02 SAT VEN 89$

LABORATORY SERVICES 2HR GTT 75 GRAM 34$

LABORATORY SERVICES GENERAL HEALTH PNL 354$

LABORATORY SERVICES AUTOMATED PLATELET COUNT ONLY 68$

LABORATORY SERVICES WBC ONLY 37$

LABORATORY SERVICES STAT AHA FEE 6$

LABORATORY SERVICES ACTIM PROM 195$

LABORATORY SERVICES HGC URINE PREG TEST 61$

LABORATORY SERVICES OBSTETRIC PANEL WITHOUT HIV 418$

LABORATORY SERVICES OBSTETRIC PANEL WITH HIV 428$

LABORATORY SERVICES H.PYLORI WHOLE BLOOD 77$

LABORATORY SERVICES HIV 1-2 AG-AB EXPOSURE 161$

LABORATORY SERVICES URINE DRUG SCREEN IN-HOUSE 326$

LABORATORY SERVICES COURTESY DRAW 12$

LABORATORY SERVICES HEMOSURE (IFOB) 63$

LABORATORY SERVICES APHERESIS FRESH FROZEN PLASMA 169$

LABORATORY SERVICES SPECIMEN COLLECTION FEE 20$

LABORATORY SERVICES HIV-1-2 AB STAT PAK 47$

LABORATORY SERVICES GLUCOSE 3HR TOL 37$

LABORATORY SERVICES CHEM RENAL 45$

LABORATORY SERVICES PSA SCREENING 85$ X

LABORATORY SERVICES O2 SAT SUPERIOR VENA CAVA 89$

LABORATORY SERVICES O2 SAT INFERIOR VENA CAVA 89$

LABORATORY SERVICES O2 SAT LEFT VENTRICLE/AORTA 89$

LABORATORY SERVICES O2 SAT PULMONARY ARTERY 89$

LABORATORY SERVICES FLU A 87$

LABORATORY SERVICES FLU B 87$

LABORATORY SERVICES CRYPTO/GIARDIA ANT. 72$

LABORATORY SERVICES B-TYPE NATRIURETIC PEPTIDE(BNP 217$

LABORATORY SERVICES URINE PROTEIN RANDOM 40$

LABORATORY SERVICES OXIMETRY PANEL 89$

LABORATORY SERVICES O2 SAT RIGHT ATRIUM 89$

LABORATORY SERVICES O2 SAT FEMORAL ARTERY 89$

LABORATORY SERVICES O2 SAT RIGHT VENT 89$

LABORATORY SERVICES HIGH-SENSITIVITY CRP 82$

LABORATORY SERVICES MICROALBUMIN-24-HR URINE QUANT 55$

LABORATORY SERVICES CREATININE-SERUM W/EGFR 32$

LABORATORY SERVICES O2 SAT PULMONARY CAP WEDGE 89$

LABORATORY SERVICES LDL CHOLESTEROL-MEASURED 62$

LABORATORY SERVICES ABG CAPILLARY 299$

LABORATORY SERVICES CORD GAS ARTERIAL 299$

LABORATORY SERVICES CORD GAS VENOUS 299$

LABORATORY SERVICES VENOUS BLOOD GAS 88$

LABORATORY SERVICES FIBRINOGEN 102$

LABORATORY SERVICES CPK MB MASS MOLECULE 85$ X

LABORATORY SERVICES TROPONIN-I 124$ X

LABORATORY SERVICES CHEM METABOLIC PNL 73$ X

LABORATORY SERVICES ACETAMINOPHEN 162$

LABORATORY SERVICES SODIUM SERUM 43$

LABORATORY SERVICES POTASSIUM SERUM 26$

LABORATORY SERVICES CHLORIDE SERUM 48$

LABORATORY SERVICES CO 2 (BICARB) SERUM 53$

LABORATORY SERVICES PH (BLD-VEN OR ARTERIAL) 88$

LABORATORY SERVICES GENTAMICIN PEAK 148$

LABORATORY SERVICES ARTERIAL BLOOD GASES 299$

LABORATORY SERVICES TOBRAMYCIN PEAK 146$

LABORATORY SERVICES CSF PROTEIN 157$

LABORATORY SERVICES PROTEIN 24 HR UR QNT 38$

LABORATORY SERVICES CPK - TOTAL 53$

LABORATORY SERVICES AST/SGOT SER 14$ X

LABORATORY SERVICES LDH-TOTAL 55$

LABORATORY SERVICES ALT/SGPT SER 14$ X

LABORATORY SERVICES VALPROIC ACID (DEPAKENE) 116$

LABORATORY SERVICES GLUCOSE; QUAN BLD,FST,RDM 30$

LABORATORY SERVICES BUN (UREA NITROGEN) 29$

LABORATORY SERVICES GTT 3 HR (UP TO 3 SPECIMEN) 101$

LABORATORY SERVICES BASIC METABOLIC PANEL 70$ X

LABORATORY SERVICES CALCIUM SERUM 47$

LABORATORY SERVICES CREATININE-SERUM 14$ X

LABORATORY SERVICES URIC ACID SERUM 40$

LABORATORY SERVICES SALICYLATE-ASPIRIN 162$

LABORATORY SERVICES ALKALINE PHOSPHATASE 35$

LABORATORY SERVICES CHEM LIVER PROFILE 48$ X

LABORATORY SERVICES BILIRUBIN-TOTAL 44$

LABORATORY SERVICES BILIRUBIN-CONJUGATED 37$ X

LABORATORY SERVICES AMYLASE-SERUM 66$

LABORATORY SERVICES DIGOXIN 122$

LABORATORY SERVICES T3 UPTAKE 68$

LABORATORY SERVICES T4 ASSAY 68$ X

LABORATORY SERVICES AMMONIA-PLASMA 132$

LABORATORY SERVICES IRON-TOTAL SERUM 48$

LABORATORY SERVICES CHEM LIPID PROFILE 43$ X

LABORATORY SERVICES OSMOLALITY SERUM 71$

LABORATORY SERVICES CHOLESTEROL-SERUM 44$

LABORATORY SERVICES ALBUMIN-SERUM 45$

LABORATORY SERVICES CARBAMAZEPINE (TEGRETOL) 131$

LABORATORY SERVICES CREATININE CLEARANCE-URINE 96$

LABORATORY SERVICES CARBOXY HGB (CO) 67$

LABORATORY SERVICES PHOSPHORUS-SERUM 43$

LABORATORY SERVICES AMYLASE 24HR URINE 66$

LABORATORY SERVICES TOTAL PROTEIN-SERUM 40$

LABORATORY SERVICES CEA CARCINOEMBRYONIC ANT 152$

LABORATORY SERVICES ALCOHOL-BLOOD 118$

LABORATORY SERVICES TRIGLYCERIDES SERUM 52$

LABORATORY SERVICES FERRITIN SER 96$

LABORATORY SERVICES GGT (GAMMA GTP) 55$

LABORATORY SERVICES CORTISOL PLASMA AM 147$

LABORATORY SERVICES PHENYTOIN-DILANTIN 120$

LABORATORY SERVICES THEOPHYLLINE-SERUM 128$

LABORATORY SERVICES HDL CHOLESTEROL 74$

LABORATORY SERVICES LIPASE SERUM 81$

LABORATORY SERVICES LITHIUM SERUM 64$

LABORATORY SERVICES MAGNESIUM SERUM 41$

LABORATORY SERVICES GENTAMICIN RANDOM 148$

LABORATORY SERVICES GENTAMICIN TROUGH 148$

LABORATORY SERVICES TOBRAMYCIN RANDOM 146$

LABORATORY SERVICES GLUCOSE, 50 GR, 1 HR 34$

LABORATORY SERVICES TOBRAMYCIN TROUGH 146$

LABORATORY SERVICES AMYLASE 2 HR URINE 66$

LABORATORY SERVICES UD THC-DAU 156$

LABORATORY SERVICES UD BARBITURATE-DAU 156$

LABORATORY SERVICES UD BENZODIAZEPINE-DAU 134$

LABORATORY SERVICES UD COCAINE-DAU 156$

LABORATORY SERVICES METHADONE-DAU 156$

LABORATORY SERVICES UD OPIATES-DAU 156$

LABORATORY SERVICES BF PH 32$

LABORATORY SERVICES BILIRUBIN NEONATAL 44$

LABORATORY SERVICES CALCIUM RANDOM URINE 65$

LABORATORY SERVICES CHLORIDE 24 HR QNT 45$

LABORATORY SERVICES CHLORIDE URINE RANDOM 45$

LABORATORY SERVICES CREATININE RANDOM UR 56$

LABORATORY SERVICES CREATININE 24HR-NOT CLEARANCE 56$

LABORATORY SERVICES CSF GLUCOSE 57$

LABORATORY SERVICES GLUCOSE RANDOM URINE 57$

LABORATORY SERVICES GLUCOSE,QUAN BLD,PP 30$

LABORATORY SERVICES GLUCOSE; QUAN BLOOD 30$

LABORATORY SERVICES MAGNESIUM RANDOM UR 49$

LABORATORY SERVICES MAGNESIUM 24HR UR QNT 49$

LABORATORY SERVICES PHOSPHORUS RAN URINE 79$

LABORATORY SERVICES PHOSPHORUS 24HR UR QNT 79$

LABORATORY SERVICES OSMOLALITY RANDOM UR 62$

LABORATORY SERVICES OSMOLALITY 24HR UR QNT 62$

LABORATORY SERVICES POTASSIUM RANDOM URINE 48$

LABORATORY SERVICES POTASSIUM 24HR UR QNT 44$

LABORATORY SERVICES SODIUM RANDOM URINE 54$

LABORATORY SERVICES SODIUM 24HR UR QNT 54$

LABORATORY SERVICES UREA NITROGEN 24HR QNT 49$

LABORATORY SERVICES URIC ACID RANDOM URINE 55$

LABORATORY SERVICES URIC ACID 24HR QNT 55$

LABORATORY SERVICES VANCOMYCIN TROUGH 104$

LABORATORY SERVICES UREA RANDOM URINE 49$

LABORATORY SERVICES TSH THYROID STIM HORMONE 57$ X

LABORATORY SERVICES VANCOMYCIN PEAK 104$

LABORATORY SERVICES LACTATE 96$

LABORATORY SERVICES CBC/PLATELET/AUTODIFF 73$ X

LABORATORY SERVICES CSF RBC COUNT 59$

LABORATORY SERVICES WBC DIFFERENTIAL 37$

LABORATORY SERVICES RETIC COUNT 51$

LABORATORY SERVICES SED RATE (WESTERGREN) 43$ X

LABORATORY SERVICES PT-PROTHROMBIN TIME 32$

LABORATORY SERVICES PTT-ACTIVATED 53$ X

LABORATORY SERVICES BONE MARROW SLIDE STAINING 188$

LABORATORY SERVICES MALARIAL SMEAR 72$

LABORATORY SERVICES CBC WITH NO DIFF 52$

LABORATORY SERVICES STOOL OCCULT BLOOD NEOPLASM 33$

LABORATORY SERVICES STOOL OCCULT BLOOD 30$

LABORATORY SERVICES URINALYSIS (STIX+MICRO) 47$ X

LABORATORY SERVICES SEMEN ANALYSIS/MOTILITY & CNT 89$

LABORATORY SERVICES U CHEM ONLY 32$

LABORATORY SERVICES MICROALBUMIN-URINE QNT. 50$

LABORATORY SERVICES BF CRYSTAL ID POLAR LT 65$

LABORATORY SERVICES GASTRIC OCCULT BLOOD 38$

LABORATORY SERVICES BF DIFF-WBC 85$

LABORATORY SERVICES BF WBC COUNT 59$

LABORATORY SERVICES BF SPECIFIC GRAVITY 31$

LABORATORY SERVICES SURG PATH TECH COMP L 1 68$



LABORATORY SERVICES FROZEN SECTION 295$

LABORATORY SERVICES AP AFB STAIN 135$




LABORATORY SERVICES MONOSPOT 73$

LABORATORY SERVICES ASO TITER-QUANT 71$

LABORATORY SERVICES BILL ADMINISTR CHG-BLD 661$

LABORATORY SERVICES BILL ANTIGEN TEST 78$

LABORATORY SERVICES ANTIBODY SCREEN-RH 94$ X

LABORATORY SERVICES CROSSMATCH EA UNIT 180$

LABORATORY SERVICES ANTIBODY ID RH 188$

LABORATORY SERVICES CORD-DIRECT COOMBS 72$

LABORATORY SERVICES RH IMMUNE GLOBULIN 168$

LABORATORY SERVICES TRANSFUSION REACTION INVESTIGA 242$

LABORATORY SERVICES IMMEDIATE SPIN CROSS MATCH 148$

LABORATORY SERVICES FETAL SCREEN 83$

LABORATORY SERVICES RH BLOOD TYPE 48$

LABORATORY SERVICES ABO BLOOD TYPE-CORD BLOOD 52$

LABORATORY SERVICES ABO BLOOD TEST 49$

LABORATORY SERVICES ANTIGEN TEST DONOR EACH 89$

LABORATORY SERVICES HCG SERUM PREG TEST 87$

LABORATORY SERVICES RUBELLA ANTIBODY 82$

LABORATORY SERVICES GRAM STAIN 40$

LABORATORY SERVICES C THROAT CULTURE 82$

LABORATORY SERVICES C STOOL CULTURE 85$

LABORATORY SERVICES URINE CULT;QUAN COUNT 48$ X

LABORATORY SERVICES C MISC CULTURE 82$

LABORATORY SERVICES C BL CULTURE, AER/ANA 88$ X

LABORATORY SERVICES POS M.I.C. PANEL 81$

LABORATORY SERVICES STREP GRP A ANTIGENSCRN 65$

LABORATORY SERVICES BACT ID URINE DEFINITIVE ID 56$

LABORATORY SERVICES MRSA SURVEILLANCE SCREEN 73$

LABORATORY SERVICES ROTA VIRUS ANTIGEN 125$

LABORATORY SERVICES RSV SYNCTIAL VIR AG 136$

LABORATORY SERVICES WET PREP-BACT 47$

LABORATORY SERVICES BACT DEFINITIVE ID AEROBIC 70$

LABORATORY SERVICES PNEUMO SMEAR 124$

LABORATORY SERVICES NEG M.I.C. PANEL 81$

LABORATORY SERVICES LEGIONELLA PNEUMOPHILA URINE 97$

LABORATORY SERVICES C STREP B CULTURE 73$

LABORATORY SERVICES STREP PANEL 70$

LABORATORY SERVICES C EYE CULTURE 82$

LABORATORY SERVICES C GENITAL CULTURE 82$

LABORATORY SERVICES C WOUND CULTURE 82$

LABORATORY SERVICES C CSF CULTURE 82$

LABORATORY SERVICES C BF CULTURE 82$

LABORATORY SERVICES SHIGA TOXIN-A 40$

LABORATORY SERVICES SHIGA TOXIN-B 40$

LABORATORY SERVICES HEMOGLOBIN A1C-BIO RAD 34$ X

LABORATORY SERVICES ORGANISM I.D. YEAST 93$

LABORATORY SERVICES HER-2ICA 429$

LABORATORY SERVICES HCG QUANT-BETA HCG 145$

LABORATORY SERVICES VITAMIN B-12 96$

LABORATORY SERVICES FOLIC ACID 87$

LABORATORY SERVICES CORTISOL PMSER 147$

LABORATORY SERVICES PREALBUMIN SERUM 132$

LABORATORY SERVICES SPUTUM CYTOLOGY 228$

LABORATORY SERVICES BF CYTOLOGY 142$

LABORATORY SERVICES CSF CYTOLOGY 228$

LABORATORY SERVICES CRP QUANT 68$

LABORATORY SERVICES AMPHETAMINE-UR-QUAL 168$

LABORATORY SERVICES D-DIMER ASSAY 128$

LABORATORY SERVICES PROSTATIC SPEC ANTIGEN DIAG 114$

LABORATORY SERVICES T3-FREE-SER 94$

LABORATORY SERVICES T4-FREE SER 32$ X

LABORATORY SERVICES CALCIUM IONIZED SERUM 123$

LABORATORY SERVICES SPECIMEN COLLECTION FEE 12$

LABORATORY SERVICES URINE CYTOLOGY 75$

LABORATORY SERVICES RBC LEUKOCYTES REDUCED EA UNIT 509$

LABORATORY SERVICES POOLED PLATELETS LR 5 DAY 632$

LABORATORY SERVICES FFP-FRESH FZN PLASMA/UNIT 169$

LABORATORY SERVICES RED BLOOD CELLS WASHED 399$

LABORATORY SERVICES CRYOGLOBULIN PRODUCT / UNIT 99$

LABORATORY SERVICES PLATELETS PHERESIS LR EA UNIT 1,265$

LABORATORY SERVICES RBC LR IRRAD EA UNIT 643$

LABORATORY SERVICES RBC LR CMV-N IRRAD EA UNIT 753$

LABORATORY SERVICES WHOLE BLD OR RBC LR,CMV-NEG EA 464$

LABORATORY SERVICES PLATELETS PHERESIS LR IR EA UN 1,713$

LABORATORY SERVICES PLATELETS CMV-N LR IR EA UNIT 1,477$

LABORATORY SERVICES PLATELETS LR CMV-NEG EA UNIT 849$

LABORATORY SERVICES AMYLASE URINE - RANDOM 66$

LABORATORY SERVICES NASOPHARYNGEAL CULT 82$

LABORATORY SERVICES C SPUTUM/GRAM STAIN 82$

LABORATORY SERVICES MISCELLANEOUS TEST ORDER 86$

LABORATORY SERVICES ELECTROLYTES 64$

LABORATORY SERVICES DIRECT COOMBS 82$

LABORATORY SERVICES AP ELAS STAIN 188$

LABORATORY SERVICES AP GIEMSA STAIN 188$

LABORATORY SERVICES AP GMS STAIN 188$

LABORATORY SERVICES AP IRON STAIN 146$

LABORATORY SERVICES AP MAST STAIN 188$

LABORATORY SERVICES AP MUCI STAIN 260$

LABORATORY SERVICES AP PAS C STAIN 188$

LABORATORY SERVICES AP PAS S STAIN 188$

LABORATORY SERVICES AP PTAH STAIN 188$

LABORATORY SERVICES AP RETIC STAIN 188$

LABORATORY SERVICES AP TRICHR STAIN 188$

LABORATORY SERVICES C. DIFF TOXIN AMPLIFIED PROBE 228$

LABORATORY SERVICES CAP PUNC RT. 22$

LABORATORY SERVICES PBP2A, ANTISERUM,NON,PER 30$

LABORATORY SERVICES STREP PNEUMO URINE AG,EA 97$

LABORATORY SERVICES GROUP A STREP CONFIRM,EA 73$

LABORATORY SERVICES STREP GR A, ANTISERUM,EA 30$

LABORATORY SERVICES STREP GR B,ANTISERUM,EA 30$

LABORATORY SERVICES STREP GR C, ANTISERUM,EA 30$

LABORATORY SERVICES STREP GR D, ANTISERUM, EA 30$

LABORATORY SERVICES STREP GR F, ANTISERUM, EA 30$

LABORATORY SERVICES STREP GR G, ANTISERUM, EA 30$

LABORATORY SERVICES HEMOGLOBIN 22$

LABORATORY SERVICES HEMATOCRIT 27$

LABORATORY SERVICES DECALCIFICATION 80$

LABORATORY SERVICES ABO TYPE, ARC 49$

LABORATORY SERVICES RH PHENOTYPE COMP,ARC 134$

LABORATORY SERVICES BLD TYPE,RBC AG NOT ABO/RHD, E 72$

LABORATORY SERVICES COOMBS DIRECT,EA ANTISERUM,ARC 45$

LABORATORY SERVICES RBC AB SCRN EA TECHIQ, ARC 88$

LABORATORY SERVICES AB ID RBC EA PANEL TECH, ARC 179$

LABORATORY SERVICES AB ID EA REAGENT CELL, ARC 27$

LABORATORY SERVICES PRETREAT RBC,CHEM OR DRUGS, EA 45$

LABORATORY SERVICES SERUM PRETX,INHIBITOR INCUBATE 60$

LABORATORY SERVICES BLD TYPE,AG SCRN W PT SERUM, E 122$

LABORATORY SERVICES CRYOPRECIPITATE POOLED AT ARC 445$

LABORATORY SERVICES PRETREATMENT OF SERUM FOR USE 155$

LABORATORY SERVICES ELUTION ARC, EACH 150$

LABORATORY SERVICES SEPARATION DENSITY GRADIENTS R 104$

LABORATORY SERVICES LICENSED RBC PANEL (ARC) 586$

LABORATORY SERVICES RH TYPE (ARC) 48$

LABORATORY SERVICES PRE-TREATMENT W ENZYMES, PER C 85$

LABORATORY SERVICES RBC AG NEG UNIT 595$

LABORATORY SERVICES 6 RBC AG NEG/ UNIT 714$

LABORATORY SERVICES D4I-4 RBC AG/ NEG / UNIT 476$

LABORATORY SERVICES MECONIUM (0) 249$

LABORATORY SERVICES GAS CHROM/MAS SPEC CONF MECON 209$

LABORATORY SERVICES BUPRENORPHINE (O) 88$

LABORATORY SERVICES METANEPHRINES (OSU) 201$

LABORATORY SERVICES FLM AMINO 146$

LABORATORY SERVICES URINE CYTOLOGY-USING THIN PREP 200$

LABORATORY SERVICES U AMPH CONFORMATION (O) 150$

LABORATORY SERVICES U BARB CONFORMATION (O) 145$

LABORATORY SERVICES U BENZO CONFORMATION (O) 149$

LABORATORY SERVICES U COCA CONFORMATION (O) 149$

LABORATORY SERVICES U METHADONE CONFORMATION (O) 145$

LABORATORY SERVICES U OPIA CONFORMATION (O) 145$

LABORATORY SERVICES U PCP CONFORMATION (O) 127$

LABORATORY SERVICES U THC CONFORMATION (O) 149$

LABORATORY SERVICES CYTOPTH CELL ENHANCE TECH OSU 200$

LABORATORY SERVICES PAP-MONO LAYER (O) 102$

LABORATORY SERVICES HPV (O) 51$

LABORATORY SERVICES ENTERIC PANEL, MOLECULAR STOOL 181$

LABORATORY SERVICES BETA-2 TRANSFERRIN (O) 276$

LABORATORY SERVICES UMBILICAL CORD TISSUE DRUG SCR 107$

LABORATORY SERVICES UNBILICAL CORD TISSUE DRUG SCR 103$

LABORATORY SERVICES M.TUBERCULOSIS COMPLEX BY PCR 194$

LABORATORY SERVICES PLEURAL FLUID, CYTOLOGY 142$

LABORATORY SERVICES QUANTIFERON GOLD (OSU) 260$

LABORATORY SERVICES ANTIBODY SCREEN 11$

LABORATORY SERVICES ANTIBODY ID 50$

LABORATORY SERVICES AB TITER AHG 37$

LABORATORY SERVICES ABO TYPING 14$

LABORATORY SERVICES RH TYPING 13$

LABORATORY SERVICES ANTIGEN TYPING 15$

LABORATORY SERVICES DIRECT COOMBS 12$

LABORATORY SERVICES U BUPRENORPHINE CONF 149$

LABORATORY SERVICES U OXYCODONE CONF 149$

LABORATORY SERVICES PAP HA OSU 70$

LABORATORY SERVICES SPUTUM CYTOLOGY 200$

LABORATORY SERVICES CULTURE OF DIALYSATE (LC) 82$

LABORATORY SERVICES HCV RNA PCR QUANT RFLX (LABCOR 440$

LABORATORY SERVICES FREE KAPPA + LAMBDA LT CHAINS 135$

LABORATORY SERVICES EMDOMYSIAL AB IGA (LABCORP) 130$

LABORATORY SERVICES WARFARIN (LABCORP) 496$

LABORATORY SERVICES WARFARIN (LABCORP) 244$

LABORATORY SERVICES MTHFR DNA ANALYSIS (LABCORP) 411$

LABORATORY SERVICES BCR-ABL1 FOR CML AND ALL(LABC 421$

LABORATORY SERVICES BCR-ABL1 FOR CML AND ALL (LAB 432$

LABORATORY SERVICES FACTOR V LEIDEN MUTATION (LABC 347$

LABORATORY SERVICES JAK2 MUTATION ANALASIS QUAL (L 578$

LABORATORY SERVICES CLL FISH PANEL 223$

LABORATORY SERVICES BK VIRUS QUANT R-T DNA PCR (LA 435$

LABORATORY SERVICES METHLMALONIC ACID (LABCORP) 226$

LABORATORY SERVICES GLIADIN AB PROFILE IGA,IGE, IG 178$

LABORATORY SERVICES HOMOCYSTINE (LABCORP) 164$

LABORATORY SERVICES CARBOHYDRATE ANTIBEN (CA)19-9 98$

LABORATORY SERVICES CANCER ANTIGEN (CA) 27.29 (LAB 113$

LABORATORY SERVICES B2-MICROGLOBULIN,SERUM (LABCOR 91$

LABORATORY SERVICES ANTINUCLEAR ANTIBODIES (ANA) 93$

LABORATORY SERVICES A-FETOPROTEIN (AFP)SERUM, TM ( 96$

LABORATORY SERVICES IFE +PE 24HR URINE (LABCORP) ( 144$

LABORATORY SERVICES IFE +PE 24HR URINE (LABCORP) ( 101$

LABORATORY SERVICES IFE +PE,24HR, URINE (LABCORP) 38$

LABORATORY SERVICES IFE AND PE SERUM 160$

LABORATORY SERVICES IFE AND PE SERUM (001495) 99$



LABORATORY SERVICES RPR QUAL (LAB CORP) 50$

LABORATORY SERVICES RPR QUANT (LAB CORP) 49$

LABORATORY SERVICES TREPONEMA PALLIDUM SCREEN LAB 79$

LABORATORY SERVICES TREPONEMA PALLIDUM AB LAB CORP 79$

LABORATORY SERVICES 5-HIAA QUANT 24HOUR URINE 105$

LABORATORY SERVICES HYDROXYPROGESTERONE 17-D 129$

LABORATORY SERVICES ALPHA-FETOPROTEIN SERUM (AFP-T 96$

LABORATORY SERVICES ESTRIOL UNCONJUGATED (AFP-T) 86$

LABORATORY SERVICES HCG;QUAN (AFP-T) 145$

LABORATORY SERVICES INHIBIN A (AFP-T) 122$

LABORATORY SERVICES ACHR BINDING 219$

LABORATORY SERVICES ACTH 200$

LABORATORY SERVICES ALDOLASE 104$

LABORATORY SERVICES ALDOSTERONE 193$

LABORATORY SERVICES ALKALINE PHOSPHATASE (ALK PHOS 37$

LABORATORY SERVICES ALKALINE PHOSPHATASE ISOENZYME 84$

LABORATORY SERVICES ALPHA-1-ANTITRYPSIN; TOTAL 91$

LABORATORY SERVICES AMIODARONE, 122$

LABORATORY SERVICES AMITRIPTYLINE 130$

LABORATORY SERVICES ANDROSTENEDIONE 87$

LABORATORY SERVICES ANGIOTENSIN CONVERTING ENZYME 92$

LABORATORY SERVICES ANTIMITOCHONDRIAL AB (AMA) QN 98$

LABORATORY SERVICES ANTI DS DNA (DOUBLE STRANDED) 84$

LABORATORY SERVICES ANTI MULLERIAN HORMONE 146$

LABORATORY SERVICES ANTI-CARDOLIPIN AB 126$

LABORATORY SERVICES ANTICENTROMERE B ANTIBODIES 122$

LABORATORY SERVICES ANTICHROMATIN ANTIBODIES 95$

LABORATORY SERVICES ANTIEXTRACTABLE NUCLEAR AG 190$

LABORATORY SERVICES ANTIHISTONE ANTIBODIES 95$

LABORATORY SERVICES ANTI-JO-1 95$

LABORATORY SERVICES ANCA 306$

LABORATORY SERVICES ANA 93$

LABORATORY SERVICES ANTIPANCREATIC ISLET CELLS 154$

LABORATORY SERVICES ANTIPROTEINASE 3 (PR3) AB 146$

LABORATORY SERVICES ANTIRIBOSOMAL P ANTIBODIES 124$

LABORATORY SERVICES ANTISCLERODERMA-70 ABS 95$

LABORATORY SERVICES ANTISMOOTH MUSCLE AB, QUANT 98$

LABORATORY SERVICES ANTI-THROMBIN III, FUNCTIONAL 136$

LABORATORY SERVICES ANTIMYELOPEROXIDASE (MPO) AB 146$

LABORATORY SERVICES ARSENIC, BLOOD 82$

LABORATORY SERVICES BETA 2 GLYCOPROTEIN IGG, IGM 179$

LABORATORY SERVICES BARTONELLA AB PROFILE (CAT SCR 202$

LABORATORY SERVICES B-HCG SUBUNIT, QUANT 145$

LABORATORY SERVICES C1 ESTERASE INHIBITOR 108$

LABORATORY SERVICES CADMIUM 109$

LABORATORY SERVICES CALCITONIN, SERUM 153$

LABORATORY SERVICES VIT D 1 25-DIHYDROXY (CALCITRI 217$

LABORATORY SERVICES CALCULI (KIDNEY STONE ANALYSIS 80$

LABORATORY SERVICES CALPROTECTIN FECAL 348$

LABORATORY SERVICES CA 125 119$

LABORATORY SERVICES CATECHOLAMINES, PLASMA 150$

LABORATORY SERVICES CATECHOLAMINES, 24 HOUR URINE 150$

LABORATORY SERVICES CELIAC AB PROFILE W EMA (16512 77$

LABORATORY SERVICES CELIAC AB PROFILE W EMA (1651 329$

LABORATORY SERVICES CELIAC DISEASE PROFILE (165142 77$



LABORATORY SERVICES CERULOPLASMIN 83$

LABORATORY SERVICES CHLAMYDIA GC AMP (180098) 160$

LABORATORY SERVICES CHLAMYDIA GC NNA (183194) 158$

LABORATORY SERVICES CHLAMYDIA GC NNA (183194) 158$

LABORATORY SERVICES CHLAMYDIA TRACH CULT (008565) 130$

LABORATORY SERVICES CHLAMCULT, IF EA ANTI (008565) 52$

LABORATORY SERVICES CHLAMYDIA TRACHOMATIS NNA 160$

LABORATORY SERVICES CHROMOGRANIN A 153$

LABORATORY SERVICES CPK TOTAL PLUS ISOENZYMES (002 51$

LABORATORY SERVICES CPK TOTAL PLUS ISOENZYMES (002 85$

LABORATORY SERVICES CLONAZEPAM 45$

LABORATORY SERVICES C DIFF TOXIN GENE NNA 228$

LABORATORY SERVICES CLOZAPINE 79$

LABORATORY SERVICES COLD AGGLUTININ TITER 74$

LABORATORY SERVICES COLLEGEN-BINDING ACT PROF(5003 146$

LABORATORY SERVICES COLLEGEN-BINDING ACT PROF(5003 211$

LABORATORY SERVICES COMPLEMENT C1 EST INHIBT FUNCT 120$

LABORATORY SERVICES COMPLEMENT C1Q QUANT 108$

LABORATORY SERVICES COMPLEMENT C3 108$

LABORATORY SERVICES COMPLEMENT C4 108$

LABORATORY SERVICES COPPER 107$

LABORATORY SERVICES URINE CORTISOL FREE 136$

LABORATORY SERVICES C-PEPTIDE 99$

LABORATORY SERVICES CCP ANTIBODY 115$

LABORATORY SERVICES CYCLOSPORINE 103$

LABORATORY SERVICES CMV ANTIBODY QUANT IGM 106$

LABORATORY SERVICES CMV ANTIBODY QUANT IGG 102$

LABORATORY SERVICES DHEA 180$

LABORATORY SERVICES DHEA-SULFATE 110$

LABORATORY SERVICES DIAZEPAM (VALIUM) 45$

LABORATORY SERVICES EBV AB VIRAL CAPSID AG, IGG 109$

LABORATORY SERVICES EOSINOPHIL COUNT NASAL 31$

LABORATORY SERVICES EBV AB VIRAL CAPSID AG, IGM 109$

LABORATORY SERVICES EBV ACUTE INFECT AB PROF (2166 71$

LABORATORY SERVICES EBV ACUTE INFECT AB PROF(21665 74$

LABORATORY SERVICES EBV ACUTE INFECT AB PROF(21665 145$

LABORATORY SERVICES ERYTHROPOIETIN 131$

LABORATORY SERVICES ESTRADIOL E2 123$

LABORATORY SERVICES ESTRIOL 86$

LABORATORY SERVICES ESTROGENS TOTAL 196$

LABORATORY SERVICES ESTRONE E1 105$

LABORATORY SERVICES FACTOR V ACTIVITY 175$

LABORATORY SERVICES FACTOR VII ACTIVITY 198$

LABORATORY SERVICES FACTOR VIII ACTIVITY 32 166$

LABORATORY SERVICES RBC FOLATE (266015) 142$

LABORATORY SERVICES RBC FOLATE (266015) 24$

LABORATORY SERVICES FSH 112$

LABORATORY SERVICES CARBAMAZEPINE FREE 102$

LABORATORY SERVICES FUNGUS CULTURE 101$

LABORATORY SERVICES GASTRIN 123$

LABORATORY SERVICES GAD AB 61$

LABORATORY SERVICES GROWTH HORMONE 83$

LABORATORY SERVICES HAPTOGLOBIN 91$

LABORATORY SERVICES HEAVY METAL PROFILE (706200) 82$




LABORATORY SERVICES HELICOBACTER PYLORI ABS IGG,IG 261$

LABORATORY SERVICES HELICOBACTER PYLORI STOOL AG 183$

LABORATORY SERVICES HEMOGLOBIN SOLUBILITY 51$

LABORATORY SERVICES HEP A AB TOTAL 79$

LABORATORY SERVICES ACUTE HEPATITIS PANEL 277$

LABORATORY SERVICES HEPARIN ANTI X-A 184$

LABORATORY SERVICES HEPARIN INDUCED PLAT AB 263$

LABORATORY SERVICES HEP B CORE AB TOTAL 73$

LABORATORY SERVICES HEP BE AB 45$

LABORATORY SERVICES HEP BE AG 57$

LABORATORY SERVICES HEP C VIRUS GENOTYPING 794$

LABORATORY SERVICES HSV TYPES 1-2 AB IGG (164905) 82$

LABORATORY SERVICES HSV TYPES 1-2 AB IGG (164905) 92$

LABORATORY SERVICES HSV TYPES 1-2 AB IGM EIA 105$

LABORATORY SERVICES HISTO CAPSULATUM ABS (138635) 158$

LABORATORY SERVICES HLA-B27 252$

LABORATORY SERVICES HUMAN HERPES VIRUS 6 (HH6-6) A 123$

LABORATORY SERVICES IFE+PE RANU (122390) 38$



LABORATORY SERVICES IMMUNOGLUBULIN D QUANT,SERUM 76$

LABORATORY SERVICES IMMUNOGLOBULIN E TOTAL 108$

LABORATORY SERVICES IMMUNOGLOBULIN G SUBCLASSES (1 76$

LABORATORY SERVICES IMMUNOGLOBULIN G SUBCLASSES (1 240$

LABORATORY SERVICES INSULIN 90$

LABORATORY SERVICES INSULIN-LIKE GROWTH FACTOR I 148$

LABORATORY SERVICES LAMOTRIGINE, SERUM 134$

LABORATORY SERVICES LATEX-SPECIFIC IGE 42$

LABORATORY SERVICES LEAD,BLOOD (ADULT) 73$

LABORATORY SERVICES LEGIONELLA PNEUMOPHILA ANTIBOD 69$

LABORATORY SERVICES LEVETIRACETAM (KEPPRA) SERUM 160$

LABORATORY SERVICES LIVER-KIDNEY MICROSOMAL (LKM) 89$

LABORATORY SERVICES LUPUS ANTICOAG PROFILE (ESOTER 116$









LABORATORY SERVICES LUTEINIZING HORMONE 115$

LABORATORY SERVICES LYME DISEASE AB ,TOTAL IMMUNOG 101$

LABORATORY SERVICES LYME DISEASE WESTERN BLOT SERU 201$

LABORATORY SERVICES METANEPHRINES FRACT QUANT 24HR 194$

LABORATORY SERVICES METANEPHTINE FRACT PLASMA FREE 194$

LABORATORY SERVICES MUMPS AB IGG 75$

LABORATORY SERVICES MUMPS AB IGM 75$

LABORATORY SERVICES MYASTHENIA GRAVIS COMP AB PROF 609$

LABORATORY SERVICES MYASTHENIA GRAVIS COMP AB PROF 130$

LABORATORY SERVICES MYCOPLASMA PNEUMO AB IGG 105$

LABORATORY SERVICES MYCOPLASMA PNEUMO AB IGM 105$

LABORATORY SERVICES MYOGLOBIN QUANT RANU 110$

LABORATORY SERVICES MY0GOLBLIN QUANT SERUM 110$

LABORATORY SERVICES NICKEL, PLASMA 102$

LABORATORY SERVICES NMR LIPO PROFILE (884247) 92$

LABORATORY SERVICES NMR LIPO PROFILE (884247) 89$

LABORATORY SERVICES N-TELOPEPTIDE CROSS LINKS (NTX 213$

LABORATORY SERVICES OLIGOCLONAL BANDING 98$

LABORATORY SERVICES OVA + PARSITE EXAM (008623) 83$

LABORATORY SERVICES OVA + PARSITE EXAM (008623) 45$

LABORATORY SERVICES OXYCARBAZEPINE, SERUM 131$

LABORATORY SERVICES PANCREATIC ELASTASE , FEACAL 396$

LABORATORY SERVICES PTH INTACT (PARARTHYROID HORMO 190$

LABORATORY SERVICES PAROVIRUS B19, HUMAN IGG / IGM 137$

LABORATORY SERVICES PHENOBARBITAL, SERUM 78$

LABORATORY SERVICES PLATELET AUTOANTIBODY PANLE 282$

LABORATORY SERVICES PNEUMOCOCCAL IMMUNITY PROFILE 243$

LABORATORY SERVICES PNEUMOCOCCAL IMMUNITY PROFILE 648$

LABORATORY SERVICES PREGNENOLONE MASS SPEC (ENDROC 136$

LABORATORY SERVICES PROGESTERONE 100$

LABORATORY SERVICES PROLACTIN 163$

LABORATORY SERVICES PSA FREE TOTAL RATIO (480947) 100$

LABORATORY SERVICES PSA FREE TOTAL RATIO (480947) 100$

LABORATORY SERVICES PROSTATIC ACID PHOS, SERUM 93$

LABORATORY SERVICES PROTEIN C ANTIGEN 177$

LABORATORY SERVICES PROTEIN C FUNCTIONAL 179$

LABORATORY SERVICES PROTEIN ELECTROPHORESIS 24 HR 32$

LABORATORY SERVICES PROTEIN ELECTROPHORESIS 24 HR 101$

LABORATORY SERVICES PROTEIN ELECTROPHORESIS SERUM 99$

LABORATORY SERVICES PROTEIN ELECTROPHORESIS SERUM 45$

LABORATORY SERVICES PROTEIN S FUNCTIONAL 169$

LABORATORY SERVICES PROTEIN S ANTIGEN (164517) 163$

LABORATORY SERVICES PROTEIN S ANTIGEN (164517) 169$

LABORATORY SERVICES PROTOPORHYRIN FEP / ZZP 151$

LABORATORY SERVICES QUANTIFERON- TB GOLD 260$

LABORATORY SERVICES RENNIN ACTIVITY, PLASMA 136$

LABORATORY SERVICES RISPEIDOME (RISPERDAL) SERUM 150$

LABORATORY SERVICES RNP ANTIBODIES 95$

LABORATORY SERVICES RUBEOLA AB IGG 105$

LABORATORY SERVICES RUBEOLA AB IGM 105$

LABORATORY SERVICES SELENIUM, BLOOD 121$

LABORATORY SERVICES SEROTONIN, SERUM 168$

LABORATORY SERVICES SIROLIMUS, BLOOD 142$

LABORATORY SERVICES SJOGREN'S AB ANTI-SS-A/ SS-B 190$

LABORATORY SERVICES SMITH ANTIBODIES 95$

LABORATORY SERVICES TESTOSTERONE TOTAL, SERUM 122$

LABORATORY SERVICES TESTOSTERONE FREE (DIRECT), SE 145$

LABORATORY SERVICES THROMBIN TIME 82$

LABORATORY SERVICES THYROID ANTITHYROGLOBULIN AB 100$

LABORATORY SERVICES THYROID PEROXIDASE (TPO) AB 89$

LABORATORY SERVICES THYROID-STIMULATING IMMUNGLOBU 333$

LABORATORY SERVICES THYROTROPIN RECPTOR AB, SERUM 146$

LABORATORY SERVICES TISSUE-TRANSGLUTAMINASE (TTG) 98$

LABORATORY SERVICES TOXOPLASMA GONDII AB IGG QN 81$

LABORATORY SERVICES TRACROLIMUS FK506 214$

LABORATORY SERVICES TRIIODTHYRONINE 74$

LABORATORY SERVICES VAMILLYMADELIC ACID 24H URINE 143$

LABORATORY SERVICES VARICELLA ZOSTER VIRUS AB IGG 121$

LABORATORY SERVICES VARICELLA ZOSTER VRS AB IGM QU 121$

LABORATORY SERVICES VITAMIN A, SERUM 88$

LABORATORY SERVICES VITAMIN B1, WHOLE BLOOD 116$

LABORATORY SERVICES VITAMIN B6 126$

LABORATORY SERVICES VITAMIN C 84$

LABORATORY SERVICES VON WILLEBRAND FACTOR (VWF) MU 260$

LABORATORY SERVICES WEST NILE VIRUS AB PANLE, SERU 74$

LABORATORY SERVICES WEST NILE VIRUS AB PANEL, SERU 85$

LABORATORY SERVICES ZINC, PLASMA OR SERUM 65$

LABORATORY SERVICES NEISSERIA GONORRHEAE NNA 160$

LABORATORY SERVICES NEISSERIA GONORRHEAE RECTAL SW 160$

LABORATORY SERVICES CHLAMYDIA /GONOCCUS PHARYNGEAL 160$

LABORATORY SERVICES CHLAMYDIA/GONOCOCCUS RECTAL SW 160$

LABORATORY SERVICES CHLAMYDIA/GONOCOCCUS RECTAL SW 160$

LABORATORY SERVICES FUNGUS CULTURE W STAIN (188243 101$

LABORATORY SERVICES FUNGUS CULTURE W STAIN (188243 57$

LABORATORY SERVICES GROUP B STREP COLONIZED DET CU 75$

LABORATORY SERVICES GROUP B STREP DNA COLONIZED PR 159$

LABORATORY SERVICES CHLAMYDIA CONJUNCTIVA NNA 160$

LABORATORY SERVICES HSV BY NNA 365$

LABORATORY SERVICES TRICH VAG BY NNA 160$

LABORATORY SERVICES CT/NG CLIENT PREQOT NAA (18620 160$

LABORATORY SERVICES CHLAMYDIA GC AMPLIFICATION (18 160$

LABORATORY SERVICES VIRAL CULTURE ,RAPID RESPIRATO 221$

LABORATORY SERVICES THIOPURINE METABOLOTES 321$

LABORATORY SERVICES HISTOPLASMA GALACTO. AG, SERUM 153$

LABORATORY SERVICES HEMOSIDERIN, URINE 132$

LABORATORY SERVICES N DNA SCREEN 819408 86$

LABORATORY SERVICES CELIAC+ENDOIOGA+GLIA (IGA/IGG) 308$



LABORATORY SERVICES CELIAC+ENDOIIOGA+GLIA (IGA/IGG 130$


LABORATORY SERVICES ALPRAZOLAM, SERUM OR PLASMA 125$

LABORATORY SERVICES REVERSE T3,SERUM 93$

LABORATORY SERVICES HIV-2 IMMUNOBLOT 279$

LABORATORY SERVICES BUPRENORPHINE AND METABOLITE, 248$

LABORATORY SERVICES CHLAMYDIA/GONOCOCCUS, NNA WITH 160$

LABORATORY SERVICES CHLAMYDIA/GONOCOCCUS, NNA WITH 160$

LABORATORY SERVICES VIRAL CULTURE,GENERAL 142$

LABORATORY SERVICES CA 15-3 CANGER ANTIGEN 113$

LABORATORY SERVICES LEAD BLOOD (PEDIATRIC) 73$

LABORATORY SERVICES ACETYLOCHOLINE RECPTOR BLOCKIN 219$

LABORATORY SERVICES ACETYLOCHOLINE RECPTOR MODULAT 250$

LABORATORY SERVICES ANTICARDIOLIPIN ABS IGM QUANT 126$

LABORATORY SERVICES ANAEROBE ID 85$

LABORATORY SERVICES CHLAMYDIA TRACHOMATIS RECTAL S 160$

LABORATORY SERVICES CHROMIUM, PLASMA 197$

LABORATORY SERVICES HELICOBACTER PYLORI AB IGM 163 123$

LABORATORY SERVICES HELICOBACTER PYLORI AB IGA 163 123$

LABORATORY SERVICES HELICOBACTER PYLORI AB IGG 162 123$

LABORATORY SERVICES MERCURY, BLOOD 69$

LABORATORY SERVICES NEISSERIA GONORHOEA PHARYNGEAL 160$

LABORATORY SERVICES SEX HORMONE-BINDING GLOBULIN, 111$

LABORATORY SERVICES STRIATIONAL ANTIBODIES 130$

LABORATORY SERVICES TISSUE-TRANSGLUTAMINASE (TTG) 98$

LABORATORY SERVICES VON-WILLEBRAND FACTOR (VWF) AC 217$

LABORATORY SERVICES VON-WILLEBRAND FACTOR (VWF) AN 226$

LABORATORY SERVICES EPSTEIN-BARR VIRUS (EBV) QUANT 435$

LABORATORY SERVICES ETHOSUXIMIDE,SERUM 110$

LABORATORY SERVICES SUCECEPTIBILITY TESTING, ANAEO 81$

LABORATORY SERVICES CRYOGLOBULIN, QUAL 56$

LABORATORY SERVICES TOPIRAMATE, SERUM OR PLASMA 150$

LABORATORY SERVICES BENTROPINE, SERUM OR PLASMA 156$

LABORATORY SERVICES MERCAPTOPURINE, SERUM OR PLASM 147$

LABORATORY SERVICES LORAZEPAM, SERUM OR PLAMA 105$

LABORATORY SERVICES THIOCYANATE, SERUM OR PLASMA 121$

LABORATORY SERVICES EOSINOPHIL, URINE 41$

LABORATORY SERVICES PARASITE ID, WORM 46$

LABORATORY SERVICES TOXOPLASMA GONGII ABS, QUANT I 87$

LABORATORY SERVICES VANADIUM, RANDOM URINE 804484 46$

LABORATORY SERVICES VANADIUM, RANDOM URINE 804484 139$

LABORATORY SERVICES LEAD STANDARD PROFILE 38158 73$

LABORATORY SERVICES FEP ZPP WORK PLACE 010169 87$

LABORATORY SERVICES LEAD STANDARD PROFILE 38158 151$

LABORATORY SERVICES BLOOD DRUG SCREEN WHOLE BLOOD 441$

LABORATORY SERVICES ANAEROB ID SUSCEPT 85$

LABORATORY SERVICES CANDIDA AB IGA, IGG, IGM ELISA 234$

LABORATORY SERVICES CANDIDA ANTIGEN 171$

LABORATORY SERVICES CYTOMEGALOVIRUS (CMV) QUAL PC 276$

LABORATORY SERVICES CYTOMEGALOVIRUS (CMV) QUANT PC 370$

LABORATORY SERVICES ENTEROVIRUS REAL-TIME PCR CSF 348$

LABORATORY SERVICES IGG INDEX AND SYNTHESIS RATE 34$

LABORATORY SERVICES IGG INDEX AND SYNTHESIS RATE 2 39$

LABORATORY SERVICES IGG INDEX AND SYNTHESIS RATE 2 96$

LABORATORY SERVICES LYME DISEASE, CSF WESTERN BLOT 201$

LABORATORY SERVICES MYCO TB DECT NAA W AFS & CULT 126$



LABORATORY SERVICES PRIMIDONE, SERUM OR PLASMA 007 78$

LABORATORY SERVICES PRIMIDONE, SERUN OR PLASMA 007 105$

LABORATORY SERVICES VALPROIC ACID FREE, SERUM OR P 102$

LABORATORY SERVICES VARICELLA ZOSTER VIRUS (VZV) D 316$

LABORATORY SERVICES WEST NILE VIRUS (WVN) AB CSF 85$

LABORATORY SERVICES WEST NILE VIRUS (WVN) AB CSF 74$

LABORATORY SERVICES BORTETELLA PERTUSSIS AB IGG 66$

LABORATORY SERVICES AFS & CULT W REFLEX TO ID AND 126$

LABORATORY SERVICES AFS & CULT W REFLEX TO ID AND 57$

LABORATORY SERVICES FREE KAPPA LAMBDA LT CH + RATI 323$

LABORATORY SERVICES FREE KAPP & LAMBDA LT CHAINS + 135$

LABORATORY SERVICES IFE SERUM &PROTEIN ELECTROPHOR 160$

LABORATORY SERVICES IFE SERUM &PROTEIN ELECTROPHOR 135$

LABORATORY SERVICES IFE SERUM & PROTEIN ELECTROPHO 45$

LABORATORY SERVICES IFE SERUM PROTEIN ELECTROPHOR 99$

LABORATORY SERVICES IFE SERUM PROTEIN ELECTROPHOR 165$

LABORATORY SERVICES LEUKEMIA/LYMPHOMA IMMUNOPHENO 158$




LABORATORY SERVICES LACTOFERRNIN STOOL 194$

LABORATORY SERVICES TREPONEMA PALLIDUM AB (FTA-ABS 79$

LABORATORY SERVICES HCV QUANT REAL TIME PCR 550070 440$

LABORATORY SERVICES LYME DISEASE AB TOTAL IMMUNOG 101$

LABORATORY SERVICES AREOBIC ID & SUSCEBILITY 71$

LABORATORY SERVICES PHENYTOIN FREE & TOTAL SERUM 0 121$

LABORATORY SERVICES PHENYTOIN FREE & TOTAL SERUM 0 90$

LABORATORY SERVICES CHOLINESTERASE, PLASMA 69$

LABORATORY SERVICES DIBUCAINE NUMBER 53$

LABORATORY SERVICES FACTOR II GENE ANALYSIS 511162 170$

LABORATORY SERVICES HIV-1 QUANT REAL TIME-PCR (GRA 319$

LABORATORY SERVICES NICOTINE METABOLITE SCREEN,URI 78$

LABORATORY SERVICES UNFRACT HEPARIN DEPEND PLT 511$

LABORATORY SERVICES INSULIN LIKE GROWTH FACTOR 3 146$

LABORATORY SERVICES IFE SERUM 001685 159$

LABORATORY SERVICES IFE SERUM 001685 165$

LABORATORY SERVICES VIP 010397 210$

LABORATORY SERVICES 25-HYDROXYVIT D LCMS D2+D3 504 206$

LABORATORY SERVICES COMPLEMENT, TOTAL (CH50) 183$

LABORATORY SERVICES PML-RARA 510840 740$

LABORATORY SERVICES FECAL FAT,QUALITATIVE 45$

LABORATORY SERVICES CLOMIPRAMINE,SERUM 156$

LABORATORY SERVICES IODINE, SERUM OR PLASMA 143$

LABORATORY SERVICES FACTOR IX ACTIVITY 134$

LABORATORY SERVICES FACTOR XI ACTIVITY 222$

LABORATORY SERVICES CORTISOL, FREE LC#500440 106$

LABORATORY SERVICES CORTISOL FREE LC #500440 128$

LABORATORY SERVICES HEPATITIS B SURFACE AB 66$

LABORATORY SERVICES HEPATITIS A AB, IGM 87$

LABORATORY SERVICES HEPATITIS B CORE AB IGM 70$

LABORATORY SERVICES HEPATITIS C VIRUS (HCV) AB 97$

LABORATORY SERVICES HEPATITIS B SURFACE AG 69$

LABORATORY SERVICES SCABIES EXAMINATION 71$

LABORATORY SERVICES LACTATE PLEURAL FLUID 95$

LABORATORY SERVICES HSV CULT (186072 LABCORP) 123$

LABORATORY SERVICES CD4 CD8 RATIO PROFILE 230$

LABORATORY SERVICES 5' NUCLEOTIDASE 69$

LABORATORY SERVICES PROTEIN C DEFICIENCY PROFILE 2 177$

LABORATORY SERVICES PROTEIN C DEFICIENCY PROFILE 2 179$

LABORATORY SERVICES PAROXYSMAL NOCTURNAL HGBURIA 5 145$


LABORATORY SERVICES PAROXYSMAL NOCTURNAL HGBURIA 145$


LABORATORY SERVICES NORTRIPTYLINE 44$

LABORATORY SERVICES PROCALCITONIN 228$

LABORATORY SERVICES CORTICOTROPIN RELEASING FACTOR 382$

LABORATORY SERVICES HEMOGLOBIN FRACT PROFILE 12167 114$

LABORATORY SERVICES HEMOGLOBIN FRACT PROFILE 12167 69$

LABORATORY SERVICES DIBUCAINE # W RBC CHOLINEST 08 59$



LABORATORY SERVICES T4 FREE DIALYSIS/MASS SPEC 501 198$

LABORATORY SERVICES MONO TEST QUAL W RFLX TO TITER 73$

LABORATORY SERVICES CANDIDA ANTIGEN 167$

LABORATORY SERVICES CANDIDA IMMUNE COMPLEX 307$

LABORATORY SERVICES PORPHYRINS, QUANT 24HR 003194 77$

LABORATORY SERVICES INFLUENZA, RT-PCR H1N1 410$

LABORATORY SERVICES APOLILPOPROTEIN B 72$

LABORATORY SERVICES DRUG SCREEN WHOLE B 6 PANEL 247$

LABORATORY SERVICES IBD SGI DIAGNOSTIC 805628 158$


LABORATORY SERVICES IBD SGI DIAGNOSTIC 805628 1,064$


LABORATORY SERVICES VITAMIN E, SERUM 92$

LABORATORY SERVICES ASPERGILLUS AB QUANT DID 139$

LABORATORY SERVICES NOROVIRUS DETECTION RT PCR 259$

LABORATORY SERVICES LEGIONELLA SPECIES CULTURE 82$

LABORATORY SERVICES HEP C VIRUS RNA GENO RFLX 5501 817$

LABORATORY SERVICES ADENOVIRUS Q PCR (PLASMA) 499$

LABORATORY SERVICES MOLD, ORGANISM ID 104$

LABORATORY SERVICES AZATHIOPRINE (IMURAN) 267$

LABORATORY SERVICES COENZYME Q10, TOTAL 133$

LABORATORY SERVICES MAGNESIUM 49$

LABORATORY SERVICES AB; FUNGUS NES 283$

LABORATORY SERVICES MCG; DNA PROBE EA 240$

LABORATORY SERVICES MCG; IP SITU 100-300 CELLS 174$

LABORATORY SERVICES MCG; DNA PROBE EA 654$

LABORATORY SERVICES HEP C VIRUS QUANT REAL T PCR 5 440$

LABORATORY SERVICES MSP FISH PANEL 510599 564$

LABORATORY SERVICES MSP FISH PANLE 510599 266$

LABORATORY SERVICES COLBALT,PLASMA 147$

LABORATORY SERVICES TITANIUM 158$

LABORATORY SERVICES ANTI-DNASE B (STREPTOCOCCAL) A 76$

LABORATORY SERVICES CRYPTOCOCCUS ANTIGEN,SERUM 54$

LABORATORY SERVICES ANTICARDIOLIPIN ABS IGA QUANT 126$

LABORATORY SERVICES TETANUS ANTITOXOID ANTIBODIES 40$

LABORATORY SERVICES SALIVARY CORTISOL, MS(ENDOCRIN 106$

LABORATORY SERVICES TESTOSTERONE FREE & WEAKLY BOU 145$

LABORATORY SERVICES TESTOSTERONE FREE & WEAKLY BOU 124$

LABORATORY SERVICES 17-KETOSTEROIDS,URINE 146$

LABORATORY SERVICES COBALT & CHROMIUM, WHOLE BLOOD 78$

LABORATORY SERVICES COBALT & CHROMIUM,WHOLE BLOOD 90$

LABORATORY SERVICES N-TELOPEPTIDE CROSS-LINKS (NTX 70$

LABORATORY SERVICES N-TRLOPEPTIDE CROSS-LINKS(NTX) 50$

LABORATORY SERVICES FOLATE,RBC &SERUM 285700 90$

LABORATORY SERVICES FOLATE,RBC & SERUM 285700 119$

LABORATORY SERVICES FOLATE,RBC &SERUM 285700 25$

LABORATORY SERVICES COXSACKIE A VIRUS AB PROFILE I 375$

LABORATORY SERVICES HOMOVANILLIC ACID (HVA),24HR U 206$

LABORATORY SERVICES NARCOLEPSY EVALUATION 167139 368$

LABORATORY SERVICES VISCOSITY SERUM 76$

LABORATORY SERVICES IODINE,URINE 108$

LABORATORY SERVICES ETHYL GLUCURONIDE,URINE 164$

LABORATORY SERVICES DIPTHERIA ANTITOXOID AB 40$

LABORATORY SERVICES ALLERGEN PROFILE W IGE RESP AR 108$

LABORATORY SERVICES ALLERGEN PROFILE IGE RESP AREA 913$

LABORATORY SERVICES CML PROFILE BCR-ABL FISH 15041 210$






LABORATORY SERVICES BORDETELLA PERTUSIS PARA RT DN 239$

LABORATORY SERVICES CYANIDE OCC EXPOSURE WHOLE BLD 150$

LABORATORY SERVICES HIV-1 CONF (083904) 98$

LABORATORY SERVICES HIV-2 CONF (083904) 149$

LABORATORY SERVICES IBD EXPANDED PROFILE 162045 181$



LABORATORY SERVICES TICK TESTING B BURGDORFERI 186$

LABORATORY SERVICES T-LYMPH HELPER SUPPRESSOR PROF 132$

LABORATORY SERVICES T-LYMPH HELPER SUPPRESSOR PROF 230$

LABORATORY SERVICES HIV VIRUS 1/2 AB DIFF REFLX 08 274$

LABORATORY SERVICES SUSCEPT TESTING AEROBIC &FAC A 81$

LABORATORY SERVICES FELCAINIDE SERUM OR PLASMA 116$

LABORATORY SERVICES HEAVY METAL PROF I BLD HVMP UR 83$

LABORATORY SERVICES HEAVY METAL PROF I BLD HVMP UR 73$

LABORATORY SERVICES HEAVY METAL PROF 1 BLD HVMP UR 69$

LABORATORY SERVICES HEAVY METAL PROFILE URINE 070 104$

LABORATORY SERVICES HEAVY METAL PROFILE II URINE 0 47$

LABORATORY SERVICES X-LINKED LYMPHOPROLIFERATIVE D 733$

LABORATORY SERVICES PROT ELECTROPHORESIS CSF 00224 56$

LABORATORY SERVICES PROT ELECTROPHORESIS CSF 00224 101$

LABORATORY SERVICES ANA COMPLETE PROFILE 165092 82$

LABORATORY SERVICES ANA COMPLETE PROFILE 165092 590$

LABORATORY SERVICES CORN ALLERGEN 36$

LABORATORY SERVICES EGG WHITE ALLERGEN 36$

LABORATORY SERVICES EGG YOLK ALLERGEN 36$

LABORATORY SERVICES GLUTEN ALLERGEN 36$

LABORATORY SERVICES MILK ALLERGEN 36$

LABORATORY SERVICES MMR IMMUNITY PROFILE 058495 114$



LABORATORY SERVICES ANTITHROMBIN ANTIGEN 123$

LABORATORY SERVICES ALUMINUM 139$

LABORATORY SERVICES G6PD 121003 94$

LABORATORY SERVICES G6PD 121003 25$

LABORATORY SERVICES CREATINE KINASE TOTAL (CPK) 00 51$

LABORATORY SERVICES CELLIAC DISEASE AB SCREEN W RF 77$

LABORATORY SERVICES CELLIAC DISEASE AB SEREEN W RF 163$

LABORATORY SERVICES LIPASE BODY FLUID 81$

LABORATORY SERVICES MULBERRY, WHITE ALLERGEN 36$

LABORATORY SERVICES PECAN, HICKORY ALLERGEN 36$

LABORATORY SERVICES PIGWEED, ROUGH ALLERGEN 36$

LABORATORY SERVICES RAGWEED ALLERGEN 36$

LABORATORY SERVICES SHEEP SORREL ALLERGEN 36$

LABORATORY SERVICES THISTLE, RUSSIAN ALLERGEN 36$

LABORATORY SERVICES ETHYLENE GLYCOL, URINE 211$

LABORATORY SERVICES STRONGYLOIDES AB IGG 111$

LABORATORY SERVICES FDP 174$

LABORATORY SERVICES VYVANSE 161$

LABORATORY SERVICES ANALYZER PROFILE (342656) 229$









LABORATORY SERVICES HBV QUANT PCR 645$

LABORATORY SERVICES HBV REFLEXED GENOTYPE 425$

LABORATORY SERVICES ANTIPHOSPHOLIPID SYNDROME (117 106$


LABORATORY SERVICES ANTIPHOSPHOLIPID SYMDROME (117 61$





LABORATORY SERVICES LYME DISEASE (258004) 202$

LABORATORY SERVICES LYME DISEASE IGM EARLY TEST (1 121$

LABORATORY SERVICES ACID FAST ORGANISM ID DNA PROB 131$

LABORATORY SERVICES ACID FAST ANTIBIOTIC SUSCEPTIB 189$

LABORATORY SERVICES PAP LIQUID PREP HPV HIGH RISK 51$

LABORATORY SERVICES PAP LIQUID PREP HPV HIGH RISK 102$

LABORATORY SERVICES PAP LIQUID PREP W/RFX HPV ASC 70$

LABORATORY SERVICES PAP LIQIUD PREP (192005) 102$

LABORATORY SERVICES PAP IMAGE GUIDED LIQID PREP (1 70$

LABORATORY SERVICES PAP IMAGE GUIDED LIQUID HIGH R 51$

LABORATORY SERVICES PAP IMAGE GUIDED LIQUID HIGH R 70$

LABORATORY SERVICES PAP LIQIUD PREP WRFLX HIGH RIS 102$

LABORATORY SERVICES PAP LIQUID REFLEXED H RISK W A 51$

LABORATORY SERVICES ACID FAST SEQUENCING (183770) 370$

LABORATORY SERVICES NEISSERIA GONORRHOEA AB, TOTAL 102$

LABORATORY SERVICES CHLAMYDIA TRACHOMATIS AB, IGM 75$

LABORATORY SERVICES HGB SOLUBILITY W RFLX HGB FRAC 52$

LABORATORY SERVICES HGB SOLUBILITY W RFLX HGB FRAC 114$

LABORATORY SERVICES PARASITE ID, ARTHROPOD 86$

LABORATORY SERVICES IMMUNOGLOBULIN G QUANT, CSF 77$

LABORATORY SERVICES APPT MIXING STUDIES 117199 53$

LABORATORY SERVICES APPT MIXING STUDIES 117199 180$

LABORATORY SERVICES ANAEROB ID SUSCEPTIBILITY 81$

LABORATORY SERVICES SUSCEPTIBILITY GRAM POS RODS 90$

LABORATORY SERVICES AEROBIC BACTERIA ID SEQ RFLX 323$

LABORATORY SERVICES BISMUTH,BLOOD 147$

LABORATORY SERVICES ROCKY MTN SPOTTED FEVER, IGM 67$

LABORATORY SERVICES OXALATE QUANT 24 HR URINE 92$

LABORATORY SERVICES COTTONWOOD ALLERGEN 36$

LABORATORY SERVICES HOUSE DUST MIX, ALLERGEN 42$

LABORATORY SERVICES CAT HAIR/DANDER, ALLERGEN 36$

LABORATORY SERVICES ORCHARD GRASS, ALLERGEN 36$

LABORATORY SERVICES ALTERNARIA ALTERNATA, ALLERGEN 36$

LABORATORY SERVICES SHRIMP, ALLERGEN 36$

LABORATORY SERVICES ALMOND, ALLERGEN 36$

LABORATORY SERVICES PEANUT, ALLERGEN 36$

LABORATORY SERVICES CODFISH, ALLERGEN 36$

LABORATORY SERVICES PECAN NUT, ALLERGEN 36$

LABORATORY SERVICES DOG HAIR, ALLERGEN 36$

LABORATORY SERVICES FLUNITRAZEPAM(ROHYPNOL) URINE 204$

LABORATORY SERVICES DIGOXIN,SERUM (007385) 110$

LABORATORY SERVICES TRICYCLIC ANTIDEPRESSANTS SCRE 88$

LABORATORY SERVICES IMIPRAMINE, SERUM 44$

LABORATORY SERVICES CANDIDA ANTIBODIES QUALITATIVE 178$

LABORATORY SERVICES HIV 1/0/2 AG AB 4TH GEN 08393 83$

LABORATORY SERVICES HIV 1/0/2 AGAB 4TH GEN 083935 89$



LABORATORY SERVICES INTRINSIC FACTOR BLOCKING AB, 102$

LABORATORY SERVICES PLASMINOGEN ACTIVITY 107$

LABORATORY SERVICES IMMUNOFIXATION (IFE), URINE 12 166$

LABORATORY SERVICES SOLUBLE LIVER AG (SLA) IGG AB 155$

LABORATORY SERVICES C-TELOPEPTIDE (ENDOCRINE SCIE 148$

LABORATORY SERVICES IGA QUANT, SERUM 77$

LABORATORY SERVICES IGG QUANT SERUM 77$

LABORATORY SERVICES IGM QUANT SERUM 77$

LABORATORY SERVICES IMMUNOGLOBULINS QUANT IGA,E,G 167$

LABORATORY SERVICES IMMUNOGLOBULINS QUANT IGA,E,G, 108$

LABORATORY SERVICES PLATELET AB PROFILE, SERUM 234$

LABORATORY SERVICES HSV CULTURE & TYPING 008250 123$

LABORATORY SERVICES INSULIN AUTOANTIBODIES 106$

LABORATORY SERVICES ADAMTS13 ACTIVITY 257$

LABORATORY SERVICES ALLERGY PROFILE PEDIATRIC 6029 108$

LABORATORY SERVICES ALLERGY PROFILE PEDIATRIC 6029 562$

LABORATORY SERVICES ANGIOTENSIN CONVERT ENZ CSF 98$

LABORATORY SERVICES LACTOSE TOLERANCE TEST 046300 104$

LABORATORY SERVICES LACTOSE TOLERANCE TEST 046300 63$

LABORATORY SERVICES THYROGLOBULIN COMPREHENSIVE 50 111$

LABORATORY SERVICES THYROGLOBULIN COMPREHENSIVE 50 98$

LABORATORY SERVICES VDRL CSF 50$

LABORATORY SERVICES PAROXYSMAL NOCTURNAL HGB 50225 258$

LABORATORY SERVICES PAROXYSMAL NOCTURNAL HGB 50225 170$

LABORATORY SERVICES CREATININE, BODY FLUID 47$

LABORATORY SERVICES CLONAZEPAM,URINE 249$

LABORATORY SERVICES A-SUBUNIT,FREE 140269 146$

LABORATORY SERVICES (TPMT) THIOPURINE METHYLTRANSF 386$

LABORATORY SERVICES PROINSULIN 208$

LABORATORY SERVICES BCR-ABL1 KINASE MUT ANALYSIS 4 815$

LABORATORY SERVICES ANTI-DNA (SINGLE STRANDED) AB 89$

LABORATORY SERVICES BONE-SPECIFIC ALKALINE PHOSPHA 62$

LABORATORY SERVICES HUMAN HERPESVIRUS 6 IGM (HHV-6 150$

LABORATORY SERVICES IMFLAMMATORY BOWLE DISEASE PRO 342$

LABORATORY SERVICES IMMFLAMMATORY BOWEL DISEASE 1 324$

LABORATORY SERVICES ONCOLOGY FISH BCR-ABL1 511520 350$

LABORATORY SERVICES ONCOLOGY FISH BCR-ABL1 511520 329$

LABORATORY SERVICES MS PROFILE WITH MYELIN PROT 12 31$





LABORATORY SERVICES URIC ACID, BODY FLUID 55$

LABORATORY SERVICES PROTEIN, BODY FLUID 56$

LABORATORY SERVICES PH, BODY FLUID 15$

LABORATORY SERVICES LDH, BODY FLUID 67$

LABORATORY SERVICES GLUCOSE, BODY FLUID 67$

LABORATORY SERVICES AMYLASE, BODY FLUID 67$

LABORATORY SERVICES PROTEIN TOTAL, CSF (LAB CORP) 56$

LABORATORY SERVICES GLUCOSE, CSF (LAB CORP) 002048 48$

LABORATORY SERVICES CITRIC ACID, 24HR URINE 016865 148$

LABORATORY SERVICES ALBUMIN, BODY FLUID 315780 39$

LABORATORY SERVICES NICOTINE & METABOLITE, QUANT S 126$

LABORATORY SERVICES SOYBEAN, ALLERGEN 36$

LABORATORY SERVICES CLAM, ALLERGEN 36$

LABORATORY SERVICES WALNUT,ALLERGEN 36$

LABORATORY SERVICES SCALLOP,ALLERGEN 36$

LABORATORY SERVICES SESAME SEED,ALLERGEN 36$

LABORATORY SERVICES WHEAT, ALLERGEN 36$

LABORATORY SERVICES BORDETELLA PERTUSSIS AB IGM 66$

LABORATORY SERVICES FACTOR V INHIB PROF COMP 50038 91$





LABORATORY SERVICES FACTOR VIII INHIB PROF COMP 11 161$



LABORATORY SERVICES GLUTEN SENSITIVITY SCREEN 1641 273$

LABORATORY SERVICES GLUTEN SENSITIVIYT SCRN RFLX 1 136$

LABORATORY SERVICES GLUTEN SENSITIVITY SCRN RFLX 1 36$

LABORATORY SERVICES VAGINITIS PLUS (VG+),NUSWAB 18 51$




LABORATORY SERVICES VAGINITIS (VG),NUSWAB 180039 71$

LABORATORY SERVICES VAGINITIS (VG),NUSWAB 180039 212$

LABORATORY SERVICES ACETTLCHOLINE RECP AB 086007 673$

LABORATORY SERVICES SULFONYLUREA SCREEN, URINE 811 192$

LABORATORY SERVICES PRENATAL INFECTIOUS DISEASE AB 77$





LABORATORY SERVICES JAK2 V617F MUT ANALYSIS W RFLX 514$

LABORATORY SERVICES JAK2 V617F RFLX (CALRERICULIN) 718$

LABORATORY SERVICES JAK2 V617F RFLX (JAK2 EXON 12) 613$

LABORATORY SERVICES JAK2 V617 (MPL RFLX) 489395 632$

LABORATORY SERVICES FISH ONCOLOGY BCR-ABL1 511520 319$

LABORATORY SERVICES CARNITINE TOTAL & FREE 706500 237$

LABORATORY SERVICES ADENOSINE DEMINASE PLEURAL FLD 173$

LABORATORY SERVICES NMP 22 (NUCLEAR MATRIX PROT) 4 127$

LABORATORY SERVICES HIV-1 RNA (BDNA) 162164 330$

LABORATORY SERVICES TRIGLYCERIDES, BODY FLUID 1011 45$

LABORATORY SERVICES BETA-2 TRANSFERRIN 829030 401$

LABORATORY SERVICES MPN/CML FISH 511425 (W20265) 808$

LABORATORY SERVICES MPN/CML FISH 511425 (W20226) 684$

LABORATORY SERVICES MPN/CML FISH 511425 (C90146) 306$

LABORATORY SERVICES AML FISH PANEL 510336 (W20266) 979$

LABORATORY SERVICES AML FISH PANLE 510336 (DNA PRO 1,140$

LABORATORY SERVICES ANL FISH PANEL 510336 (TISSUE 306$

LABORATORY SERVICES OSTEOCALCIN 010249 126$

LABORATORY SERVICES RNA POLYMERASE III IGG ABS 806 146$

LABORATORY SERVICES METHYLPHENIDATE 128$

LABORATORY SERVICES CLONIDINE 251$

LABORATORY SERVICES TRYPTASE 146$

LABORATORY SERVICES THYROXINE (T4) LABCORP (000455 68$

LABORATORY SERVICES T3 LABCORP (000455) 68$

LABORATORY SERVICES MYCOPLASMA PNEUMO DNA (PCR) 458$

LABORATORY SERVICES D-DIMER (LABCORP) 148$

LABORATORY SERVICES HCV FIBROSURE 550123 74$



LABORATORY SERVICES OSMOLALITY, BODY FLUID (LABCOR 28$

LABORATORY SERVICES SURG PATH LEVEL IV (LABCORP) 8 176$

LABORATORY SERVICES SURG PATH LVL IV 4TH SPEC 8830 176$

LABORATORY SERVICES HALOPERIDOL 38$

LABORATORY SERVICES PHYSICIAN READ PAP 70$

LABORATORY SERVICES COMPLEMENT C2, SERUM 107$

LABORATORY SERVICES ESTRADIOL, SENSITIVE 140244 160$

LABORATORY SERVICES SURG PATH LVL IV 2ND SPEC 8830 176$

LABORATORY SERVICES SURG PATH LVL IV 3RD SPEC 8830 176$

LABORATORY SERVICES RHEUMATOID ARTHRITIS FACTOR (R 52$

LABORATORY SERVICES RA EXPANDED PROFILE 164245 115$

LABORATORY SERVICES RA EXPANDED PROFILE 164245 48$

LABORATORY SERVICES SOTALOL, SERUM OR PLASMA 80813 143$

LABORATORY SERVICES RABIES-NEUT.ABS 85$

LABORATORY SERVICES LD ISOENZYMES 001842 43$

LABORATORY SERVICES LD ISOENZYMES 001842 77$

LABORATORY SERVICES EBV NUCLEAR AG ANTIBODIES IGG 78$

LABORATORY SERVICES EBV VCA EARLY AG IGG AB PROFIL 65$

LABORATORY SERVICES EBV VCA EARLY AG IGG AB PROFIL 109$

LABORATORY SERVICES EBV QUANT DNA PCR BLOOD 139490 517$

LABORATORY SERVICES CELLIAC ANTIBODY PROFILE 34114 48$

LABORATORY SERVICES CELLIAC ANTIBODY PROFILE 34114 178$

LABORATORY SERVICES DIHYDROTESTERONE (DHT) 108$

LABORATORY SERVICES TRICHINELLA SPIRALIS AB 189$

LABORATORY SERVICES ZONISAMIDE,SERUM (ZONEGRAN) 76$

LABORATORY SERVICES HIV1 QUANT RT PCR WRFX 550432 320$

LABORATORY SERVICES HIV1 QUANT RT PRC WRFX 550432 376$

LABORATORY SERVICES HIV1 QUANT RT PCR WRFX 550432 190$

LABORATORY SERVICES ANTIDIURETIC HORMONE (ADH),PLA 239$

LABORATORY SERVICES ANTIGLIADIN AB IGG 98$

LABORATORY SERVICES BRUCELLA AB IGG 43$

LABORATORY SERVICES BRUCELLA AB IGM 43$

LABORATORY SERVICES CHLAMYDIA PNEUMO IGG&IGM 13833 106$

LABORATORY SERVICES CHLAMYDIA PNEUMO IGG&IGM 98$

LABORATORY SERVICES COXSACKIE VIRUS GROUP B AB(096 171$

LABORATORY SERVICES DENGUE FEVER AB, IGG 107$

LABORATORY SERVICES DENGUE FEVER AB, IGM 107$

LABORATORY SERVICES DEXAMETHASONE 128$

LABORATORY SERVICES FLUROROQUINOLONE REST GN ROD C 158$

LABORATORY SERVICES HGB FRACTION SPOT BLOOD PEDIAT 95$

LABORATORY SERVICES HEP B CORE AB IGG,IGM DIFFEREN 73$

LABORATORY SERVICES HEP B CORE AB IGG,IGM DIFFEREN 79$

LABORATORY SERVICES HEP B VIRUS QUNT DNA RT PCR NO 365$

LABORATORY SERVICES HSV TYPES 1&2 IGM AB INDIRECT 67$

LABORATORY SERVICES HSV TYPES 1&2 IGM AB INDIRECT 92$

LABORATORY SERVICES IHC EACH ADD AB STAIN X2 W2006 218$

LABORATORY SERVICES INSULIN FREE AND TOTAL 501561 84$

LABORATORY SERVICES INSULIN FREE AND TOTAL 501561 58$

LABORATORY SERVICES INTERLEUKIN-2, SERUM 146$

LABORATORY SERVICES INTERLEUKIN-12,SERUM (IL-12P70 146$

LABORATORY SERVICES MANGANESE WHOLE BLOOD 106$

LABORATORY SERVICES PHOSPHOLIPIDS 20$

LABORATORY SERVICES QFEVER AB, IGM W REFLEX 806617 148$

LABORATORY SERVICES QFEVER AB,IGM W RFLX 806617 (R 185$

LABORATORY SERVICES QFEVER AB,IGM W RFLX 806617 (R 185$

LABORATORY SERVICES Q FEVER AB,IGG 50$

LABORATORY SERVICES RESPIRAORY VIRUS PROFILE, PCR 696$

LABORATORY SERVICES ROCKY MOUNTAIN SPOTTED FEVER,I 65$

LABORATORY SERVICES MOLD ALLERGEN PROF 062448 421$

LABORATORY SERVICES BLUEGRASS KENTUCKY, ALLERGEN 36$

LABORATORY SERVICES CHATEOMIUM GLOBSUM,ALLERGEN 36$

LABORATORY SERVICES DANDELION, ALLERGENS 36$

LABORATORY SERVICES DUST MITE FARINE,ALLERGEN 36$

LABORATORY SERVICES DUST MITE PTERONYSSINUS,ALLERG 36$

LABORATORY SERVICES FESCUE MEADOW, ALLERGEN 36$

LABORATORY SERVICES MAPLE/BOX ELDER ALLERGENS 36$

LABORATORY SERVICES OAK WHITE,ALLERGENS 36$

LABORATORY SERVICES PINE WHITE,ALLERGENS 36$

LABORATORY SERVICES PLANTAIN ENGLISH,ALLERGEN 36$

LABORATORY SERVICES RAGWEED GIANT, ALLERGEN 36$

LABORATORY SERVICES RYE GRASS,ALLERGEN 36$

LABORATORY SERVICES TIMOTHY GRASS, ALLERGEN 36$

LABORATORY SERVICES TOBACCO DUST,ALLERGEN 36$

LABORATORY SERVICES WHITE ASH,ALLERGEN 36$

LABORATORY SERVICES CELIAC AB PROFILE W EMA 130$

LABORATORY SERVICES C.DIFF TOXICENIC CULT 188045 105$

LABORATORY SERVICES C.DIFF TOXIGENIC CULT 188045 P 150$

LABORATORY SERVICES EVEROLIMUS, WHOLE BLOOD 218$

LABORATORY SERVICES FATTY ACID PROFILE 821279 649$

LABORATORY SERVICES IHC 1ST AB STAIN LABCORP W2006 220$

LABORATORY SERVICES CARBAMAZEPINE, SERUM LABCORP 110$

LABORATORY SERVICES FECAL FAT, QUANT 101$

LABORATORY SERVICES AMYLASE ISOENZYMES 123110 44$

LABORATORY SERVICES PAP IMAGE CHANGED TO LIQUID 52$

LABORATORY SERVICES ANTI MYELIN ASSOC GLY IGM 8089 196$

LABORATORY SERVICES BABESIA MICROTI AB IGG IGM 205$

LABORATORY SERVICES BABESIA MICROTI REAL TIME DNA 313$

LABORATORY SERVICES C6 B.BURGDORFERI (LYME) 015400 198$

LABORATORY SERVICES C6 B.BURGDOFERI (LYME) REFLEX 143$

LABORATORY SERVICES EHRLICHIA EWINGII PCR 259$

LABORATORY SERVICES FRANCISELLA TULARENSIS ABS IGG 198$

LABORATORY SERVICES FSH & LH 028480 (FSH) 112$

LABORATORY SERVICES FSH & LH 028480 (LH) 115$

LABORATORY SERVICES HUMAN GRANULOCYTIC EHRLICHIOSI 265$

LABORATORY SERVICES INFLUENZA A & B ABS QUANT 77$

LABORATORY SERVICES MYCOPLAMA PNEUMO ABS IGG IGM 1 147$

LABORATORY SERVICES Q FEVER IGG IGM AB SCREEN (COX 291$

LABORATORY SERVICES STREPTOZYME 53$

LABORATORY SERVICES TOXOPLASMA GONDII IGA ELISA 186$

LABORATORY SERVICES WA 1 IGG ABS IFA (BABESIA WA-1 147$

LABORATORY SERVICES ADENOVIRUS GROUP ABS QUANT 37$

LABORATORY SERVICES VITAMIN A & CAROTENE 001750 71$

LABORATORY SERVICES VITAMIN A & CAROTENE 001750 100$

LABORATORY SERVICES CML FISH 511595 (C90146) 306$



LABORATORY SERVICES EBV AB TO EARLY AG PROFILE QNT 89$

LABORATORY SERVICES INHIBIN A, ULTRA SENSITIVE 146 196$

LABORATORY SERVICES AMIKACIN, PEAK 89$

LABORATORY SERVICES AMIKACIN, TROUGH 89$

LABORATORY SERVICES CORTISOL DEXAMETHSONE SUP W RF 107$

LABORATORY SERVICES REFLEX FOR CORT DEXMETH LC # 5 128$

LABORATORY SERVICES PROSTAGLANDINS D2 URINE (PGD2) 622$

LABORATORY SERVICES HELPER T-LYMPH CD4 134$

LABORATORY SERVICES THYROID PROFILE II 027011 53$




LABORATORY SERVICES HISTAMINE DETERM URINE 144618 318$

LABORATORY SERVICES VITAMIN K1 121200 295$

LABORATORY SERVICES THALLIUM 135$

LABORATORY SERVICES CHOLESTEROL, BODY FLUID 57$

LABORATORY SERVICES FACTOR X ACTIVITY 208$

LABORATORY SERVICES HPV HIGH RISK (ONLY W/O PAP) 75$

LABORATORY SERVICES PLASMODIUM SPECIES 139475 215$

LABORATORY SERVICES PLASMODIUM SPECIES RFLX 139480 259$

LABORATORY SERVICES PH STOOL 13$

LABORATORY SERVICES FACTOR XII ACTIVITY 173$

LABORATORY SERVICES C-REACTIVE PROT QUANT (LABCORP 66$

LABORATORY SERVICES CALCIUM,URINE 59$

LABORATORY SERVICES ZINC RBC 110$

LABORATORY SERVICES ANTISKIN AUTOANTIBODIES QNT 130$

LABORATORY SERVICES SALIVARY CORTISOL (FOUR SPECIM 333$

LABORATORY SERVICES T CELL PANEL (GAMMA-BETA) 4810 942$

LABORATORY SERVICES T CELL PANEL (GAMMA-BETA) 4810 905$

LABORATORY SERVICES HPV GENOTYPE 16/18/45 (507810) 88$

LABORATORY SERVICES CREAT PROT 24HR RATIO 209641 17$

LABORATORY SERVICES CREAT PROT 24HR RATIO 209641 12$

LABORATORY SERVICES LEAD BLOOD, FILTER PAPER 73$

LABORATORY SERVICES PYRUVIC ACID BLOOD 75$

LABORATORY SERVICES OSMOLALITY SERUM (LC) 69$

LABORATORY SERVICES OSMOLALITY URINE (LC) 59$

LABORATORY SERVICES CRYPTOCOCCUS AG,CSF (LC) 60$

LABORATORY SERVICES CRYPTOCOCCUS AG RFLX (LC) 1830 60$

LABORATORY SERVICES SUSCEPTIBILITY TESTING HAEMOPH 59$

LABORATORY SERVICES HYPER COAG PNL PROTEIN C 179$

LABORATORY SERVICES HYPER COAG PROFILE FACTOR V 274$

LABORATORY SERVICES HYPER COAG PROFILE PROTEIN S F 181$

LABORATORY SERVICES HYPER COAG PROFILE ANTITHROMBI 142$

LABORATORY SERVICES HEP INDUCED PLT AB W RFX SEROT 247$

LABORATORY SERVICES HEP INDUCED PLT AB W RFX SEROT 469$

LABORATORY SERVICES ZINC, WHOLE BLOOD 105$

LABORATORY SERVICES CLOBAZAM, SERUM OR PLASMA 97$

LABORATORY SERVICES MACADAMIA NUT 36$

LABORATORY SERVICES PISTACHIO NUT 36$

LABORATORY SERVICES BRAZIL NUT 36$

LABORATORY SERVICES CASHEW NUT 36$

LABORATORY SERVICES HAZELNUT/FILBERT 36$

LABORATORY SERVICES PNEUMOCOCCAL AB (23 SEROTYPES) 348$

LABORATORY SERVICES LIPASE (LC) 81$

LABORATORY SERVICES COMPREHENSIVE METABOLIC PNL (L 170$

LABORATORY SERVICES TRIGLYCERIDES (LC) 50$

LABORATORY SERVICES BUPRENORPHINE, WHOLE BLOOD 248$

LABORATORY SERVICES DRUG SCREEN (10 DRUG) WHOLE BL 367$

LABORATORY SERVICES TRAMADOL 150$

LABORATORY SERVICES NICOTINE/ COTININE W CONF, URI 53$

LABORATORY SERVICES NICTOTINE COTININE CONFIRMATIO 162$

LABORATORY SERVICES ANTIPARIETAL CELL AB (APCA) 112$

LABORATORY SERVICES MANNOSE-BINDING LECTIN (MBL) 146$

LABORATORY SERVICES MANNA-BINDING-LECITIN PWY FUNC 211$

LABORATORY SERVICES HSV TYPE-1 SPECIFIC AB IGG 82$

LABORATORY SERVICES HSV TYPE-2 SPECIFIC AB IGG W R 92$

LABORATORY SERVICES BERMUDA GRASS, ALLERGEN 36$

LABORATORY SERVICES JOHNSON GRASS, ALLERGEN 36$

LABORATORY SERVICES BAHIA GRASS, ALLERGEN 36$

LABORATORY SERVICES COCKROACH AMERICAN, ALLERGEN 36$

LABORATORY SERVICES PENICILLIUM CHRYSOGEN, ALLERGE 36$

LABORATORY SERVICES CLADOSPORIUM HERBARUM, ALLERGE 36$

LABORATORY SERVICES ASPERGILLUS FUMIGATUS, ALLERGE 36$

LABORATORY SERVICES MUCOR RACEMOSUS, ALLERGEN 36$

LABORATORY SERVICES STEMPHYLIUM HERBARUM,ALLERGEN 36$

LABORATORY SERVICES ELM AMERICAN, ALLERGEN 36$

LABORATORY SERVICES HAZELNUT TREE, ALLERGEN 36$

LABORATORY SERVICES HICKORY TREE, ALLERGEN 36$

LABORATORY SERVICES SYCAMORE MAPLE LEAF, ALLERGEN 36$

LABORATORY SERVICES CEDAR MOUNTAIN, ALLERGEN 36$

LABORATORY SERVICES SWEET GUM, ALLERGEN 36$

LABORATORY SERVICES MUGWORT ,ALLERGEN 36$

LABORATORY SERVICES NETTLE ,ALLERGEN 36$

LABORATORY SERVICES POLIOVIRUS 1 AND 3, AB IMMUNE 271$

LABORATORY SERVICES CLL FISH PNL (W20226) 611$

LABORATORY SERVICES RLLIP FLOW MARKER X 4 (489120) 243$

LABORATORY SERVICES RLLIP FLOW MARKERX10 (489146) 608$

LABORATORY SERVICES HCV AB (144065) 104$

LABORATORY SERVICES HCV AB RFLX (144075) 166$

LABORATORY SERVICES HUNTINGTON-DISEASE MUTATION 409$

LABORATORY SERVICES CHROM LEUK/LYMPH (C90147) 284$

LABORATORY SERVICES BODY FLUID SPECIFIC GRAVITY (L 77$

LABORATORY SERVICES HCV GENOTYPE W 1A SUBTYPE (550 817$

LABORATORY SERVICES HCV GENOTYPE W 1A SUBTYPE RFX 464$

LABORATORY SERVICES HCV GENOTYPE W 1A SUBTYPE RFX 551$

LABORATORY SERVICES FACTOR VIII AG 179$

LABORATORY SERVICES CARDIOLIPIN IGA-G-M + PHOSHO ( 417$

LABORATORY SERVICES CARDIOLIPIN IGA-G-M +PHOSPHO 3 272$

LABORATORY SERVICES Y-HYDROXYBUTRIC ACID SCRN (GHB 178$

LABORATORY SERVICES Y-HYDROXYBUTRIC ACID SCRN RFX 107$

LABORATORY SERVICES N-METHYLHISTAMINE UR 24HR 284$

LABORATORY SERVICES SALIVARY CORTISOL X 2 145$

LABORATORY SERVICES ANTI GAD ANTIBODIES 219$

LABORATORY SERVICES IA2 AUTOANTIBODIES 140$


LABORATORY SERVICES VITAMIN B3 (NIACIN) 351$

LABORATORY SERVICES LYSOZYME 89$

LABORATORY SERVICES ANT-HU ANTIBODIES 173$

LABORATORY SERVICES TRIGLYCERIDE + VLDL 45$

LABORATORY SERVICES CHLAMYDIA PSITTACI AB IGG 106$

LABORATORY SERVICES CHLAMYDIA PSITTACI AB IGM 101$

LABORATORY SERVICES VORICONAZOLE, SERUM OR PLASMA 535$

LABORATORY SERVICES O+P EXAM, FORMALIN ONLY 74$

LABORATORY SERVICES NEUROMYELITIS OPTICA, IGG AUTO 720$

LABORATORY SERVICES QUETIAPINE, SERUM OR PLASMA (S 150$

LABORATORY SERVICES MPN/HES ,FISH 511444 (C90146) 306$

LABORATORY SERVICES MPN/HES,FISH 511444 (W20227) 773$

LABORATORY SERVICES MPN/HES,FISH 511444 (W20263) 326$

LABORATORY SERVICES BARTONELLA, DNA PCR 261$

LABORATORY SERVICES HEP-INDUCED PLATELET AB (HIT) 469$

LABORATORY SERVICES THYROGLOBULIN BY LCMS 070125 111$

LABORATORY SERVICES SOLUBLE FIBRIN MONOMER 179$

LABORATORY SERVICES ZIPRASIDONE 160$

LABORATORY SERVICES CHROMOSOME ANALYSIS 511035 170$

LABORATORY SERVICES CHROMOSOME ANALYSIS 511035 CT 182$

LABORATORY SERVICES GLUTATHIONE, TOTAL 101$

LABORATORY SERVICES HLA DR/1/3/4/5 DQ IR 167120 432$

LABORATORY SERVICES MPL MUTAITION ANALYSIS 489150 718$

LABORATORY SERVICES URINE SUSCEPTIBILITY 188756 48$

LABORATORY SERVICES URINE ID 188756 48$

LABORATORY SERVICES HEPATITIS C VIRUS RNA QUAL 550 313$

LABORATORY SERVICES ENTAMOBEBA HISTOLYTICA AG 170$

LABORATORY SERVICES THYROGLOBULIN AB 042060 101$

LABORATORY SERVICES THYROGLOBULIN AB 042060 RFLX 0 97$

LABORATORY SERVICES THYROGLOBULIN AB 042060 RFLX 5 97$

LABORATORY SERVICES PARASITE EXAMINATION WB 008185 89$

LABORATORY SERVICES ACTIVATED PROTEIN C RESISTANCE 112$

LABORATORY SERVICES GIARD DIRECT & CRYPTO DIRECT E 145$

LABORATORY SERVICES GIARD DIRECT & CRYPTO DIRECT E 145$

LABORATORY SERVICES EXTRACTABLE NUCLEAR PANEL (ENA 551$

LABORATORY SERVICES LYME DISEASE, BORRELIA BURGDOF 245$

LABORATORY SERVICES MUSK AB TEST 1,654$

LABORATORY SERVICES THYROXINE FREE BY EQUILIB DIAL 90$

LABORATORY SERVICES ASPERGILLUS FUMIQATUS PRECP AB 68$

LABORATORY SERVICES B CELL PANEL (IGH, IGK) 481222 879$

LABORATORY SERVICES B CELL PANEL (IGH,IGK) 481222 663$

LABORATORY SERVICES FISH DNA PROBEX6 W20226 (51144 663$

LABORATORY SERVICES FISH ANALYZE 100-300X5 W20265 543$

LABORATORY SERVICES FACTOR XIII DNA GENOTYPE 464$

LABORATORY SERVICES PLASMINOGEN ACTIVATOR INHIB 50 464$

LABORATORY SERVICES PROTEIN S ACT & FUNCTION 34037 166$

LABORATORY SERVICES PROTEIN S ACTIVITY & FUN 34037 181$

LABORATORY SERVICES PROTEIN C ACTIVITY 179$

LABORATORY SERVICES FACTOR V LEIDEN 311$

LABORATORY SERVICES ASPERGILLUS NIDULANS PRECIP AB 68$

LABORATORY SERVICES ASPERGILLUS FLAVUS PRECIP AB 6 68$

LABORATORY SERVICES ASPERGILLUS NIGER PRECIP 60291 14$

LABORATORY SERVICES ASPERGILLUS GLAUCUS PRECIP 660 68$

LABORATORY SERVICES BILE ACIDS, FRACTIONATED AND T 362$

LABORATORY SERVICES SALIVARY CORTISOL X3 TIMED 247$

LABORATORY SERVICES CHYLOMICRON SCREEN, BODY FLUID 145$

LABORATORY SERVICES PROBNP 215$

LABORATORY SERVICES HISTAMINE DETERMINATION WB 285$

LABORATORY SERVICES FISH ONCOLOGY CHIC2 (C20223) 370$



LABORATORY SERVICES HEREDITARY HEMOCHROMATOSIS DNA 519$

LABORATORY SERVICES GASTROINESTESTINAL PROFILE STO 836$

LABORATORY SERVICES ANEMIA PROFILE, MEGABOLASTIC 7 102$

LABORATORY SERVICES ANEMIA PROFILE,MEGABOLASTIC 70 98$

LABORATORY SERVICES LYMPH SUBSET PANEL 1 (505015) 93$




LABORATORY SERVICES CYSTAIN C 174$

LABORATORY SERVICES BRAC2 TARGETED ANALYSIS (BRASS 536$

LABORATORY SERVICES HUMAN T-CELL LYMPHOTROPIC 1-2 123$

LABORATORY SERVICES HUMAN T-CELL LYMPHOTROPIC RFLX 118$

LABORATORY SERVICES HUMAN T-CELL LYMPHOTROPIC RFLX 118$

LABORATORY SERVICES ORGANISM ID BY SEQUENCING 321$

LABORATORY SERVICES PROTEIN ELECTROPHORESIS 123026 5$

LABORATORY SERVICES PROTEIN ELECTROPHORESIS 123026 16$

LABORATORY SERVICES PROT ELECT RFLX TO IFE FROM 12 38$

LABORATORY SERVICES PROT ELECT RFLX TO IFE FROM 12 17$

LABORATORY SERVICES INTACT N-TYPE PROPEPTIDE 14085 243$

LABORATORY SERVICES CLOSTRIDIUM DIFFICILE TOXINS A 83$

LABORATORY SERVICES POLIOVIRUS AB 49$

LABORATORY SERVICES RUBELLA AB, IGM 102$

LABORATORY SERVICES BLASTOMYCES AB, QUANT DID 73$

LABORATORY SERVICES HYPERSENSITIVITY PNEUMONITIS 6 37$

LABORATORY SERVICES HYPERSENSITIVITY PNEUMONITIS 6 26$

LABORATORY SERVICES HYPERSENSITIVITY PNEUMONITITS 53$



LABORATORY SERVICES THYROID CASCADE PROFILE (33001 68$

LABORATORY SERVICES ALDESTERONE:RENIN RATIO (00435 230$

LABORATORY SERVICES ALDESTERONE:RENIN RATIO (00435 99$

LABORATORY SERVICES ETHANOL SCREEN URINE 735314 88$

LABORATORY SERVICES THYROID ANTIBODIES 006684 96$

LABORATORY SERVICES THYROID ANTIBODIES 006684 104$

LABORATORY SERVICES PORPHOBILINOGERN QUANT, URINE 73$

LABORATORY SERVICES PORPHYRINS QUANT,URINE 73$

LABORATORY SERVICES JC VIRUS DNA, PCR 441$

LABORATORY SERVICES MEDICAL PROFESS DRUG SCRN 12 D 229$


LABORATORY SERVICES DERMATOPHYTE CULTURE 40$

LABORATORY SERVICES IMMUNOGLOBULINS IGA,G,M CSF 205$

LABORATORY SERVICES IMMUNOGLOBULIN G SYNTHESIS RAT 39$



LABORATORY SERVICES ASH FIBROSURE 550180 25$








LABORATORY SERVICES COCCIDIOIDES ANTIBODY CF 63$

LABORATORY SERVICES GABAPENTIN, SERUM OR PLASMA 96$



LABORATORY SERVICES HBV GENOTYPE 551710 378$

LABORATORY SERVICES HEPATITIS D VIRUS TOTAL (HDV) 83$

LABORATORY SERVICES CHOLINESTERASE (121152) 64$

LABORATORY SERVICES CHOLINESTERASE RBC (121152) 36$

LABORATORY SERVICES DIBUCAINE (121152) 40$

LABORATORY SERVICES ASO 006031 71$

LABORATORY SERVICES COCONUT 36$

LABORATORY SERVICES ANA AB MULTIPLEX RFLX DSDNA RN 552$

LABORATORY SERVICES DEAMINATED GLIADIN AB IGA 125$

LABORATORY SERVICES FRUTOSAMINE 59$

LABORATORY SERVICES HEP B SURFACE AB QUALITATIVE 93$

LABORATORY SERVICES INFLIXIMAB CONC ANTI-INFLIXIMA 221$

LABORATORY SERVICES INFLIXIMAB CONC ANTI-INFLIXIMA 293$

LABORATORY SERVICES NASH FIBROSURE APOLIPOPROTEIN 90$

LABORATORY SERVICES NASH FIBROSURE TBILI 550140 24$

LABORATORY SERVICES NASH FIBROSURE TOT CHOLEST 550 24$

LABORATORY SERVICES NASH FIBROSURE GLUCOSE 550140 24$

LABORATORY SERVICES NASH FIBROSURE GGT 550140 42$

LABORATORY SERVICES NASH FIBROSURE HAPTOGLOBIN 550 72$

LABORATORY SERVICES NASH FIBROSURE NEPHELOMETRY 55 81$

LABORATORY SERVICES NASH FIBROSURE AST 550140 32$

LABORATORY SERVICES NASH FIBROSURE ALT 550140 32$

LABORATORY SERVICES NASH FIBROSURE TRIG 550140 32$

LABORATORY SERVICES LIPAPROTEIN A 40$

LABORATORY SERVICES FLUORIDE 92$

LABORATORY SERVICES SELENIUM SERUM OR PLAMA 121$

LABORATORY SERVICES TB NAA WITH CAP CULTURE 183071 100$

LABORATORY SERVICES TB NAA WITH CAP CULTURE 183071 194$

LABORATORY SERVICES ANA MULTIPLEX CASCADE 3401238 93$

LABORATORY SERVICES CROHN'S DISEASE PROF 162020 55$

LABORATORY SERVICES CROHN'S DISEASE PROF 162020 164$

LABORATORY SERVICES HSV TYPES 1/2 DNA PCR 398$

LABORATORY SERVICES BRCA 1/2 COMPREHENSIVE ANALYSI 3,100$

LABORATORY SERVICES HELICOBACTER PYLORI UREA BREA 266$

LABORATORY SERVICES VASCULAR ENDOTHELIAL GROWTH FA 390$

LABORATORY SERVICES PSA (010322) 85$

LABORATORY SERVICES SURG PATH LEVEL 2 128$

LABORATORY SERVICES SURG PATH LEVEL 2 2ND SPC 128$

LABORATORY SERVICES HOMOCYSTINE URINE 167$

LABORATORY SERVICES UREPLASMA/MYCOPLASMA HOMINIS C 147$

LABORATORY SERVICES CYSTIC FIBROSIS PROFILE 32 MUT 686$

LABORATORY SERVICES CYSTIC FIBROSIS PROFILE 97 MUT 584$

LABORATORY SERVICES VAGINITIS/VAGINOSIS PRB CANDID 106$

LABORATORY SERVICES VAGINITIS/VAGINOSIS PRB GARDNE 106$

LABORATORY SERVICES VAGINITIS/VAGINOSIS PRB TRICHO 106$

LABORATORY SERVICES PARVOVIRUS B19, IGG 163048 86$

LABORATORY SERVICES PARVOVIRUS B19,IGM 163154 86$

LABORATORY SERVICES HEMOGLOBIN FETAL QNT 120900 104$

LABORATORY SERVICES HEMOGLOBIN A2 QNT 121020 104$

LABORATORY SERVICES FRAGILE X SYNDROME 511919 377$

LABORATORY SERVICES FRAGILE X SYNDROME RLFX 511919 239$

LABORATORY SERVICES HEP PROFILE VIII 255505 64$







LABORATORY SERVICES EXTRINSIC PATHWAY COAG FACTOR 189$



LABORATORY SERVICES B-2 GLYCOPROTEIN AB'S IGA,G,M 292$

LABORATORY SERVICES DRUG SCREEN 6 W REFLEX WB 7008 231$

LABORATORY SERVICES ANTITHROMBIN DEFICINCY PROF 01 103$

LABORATORY SERVICES ANTITHROMBIN DEFICINCY PROF 01 111$

LABORATORY SERVICES LUPUS ANTICOAGULANTS W RRFLX 1 100$

LABORATORY SERVICES LUPUS ANTICOAGULANTS W RFLX 11 101$

LABORATORY SERVICES D-LACTATE 440$

LABORATORY SERVICES PHOSPHOLIPASE A2 RECPTOR AUTO 257$

LABORATORY SERVICES TESTOSTERONE FREE + TOTAL W SH 262$

LABORATORY SERVICES TESTOSTERONE FREE + TOTAL W SH 262$

LABORATORY SERVICES CHLAMYDIA NA PROBE FROM PAP SP 123$

LABORATORY SERVICES NEISSERA NA PROBE FROM PAP SPE 123$

LABORATORY SERVICES TRICHOMONAS AMP PROBE FROM PAP 123$

LABORATORY SERVICES CARBAMAZEPINE + 10,11 EPOXIDE 154$

LABORATORY SERVICES PTH + CALCIUM 054601 55$

LABORATORY SERVICES PTH + CALCIUM 054601 55$

LABORATORY SERVICES ESTROGEN FRACTIONATED 004606 141$

LABORATORY SERVICES ESTROGEN FRACTIONATED 004606 157$

LABORATORY SERVICES ANA IFA PNL EXPANDED 340897 126$

LABORATORY SERVICES ANA IFA PNL EXPANDED 340897 870$

LABORATORY SERVICES CASEIN IGG F078 36$

LABORATORY SERVICES GLUTEN IGG 36$

LABORATORY SERVICES LEPTIN 95$

LABORATORY SERVICES ACYLCARNITINE PROFILE QUANT 249$

LABORATORY SERVICES ORGANIC ACID URINE 94$

LABORATORY SERVICES CANDIDA ALBICANS & CANDIDA GLA 104$

LABORATORY SERVICES HPV 13 HIGH RISK & 5 LOW RISK 102$

LABORATORY SERVICES H PYLORI DRUG ADMIN FOR H PYLO 54$

LABORATORY SERVICES ASPERGILLUS GALACTOMANNAN AG 183$

LABORATORY SERVICES NEURON-SPECIFIC ENOLAS (NSE) 124$

LABORATORY SERVICES A-1 ANTITRYPSIN PHENOTYPING 81$

LABORATORY SERVICES A-1 ANTITRYPSIN PHENOTYPING 122$


LABORATORY SERVICES SLE PROFILE C 252908 61$

LABORATORY SERVICES SLE PROFILE C 252908, 322$

LABORATORY SERVICES PHENYLALANINE QUANT PLASMA 192$

LABORATORY SERVICES OSMOLALITY FECAL 32$

LABORATORY SERVICES POTASSIUM FECAL 84$

LABORATORY SERVICES SODIUM FECAL 85$

LABORATORY SERVICES ANTICARDIOLIPIN AB (ACA) IGG,I 202$

LABORATORY SERVICES ANTIGLOMERULAR BASEMENT MEMBRA 47$

LABORATORY SERVICES BUSPIRONE (BUSPAR OR VANSPAR) 172$

LABORATORY SERVICES LYME DISEASE, WESTERN BLOT 193$

LABORATORY SERVICES VITAMIN B2, WHOLE BLOOD 76$

LABORATORY SERVICES HORMONE PNL ESTRADIOL 240045 37$

LABORATORY SERVICES HORMONE PNL ESTROGENS TOTAL 24 37$

LABORATORY SERVICES HORMONE PNL ESTROGENS TOTAL 24 37$

LABORATORY SERVICES HORMONE PNL TESTOSTERO FREE 24 37$

LABORATORY SERVICES HORMONE PNL TESTOSTERONE 24004 37$

LABORATORY SERVICES SURG PATH LVL IV 5TH SPEC 8830 176$

LABORATORY SERVICES TREPONEMA PALLIDUM AB PNL IGG 192$

LABORATORY SERVICES LACTATE CSF 96$

LABORATORY SERVICES PCB - POLYCHLORINATED BIPHENYL 129$

LABORATORY SERVICES PCB-POLYCHLORINATED BIPHENYLS 74$

LABORATORY SERVICES INHIBIN B 210$

LABORATORY SERVICES C3D IMMUNE COMPLEXES 140$

LABORATORY SERVICES VAGINITIS NUSWAB STD CHLAM 188 90$

LABORATORY SERVICES VAGINITIS NUSWAB STD HEPSES 18 180$

LABORATORY SERVICES VAGINITIS NUSWAB STD NEISSERIA 90$

LABORATORY SERVICES VAGINITIS NUSWAB STD TRICH 188 90$

LABORATORY SERVICES VAGINITIS CHLAM STD 183 90$

LABORATORY SERVICES VAGINITIS NEISSERIA STD 183160 90$

LABORATORY SERVICES VAGINITIS TRICHOMO STD 183160 90$

LABORATORY SERVICES FOOD GRAIN ALLERGEN PROFILE 60 218$

LABORATORY SERVICES HOP (FOOD) 602841 36$

LABORATORY SERVICES THYROGLOBULIN AB & THYROGLOBUL 101$

LABORATORY SERVICES THYROGLOB AB & THYROGLOBULIN I 97$

LABORATORY SERVICES THYROGLOB AB & THYROGLOBLIN LC 109$

LABORATORY SERVICES FLU B 87$

LABORATORY SERVICES FLU A 87$

LABORATORY SERVICES HAMSTER EPITHELIUM 36$

LABORATORY SERVICES MOUSE EPITHELIUM 36$

LABORATORY SERVICES VON WILLEBRAND FACTOR PANEL 32 32$

LABORATORY SERVICES VON WILLEBRAND FACTOR PANEL 32 53$

LABORATORY SERVICES VON WILLEBRAND FACTOR PROFILE 87$

LABORATORY SERVICES VON WILLEBRAND FACTOR PROFILE 87$

LABORATORY SERVICES VONWILLEBRAN FACTOR PROFILE 08 87$

LABORATORY SERVICES HPV W RFLX HPV GENOTYPES 16 18 51$

LABORATORY SERVICES HPV W RFLX HPV GENOTYPES 16 18 88$

LABORATORY SERVICES SPECIAL STAINS GROUP 1 883121 51$

LABORATORY SERVICES SURG PATH LVL III 1ST 883041 180$

LABORATORY SERVICES SURG PATH LVL V 1ST SP 883071 345$

LABORATORY SERVICES SURG PATH LVL V 2ND SP 883072 345$

LABORATORY SERVICES SURG PATH LVL V 3RD SP 883073 345$

LABORATORY SERVICES SURG PATH LVL V 4TH SP 883074 345$

LABORATORY SERVICES AMPHETAMINE WB CONF 700886 187$

LABORATORY SERVICES BARBITURATE WB CONF 700886 187$

LABORATORY SERVICES BENZODIAZEPINE WB CONF 700886 187$

LABORATORY SERVICES COCAINE WB CONF 700886 187$

LABORATORY SERVICES OPIATES WB CONF 700886 187$

LABORATORY SERVICES OXYCODONE WB CONF 700886 187$

LABORATORY SERVICES PCP WB CONF 700886 187$

LABORATORY SERVICES THC WB CONF 700886 187$

LABORATORY SERVICES METHDONE WB CONF 700886 187$

LABORATORY SERVICES PROPOXYPHENE CONF WB 700886 187$

LABORATORY SERVICES BORDETELLA PERTUSSIS AB IGA 66$

LABORATORY SERVICES CYTOKINE PANEL 820202 - 00513 537$

LABORATORY SERVICES FACTOR VIII ACTIVITY 129$

LABORATORY SERVICES VIRAL CULTURE HSV & VZV 18605 64$

LABORATORY SERVICES VIRAL CULTURE HSV & VZV 186056 64$

LABORATORY SERVICES VIRAL CULTURE HSV & VZV ID 186 113$

LABORATORY SERVICES SJOGREN'S ANTI-SS-B 64$

LABORATORY SERVICES LACOSAMIDE 220$

LABORATORY SERVICES MOUSE URINE 36$

LABORATORY SERVICES ASPERGILLUS FLAVUS IGE 36$

LABORATORY SERVICES IHC EA ADD AB STAIN X 3 W20063 437$

LABORATORY SERVICES VAGINITIS PLUS NUSWAB 180021 51$

LABORATORY SERVICES VAGINITIS NUSWAB 180039 71$

LABORATORY SERVICES BACTERIAL VAGINOSIS & YEAST CU 126$

LABORATORY SERVICES BACTERIAL VAGINOSIS & YEASR CU 126$

LABORATORY SERVICES HSV2 RFLX 164922 82$

LABORATORY SERVICES BK VIRUS QUANT URINE 436$

LABORATORY SERVICES COCCIDIOIDOMYCOSIS AB IGG 78$

LABORATORY SERVICES COCCIDIOIDOMYCOSIS AB IGM 78$

LABORATORY SERVICES HISTOPLASMA GLACTOMANNAN 147$

LABORATORY SERVICES 17 HYDROXYCORTIOCSTEROID 24HR 115$

LABORATORY SERVICES TREPONEMA PALLIDUM IGG 69$

LABORATORY SERVICES TREPONEMA PALLIDUM IGM 69$

LABORATORY SERVICES FUNGAL AB QUANT IMMUNOFIX 0914 212$



LABORATORY SERVICES IHC EA ADD AB STAIN X1 GLBL W2 220$

LABORATORY SERVICES DIHYROTESTOSTERONE 108$

LABORATORY SERVICES HEPATITIS C VIRUS FIBROSURE 317$

LABORATORY SERVICES SPINAL MUSCULAR ATROPHY CARRIE 193$

LABORATORY SERVICES CHOLINESTERASE PLASMA & RBC 21 64$

LABORATORY SERVICES CHOLINESTERASE PLASMA & RBC 21 36$

LABORATORY SERVICES CARISOPRODOL SCREEN URINE 159$

LABORATORY SERVICES FENTANYL SCREEN URINE 159$

LABORATORY SERVICES TRAMADOL SCREEN URINE 159$

LABORATORY SERVICES CARISOPRODOL URINE CONFIRMATIO 162$

LABORATORY SERVICES FENTANYL URINE CONFIRMATION 162$

LABORATORY SERVICES VALPROIC ACID 007260 116$

LABORATORY SERVICES CRYOGLOBULIN QUAL W QUANT RFLX 119$

LABORATORY SERVICES ACP RESISTANCE W RFLX TO FV DN 155$

LABORATORY SERVICES ACP RESISTANCE W RFLX TO FV DN 311$

LABORATORY SERVICES AMPHETAMINE CONF URINE ADERALL 150$

LABORATORY SERVICES BACTERIAL VAGINOSIS NAA 180060 212$

LABORATORY SERVICES HCV GT1A NS5A 550705 437$



LABORATORY SERVICES IHC EA ADD AB STAIN X2 GLBL W2 218$


LABORATORY SERVICES SSA 52 AND 60 (RO) AB LGG00985 186$

LABORATORY SERVICES SILVER BIRCH ALLERGEN 36$

LABORATORY SERVICES BILE ACIDS 010330 50$

LABORATORY SERVICES SPINAL MUSCULAR ATROPHY POSITI 257$

LABORATORY SERVICES HISTOPLASMA AB QUANT DID 58$

LABORATORY SERVICES ANCA PROFILE 163873 266$

LABORATORY SERVICES ANCA PROFILE 163873 390$

LABORATORY SERVICES ETHANOL SCREEN CONF 735314 102$

LABORATORY SERVICES HCV RNA QUANT W RRLX PCR 55084 272$

LABORATORY SERVICES HCV RNA QUANT W RFLX PCR 55084 380$

LABORATORY SERVICES IGE PENICILLIN ALERGEN 602646 36$

LABORATORY SERVICES IHC EACH ADD AB STAIN X7 W2053 720$

LABORATORY SERVICES OXYCODEONE AND METABOLITE 071 133$

LABORATORY SERVICES PROTHROMBIN AB IGG 117065 85$

LABORATORY SERVICES PSA ULTRASENSITIVE 88$

LABORATORY SERVICES TESTOSTERONE WOMEN & CHILDREN 97$

LABORATORY SERVICES HSV TYPE 2 SPECIFIC AB W RFX 1 92$

LABORATORY SERVICES 5-HIAA PLASMA 79$

LABORATORY SERVICES ALLERGEN PROFILE NUT IGE W RFL 327$

LABORATORY SERVICES TOTAL BILIRUBEN BODY FLUID 42$

LABORATORY SERVICES CABBAGE ALLERGEN 36$

LABORATORY SERVICES PORK ALLERGEN 36$

LABORATORY SERVICES HEPATITIS B SURFACE AB QUANT 40$

LABORATORY SERVICES IHC EA ADD AB STAIN X3 W20532 328$

LABORATORY SERVICES APOLIPOPROTEIN ASSESMENT 21601 143$

LABORATORY SERVICES APOLIPOPROTINE ASSESSMENT (A1) 72$

LABORATORY SERVICES PEANUT COMPONET ALLERGY PROFIL 252$

LABORATORY SERVICES PINWORM PREPARATION 35$

LABORATORY SERVICES DS DNA BY IFA, CRITHIDIA W RFL 81$

LABORATORY SERVICES TESTOSTERONE FREE DIALYSIS 500 124$

LABORATORY SERVICES TESTOSTERONE TOTAL DIALYSIS 50 145$

LABORATORY SERVICES SURG PATH LVL 1 LABCORP PTH 64$

LABORATORY SERVICES HONEYBEE ALLERGEN 36$

LABORATORY SERVICES HORNET YELLOW ALLERGEN 36$

LABORATORY SERVICES WASP PAPER ALLERGEN 36$

LABORATORY SERVICES WHITE FACED HORNET ALLERGEN 36$

LABORATORY SERVICES YELLOW JACKET ALLERGEN 36$

LABORATORY SERVICES PNEUMOCOCCAL AB (23 SEROTYPES) 149$

LABORATORY SERVICES C.DIFF TOXIN GENE BY NATT-CHIL 228$

LABORATORY SERVICES HERPES SIMPLEX VIRUS PCR-CHILD 229$

LABORATORY SERVICES HERPES SIMPLEX CULT CHILD LAB 56$

LABORATORY SERVICES HERPES SIMPLEX CULT CHILD LAB 42$

LABORATORY SERVICES AMIKACIN TROUGH (CHILD LAB) 94$

LABORATORY SERVICES LEAD (CHILDLAB) 73$

LABORATORY SERVICES BORDETELLA PERTUSSIS/ PARAPERT 307$

LABORATORY SERVICES STREP PNEUMONIAE BY PCR, QUAL 210$

LABORATORY SERVICES NEISSERIA MENINGITIDIS CSF BY 259$

LABORATORY SERVICES H. INFLUENZA AB CSF CHILDLAB 177$

LABORATORY SERVICES VARICELLA-ZOSTER VIRUS SUP SIT 259$

LABORATORY SERVICES MYCOPLASMA PNEUMONIAE PCR CHIL 304$

LABORATORY SERVICES PNEUMOCOCCAL AB CHILD LAB 83$

LABORATORY SERVICES ENTEROVIRUS/PARECHOVIRUS BLD ( 259$

LABORATORY SERVICES ENTEROVIRUS/PARECHOVIRUS BLD ( 259$

LABORATORY SERVICES ENTEROVIRUS/PARECHOVIRUS CSF ( 259$

LABORATORY SERVICES ENTEROVIRUS/PARECHOVIRUS CSF ( 259$

LABORATORY SERVICES ENTEROVIRUS/PARECHOVIRUS (EPVE 259$

LABORATORY SERVICES ENTEROVIRUS/PARECHOVIRUS (EPVE 259$

LABORATORY SERVICES HPYLORI STOOL AG (HPSA) CHILD 183$

LABORATORY SERVICES CALPROTECTIN STOOL (CHILDLAB) 451$

LABORATORY SERVICES OVA & PARASITE (CHILDLAB) OAP 83$

LABORATORY SERVICES OVA & PARASITE (CHILDLAB) OAP 46$

LABORATORY SERVICES C STOOL (CHILDLAB) 40$



LABORATORY SERVICES RESPIRATORY VIRUSES PANEL (CHI 210$

LABORATORY SERVICES RESPIRATORY VIRUSES PANEL (CHI 235$

LABORATORY SERVICES FACTOR IX, QUANT (CHILD LAB) 137$

LABORATORY SERVICES VON WILLEBRAND (CHILD LAB VWS) 202$







LABORATORY SERVICES MUSCLE BIOPSY CHILD LAB 250$

LABORATORY SERVICES MUSCLE BIOPSY CHILDLAB 800$

LABORATORY SERVICES MUSCLE BIOPSY CHILD LAB 2,724$

LABORATORY SERVICES FSH 3RD GEN (CL) 131$

LABORATORY SERVICES LH 3RD GEN (CL) 131$

LABORATORY SERVICES HSV BY PCR FLUID OR TISSUE (CL 229$

LABORATORY SERVICES HSV BLOOD PCR (CL) 229$

LABORATORY SERVICES HSV BY PCR SUPERFICIAL SITE (C 229$

LABORATORY SERVICES ACYLCARNITINE (ACP) C 217$

LABORATORY SERVICES HEPATITIS C AB TOTAL 137$

LABORATORY SERVICES TOXOPLASMA INFANT PANEL 282$

LABORATORY SERVICES TOXOPLASMA INFANT PANLE 137$

LABORATORY SERVICES TOXOPLASMA PCR (WHOLE BLOOD) 640$

LABORATORY SERVICES HIV-1 DNA BY PCR 119$

LABORATORY SERVICES RESPIRATORY INFECTION ARRAY F 559$

LABORATORY SERVICES RESPIRATORY INFECTION ARRAY FA 93$

LABORATORY SERVICES RESPIRATORY INTECTION ARRAY FA 47$

LABORATORY SERVICES RESPIRATORY INFECTION ARRAY FA 47$

LABORATORY SERVICES FISH FOR MM (BONE MARROW) (O) 828$

LABORATORY SERVICES FISH FOR MM (BONE MAROW OSU) 1,128$

LABORATORY SERVICES FISH BCL/ABL (BONE MARROW OSU) 1,225$

LABORATORY SERVICES FLOW BONE MARROW (O) 268$

LABORATORY SERVICES FLOW BONE MARROW (OSU) 976$

LABORATORY SERVICES CHROMOSOME ANALY CYTO BONE MA 737$

LABORATORY SERVICES CHROMOSOME ANALY CYTO BONE MA 713$

LABORATORY SERVICES KRAS TISSUE (OSU) 1,032$

LABORATORY SERVICES BRAF GENE (OSU) PATH 323$

LABORATORY SERVICES JAK2 GENE (OSU) PATH 578$

LABORATORY SERVICES EGFR MUT ANALYSIS (OSU) PATH 727$

LABORATORY SERVICES CYTOGENETICS BONE MARROW (OSU) 713$

LABORATORY SERVICES PSA STAIN (OSU) PATH 283$

LABORATORY SERVICES ALK BA LUNG FISH (OSU PATH) 811$

LABORATORY SERVICES FLOW CYTO TISSUE (OSU PATH) 191$

LABORATORY SERVICES HER2 FISH (OSU PATH) 811$

LABORATORY SERVICES HISTOLOGY STAIN II (SPECIAL ST 149$

LABORATORY SERVICES IMMUNOHISTO CHEMISTRY , 1ST OS 283$

LABORATORY SERVICES TISSUE IN SITU 374$

LABORATORY SERVICES CYTOPATH CONCENTRATION TECHNIQ 155$

LABORATORY SERVICES FISH PROBE EACH (OSU C/P) 184$

LABORATORY SERVICES FISH ANALYSIS (OSU C/P) 156$

LABORATORY SERVICES FISH CULTURE (OSU C/P) 466$

LABORATORY SERVICES PAS STAIN (OSU PATH) 146$

LABORATORY SERVICES IMMUNOFLORESCENT INDIRECT (TC) 147$

LABORATORY SERVICES ELECTRON MICROSCOPY EM THIN SE 1,188$

LABORATORY SERVICES BRONCH WASHING CYTOLOGY 182$

LABORATORY SERVICES GRAM (BROWN & HOPPS) OSU PATH 199$

LABORATORY SERVICES GMS (GROUP I SPECIAL STAINS) O 199$

LABORATORY SERVICES LAB PATH CONSULTATION 77$

LABORATORY SERVICES CLONALITY CUTTING PROT SMALL O 1,156$

LABORATORY SERVICES CLONALITY CUTTING PROT LARGE O 1,156$

LABORATORY SERVICES ACID FAST BACILLI (AFB) OSU PA 199$

LABORATORY SERVICES SURG PATH TECH COMP L-5 OSU PA 435$

LABORATORY SERVICES FGFR (EGFR) FISH OSU PATH 729$

LABORATORY SERVICES ALK-BA FISH OSU PATH 729$

LABORATORY SERVICES IGH/BCL2 FISH OSU PATH 729$

LABORATORY SERVICES MALT 1-BA FISH 729$

LABORATORY SERVICES IGH GENE REARRANGEMENT B CELL 551$

LABORATORY SERVICES TRICHROME-MASSONS GROUP II SPE 146$

LABORATORY SERVICES SURG PATH LVL 2 OSU 128$

LABORATORY SERVICES SURG PATH LVL 3 OSU 180$

LABORATORY SERVICES IRON STAIN BMBX (SS GROUP 2) 155$

LABORATORY SERVICES DECALCIFICATION OF TISSUE OSU 80$

LABORATORY SERVICES ESTROGEN QUANT (O) 311$

LABORATORY SERVICES PROGESTERONE QUANT (O) 311$

LABORATORY SERVICES NRAS MUTATION ANALYSIS (OSU PA 873$

LABORATORY SERVICES FINE NEEDLE ASPERATE (OSU CYTO 207$

LABORATORY SERVICES CYTO CELL BLOCK OSU/CYTO 237$

LABORATORY SERVICES IMMUNOHISTO CHEM EACH ADD SING 190$

LABORATORY SERVICES IMMUNOHISTO CHEM EACH ADD MULT 569$

LABORATORY SERVICES MORPH ANALY SEMI QUANT EACH MA 311$

LABORATORY SERVICES MORPH ANALY SEMI QUANT EACH CO 387$

LABORATORY SERVICES FISH SEMI QUAL/QUANT EACH SPEC 417$

LABORATORY SERVICES FISH SEMI QUAL/QUANT EACH ADD 307$

LABORATORY SERVICES FLOW CTO TISSUE (OSU PATH) 1,208$

LABORATORY SERVICES COLON MOLECULAR PANEL (COLMOL) 843$

LABORATORY SERVICES PULMONARY MOLECULAR PANEL (OSU 807$

LABORATORY SERVICES ALBUMIN IF (OSU PATH) 226$

LABORATORY SERVICES C1Q IF (OSU PATH) 226$

LABORATORY SERVICES C3 IF (OSU PATH) 226$

LABORATORY SERVICES FIBRINOGEN IF (OSU PATH) 226$

LABORATORY SERVICES IGA IF (OSU PATH) 226$

LABORATORY SERVICES IGG IF (OSU PATH) 226$

LABORATORY SERVICES IGM IF (OSU PATH) 226$

LABORATORY SERVICES KAPPA IF (OSU PATH) 226$

LABORATORY SERVICES LAMBDA IF (OSU PATH) 226$

LABORATORY SERVICES SPECIAL STAINS GROUP 1 (OSU PH 164$

LABORATORY SERVICES SPECIAL STAINS GROUP 2 (OSU PH 119$

LABORATORY SERVICES INSITU HYBRID FISH PER SPEC IN 374$

LABORATORY SERVICES IMMUNOHISTO INITAL SP SINGLE A 291$

LABORATORY SERVICES PERIPHERAL BLOOD SMEAR (O) 122$

LABORATORY SERVICES IMMUNOHISTO AB EACH INITAL AB 345$

LABORATORY SERVICES MORPHMETRIC ANALYSIS 498$

LABORATORY SERVICES HER2 QUANT 286$

LABORATORY SERVICES P63 QUANT 286$

LABORATORY SERVICES SMMS QUANT 286$

LABORATORY SERVICES MLH1 GENE 964$

LABORATORY SERVICES ELECTRON MICROSCOPY THICK 885$

LABORATORY SERVICES IN SITU HYBRID FISH EA ADD SIN 334$

LABORATORY SERVICES MORPH ANA IN SITU FISH SEMI QN 456$

LABORATORY SERVICES NEUROPATHOLOGY 155$

LABORATORY SERVICES MICROSATELLITE INSTABILITY (MS 913$

LABORATORY SERVICES CYTOGENETIC CULTURE (O) 402$

LABORATORY SERVICES IRON STAIN BM ASPIRATE 155$

LABORATORY SERVICES IMMUNOFLUOR AB STAIN 1ST 235$

LABORATORY SERVICES IMMUNOFLUOR AB STAIN EACH ADD 193$

LABORATORY SERVICES MYLOID NEOPLASM SEQUENCING PAN 1,449$

LABORATORY SERVICES ALK REARRANGE 1,393$

LABORATORY SERVICES FISH CEP 8 1,996$

LABORATORY SERVICES FISH MYC BA 1,529$

LABORATORY SERVICES FISH PDGFB 2,692$

LABORATORY SERVICES SURG PATH TECH COMP L-4 OSU 237$

LABORATORY SERVICES MOLECULAR MARKER TARGETED GENO 2,256$

LABORATORY SERVICES IMMUNOPHENOTYPING FNA 143$

LABORATORY SERVICES IMMUNOPHENOTYPING FNA 917$

LABORATORY SERVICES CYTOCENETICS COMPLETE BM O 385$

LABORATORY SERVICES IMMUNOFLORESCENCE AB 1ST SPECI 270$

LABORATORY SERVICES IMMUNOFLORESCSNCE AB EA ADD 300$

LABORATORY SERVICES FISH RB1 LAMP1 OSUP 4,003$

LABORATORY SERVICES KLEIHAUER BETKE (GENESIS) 49$

LABORATORY SERVICES PLATELET FUNCTION (GENESIS) AD 137$

LABORATORY SERVICES PLATELLET FUNCTION (GENISIS) E 137$

LABORATORY SERVICES HIV 1 & 2 AB GEN 47$

LABORATORY SERVICES REF CONSULT W SLIDE PREP 332$

LABORATORY SERVICES SPECIAL STAINS GROUP 2 (MAYO C 154$

LABORATORY SERVICES IHC INITAL SINGLE AB STAIN (MA 291$

LABORATORY SERVICES IRON, LIVER TS (M) 106$

LABORATORY SERVICES SEMEN ANALYSIS W STRICT MORPH 224$

LABORATORY SERVICES SEMEN ANALYSIS 185$

LABORATORY SERVICES STRICT CRITERIA SEMEN MORPH 112$

LABORATORY SERVICES HPV TYPING, DNA INSITU HYBRIDI 544$

LABORATORY SERVICES HPV TYPING, DNA INSITU HYBRIDI 1,101$

LABORATORY SERVICES MAYO PATH REF CONSULT 629$

ELECTROCARDIO SERVICES EKG PROCEDURE 151$

NEUROLOGY SERVICES MUSCLE TEST W RPT EXTREM OR TR 99$

NEUROLOGY SERVICES MUSCLE TEST W RPT HAND W OR W/ 104$

NEUROLOGY SERVICES MUSCLE TEST W RPT TOTAL EVAL O 98$

NEUROLOGY SERVICES MUSCLE TEST W RPT TOT EVAL OF 93$

NEUROLOGY SERVICES ROM EA EXTREM OR EACH TRUNK SE 60$

NEUROLOGY SERVICES ROM HAND, W OR W/O COMP W NORM 47$

NEUROLOGY SERVICES CHOLINESTERASE INHIBITOR CHALL 319$

NEUROLOGY SERVICES EMG ROM 1 EXTREM W OR W/O RELA 261$

NEUROLOGY SERVICES EMG ROM 2 EXTREMITIES W OR W/O 282$



NEUROLOGY SERVICES EMG ROM LARYNX 499$

NEUROLOGY SERVICES EMG ROM HEMIDIAPHRAGM 157$

NEUROLOGY SERVICES EMG ROM CRANIAL NERVE SUPPLIED 510$

NEUROLOGY SERVICES EMG ROM CRANIAL NERVE SUPPLIED 398$

NEUROLOGY SERVICES EMG THORACIC PARASPINAL MUSCLE 157$

NEUROLOGY SERVICES EMG ROM LMT STUDY/1 EXTREM OR 127$

NEUROLOGY SERVICES EMG USING SINGLE FIBER ELECTRO 398$

NEUROLOGY SERVICES ELEC STIMULATION NERVE 167$

NEUROLOGY SERVICES EMG GUIDE IN CONJ W/CHEMODENER 224$

NEUROLOGY SERVICES ISCHEMIC LIMB EXER TST W SERIA 319$

NEUROLOGY SERVICES EMG EA EXTRM W/NERVE TST; LIM 104$

NEUROLOGY SERVICES EMG EA EXTREM COMPL INNERVA 207$

NEUROLOGY SERVICES EMG, NON-EXTREM W NERVE TST AM 179$

NEUROLOGY SERVICES MOTOR/SENSORY NERVE CONDUCTION 157$

NEUROLOGY SERVICES NERVE CONDUCTION STUDIES; 1-2 398$






NEUROLOGY SERVICES NERVE CONDUCTION STUDIES; 13+ 705$

RADIOLOGY SERVICES INS TUN INTRAPERTONEAL CATH W 4,206$

RADIOLOGY SERVICES INSERT INDWELL TUNNELED PLEURA 4,206$

RADIOLOGY SERVICES PLMT NEPH. CATH ALL INCLUS. 3,817$

RADIOLOGY SERVICES BIOPSY BONE TROCAR/NEEDLE 2,301$

RADIOLOGY SERVICES 3D SEM SCREENING MAMMOGRAM BIL 83$

RADIOLOGY SERVICES 3D SEM DIAGNOSTI MAMMOGRAM BIL 89$

RADIOLOGY SERVICES 3D SEM DIAGNOSTIC MAMMOGRAM LE 81$

RADIOLOGY SERVICES 3D SEM DIAGNOSTIC MAMMOGRAM RI 81$

RADIOLOGY SERVICES CONTRAST INJ. FOR EVALUATION O 544$

RADIOLOGY SERVICES CHARGE EKG PROCEDURE 151$

RADIOLOGY SERVICES CHEST SPECIAL STUDY 2 VIEW 287$

RADIOLOGY SERVICES HIP UNILAT W/PEL&OBL 4 VIEW 477$

RADIOLOGY SERVICES HIP BILATERAL W/AP PELVIS 495$

RADIOLOGY SERVICES INJ. SHOULDER JOINT BILAT 1,314$

RADIOLOGY SERVICES SHOULDER JOINT EXAM BILAT 1,529$

RADIOLOGY SERVICES RECOVERY PHASE I - RAD 13$

RADIOLOGY SERVICES RECOVERY PHASE II - RAD 8$

RADIOLOGY SERVICES MANDIBLE 548$

RADIOLOGY SERVICES X-RAY FACIAL BONES 3 VIEWS 509$

RADIOLOGY SERVICES NOSE 377$

RADIOLOGY SERVICES ORBITS 443$

RADIOLOGY SERVICES SINUSES - MINIMUM 3 VIEWS 499$

RADIOLOGY SERVICES SINUSES LESS THAN 3 VIEWS 297$

RADIOLOGY SERVICES SKULL 486$

RADIOLOGY SERVICES TEMPOROMANDIBULAR JOINTS 432$

RADIOLOGY SERVICES SOFT TISSUE NECK LATERAL 329$

RADIOLOGY SERVICES INCISION/REMOVAL FOREIGN BODY 602$

RADIOLOGY SERVICES ANKLE 2 VIEWS -RT 246$

RADIOLOGY SERVICES ANKLE 2 VIEWS-LT 246$

RADIOLOGY SERVICES FOOT 2 VIEWS-RT 276$

RADIOLOGY SERVICES FOOT 2 VIEWS-LT 276$

RADIOLOGY SERVICES BILATERAL HAND X-RAYS 335$

RADIOLOGY SERVICES RIGHT HAND 335$

RADIOLOGY SERVICES LEFT HAND 335$

RADIOLOGY SERVICES CHEST OBLIQUES FOUR VIEWS 360$

RADIOLOGY SERVICES CHEST XRAY 3 VWS FR&LAT W AP 343$

RADIOLOGY SERVICES CHEST PA INITIAL 232$

RADIOLOGY SERVICES CHEST XRAY PA & LATERAL 287$

RADIOLOGY SERVICES ABDOMEN K.U.B. 259$

RADIOLOGY SERVICES ABDOMEN 2 X-RAYS 332$

RADIOLOGY SERVICES ABDOMEN 3 X-RAYS 332$

RADIOLOGY SERVICES INJ OF NEPHROSTOMY TUBE NEW SI 1,070$

RADIOLOGY SERVICES INJ OF NEPHROSTOMY TUBE EXISTI 1,070$

RADIOLOGY SERVICES CHEST (1 VIEW) 232$

RADIOLOGY SERVICES MAJOR JOINT/BURSA DRAIN/INJ 707$

RADIOLOGY SERVICES INTERM JOINT/BURSA DRAIN/INJ 513$

RADIOLOGY SERVICES SMALL JOINT/BURSA DRAIN/INJ 513$

RADIOLOGY SERVICES XRAY RIBS 3 VIEW BILLATERAL 534$

RADIOLOGY SERVICES STERNUM 428$

RADIOLOGY SERVICES FLUORO GUIDE FOR NEEDLE PLACEM 540$

RADIOLOGY SERVICES FLUORO GUIDE CVA DEVICE PLACEM 533$

RADIOLOGY SERVICES CERVICAL SPINE 526$

RADIOLOGY SERVICES X-RAY EXAM NECK SPINE 2-3 VW 332$

RADIOLOGY SERVICES SPINE THORACIC OR DORSAL 512$

RADIOLOGY SERVICES SCOLIATIC STUDY 358$

RADIOLOGY SERVICES LUMBAR SPINE 618$

RADIOLOGY SERVICES SPINE LUMBAR 2 OR 3 VIEWS 387$ X

RADIOLOGY SERVICES PELVIS 288$ X

RADIOLOGY SERVICES LS SPINE FLX/EXT ONLY 2 OR 3 V 455$

RADIOLOGY SERVICES SACROILIAC JOINTS 382$

RADIOLOGY SERVICES SACRUM & COCCYX SPINE 405$

RADIOLOGY SERVICES STERNOCLAVICULAR-JOINT 282$

RADIOLOGY SERVICES ERCP-COMB PANCREATIC BILIARY 750$

RADIOLOGY SERVICES ACROMIOCLAVICULAR JOINTS 368$

RADIOLOGY SERVICES ERCP INCOMPLETE 478$

RADIOLOGY SERVICES NEPHROSTOGRAM/ANTEGRADE 481$

RADIOLOGY SERVICES INJ OF NEPHROSTOMY TUBE 268$

RADIOLOGY SERVICES HIP BILATERAL 374$

RADIOLOGY SERVICES HIP PINNING 333$

RADIOLOGY SERVICES CONGENITAL HIP 333$

RADIOLOGY SERVICES ABDOMEN 2 X-RAYS 1 CHEST XRAY 494$ X

RADIOLOGY SERVICES EXAM OF A TRACT 533$

RADIOLOGY SERVICES X-RAY TO LOCATE FOREIGN BODY 332$

RADIOLOGY SERVICES PERQ DEVICE BREAST 1ST IMAG 495$

RADIOLOGY SERVICES RIGHT RIB X-RAY 534$

RADIOLOGY SERVICES RIGHT INFANT UPPER ARM 470$

RADIOLOGY SERVICES RIGHT FINGERS 284$

RADIOLOGY SERVICES RIGHT HAND 350$

RADIOLOGY SERVICES RIGHT WRIST 331$

RADIOLOGY SERVICES RIGHT FOREARM 337$

RADIOLOGY SERVICES RIGHT ELBOW 327$

RADIOLOGY SERVICES RIGHT HUMERUS-UPPER ARM 372$

RADIOLOGY SERVICES BARIUM SWALLOW OF ESOPHAGUS 663$

RADIOLOGY SERVICES ESOHOGRAM 555$

RADIOLOGY SERVICES STOMACH X-RAYS 884$

RADIOLOGY SERVICES LOWER INTESTINE 759$

RADIOLOGY SERVICES LARGE BOWEL X-RAYS 628$

RADIOLOGY SERVICES LARGE BOWEL X-RAYS WITH AIR 943$

RADIOLOGY SERVICES GALLBLADDER IMAGES IN SURGERY 567$

RADIOLOGY SERVICES INJ ANESTHETIC INTRCSTAL NERVE 1,241$

RADIOLOGY SERVICES XRAY OF GALLBLADDER DUCTS 247$

RADIOLOGY SERVICES IVP/KIDNEY URETER BLADDER X-RA 944$

RADIOLOGY SERVICES RETROGRADE PYLEGRAM 728$

RADIOLOGY SERVICES CYSTOGRAM/BLADDER X-RAYS 463$

RADIOLOGY SERVICES CYSTOGRAM/BLADDER X-RAYS WITH 479$

RADIOLOGY SERVICES RIGHT SHOULDER 379$ X

RADIOLOGY SERVICES RIGHT CLAVICLE/COLLAR BONE 354$

RADIOLOGY SERVICES RIGHT FEMUR/THIGH BONE 409$

RADIOLOGY SERVICES RIGHT KNEE 357$

RADIOLOGY SERVICES X-RAY OF LOWER LEG 2 VIEWS RT 357$

RADIOLOGY SERVICES RIGHT ANKLE 376$ X

RADIOLOGY SERVICES RIGHT HEEL BONE 330$

RADIOLOGY SERVICES RIGHT FOOT 317$

RADIOLOGY SERVICES VOIDING URETHROCYSTOGRAM 844$

RADIOLOGY SERVICES RIGHT TOES 259$

RADIOLOGY SERVICES PROCEDURE OF RIGHT SHOULDER WI 1,529$

RADIOLOGY SERVICES PROCEDURE OF RIGHT ANKLE WITH 1,006$

RADIOLOGY SERVICES PROCEDURE OF RIGHT HIP WITH IN 993$

RADIOLOGY SERVICES RIGHT KNEE WITH TURNED VIEWS 515$

RADIOLOGY SERVICES KNEE WITH PATELLA-RT. 473$

RADIOLOGY SERVICES RIGHT LOWER EXTREMITY 198$

RADIOLOGY SERVICES HSG/EXAM OF FERTILITY 418$

RADIOLOGY SERVICES BALLON ANGIOPLASTY OF KIDNEY A 2,140$

RADIOLOGY SERVICES RIGHT SIDE ARTERIOGRAM 3,144$

RADIOLOGY SERVICES RIGHT KIDNEY TUBE REPLACED 1,063$

RADIOLOGY SERVICES BALLON ANGIOPLASTY OF A RIGHT 3,394$

RADIOLOGY SERVICES NEPHROSTOGRAM-RT 481$

RADIOLOGY SERVICES X-RAY OF MAMMARY DUCT 444$

RADIOLOGY SERVICES EXAM OF RIGHT VENOUS SYSTEM 1,304$

RADIOLOGY SERVICES CHEST TUBE INSERTED IN RIGHT L 819$

RADIOLOGY SERVICES AV DIALYSIS SHUNT IMAGING RT 1,952$

RADIOLOGY SERVICES EXAM OF AN ARTERY 1,874$

RADIOLOGY SERVICES EXAM OF AN ARTERY 1,874$

RADIOLOGY SERVICES INJ. RAD EVAL EXISTING CD DEVI 560$

RADIOLOGY SERVICES MYELOGRAM LUMBAR 2,090$

RADIOLOGY SERVICES VISUALIZATION OF GALLBLADDER 1,045$

RADIOLOGY SERVICES INSERTION OF A CATHETER/LINE 5,456$

RADIOLOGY SERVICES KNEE WITH ADDITIONAL VIEWS 515$

RADIOLOGY SERVICES CERVICAL(NECK) SPINE WITH MOVE 593$ X

RADIOLOGY SERVICES LOWER BACK WITH BENDING VIEW 771$

RADIOLOGY SERVICES INJECTION INTO ELBOW JOINT 1,590$

RADIOLOGY SERVICES NEPHROSTOMY TUBE INS-TC-RT 2,948$

RADIOLOGY SERVICES NEPHROSTOMY TUBE INS-TC-LT 2,948$

RADIOLOGY SERVICES PLACING TUBE IN THE KIDNEY 870$

RADIOLOGY SERVICES ELBOW 3 VIEW - LT 350$

RADIOLOGY SERVICES ELBOW 3 VIEWS - RT 350$

RADIOLOGY SERVICES ELBOW 3 VIEWS - BILATERAL 350$

RADIOLOGY SERVICES EXAM OF ABDOMINAL ARTERIES 4,500$

RADIOLOGY SERVICES EXAM OF THE AORTIC ARCH 2,754$

RADIOLOGY SERVICES EXAM OF THE CAROTID ARTERIES 4,478$

RADIOLOGY SERVICES EXAM OF THE ABD. & BOTH LEGS 5,050$

RADIOLOGY SERVICES INJECTION OF A JOINT 548$

RADIOLOGY SERVICES PTA PERIPH. ART. 2,888$

RADIOLOGY SERVICES SIDE VIEW OF THE NECK/SPINE 395$

RADIOLOGY SERVICES KIDNEY URETER BLADDER FILMS 1,049$

RADIOLOGY SERVICES REPOSITIONING OF A FEEDING TUB 904$

RADIOLOGY SERVICES VENOUS SELECT 1ST ORDER 1,514$

RADIOLOGY SERVICES IMAGING OF THE UPPER CAVA 1,339$

RADIOLOGY SERVICES IMAGING OF THE LOWER CAVA 2,695$

RADIOLOGY SERVICES STENT 4,815$

RADIOLOGY SERVICES VENA CAVA FILTER 3,695$

RADIOLOGY SERVICES PTA BALLOON 574$

RADIOLOGY SERVICES THROMBOLYSIS/PHARM/VENOUS 1,867$

RADIOLOGY SERVICES EXAM USED TO EVALUATE BONE DEN 328$

RADIOLOGY SERVICES MULTIPLE X-RAYS OF VARIOUS ADU 664$

RADIOLOGY SERVICES MULTIPLE X-RAYS OF VARIOUS INF 385$

RADIOLOGY SERVICES DILATATION OF THE ESOPOHAGUS 306$

RADIOLOGY SERVICES IV HYDRATION INITIAL HOUR-XRAY 426$

RADIOLOGY SERVICES GLUCOSE; QUAN BLOOD XRAY 30$

RADIOLOGY SERVICES KIDNEY ARTERY EXAM BOTH SIDES 6,379$

RADIOLOGY SERVICES PLACEMENT OF CATHETER IN ARTER 1,593$

RADIOLOGY SERVICES EXAM OF TWO ARTERY EXTREMITIES 4,149$

RADIOLOGY SERVICES ARTERIOGRAM 1,874$

RADIOLOGY SERVICES STENT PLACEMENT 9,036$

RADIOLOGY SERVICES CLOT DISSOLVING MEDICATION THE 2,915$

RADIOLOGY SERVICES INJECTION INTO A BREAST GLAND 444$

RADIOLOGY SERVICES PLACING A LOCALIZATION WIRE IN 2,683$

RADIOLOGY SERVICES PLACING AN ADDITIONAL LOCALIZA 1,167$

RADIOLOGY SERVICES MYELOGRAM EXAM OF THE NECK 1,556$

RADIOLOGY SERVICES MYELOGRAM 2 OR MORE REGIONS 1,332$

RADIOLOGY SERVICES MYELOGRAM EXAM OF THE LOWER BA 1,822$

RADIOLOGY SERVICES INJECTION OF THE KNEE JOINT 1,351$

RADIOLOGY SERVICES INJECTION OF THE HIP JOINT 1,590$

RADIOLOGY SERVICES INJECTION OF THE WRIST JOINT 2,125$

RADIOLOGY SERVICES BALLON ANGIOPLASTY OF A VEIN 5,724$

RADIOLOGY SERVICES BALLON ANGIOPLASTY OF FEMORAL 5,039$

RADIOLOGY SERVICES BALLOON ANGIOPLASTY OF THE KID 5,513$

RADIOLOGY SERVICES EXAM OF THE BILE DUCTS 2,819$

RADIOLOGY SERVICES EXAM OF AN EXISTING BILIARY DR 2,408$

RADIOLOGY SERVICES BILIARY DRAIN EXT/INT TC 1,045$

RADIOLOGY SERVICES CHANGING OF A BILIARY DRAIN 601$

RADIOLOGY SERVICES BILIARY DRAIN CHANGE 1,480$

RADIOLOGY SERVICES ART. EXTREM. CATH. 1,829$

RADIOLOGY SERVICES REPOSITIONING OF CENTRAL LINE 1,234$

RADIOLOGY SERVICES STOMACH TUBE REPOSITIONING 904$

RADIOLOGY SERVICES INJECTION OF A TRACT IN THE BO 339$

RADIOLOGY SERVICES INJECTION OF THE BILE DUCTS 385$

RADIOLOGY SERVICES INSERTION OF A DRAIN INTO THE 3,032$



RADIOLOGY SERVICES INSERTION OF A DRAIN BELOW THE 3,101$

RADIOLOGY SERVICES EXAM OF REPRODUCTION SYSTEM 528$

RADIOLOGY SERVICES PTA ILIAC ARTERY TC 5,724$

RADIOLOGY SERVICES LEFT FOOT X-RAY 317$ X

RADIOLOGY SERVICES X-RAY OF BOTH FEET 317$

RADIOLOGY SERVICES X-RAY OF TOES LEFT FOOT 259$

RADIOLOGY SERVICES XRAY OF TOES BOTH FEET 259$

RADIOLOGY SERVICES LEFT SHOULDER JOINT EXAM 1,529$

RADIOLOGY SERVICES LEFT ANKLE JOINT EXAM 1,006$

RADIOLOGY SERVICES LEFT HIP JOINT EXAM 993$

RADIOLOGY SERVICES LEFT KNEE WITH EXTRA VIEWS 515$

RADIOLOGY SERVICES LEFT KNEE WITH KNEECAP VIEW 473$

RADIOLOGY SERVICES KNEE WITH PATELLA-BIL. 473$

RADIOLOGY SERVICES LEFT INFANT LOWER EXTREMITY 198$

RADIOLOGY SERVICES INFANT LOWER EXTREMITY-BIL. 198$

RADIOLOGY SERVICES SURGICAL SPECIMEN 563$

RADIOLOGY SERVICES XRAY LOWER SPINE AND PELVIS 288$

RADIOLOGY SERVICES IMAGING OF THE DIAPHRAGM 403$

RADIOLOGY SERVICES PERC PLCMNT IVC FILTER 8,043$

RADIOLOGY SERVICES PLACEMENT OF THE CATHETER 1,593$

RADIOLOGY SERVICES BALLOON ANGIO ILIAC ART LT 3,225$

RADIOLOGY SERVICES ANGIIOPLASTY OF THE LEFT KIDNE 2,140$

RADIOLOGY SERVICES LEFT FEMORAL ARTERY X-RAYS 3,144$

RADIOLOGY SERVICES LEFT RENAL ARTERY X-RAYS 5,269$

RADIOLOGY SERVICES BALLOON ANGIOPLASTY OF ARTERY 2,888$

RADIOLOGY SERVICES LEFT KIDNEY TUBE REPLACEMENT 1,063$

RADIOLOGY SERVICES LEFT BALLOON ANGIOPLASTY OF A 3,394$

RADIOLOGY SERVICES LEFT KIDNEY X-RAYS 481$

RADIOLOGY SERVICES LEFT VENOUS SYSTEM X-RAYS 1,304$

RADIOLOGY SERVICES LEFT SIDED CHEST TUBE INSERTIO 819$

RADIOLOGY SERVICES AV DIALYSIS SHUNT IMAGING LT 1,952$




RADIOLOGY SERVICES PERQ DEVICE BREAST 1ST IMAG 495$

RADIOLOGY SERVICES LEFT KIDNEY CYST PUNCTURE 646$

RADIOLOGY SERVICES LEFT RIB X-RAYS 534$

RADIOLOGY SERVICES LEFT UPPER EXTREMITY OF AN INF 470$

RADIOLOGY SERVICES BILATERAL UPPER EXTREMITIES ON 470$

RADIOLOGY SERVICES LEFT FINGERS 284$

RADIOLOGY SERVICES BILATERAL FINGERS 284$

RADIOLOGY SERVICES LEFT HAND 350$

RADIOLOGY SERVICES BILATERAL HAND X-RAYS 350$

RADIOLOGY SERVICES LEFT WRIST 331$

RADIOLOGY SERVICES BILATERAL WRIST LEFT & RIGHT 331$

RADIOLOGY SERVICES LEFT FOREARM 337$

RADIOLOGY SERVICES BILATERAL FOREARMS LEFT & RIGH 337$

RADIOLOGY SERVICES LEFT ELBOW 327$

RADIOLOGY SERVICES BILATERAL ELBOWS 327$

RADIOLOGY SERVICES LEFT HUMERUS (UPPER ARM) 372$

RADIOLOGY SERVICES BILATERAL HUMERUS (UPPER ARM) 372$

RADIOLOGY SERVICES LEFT SHOULDER 379$

RADIOLOGY SERVICES BILATERAL SHOULDERS LEFT & RIG 379$

RADIOLOGY SERVICES LEFT COLLAR BONE 354$

RADIOLOGY SERVICES BILATERAL COLLAR BONES LEFT & 354$

RADIOLOGY SERVICES LEFT FEMUR (THIGH) 409$

RADIOLOGY SERVICES BILATERAL FEMURS (THIGH) 409$

RADIOLOGY SERVICES LEFT KNEE 357$

RADIOLOGY SERVICES BILATERAL KNEES LEFT & RIGHT 357$

RADIOLOGY SERVICES X-RAY OF LOWER LEG 2 VIEW LT 357$

RADIOLOGY SERVICES X-RAY OF LOWER LEG 2 VIEWS 50 357$

RADIOLOGY SERVICES LEFT ANKLE 376$

RADIOLOGY SERVICES BILATERAL ANKLES LEFT & RIGHT 376$

RADIOLOGY SERVICES BILATERAL HEELS 330$

RADIOLOGY SERVICES LEFT HEEL 330$

RADIOLOGY SERVICES RIGHT SHOULDER BLADE 354$

RADIOLOGY SERVICES LEFT SHOULDER BLADE 354$

RADIOLOGY SERVICES BILATERAL SHOULDER BLADES LEFT 354$

RADIOLOGY SERVICES MEASUREMENT OF LEGS 372$

RADIOLOGY SERVICES FOREIGN BODY SCREENING FOR EYE 183$

RADIOLOGY SERVICES KIDNEY ABSCESS DRAINAGE RIGHT 3,408$

RADIOLOGY SERVICES KIDNEY ABSCESS DRAINAGEL LEFT 3,408$

RADIOLOGY SERVICES ABSCESS DRAINGE TC 610$

RADIOLOGY SERVICES CHEST TUBE INSERTION 819$

RADIOLOGY SERVICES SHUNTOGRAM 512$

RADIOLOGY SERVICES ART. VISCERAL TC 2,838$

RADIOLOGY SERVICES INJECTION OF THE SHOULDER JOIN 1,571$

RADIOLOGY SERVICES CT VENOGRAM 420$

RADIOLOGY SERVICES CHEST TUBE INSERTION COMPLEX 403$

RADIOLOGY SERVICES EXCHANGE CATH THROM THERAPY 2,059$

RADIOLOGY SERVICES EXCHANGE CATH THROM TC 1,353$

RADIOLOGY SERVICES PTA BRACHIOCEPHALIC ART PERC 5,513$

RADIOLOGY SERVICES ART/SELCATH 2ND/3RD. ORDER 2,913$

RADIOLOGY SERVICES CENTRAL LINE INSERTION 1,545$

RADIOLOGY SERVICES NURSE INSERTION 1,436$

RADIOLOGY SERVICES MIDLINE INFUSION CATH 417$

RADIOLOGY SERVICES VASOSEAL 517$

RADIOLOGY SERVICES TUNNELED CATH REMOVAL 2,183$

RADIOLOGY SERVICES RIGHT ILIAC STENT INSERTION 4,393$

RADIOLOGY SERVICES SPINAL TAP WITH X-RAY 792$

RADIOLOGY SERVICES ERCP-BILIARY SYSTEM 173$

RADIOLOGY SERVICES ERCP-PANCREATECT SYSTEM 197$

RADIOLOGY SERVICES REV/REPLACEMENT TUNNELED CATG 2,941$

RADIOLOGY SERVICES THORACIC AORTAGRAM ARTERIOGRAM 2,862$

RADIOLOGY SERVICES RIGHT INSERTION OF KIDNEY TUBE 2,467$

RADIOLOGY SERVICES LEFT INSERTION OF KIDNEY TUBE 2,467$

RADIOLOGY SERVICES INSERTION OF KIDNEY TUBE 3,065$

RADIOLOGY SERVICES RETRIEVAL OF A FOREIGN BODY WI 3,922$

RADIOLOGY SERVICES PERCUT RETR INTRAVAS-FB 1,422$

RADIOLOGY SERVICES INJ SGL TENDON SHTH OR LIGAMEN 338$

RADIOLOGY SERVICES BREAST BIIOPSY PROCEDURE 2,826$

RADIOLOGY SERVICES PLACEMENT METALLIC CLIP 904$

RADIOLOGY SERVICES BX BREAST 1ST LESION STRTCTC 1,922$

RADIOLOGY SERVICES BX BREAST 1ST LESION STRTCTC 1,922$

RADIOLOGY SERVICES STOMACH/SMALL INTESTINES 1,229$

RADIOLOGY SERVICES RIGHT HIP 2-3 VIEWS 333$

RADIOLOGY SERVICES LEFT HIP 2-3 VIEWS 333$

RADIOLOGY SERVICES MYELOGRAM EXAM THORACIC SPINE 1,280$

RADIOLOGY SERVICES EMBOLIZATION-ANY METHOD 2,196$

RADIOLOGY SERVICES TRANSCATHETER EMBOLIZATION 4,504$

RADIOLOGY SERVICES REPAIR OF CENTRALVENOUS CATHET 1,160$

RADIOLOGY SERVICES NURSE-INSERT PICC CATHETER 1,121$

RADIOLOGY SERVICES OMNI 18 PER ML 4$

RADIOLOGY SERVICES OMNI 240 PER ML 3$

RADIOLOGY SERVICES OMNI/ISO 300 OR VISI 320 PER M 1$

RADIOLOGY SERVICES OMNISCAN J120 PER ML 7$

RADIOLOGY SERVICES FOLEY CATH INSERTION 222$

RADIOLOGY SERVICES THER/PROPH/DG IV INF INIT-XRAY 510$

RADIOLOGY SERVICES THER/PROPH/DG IV INF ADD-XRAY 155$

RADIOLOGY SERVICES HYDRATE IV INFUSION ADD-ON-XRA 143$

RADIOLOGY SERVICES INJ FOR SACROILIAC JOINT-LT 1,747$

RADIOLOGY SERVICES INJ FOR SACROILIAC JOINT-RT 1,747$

RADIOLOGY SERVICES INJ FOR SACROILIAC JOINT-BILAT 1,747$

RADIOLOGY SERVICES DXA SCAN VERT. FX. ASSESS 172$

RADIOLOGY SERVICES REMOVAL TUNNEL CVAD W PORT/PUM 2,565$

RADIOLOGY SERVICES DECLOT VASCULAR DEVICE 451$

RADIOLOGY SERVICES TREATMENT LEVEL 1-RADIOLOGY 124$

RADIOLOGY SERVICES XRAY 2 VIEW ANKLE BILAT 246$

RADIOLOGY SERVICES XRAY 2 VIEW FOOT BILAT 276$

RADIOLOGY SERVICES THERAPEUTIC ENEMA 751$

RADIOLOGY SERVICES UPPER GI W/ KUB 694$

RADIOLOGY SERVICES XRAY 2 VIEW SKULL 341$

RADIOLOGY SERVICES BREATHING TRMT AEROSOL 143$

RADIOLOGY SERVICES DXA BD AXIAL HIPS,PELVIS,SPINE 524$

RADIOLOGY SERVICES STENT INSERT ILIAC 18,897$

RADIOLOGY SERVICES BIOPSY BONE SUPERFICIAL RAD 1,680$

RADIOLOGY SERVICES FEM/POPL REVASC W/STENT 14,487$

RADIOLOGY SERVICES EPIDUROGRAM 716$

RADIOLOGY SERVICES INJECT SPINE L/S (CD) 1,386$

RADIOLOGY SERVICES PERCUT VERTEBROPLASTY THOR 5,258$

RADIOLOGY SERVICES PERCUT VERTEBROPLASTY LUMB 5,258$

RADIOLOGY SERVICES PERCUT VERTEBROPLASTY ADDL 2,729$

RADIOLOGY SERVICES PERCUT KYPHOPLASTY THOR 1 V BO 11,489$

RADIOLOGY SERVICES PERCUT KYPHOPLASTY LUMBAR 1 V 11,489$

RADIOLOGY SERVICES PERCUT KYPHOPLASTY ADD-ON 1 V 6,393$

RADIOLOGY SERVICES AV DIAL SHUNT COMP PROCEDURE 1,575$

RADIOLOGY SERVICES VAGINOGRAM-SEX DETERM/ANOMALY 587$

RADIOLOGY SERVICES CATH, HEMODIALYSIS /PERITONEAL 671$

RADIOLOGY SERVICES DRAINAGE CATH 219$

RADIOLOGY SERVICES REMOVE NEPHROS TUBE W/FLUORO G 1,393$

RADIOLOGY SERVICES PORT IMPLANTABLE 2,305$

RADIOLOGY SERVICES PUNCTURE DRAINAGE OF LESION 527$

RADIOLOGY SERVICES BILATERAL WRIST 2 VIEWS 331$

RADIOLOGY SERVICES XRAY WRIST RIGHT2 VIEWS 331$

RADIOLOGY SERVICES XRAY WRIST LEFT2 VIEWS 331$

RADIOLOGY SERVICES MAMMOGRAM/BOTH BREAST 219$

RADIOLOGY SERVICES MAMMOGRAM LT BREAST 219$

RADIOLOGY SERVICES MAMMOGRAM RT BREAST 219$

RADIOLOGY SERVICES SEM MAMMOGRAM - BILATERAL 165$ X

RADIOLOGY SERVICES SEM SCRN MAMMO - UNILATERAL 165$ X

RADIOLOGY SERVICES IR ART SEL CATH INITIAL 3 ORDE 2,809$

RADIOLOGY SERVICES ABD W CONTRAST INJ. EVAL VIA E 587$

RADIOLOGY SERVICES NASO/GASTRIC TUBE PLACEMENT WI 556$

RADIOLOGY SERVICES CEMENT CARTRIDGE KYPHON 294$

RADIOLOGY SERVICES CEMENT BONE MIXER PACK KYPHON 670$

RADIOLOGY SERVICES TROCAR/BEVEL KIT KYPHON 1,359$

RADIOLOGY SERVICES INTRODUCER KYPHON 173$

RADIOLOGY SERVICES BONE BIOPSY DEVICE KYPHON 490$

RADIOLOGY SERVICES TRAY KYPHOPLASTY EXPRESS W/CDS 8,272$

RADIOLOGY SERVICES PLEURX PLEURAL CAHTETER KIT 1,596$

RADIOLOGY SERVICES CHOLECYSTOSTOMY PRQ W/IMAGING 4,107$

RADIOLOGY SERVICES NEPHROSTOMY EXCHANGE COMPLETE 3,484$

RADIOLOGY SERVICES IMAGE GUIDED FLUID COLLECTION 1,158$

ULTRASOUND SERVICES ARTHRO/ASP/INJ OF MAJOR JOINT 561$

ULTRASOUND SERVICES US BREAST NEEDLE LOCALIZ 621$

ULTRASOUND SERVICES IMAGE GUIDED FLUID COLLECTION 1,124$

ULTRASOUND SERVICES CAROTID LIMITED/UNILATERAL 900$

ULTRASOUND SERVICES OB US FE ANY GEST. AGE 823$

ULTRASOUND SERVICES ANEURYSM SCAN 1,083$

ULTRASOUND SERVICES US ARTERIAL SCAN OF BOTH UPPER 1,207$

ULTRASOUND SERVICES INJ. EXT. PSEUDOANEURYSM 603$

ULTRASOUND SERVICES US LEFT UPPER EXTREMITY ARTERI 1,038$

ULTRASOUND SERVICES US LEFT THORACENTESIS 871$

ULTRASOUND SERVICES US LEFT VENOUS SYSTEM 1,038$

ULTRASOUND SERVICES US VENOUS SYSTEM 1,565$

ULTRASOUND SERVICES US XTR NON-VASC COMPLETE LT 774$

ULTRASOUND SERVICES US EXTREMITY NON-VASC LMTD RT 569$

ULTRASOUND SERVICES ULTRASOUND CHEST - LIMITED 647$

ULTRASOUND SERVICES US BREAST NEEDLE WIRE LEFT 2,683$

ULTRASOUND SERVICES US BREAST NEEDLE PLACEMENT-BOT 2,243$

ULTRASOUND SERVICES US LEFT KIDNEY CYST PUNCTURE 1,445$

ULTRASOUND SERVICES PUNCT ASP BRST CYST - INITIAL 1,180$

ULTRASOUND SERVICES PUNCT ASP BRST CYST - EA. ADD 590$

ULTRASOUND SERVICES US LEFT KIDNEY BIOPSY 1,657$

ULTRASOUND SERVICES US BILATERAL KIDNEY BIOPSY 1,657$

ULTRASOUND SERVICES US LEFT ARTERIAL EXTREMITY SCA 1,038$

ULTRASOUND SERVICES US BILATERAL ARTERIAL EXTREMIT 1,207$

ULTRASOUND SERVICES US LT. BREAST COMPLETE 447$

ULTRASOUND SERVICES US BILATERAL BREAST LIMITED 447$ X

ULTRASOUND SERVICES US RIGHT ARTERIAL EXTREMITY SC 1,038$

ULTRASOUND SERVICES US RIGHT THORACENTESIS GUIDANC 871$

ULTRASOUND SERVICES US RIGHT VENOUS SCAN 1,038$

ULTRASOUND SERVICES US RIGHT HEMODIALYSIS GRAFT SC 633$

ULTRASOUND SERVICES US EXTREMITY COMP RT 774$

ULTRASOUND SERVICES US CHEST HEMOTHORAX 647$

ULTRASOUND SERVICES US RIGHT BREAST NEEDLE LOCALIZ 2,243$

ULTRASOUND SERVICES US RIGHT CYST PUNCTURE 1,445$

ULTRASOUND SERVICES US RIGHT KIDNEY BIOPSY 1,657$

ULTRASOUND SERVICES US RIGHT LOWER EXTREMITY 1,038$

ULTRASOUND SERVICES US RIGHT BREAST LIMITED 447$

ULTRASOUND SERVICES FINE NEEDLE ASPIRATION W/IMAGE 799$

ULTRASOUND SERVICES US CAN OF THE ABDOMEN 889$

ULTRASOUND SERVICES US EXAM OF ABDOMEN LIMITED 879$ X

ULTRASOUND SERVICES TC-99M CHOLETEC 224$

ULTRASOUND SERVICES US SCAN OF THE KIDNEY 879$ X

ULTRASOUND SERVICES US SCAN OF THE URINARY BLADDER 837$

ULTRASOUND SERVICES US SCAN OF THE THYROID 832$

ULTRASOUND SERVICES US DUPLEX SCAN OF THE ABDOMEN/ 627$

ULTRASOUND SERVICES US SCAN OF THE CAROTID ARTERIE 892$ X

ULTRASOUND SERVICES US SCAN OF THE URINARY BLADDER 879$

ULTRASOUND SERVICES US CYST ASPIRATION OF THE THYR 631$

ULTRASOUND SERVICES US SCAN TO DETERMINE PREGNANCY 739$

ULTRASOUND SERVICES US SCAN OF THE FETUS WITH MEAS 746$

ULTRASOUND SERVICES US SCAN OF THE SCROTUM 837$

ULTRASOUND SERVICES US GUIDED PARACENTESIS (ABDOME 936$

ULTRASOUND SERVICES TRANS VAGINAL ULTRASOUND 1,200$ X

ULTRASOUND SERVICES US-OB VAGINAL 731$

ULTRASOUND SERVICES US SCAN OF THE PELVIC AREA 739$ X

ULTRASOUND SERVICES US LIVER BIOPSY NEEDLE 1,747$

ULTRASOUND SERVICES SURGICAL SPECIMEN 478$

ULTRASOUND SERVICES PELVIC GLUTE REG SOFT TISSUE 551$

ULTRASOUND SERVICES ULTRASOUND GUIDED LYMPH NODE B 1,385$

ULTRASOUND SERVICES PERC NDL CORE BIOPSY W/ GUIDE 2,939$

ULTRASOUND SERVICES US GUIDED LEFT CORE BIOPSY 2,939$

ULTRASOUND SERVICES US GUIDED BOTH BREAST BIOPSY 2,939$

ULTRASOUND SERVICES US GUIDED RT BRST BX 1ST LES 2,403$

ULTRASOUND SERVICES US GUIDED LT BRST BX ENETIAL 2,403$

ULTRASOUND SERVICES US GUIDED BILATERAL BREAST BIO 2,826$

ULTRASOUND SERVICES US GUIDED BRST BX ADDL LESION 703$

ULTRASOUND SERVICES CYSTBREAST PUNCTURE/ASP-ADDON 297$

ULTRASOUND SERVICES P & D FLUID COLLECTION 282$

ULTRASOUND SERVICES US GUIDED THYROID BIOPSY 1,657$

ULTRASOUND SERVICES US GUIDANCE FOR ACCESS 582$

ULTRASOUND SERVICES PLACEMENT METALLIC CLIP 904$

ULTRASOUND SERVICES US-GUIDANCE FOR VASCULAR ACCES 731$

ULTRASOUND SERVICES DUPLEX UE ART/BPG; UNIL/LMT LT 1,038$

ULTRASOUND SERVICES US XTR NON-VASC LMTD LT 569$

ULTRASOUND SERVICES DUPLEX UE ART/BPG; UNIL/LMT RT 1,038$

ULTRASOUND SERVICES DUPLEX LE ART/BPG; UNIL/LMT LT 1,038$

ULTRASOUND SERVICES DUPLEX LE ART/BPG; UNIL/LMT RT 1,038$

ULTRASOUND SERVICES MAPPING FOR HEMODIALYSIS ACCES 606$

ULTRASOUND SERVICES US B-SCAN W/ IMAGE AAA SCREEN 577$

ULTRASOUND SERVICES US SCAN OF THE AORTA 879$

ULTRASOUND SERVICES US BREAST COMPL. BILAT 447$

ULTRASOUND SERVICES US LEFT BREAST LIMITED 447$

ULTRASOUND SERVICES USRT. BREAST COMPLETE 447$

ULTRASOUND SERVICES US DUPLEX ABDOMEN/RETROPERITON 931$

ULTRASOUND SERVICES US SCAN IVC ILIAC VEINS COMPLE 837$

ULTRASOUND SERVICES US REMOVAL DRUG DELIVERY IMPLA 497$

CT SCAN/SERVICES TUNNELED CATH REPLACEMENT COMP 2,941$

CT SCAN/SERVICES VENOUS SYSTEM EXTREMITY CT 1,304$

CT SCAN/SERVICES VENOUS CT 499$

CT SCAN/SERVICES CT LD LUNG CANCER SCREENING 456$

CT SCAN/SERVICES CT VENOGRAM EXTREMITY; BILATER 1,714$

CT SCAN/SERVICES CT EPIDRUAL INJ. COMPLETE 1,066$

CT SCAN/SERVICES CT DRAINAGE OF LESION 527$

CT SCAN/SERVICES KIDNEY CYST PUNCTURE 1,445$

CT SCAN/SERVICES HEAD SCAN WITHOUT CONTRAST 1,806$ X

CT SCAN/SERVICES HEAD SCAN WITH CONTRAST 1,860$

CT SCAN/SERVICES HEAD SCAN WITH AND WITHOUT CON 2,792$ X

CT SCAN/SERVICES CTA HEAD W AND W/O CONTRAST 1,952$

CT SCAN/SERVICES HEAD AND SINUSES SCAN WITHOUT 2,074$

CT SCAN/SERVICES SINUSES W & WO CONTRAST 3,285$

CT SCAN/SERVICES HEAD FACIAL WITH CONTRAST 2,074$

CT SCAN/SERVICES CT ORBT SELA MID/INR EAR WO CO 2,030$

CT SCAN/SERVICES AREA OF THE EYE SCAN WITH CONT 1,675$

CT SCAN/SERVICES CT ORB SELLA MID/INR EAR W/WO 2,352$

CT SCAN/SERVICES LUNG BIOPSY LEFT 1,872$

CT SCAN/SERVICES LEFT KIDNEY ASPIRATIION AND DR 1,657$

CT SCAN/SERVICES RIGHT LUNG BIOPSY 1,872$

CT SCAN/SERVICES BIOPSY RIGHT KIDNEY 1,657$

CT SCAN/SERVICES OMNI 300 OR VISI 320 PER ML 2$

CT SCAN/SERVICES SUBCU INTRAMUSCULAR INJ OF STE 130$

CT SCAN/SERVICES SCAN OF ARTERIES IN THE NECK 2,514$

CT SCAN/SERVICES CT SOFT TISSUE NECK 1,873$

CT SCAN/SERVICES CT SOFT TISSUE NECK W/CONTRAST 1,950$

CT SCAN/SERVICES CT SOFT TISSUE NECK W&WO CONTR 3,302$

CT SCAN/SERVICES CT SCAN OF THE NECK (SPINE) 1,968$ X

CT SCAN/SERVICES CT SCAN OF THE NECK (SPINE) W/ 1,839$

CT SCAN/SERVICES CT SCAN OF THE NECK (SPINE) W& 2,854$

CT SCAN/SERVICES SCAN OF THE CHEST ARTERIES WIT 3,953$

CT SCAN/SERVICES SCAN OF THE CHEST 2,671$

CT SCAN/SERVICES SCAN OF THE CHEST 2,385$ X

CT SCAN/SERVICES SCAN OF THE CHEST 4,771$

CT SCAN/SERVICES LIMITED AREA SCAN OF THE CHEST 924$

CT SCAN/SERVICES CT ABDOMEN SCAN 2,330$

CT SCAN/SERVICES ABDOMEN SCAN 2,516$ X

CT SCAN/SERVICES ABDOMEN SCAN 3,115$ X

CT SCAN/SERVICES CT ABD/PELVIS W/O 2,418$

CT SCAN/SERVICES ABD/PELVIS W/ & W/O (HEM STUDY 3,790$ X

CT SCAN/SERVICES ARTERIAL SCAN OF THE PELVIS WI 2,898$

CT SCAN/SERVICES PELVIS SCAN 2,029$ X

CT SCAN/SERVICES PELVIS SCAN W & W/O CONTRAST 3,861$

CT SCAN/SERVICES ABDOMEN/PELVIS COMBO WITH 2,516$

CT SCAN/SERVICES PELVIS SCAN WITH CONTRAST 2,294$ X

CT SCAN/SERVICES BIOPSY BONE TROCAR/NEEDLE 2,301$

CT SCAN/SERVICES BIOPSY BONE SUPERFICIAL - CT 1,680$

CT SCAN/SERVICES ARTERIAL SCAN OF THE RIGHT UPP 2,487$

CT SCAN/SERVICES ARTERIAL SCAN OF THE LEFT UPPE 2,487$

CT SCAN/SERVICES ARTERIAL SCAN OF THE RIGHT LOW 2,137$

CT SCAN/SERVICES ARTERIAL SCAN OF THE LEFT LOWE 2,137$

CT SCAN/SERVICES BILATERAL ARTERIAL SCAN OF THE 2,137$

CT SCAN/SERVICES ARTERIAL SCAN OF THE AORTA/LOW 2,194$

CT SCAN/SERVICES CT ANGIO ABD/PEL W/O & W/DYE 2,968$

CT SCAN/SERVICES CT ANGIO ABD W/O & W/CONTRAST 2,088$

CT SCAN/SERVICES SCAN OF THE SPINE 2,442$

CT SCAN/SERVICES SCAN OF THE THORACIC SPINECT T 3,358$

CT SCAN/SERVICES CT SCAN OF THE THORACIC SPINE 2,528$

CT SCAN/SERVICES CT THORACIC SPINE W CONTRAST 2,618$

CT SCAN/SERVICES SCAN OF THE LOWER BACK WITH CO 2,780$

CT SCAN/SERVICES SCAN OF THE LOWER BACK WITH CO 3,367$

CT SCAN/SERVICES BONE DENSITY EVALUATION 506$

CT SCAN/SERVICES SCAN OF LOWER EXTREMITY 2,173$

CT SCAN/SERVICES SCAN OF THE RIGHT UPPER EXTREM 1,971$

CT SCAN/SERVICES SCAN OF THE LEFT UPPER EXTREMI 1,971$

CT SCAN/SERVICES BILATERAL SCAN OF THE UPPER EX 1,971$





CT SCAN/SERVICES BILATERAL SCAN OF THE UPPER EX 2,186$

CT SCAN/SERVICES SCAN OF THE RIGHT LOWER EXTREM 2,037$

CT SCAN/SERVICES SCAN OF THE LEFT LOWER EXTREMI 2,037$

CT SCAN/SERVICES BILATERAL SCAN OF THE LOWER EX 2,037$





CT SCAN/SERVICES CT SCAN FOR THERAPY GUIDE 1,252$

CT SCAN/SERVICES BIOPSY NEEDLE PANCREAS 1,657$

CT SCAN/SERVICES BIOPSY NEEDLE ABD/PERIT. 1,383$

CT SCAN/SERVICES BIOPSY NEEDLE LIVER 869$

CT SCAN/SERVICES BIOPSY NEEDLE PELVIS 1,174$

CT SCAN/SERVICES GUIDANCE FOR NEEDLE PLACEMENT 1,834$

CT SCAN/SERVICES FINE NEEDLE ASPIRATION W/IMAGE 799$

CT SCAN/SERVICES NDL BX DISC/SPACE-CT 409$

CT SCAN/SERVICES INTERDISCAL PERQ ASPIR DX 3,020$

CT SCAN/SERVICES CT THROACENTESIS FOR ASP 871$

NUCLEAR MEDICINE SERVICES TC99 DTPA (PENTETATE) 131$

NUCLEAR MEDICINE SERVICES BONE SCAN REGIONAL 907$

NUCLEAR MEDICINE SERVICES BONE SCAN TOTAL 1,554$

NUCLEAR MEDICINE SERVICES BONE SCAN 3 PHASE 1,367$

NUCLEAR MEDICINE SERVICES BONE SPECT 1,206$

NUCLEAR MEDICINE SERVICES SCINT MAMMO 864$

NUCLEAR MEDICINE SERVICES CISTERNOGRAPHY 619$

NUCLEAR MEDICINE SERVICES GI BLEEDING SCAN 1,167$

NUCLEAR MEDICINE SERVICES GI GASTRIC EMPTYING 1,404$

NUCLEAR MEDICINE SERVICES HEPATOBILIARY SCAN STD 947$

NUCLEAR MEDICINE SERVICES HEPATOBILIARY SCAN W/CC 1,401$

NUCLEAR MEDICINE SERVICES HEPATOBILIARY SCAN W/MORPHINE 1,401$

NUCLEAR MEDICINE SERVICES I-131 THYROID THER RET 398$

NUCLEAR MEDICINE SERVICES I-131 WHOLE BODY SCAN 1,815$

NUCLEAR MEDICINE SERVICES CERETEC LEUK REG 1,137$

NUCLEAR MEDICINE SERVICES CERETEC LEUK TOT 1,247$

NUCLEAR MEDICINE SERVICES KIDNEY SCAN W/TC99M MAG 923$

NUCLEAR MEDICINE SERVICES KIDNEY SCAN TC33M LASIX 885$

NUCLEAR MEDICINE SERVICES LIVER SPECT (3D) 613$

NUCLEAR MEDICINE SERVICES LIVER SPLEEN SCAN 789$

NUCLEAR MEDICINE SERVICES PARTICULATE LUNG PERFUSION 724$

NUCLEAR MEDICINE SERVICES LUNG VENT/PERF COMBINED 1,013$

NUCLEAR MEDICINE SERVICES MECKEL'S DIVERTICULUM 576$

NUCLEAR MEDICINE SERVICES MUGA REST ONLY 1,598$

NUCLEAR MEDICINE SERVICES THYROID UPTAKE 622$

NUCLEAR MEDICINE SERVICES THYROID W/MULT DETER UP 828$

NUCLEAR MEDICINE SERVICES THYROID W/UPTAKE 828$

NUCLEAR MEDICINE SERVICES CARDIAC REST ONLY 2,161$

NUCLEAR MEDICINE SERVICES CARDIAC REST/STRESS W/EXERCISE 3,464$ X

NUCLEAR MEDICINE SERVICES CARDIAC REST/STRESS W/PHARMO 3,464$ X

NUCLEAR MEDICINE SERVICES CERETEC 1,113$

NUCLEAR MEDICINE SERVICES SESTAMIBI TC99M 493$

NUCLEAR MEDICINE SERVICES LIVER IMAGE; W VASC FLOW 1,226$

NUCLEAR MEDICINE SERVICES LUNG W/QUANTITATION 853$

NUCLEAR MEDICINE SERVICES PARATHYROID IMAGING 518$

NUCLEAR MEDICINE SERVICES PARATHYROID IMAGING SPECT 1,021$

NUCLEAR MEDICINE SERVICES OCTREOSCAN DRUG 5,253$

NUCLEAR MEDICINE SERVICES OCTREOSCAN SPEC 999$

NUCLEAR MEDICINE SERVICES OCTREOSCAN SPOT 864$

NUCLEAR MEDICINE SERVICES OCTREOSCAN WHOLE BODY 1,137$

NUCLEAR MEDICINE SERVICES LYMPH NODE IMAGING 1,026$

NUCLEAR MEDICINE SERVICES LYMPH/SENT LOCALIZE NO IMAGE - 995$

NUCLEAR MEDICINE SERVICES INDIUM-111 DPTA 1,777$

NUCLEAR MEDICINE SERVICES CERETEC LEUKOCYTE 1,717$

NUCLEAR MEDICINE SERVICES IODINE-123 CAPSULE 232$

NUCLEAR MEDICINE SERVICES IODINE-131 CAPSULE REG IMAGIN 841$

NUCLEAR MEDICINE SERVICES IODINE-131 CAPSULE THERAPY-TC 1,335$

NUCLEAR MEDICINE SERVICES TC-99M CHOLETEC 224$

NUCLEAR MEDICINE SERVICES TC-99M MAA 227$

NUCLEAR MEDICINE SERVICES TC-99M MAG3 959$

NUCLEAR MEDICINE SERVICES TC-99M MDP 153$

NUCLEAR MEDICINE SERVICES TC-99M PERTECHNETATE 26$

NUCLEAR MEDICINE SERVICES TC-99M SULFUR COLLOID 295$

NUCLEAR MEDICINE SERVICES TC-99M ULTRATAG 437$

MRI SERVICES MRI SCAN RIGHT EXTREMITY 3,690$

MRI SERVICES MRI SCAN LEFT EXTREMITY 3,690$












MRI SERVICES MRI SCAN FACE NECK & EYE AREA 3,187$

MRI SERVICES MRI SCAN OF THE BRAIN 3,543$

MRI SERVICES MRI SCAN OF FACENECK & EYE ARE 4,449$

MRI SERVICES MRI SCAN OF THE CHEST AREA 2,549$


MRI SERVICES MRI SCAN OF THE CERVICAL SPINE 3,585$

MRI SERVICES MRI SCAN CHEST 5,152$

MRI SERVICES MRI SCAN OF THE PELVIS 2,244$

MRI SERVICES MRI SCAN OF THE PELVIS 4,240$


MRI SERVICES MRI LEXTREM W&WO CONTR LT 4,347$

MRI SERVICES MRI SCAN OF THE ABDOMEN 2,932$

MRI SERVICES MRI SCAN OF THE ABDOMEN 4,449$






MRI SERVICES MRI SCAN OF THE LUMBAR (LOWER 3,818$


MRI SERVICES MRI SCAN OF THE NECK & SPINE 4,278$

MRI SERVICES MRI SCAN OF THE NECK & SPINE 4,251$

MRI SERVICES MRI SCAN THORACIC (MID-SPINE) 3,656$

MRI SERVICES MRI SCAN THORACIC (MID-SPINE) 3,594$

MRI SERVICES MRI SCAN OF THE LUMBAR (LOWER 3,711$ X

MRI SERVICES MRI SCAN OF THE LUMBAR (LOWER 4,156$

MRI SERVICES MRI SCAM OF THE JAW 2,278$

MRI SERVICES MRA OF THE NECK 2,219$

MRI SERVICES MRA OF THE NECK 4,122$

MRI SERVICES MRA ABDOMEN 2,309$

MRI SERVICES MRA CHEST 2,463$

MRI SERVICES MRA OF THE HEAD 3,118$



MRI SERVICES MRA OF THE PELVIS 2,578$

MRI SERVICES MRI UNILAT BREAST W & W/O CONT 3,750$

MRI SERVICES MRI BREAST BILAT W&W/O CONT 4,179$

MRI SERVICES MRI IAC W/O CONTRAST 3,543$

MRI SERVICES MRI IAC W & W/O CONTRAST 3,807$

MRI SERVICES MRI PITUITARY W & W/O CONTRAST 3,807$

MRI SERVICES MRI PITUITARY W/O CONTRAST 3,543$

MRI SERVICES DOTAREM PER ML INJ GADOTERATE 3$

MRI SERVICES MRI BREAST UNILAT W&W/O CONT 3,750$

MRI SERVICES MRI BILAT BREAST W & W/O CONT 3,750$

PHARMACY STERILE WATER IRR SOL 21$

PHARMACY MEGESTROL ACETATE 400 MG/10ML 13$

PHARMACY VITAMIN A/D OINT 12$

PHARMACY EPINEPHRINE 1MG/ML INJ 30$

PHARMACY LOVENOX 10 MG INJ 30$

PHARMACY BUPIVACAINE 0.5%/EPI MPF 24$

PHARMACY OXYMETAZOLINE 0.05% NASAL SPR 9$

PHARMACY TRIAMCINOLONE 0.025% CRE 14$

PHARMACY ALBUMIN 25% 50 ML 187$

PHARMACY SPIRONOLACTONE 25 MG TAB 1$

PHARMACY ALUM-MAG/SIMETHICONE 11$

PHARMACY VENLAFAXINE XR 37.5 MG CAP 2$

PHARMACY GUAIFENESIN DM SYRUP 10ML 5$

PHARMACY AMOXICILLIN 500 MG CAP 1$

PHARMACY RALOXIFENE 60MG TAB 9$

PHARMACY AMPICILLIN 500 MG CAP 3$

PHARMACY AMPICILLIN 500 MG INJ 20$



PHARMACY CARVEDILOL (COREG) 6.25 MG TAB 1$

PHARMACY CELECOXIB 100 MG CAP 6$

PHARMACY TAMSULOSIN 0.4MG CAP 2$

PHARMACY CEFAZOLIN 0.5 GM 20$

PHARMACY AMLODIPINE 10 MG TAB 1$

PHARMACY MECLIZINE 12.5MG TAB 3$

PHARMACY MECLIZINE 25MG TAB 2$

PHARMACY TUCKS HEMORRHOIDAL OINTMENT 10$

PHARMACY HYDROCORTISONE 2.5% RECTAL CR 83$

PHARMACY HEMORRHOIDAL HC 25MG SUPP 17$

PHARMACY HYDRALAZINE 20 MG INJ 19$

PHARMACY HYDRALAZINE 25MG TAB 1$

PHARMACY HYDRALAZIINE 50MG TAB 1$

PHARMACY PHYTONADIONE 1MG/0.5ML INJ SYR 92$

PHARMACY PHYTONADIONE 10MG/ML INJ 212$

PHARMACY VANCOMYCIN 500MG 23$

PHARMACY DEXTROSE 25% INJ 10 ML 42$

PHARMACY TRIHEXYPHENIDYL 2MG TAB 1$

PHARMACY ASCORBIC ACID 500 MG TAB 1$

PHARMACY FENTANYL 100 MCG 8$

PHARMACY ENALAPRILAT 1.25 MG/ML INJ 27$

PHARMACY HYDROXYZINE HCL 10MG TAB 1$

PHARMACY HYDROXYZINE HCL 25MG TAB 1$

PHARMACY LORAZEPAM (ATIVAN) 0.5 MG TAB 2$

PHARMACY LORAZEPAM (ATIVAN) 1 MG TAB 2$

PHARMACY LORAZEPAM 2 MG 3$

PHARMACY LEVAQUIN 250 MG 28$

PHARMACY ATROPINE SULFATE INJ 0.01MG 23$

PHARMACY ATROPINE SUL 1% OPTH SOL 150$

PHARMACY ATROPINE INJ 0.1 MG 49$

PHARMACY MONTELUKAST 10MG TAB 2$

PHARMACY AUGMENTIN 250 MG TAB 17$


PHARMACY NYSTATIN/TRIAMCINOLONE 60 GM 222$

PHARMACY LEVOTHYROXINE 88 MCG TAB 3$

PHARMACY BACITRACIN OINT 23$

PHARMACY DEPO MEDROL 80 MG 63$

PHARMACY SMZ/TMP DS 800/160 TAB 1$

PHARMACY DEPO MEDROL 40 MG 63$

PHARMACY SMZ/TMP TAB 4$

PHARMACY HEPATITIS B VACCINE (HEPB) ADU 236$

PHARMACY KCL RIDER INJ PER 2MEQ 28$

PHARMACY SUCRALFATE 1GM/10ML SUS 31$

PHARMACY DIPHENHYDRAMINE 12.5MG/5ML SOL 6$

PHARMACY DIPHENHYDRAMINE 25MG CAP 1$

PHARMACY DIPHENHYDRAMINE 50MG CAP 1$

PHARMACY DIPHENHYDRAMINE CR 12$

PHARMACY DIPHENHYDRAMINE 50 MG 4$

PHARMACY CLINDAMYCIN 300MG/D5W 50ML PRE 20$

PHARMACY ANALGESIC OINTMENT 28GM 9$

PHARMACY DICYCLOMINE (BENTYL) 10 MG CAP 3$

PHARMACY DICYCLOMINE (BENTYL) 20 MG TAB 3$

PHARMACY CLINDAMYCIN 900MG/6ML VIAL 20$

PHARMACY SODIUM CHLORIDE 0.9%500ML(TAX) 29$

PHARMACY DICYCLOMINE 20 MG INJ 287$

PHARMACY DEXAMETHASONE 1 MG 9$


PHARMACY BENZOIN CMPD TINC 27$

PHARMACY MEASLES/MUMPS/RUBELLA VACCINE 318$

PHARMACY PRAMIPEXOLE 0.125MG TAB 1$

PHARMACY POVIDONE-IODINE 10% OINT 10$

PHARMACY HEPARIN SOD INJ PER 1000 UNITS 49$

PHARMACY BETADINE 10% SOL 237ML 13$

PHARMACY TOPOTECAN INJECTION 0.1 MG 598$

PHARMACY MIRTAZAPINE 15MG TAB 1$

PHARMACY SOD POLYSTYREN SUL 15GM/60 SUS 28$

PHARMACY PEN BENZ/PROCAINE INJ 100,000 555$



PHARMACY NAPROXEN EC 500MG TAB 1$

PHARMACY CEFTRIAXONE 250 MG 20$

PHARMACY TERBUTALINE 1 MG 9$

PHARMACY LOSARTAN/HCTZ 50-12.5MG TAB 2$

PHARMACY CYCLOPENTOLATE 1% OP SOL 21$

PHARMACY PHENYLEPHRINE 10% OP SOLUTION 311$

PHARMACY IRR BALANCED SALINE 500ML 3911 22$

PHARMACY FLUTICASONE 220MCG INHALER 581$


PHARMACY VERAPAMIL INJ 2.5MG/ML 61$

PHARMACY VERAPAMIL 80MG TAB 1$

PHARMACY CALCIUM CL 10% INJ 1GM 10$

PHARMACY CALCIUM GLUCONATE 10 ML 43$

PHARMACY DILTIAZEM (CARDIZEM) 60 MG TAB 2$

PHARMACY SUCRALFATE 1GM TAB 2$

PHARMACY PROPOFOL 10MG/ML INJ 100 ML 53$

PHARMACY CLONIDINE (CATAPRES) 0.1 MGTAB 1$

PHARMACY SENOKOT-S TAB 1$

PHARMACY ROCURONIUM 10 MG/ML INJ 29$


PHARMACY ALTEPLASE 1 MG 677$

PHARMACY CITALOPRAM 20 MG TAB 1$

PHARMACY NITROGLYCERIN 2% OINT 1GM/PKT 8$

PHARMACY CEPACOL THROAT LOZENGES 1$

PHARMACY AMOXICILLIN 250MG/5ML SUSP 1$

PHARMACY METHADONE 10MG TAB 2$

PHARMACY PIOGLITAZONE 30 MG TAB 1$

PHARMACY DIPYRIDAMOLE/ASA 25/200 MG CAP 12$

PHARMACY CHARCOAL LIQ 120ML 61$

PHARMACY CHLORASEPTIC CHERRY LOZ 1$

PHARMACY CHLORASEPTIC 0.5% SPRAY 13$

PHARMACY KCL RIDER INJ PER 2MEQ 28$

PHARMACY CILOSTAZOL 100MG TAB 4$

PHARMACY GLIPIZIDE XL 2.5 MG TAB 6$

PHARMACY EPOETIN ALFA NON-ESRD 1000 UN 2,341$

PHARMACY IBUPROFEN 100MG/5ML SUSP 5ML 3$

PHARMACY FAMOTIDINE 10MG TAB 1$

PHARMACY SUMATRIPTAN 25MG TAB 4$

PHARMACY SKIN EMOLLIENT 21$

PHARMACY IV NITRO PREMIX 25MG 250ML 148 93$

PHARMACY NITROFURANTN 100MG CAP 6$

PHARMACY AMLODIPINE/BENEZEPRIL 5-10 MG 3$

PHARMACY PREVACID/BIAXIN/AMOXICILLIN 96$

PHARMACY LINEZOLID INJ PER 200MG 111$

PHARMACY EPTIFIBATIDE 5 MG INJ 92$

PHARMACY EPTIFIBATIDE 5 MG INJ 307$

PHARMACY PAMIDRONATE DISODIUM PER 30 MG 136$

PHARMACY FELODIPINE 5MG ER TAB 6$

PHARMACY CLINDAMYCIN 150MG CAP 1$

PHARMACY VINCRISTINE PER 1 MG 48$

PHARMACY PRAMIPEXOLE 1MG TAB 1$

PHARMACY BENZTROPINE 1 MG TAB 2$

PHARMACY PEROXIDE HYDROGEN 3% 4 OZ F00 1$

PHARMACY DOCUSATE SOD 100 MG CAP 1$

PHARMACY DOCUSATE SOD 100MG/10ML LIQ 3$

PHARMACY POTASSIUM CHLORIDE 10% SOL 30$

PHARMACY COLCHICINE 0.6MG TAB 26$

PHARMACY RITUXIMAB INJ PER 10 MG 2,080$

PHARMACY FOLIC ACID 0.4MG TAB 1$

PHARMACY PROCHLORPERAZINE 10MG ORAL 1$

PHARMACY PROCHLORPERAZINE 10 MG 40$

PHARMACY MIDAZOLAM 1 MG 4$

PHARMACY PANTOPRAZOLE 40MG TAB 1$

PHARMACY CORTISPORIN OPTH SUSP 264$

PHARMACY CORTISPORIN OTIC SOL 286$

PHARMACY CORTISPORIN OTIC SUSP 188$

PHARMACY COSYNTROPIN 0.25 MG INJ 271$

PHARMACY WARFARIN 2.5MG TAB 1$

PHARMACY WARFARIN 5MG TAB 1$

PHARMACY WARFARIN 7.5MG TAB 1$

PHARMACY VITAMIN B-12 INJ TO 1000 MCG 21$

PHARMACY CYLCOPHOSPHAMIDE 100 MG 729$

PHARMACY CARBAMIDE PEROXIDE OTIC SOLN 21$


PHARMACY DEXAMETHASONE 4MG TAB 2$

PHARMACY DEXAMETHASONE 0.1% OPTH SOL 165$

PHARMACY PREDNISONE IR OR DR ORAL 1MG 1$

PHARMACY PREDNISONE IMMED OR DELAY RELE 1$

PHARMACY PREDNISONE IR OR DR ORAL 1MG 1$

PHARMACY TRAZODONE 50MG TAB 1$


PHARMACY MEDROXYPROGESTERONE ACETATE IN 159$

PHARMACY ACETAZOLAMIDE (DIAMOX) 250 MG 6$

PHARMACY ACETAZOLAMIDE 500 MG 69$

PHARMACY PHENYTOIN EX 100 MG CAP 3$

PHARMACY HYDROMORPHONE 2 MG TAB 2$

PHARMACY TETANUS/DIPTHERIA TOXOID ADSOR 151$

PHARMACY BETAMETHASONE DIP 0.05% CRE 111$

PHARMACY OXYBUTYNIN 5MG TAB 3$

PHARMACY CHLOROTHIAZIDE 500 MG 201$

PHARMACY BISACODYL 5MG EC TAB 1$

PHARMACY BISACODYL 10MG SUPP 3$

PHARMACY ASPIRIN 325 MG EC TAB 1$

PHARMACY AMITRIPTYLINE 25 MG TAB 1$

PHARMACY AMITRIPTYLINE 50 MG TAB 3$

PHARMACY ERYTHROMYCIN BASE 250MG TAB 45$

PHARMACY EPINEPHRINE 0.1 MG/ML INJ 10ML 39$

PHARMACY EPHEDRINE 50 MG/ML INJ 55$

PHARMACY FERROUS SULF 300MG/5ML SYRUP 6$

PHARMACY FERROUS SULF 325MG EC TAB 1$

PHARMACY METRONIDAZOLE 250MG TAB 2$

PHARMACY METRONIDAZOLE 500MG/100 ML 28$

PHARMACY SODIUM PHOSPHATE PEDS ENEMA 6$

PHARMACY SODIUM PHOSPHATE ENEMA ADULT 5$

PHARMACY MINERAL OIL ENEMA 9$

PHARMACY CYCLOBENZAPRINE 10 MG TAB 1$

PHARMACY FLUDROCORTISONE 0.1MG TAB 2$

PHARMACY FLUOROURACIL INJ 500 MG 41$

PHARMACY FOLIC ACID 5MG/ML INJ 20$

PHARMACY FOLIC ACID 1MG TAB 1$

PHARMACY GENTAMICIN 0.3% OP SOL 19$

PHARMACY GENTAMICIN 0.3% OPTH OINTMENT 50$

PHARMACY GENTAMICIN 80 MG 17$


PHARMACY GENTZ/TUCKS PAD 30$

PHARMACY GLYCERIN PEDS SUPP 3$

PHARMACY GLYCERIN ADULT SUPP 3$

PHARMACY HALOPERIDOL 5 MG 6$

PHARMACY HALOPERIDOL 1MG TAB 2$

PHARMACY HALOPERIDOL 5MG TAB 2$

PHARMACY HEPARIN 1000 UNITS INJ 4$

PHARMACY HEPARIN SOD 1000 UNIT/ML INJ 5$


PHARMACY HEPARIN 1000 UNITS INJ 12$

PHARMACY IV HETASTARCH 6% IN 0.9% SODIU 83$

PHARMACY PYRIDOXINE 50MG TAB 1$

PHARMACY HYDROCODONE/HOMAT 5 MG/1.5 MG 23$

PHARMACY HYDROCORTISONE 1% CR 10$

PHARMACY HYDROCHLOROTHIAZIDE 25MG TAB 1$

PHARMACY HYDROMORPHONE INJ UP TO 4 MG 21$

PHARMACY CHLORTHALIDONE 25 MG TAB 2$

PHARMACY ERYTHROMYCIN OP OINT 68$

PHARMACY LOPERAMIDE 2MG CAP 4$

PHARMACY PROPRANOLOL LA 80MG CAP 10$

PHARMACY NOVOLIN R 5$

PHARMACY ISOSORBIDE DIN 5MG TAB 2$

PHARMACY ISOSORBIDE DIN 10MG TAB 3$

PHARMACY KCL 2MEQ/ML INJ 15$



PHARMACY POTASSIUM BICARB 25MEQ TAB 1$

PHARMACY PHOSPHORUS NEUTRAL 250MG TAB 2$

PHARMACY POTASSIUM CHLORIDE 20 MEQ TAB 2$

PHARMACY CEPHALEXIN (KEFLEX) 250 MG CAP 1$

PHARMACY CEPHALEXIN (KEFLEX) 500 MG CAP 2$

PHARMACY CEPHALEXIN 250 MG/5ML SUSP 55$

PHARMACY TRIAMCINOLONE 0.5% CR 34$

PHARMACY POTASSIUM CHLORIDE 20MEQ POW 22$

PHARMACY ARTIFICIAL TEARS OPTH SOL 16$

PHARMACY DIGOXIN 0.125MG TAB 6$

PHARMACY DIGOXIN 0.25MG TAB 6$

PHARMACY DIGOXIN INJ UP TO 0.5 MG 22$

PHARMACY FUROSEMIDE 20MG TAB 1$



PHARMACY FUROSEMIDE 20 MG 5$



PHARMACY NOREPINEPHRINE 1MG/ML INJ 49$

PHARMACY CHLORDIAZEPOXIDE 5 MG CAP 5$



PHARMACY LIDOCAINE 2% EMERGENCY SYRINGE 16$

PHARMACY BACLOFEN (LIORESAL) 10 MG TAB 3$

PHARMACY LITHIUM CARB 300MG CAP 1$

PHARMACY DIPHENOXYLATE/ATROPINE 2.5MG 3$

PHARMACY METOPROLOL 50 MG TAB 1$


PHARMACY CLOTRIMAZOLE 1% CR 12$

PHARMACY NITROFURANTOIN MAC 50MG CAP 8$

PHARMACY MAGNESIUM SULF PER 500MG INJ 4$

PHARMACY BUPIVACAINE MPF 0.5% INJ 23$


PHARMACY PRENATAL VITAMIN TAB 1$

PHARMACY NEO/POLY/DEX OPTH SUSP 48$

PHARMACY TRIAMTERENE/HCTZ 75/50MG TAB 1$

PHARMACY METHYLPREDNISOLONE 4MG TAB 6$

PHARMACY METHYLPREDNISOLONE 4MG DOSEPAK 53$

PHARMACY CEFOXITIN 1 GM 30$

PHARMACY PHYTONADIONE 5MG TAB 211$

PHARMACY MEPERIDINE 100 MG 61$

PHARMACY PSYLLIUM POWDER PKT 2$

PHARMACY MILK OF MAGNESIA SUSP CONC. 8$

PHARMACY PRAZOSIN HCL 1MG CAP 3$

PHARMACY PRAZOSIN HCL 5MG CAP 6$

PHARMACY ACETYLCHOLINE CHL1:100 EYE KIT 248$

PHARMACY MORPHINE CARPUJECT 10 MG/ML 22$

PHARMACY IBUPROFEN 400MG TAB 1$


PHARMACY MUTAMYCIN 5 MG INJ 169$

PHARMACY MULTIPLE VITAMIN INJ 94$

PHARMACY NYSTATIN CREAM 30GM 28$

PHARMACY NYSTATIN POWDER 23$

PHARMACY ALUM/MAG DS SUSP 360ML 14$

PHARMACY SIMETHICONE 80MG CHW 1$

PHARMACY PRIMIDONE 50MG TAB 2$

PHARMACY NAPROXEN 250MG TAB 1$

PHARMACY NALOXONE 1 MG 30$

PHARMACY TRIPLE ANTIBIOTIC OINT 16$

PHARMACY NEO-SYNEPHRINE 0.5% 15ML 68$

PHARMACY PHENYLPHRINE 0.25% SPRAY 15ML 19$

PHARMACY NICOTINE 2MG GUM 3$

PHARMACY NITROGLYCERIN 0.1MG/HR PATCH 3$



PHARMACY NITROGLYCERIN SUBLINGUAL 0.4MG 3$

PHARMACY NITROGLYCERIN 5MG/ML INJ 35$

PHARMACY VECURONIUM 10MG INJ 18$

PHARMACY ORPHENADRINE 60 MG 22$

PHARMACY ORPHENADRINE 100MG ER TAB 6$

PHARMACY LABETALOL 5MG/ML INJ 20ML VIAL 4$

PHARMACY LABETALOL 200MG TAB 3$

PHARMACY NALBUPHINE 10 MG 23$

PHARMACY CALCIUM-OYSTER W/VIT D 250MG 1$

PHARMACY CALCIUM-OYSTER SHELL 500MG TAB 8$

PHARMACY OXYTOCIN 10 UNITS 4$

PHARMACY PAPAVERINE INJ UP TO 60 MG 115$

PHARMACY PENICILLIN G INJ 600,000 UNITS 30$

PHARMACY DIPYRIDAMOLE 25MG TAB 1$

PHARMACY PROMETHAZINE 50 MG 5$

PHARMACY PROMETHAZINE 12.5 MG SUPP 30$

PHARMACY PROMETHAZINE 25 MG TAB 1$

PHARMACY PHENYLEPHRINE 10 MG/ML 1ML 20$

PHARMACY VASOPRESSIN 20UNIT/ML INJ 654$

PHARMACY HYDROXYCHLOROQUINE 200MG TAB 3$

PHARMACY POLYSPORIN OINT 21$

PHARMACY NIFEDIPINE 10 MG CAP 6$

PHARMACY PROTAMINE SULF INJ PER 10 MG 42$

PHARMACY FLUOXETINE (PROZAC) 20 MG CAP 1$

PHARMACY MEDROXYPROGESTERONE 10MG TAB 1$

PHARMACY PHENAZOPYRIDINE 100MG TAB 6$

PHARMACY PHENAZOPYRIDINE 200MG TAB 6$

PHARMACY CHOLESTYRAMINE 4GM PK POW 10$

PHARMACY METOCLOPRAMIDE INJ 10 MG 7$

PHARMACY METOCLOPRAMIDE (REGLAN) 10 MG 1$

PHARMACY METHOCARBAMOL 500 MG TAB 1$

PHARMACY METHOCARBAMOL 750 MG TAB 1$

PHARMACY METHOCARBAMOL 10 ML 100MG/ML 61$

PHARMACY GUAIFENESIN 200MG/10ML SOL 3$

PHARMACY GUAIFENESIN/CODEINE SYRUP 6$

PHARMACY OXAZEPAM 15MG CAP 8$

PHARMACY SILVER SULFADIAZINE 1% CR 400G 132$

PHARMACY CARBIDOPA/LEVODOPA 25/250 TAB 1$

PHARMACY DOXEPIN HCL 25MG CAP 4$

PHARMACY SODIUM BICARBONATE 650MG TAB 1$

PHARMACY SODIUM CHLORIDE 4MEQ/ML CON. 30$

PHARMACY BICITRA/SODIUM CITRATE SOLN 10$

PHARMACY HYDROCORTISONE 100 MG 58$

PHARMACY HYDROCORTISONE 100 MG 63$

PHARMACY METHYLPREDNISOLONE INJ TO 40MG 33$

PHARMACY METHYLPREDNISOLONE INJ TO 125 43$

PHARMACY METHYLPREDNISOLONE INJ TO 125 70$

PHARMACY CARISOPRODOL (SOMA) 350 MG TAB 2$

PHARMACY SODIUM BICARBONATE 8.4% INJ 47$


PHARMACY FENTANYL 100 MCG 5$

PHARMACY SURGICEL 2X14 IN 1951 93$

PHARMACY AMANTADINE 100 MG CAP 9$





PHARMACY CARBAMAZEPINE 200 MG TAB 4$

PHARMACY CARBAMAZEPINE 100MG CHW 2$

PHARMACY ATENOLOL 50 MG TAB 1$

PHARMACY TETANUS IMMUNE GLOBULIN 250 UN 1,612$

PHARMACY THEOPHYLLINE 300MG CR TABLET 3$

PHARMACY MULTIPLE VITAMIN/MINERALS TAB 1$

PHARMACY MULTIPLE VITAMIN TAB 1$

PHARMACY SODIUM CHLORIDE 1GM TAB 1$

PHARMACY THIAMINE HCL 100MG TAB 1$

PHARMACY THIAMINE HCL 100MG/ML INJ(2ML) 30$

PHARMACY THYROID 60MG TAB 2$

PHARMACY TOBRAMYCIN 0.3% OP SOL 22$

PHARMACY IMIPRAMINE HCL 25MG TAB 1$

PHARMACY PENTOXIFYLLINE 400MG ER TAB 1$

PHARMACY PERPHENAZINE 2MG TAB 6$

PHARMACY ACETAMINOPHEN 160 MG/5ML SOL 12$

PHARMACY ACETAMINOPHEN 120 MG SUPP 3$



PHARMACY ACETAMINOPHEN/CODEINE ELIXIR 9$

PHARMACY ACETAMINOPOHEN/COD 300-30 MG 2$

PHARMACY BETHANECHOL 25 MG TAB 2$

PHARMACY FLAVOXATE 100MG TAB 6$

PHARMACY DIAZEPAM INJ TO 5MG 109$

PHARMACY DIAZEPAM 2MG TAB 2$



PHARMACY VANCOMYCIN 500 MG ADV 22$

PHARMACY DOXYCYCLINE 100MG INJ 91$

PHARMACY HYDROXYZINE PAMOATE 25 MG CAP 1$

PHARMACY HYDROXYZINE PAMOATE 50MG CAP 1$

PHARMACY ALPRAZOLAM (XANAX) 0.25 MG TAB 2$

PHARMACY ALPRAZOLAM (XANAX) 0.5 MG TAB 2$

PHARMACY LIDOCAINE 2% VISC SOL BOTTLE 29$

PHARMACY LIDOCAINE 2% VISC SOLUTION 6$

PHARMACY METOLAZONE 2.5 MG TAB 5$

PHARMACY METOLAZONE 5 MG TAB 5$

PHARMACY ZINC OXIDE 20% OINT 15$

PHARMACY ALLOPURINOL 100 MG TAB 2$

PHARMACY ALLOPURINOL 300 MG TAB 3$

PHARMACY ACYCLOVIR (ZOVIRAX) 5% OINT15G 191$

PHARMACY ACYCLOVIR INJ 5 MG 20$

PHARMACY ASPIRIN 81 MG CHEWABLE 1$


PHARMACY DIVALPROEX 250MG DR TAB 1$

PHARMACY INDAPAMIDE 2.5MG TAB 4$

PHARMACY MAGNESIUM CITRATE SOL 10$

PHARMACY NITROPRUSSIDE 25MG/ML INJ 3,027$

PHARMACY PENICILLN VK 500MG TAB 2$

PHARMACY RIFAMPIN 300MG CAP 7$

PHARMACY CARBIDOPA/LEVODOPA 25/100 TAB 1$

PHARMACY DOPAMINE INJ PER 40MG 56$

PHARMACY ERYTHROMYCIN OP OINT 37$

PHARMACY NEO/POLY/DEX OPTH OINT 3.5GM 63$

PHARMACY BACITRACIN OPTH OINT 211$

PHARMACY ETOPOSIDE 10 MG 67$

PHARMACY PRIMAXIN 250 MG INJ 51$

PHARMACY VERAPAMIL 120MG TAB 1$

PHARMACY NAPROXEN 375MG TAB 1$

PHARMACY LIDOCAINE 1% INJ 20ML VIAL 7$

PHARMACY LIDOCAINE 2% INJ 20ML 8$

PHARMACY CEFTAZIDIME 0.5 GM 28$

PHARMACY PRIMAXIN 250 MG INJ 47$

PHARMACY METOPROLOL 1 MG/ML INJ 5ML 6$

PHARMACY CLOTRIMAZOLE 10MG TROCHE 5$

PHARMACY ACETYLCYSTEINE 1GM/5ML 20% 359$

PHARMACY FLUOCINONIDE 0.05% OINT 78$

PHARMACY BENZONATATE 100MG CAP 2$

PHARMACY ALPRAZOLAM (XANAX) 1 MG TAB 2$

PHARMACY ENALAPRIL (VASOTEC) 5 MG TAB 3$

PHARMACY AMIODARONE 200 MG TAB 1$


PHARMACY METRONIDAZOLE 500MG TAB 3$

PHARMACY BUSPIRONE (BUSPAR) 5 MG TAB 1$

PHARMACY CICLOPIROX 0.77% CR 15GM 29$

PHARMACY TIMOLOL MAL 0.25% OP SOL 15$

PHARMACY TIMOLOL MAL 0.5% OP SOL 25$

PHARMACY VERAPAMIL 240MG ER TAB 2$

PHARMACY BLISTEX LIP OIN 12$

PHARMACY ESMOLOL 10MG/ML INJ 17$

PHARMACY GAVISCON SUSP 360 ML 30$

PHARMACY LAVAGE SOL 33$

PHARMACY IPATROPIUM 17MCG INHALER 610$

PHARMACY NARCAN INJ PER 1 MG 387$

PHARMACY RABIES VACCINE 1,342$

PHARMACY CEFTRIAXONE 250MG 11$

PHARMACY FAMOTIDINE 10MG/ML INJ 5$

PHARMACY FAMOTIDINE 20MG TAB 1$


PHARMACY GLIPIZIDE (GLUCOTROL) 5 MG TAB 1$

PHARMACY METOCLOPRAMIDE 10 MG SYPUP 10$

PHARMACY CIPROFLOXACN (CIPRO) 500MG TAB 1$

PHARMACY SULFACETAMIDE SOD 10% OP SOL 990$

PHARMACY MEGESTROL ACETATE 40 MG TAB 1$

PHARMACY CLONAZEPAM (KLONOPIN) 0.5 MG 2$

PHARMACY NORTRIPTYLINE 10MG CAP 1$

PHARMACY CEFUROXIME (CEFTIN) 250 MG TAB 4$


PHARMACY GLIPIZIDE (GLUCOTROL) 10 MG 1$

PHARMACY MAGNESIUM OXIDE 400MG TAB 1$

PHARMACY METHYLERGONOVINE 0.2 MG 70$

PHARMACY CLONIDINE 0.1 MG PATCH 56$

PHARMACY L.E.T. GEL TOPICAL 22$

PHARMACY CLOTRIMAZOLE/BETAMETHASONE CR 50$

PHARMACY VANCOMYCIN INJ 500MG 28$

PHARMACY BETAMETHASONE ACET&SOD PHOSP 3 154$

PHARMACY MORPHINE SUL 30 MG ER TAB 10$

PHARMACY ACYCLOVIR (ZOVIRAX) 200 MG CAP 2$

PHARMACY PSEUDOEPHEDRINE 30MG TAB 1$

PHARMACY SUCCINYLCHOLINE INJ TO 20MG/ML 57$

PHARMACY CHLORZOXAZONE 500 MG TAB 2$

PHARMACY LISINOPRIL (PRINIVIL)10 MG TAB 1$

PHARMACY LIDOCAINE 2%/EPI 1:100000 INJ 16$

PHARMACY MISOPROSTOL 200MCG TAB 5$

PHARMACY MUPIROCIN 2% OINTMENT 22GM 24$

PHARMACY ENALAPRIL (VASOTEC) 10 MG TAB 3$

PHARMACY ENALAPRILAT 2.5 MG/2 ML INJ 31$

PHARMACY LISINOPRIL (PRINIVIL) 5 MG TAB 1$

PHARMACY MAGNESIUM 64MG TAB 1$

PHARMACY METOCLOPRAMIDE (REGLAN) 5 MG 1$

PHARMACY AMPICILLIN/SULBACTAM PER 1.5GM 20$

PHARMACY ACEBUTOLOL 200 MG CAP 3$

PHARMACY NORTRIPTYLINE 25MG CAP 2$

PHARMACY NIFEDIPINE 30 MG ER TAB 5$



PHARMACY MIDAZOLAM 1 MG 5$

PHARMACY VANCOMYCIN FOR PO 250MG/5ML 27$

PHARMACY PROPRANOLOL LA 60MG CAP 3$

PHARMACY FLUCONAZOLE 50MG TAB 4$

PHARMACY KETOROLAC TROMETHAMINE INJ 15 8$

PHARMACY TRIAMTERENE/HCTZ 37.5/25MG TAB 1$

PHARMACY GEMFIBROZIL 600MG TAB 1$

PHARMACY FLUCONAZOLE 200 MG INJ 39$

PHARMACY ETOMIDATE 2 MG/ML INJ 19$

PHARMACY BACITRACIN 50000 UNIT 25$

PHARMACY FLUCONAZOLE 100MG TAB 5$

PHARMACY CHLORDIAZEPOXIDE/CLID 5-2.5MG 3$

PHARMACY CALCIUM ACETATE 667MG GEL CAP 2$


PHARMACY ADENOSINE INJ 1MG 14$

PHARMACY CALCITRIOL 0.25MCG CAP 3$

PHARMACY IRON COMPLEX POLYSAC 150MG CAP 1$

PHARMACY SIMETHICONE DROPS 12$

PHARMACY KETAMINE 100MG/ML INJ 9$

PHARMACY NIFEDIPINE 60 MG ER TAB 7$


PHARMACY NICOTINE PATCH 21MG/24HR 5$

PHARMACY NICOTINE PATCH 14MG/24HR PATCH 6$

PHARMACY HYDROXYUREA 500MG CAP 3$

PHARMACY NICOTINE PATCH 7MG/24HR 7$

PHARMACY DILTIAZEM (CARDIZEM)5MG/ML INJ 11$


PHARMACY OCTREOTIDE NOT DEPOT 25MCG INJ 52$

PHARMACY KETOROLAC 10MG TAB 5$

PHARMACY DILTIAZEM 180 MG CD CAP 2$


PHARMACY IBUPROFEN 100MG/5ML SUSP 120ML 26$

PHARMACY DIVALPROEX 125 MG DR TAB 1$

PHARMACY ALTEPLASE 1 MG 5,888$

PHARMACY GELATIN SPONGE 12 17$

PHARMACY SINCALIDE 5 MCG 211$

PHARMACY GLYBURIDE 1.25 MG TAB 1$

PHARMACY NYSTATIN/TRIAMCINOLONE 15GM 54$

PHARMACY NABUMETONE 500MG TAB 2$

PHARMACY POLYCARBOPHIL 625MG TAB 1$


PHARMACY DOXAZOSIN 2MG TAB 4$


PHARMACY SERTRALINE 50 MG TAB 2$

PHARMACY SUMATRIPTAN INJ 6 MG 43$

PHARMACY FINASTERIDE 5MG TAB 1$

PHARMACY PAROXETINE 20 MG TAB 1$

PHARMACY AZITHROMYCIN (ZITHROMAX) 250MG 2$

PHARMACY AMLODIPINE 5 MG TAB 1$

PHARMACY URSODIOL (ACTIGALL) 300 MG CAP 9$

PHARMACY HYOSCYAMINE 0.125MG TAB 1$

PHARMACY PIPERACILLIN/TAZO 1.125 GM INJ 40$

PHARMACY ROCURONIUM 10 MG/ML INJ 15$


PHARMACY PROPARACAINE 0.5% OPTH SOL 100$

PHARMACY ISOSORBIDE MONO 60MG ER TAB 2$

PHARMACY TORSEMIDE 20MG TAB 2$

PHARMACY GLIPIZIDE XL 5 MG TAB 2$

PHARMACY RISPERIDONE 1 MG TAB 1$

PHARMACY ZOFRAN 1 MG 13$


PHARMACY TERAZOSIN 5MG CAP 1$

PHARMACY VENLAFAXINE 37.5 MG TAB 2$

PHARMACY PROPAFENONE 150MG TAB 4$

PHARMACY THEOPHYLLINE 300MG ER CAPSULE 19$

PHARMACY LABETALOL 5MG/ML INJ 4ML VIAL 37$

PHARMACY ATENOLOL 25 MG TAB 1$

PHARMACY FLUOXETINE (PROZAC) 10 MG CAP 1$

PHARMACY GUAIFENESIN 600MG ER TAB 5$

PHARMACY SOTALOL HCL 80MG TAB 2$

PHARMACY LOSARTAN 50 MG TAB 1$

PHARMACY ALBUMIN 25% 50ML 328$

PHARMACY LIDOCAINE 2% GEL UROJECT SYR. 25$

PHARMACY METFORMIN 500MG TAB 1$

PHARMACY TRAMADOL HCL 50MG TAB 1$


PHARMACY GABAPENTIN 300MG CAP 1$

PHARMACY LISINOPRIL (PRINIVIL)20 MG TAB 1$


PHARMACY CALCITONIN SALMON NASAL SPRAY 164$

PHARMACY CAPSICUM 0.025% CR 16$

PHARMACY DERMOPLAST 20% SPRAY 22$

PHARMACY GENTAMICIN 0.1% CR 110$

PHARMACY HYDROCORTISONE 2.5% CREAM 15$

PHARMACY TRIAMCINOLONE 40MG/ML INJ 48$

PHARMACY SILVER SULFADIAZINE 1% CR 25GM 28$


PHARMACY LITHIUM CARB 150MG CAP 1$

PHARMACY FENTANYL 50MCG PATCH 51$



PHARMACY OXYCODONE/APAP 5-325MG TAB 3$

PHARMACY LIDOCAINE 4% SOL 50ML 7$

PHARMACY TOBRAMYCIN/DEX OPTH SUSP 145$

PHARMACY TOBRAMYCIN/DEXAMETHASONE OPTH 338$


PHARMACY BUPIVACAINE 0.25%/EPI MPF 31$

PHARMACY CEFTAZIDIME 0.5 GM 40$

PHARMACY EPINEPHRINE 1 MG/ML INJ 30 ML 1$

PHARMACY FLUCONAZOLE 200 MG INJ 34$

PHARMACY LIDOCAINE 1%/EPI 1:100000 INJ 8$

PHARMACY LIDOCAINE 2% MPF/EPI 1:200000 30$

PHARMACY LIDOCAINE MPF 0.5% INJ 15$

PHARMACY LIDOCAINE MPF 1% INJ 24$


PHARMACY LIDOCAINE 4% INJ 5ML AMP 19$

PHARMACY CHLORHEXIDINE GLU 0.12% ORAL 14$

PHARMACY MORPHINE CARPUJECT 4 MG/ML 1ML 27$

PHARMACY PROBENECID 500MG TAB 4$

PHARMACY DORZOLAMIDE OPTH SOL 72$

PHARMACY ISOSORBIDE MONO 30MG ER TAB 2$

PHARMACY METOPROLOL SUCC. XL 50MG TAB 3$

PHARMACY MORPHINE SUL 15 MG ER TAB 7$

PHARMACY THEOPHYLLINE 200MG ER CAPSULE 14$

PHARMACY AMIODARONE 30 MG 21$


PHARMACY SODIUM HYALRONATE 1% INJ 306$

PHARMACY DESOXIMETASONE 0.25% CR 68$

PHARMACY TRIAMCINOLONE 0.1% CR 14$

PHARMACY MORPHINE INJ UP TO 10MG 20$

PHARMACY METFORMIN 850MG TAB 1$


PHARMACY ONDANSETRON PER 1MG 2$

PHARMACY CEFAZOLIN 0.5 GM 19$

PHARMACY DONEPEZIL (ARICEPT) 5 MG TAB 1$

PHARMACY BUSPIRONE (BUSPAR) 15 MG TAB 2$

PHARMACY XALATAN 0.005% SOL 40$

PHARMACY CLOZAPINE (CLOZARIL)100 MG TAB 6$

PHARMACY AZITHROMYCIN 200MG/5ML SUSP 5$

PHARMACY AZITHROMYCIN 500 MG INJ 21$

PHARMACY CARBIDOPA/LEVO ER 50/200 TAB 3$

PHARMACY CHONDROITIN SOD HYALURATE OPTH 292$


PHARMACY GLIMEPIRIDE 2 MG TAB 2$

PHARMACY LITHIUM CARB 450MG CR TAB 2$


PHARMACY CARVEDILOL (COREG) 3.125MG TAB 1$

PHARMACY BICALUTAMIDE 50 MG TAB 4$

PHARMACY SALINE NASAL 0.65% SPR/DROPS 8$

PHARMACY VALACYCLOVIR 500MG TAB 1$

PHARMACY EMLA CR 38$

PHARMACY SEVOFLURANE SOL 250ML NDC 0007 3$


PHARMACY PRIMIDONE 250MG TAB 2$

PHARMACY DICLOFENAC 25MG EC TAB 6$

PHARMACY GLIMEPIRIDE 4 MG TAB 3$

PHARMACY LEVOFLOXACIN 250MG TAB 1$



PHARMACY PIPERACILLINE/TAZO 1.125 GM 50$

PHARMACY OLANZAPINE 5MG TAB 2$

PHARMACY TORSEMIDE 100MG TAB 2$

PHARMACY OFLOXACIN OTIC 0.3% SOL 50$

PHARMACY BUPROPION SR 150 MG TAB 3$

PHARMACY ASPIRIN 81 MG EC TAB 1$

PHARMACY CLOPIDOGREL 75 MG TAB 1$

PHARMACY MEPERIDINE 100 MG 27$

PHARMACY OXYCODONE 10 MG CR TAB 26$

PHARMACY OXYCODONE 20 MG CR TAB 35$

PHARMACY TOCOPHEROL 200UNIT CAP 1$


PHARMACY CARVEDILOL (COREG) 12.5 MG TAB 1$

PHARMACY TERBINAFINE (LAMISIL) 250MG 1$




PHARMACY PREDNISOLONE 1% OPTH SUSP 122$

PHARMACY THROMBIN 5000 UNIT TOP SOL 207$

PHARMACY LACTULOSE 10GM/15ML SOL 3$

PHARMACY METHIMAZOLE (TAPAZOLE) 5 MG 1$

PHARMACY LINEZOLID 600MG TAB 12$

PHARMACY SCOPOLAMINE 1.5 MG PATCH 73$

PHARMACY GLYCOPYRROLATE COMP UNIT PER 1 28$

PHARMACY NEOSTIGMINE METH 1MG/ML INJ 10$

PHARMACY OXYCODONE 5 MG TAB 3$

PHARMACY CLINDAMYCIN 150MG/ML INJ 21$

PHARMACY KETOROLAC 0.5% OP SOL 60$



PHARMACY QUETIAPINE 25MG TAB 1$

PHARMACY QUETIAPINE 100MG TAB 1$

PHARMACY TOCOPHEROL 1000 UNIT CAP 1$

PHARMACY MIDODRINE 5MG TAB 3$

PHARMACY METFORMIN 500MG EXT. REL. TAB 1$

PHARMACY LIDOCAINE 0.5%/EPI 1:200000 IN 15$


PHARMACY PANTOPRAZOLE 40 MG INJ PER VIA 20$

PHARMACY FLUTICASONE/SALMETEROL 250/50 265$

PHARMACY TOLTERODINE 4MG LA CAP 11$

PHARMACY VALPROATE 100MG/ML INJ 20$

PHARMACY SODIUM CHLORIDE 3% INJ 40$

PHARMACY METOPROLOL SUCC. XL 25 MG TAB 3$

PHARMACY DIPRIVAN 10MG/ML INJ 20ML 28$

PHARMACY AMLODIPINE/BENAZEPRIL 5-20 MG 1$

PHARMACY IRON SUCROSE INJ 1MG 156$

PHARMACY OXYBUTYNIN XL 5MG TAB 3$

PHARMACY ZALEPLON (SONATA) 5 MG CAP 2$

PHARMACY ATORVASTATIN 40 MG TAB 1$

PHARMACY SODIUM CHLORIDE NASAL GEL 8$

PHARMACY SOOTHIES GEL PADS 34$

PHARMACY TRIMETHOPRIM POLYMYXIN OP SOL 21$

PHARMACY PARICALCITOL 1 MCG 27$

PHARMACY BACITRACIN OINT 3$

PHARMACY ROPINIROLE 1MG TAB 1$

PHARMACY TOPIRAMATE (TOPAMAX) 25 MG TAB 1$

PHARMACY OXCARBAZEPINE 150MG TAB 2$

PHARMACY NYSTATIN ORAL SUSP 5ML UD 5$

PHARMACY TOBRAMYCIN 1.2GM INJ 468$

PHARMACY LEUCOVORIN CALCIUM PER 50 MG 25$

PHARMACY FOLTX TAB 1$

PHARMACY PEGFILGRASTIM 6 MG INJ 13,111$

PHARMACY BRIMONIDINE 0.15% OPTH SOLN 286$

PHARMACY PREDNISOLONE 15MG/5ML SOL 1$

PHARMACY VITAMIN B-COMPLEX/VIT B-12TAB 1$

PHARMACY ACETYLCYSTEINE 20% (200MG/1ML) 17$

PHARMACY BUPROPION 100 MG TAB 3$

PHARMACY DICLOXACILLIN 500MG CAP 3$

PHARMACY LABETALOL 100MG TAB 2$

PHARMACY LAMOTRIGINE 25MG TAB 1$

PHARMACY TIZANIDINE 2MG TAB 1$

PHARMACY ZINC SULFATE 220MG CAP 1$

PHARMACY LEVETIRACETAM 500 MG TAB 1$

PHARMACY PAROXETINE CR 12.5 MG TAB 21$

PHARMACY CASPOFUNGIN ACFTATE INJ 5MG 374$

PHARMACY ARIPIPRAZOLE 10 MG TAB 2$

PHARMACY AZELASTINE 137 MCG SPR 63$

PHARMACY FEXOFENADINE 180 MG TAB 2$

PHARMACY LIDOCAINE 5% PATCH 9$

PHARMACY MAGNESIUM SULFATE INJ PER 500M 58$

PHARMACY DILTIAZEM 100 MG ADV INJ 52$

PHARMACY SEREVENT DIS 50MCG AER 325$

PHARMACY ESCITALOPRAM 10 MG TAB 1$

PHARMACY LAMOTRIGINE 100MG TAB 1$

PHARMACY MUPIROCIN NASAL OINT 1GM TUBE 14$

PHARMACY EZETIMIBE 10MG TAB 15$



PHARMACY VENLAFAXINE XR 150 MG CAP 2$

PHARMACY VALSARTAN HCT 80/12.5 TAB 1$

PHARMACY CEFDINIR (OMNICEF) 300 MG CAP 5$

PHARMACY LOSARTAN 25 MG TAB 3$

PHARMACY OLANZAPINE 2.5MG TAB 1$

PHARMACY BUPROPION XL 150 MG TAB 4$

PHARMACY BUPROPION XL 300 MG TAB 6$

PHARMACY DAPTOMYCIN 1 MG INJ 1,098$

PHARMACY CLONIDINE 1 MG INJ 49$

PHARMACY MEMANTINE (NAMENDA) 5 MG TAB 2$

PHARMACY TIOTROPIUM 18MCG HANDIHALER 130$

PHARMACY LICOCAINE 1% MPF/EPI 1:200000 31$

PHARMACY CYANOCOBALAMIN 1000MCG TAB 1$

PHARMACY IPRATROPIUM INHAL SOL 2.5 ML 2$

PHARMACY MOXIFLOXACIN 0.5% OP SOLN 64$

PHARMACY OLOPATADINE 0.1% OP SOL 25$

PHARMACY CEFDINIR (OMNICEF) 125 MG/5ML 11$

PHARMACY AZITHROMYCIN 1GM PAK POW 90$

PHARMACY RACEPINEPHRINE 2.25% INH 5$

PHARMACY ACETYLCYSTEINE 100 MG INJ 20$

PHARMACY LACTOBACILLUS GG CAP 3$


PHARMACY CYCLOBENZAPRINE 5 MG TAB 1$

PHARMACY CELECOXIB 200 MG CAP 6$

PHARMACY DULOXETINE (CYMBALTA) 20 MG 4$

PHARMACY DULOXETINE (CYMBALTA) 30 MG 2$

PHARMACY TROSPIUM 20MG TAB 10$

PHARMACY DUTASTERIDE 0.5 MG CAP 2$

PHARMACY OSELTAMIVIR 75MG CAP 32$

PHARMACY FLUORESCEIN 10% OPTH SOLN 36$

PHARMACY INSULIN ASPART PER 5 UNITS 70$

PHARMACY CETUXIMAB 10 MG INJ 1,263$


PHARMACY INSULIN ASPART PER 5 UNITS 70$

PHARMACY PALONOSETRON 25 MCG 185$

PHARMACY BORTEZOMIB 0.1 MG INJ 7,075$

PHARMACY ALUM/MAG HYDROXIDE/SIMETHICONE 18$

PHARMACY FENOFIBRATE 145MG TAB 10$

PHARMACY FENOFIBRATE 48MG TAB 5$

PHARMACY ERTAPENEM 500 MG 380$

PHARMACY ZIPRASIDONE (GEODON) 20 MG CAP 2$

PHARMACY ZIPRASIDONE (GEODON) 80 MG CAP 20$

PHARMACY SODIUM HYALURONATE 23MG/ML SOL 266$

PHARMACY DIVALPROEX EXT RELEASE 500MG 11$

PHARMACY MELOXICAM (MOBIC) 7.5 MG TAB 1$

PHARMACY PERFLUTREN LIP MICROS 1ML INJ 263$

PHARMACY TRYPAN BLUE 0.06% OPTH.SYRINGE 251$

PHARMACY PAXLITAXEL PROTEIN-BOUND 1 MG 2,871$

PHARMACY BEVACIZUMAG INJ 10 MG 1,743$

PHARMACY DOFETILIDE 250MCG CAP 16$

PHARMACY DIAZEPAM 2.5MG RECTAL GEL 448$

PHARMACY NIACIN 500MG CR TAB 1$

PHARMACY ACETAMINOPHEN 325 MG TAB 1$

PHARMACY ACETAMINOPHEN 500 MG TAB 1$

PHARMACY ASPIRIN 325 MG TAB 1$

PHARMACY COCAINE HCL PER 1MG 356$

PHARMACY BUFFERED LIDOCAINE 1% INJ 25$

PHARMACY STERILE WATER INJ 10ML 5$

PHARMACY LANSOPRAZOLE 30MG SOLUTAB 53$

PHARMACY ACETAMINOPHEN 325MG/10.15ML UD 7$

PHARMACY TRIPLE ANTIBIOTIC OINT 3$

PHARMACY AMINOPHYLLINE INJ UP TO 250 MG 47$

PHARMACY ZALEPLON (SONATA) 10 MG CAP 2$

PHARMACY APREPITANT ORAL 5MG 274$

PHARMACY DORZOLAMIDE/TIMOLOL OPHT SOL 106$

PHARMACY AMMONIA 0.33 ML INH 1$

PHARMACY PREGABALIN (LYRICA) 25 MG CAP 29$

PHARMACY MAGNESIUM SULFATE INJ/500MG 37$

PHARMACY CINACALCET HCL 30MG TAB 90$

PHARMACY EXENATIDE 10MCG/DOSE INJ 1,015$


PHARMACY FERRIC GLUC/SUCROSE 12.5MG/ML 37$

PHARMACY LEVETIRACETAM INJECTION 10MG 20$

PHARMACY AZTREONAM 500 MG 257$



PHARMACY SITAGLIPTIN 50 MG TAB 53$

PHARMACY BALANCED SALT OPTH SOL 500 ML 56$

PHARMACY BUDESONIDE 0.5MG/2ML AER 8$

PHARMACY BUDESONIDE 0.25MG/2ML NEB 11$

PHARMACY CASPOFUNGIN ACETATE 5 MG INJ 340$

PHARMACY LUBIPROSTONE 24 MCG CAP 23$

PHARMACY PREGABALIN (LYRICA) 75 MG CAP 22$

PHARMACY CARVEDILOL (COREG) 25 MG TAB 1$

PHARMACY LISINOPRIL/HCTZ 10-12.5 MG TAB 1$

PHARMACY PULMICORT 180MCG INH 457$

PHARMACY SALINE FLUSH 0.9% INJ 10ML 19$

PHARMACY SULFASALAZINE EC 500MG TAB 1$

PHARMACY CHARCOAL W/SORBITOL LIQ 61$


PHARMACY SODIUM CHLORIDE 0.45% 250 ML 28$

PHARMACY SODIUM CHLORIDE 0.45% ADV250ML 28$



PHARMACY SORBITOL 70% SOL 6$

PHARMACY ALBUTEROL NEB 3 ML 2$

PHARMACY DUONEB 3 ML 2$


PHARMACY SOD CHLORIDE 0.9% BAC 30 ML 4$

PHARMACY AMPICILLIN 500MG INJ 69$

PHARMACY GEMCITABINE HCL INJ 200 MG 195$

PHARMACY DOXORUBICIN 10 MG 95$

PHARMACY INSULIN DETEMIR PER 5 UNITS 122$

PHARMACY MITOMYCIN 5MG INJ 1,261$

PHARMACY RITUXIMAB INJ PER 10 MG 7,086$

PHARMACY CHEWABLE MULTIVITAMIN W/IRON 1$

PHARMACY RTU CONTAINER 31$

PHARMACY ASPIRIN 300 MG SUPP 5$

PHARMACY RANEXA 500MG TAB 9$

PHARMACY INSULIN ANY TYPE (ENTER 1) ER 16$

PHARMACY PLAVIX 300MG TAB 59$

PHARMACY FLUMAZENIL 0.1 MG/ML INJ 19$

PHARMACY HYPERHEP B IMMUNE GLOB (CBC) 576$

PHARMACY OXALIPLATIN INJ 0.5 MG 169$

PHARMACY GAMMAGARD LIQUID INJ 500MG 1,789$

PHARMACY GAMMAGARD LIQUID INJ 500 MG 1,236$

PHARMACY FUL-GLO TEST STRIPS 1.0MG 3$

PHARMACY ROPINIROLE 0.25MG TAB 1$


PHARMACY IXABEPILONE 1 MG INJ 7,239$

PHARMACY DEXTROSE 5% INJ 250 ML (EXCEL) 27$

PHARMACY PILL CUTTER/CRUSHER 14$

PHARMACY MAGNESIUM SULF INJ PER 500 MG 60$

PHARMACY LANSINOH (LANOLIN) 14$

PHARMACY MERROPENEM 100 MG 35$

PHARMACY CIPRODEX OTIC SUSPENSION 371$

PHARMACY KCL 20 MEQ/NACL 0.9% 1000 ML 40$

PHARMACY REGADENOSON 0.1 MG INJ 998$

PHARMACY NEBIVOLOL 2.5MG TAB 25$

PHARMACY MYCOPHENOLIC ACID 180 MG 16$

PHARMACY SIROLIMUS TAB 1 MG 39$

PHARMACY KCL 20 MEQ/ D5W LR 1000 ML 40$

PHARMACY POTASSIUM CHLORIDE INJ PER 2ME 43$

PHARMACY IV NSS KCL 40MEQ 1000ML 38$

PHARMACY ALBUTEROL (VENTOLIN) HFA 8 GM 90$

PHARMACY ONDANSETRON 4MG ODT TAB 3$

PHARMACY HEPATITIS B VACC (HEPB) PED 5 80$


PHARMACY LISINOPRIL (PRINIVIL) 2.5MG 1$

PHARMACY HYDROCHLOROT 12.5MG CAP 1$

PHARMACY TOPIRAMATE (TOPAMAX) 100MG TAB 2$

PHARMACY ARIMIDEX 1MG TAB 2$

PHARMACY METHYLNALTREXONE 12MG/0.6ML IN 477$

PHARMACY PIOGLITAZONE 15 MG TAB 1$

PHARMACY BENZOCAINE 20% METERED SPRAY 160$


PHARMACY CARDENE IV 2.5MG/ML INJ 76$

PHARMACY BENZTROPINE 0.5 MG TAB 2$

PHARMACY PROMETHAZINE 12.5 MG TAB 3$

PHARMACY GLUCAGEN 1MG INJ 759$

PHARMACY DIOVAN 40 MG TAB 2$

PHARMACY PAROXETINE (PAXIL) 10 MG TAB 3$

PHARMACY PILOCARPINE 1% OP SOL 15ML 256$

PHARMACY POTASSIUM CHLORIDE INJ PER 2ME 40$

PHARMACY NADOLOL 20MG TAB 12$

PHARMACY SERTRALINE 25 MG TAB (ZOLOFT) 1$

PHARMACY KCL 20MEQ/D5W/NACL 0.9% INJ 40$

PHARMACY EPOETIN ALFA 100 UNITS ESRD 585$

PHARMACY BACITRACIN/POLYMYXIN OPTH OIN 110$

PHARMACY VESICARE 5MG (SOLIFENACIN) TAB 50$

PHARMACY ENTEREG (ALVIMOPAN) 12MG CAP 684$

PHARMACY NEBIVOLOL 10MG TAB 22$



PHARMACY DIVALPROEX EXT RELEASE 250MG 5$

PHARMACY KETOCONAZOLE 2% CREAM 78$

PHARMACY TRAZODONE 100MG TAB 1$

PHARMACY BOTULINUMTOXINA 1 UNIT 2,404$

PHARMACY HEPARIN 10 UNITS 4$

PHARMACY POLYETHYLENE GLYCOL POWDER 6$

PHARMACY MULTAQ 400MG (DRONEDARONE) TAB 35$

PHARMACY VITAMIN D CAP 5000 UNITS 1$

PHARMACY DECITABINE INJ 1MG 1,391$

PHARMACY CIPROFLOXACIN IV 200 MG 28$

PHARMACY VITAMIN D 50000 UNIT CAPSULES 1$

PHARMACY FLUTICASONE NASAL SPRAY 50MCG 26$

PHARMACY DENOSUMAB INJ 1MG 3,186$

PHARMACY COLLAGENASE OINTMENT 349$

PHARMACY HYDROMORPHONE INJ UP TO 4MG 35$

PHARMACY HYDROCODONE/APAP 7.5/750MG TAB 3$

PHARMACY NOVOLOG 100 UNITS/ML 5$

PHARMACY LANTUS 100 UNITS/MO 5$

PHARMACY VITAMIN D TAB 1000 UNITS 1$

PHARMACY LORATADINE 10MG TAB 1$

PHARMACY ESTRADIOL 1MG TAB 1$

PHARMACY FOSAPREPITANT 1MG INJ 1,120$

PHARMACY DAKINS SOLUTION 41$


PHARMACY DENOSUMAB INJ 1MG 5,478$

PHARMACY EPOETIN ALFA 100 UNITS ESRD 1,466$

PHARMACY LORAZEPAM 2MG 3$

PHARMACY BEVACIZUMAB INJ PER 10 G 5,285$

PHARMACY CYCLOPHOSPHAMIDE 100MG 1,160$

PHARMACY CYCLOPHOSPHAMIDE 100 MG 1,506$

PHARMACY DAKINS HALF STRENGTH SOLUTION 46$

PHARMACY LEUKOVORIN CALCIUM PER 50 MG 65$

PHARMACY HEPARIN PER 1000 (10,000 U/ML 5$

PHARMACY AMPICILLIN/SULACTAM PER 1.5GM 21$

PHARMACY CLINDAMYCIN 600MG/4ML VIAL 20$

PHARMACY LIDOCAINE 1% W/EPI 1:100,000-3 23$

PHARMACY LIDOCAINE OINTMENT 5% - 50GM 120$

PHARMACY APLISOL (TUBERCULIN PP) 5TU/0 46$

PHARMACY ANBESOL 10% 12ML 22$

PHARMACY SODIUM CHLORIDE 0.9% 3ML 2$

PHARMACY TIMOLOL GFS 5ML OPTH 274$

PHARMACY ISOPTO TEARS OPTH SOLN 15ML 99$

PHARMACY ARTIFICIAL TEARS OINTMENT 3.5G 15$

PHARMACY LEVOTHYROXINE 100MCG INJ 356$

PHARMACY OXALIPLATIN INJ 0.5 MG 73$

PHARMACY G.I. COCKTAIL FOR ER 21$

PHARMACY PEMETREXED INJ 10MG 1,453$

PHARMACY PEMETREXED INJ 10MG 5,420$

PHARMACY LIDOCAINE 1% W/EPI 1:200,000-1 41$

PHARMACY VENTOLIN HFA 18GM 162$

PHARMACY PINXAV DIAPER RASH OINT 21$

PHARMACY FERUMOXYTOL PER 1MG INJ 1,851$

PHARMACY EPI PEN 2-PACK 189$

PHARMACY LEUPROLIDE ACETATE 7.5 MG 3,687$

PHARMACY SYRINGE 28$

PHARMACY NEO/POLY/BAC/HC OPTH OINT 3.5G 45$

PHARMACY AMPICILLIN 500MG INJ 115$

PHARMACY ROPIVACAINE INJ PER 1MG 28$

PHARMACY BETADINE SOLUTION 118 ML 11$

PHARMACY NAROPIN 0.2% 20 ML AMP 54$

PHARMACY VANCOMYCIN HCL 500 MG INJ 50$

PHARMACY IMMUNE GLOBULIN 500MG 2,687$

PHARMACY OXTOCIN 20U IN LR 1000ML 42$

PHARMACY OXYTOCIN 10U IN LR 1000ML 42$

PHARMACY DILTIAZEM 100MG/100ML 62$

PHARMACY SODIUM CHLORIDE 0.9%/250ML 28$

PHARMACY PEN 5MU IN N50.45% 50ML 57$

PHARMACY CEFAZOLIN 2GM IN N50.45% 50ML 56$

PHARMACY NAROPIN 0.2% 500 MCG FENTANYL 29$

PHARMACY PYRIDOXINE (VIT B6) 100 MG TAB 1$

PHARMACY PENICILLIN G POT 600,000 UNITS 135$

PHARMACY ACETAMINOPHEN ORAL SOLUTIOIN 36$

PHARMACY HEPARIN SODIUM INJ PER 1000 UN 239$

PHARMACY BUMETANIDE INJ 13$

PHARMACY ACETAMINOPHEN 10MG INJ 168$

PHARMACY CEFAZOLIN INJ 500MG 56$

PHARMACY LIDOCAIN-PF 1% 9$

PHARMACY EPOETIN ALFA NON-ESRD 1000 UNI 1,464$

PHARMACY OCTREOTIDE DEPOT INJ 1 MG 11,152$

PHARMACY PRAVACHOL 20MG TAB 3$

PHARMACY POLYETHYLENE GLYCOL POWDER 42$

PHARMACY CLINDAMYCIN PHOSPHAT 300MG INJ 20$

PHARMACY ALBUTEROL 0.5% SOLN PER ML 42$

PHARMACY ALBUMIN 5% 250ML INFUSION 166$

PHARMACY 32.4 MG TAB 3$

PHARMACY ADVAIR HFA 45/21 INHALER 354$

PHARMACY CEFOXITIN 1 GM INJ 48$

PHARMACY GEBAUER'S ANESTHETIC SPRAY 121$

PHARMACY GRANISETRON HCI 100MCG INJ 83$

PHARMACY MAGNESIUM SULFATE INJ 500MG 4$

PHARMACY MAGNESIUM SULFATE INJ PER 500M 32$

PHARMACY SODIUM CHLORIDE 0.9% INJ UP TO 28$

PHARMACY INSULIN DETEMIR PER 5 UNITS 326$


PHARMACY AMINOACIDS 4/35% IN DEXTROSE 5 991$

PHARMACY AMINO ACIDS 5% IN 20% DEXTROSE 991$

PHARMACY MAGNESIUM SULF PER 500MG INJ 474$

PHARMACY ROPIVACAINE HCL INJ 1MG 33$

PHARMACY DARBEPOETIN ALFA NON-ESRD 1MCG 1,266$

PHARMACY INSULIN LISPRO PER 5 UNITS INJ 159$

PHARMACY INSULIN LISPRO PER 5 UNITS 175$

PHARMACY FONDAPARIINUX INJ 0.5MG 134$

PHARMACY MINERAL OIL STERILE 25ML 22$

PHARMACY CHARCOAL W/SORBITOL LIQ 71$


PHARMACY GELATIN SPONGE SIZE 100 78$

PHARMACY BISMUTH SUBSALICYLATE 236ML 12$

PHARMACY CEFTAZIDIME 0.5 GM INJ 25$

PHARMACY MESALAMINE HD 800MG TAB 23$

PHARMACY COMBIVENT RESPIMAT 4GM INH 538$

PHARMACY ARIPIPRAZOLE 2MG TAB 3$

PHARMACY GEMCITABINE INJ 200MG 90$

PHARMACY PYRIDOSTIGMINE 60MG TAB 6$

PHARMACY DOXYCYCLINE 100MG TAB 6$


PHARMACY ZOLEDRONIC ACID 1MG INJ 193$

PHARMACY SILVER NITRATE 25% SWAB 3$

PHARMACY GLYCOPYRROLATE 0.2MG/ML 1 ML V 8$

PHARMACY HYDROCODONE/APAP 5/325MG TAB 2$

PHARMACY RIVAROXABAN 10MG TAB 42$

PHARMACY HYDROCODONE/APAP 10/300 MG UDC 40$

PHARMACY INJ, TB0-FILGRASTIM 1MCG 1,061$



PHARMACY LIOTHYRONINE 5 MCG TAB 3$

PHARMACY MIDAZOLAM 10 MG/5 ML SYRUP UDC 36$

PHARMACY PHENYLEPHRINE 2.5% OPTH SOLN 1 287$

PHARMACY OXACILLIN 250 MG 63$

PHARMACY SODIUM BICARBONATE 8.4% INJ VI 50$

PHARMACY ENALAPRIL 20 MG TAB 4$

PHARMACY AMIODARONE 30 MG 16$

PHARMACY VALPROIC ACID 250MG CAP 3$

PHARMACY VANCOMYCIN 500 MG INJ VIAL 20$

PHARMACY GEMCITABINE HCL INJ 200 MG 160$

PHARMACY PIPERACILLIN/TAZO 1.125 GM 24$


PHARMACY PIPERACILLINE 1.125 GM INJ 20$

PHARMACY PRIMAXIN INJ PER 250 MG 30$

PHARMACY PERTUZUMAB 1 MG INJ 7,872$

PHARMACY RAMUCIRUMAB INJ 5MG 8,456$

PHARMACY SODIUM CL 3% NEB 4ML FOR INH 2$

PHARMACY LEVONORGESTREL 1.5MG TAB 77$

PHARMACY VEDOLIZUMAB 1MG INJ 10,413$

PHARMACY BUPRENORPHINE/NALOXONE 2 MG/0. 23$

PHARMACY CEFTAZIDIME INJ PER 0.5 GM 48$

PHARMACY RIVASTIGMINE 9.5MG/24 HOUR PAT 22$

PHARMACY BISOPROLOL/HCTZ 10/6.25MG TAB 1$

PHARMACY TRANEXAMIC ACID INJ 100MG/ML V 29$

PHARMACY CEFEPIME INJ PER 500MG 41$

PHARMACY PROTHROMBIN CPLX CONC PER 1 I. 1,999$

PHARMACY FERRIC CARBOXYMALTOS INJ PER 1 1,712$

PHARMACY NIVOLUMAB INJ PER 1MG 2,273$

PHARMACY SUGAMMADEX 100 MG/ ML 426$

PHARMACY CLINDAMYCIN 300MG/2ML ADV INJ 20$

PHARMACY ZOLEDRONIC ACID 1 MG INJ 388$

PHARMACY POVIDONE IODINE 5% OPTH STERIL 44$

PHARMACY BRIMONIDINE 0.2% OPTH SOLN 15$

PHARMACY LEUPROLIDE KIT INJ PER 7.5 MG 36,208$

PHARMACY INJ, FILGRASTIM-SNDZ BIOSIM (Z 778$

PHARMACY INJ, FILGRASTIM-SNDZ BIOSIMILA 1,446$

PHARMACY IMMUNE GLOBULIN, NON-LYOPHILIZ 410$

PHARMACY DEXTROSE 40% GEL 15GM 17$

PHARMACY TETRACAINE 0.5% OP SOL 4 ML 30$

PHARMACY APIXABAN 5MG TAB 22$

PHARMACY LIDOCAINE 2% JELLY 5ML 28$

PHARMACY EPHEDRINE 50 MG/ML INJ 49$

PHARMACY VISUALIZATION ADJUNCT INJ PER 746$

PHARMACY PROMETHAZINE INJ UP TO 50MG 5$

PHARMACY THERATEARS LUBRICANT EYE GEL 3$

PHARMACY DEGARELIX INJ PER 1MG 2,050$

PHARMACY STERILE WATER INJ 100ML 34$

PHARMACY CONTAINERS EVACUATED 100ML 31$

PHARMACY TDAP VACCINE >7 IM 153$

PHARMACY PEGFILGRASTIM INJ PER 6 MG 12,800$

PHARMACY OCTAGAM INJ PER 500MG 3,013$

PHARMACY OCTAGAM INJ PER 500MG 1,602$

PHARMACY DIAZEPAM INJ TO 5MG 135$

PHARMACY IBUPROFEN INJ PER 100MG 61$

PHARMACY NITROPRUSSIDE PER 1MG 217$

PHARMACY LEUPROLIDE ACETATE 7.5 MG 17,013$


PHARMACY DOXORUBICIN LIPOSOMAL INJ PER 2,017$

PHARMACY DOXORUBICIN LIPOSOMAL INJ PER 2,592$

PHARMACY FAT EMULSION IV 20% 178$

PHARMACY CALCIUM CARBONATE 500MG CHW 1$

PHARMACY NOVOLIN 70/30 100 UNITS/ML INJ 64$

PHARMACY NOVOLIN R 100 UNITS/ML INJ VIA 62$

PHARMACY NOVOLIN NPH 100 UNITS/ML INJ V 63$


PHARMACY SODIUM CHLORIDE 4MEQ/ML CON 31$

PHARMACY INSULIN GLARGINE 100 UNITS/ML 399$

PHARMACY CIPROFLOXACIN 0.3% OP SOL 19$

PHARMACY CEFAZOLIN PER 0.5 GM 24$

PHARMACY MORPHINE INJ UP TO 10MG 24$


PHARMACY ZIPRASIDONE INJ PER 10MG 219$

PHARMACY SODIUM CHLORIDE 0.9% INJ 42$

PHARMACY MIDAZOLAM INJ PER 1 MG 8$

PHARMACY DEGARELIX INJ PER 1MG 3,180$

PHARMACY SEVELAMER 800MG TAB 26$

PHARMACY ROPIVACAINE HCL INJ 1 MG 28$

PHARMACY NARCAN INJ PER 1 MG 131$

PHARMACY TROPICAMIDE 1% OP SOL 27$

PHARMACY BECLOMETHASONE 40MCG MDI 346$

PHARMACY PHENOBARBITAL 60MG TAB 3$

PHARMACY RABIES IMMUNE GLOBULIN PER 150 6,439$

PHARMACY NIVOLUMAB INJ PER 1MG 10,548$


PHARMACY BUPIVACAINE LIPOSOME INJ PER 1 1,035$

PHARMACY MORPHINE SUL 10 MG/0.5 ML ORAL 19$

PHARMACY RABIES IMMUNE GLOBULIN 300 IU 2,212$

PHARMACY DILTIAZEM INJ 29$

PHARMACY HEP A VACCINE ADULT IM 294$

PHARMACY HEMORRHOIDAL OINTMENT 12$

PHARMACY AMILORIDE 5 MG TAB 4$

PHARMACY DARATUMUMAB INJ PER 10MG 1,759$

PHARMACY DARATUMUMAB INJ PER 10MG 3,496$

PHARMACY DEXMEDETOMIDINE INJ PER 200MCG 29$

PHARMACY VANCOMYCIN 500MG 49$

PHARMACY LIDOCAINE PER 10MG W/EPI INJ 22$

PHARMACY SACUBITRIL / VALSARTAN 24/26 T 33$

PHARMACY CLINDAMYCIN 600MG/NS 50ML 38$

PHARMACY CLINDAMYCIN 300MG/D5W 50ML PRE 30$

PHARMACY MERROPENEM PER 100 MG 108$

PHARMACY CLINDAMYCIN 900MG/NACL 50ML PR 42$

PHARMACY ACETAMINOPHEN 160MG/5ML ORAL S 1$

PHARMACY LOPERAMIDE 1MG/7.5ML LIQ 6$

PHARMACY LEUPROLIDE KIT INJ PER 7.5 MG 2,773$

PHARMACY DEXAMETHASONE PER 1 MG 19$



PHARMACY PEGFILGRASTIM-CBQV BIOSIM INJ 10,806$

PHARMACY NEPHROCAPS CAP 1$

PHARMACY PREGABALIN 25 MG CAP 1$

PHARMACY PREGABALIN 75 MG CAP 3$

PHARMACY FLU VAC NO PRSV QUAD VAL IIV4 35$

PHARMACY FORMOTEROL INH PER 20MCG 14$

PHARMACY FLU VAC RECOMB DNA RIV4 201$

PHARMACY TUCKS PAD 22$

PHARMACY SODIUM CHLORIDE 0.9% ADV 50ML 28$


PHARMACY OFLOXACIN 0.3% OPTH 5ML 35$

PHARMACY IV MANNITOL 20% 500ML 7715-03 98$

PHARMACY IV LACTATED RINGERS 500ML 795 11$

PHARMACY IV D 5W 250ML 7922-02 30$

PHARMACY IV D10-W 250ML 7930-02 15$

PHARMACY IV NSS 250ML 7983-02 22$

PHARMACY IV SOD CHLOR .45% 1000ML 7985- 25$

PHARMACY IV D10-W 1000ML 7930-09 15$

PHARMACY IV D 5 \T\ NS 1000ML 7941-09 11$

PHARMACY D5W 1000ML 23$


PHARMACY IV NSS PARTIAL FILLED 100ML 79 28$

PHARMACY IV NSS PARTIAL FILLED 50ML 79 28$

PHARMACY DEXTROSE 5% INJ ADDV 28$


PHARMACY IV D 5 \T\ 1/2S 1000ML 7926-09 14$

PHARMACY LIDOCAINE/D5W PREMIX 21$

PHARMACY IV D 5 \T\ LACTATED RING 1000M 11$

PHARMACY IV D 5 \T\ LACTATED RING 500M 28$

PHARMACY IV LACTATED RINGERS 1000ML 795 11$



PHARMACY CONTAINERS EVACUATED 250ML 16 28$

PHARMACY IV D 5W KCL 20 MEQ 1000ML 7905 39$

PHARMACY IV D 5\T\1/4S KCL 20 MEQ 1000M 39$





PHARMACY FAT EMULSION 20% 85$


PHARMACY IV SOD CHLOR .45% PF 50ML 7730 28$

PHARMACY IV NSS 150ML 7983-61 28$

PHARMACY IV SOD CHLOR .45% PF 100ML 773 28$

PHARMACY DOBUTREX INJ PER 250 MG 44$

ANESTHESIOLOGY SERVICES ANESTHESIA PER MINUTE CHARGE P 16$

ANESTHESIOLOGY SERVICES CHARGE OR CAPNOGRAPHY OR CAPNO 288$

PHYSICAL THERAPY SERVICES MRDD PT/OT 19$

PHYSICAL THERAPY SERVICES PHYSICAL THERAPY EVALUATION-LO 150$

PHYSICAL THERAPY SERVICES PHYSICAL THERAPY EVALUATION-HI 195$

PHYSICAL THERAPY SERVICES PHYSICAL THERAPY REEVALUATION 83$

PHYSICAL THERAPY SERVICES PARAFFIN BATH 60$

PHYSICAL THERAPY SERVICES PHYSICAL THERAPY EVALUATION-MO 175$

PHYSICAL THERAPY SERVICES THERAPEUTIC ACTIVITIES EA 15 76$ X

PHYSICAL THERAPY SERVICES GAIT TRAINING EA 15 64$ X

PHYSICAL THERAPY SERVICES CHECK ORTHOTIC/PROSTHETIC USE 60$

PHYSICAL THERAPY SERVICES ORTHOTICS FIT/TRAIN EA 15 76$

PHYSICAL THERAPY SERVICES CPM-1ST DAY FEE 85$

PHYSICAL THERAPY SERVICES CPM-PASSIVE MOTION UNIT 52$

PHYSICAL THERAPY SERVICES POST OP KNEE BRACE 283$

PHYSICAL THERAPY SERVICES LUMBAR SUPPORT 78$

PHYSICAL THERAPY SERVICES MCL/CCL BRACE(BREG ROADRUNNER) 251$

PHYSICAL THERAPY SERVICES POSTURAL THORACIC BRACE 260$

PHYSICAL THERAPY SERVICES KNUCKLE BENDER 111$

PHYSICAL THERAPY SERVICES BACK SEAT - SPINAL UNLOADING 193$

PHYSICAL THERAPY SERVICES VELOCITY ANKLE BRACE 191$

PHYSICAL THERAPY SERVICES THERAPEUTIC EXERCISEEA 15 85$

PHYSICAL THERAPY SERVICES JOB ANALYSIS 148$

PHYSICAL THERAPY SERVICES SELF CARE/HOME MGMT TRAINING 78$

PHYSICAL THERAPY SERVICES WORK CONDITIONING EA UNIT 23$ X

PHYSICAL THERAPY SERVICES TRACTIONMECHANICAL 68$ X

PHYSICAL THERAPY SERVICES PERFORMANCE TEST W/RPT EA 15 85$

PHYSICAL THERAPY SERVICES ELECTRIC STIMULATION MANUAL 74$ X

PHYSICAL THERAPY SERVICES MASSAGE EA 15 MIN 56$

PHYSICAL THERAPY SERVICES ULTRASOUND EA 15 67$ X

PHYSICAL THERAPY SERVICES VASOPNEUMATIC DEVICES 92$

PHYSICAL THERAPY SERVICES IONTOPHORESIS EA 15 67$ X

PHYSICAL THERAPY SERVICES WHIRLPOOL 71$

PHYSICAL THERAPY SERVICES ELECTRICAL STIMULATION 68$ X

PHYSICAL THERAPY SERVICES KINETIC EXERCISE EA 15 84$ X

PHYSICAL THERAPY SERVICES AQUATIC THERAPY EA 15 88$ X

PHYSICAL THERAPY SERVICES MANUAL THERAPY EA 15 78$ X

PHYSICAL THERAPY SERVICES WHEELCHAIR TRAINING EA 15 MIN 64$

PHYSICAL THERAPY SERVICES KNEE DYNASPLINT 1,031$

PHYSICAL THERAPY SERVICES LUMBOSACRAL SUPPORT 91$

PHYSICAL THERAPY SERVICES NEOPRENE KNEE SLEEVE 122$

PHYSICAL THERAPY SERVICES DRYTEX NEOPRENE KNEE SLV OP 122$

PHYSICAL THERAPY SERVICES HEEL CUSHION 87$

PHYSICAL THERAPY SERVICES PF NIGHT SPLINT 147$

PHYSICAL THERAPY SERVICES LATERAL J KNEE SLEEVE 122$

PHYSICAL THERAPY SERVICES HEEL LIFT 51$

PHYSICAL THERAPY SERVICES HINGED KNEE BRACE 122$

PHYSICAL THERAPY SERVICES AFO ANKLE GAUNTLET 99$

PHYSICAL THERAPY SERVICES ACL KNEE BRACE 1,009$

PHYSICAL THERAPY SERVICES BACK SUPPORT W/INSERT 179$

PHYSICAL THERAPY SERVICES SI BELT W/PAD 99$

PHYSICAL THERAPY SERVICES SI BELT 71$

PHYSICAL THERAPY SERVICES DJ ACL BRACE 1,009$

PHYSICAL THERAPY SERVICES OSTEOARTHRITIS UNLOADING BRACE 1,009$

PHYSICAL THERAPY SERVICES STRAPPING HAND OR FINGER 93$

PHYSICAL THERAPY SERVICES STRAPPING KNEE 92$

PHYSICAL THERAPY SERVICES STRAPPING ANKLE OR FOOT 82$

PHYSICAL THERAPY SERVICES STRAPPING TOES 93$

PHYSICAL THERAPY SERVICES PHONOPHORESIS EA 15 MIN 67$

PHYSICAL THERAPY SERVICES STRAPPING - SHOULDER 120$

PHYSICAL THERAPY SERVICES STRAPPING HIP 93$

PHYSICAL THERAPY SERVICES FUNCTIONAL CAPACITY EVALUATION 85$ X

PHYSICAL THERAPY SERVICES MODIFIED FCE 85$

PHYSICAL THERAPY SERVICES ESTIM(UNATTENDED)NONWOUND CARE 68$ X

PHYSICAL THERAPY SERVICES PATELLOR TENDINITIS BRACE 85$

PHYSICAL THERAPY SERVICES FOOT UP ORTHOSIS 292$

PHYSICAL THERAPY SERVICES RESTING HAND SPLINT 273$

PHYSICAL THERAPY SERVICES ASSISTIVE TECHNOLOGY ASSESSMEN 52$

PHYSICAL THERAPY SERVICES TAKEOFF THERAPEUTIC ARM BAND 52$

PHYSICAL THERAPY SERVICES OA EVERYDAY BRACE 443$

PHYSICAL THERAPY SERVICES CANALITH REPOSITIONING PROCEDU 111$

PHYSICAL THERAPY SERVICES PLAYMAKES BRACE 751$

PHYSICAL THERAPY SERVICES PARAFFIN BATH 60$

PHYSICAL THERAPY SERVICES THERAPEUTIC ACTIVITIES EA 15 76$ X

PHYSICAL THERAPY SERVICES GAIT TRAININGEA 15 64$

PHYSICAL THERAPY SERVICES CHECK ORTHOTIC/PROSTHETIC USE 60$

PHYSICAL THERAPY SERVICES ORTHOTICS FIT/TRAIN EA 15 76$

PHYSICAL THERAPY SERVICES THERAPEUTIC EXERCISEEA 15 85$

PHYSICAL THERAPY SERVICES SELF CARE/HOME MGMT TRAINING 78$

PHYSICAL THERAPY SERVICES TRACTIONMECHANICAL 68$

PHYSICAL THERAPY SERVICES ELECTRIC STIMULATION MANUAL 74$

PHYSICAL THERAPY SERVICES MASSAGE EA 15 MIN 56$

PHYSICAL THERAPY SERVICES ULTRASOUND EA 15 67$ X

PHYSICAL THERAPY SERVICES VASOPNEUMATIC DEVICES 92$

PHYSICAL THERAPY SERVICES IONTOPHORESIS EA 15 67$

PHYSICAL THERAPY SERVICES WHIRLPOOL 71$

PHYSICAL THERAPY SERVICES ELECTRICAL STIMULATION 68$

PHYSICAL THERAPY SERVICES KINETIC EXERCISE EA 15 84$

PHYSICAL THERAPY SERVICES AQUATIC THERAPY EA 15 88$

PHYSICAL THERAPY SERVICES MANUAL THERAPY EA 15 78$

PHYSICAL THERAPY SERVICES WHEELCHAIR TRAINING EA 15 MIN 64$

PHYSICAL THERAPY SERVICES PHONOPHORESIS EA 15 MIN 67$

PHYSICAL THERAPY SERVICES AQUATIC THERAPY/THER EX 88$

PHYSICAL THERAPY SERVICES ASSISTIVE TECHNOLOGY ASSESSMEN 52$

PHYSICAL THERAPY SERVICES CANALITH REPOSITIONING PROCEDU 111$

PHYSICAL THERAPY SERVICES FUNCTIONAL CAPACITY EVALUATION 85$

OCCUPATIONAL THERAPY SERVICES COGNITIVE SKILL TRAIN. EA 15 179$

OCCUPATIONAL THERAPY SERVICES THERAPEUTIC INTERVENTIONS W/FO 178$


OCCUPATIONAL THERAPY SERVICES VASOPNEUMATIC DEVICES 92$

OCCUPATIONAL THERAPY SERVICES OT EVALUATION-MODERATE COMPLEX 163$

OCCUPATIONAL THERAPY SERVICES OT EVALUATION-LOW COMPLEXITY 163$

OCCUPATIONAL THERAPY SERVICES OT EVALUATION-HIGH COMPLEXITY 163$

OCCUPATIONAL THERAPY SERVICES OCCUPATIONAL THERAPY RE-EVAL. 84$

OCCUPATIONAL THERAPY SERVICES CHECK ORTHOTIC/PROSTHETIC USE 61$

OCCUPATIONAL THERAPY SERVICES THERAPEUTIC ACTIVITIES EA 15 77$ X

OCCUPATIONAL THERAPY SERVICES THERAPEUTIC EXERCISE EA 15 86$

OCCUPATIONAL THERAPY SERVICES PARAFFIN BATH 61$

OCCUPATIONAL THERAPY SERVICES ORTHOTICS FIT/TRAIN EA 15 76$

OCCUPATIONAL THERAPY SERVICES ELECTRICAL STIMULATION MANUAL 75$

OCCUPATIONAL THERAPY SERVICES SELF CARE/HOME MNGMT TR EA 15 79$ X

OCCUPATIONAL THERAPY SERVICES PERFORMANCE TEST W/RPT EA 15 86$

OCCUPATIONAL THERAPY SERVICES WORK CONDITIONING EA UNIT 24$

OCCUPATIONAL THERAPY SERVICES FLUDIOTHERAPY 72$

OCCUPATIONAL THERAPY SERVICES SPLINT LMB ULNAR NERVE 113$

OCCUPATIONAL THERAPY SERVICES ANTI-VIBRATION GLOVES 55$

OCCUPATIONAL THERAPY SERVICES ULTRASOUND EA 15 68$ X

OCCUPATIONAL THERAPY SERVICES NEOPHREME ELBOW SUPPORT 53$

OCCUPATIONAL THERAPY SERVICES WRIST SPLINT-ANTI-VIBRATORY 131$

OCCUPATIONAL THERAPY SERVICES IONTOPHORESIS EA 15 68$ X

OCCUPATIONAL THERAPY SERVICES ELECTRICAL STIMULATION 68$

OCCUPATIONAL THERAPY SERVICES KINETIC EXERCISE EA 15 85$

OCCUPATIONAL THERAPY SERVICES AQUATIC THERAPY EA 15 89$

OCCUPATIONAL THERAPY SERVICES MANUAL THERAPY EA 15 78$

OCCUPATIONAL THERAPY SERVICES PROSTHETIC TRAINING EA 15 70$

OCCUPATIONAL THERAPY SERVICES RESTING HAND SPLINT 275$

OCCUPATIONAL THERAPY SERVICES STRAPPING HAND OR FINGER 94$

OCCUPATIONAL THERAPY SERVICES STRAPPING ELBOW OR WRIST 94$

OCCUPATIONAL THERAPY SERVICES APPLICATION FINGER SPLINT (SIM 203$

OCCUPATIONAL THERAPY SERVICES APPLICATION FINGER SPLINT (STA 203$

OCCUPATIONAL THERAPY SERVICES APPLICATION FINGER SPLINT (DYN 162$

OCCUPATIONAL THERAPY SERVICES APPLICATION SHORT ARM SPLINT ( 210$

OCCUPATIONAL THERAPY SERVICES ALIGNRITE WRIST SUPPORT 81$

OCCUPATIONAL THERAPY SERVICES CUSTOM RIGID WRIST/HAND/FINGER 275$

OCCUPATIONAL THERAPY SERVICES FINGER EXT SPLINT 48$

OCCUPATIONAL THERAPY SERVICES FINGER FLEX GLOVE 62$

OCCUPATIONAL THERAPY SERVICES MASSAGE EA 15 MIN 56$ X

OCCUPATIONAL THERAPY SERVICES SENSORY INTEGRATION EA 15 MIN 69$

OCCUPATIONAL THERAPY SERVICES PHONOPHORESIS EA 15 MIN 68$

OCCUPATIONAL THERAPY SERVICES ELECTRICAL STIM 68$

OCCUPATIONAL THERAPY SERVICES STRAPPING - SHOULDER 121$

OCCUPATIONAL THERAPY SERVICES MURPHY RING 61$

OCCUPATIONAL THERAPY SERVICES ASSISTIVE TECHNOLOGY ASSESSMEN 52$

OCCUPATIONAL THERAPY SERVICES WHEELCHAIR TRAINING/EVALUATION 65$


OCCUPATIONAL THERAPY SERVICES CHECK ORTHOTIC/PROSTHETIC USE 61$

OCCUPATIONAL THERAPY SERVICES THERAPEUTIC ACTIVITIES EA 15 77$ X


OCCUPATIONAL THERAPY SERVICES PARAFFIN BATH 61$

OCCUPATIONAL THERAPY SERVICES ORTHOTICS FIT/TRAIN EA 15 76$

OCCUPATIONAL THERAPY SERVICES ELECTRICAL STIMULATION MANUAL 75$

OCCUPATIONAL THERAPY SERVICES SELF CARE/HOME MNGMT TR EA 15 79$

OCCUPATIONAL THERAPY SERVICES PERFORMANCE TEST W/RPT EA 15 86$

OCCUPATIONAL THERAPY SERVICES WHIRLPOOL 72$ X

OCCUPATIONAL THERAPY SERVICES ULTRASOUND EA 15 68$ X

OCCUPATIONAL THERAPY SERVICES IONTOPHORESIS EA 15 68$

OCCUPATIONAL THERAPY SERVICES ELECTRICAL STIMULATION 68$

OCCUPATIONAL THERAPY SERVICES KINETIC EXERCISE EA 15 85$

OCCUPATIONAL THERAPY SERVICES AQUATIC THERAPY EA 15 89$

OCCUPATIONAL THERAPY SERVICES MANUAL THERAPY EA 15 78$

OCCUPATIONAL THERAPY SERVICES PROSTHETIC TRAINING EA 15 70$

OCCUPATIONAL THERAPY SERVICES MASSAGE EA 15 MIN 56$

OCCUPATIONAL THERAPY SERVICES SENSORY INTEGRATION EA 15 MIN 69$

OCCUPATIONAL THERAPY SERVICES PHONOPHORESIS EA 15 MIN 68$

OCCUPATIONAL THERAPY SERVICES ASSISTIVE TECHNOLOGY ASSESSMEN 52$

OCCUPATIONAL THERAPY SERVICES WHEELCHAIR TRAINING/EVALUATION 65$


SPEECH THERAPY SERVICES THERAPEUTIC INTERVENTIONS W/FO 178$

SPEECH THERAPY SERVICES THERAPEUTIC INTERVENTIONS W/FO 178$

SPEECH THERAPY SERVICES COGNITIVE SKILLS DEVELOPMENT 178$

SPEECH THERAPY SERVICES SPEECH LANG/VOICE TREATMENT(IN 160$

SPEECH THERAPY SERVICES TRACHEOSTOMY SPEAKING VALVE 238$

SPEECH THERAPY SERVICES SPCH LANG/VOICE TREAT GROUP 15 109$

SPEECH THERAPY SERVICES VIDEOFLUOROSCOPIC SWALLOWING E 278$

SPEECH THERAPY SERVICES EXAMINATION OF APHASIA 156$

SPEECH THERAPY SERVICES SWALLOWING TREATMENT 151$

SPEECH THERAPY SERVICES CLINICAL SWALLOWING EVALUATION 231$

SPEECH THERAPY SERVICES AAC TRAIN/SPCH GENERATING DEVI 231$

SPEECH THERAPY SERVICES SPEECH LANG/VOICE TREATMENT(IN 160$

SPEECH THERAPY SERVICES SPCH LANG/VOICE TREAT GROUP 15 109$

SPEECH THERAPY SERVICES VIDEOFLUOROSCOPIC SWALLOWING E 278$

SPEECH THERAPY SERVICES EXAMINATION OF APHASIA 156$

SPEECH THERAPY SERVICES SWALLOWING TREATMENT 151$

SPEECH THERAPY SERVICES CLINICAL SWALLOWING EVALUATION 231$

SPEECH THERAPY SERVICES AAC TRAIN/SPCH GENERATING DEVI 231$

SPEECH THERAPY SERVICES EVALUATION OF SPEECH FLUENCY 232$

SPEECH THERAPY SERVICES EVALUATE SPEECH PRODUCTION 189$

SPEECH THERAPY SERVICES SPEECH SOUND LANG COMPREHEN 304$

SPEECH THERAPY SERVICES BEHAVRAL QUALIT ANALYS VOICE 197$

SPEECH THERAPY SERVICES EV SP GENERATING DEVICE 1HR 392$

SPEECH THERAPY SERVICES EX FOR SPEECH DEVICE RX EA ADD 197$

SPEECH THERAPY SERVICES STANDARDIZED COGNITIVE PERFORM 356$

AUDIOLOGY SERVICES AUDIO SCREENING PT AIR 48$

AUDIOLOGY SERVICES AUDIO SCREEN PT AIR/BON 126$

AUDIOLOGY SERVICES AUDIO SPEECH THRES ONLY 65$

AUDIOLOGY SERVICES AUD SPEECH THRES & DISC 62$

AUDIOLOGY SERVICES BASIC COMPREHENSIVE AUD 151$

AUDIOLOGY SERVICES TONE DECAY TEST 55$

AUDIOLOGY SERVICES TYMPANOMETRY 65$

AUDIOLOGY SERVICES SELECT PICTURE AUDIOMET 64$

AUDIOLOGY SERVICES AUDIO BRAIN RESP (AUD) COMPREH 316$

AUDIOLOGY SERVICES AUDIO BRAIN RESP LIMITED 319$

AUDIOLOGY SERVICES POSTIONAL NYSTAG TEST 110$

AUDIOLOGY SERVICES CALORIC VESTIBULAR TEST BIN&BT 664$

AUDIOLOGY SERVICES ELECTRO EVAL MONAURAL 70$

AUDIOLOGY SERVICES EVOKED OAE; LIMITED 265$

AUDIOLOGY SERVICES DIAGNOSTIC OAE 270$

AUDIOLOGY SERVICES ACOUSTIC REFLEX-THRESHOLD 58$

AUDIOLOGY SERVICES ACOUSTIC IMMITTANCE TESTING 101$

AUDIOLOGY SERVICES VISUAL REINF AUDIO (VRA) 145$

AUDIOLOGY SERVICES CONDITIONING PLAY AUDIOMETRY 126$

AUDIOLOGY SERVICES BASIC VESTIBULAR EVALUATION 244$

CVP SERVICES 3D WITH POSTPROCESSING ON INDE 454$

CVP SERVICES 3D WITHOUT POSTPROCESSING ON I 407$

CVP SERVICES PULMONARY COMPLIANCE 478$ X

CVP SERVICES DOPLER SEGMENTAL PRESSU 590$

CVP SERVICES SYMPTOMATIC GXT 904$

CVP SERVICES HOLTER SCANNING 419$

CVP SERVICES HOLTER RECORDING 526$

CVP SERVICES EXERCISE ARTERIAL SEGMENTALS 658$

CVP SERVICES EVENT MONITOR HOOKUP 334$

CVP SERVICES GXT PHARMACY TEST 904$

CVP SERVICES DIFFUSION (SGL BREATH) 290$ X

CVP SERVICES ECHO FOLLOW-UP OR LMTD 2D 598$ X

CVP SERVICES CONGENTAL TEE COMPLETE 2,389$

CVP SERVICES NON IMAGING TREADMILL 904$

CVP SERVICES ECHO DOPPLER 593$ X

CVP SERVICES TILT TABLE TEST 1,066$

CVP SERVICES ECHO COLOR FLOW 371$ X

CVP SERVICES ECHO DOPPLER 593$

CVP SERVICES LIMITED CON ECHO 2,389$

CVP SERVICES CONGENTAL ECHO COMPLETE 2,389$

CVP SERVICES STRESS ECHO 2,103$

CVP SERVICES FOLLOW UP ECHO COMBINE 598$

CVP SERVICES TRANSESOPHAGEAL ECHO 1,827$

CVP SERVICES TTE W/DOPPLER COMPLETE 2,389$

CVP SERVICES ANKLE BRACHIAL INDICES (ABI) 431$

CVP SERVICES CARDIOVERSION - CVP 1,147$

PULMONARY REHAB SERVICES PULM REHAB PHASE II-COPD 31-90 172$

PULMONARY REHAB SERVICES PULM REHAB PHII COPD ADDL 36 167$

PULMONARY REHAB SERVICES GLUCOSE; QUAN BLOOD-PUL REH 30$

PULMONARY REHAB SERVICES PULM REHAB PHASE II NON COPD E 80$

PULMONARY REHAB SERVICES PULM REHAB PHASE II-MEDICAID 153$

PULMONARY REHAB SERVICES PULM REHAB PHASE II NON COPD > 80$

PULMONARY REHAB SERVICES PFT (MODE 1) 285$

PULMONARY REHAB SERVICES PFT (MODE 2) 621$ X

CARDIAC REHAB SERVICES CARDIAC REHABILITATION 167$

CARDIAC REHAB SERVICES CARDIAC REHABILITATION ADDL 36 167$

CARDIAC REHAB SERVICES GLUCOSE; QUAN BLOOD 29$

CARDIAC REHAB SERVICES PHASE II-PART B-UNMONIT 167$

CARDIAC REHAB SERVICES DIABETES EXERCISE 4$

CARDIAC REHAB SERVICES DIABETES PER MONTH 41$

CARDIAC REHAB SERVICES PHASE II-PART B-UNMONIT - ADDL 167$

CARDIAC REHAB SERVICES PERIPHERAL ARTERY DISEASE REHA 149$

CARDIAC REHAB SERVICES PERIPHERAL ARTERY DISEASE REHA 149$

CARDIAC REHAB SERVICES PAD REHABILITATION 149$

NURSING SERVICES IV HYDRATION INITIAL HOUR-NS 426$

NURSING SERVICES INJECTION-SUBCUT/INTRAMUS 130$

NURSING SERVICES INJECTION-INTRAVENOUS 281$

NURSING SERVICES INJECTION OF ANTIBIOTIC-IM 130$

NURSING SERVICES HYDRATE IV INFUSION ADD-ON-NS 143$

NURSING SERVICES INJ IV PUSH NEW DRUG-NS 153$

NURSING SERVICES THER/PROPH/DG IV INF INIT-NS 510$

NURSING SERVICES THER/PROPH/DG IV INF ADD-NS 155$

NURSING SERVICES THER/DIAG CONCURRENT INF-NS 229$

NURSING SERVICES OBSERVATION-DIRECT ADMIT-NS 115$

NURSING SERVICES OBSERVATION (21ST HR) 24$

NURSING SERVICES OBSERVATION 1ST HR 168$

NURSING SERVICES OBSERVATION 65$

NURSING SERVICES CHARGE BLADDER SCAN NURSING BL 130$

NURSING SERVICES BUCKS TRACTION 109$

NURSING SERVICES PAT. HELPER TRAPEZE 172$

NURSING SERVICES BONE MARROW PROCEDURE 374$

NURSING SERVICES PROCEDURE PARACENTESIS PROCEDU 584$

NURSING SERVICES PROCEDURE THORACENTESIS PROCED 905$

NURSING SERVICES PROCEDURE CHEST TUBE INSERTION 407$

NURSING SERVICES REPEAT MEDICATION-IV PUSH-NS 133$

NURSING SERVICES DEBRIDE SKIN/TISSUE 291$

NURSING SERVICES DRAINAGE OF SKIN ABSCESS 643$

NURSING SERVICES PROCEDURE LUMBAR PUNCTURE PROC 800$

NURSING SERVICES INTUBATION ENDOTRACHEAL 728$

NURSING SERVICES FOLEY CATH INSERTION 222$

NURSING SERVICES STRAIGHT CATH INSERTION 203$

NURSING SERVICES PLEURODESIS 390$

NURSING SERVICES GLUCOSE; QUAN BLOOD NS 30$

NURSING SERVICES MISC IN-ROOM PROCEDURE 370$

NURSING SERVICES RECOVERY PHASE III - NURSING 3$

NURSING SERVICES STRAIGHT CATH INSERT-SPECIMEN 56$

NURSING SERVICES US-GUIDANCE FOR VASCULAR ACCES 731$

NURSING SERVICES VACCINE ADMINISTRATION-1 VAC 106$

NURSING SERVICES VACCINE ADMIN - FLU 112$

NURSING SERVICES VACCINE ADMINISTRATION - PNEUM 112$

NURSING SERVICES SMOKING CESSATION COUNSELING 52$

NURSING SERVICES RECOVERY PHASE II - NURSING 8$

NURSING SERVICES BLOOD COLLECTION IMPLANTABLE D 189$

NURSING SERVICES DECLOT VASCULAR DEVICE 441$

NURSING SERVICES PUMP PAIN FIXED FLOW 674$

NURSING SERVICES IV MED THER SEQ DRUG - NS 232$

WELLNESS SERVICES NUTRITIONAL COUNSELING DIETITI 101$

WELLNESS SERVICES MEDICAL NUTRITION THERAPY INT 47$

WELLNESS SERVICES MEDICAL NUTRITION THERAPY FOL 47$

WELLNESS SERVICES DIABETES SELF MANG GROUP-INITI 54$

WELLNESS SERVICES NUTRITIONAL COUNSELING DIETITI 101$

WELLNESS SERVICES EXTENDED SELF MANGT SKILLS 168$

DIABETIC EDUCATION SERVICES SELF MANGT SKILLS 86$

DIABETIC EDUCATION SERVICES SELF MANGT SKILLS-PREGNANCY-X 86$

MEDICAL ONCOLOGY BLD COLLECT-IMPLANTED DEVICE F 189$

MEDICAL ONCOLOGY BLD COLLECT-CENTRAL/PICC FAC 189$

MEDICAL ONCOLOGY BONE MARROW ASPIRATION 1,182$

MEDICAL ONCOLOGY BONE MARROW BIOPSY 1,486$

MEDICAL ONCOLOGY HYDRATE IV INFUSION INITIAL FA 426$

MEDICAL ONCOLOGY HYDRATE IV INFUSION EA ADDL HR 143$

MEDICAL ONCOLOGY IV RX INFUSION INITIAL FAC 510$

MEDICAL ONCOLOGY IV RX INFUSION EA ADDL HR FAC 155$

MEDICAL ONCOLOGY IV RX INFUSION NEW RX FAC 232$

MEDICAL ONCOLOGY CONCURRENT IV INFUSION FAC 229$

MEDICAL ONCOLOGY THER/PROPH/DIAG INJ SC/IM 130$

MEDICAL ONCOLOGY IM/OR SUCUTANEOUS INJECTION FA 130$

MEDICAL ONCOLOGY IV PUSH INITIAL RX FAC 281$

MEDICAL ONCOLOGY IV PUSH SUBSEQUENT NEW RX FAC 153$

MEDICAL ONCOLOGY CHEMO SQ/IM NON-HORMONAL FAC 312$

MEDICAL ONCOLOGY CHEMO SQ/IM HORMONAL FAC 269$

MEDICAL ONCOLOGY CHEMO - IV PUSH INITIAL 438$

MEDICAL ONCOLOGY CHEMO IV PUSH EA ADDL RX FAC 386$

MEDICAL ONCOLOGY CHEMO IV INF INITIAL HR INFUSI 842$

MEDICAL ONCOLOGY CHEMO IV INFUSION ADDL HOUR 279$

MEDICAL ONCOLOGY CHEMO IV INF EA ADDL HR FAC 279$

MEDICAL ONCOLOGY CHEMO IV INF >8HR PUMP FAC 961$

MEDICAL ONCOLOGY CHEMO IV INF 2ND RX FAC 349$

MEDICAL ONCOLOGY PORT FLUSH FAC 207$

MEDICAL ONCOLOGY PHLEBOTOMY 238$

MEDICAL ONCOLOGY OFFICE/OP/VISIT NEW LVL 1 FAC 150$










MEDICAL ONCOLOGY OFFICE/OP/VISIT ESTB LVL 1 FAC 124$










MEDICAL ONCOLOGY PROLONGED SERVICE OFFICE 251$

MEDICAL ONCOLOGY PROLONGED SERVICE OFFICE 295$

MEDICAL ONCOLOGY PROLONG SERVICE W/O CONTACT 300$

MEDICAL ONCOLOGY PROLONG SERV W/O CONTACT ADD 295$

MEDICAL ONCOLOGY IV PUSH SUBSEQUENT SAME RX FAC 133$

MEDICAL ONCOLOGY DECLOT VASCULAR DEVICE FAC 441$

MEDICAL ONCOLOGY GLUCOSE MONITOR FAC 30$

MEDICAL ONCOLOGY PORTABLE EXT PUMP FILL/MAIN FA 306$

MEDICAL ONCOLOGY REFILL/MAINT PUMP/RESVR 347$

MEDICAL ONCOLOGY ONPRO APPLICATION SQ 144$

MEDICAL ONCOLOGY STRAIGHT CATH INSERTION 203$

RADIATION ONCOLOGY RT SIMULATION SIMPLE FAC 529$

RADIATION ONCOLOGY RT SIMULATION INTERMEDIATE FAC 896$

RADIATION ONCOLOGY RT SIMULATION COMPLEX FAC 2,132$

RADIATION ONCOLOGY RT 3-D COMPUTER IMAGE PLAN FAC 3,840$

RADIATION ONCOLOGY RT BASIC DOSIMETRY CALCS FAC 504$

RADIATION ONCOLOGY RT IMRT CONFORMAL PLAN FAC 3,840$

RADIATION ONCOLOGY SPECIAL TELETHERAPY PORT PLAN 1,061$

RADIATION ONCOLOGY SPECIAL RADIATION DOSIMETRY FA 432$

RADIATION ONCOLOGY RT TX DEVICES SIMPLE FAC 494$

RADIATION ONCOLOGY RT TX DEVICES INTERMED FAC 768$

RADIATION ONCOLOGY RT TX DEVICES COMPLEX FAC 1,127$

RADIATION ONCOLOGY RADIATION PHYSICS CONSULT WKLY 468$

RADIATION ONCOLOGY RT TX DEVICES IMRT FAC 1,061$

RADIATION ONCOLOGY SPECIAL PHYSICS CONSULT 432$

RADIATION ONCOLOGY RT TX SUPERFICIAL HSP 338$

RADIATION ONCOLOGY RAD TX SGL A; TO 5 MEV 401$

RADIATION ONCOLOGY RT TX INTMED 3+ AREAS 3+BLKS F 412$

RADIATION ONCOLOGY RT TX CMPLX 3+ AREAS CUS BLKS 680$

RADIATION ONCOLOGY RT PORT FILMS FAC 238$

RADIATION ONCOLOGY RT SPECIAL TX PROCEDURE FAC 1,542$

RADIATION ONCOLOGY OFFICE/OP/VISIT NEW LVL 1 FAC 150$










RADIATION ONCOLOGY OFFICE/OP/VISIT ESTB LVL 1 FAC 124$










RADIATION ONCOLOGY PROLONG IN OFFICE 1ST HR 251$

RADIATION ONCOLOGY PROLONG E&M EA ADDL 30 MIN 295$

RADIATION ONCOLOGY PROLONG SERVICE W/O CONTACT 1S 300$

RADIATION ONCOLOGY PROLONG W/O CONTACT EA ADD 30 295$

RADIATION ONCOLOGY RT CT SCAN FIELD GUIDANCE FAC 1,252$

RADIATION ONCOLOGY THER/PROPH/DIAG INJ SC/IM 130$

RADIATION ONCOLOGY THER/PROPH/DIAG INJ SC/IM 130$

RADIATION ONCOLOGY RT TX ISODOSE PLAN SIMPLE HSP 519$

RADIATION ONCOLOGY RT TX ISODOSE PLAN COMPLEX HSP 930$

RADIATION ONCOLOGY RT TX IMRT SIMPLE PROSTATE/BRE 2,040$

RADIATION ONCOLOGY RT TX IMRT COMPLEX ALL OTHER 2,149$

RADIATION ONCOLOGY GUIDANCE RT DELIVERY 698$

RADIATION ONCOLOGY STRAIGHT CATH INSERTION 203$

Ohio Regional Medical Center. It is not a helpful tool for ... · icu services pleurodesis $ 390 icu services glucose; quan blood-cicu $ 30 icu services debride skin/tissue $ 291

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