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{"sheet":"Sheet1","index":0,"n_rows":6994,"n_cols":3,"rows_kept":6994,"cut":false,"hidden":false,"merged":[]}
["IVNUM","IVDESC","IVPRICE1"]
["13007083"," ceFOXitin (MEFOXIN)/D5W IVPB: 2GM/100ML",57.85]
["10978358",".ACYLCARNITINE",82.5]
["10971705",".ADRENAL AB TITER",74.5]
["10977178",".ALB-RL ASSOC CHG",35]
["10974129",".ALBUMIN (LIVER PNL)",20.5]
["10973367",".ALK PHOS-RL ASSOC CHG",68]
["10974152",".ALKALINE PHOS (LIVER PNL)",20.5]
["10902583",".ALPHA-2-MACROGLOBULIN",65.5]
["10978362",".AMINO ACID DISORDERS",82.5]
["10976108",".ANA",136]
["10977284",".ANA TITER/PATTERN RFX CHG",62]
["10977299",".ANTI ISLET CELL TITER RFX",94.5]
["10978906",".ANTI-CENTROMERE",81]
["10978898",".ANTI-DNA, DS",81]
["10978914",".ANTI-ENA(SM,RNP,JO1,SC170)ea AB",89]
["10978922",".ANTI-SJOGRENS(SSA/B)ea AB",89]
["10902522",".APOLIPOPROTEIN B 91726(X)",74]
["10970720",".APOLIPOPROTEINS, EA",62]
["10977316",".ARSENIC",93.5]
["10976116",".ASO",93]
["10976833",".ASP AB",88.5]
["10977811",".B PERTUSSIS AB",95.5]
["10973267",".BACTI CONC INFX AGENT",47]
["10970978",".BB AB SCREEN",140.5]
["10970911",".BB ABO GROUP CHG",42]
["10979029",".BB AG SCRN/UNIT I(C,E,K)",122]
["10978015",".BB AG SCRN/UNIT II(EXT)",203.5]
["10973059",".BB AG TYPE/PT NON ABO/RH",52]
["10902715",".BB ANTIBODY ID",146]
["10902469",".BB ANTIBODY TITER",119]
["10972008",".BB BLD CMP THAW",34]
["10902726",".BB DIRECT COOMBS",74]
["10972172",".BB FFP EA UNIT",275.5]
["10974755",".BB LRBC AUTO NT",581]
["10974748",".BB LRBC AUTO TRANSFUSED EA UNIT",736]
["10972024",".BB PLTS SINGLE DONOR L/R EA UNIT",1219.5]
["10973441",".BB PLTS SINGLE DONOR L/R,IRRAD EA UNIT",1665]
["10972354",".BB RBC AUTOLOGOUS",757.5]
["10970932",".BB RBC L/R EA UNIT",686.5]
["10970989",".BB RBC L/R,CMV-NEG EA UNIT",595]
["10976602",".BB RBC L/R,CMV-NEG,IRRAD EA UNIT",1053.5]
["10971137",".BB RBC L/R,IRRAD EA UNIT",899.5]
["10979649",".BB RH PHENOTYPE COMPLETE",141.5]
["10970929",".BB RH TYPE CHG",47]
["10902737",".BB RHO D IMMUNE GLOB 300MCG",243]
["10975577",".BB XMATCH AHG GEL",194]
["10972230",".BB XMATCH AHG TUBE",87.5]
["10972222",".BB XMATCH INC TUBE",60]
["10970903",".BB XMATCH IS GEL",59.5]
["10978422",".BIOTINIDASE",82.5]
["10979094",".BLOOD SMEAR INTERPRETATION",87]
["10902622",".BREATH TEST COLLECTION CHARGE",41]
["10902809",".BROTH ENRICHMENT",28.5]
["10976025",".C PNEUM IgA",79]
["10976017",".C PNEUM IgG",79]
["10976009",".C PNEUM IgM",95.5]
["10976082",".C PSITT IgA",79]
["10976074",".C PSITT IgG",79]
["10976066",".C PSITT IgM",95.5]
["10976058",".C TRACH IgA",79]
["10976041",".C TRACH IgG",79]
["10976033",".C TRACH IgM",95.5]
["10976674",".CALIF GRP-ST",108.5]
["10903157",".CANDIDA BY DNA",78.5]
["10973301",".CBC-RL ASSOC CHG",70.5]
["10976255",".CELL CNT/DF CSF ADDT'L CHG",93]
["10979110",".CF-NEWBORN SCREEN (IRT)",77]
["10975696",".CHLAMYDIA BY DNA",78.5]
["10977348",".CHOL-RL ASSOC CHG",57]
["10979938",".CHOLINESTERASE RBC",78.5]
["10978000",".CONGENITAL ADRENAL HYPERPLAS",134]
["10902816",".CORTISOL STIM 15 MIN",118.5]
["10976199",".CORTISOL STIM 30 MIN",118.5]
["10974475",".CORTISOL STIM 60 MIN",118.5]
["10976181",".CORTISOL STIM BASELINE",118.5]
["10977888",".COXIELLA BURNETII AB",79]
["10973340",".CPK-RL ASSOC CHG",100]
["10970312",".CREAT UR CHRG (CMMC)",56]
["10973336",".CREAT UR-RL ASSOC CHG",56]
["10977623",".CREATININE, URINE TIMED",63]
["10976124",".CRP",82.5]
["10902928",".CRP HS",52]
["10972982",".DESIPRAMINE",143.5]
["10978319",".DIFF AUTO",39.5]
["10978320",".DIFF MANUAL",39.5]
["10977362",".DRUG SCR, EA CLASS",38.5]
["10971579",".DRUG SCR, MEC EA CLASS (CHRG)",87.5]
["10902835",".DRUG SUSC PHENOTYPE",350]
["10978542",".EBV CAPSID AG AB,IgG",134.5]
["10978690",".EBV CAPSID AG AB,IgM",134.5]
["10978708",".EBV NUCLEAR AG AB,IgG",111]
["10903134",".FIBRINOGEN",65.5]
["10977685",".FLOW CYT INT 16+",151.5]
["10977663",".FLOW CYT MRKR 1ST",128.5]
["10977674",".FLOW CYT MRKR EA ADDTL",83.5]
["10979714",".FLUOR AGENT ANTIBODY NOS",118.5]
["10977251",".FLUORESCENT AB TITER RFX",74.5]
["10910034",".FTA-ABS REFLEX",118.5]
["10903170",".GARDNERELLA BY DNA",78.5]
["10975688",".GC BY DNA",78.5]
["10977967",".GEL DIFF QUAL EA",76.5]
["10970556",".GLUCOSE TOL ADD SPEC",32.5]
["10973062",".HCG CHRG 16145X",130.5]
["10902759",".HEP C RNA, QUANT PCR",169.5]
["10975182",".HERPES (V) ZOSTER chrg",122]
["10975174",".HERPES SIMPLEX Chrg",122]
["10971078",".HEXAGONAL PHASE NEUT CHRG",202.5]
["10976494",".HGB FRACT, CHROMATOGRAPHY",132.5]
["10977184",".HSV AB TYPE 1",112]
["10977196",".HSV AB TYPE 2",171.5]
["10975936",".HSV IgG TYPE 1",99.5]
["10975951",".HSV IgG TYPE 2",154]
["10975944",".HSV IgM TYPE 1",112]
["10975969",".HSV IgM TYPE 2",171.5]
["10972099",".IDVAG/AB-1/2 W/RFX 91431X",93]
["10974086",".IGA chrg",82]
["10974102",".IGG chrg",82]
["10974110",".IGM chrg",82]
["10979136",".IMIPRAMINE",170]
["10979706",".IMMUNOASSAY NOS",55]
["10973506",".IMMUNOASSAY-MSM CHG",108.5]
["10902704",".IMMUNOBLOT",78.5]
["10977707",".INFLUENZA A AG",81]
["10977779",".INFLUENZA B AG",81]
["10972087",".INFLUENZA SUBTYPING CHRG",342]
["10973378",".IRON-RL ASSOC CHG",72]
["10975552",".IgG SUBCLASS",63]
["10902298",".JAK2 EXON 12 CHG 81403",312]
["10902317",".JAK2 EXON 13 CHG 81403",312]
["10902335",".JAK2 MPL S505 CHG 81402",312]
["10902326",".JAK2 MPL W515 CHG 81402",312]
["10902289",".JAK2 V617F CHG 81270",145.5]
["10973353",".LDH-RL ASSOC CHG",89]
["10902544",".LDL DIRECT",56]
["10977320",".LEAD",58.5]
["10977100",".LEGIONELLA AB",88.5]
["10902500",".LIPID PROFILE 91716(X)",62]
["10973299",".LIPID-RL ASSOC CHG",88.5]
["10902533",".LIPOPROTEIN (A) 91729(X)",52]
["10902511",".LIPOPROTEIN FRAC, ION MOBILITY 91604(X)",145.5]
["10903019",".LP PLA2 ACTIVITY",135.5]
["10977333",".MERCURY",82]
["10979053",".METHYLMALONIC ACID",160]
["10977017",".MOLEC CYT I&R",63]
["10977006",".MOLEC CYT ISH 100-300",183]
["10976995",".MOLEC CYT PROBE SA",100]
["10974512",".MUMPS AB IGG 64766P",113]
["10902918",".MYCOPLASMA PNEUMONIAE PCR",54]
["10976533",".NEPHELOMETRY, NS",81]
["10910007",".NEWBORN ABN FRX HPLC",102]
["10971943",".NEWBORN GAL",104]
["10977046",".NEWBORN HGB ELP",64.5]
["10970218",".NEWBORN PKU",55]
["10971950",".NEWBORN THY",52]
["10978214",".NEWBORN TSH",82.5]
["10977972",".NOCARDIA AG",107]
["10971117",".OVA & PARASITES DIRECT/CONC",103]
["10976933",".P-ANCA LEWK ABS",176.5]
["10973146",".PAPP-A CHRG 16145X",130.5]
["10902378",".PATH CYSTIC FIBROSIS CHRG",789]
["10902386",".PATH FACTOR II CHRG",417]
["10902394",".PATH FACTOR V CHRG",417]
["10902412",".PATH MTHFR CHRG",417]
["10971123",".PHOSPHOLIPID NEUT CHRG",190.5]
["10902150",".PLATELET AB",99.5]
["10977279",".PLATELET NEUT CHG",55]
["10977913",".PNEUMOCOCCAL IgG",50]
["10970456",".PRENATAL PROFILE",542]
["10970029",".PROT UR CHRG (CMMC)",81.5]
["10977637",".PROTEIN, URINE TIMED",79]
["10971000",".PSA",166.5]
["10979342",".PSA FREE",157.5]
["10977215",".PTT-RL ASSOC CHG",53.5]
["10976132",".RA",56]
["10976463",".RBC",25]
["10977875",".RICKETTSIA AB",126]
["10977738",".RPR TITER",39.5]
["10971483",".RUBELLA SCREEN 83626F (IMMUNITY)",91.5]
["10979725",".RUBEOLA AB, IgG 52449P",113]
["10976941",".S CERVASIAL IGA/IGM",131]
["10902667",".SCID",15.5]
["10974706",".SHIGA TOXIN 1",97]
["10974714",".SHIGA TOXIN 2",97]
["10974722",".SPEC CONC BROTH ENRICH",39.5]
["10976666",".ST LOUIS GRP-ST",108.5]
["10970010",".STOOL REDUCING SUBS",58.5]
["10972578",".T4 FREE 30247W",109]
["10979201",".TESTOSTERONE FREE",151.5]
["10974078",".TIBC CMMC chrg",63]
["10976983",".TISS CULT NEOPP1",680]
["10974434",".TOXOPLASMA AB IgM",140]
["10902116",".TRANSGLUTAM IGA",78]
["10902094",".TRANSGLUTAM IGG",78]
["10903212",".TRICHOMONAS BY DNA",78.5]
["10977350",".TRIG-RL ASSOC CHG",62]
["10974683",".TROPONIN-ALT",163.5]
["10976140",".URIC ACID",66.5]
["10971752",".URINALYSIS BASIC CHG",32.5]
["10979078",".URINALYSIS COMP CHG",41]
["10973691",".URINALYSIS MICRO",27.5]
["10977855",".VIRAL AB,NOS",112]
["10974920",".VITB12 CHRG",158]
["10976653",".WEST EQUINE ENC SER-ST",108.5]
["10978085",".WESTERN BLOT RFX",134]
["13000955","1/2NS:1000ML",37.4]
["10976770","17 KETOSTEROIDS 15201",125.5]
["10973857","17 OH-CORTICOSTEROIDS 15202",183]
["10974533","17 OH-PROGESTERONE 17180",269.5]
["10973204","5 HIAA UR 24 HR 523",181]
["10974632","5' NUCLEOTIDASE 671",112]
["15740206","ABD 2VIEW FLAT/UPR",372.75]
["15540206","ABD 2VIEW FLAT/UPR READ",45]
["15780582","ABD 3VIEW OR MORE",245.5]
["15580582","ABD 3VIEW OR MORE READ",30]
["15780459","ABD COMP W/PA CXR",388]
["15580459","ABD COMP W/PA CXR READ",47]
["15740008","ABD SINGLE VIEW",239]
["15540008","ABD SINGLE VIEW READ",29]
["20300890","ABDOMINAL PARACENTESIS W/O GUI-HPROV FEE",133]
[" 2000675","AC DIRECT ADMIT TO OBS",166.75]
[" 2001266","AC ISOLATION OBSERV 01HR",510.25]
[" 2001277","AC ISOLATION OBSERV 02HR",306.25]
[" 2001288","AC ISOLATION OBSERV 03HR",255.25]
[" 2001299","AC ISOLATION OBSERV 04HR",204]
[" 2001300","AC ISOLATION OBSERV 05HR",175.5]
[" 2001311","AC ISOLATION OBSERV 06HR",156.5]
[" 2001322","AC ISOLATION OBSERV 07HR",142.5]
[" 2001333","AC ISOLATION OBSERV 08HR",132.75]
[" 2001344","AC ISOLATION OBSERV 09HR",125.5]
[" 2001355","AC ISOLATION OBSERV 10HR",118]
[" 2001360","AC ISOLATION OBSERV 11HR",112.75]
[" 2001379","AC ISOLATION OBSERV 12HR",108.5]
[" 2001387","AC ISOLATION OBSERV 13HR",105.25]
[" 2001395","AC ISOLATION OBSERV 14HR",102]
[" 2001403","AC ISOLATION OBSERV 15HR",100]
[" 2001412","AC ISOLATION OBSERV 16HR",96.75]
[" 2001424","AC ISOLATION OBSERV 17HR",94.75]
[" 2001436","AC ISOLATION OBSERV 18HR",93.5]
[" 2001448","AC ISOLATION OBSERV 19HR",91.5]
[" 2001450","AC ISOLATION OBSERV 20HR",90.5]
[" 2001462","AC ISOLATION OBSERV 21HR",88.25]
[" 2001473","AC ISOLATION OBSERV 22HR",87.25]
[" 2001484","AC ISOLATION OBSERV 23HR",86.25]
[" 2001495","AC ISOLATION OBSERV 24HR",85]
[" 2001254","AC ISOLATION OBSERV OVER24HR",85]
[" 2000149","AC NURSE OBSERV 01 HR",296.75]
[" 2000156","AC NURSE OBSERV 02 HR",178]
[" 2000164","AC NURSE OBSERV 03 HR",148.5]
[" 2000172","AC NURSE OBSERV 04 HR",118.75]
[" 2000180","AC NURSE OBSERV 05 HR",102]
[" 2000198","AC NURSE OBSERV 06 HR",91]
[" 2000206","AC NURSE OBSERV 07 HR",83]
[" 2000214","AC NURSE OBSERV 08 HR",77.25]
[" 2000222","AC NURSE OBSERV 09 HR",73]
[" 2000230","AC NURSE OBSERV 10 HR",68.75]
[" 2000248","AC NURSE OBSERV 11 HR",65.5]
[" 2000255","AC NURSE OBSERV 12 HR",63]
[" 2000263","AC NURSE OBSERV 13 HR",61.25]
[" 2000271","AC NURSE OBSERV 14 HR",59.5]
[" 2000289","AC NURSE OBSERV 15 HR",58.5]
[" 2000297","AC NURSE OBSERV 16 HR",56.25]
[" 2000305","AC NURSE OBSERV 17 HR",55]
[" 2000313","AC NURSE OBSERV 18 HR",54.5]
[" 2000321","AC NURSE OBSERV 19 HR",53.25]
[" 2000339","AC NURSE OBSERV 20 HR",52.5]
[" 2000347","AC NURSE OBSERV 21 HR",51.25]
[" 2000354","AC NURSE OBSERV 22 HR",50.75]
[" 2000362","AC NURSE OBSERV 23 HR",50]
[" 2000370","AC NURSE OBSERV 24 HR",49.5]
[" 2000123","AC NURSE OBSERV PER HR OVER 24",49.5]
[" 2001517","AC PSYCHIATRIC DIAG EVAL",378]
[" 2001529","AC PSYCHIATRIC DIAG EVAL W/MED SERV",466.5]
[" 2000700","AC SECURED OBSERV 01 HR",406.25]
[" 2000719","AC SECURED OBSERV 02 HR",243.75]
[" 2000727","AC SECURED OBSERV 03 HR",203.25]
[" 2000735","AC SECURED OBSERV 04 HR",162.5]
[" 2000743","AC SECURED OBSERV 05 HR",139.5]
[" 2000758","AC SECURED OBSERV 06 HR",124.5]
[" 2000766","AC SECURED OBSERV 07 HR",113.5]
[" 2000774","AC SECURED OBSERV 08 HR",105.75]
[" 2000782","AC SECURED OBSERV 09 HR",100]
[" 2000799","AC SECURED OBSERV 10 HR",94]
[" 2000807","AC SECURED OBSERV 11 HR",89.75]
[" 2000815","AC SECURED OBSERV 12 HR",86.25]
[" 2000823","AC SECURED OBSERV 13 HR",83.75]
[" 2000838","AC SECURED OBSERV 14 HR",81.25]
[" 2000846","AC SECURED OBSERV 15 HR",79.75]
[" 2000854","AC SECURED OBSERV 16 HR",77]
[" 2000862","AC SECURED OBSERV 17 HR",75.5]
[" 2000879","AC SECURED OBSERV 18 HR",74.5]
[" 2000887","AC SECURED OBSERV 19 HR",72.75]
[" 2000895","AC SECURED OBSERV 20 HR",72]
[" 2000903","AC SECURED OBSERV 21 HR",70.25]
[" 2000918","AC SECURED OBSERV 22 HR",69.5]
[" 2000926","AC SECURED OBSERV 23 HR",68.5]
[" 2000934","AC SECURED OBSERV 24 HR",67.75]
[" 2000942","AC SECURED OBSERV >24 HR",67.75]
[" 2001006","AC SECURED TLM OBSERV 01 HR",587.25]
[" 2001014","AC SECURED TLM OBSERV 02 HR",352.25]
[" 2001022","AC SECURED TLM OBSERV 03 HR",293.75]
[" 2001030","AC SECURED TLM OBSERV 04 HR",235]
[" 2001049","AC SECURED TLM OBSERV 05 HR",201.75]
[" 2001057","AC SECURED TLM OBSERV 06 HR",180]
[" 2001065","AC SECURED TLM OBSERV 07 HR",164]
[" 2001073","AC SECURED TLM OBSERV 08 HR",156]
[" 2001080","AC SECURED TLM OBSERV 09 HR",144.5]
[" 2001092","AC SECURED TLM OBSERV 10 HR",135.75]
[" 2001103","AC SECURED TLM OBSERV 11 HR",129.75]
[" 2001115","AC SECURED TLM OBSERV 12 HR",124.75]
[" 2001124","AC SECURED TLM OBSERV 13 HR",121.25]
[" 2001136","AC SECURED TLM OBSERV 14 HR",117.5]
[" 2001147","AC SECURED TLM OBSERV 15 HR",115]
[" 2001158","AC SECURED TLM OBSERV 16 HR",111.25]
[" 2001169","AC SECURED TLM OBSERV 17 HR",109]
[" 2001175","AC SECURED TLM OBSERV 18 HR",107.5]
[" 2001187","AC SECURED TLM OBSERV 19 HR",105.25]
[" 2001199","AC SECURED TLM OBSERV 20 HR",104]
[" 2001203","AC SECURED TLM OBSERV 21 HR",101.5]
[" 2001216","AC SECURED TLM OBSERV 22 HR",100.25]
[" 2001228","AC SECURED TLM OBSERV 23 HR",99.25]
[" 2001232","AC SECURED TLM OBSERV 24 HR",98]
[" 2001248","AC SECURED TLM OBSERV OVER24 HR",98]
[" 2001506","AC TELEMED ORIG SITE FEE",67.5]
[" 2000396","AC TELEMETRY OBS 01HR",510.25]
[" 2000404","AC TELEMETRY OBS 02HR",306.25]
[" 2000412","AC TELEMETRY OBS 03HR",255.25]
[" 2000420","AC TELEMETRY OBS 04HR",204]
[" 2000438","AC TELEMETRY OBS 05HR",175.5]
[" 2000446","AC TELEMETRY OBS 06HR",156.5]
[" 2000453","AC TELEMETRY OBS 07HR",142.5]
[" 2000461","AC TELEMETRY OBS 08HR",132.75]
[" 2000479","AC TELEMETRY OBS 09HR",125.5]
[" 2000487","AC TELEMETRY OBS 10HR",118]
[" 2000495","AC TELEMETRY OBS 11HR",112.75]
[" 2000503","AC TELEMETRY OBS 12HR",108.5]
[" 2000511","AC TELEMETRY OBS 13HR",105.25]
[" 2000529","AC TELEMETRY OBS 14HR",102]
[" 2000537","AC TELEMETRY OBS 15HR",100]
[" 2000545","AC TELEMETRY OBS 16HR",96.75]
[" 2000552","AC TELEMETRY OBS 17HR",94.75]
[" 2000560","AC TELEMETRY OBS 18HR",93.5]
[" 2000578","AC TELEMETRY OBS 19HR",91.5]
[" 2000586","AC TELEMETRY OBS 20HR",90.5]
[" 2000594","AC TELEMETRY OBS 21HR",88.25]
[" 2000602","AC TELEMETRY OBS 22HR",87.25]
[" 2000610","AC TELEMETRY OBS 23HR",86.25]
[" 2000628","AC TELEMETRY OBS 24HR",85]
[" 2000636","AC TELEMETRY OBS OVER24HR",85]
[" 2000135","AC/OBS BLOOD ADMIN 1 HR",408]
[" 2000199","AC/OBS BLOOD ADMIN 2 HR",486]
[" 2002214","AC/OBS BLOOD ADMIN 3 HR",564.75]
[" 2002549","AC/OBS BLOOD ADMIN 6 HR",799.25]
[" 2000693","AC/OBS BLOOD ADMIN 7 HR",877]
[" 8022337","ACAPELLA CHOICE PEP DEVICE",299.55]
[" 8000556","ACE BANDAGE 2 IN",1.65]
[" 8000549","ACE BANDAGE 3 IN",1.65]
[" 8024143","ACE BANDAGE 3  COBAN",6.15]
[" 8000531","ACE BANDAGE 4 IN",1.95]
[" 8021586","ACE BANDAGE 4 IN LATEX FREE",5.65]
[" 8027831","ACE BANDAGE 4  COBAN",7.5]
[" 8000523","ACE BANDAGE 6 IN",3.1]
[" 8021594","ACE BANDAGE 6 IN LATEX FREE",9.85]
[" 8018947","ACE BANDAGE 6  COBAN",22.4]
[" 8000572","ACE BANDAGE DBL 4 IN",18.8]
[" 8000564","ACE BANDAGE DBL 6 IN",27.3]
[" 8012478","ACE SCREW 4.5MM CORTICAL",79.75]
["13009410","ACEBUTOLOL:200MG CAP",2.2000000000000002]
["13010426","ACETAMIN/COD (TYLENOL #3) TAB",2.9]
["13011242","ACETAMIN/COD (TYLENOL W/COD) SOLN:118ML",13.45]
["10971505","ACETAMINOPHEN",150.5]
["13002043","ACETAMINOPHEN (ACEPHEN) SUPP:650MG",5.25]
["13010483","ACETAMINOPHEN (TYLENOL) 160MG/5ML:120ML",11.4]
["13002027","ACETAMINOPHEN (TYLENOL) SUPP:120MG",6.45]
["13002035","ACETAMINOPHEN (TYLENOL) SUPP:325MG",6.45]
["13010434","ACETAMINOPHEN (TYLENOL) TAB:325MG",2.95]
["13010467","ACETAMINOPHEN (TYLENOL) TAB:500MG",3]
["13001342","ACETAZOLAMIDE (DIAMOX) ER CAP:500MG",12.35]
["13004296","ACETAZOLAMIDE (DIAMOX) INJ:500MG",101.75]
["10973097","ACETYLCHOL REC AB 206",348.5]
["13007547","ACETYLCYSTEINE 200MG/ML SOLN:30ML",26.7]
["10970366","ACID PHOS, PROSTATIC 208",137]
[" 8025181","ACL DISPOSABLES W/SAW BLADE",888.15]
["15730504","ACROMIO CLAV JTS BIL",298.25]
["15530504","ACROMIO CLAV JTS BIL READ",36]
[" 8020323","ACROMIOPLASTY ELECTRODE",224.95]
["13002092","ACT CHARCOAL/SORBITOL:50GM/240ML",41.7]
["13002118","ACT CHARCOAL:50GM/240ML",41.7]
["10973121","ACTH, PLASMA 211",404.5]
["13024221","ACTIVASE CATH FLO INJ:2MG",447.3]
["10973584","ACTIVAT PROT C RES 22",119]
["13024401","ACULAR 0.5% OPTHALMIC SOLUTION 5ML",110.05]
["13020987","ACYCLOVIR (ZOVIRAX) TAB:400MG",3.1]
["13011028","ACYCLOVIR (ZOVIRAX)/NS IVBP:500MG/100ML",40.950000000000003]
[" 8025785","ADAPTOR BD Q-SYTE",7.3]
[" 8030173","ADAPTOR FEMALE TO FEMALE",8.1]
[" 8021057","ADAPTOR PLUG MALE NDLS",7.3]
[" 8030298","ADAPTOR SPIKE PORT",23.8]
[" 8030322","ADAPTOR SYRINGE",9.3000000000000007]
[" 8030314","ADAPTOR SYRINGE HF",35.35]
[" 8030306","ADAPTOR VIAL",36.25]
["10972194","ADD ON CMP",91.5]
["13024430","ADENOSINE (ADENOCARD) INJ:12MG/4ML",70.2]
["13011192","ADENOSINE (ADENOCARD) INJ:6MG/2ML",36.25]
["10979490","ADENOVIRUS AB 686",130]
[" 8021032","ADJUSTA-LIFT HEEL LIFT",15.8]
["20388541","ADMIN HEP B VACC-FAC FEE",17]
["26551618","ADMIN IV THROMBOLYTI(CARDIAC)",927]
["26551533","ADMIN IV THROMBOLYTI(STROKE)",927]
["20388538","ADMIN PNEUMONIA VACC-FAC FEE",48]
["26551923","ADMIT LOW COMPLEX",469]
["26551949","ADMIT-HIGH COMPLEX",944]
["26551931","ADMIT-MOD COMPLEX",637]
["10971682","ADRENAL AB/REF TITER 4645",119]
["20388156","ADULT HEP B VACC 3DOSE IM-FAC FEE",66]
["20388476","ADV CARE PLANNING EA ADDL 30 MIN-FAC FEE",1]
["20301474","ADV CARE PLN F2F 1ST 30MIN-CPROV FEE",139]
["20388473","ADV CARE PLN F2F 1ST 30MIN-FAC FEE",9]
["20301477","ADVANCE CARE PLAN EA ADDL 30 MIN-CPROV F",130]
["10973758","AFP TM 237",151.5]
["26550842","AFTER HOURS CALL",68]
["13024583","AGALSIDASE(FABRAZYME) INJ: 35MG",18421.3]
["13024584","AGALSIDASE(FABRAZYME)INJ: 5MG",2659.05]
[" 8015984","AIRWAY NASAL 7.0MM",12.95]
[" 8019473","AIRWAY NASAL 7.5MM",12.95]
[" 8019481","AIRWAY NASAL 8.0MM",12.95]
[" 8020984","AIRWAY ORAL 100MM",7.6]
[" 8020935","AIRWAY ORAL 40MM",7.3]
[" 8030629","AIRWAY ORAL 50MM",7.3]
[" 8020943","AIRWAY ORAL 60MM",7.3]
[" 8020950","AIRWAY ORAL 70MM",7.3]
[" 8020968","AIRWAY ORAL 80MM",7.3]
[" 8020976","AIRWAY ORAL 90MM",7.3]
["13007794","AK-SPORE OPTH OINTMENT",11.3]
["13028334","ALARIS PRIMARY SET 2426-0007",37.1]
["13028335","ALARIS SECONDARY SET MS3500-15",35.25]
["10970044","ALBUMIN",51]
["13029504","ALBUMIN (PLASBUMIN) 25% INJ:50ML",134.19999999999999]
["13022082","ALBUMIN (PLASBUMIN) 5% INJ:50ML",67.650000000000006]
["10976339","ALBUMIN CSF 224",45]
["10976693","ALBUMIN PERITONEAL FLUID 17412",42.5]
["13026216","ALBUTEROL (PROAIR) INHALER:8.5GM",91.25]
["13021076","ALBUTEROL (VENTOLIN) 0.083% NEB:3ML",10.7]
["13024866","ALBUTEROL (VENTOLIN) 0.5% INH DOSE:0.5ML",10.199999999999999]
["13009048","ALBUTEROL (VENTOLIN) 2MG/5ML SYRUP:60ML",10.9]
["13009022","ALBUTEROL (VENTOLIN) INHALER:18GM",83.9]
["13024718","ALBUTEROL (VENTOLIN) INHALER:8GM",39.799999999999997]
["20388628","ALBUTEROL SULFATE INHALATION SOL-FAC FEE",2]
["13009014","ALBUTEROL TAB:4MG",1.65]
["13024917","ALBUTEROL/IPRATROPIUM  2.5-0.5MG/3ML",10.7]
["13002191","ALCOHOL DEHYDRATED 98% IN:5ML",231.45]
["20301681","ALCOHOL/SUB USE COUNSELING 15-30MIN-CPRO",62]
["20301709","ALCOHOL/SUB USE COUNSELING 15-30MIN-CPRO",63]
["20301711","ALCOHOL/SUB USE COUNSELING >30MIN-CPRO",120]
["20301683","ALCOHOL/SUB USE COUNSELING >30MIN-CPROV",120]
["10974251","ALDOLASE 227",101]
["10979185","ALDOSTERONE, SERUM 17181",387.5]
["10974392","ALDOSTERONE, UR 24HR 229",400.5]
["13024161","ALENDRONATE (FOSAMAX) TAB:70MG",3.9]
[" 8027328","ALEXIS O C-SECTION RETRACTOR XLG",472.45]
[" 8028862","ALEXIS O WOUND PROTECTOR RETRACTOR",273.25]
["13028464","ALFUZOSIN ER CAP:10MG",1.6]
["10977483","ALKALINE PHOS BONE 29498",68]
["10974905","ALKALINE PHOS ISOENZ 231",146]
["10970374","ALKALINE PHOSPHATASE",70]
["13011051","ALLOPURINOL (ZYLOPRIM) TAB:100MG",3.2]
["13011069","ALLOPURINOL (ZYLOPRIM) TAB:300MG",2.9]
["10973725","ALPHA 1 ANTITRYPSIN 235",172.5]
["13010822","ALPRAZolam (XANAX) TAB:0.25MG",2.95]
["13010830","ALPRAZolam (XANAX) TAB:0.5MG",2.85]
["13022280","ALPRAZolam (XANAX) TAB:1MG",2.85]
["10970572","ALT",81]
["13002100","ALTEPLASE (ACTIVASE) INJ:100MG",22156.65]
["25000295","AMB-ALS LEVEL 2",1825]
["25000284","AMB-ALS LVL1 EMERGENT BASE RATE",1285]
["25000339","AMB-ALS LVL1 NON-EMERGENT",805]
["25000317","AMB-ALS MILEAGE (PER LOADED MILE)",23.75]
["25000340","AMB-BLS EMERGENT",1080]
["25000273","AMB-BLS MILEAGE (PER LOADED MILE)",23.75]
["25000262","AMB-BLS NON-EMERGENT BASE RATE",583]
["25000219","AMB-HOSPICE BASE RATE",230]
["25000227","AMB-HOSPICE LOADED MILE",5]
["25000136","AMB-PER LOADED MILE",23.75]
["25000306","AMB-SPECIALTY CARE TRANSPORT",1890]
["46002527","AMBULATORY BLOOD PRESS SCAN-24HRS>",314.5]
["10975224","AMINO ACID ANALYSIS 767",224.5]
["10974988","AMINOLEVULIN ACID 24HR 219",167]
["13000567","AMINOPHYLLINE INJ:500MG/20ML",54.7]
["13024303","AMIODARONE (CORDARONE) INJ:150MG/3ML",34.9]
["13024193","AMIODARONE (CORDARONE) INJ:900MG/18ML",47.95]
["13022546","AMIODARONE (CORDARONE) TAB:200MG",2.75]
["10972918","AMIODARONE 36721",125.5]
["13002282","AMITRIPTYLINE (ELAVIL) TAB:10MG",3.1]
["13020945","AMITRIPTYLINE (ELAVIL) TAB:150MG",1.65]
["13002290","AMITRIPTYLINE (ELAVIL) TAB:25MG",3.2]
["10971901","AMITRIPTYLINE/NORTRIPT 423",150.5]
[" 8020695","AMK FEMORAL COMPONENT",5762.5]
[" 8020711","AMK FIXED STEM",3230.8]
[" 8020703","AMK PATELLA COMPONENT",1762]
[" 8020687","AMK TIBIAL INSERT",1927.15]
[" 8020737","AML HIP BALL",1461.45]
[" 8020745","AML HIP CUP",2620.0500000000002]
[" 8020752","AML HIP LINER",2064.1]
[" 8020729","AML HIP STEM",7888]
[" 8021024","AML HOLE ELIMINATOR",503.75]
["13020391","AMLODIPINE (NORVASC) TAB:10MG",2.85]
["13024743","AMLODIPINE (NORVASC) TAB:2.5MG",2.85]
["13021522","AMLODIPINE (NORVASC) TAB:5MG",3.1]
["10971609","AMMONIA CMMC",163.5]
[" 8016917","AMNICOT",17.5]
[" 8000150","AMNIHOOK",5.65]
[" 8026007","AMNISURE ROM TEST",364.4]
["13002670","AMOX/POT CLAV (AUGMENTIN) TAB:500MG",4]
["13020599","AMOX/POT CLAV (AUGMENTIN) TAB:875MG",4.6500000000000004]
["13008610","AMOXICILLIN (AMOXIL) CAP:250MG",3]
["13010384","AMOXICILLIN (AMOXIL) CAP:500MG",3.15]
["13001920","AMOXICILLIN 125MG/5ML SUSP 150ML",9.1999999999999993]
["13008578","AMOXICILLIN 125MG/5ML SUSP:150ML",8.9499999999999993]
["13008586","AMOXICILLIN 125MG/5ML SUSP:150ML",13.35]
["13008594","AMOXICILLIN 250MG/5ML SUSP:100ML",11.35]
["13001573","AMOXICILLIN 250MG/5ML SUSP:150ML",10.050000000000001]
["13008602","AMOXICILLIN 250MG/5ML SUSP:150ML",14.55]
["13027271","AMOXICILLIN 400MG/5ML SUSP:50ML",15]
["13001664","AMOXICILLIN CAP:250MG (ER #30)",9.15]
["13020474","AMOXICILLIN CAP:500MG  (ER #30)",16.649999999999999]
["13023262","AMOXICILLIN CHEW-TAB:250MG",2.95]
["13010509","AMP/SULBACT(UNASYN)/NS IVPB:3GM/100ML",40.75]
["13010491","AMP/SULBACTAM(UNASYN)/NS IVPB:1.5GM/100M",35.25]
["13004535","AMP/SULBACTAM(UNASYN)/NS IVPB:3GM/100ML",43.6]
["13028949","AMP/SULBACTAM(UNASYN)INJ:3GM",36.15]
["10977794","AMPHET/METH BY GCMS 16913",174]
["13028260","AMPICILLIN 1GM INJ",35.299999999999997]
["13029097","AMPICILLIN CAP:500MG",2.9]
["13002357","AMPICILLIN INJ:250MG",34.4]
["13002365","AMPICILLIN INJ:2GM",36.35]
["13002373","AMPICILLIN INJ:500MG",35.950000000000003]
["13002340","AMPICILLIN/NS IVPB:1GM/100ML",49.35]
["13002366","AMPICILLIN/NS IVPB:2GM/100ML",46.5]
["20300573","AMPUT METATARSAL W/SNGL TOE-HPRO FEE",768]
["50100749","AMSLER GRID",11]
["13021597","AMVISC INJ:0.8ML",284.35000000000002]
["13021605","AMVISC PLUS INJECTION",200.05]
["10970077","AMYLASE",87]
["10979888","AMYLASE BODY FLUID",87]
["10902225","AMYLASE,UR TIMED W/CREAT",96.5]
["10970887","ANA SCREEN W/RFX 249",136]
[" 8025843","ANCHOR BIO PUSHLOCK",1294.75]
[" 8030603","ANCHOR BIO SWIVELOCK 5.5",1409.5]
[" 8029001","ANCHOR CORKSCREW AR-1928SF-45",838.9]
[" 8025421","ANCHOR CORKSCREW AR-1928SNF-2",1002.15]
[" 8027096","ANCHOR JUGGERKNOT",1327]
[" 8026940","ANES BREATH CIRC PED F2 YEL BAG",34]
[" 8013260","ANES BREATHING CIRCUIT ADULT",53.8]
[" 8019523","ANES BREATHING CIRCUIT PEDIATRIC",25.1]
[" 8013831","ANES CIRCUIT FILTER",3.95]
["21000618","ANES EPIDURAL BLOOD PATCH",408]
["21000019","ANESTHESIA PC 1 HR",1172]
["21000027","ANESTHESIA PC 1.25 HR",1302]
["21000035","ANESTHESIA PC 1.50 HR",1432]
["21000043","ANESTHESIA PC 1.75 HR",1562]
["21000050","ANESTHESIA PC 2 HR",1692]
["21000068","ANESTHESIA PC 2.25 HR",1822]
["21000076","ANESTHESIA PC 2.50 HR",1952]
["21000084","ANESTHESIA PC 2.75 HR",2082]
["21000092","ANESTHESIA PC 3 HR",2212]
["21000100","ANESTHESIA PC 3.25 HR",2342]
["21000118","ANESTHESIA PC 3.50 HR",2472]
["21000126","ANESTHESIA PC 3.75 HR",2602]
["21000134","ANESTHESIA PC 4 HR",2732]
["21000142","ANESTHESIA PC 4.25 HR",2862]
["21000159","ANESTHESIA PC 4.50 HR",2992]
["21000167","ANESTHESIA PC 4.75 HR",3122]
["21000175","ANESTHESIA PC 5 HR",3252]
["21000183","ANESTHESIA PC 5.25 HR",3382]
["21000191","ANESTHESIA PC 5.50 HR",3512]
["21000209","ANESTHESIA PC 5.75 HR",3642]
["21000217","ANESTHESIA PC 6 HR",3772]
["21000225","ANESTHESIA PC 6.25 HR",3902]
["21000233","ANESTHESIA PC 6.50 HR",4032]
["21000241","ANESTHESIA PC 6.75 HR",4162]
["21000258","ANESTHESIA PC 7 HR",4292]
["21000266","ANESTHESIA PC 7.25 HR",4422]
["21000274","ANESTHESIA PC 7.50 HR",4552]
["21000282","ANESTHESIA PC 7.75 HR",4682]
["21000290","ANESTHESIA PC 8 HR",4812]
["21300019","ANESTHESIA TC 1 HR",131]
["21300027","ANESTHESIA TC 1.25 HR",146]
["21300035","ANESTHESIA TC 1.50 HR",161]
["21300043","ANESTHESIA TC 1.75 HR",176]
["21300050","ANESTHESIA TC 2 HR",191]
["21300068","ANESTHESIA TC 2.25 HR",206]
["21300076","ANESTHESIA TC 2.50 HR",221]
["21300084","ANESTHESIA TC 2.75 HR",236]
["21300092","ANESTHESIA TC 3 HR",251]
["21300100","ANESTHESIA TC 3.25 HR",266]
["21300118","ANESTHESIA TC 3.50 HR",281]
["21300126","ANESTHESIA TC 3.75 HR",296]
["21300134","ANESTHESIA TC 4 HR",311]
["21300142","ANESTHESIA TC 4.25 HR",326]
["21300159","ANESTHESIA TC 4.50 HR",341]
["21300167","ANESTHESIA TC 4.75 HR",356]
["21300175","ANESTHESIA TC 5 HR",371]
["21300183","ANESTHESIA TC 5.25 HR",386]
["21300191","ANESTHESIA TC 5.50 HR",401]
["21300209","ANESTHESIA TC 5.75 HR",416]
["21300217","ANESTHESIA TC 6 HR",431]
["21300225","ANESTHESIA TC 6.25 HR",446]
["21300233","ANESTHESIA TC 6.50 HR",461]
["21300241","ANESTHESIA TC 6.75 HR",476]
["21300258","ANESTHESIA TC 7 HR",491]
["21300266","ANESTHESIA TC 7.25 HR",506]
["21300274","ANESTHESIA TC 7.50 HR",521]
["21300282","ANESTHESIA TC 7.75 HR",536]
["21300290","ANESTHESIA TC 8 HR",551]
["10973519","ANGIOTENS 1 CON ENZ 683",143.5]
["20300624","ANKLE ARTHROTOMY-HPROV FEE",1035]
["15001015","ANKLE BILATERAL COMPL-3V MIN",536.5]
["15501015","ANKLE BILATERAL COMPL-3V MIN READ",66]
["15001079","ANKLE BILATERAL LTD-2V",447.5]
["15736105","ANKLE COMP LT-3V MIN",268.25]
["15536105","ANKLE COMP LT-3V MIN READ",33]
["15000318","ANKLE COMP RT-3V MIN",268.25]
["15500318","ANKLE COMP RT-3V MIN READ",33]
["15736006","ANKLE LTD LEFT-2V",223.75]
["15536006","ANKLE LTD LEFT-2V READ",27]
["15000300","ANKLE LTD RIGHT-2V",223.75]
["15500300","ANKLE LTD RIGHT-2V READ",27]
[" 8015653","ANKLE SUPPORT STIRRUP STYLE",37.200000000000003]
[" 8024994","ANKLE SUPPORT STRAP LOK LARGE",59.7]
[" 8024986","ANKLE SUPPORT STRAP LOK MEDIUM",59.7]
[" 8024978","ANKLE SUPPORT STRAP LOK SMALL",59.7]
[" 8025009","ANKLE SUPPORT STRAP LOK X LARGE",59.7]
[" 8024960","ANKLE SUPPORT STRAP LOK X SMALL",59.7]
["20301569","ANNUAL ALCOHOL MISUSE SCR 15MIN-CPROV FE",17]
["20388568","ANNUAL ALCOHOL MISUSE SCR 15MIN-FAC FEE",16]
["20301575","ANNUAL DEPRESSION SCR 15 MIN- CPROV FEE",17]
["20388574","ANNUAL DEPRESSION SCR 15 MIN-FAC FEE",15]
["20301564","ANNUAL WELLNESS INCL PPS 1ST VISIT-CPROV",302]
["20301566","ANNUAL WELLNESS INCL PPS SUBSQ VST-CPROV",205]
["20300866","ANOSCOPY DX W-W/O SPEC COL-CPRO FEE",74]
["20388865","ANOSCOPY DX W-W/O SPEC COLL-FAC FEE",84]
["20300868","ANOSCOPY W/RMVL TUMOR HOT BX-HPROV FEE",146]
["13007620","ANTACID LIQUID:360ML",9.35]
["20301040","ANTEPARTUM CARE 4-6 VISITS-CPRO FEE",636]
["20388039","ANTEPARTUM CARE 4-6 VISITS-FAC FEE",171]
["20301043","ANTEPARTUM CARE 7+ VISITS-CPRO FEE",1118]
["20388042","ANTEPARTUM CARE 7+ VISITS-FAC FEE",325]
["10973626","ANTI-CARDIOLIPIN G/M 36333",140]
["10970286","ANTI-CCP 11173",211]
["10978757","ANTI-CENTROMERE W/RFX 16088",120.5]
["10973139","ANTI-DNA, DS 255",161.5]
["10976611","ANTI-DNASE B 256",187]
["10979326","ANTI-ENDOMYSIUM W/RFX 15064",121.5]
["10976959","ANTI-GAD-65 34878",211]
["13024005","ANTI-GAS ANTACID (MYLANTA) LIQUID:360ML",11.7]
["10977227","ANTI-GBM  257",184.5]
["10974962","ANTI-GLIADIN IGG/IGA 8889",125.5]
["10978058","ANTI-GLIADIN IgA 11228",125.5]
["10975601","ANTI-INSULIN AB RIA 36178",238]
["10979367","ANTI-ISLET CELL W/RFX 36741",148]
["10975565","ANTI-JO-1 5810",173.5]
["10973774","ANTI-MITOCHONDRIAL W/RFX 259",148.5]
["10974202","ANTI-MYELOPEROXIDASE 8796",176.5]
["10972867","ANTI-MYOCARDIAL W/RFX 261",197.5]
["10978849","ANTI-NEURONAL(HU) W/RFX 37053",130]
["10978046","ANTI-NEURONAL(RI)W/RFX 10140",130]
["10975712","ANTI-NEUT CYTOPL VASC AB 36733",353]
["10977940","ANTI-NEUTROPHIL AB 1606",200]
["10976406","ANTI-PARIETAL CELL W/RFX 262",114.5]
["10974210","ANTI-PROTEINASE 3 34151",176.5]
["10979219","ANTI-RETICULIN W/RFX 37520",122.5]
["10976746","ANTI-SCL 70 4942",168.5]
["10975779","ANTI-SJOGRENS SSA/SSB 7832",189.5]
["10974343","ANTI-SM & SM/RNP 7448",151.5]
["10973782","ANTI-SMOOTH MUSCLE 15043",99]
["10970895","ANTI-STREPTOLYSIN O 265",93]
["10972966","ANTI-THYROGLOBULIN 267",189.5]
["10971877","ANTI-TPO 5081",203.5]
["20301185","ANTICOAG MGMT PT WARFARIN-CPRO FEE",21]
[" 8027484","ANTIFUNGAL CREME 4 OZ",27.9]
[" 8027658","ANTIFUNGAL POWDER 3 OZ",19.600000000000001]
["10973592","ANTITHROMBIN 3 ACTIV 216",122.5]
["10979953","ANTITHROMBIN 3 ANTIG 5158",107]
["13002480","ANUCORT-HC 25MG SUPPOSITORY",14.65]
["10902404","APC RESISTANCE 22 (SURA'S)",119]
["13026929","APIXABAN (ELIQUIS)  5MG ORAL TABLET",9.6999999999999993]
["26550628","APPENDECTOMY",3459]
["20300789","APPENDECTOMY ADD ON-HPRO FEE",151]
["20300791","APPENDECTOMY RUPTURE/ABSCESS-HPRO FEE",1569]
["20300787","APPENDECTOMY-HPRO FEE",1152]
["26550495","APPL ARM CAST-LONG",308]
["26550487","APPL ARM CAST-SHORT",253]
["26551347","APPL FINGER SPLINT",192]
["20300584","APPL FOREARM CAST-CPROV FEE",111]
["20388583","APPL FOREARM CAST-FAC FEE",43]
["20388595","APPL FOREARM SPLINT-FAC FEE",50]
["26550529","APPL LEG CAST-LONG LEG",421]
["26550503","APPL LEG CAST-SHORT",308]
["26550537","APPL LEG CAST-WALKING",381]
["20300593","APPL SHORT ARM SPLINT-CPROV FEE",71]
["20388592","APPL SHORT ARM SPLINT-FAC FEE",45]
["20300608","APPL SHORT CAST-CPROV FEE",107]
["20388607","APPL SHORT CAST-FAC FEE",38]
["20300319","APPL SKIN GRAFT FACE,N,HF,G-CPRO FEE",171]
["20388318","APPL SKIN GRAFT FACE,N,HF,G-FAC FEE",94]
["20300313","APPL SKIN GRAFT TRK/ARM/LG 1ST 25SQ-HPRO",151]
["20300581","APPLIC LONG ARM CAST-CPROV FEE",122]
["20388580","APPLIC LONG ARM CAST-FAC FEE",50]
["26552023","APPLIC LONG ARM SPLINT",249]
["26552037","APPLIC LONG LEG SPLINT",243]
["26552005","APPLIC SHORT ARM SPLINT",192]
["26552016","APPLIC SHORT LEG SPLINT",229]
["20300599","APPLICATION FINGER SPLINT-CPROV FEE",51]
["20300602","APPLICATION FINGER SPLINT-CPROV FEE",61]
["20388598","APPLICATION FINGER SPLINT-FAC FEE",22]
["20388601","APPLICATION FINGER SPLINT-FAC FEE",32]
["20300605","APPLICATION LONG LEG CAST-CPROV FEE",180]
["20388604","APPLICATION LONG LEG CAST-FAC FEE",62]
["20300617","APPLICATION OF SPLINT-CPROV FEE",89]
["20388616","APPLICATION OF SPLINT-FAC FEE",39]
["20300596","APPLY FOREARM SPLINT-CPROV FEE",87]
["20300587","APPLY HAND/WRIST CAST-CPROV FEE",120]
["20388586","APPLY HAND/WRIST CAST-FAC FEE",50]
["20300590","APPLY LONG ARM SPLINT-CPROV FEE",105]
["20388589","APPLY LONG ARM SPLINT-FAC FEE",51]
["20300614","APPLY RIDGID LEG CAST-CPROV FEE",184]
["20388613","APPLY RIDGID LEG CAST-FAC FEE",48]
["20300611","APPLY SHORT LEG CAST-CPROV FEE",100]
["20388610","APPLY SHORT LEG CAST-FAC FEE",38]
[" 8021214","AQUA PAK 650ML 006-40",5.45]
["13002548","AQUAPHILLIC OINT",20.45]
["13011093","ARISTOCORT .1% OINT",13.35]
[" 8026551","ARM ELEVATOR UNIV",35.299999999999997]
["10974814","ARSENIC, BLOOD 269",193]
["10974806","ARSENIC, UR RANDOM 270",193]
["10975837","ARSENIC, URINE 24HR 36433",193]
["46001226","ART BLD COOXIMETER",272]
["46000764","ART BLD GAS STUDY",472.5]
["46000798","ART BLD PH ONLY",65]
[" 8020463","ARTERIAL CATH RADIAL 20GA",67.95]
[" 8016537","ARTERIAL CATH RADIAL 22GA",50.8]
["46000863","ARTERIAL LINE INSERT",148.5]
["46001116","ARTERIAL PUNCTURE",43]
["15781336","ARTHRITIS SURVEY",414.75]
["15581336","ARTHRITIS SURVEY READ",50]
["15000488","ARTHRO ELBOW LEFT",723.5]
["15000474","ARTHRO ELBOW RIGHT",723.5]
["15780244","ARTHRO HIP LEFT",723.5]
["15000391","ARTHRO HIP RIGHT",723.5]
["15735800","ARTHRO KNEE LEFT",979.5]
["15000284","ARTHRO KNEE RIGHT",979.5]
["15730405","ARTHRO SHLDR LEFT",723.5]
["15530405","ARTHRO SHLDR LEFT READ",87]
["15780749","ARTHRO SHLDR RIGHT",723.5]
["15570749","ARTHRO SHLDR RIGHT READ",87]
[" 8014219","ARTHRO TRAY DISP",72.95]
["15000529","ARTHRO WRIST LEFT",654.5]
["15000514","ARTHRO WRIST RIGHT",654.5]
["26551733","ARTHROCENTESIS LG JT",229]
["26551725","ARTHROCENTESIS MD JT",199]
["26551717","ARTHROCENTESIS SM JT",186]
["20300484","ARTHRODESIS ANKLE OPEN-HPROV FEE",1838]
["20300571","ARTHRODESIS GRT TOE METATARSOPH-HPRO FEE",1048]
["20300569","ARTHRODESIS MID/TARSOMETARSAL-HPRO FEE",1314]
["20300567","ARTHRODESIS SUBTALAR-HPRO FEE",1391]
["20300565","ARTHRODESIS TRIPLE-HPRO FEE",1677]
[" 8021909","ARTHROSCOPY BLADE 3.5 FULL RADIUS",303.45]
[" 8021875","ARTHROSCOPY BLADE 3.5 MENISCUS",314.25]
[" 8021925","ARTHROSCOPY BLADE 4.0 COUGAR",390.65]
[" 8021917","ARTHROSCOPY BLADE 4.0 FULL RADIUS",287.14999999999998]
[" 8021883","ARTHROSCOPY BLADE 4.0 MENISCUS",263.5]
[" 8021966","ARTHROSCOPY BLADE 4.0 RESECTOR",411.8]
[" 8021974","ARTHROSCOPY BLADE 4.5 ANGLED MENISCUS",347.65]
[" 8021958","ARTHROSCOPY BLADE 4.5 INCISOR",308.3]
[" 8021933","ARTHROSCOPY BLADE 5.0 COUGAR",390.65]
[" 8021891","ARTHROSCOPY BLADE 5.5 INCISOR PLUS",374.9]
[" 8025975","ARTHROSCOPY BURRS  EXTA LONG 4MM",80.75]
[" 8021859","ARTHROSCOPY BURRS 4.0 ROUND",214.15]
[" 8021867","ARTHROSCOPY BURRS 5.5 ROUND",281.7]
["20300440","ARTHROTOMY ANKLE W/RESCT SYNOVITIS-HPROV",1159]
["20300492","ARTHROTOMY INTRTRSLT/TRSOMT JT-HPROV FEE",647]
["13028192","ASCLERA INTRAVENOUS SOLUTION 10MG/1ML",58.3]
["13010723","ASCORBIC ACID (VITAMIN C) TAB:500MG",2.6]
["20300401","ASPIRATE/INJ GANGLION CYST-CPRO FEE",75]
["20388400","ASPIRATE/INJ GANGLION CYST-FAC FEE",32]
[" 8015067","ASPIRATOR MECONIUM",22.4]
["13002571","ASPIRIN 81MG ENTERIC COATED TAB:81MG",2.85]
["13002555","ASPIRIN E.C. TAB:325MG",3]
["13002563","ASPIRIN SUPP:300MG",6.8]
["13002456","ASPIRIN TAB:325MG",2.5499999999999998]
["13024619","ASPIRIN TABLET (FOR ER) 81MG CHEWABLE",3]
["20300758","ASSIST ANALYSIS SPNL INF PUMP W/REP-HPRO",19]
["20301482","ASSIST CESAREAN DELIVERY ONLY-HPROV FEE",445]
["20300770","ASSIST EXC INTRASPINAL LESION LMBR-HPROV",823]
["20300756","ASSIST IMPLANT SPINAL INFUSN PUMP-HPRO",206]
["20300754","ASSIST IMPLNT SPINAL CATH W/O LAMIN-HPRO",214]
["20301065","ASSIST LOW BACK DISK SURGERY-HPROV FEE",524]
["20300750","ASSIST RMVL SPINE INF DEVICE-HPROV",159]
["20301067","ASSIST SPINAL DISK SURG  ADD ON-HPROV FE",104]
["20301063","ASSIST THYROID REMOVAL-HPROV FEE",490]
["26551220","ASST C-SECT",767]
["10970580","AST",81]
[" 8020425","ASTIGMATISM CORRECTING FUNCTION/IOL",340.35]
["13024356","ATENOLOL (TENORMIN) TAB:25MG",3.15]
["13009923","ATENOLOL (TENORMIN) TAB:50MG",3]
["13024453","ATORVASTATIN (LIPITOR)TAB:10MG",2.95]
["13024154","ATORVASTATIN (LIPITOR)TAB:20MG",3.2]
["13024240","ATORVASTATIN (LIPITOR)TAB:40MG",3.1]
["13024496","ATORVASTATIN (LIPITOR)TAB:80MG",3.9]
["13002639","ATROPINE 1% OPTH SOLN:2ML",48.15]
["13000179","ATROPINE INJ:1MG/ML",47]
["13002597","ATROPINE PFS:1MG/10ML",51.25]
["22001006","ATTEMPTED SCOPING",543]
["50100854","AUDIOGRAM DECIBEL LOSS W/THRSHLD",31]
["50100866","AUDIOGRAM PURE TONE/OSHA",42]
["50100842","AUDIOGRAM SCREENING/PURE TONE AIR",31]
["13002647","AUGMENTIN 250/62.5MG SUSP:75ML (ER ONLY)",52.6]
["13027264","AUGMENTIN 600/42.9MG SUSP:75ML (ER ONLY)",30.15]
[" 8012452","AUTO SUTURES EEA 28",1451.25]
["13027272","AVITENE POWDER 1GM",201.2]
["20300233","AVULSION NAIL PLATE EA  ADDL-CPRO FEE",32]
["20388232","AVULSION NAIL PLATE EA  ADDL-FAC FEE",24]
["21000472","AWAKE INTUBATION",335]
["13024488","AZITHROMYCIN (ZITHROMAX) 100MG/5ML 15ML",27.8]
["13024100","AZITHROMYCIN (ZITHROMAX) 200MG/5ML:30ML",27.65]
["13022124","AZITHROMYCIN (ZITHROMAX) TAB:250MG",5.0999999999999996]
["13024487","AZITHROMYCIN (ZITHROMAX) TAB:500MG",4.7]
["13024431","AZITHROMYCIN (ZITHROMAX) TRI-PAK(3 TABS)",17.55]
["13024246","AZITHROMYCIN (ZITHROMAX) Z-PACK (6 TABS)",17.55]
["13023072","AZITHROMYCIN/D5W IVPB:500MG/250ML",48.55]
["13002704","AZTREONAM (AZACTAM)D5W IVPB:1GM/50 ML",93.6]
["13028547","AZTREONAM(AZACTAM) IVPB: 2 GM (PREDFINED",97.1]
["13002746","BACITRACIN OINT:28.4GM",14.3]
["13001540","BACITRACIN OINTMENT",9.15]
["13006705","BACLOFEN (LIORESAL) TAB 10MG",3.1]
["10971448","BACTI ACID FAST STAIN",55]
["10972131","BACTI AFB CULTURE",81.5]
["10971091","BACTI ANAEROBE ID",93]
["10972776","BACTI CULTURE TYPING",84]
["10973280","BACTI FUNGAL ID-MOLD(ST)",143.5]
["10974491","BACTI FUNGAL ID-YEAST(ST)",148.5]
["10971083","BACTI ID",43.5]
["10972743","BACTI LEGIONELLA CULT",74.5]
["10972735","BACTI LEGIONELLA DFA",58]
["10977711","BACTI MIC (ST V'S)",69.5]
["10972275","BACTI MYCOBACTERIUM SP PROBE",93]
["10972750","BACTI RSV CULTURE",197.5]
["10972768","BACTI RSV DFA",94.5]
["10971295","BACTI STOOL ADDL PATH",53.5]
["10971109","BACTI SUSCEPTIBILITY",69.5]
["10974426","BACTI SUSCEPTIBILITY, 1 CLASS",40]
["10972057","BACTI URINE MISC ID",34.5]
["10977248","BACTI VIRAL ID",47]
[" 8021198","BAG AEROSOL DRAINAGE SYSTEM",3.1]
[" 8000333","BAG BILE",45.9]
[" 8007718","BAG LEG DISPOSA 150832",19]
[" 8028094","BAKRI BALLOON",886.3]
["13026024","BANANA BAG (MVI, THIAMINE IN NS): 1000ML",43.3]
[" 8017766","BANDAGE ESMARK 4",18.2]
[" 8017758","BANDAGE ESMARK 6",21.75]
[" 8014888","BANDS-PARHAM",63.9]
[" 8005639","BARDPORT 8.0FR KIT",1152.3499999999999]
["10979615","BASIC MET PANEL (BMP)",78.5]
["10971059","BB ANTIBODY ID",146]
["10971711","BB PACKED RBCS EA UNIT",645]
["13024158","BCG TICE LIVE VACCINE:2ML",490.05]
["13010541","BECLOVENT INHALER",68.3]
["13010558","BECONASE NASAL INH:25GM",79.150000000000006]
["20301584","BEHAVORIAL COUNSEL OBESITY 15 MIN-CPRO F",42]
["20388582","BEHAVORIAL COUNSEL/OBESITY 15 MIN-FAC FE",4]
["13008180","BELLADONA/OPIUM (B&O) SUPP",35.65]
[" 8001976","BELT COLOSTOMY",19.95]
[" 8022022","BELT PELVIC TRACTION MED/LG",91.25]
[" 8000994","BELT PELVIC TRACTION SM/MED",79.75]
[" 8001026","BELT RIB LADIES",47.75]
[" 8019234","BELT RIB MENS",40.299999999999997]
["13029818","BENDAMUSTINE (BENDEKA) 25MG/ML  4ML",7069.25]
["13024381","BENZOCAINE (HURRICAINE) 20% SPRAY:60ML",51]
["13021332","BENZONATATE (TESSALON) PERLE:100MG",3.25]
["10979284","BETA 2 MICROGLOBULIN 852",141]
["13029990","BETADINE OPHTH SOLN 5%",16.95]
["13020250","BETAGAN 0.5% OPTH SOLN:5ML",44.5]
["13001094","BETAMETHASONE (CELESTONE) INJ:6MG/ML",110.15]
["13011473","BETOPTIC 0.5% OPTH SOLN:5ML",44.6]
["10972205","BHCG QUANT (PREG)",180]
["20388585","BICILLIN INJ 100,000 UNITS-FAC FEE",9]
["13002985","BICILLIN L-A INJ:1.2MMU",179.3]
["20301015","BIL ENDOSCOPIC TUBAL FULGARATION-HPROV",637]
["20301078","BILAT N BLOCK INJ/PLANTER DIGIT-CPRO FEE",124]
["20388077","BILAT N BLOCK INJ/PLANTER DIGIT-FAC FEE",44]
["10902748","BILE ACIDS 14801",71.5]
[" 8001117","BILI MASK",15.6]
["10977922","BILIRUBIN DIRECT",63]
["10970093","BILIRUBIN TOTAL",85.5]
[" 8018962","BINDER ABDOMINAL 30-45",49.05]
[" 8000903","BINDER ABDOMINAL 45 -62",54.45]
[" 8026700","BIOFREEZE GEL 4 OZ.",39.25]
["13030420","BIOFREEZE PROFESSIONAL ROLL-ON GEL 5%",14.85]
["20301081","BIOPSY EXTERNAL EAR-HPROV FEE",87]
[" 8025504","BIOPSY FORCEP COLD DISPOSABLE",54.55]
[" 8028987","BIOPSY FORCEP ENDOJAW HOT",93.65]
[" 8018053","BIOPSY FORCEP HOT-DISPOSABLE",165.4]
[" 8026809","BIOPSY FORCEP RADIAL JAW 4",245.15]
[" 8028664","BIOPSY FORCEP SWING JAW",35.65]
[" 8016495","BIOPSY GUIDE KIT",79.75]
[" 8025736","BIOPSY GUN/NEEDLE 14GA X 9CM",214.15]
[" 8027575","BIOPSY GUN/NEEDLE 16GAX20CM",204.4]
[" 8016776","BIOPSY GUN/NEEDLE 18GA X 9CM.",216.95]
[" 8020232","BIOPSY GUN/NEEDLE 18GAX 20CM",186.1]
[" 8024721","BIOPSY GUN/NEEDLE 20GA X 10CM",163.19999999999999]
[" 8029514","BIOPSY INST. MONOPTY 14GA X 10CM",199]
[" 8015562","BIOPSY INST. MONOPTY 16GA X 10CM",199]
[" 8028383","BIOPSY INST. MONOPTY 18GA X 10CM",209.8]
[" 8028391","BIOPSY INST. MONOPTY 18GA X 15CM",321.39999999999998]
[" 8028474","BIOPSY INST. MONOPTY 18GA X 16CM",298.55]
[" 8023897","BIOPSY MAX CORE 14GAx16CM",194.5]
[" 8024473","BIOPSY NEEDLE ASAP",252.5]
[" 8025777","BIOPSY NEEDLE GUIDE",86.55]
[" 8027856","BIOPSY NEEDLE GUIDE ULTRA-PRO II",88]
[" 8028532","BIOPSY NEEDLE SET 19 COAX & 20 CUT",283.75]
[" 8028417","BIOPSY NEEDLE SET QUICK-CORE COAXIAL",273.25]
[" 8028441","BIOPSY NEEDLE TRUGUIDE 13GX7.8",165.75]
[" 8028359","BIOPSY NEEDLE TRUGUIDE 15GX7.8",82.55]
[" 8028367","BIOPSY NEEDLE TRUGUIDE 17GX13.8",129.6]
[" 8028458","BIOPSY NEEDLE TRUGUIDE 17GX7.8",129.6]
[" 8029795","BIOPSY NEEDLE TRUGUIDE 19GX7.8",82.55]
["20300077","BIOPSY SKIN ADD ON-CPROV FEE",45]
["20388076","BIOPSY SKIN ADD ON-FAC FEE",13]
["20300074","BIOPSY SKIN LESION-CPROV FEE",87]
["20388073","BIOPSY SKIN LESION-FAC FEE",99]
["20388992","BIOPSY UTERUS LINING-FAC FEE",37]
["20300679","BIOPSY/EXC LYMPH NODES OPN SUPRFCL-HPROV",455]
[" 8026411","BIPASS PUSHER DISPOSABLE",647.20000000000005]
[" 8030199","BIPOLAR CABLE",32.35]
[" 8029548","BIPOLAR HEMO PROBE 7FR",555.25]
["13002993","BISACODYL (DULCOLAX) SUPP:10MG",2.9]
["13003009","BISACODYL (DULCOLAX) TAB:5MG",3.15]
["10970336","BKV qPCR, PLASMA (VIRACOR)",348.5]
["10970684","BKV qPCR, URINE  (VIRACOR)",348.5]
["26000546","BLADDER INSTILLATION",452]
["27000546","BLADDER INSTILLATION IF",452]
["26003224","BLADDER SCAN",158]
["27003224","BLADDER SCAN IF",158]
["20388946","BLADDER SCAN-FAC FEE",28]
[" 8017253","BLADE 15 DEGREE",56.75]
[" 8020349","BLADE 2.75 SLIT",96.9]
[" 8026775","BLADE 2.8mm ANGLED 45 DEGREE",92.35]
[" 8026726","BLADE 22.5 DEGREE STRAIGHT",63.9]
[" 8017279","BLADE 3.2 SLIT",118.25]
[" 8026767","BLADE 600 MICRON",125.45]
[" 8020521","BLADE AMK STABLCUT",550.4]
[" 8018483","BLADE BEAVER 6083",76.900000000000006]
[" 8018459","BLADE BEAVER 6480",49.65]
[" 8018467","BLADE BEAVER 6482",91.25]
[" 8018475","BLADE BEAVER 6980",118.25]
[" 8030405","BLADE COATED ELECTRO EXTND",22.6]
[" 8017261","BLADE CRESCENT",62.1]
[" 8011579","BLADE DERMATOME/BRWN",66.7]
[" 8011553","BLADE DERMATOME/DISP",42.05]
[" 8017329","BLADE ELECTRO EXTEN",16.95]
[" 8025215","BLADE ELECTRO NEEDLE",21.75]
[" 8029191","BLADE ELECTRODE INSULATED",20.25]
[" 8022444","BLADE ENDOTRAC HOOK",268.89999999999998]
[" 8022436","BLADE ENDOTRAC TRIANGLE",268.89999999999998]
[" 8028037","BLADE FULL RADIUS RESECTOR 3.5mm",267.39999999999998]
[" 8027070","BLADE GATOR MENISCUS CUTTER 4.2mm",250.65]
[" 8027799","BLADE GREAT WHITE 3.5mm",267.39999999999998]
[" 8027054","BLADE GREAT WHITE 4.2mm",267.39999999999998]
[" 8026734","BLADE I-KNIFE",31.55]
[" 8027526","BLADE MICRO-SHARP 3mm 15 DEGREE",15.5]
[" 8030587","BLADE MICRO-SHARP 5.0MM",15.99]
[" 8026320","BLADE OSCILLATOR 5071-145",119.75]
[" 8025074","BLADE OSCILLATOR NEXGEN",241.55]
[" 8014367","BLADE OSCILLATOR SAW 5.5X12",48.7]
[" 8026056","BLADE OSCILLATOR SAW 5.5X18.5",37.799999999999997]
[" 8027062","BLADE OVAL BUR 4.0mm",267.39999999999998]
[" 8025066","BLADE RECIPROCATING 5052-173",50.8]
[" 8025405","BLADE RECIPROCATING 5052-261",47.75]
[" 8027229","BLADE RECIPROCATING 70X12.5X.8",159.69999999999999]
[" 8027278","BLADE SAFETY SIDEPORT STRAIGHT 15",63.9]
[" 8027211","BLADE SAGITTAL 13X1.19X70",286.25]
[" 8027203","BLADE SAGITTAL 25X1.19X90",308.3]
[" 8024689","BLADE SAGITTAL SAW 5023-138",82.6]
[" 8011595","BLADE SAW/GIGLI",62.5]
[" 8026742","BLADE SLIT KNIFE",125.45]
[" 8029712","BLADE SLIT-ANGLED 2.8mm",46.95]
[" 8029670","BLADE SURGICAL ALCON",23.9]
[" 8026759","BLADE V LANCE",98.05]
[" 8014292","BLADE-6980",79]
["46000103","BLAND AEROSOL INITIAL",104]
["46002133","BLAND AEROSOL SUBSEQUENT",104]
["13024545","BLEOMYCIN SULFATE 30 UNITS",158.1]
["26000178","BLOOD ADMIN ADDTL HR",77]
["26000160","BLOOD ADMINISTRATION 1 HR",408]
["27000160","BLOOD ADMINISTRATION 1 HR IF",408]
["26002952","BLOOD ADMINISTRATION 10 HR",1101]
["27002952","BLOOD ADMINISTRATION 10 HR IF",1101]
["26002863","BLOOD ADMINISTRATION 13 HR",1332]
["26000199","BLOOD ADMINISTRATION 2 HR",485]
["27000199","BLOOD ADMINISTRATION 2 HR IF",485]
["26002214","BLOOD ADMINISTRATION 3 HR",562]
["27002214","BLOOD ADMINISTRATION 3 HR IF",562]
["26002382","BLOOD ADMINISTRATION 4 HR",639]
["27002382","BLOOD ADMINISTRATION 4 HR IF",639]
["26002460","BLOOD ADMINISTRATION 5 HR",716]
["27002460","BLOOD ADMINISTRATION 5 HR IF",716]
["26002549","BLOOD ADMINISTRATION 6 HR",793]
["27002549","BLOOD ADMINISTRATION 6 HR IF",793]
["26002627","BLOOD ADMINISTRATION 7 HR",870]
["27002627","BLOOD ADMINISTRATION 7 HR IF",870]
["26002705","BLOOD ADMINISTRATION 8 HR",947]
["27002705","BLOOD ADMINISTRATION 8 HR IF",947]
["26002834","BLOOD ADMINISTRATION 9 HR",1024]
["27002834","BLOOD ADMINISTRATION 9 HR IF",1024]
[" 8021669","BLOOD COLLECTION SET",5.35]
["10902423","BLOOD CULTURE ID PANEL PCR",196]
["26551626","BLOOD GASES DRAW",106]
[" 8017063","BLOOD WARMING SET",85.55]
[" 8027955","BLOOD/FLUID WARMING SET",193.65]
["10975075","BNP PRO N TERMINAL",268]
["50100503","BODY COMPOSITION BY OH",11]
["15760204","BONE AGE STUDIES",317.75]
[" 8029944","BONE BIOPSY NEEDLE 17GA X10CM",524.9]
[" 8022253","BONE CANCELLOUS FREEZE DRY 15CC",1128.05]
[" 8022261","BONE CANCELLOUS FREEZE DRY 30CC",1530.05]
[" 8012247","BONE CEMENT 20GM",281.7]
[" 8020448","BONE CEMENT 40GM",326.3]
[" 8013369","BONE CEMENT INJECTOR CARTRIDGE (mixer)",561.5]
[" 8013351","BONE CEMENT MIXER III",245.15]
[" 8012262","BONE CEMENT MIXER PRISM 2",753.4]
[" 8013344","BONE CEMENT ST NOZZL",59.4]
[" 8018038","BONE CEMENT TOTAL JOINT KIT",885.65]
["15760402","BONE LENGTH STUDY",427]
["15560402","BONE LENGTH STUDY READ",52]
["26003370","BONE MARROW ASPIRATION W/BX",455]
["26002995","BONE MARROW BIOPSY",345]
["15760600","BONE SURVEY",578.5]
["15780913","BONE SURVEY INFANT",352.5]
[" 8011512","BONE WAX",19.3]
["13027717","BONIVA IV SOLN 1MG/1ML",457.5]
["10977610","BORDETELLA PERTUSSIS PCR (STATE)",177.5]
["13024337","BORTEZOMIB (VELCADE) INJ:3.5MG",4954.8999999999996]
["13028672","BOTOX  PWD FOR SOLN 100U",1875.85]
["13028909","BOTOX PWD FOR SOLN 50U",1061.4000000000001]
["20300751","BOWEL TO BOWEL FUSION-HPROV FEE",2358]
["20301543","BREAST & PELVIC EXAM-CPROV FEE",49]
["20388542","BREAST & PELVIC EXAM-FAC FEE",18]
["20300355","BREAST BX W/LOC DEV&IMG 1ST LES-HPROV FE",283]
[" 8029860","BREAST PUMP KIT",166.35]
[" 8016206","BREAST SHIELD SMALL",10.7]
[" 8013005","BREAST SHIELD STANDARD",10.7]
[" 8002263","BREAST SHIELDS PLASTIC",35]
["50100055","BREATH ALCOHOL-DOT",38]
["50100064","BREATH ALCOHOL-nonDOT",38]
["20388201","BRIEF EMOTIONAL/BEHAV ASSESSMENT-FAC FEE",11]
["20301572","BRIEF F2F BEHVL COUNSEL/ALCOHOL-CPROV FE",42]
["20388571","BRIEF F2F BEHVL COUNSEL/ALCOHOL-FAC FEE",4]
["13008313","BROMOCRIPTINE TAB:2.5MG",4.6500000000000004]
["20300642","BRONCHOSCOPY-HPROV FEE",235]
["10978799","BRUCELLA Ab (ST)",90]
[" 8014649","BRUSH GASTROSCOPE",54.2]
["13001078","BSS OPTH SOLN:15ML",13.05]
["13023197","BSS PLUS OPTH SOLN:500ML",157.44999999999999]
["41000716","BT ADL TRAIN EA 15MIN",90]
["41000674","BT BALANCE TRAIN EA 15MIN",90]
["41000313","BT CANALITH REPOSITIONING",90]
["41000800","BT DRY NEEDLING EA 15MIN",90]
["41000534","BT ELECT STIM EA 15MIN ATTENDED",90]
["41000544","BT ELECT STIM UNATTENDED",90]
["41001569","BT EVAL-HIGH COMPL 45MIN",360]
["41001547","BT EVAL-LOW COMPL 20MIN",180]
["41001554","BT EVAL-MOD COMPL 30MIN",270]
["41000658","BT GAIT TRAIN EA 15MIN",90]
["41000773","BT HOME TRACTION INST EA 15MIN",90]
["41000492","BT IONTOPHORESIS EA 15MIN",180]
["41000891","BT MANUAL THERAPY TECH EA 15MIN",90]
["41000633","BT MASSAGE",90]
["41000865","BT ORTHO FIT/TRAIN EA 15MIN",90]
["41000476","BT PHONOPHORESIS EA 15MIN",180]
["41000322","BT POSITIONAL BYSTAGMUS TEST",90]
["41008200","BT PROSTHETICS INITIAL TRAINING EA 15MIN",90]
["41001570","BT RE-EVALUATION",180]
["41001181","BT STRAP/ANKLE",180]
["41001147","BT STRAP/ELBOW-WRIST",180]
["41001152","BT STRAP/HAND-FINGER",167]
["41001168","BT STRAP/HIP",180]
["41001179","BT STRAP/KNEE",180]
["41001110","BT STRAP/LOW BACK",180]
["41001136","BT STRAP/SHOULDER",180]
["41001124","BT STRAP/THORAX",180]
["41000518","BT TENS APPLICATION",180]
["41000935","BT THERAPEUTIC ACT EA 15MIN",90]
["41000591","BT THERAPEUTIC EXER EA 15MIN",90]
["41000740","BT TRACTION/MECHANICAL",90]
["41000450","BT ULTRASOUND EA 15MIN",90]
["41000559","BT ULTRASOUND/E STIM EA 15MIN",90]
["41000947","BT WHEELCHAIR ACT EA 15MIN",90]
["41001394","BT/G BODY POSITION CURRENT STATUS",0.01]
["41001416","BT/G BODY POSITION D/C STATUS",0.01]
["41001405","BT/G BODY POSITION GOAL STATUS",0.01]
["41001427","BT/G CARRY CURRENT STATUS",0.01]
["41001448","BT/G CARRY D/C STATUS",0.01]
["41001438","BT/G CARRY GOAL STATUS",0.01]
["41001360","BT/G MOBILITY CURRENT STATUS",0.01]
["41001383","BT/G MOBILITY D/C STATUS",0.01]
["41001372","BT/G MOBILITY GOAL STATUS",0.01]
["41001484","BT/G OTHER PT/OT CURRENT STATUS",0.01]
["41001506","BT/G OTHER PT/OT D/C STATUS",0.01]
["41001492","BT/G OTHER PT/OT GOAL STATUS",0.01]
["41001457","BT/G SELF-CARE CURRENT STATUS",0.01]
["41001473","BT/G SELF-CARE D/C STATUS",0.01]
["41001465","BT/G SELF-CARE GOAL STATUS",0.01]
["41001518","BT/G SUBSEQUENT PT/OT CURRENT STATUS",0.01]
["41001533","BT/G SUBSEQUENT PT/OT D/C STATUS",0.01]
["41001520","BT/G SUBSEQUENT PT/OT GOAL STATUS",0.01]
[" 8004731","BUCKS SPLINT APPLIC",98]
[" 8017683","BUCKS TRACTION BOOT",56.75]
[" 8029530","BULB & BLADDER CLEAN ASSEMBLY",124.8]
["13003082","BUMETANIDE (BUMEX) INJ:1MG/4ML",36.9]
["13003116","BUMETANIDE (BUMEX) TAB:0.5MG",4.1500000000000004]
["10970606","BUN",47]
["20300525","BUNION CORRECTION AUSTIN-CPRO FEE",919]
["20388524","BUNION CORRECTION AUSTIN-FAC FEE",715]
["13027764","BUPIVACAINE 0.75% INJ: 10ML",34.950000000000003]
["13030432","BUPIVACAINE 0.75%/DEXTROSE 8.25% INJ 2ML",35.75]
["13028492","BUPIVACAINE HCL PWD 1000MG",97.1]
["13027005","BUPIVACINE LIPOSOME(EXPAREL)1.3% INJ:20M",686.9]
[" 8020927","BUR OVAL MEDIUM 5091-236",56.3]
[" 8025926","BUR ROUND 5091-230",56.75]
["20388324","BURN DEBRDMT PARTIAL THICKNESS-FAC FEE",91]
["20300325","BURN DEBRDMT PARTIAL THICKNESS-HPROV FEE",241]
["26551741","BURN TREAT 1ST DEGREE",224]
["26551774","BURN TREAT LARGE",606]
["26551766","BURN TREAT MEDIUM",491]
["26551758","BURN TREAT SMALL",268]
[" 8030280","BURR EGG 4 MM",534.5]
[" 8028995","BURR OVAL 8 FLUTE",310.05]
[" 8030272","BURR PRECISION ROUND 4 MM",892.5]
["13009691","BUTORPAHNOL (STADOL) INJ:2MG/ML",44.05]
["20300357","BX BREAST OPEN-HPROV FEE",395]
["20300874","BX LIVER, WEDGE-HPRO FEE",1514]
["20300993","BX UTERUS LINING-CPRO FEE",154]
["20300976","BX VULVA/PERINEUM-CPRO FEE",107]
["20388975","BX VULVA/PERINEUM-FAC FEE",38]
["20300683","BX/REMOVAL LYMPH NODES-HPROV",782]
["13028997","Biotene Moisturizing Mouth Oral Spray",14.14]
["10973391","C DIFFICILE PCR",177.5]
["20301052","C DLVR ONLY W/POSTPARTUM CARE-HPROV FEE",2255]
["10970535","C-PEPTIDE 372",140]
["11851220","C-SECTION ASSIST",445]
["26550636","C-SECTION W/OB CARE",4304]
["10976781","C1 ESTERASE INH,FUNCT 297",135.5]
["10973642","C1 INHIBITOR, PROT 298",143.5]
["10971778","CA 125 29256",216.5]
["10975190","CA 15-3 5819",184.5]
["10978823","CA 19-9 4698",184.5]
["10972891","CA 27.29 29493",128.5]
[" 8030389","CADD INFUSION SET",51.9]
["13021746","CADD-PCA 100ML CASSETTE",87.7]
["13030379","CAFFEINE TABLET 200MG",0.8]
["10970080","CAFFEINE, SERUM 305",173.5]
["13030570","CAFFINE CITRATE INJ: 60MG/3ML",43.95]
["13021423","CALAN SR TAB:240MG",4.7]
[" 8026189","CALAZIME PROTECTANT PASTE",34.450000000000003]
["20300541","CALCANEAL FRACTURE-CPRO FEE",404]
["20388540","CALCANEAL FRACTURE-FAC FEE",40]
["13022322","CALCITONIN (MIACALCIN) NASAL SPRAY:3.7ML",173.1]
["13024197","CALCITRIOL (ROCALTROL) CAP:0.25MCG",3.6]
["10970127","CALCIUM",75]
["13001458","CALCIUM CARBONATE (TUMS) TAB:500MG",2.95]
["13003207","CALCIUM CL PFS:1GM/10ML",47.95]
["13003223","CALCIUM GLUC 10% INJ:4.65mEq/10ML",45]
["10974509","CALCIUM, IONIZED 306",125.5]
["10902214","CALCIUM,UR 24HR W/CREAT",81.5]
["10902164","CALCIUM,UR RANDOM W/CREAT",81.5]
["10902122","CALCIUM,URINE 24HR",81.5]
["10902594","CAMPYLOBACTER ANTIGEN",97]
["20301712","CANALITH REPOSITIONING-CPRO FEE",66]
["20388047","CANALITH REPOSITIONING-FAC FEE",10]
["10976542","CANDIDA ALBICANS AG 34336",114.5]
[" 8027567","CANNULA ANTERIOR CHAMBER RYCROFT",17.350000000000001]
[" 8028920","CANNULA CRYSTAL",136.05000000000001]
[" 8028011","CANNULA CRYSTAL PART THREADED",136.05000000000001]
[" 8029233","CANNULA CRYSTAL SMOOTH",136.05000000000001]
[" 8029894","CANNULA CVD 22GA X50MM X5MM",212.65]
[" 8019515","CANNULA DISP INNER SZ10",18.2]
[" 8016883","CANNULA DISP INNER SZ4",18.2]
[" 8019499","CANNULA DISP INNER SZ6",23.15]
[" 8019507","CANNULA DISP INNER SZ8",14.95]
[" 8026494","CANNULA DISPO 7.0X75MM RIGID",222.8]
[" 8026429","CANNULA DISPO 8.5X75MM FLEXIBLE",214.15]
[" 8026486","CANNULA DISPO 8.5X75MM RIGID",222.8]
[" 8026528","CANNULA DISPO 8.5X85MM RIGID",222.8]
[" 8028003","CANNULA TWIST-IN",136.05000000000001]
[" 8029381","CANNULA VENOM 18GA X 100MM",227.55]
[" 8029399","CANNULA VENOM 18GA X 150MM",212.65]
[" 8029407","CANNULA VENOM 20GA X 100MM",212.65]
[" 8029415","CANNULA VENOM 20GA X 150MM",212.65]
["46002265","CAPNOGRAPHY",215.5]
["13022348","CAPSAICIN 0.025% CRM:60GM",18.05]
[" 8028144","CAPSULAR TENSION RING 14C",693.85]
[" 8030413","CAPSULAR TENSION RING EYEJET 14C",727.05]
[" 8028136","CAPSULAR TENSION SEGMENT 6D",754.2]
[" 8028110","CAPSULE RETRACTOR",525.45000000000005]
[" 8029928","CAPSULE RETRACTOR",524.9]
["10971844","CARBAMAZEPINE  329",144]
["13009493","CARBIDOPA/LEVODOPA (SINEMET) 25/100 TAB",3.35]
["13009501","CARBIDOPA/LEVODOPA (SINEMET) 25/250 TAB",3.35]
["13009527","CARBIDOPA/LEVODOPA(SINEMET CR)50/200 TAB",4.7]
["10970259","CARBON DIOXIDE TOTAL",43]
["13024244","CARBOplatin (PARAPLATIN) INJ:150MG",78.5]
["13028568","CARBOplatin (PARAPLATIN) INJ:450MG",135.94999999999999]
["13024086","CARBOplatin (PARAPLATIN) INJ:50MG",53.85]
["13028541","CARBOplatin (PARAPLATIN) INJ:600MG",110.15]
["44000030","CARDIAC REHAB W/ECG MONITORING",190]
["44000116","CARDIAC REHAB W/ECG MONITORING/MONTHLY",38]
["44000014","CARDIAC REHAB W/O ECG",190]
["46000954","CARDIAC STRESS TEST TRACING ONLY",681.5]
["20301175","CARDIO STRESS TEST INTRP/REPT-HPROV FEE",26]
["20301173","CARDIO STRESS TEST W/PHYS SUPRVSN-HPROV",39]
["20301171","CARDIO STRESS TEST W/SUP,INTRP,RPT-HPROV",125]
["11800316","CARDIOVERSION BY HOSPITALIST",219]
["26003189","CARDIOVERSION-ER",864]
[" 3000346","CARDIOVERSION-HIGH ACUITY",722]
["20301462","CARE MGMT BHI MIN 20 MIN/MO-CPROV FEE",56]
["20388461","CARE MGMT BHI MIN 20 MIN/MO-FAC FEE",27]
["13027579","CARFILZOMIB(KYPROLIS)INJ:60 MG",7035.25]
["13003355","CARISOPRODOL (SOMA) TAB:350MG",2.85]
["10977025","CARNITINE FRCT SERUM 70107",209]
["10974277","CAROTENE 311",101]
["20300378","CARPAL TUNNEL INJ-CPRO FEE",103]
["20388377","CARPAL TUNNEL INJ-FAC FEE",34]
[" 8016560","CARRA GAUZE 4X4",48.55]
["13026011","CARVEDILOL (COREG) TAB:12.5MG",2.85]
["13020334","CARVEDILOL (COREG) TAB:25MG",2.95]
["13022173","CARVEDILOL (COREG) TAB:3.125MG",3.15]
["13023098","CARVEDILOL (COREG) TAB:6.25MG",3.25]
[" 8017055","CASH ORTHOSIS",527.95000000000005]
[" 8003998","CASSETTE COVER 14X17",30.35]
[" 8016685","CAST BOOT LARGE",61.5]
[" 8019325","CAST BOOT MEDIUM",59.45]
[" 8019333","CAST BOOT SMALL",62.1]
[" 8025454","CAST BOOT XLARGE",59.45]
[" 8021743","CAST LONG ARM FIBERGLASS",201.05]
[" 8021735","CAST LONG ARM PLASTER",102.2]
[" 8021784","CAST LONG LEG FIBERGLASS",252.6]
[" 8021776","CAST LONG LEG PLASTER",123.75]
[" 8021727","CAST SHORT ARM FIBERGLASS",118.6]
[" 8021719","CAST SHORT ARM PLASTER",62.95]
[" 8021768","CAST SHORT LEG FIBERGLASS",159.9]
[" 8021750","CAST SHORT LEG PLASTER",80.7]
["13003397","CATAPRES:0.1MG TAB",2.95]
["10973568","CATECHOL FRACT & TOTAL, UR 318",70]
["10973550","CATECHOL FRACT, PL 314",87.5]
[" 8001794","CATH #7 THM DIL  ADLT",380.25]
[" 8025520","CATH BDL LUMEN PED CVC",216.75]
[" 8016503","CATH KIT FEMALE",10.6]
[" 8016180","CATH PLUG",3.1]
[" 8014920","CATH SECURE HOLDER",7.6]
[" 8017493","CATH SET HS",169.05]
[" 8024028","CATH SINGLE LUMEN CVC",118.25]
[" 8016198","CATH TRAY #16 FOLEY",118.8]
[" 8015000","CATH TRI LUMEN CVC",489.85]
["26551840","CATH URETHRA SIMPLE",150]
[" 8002867","CATHETER 3 WAY 18FR 30CC",52.1]
[" 8019820","CATHETER 3 WAY 20FR. 30CC",26.7]
[" 8016586","CATHETER 3 WAY 22FR 30CC",52.1]
[" 8019838","CATHETER 3 WAY 24FR 30CC",52.65]
[" 8029092","CATHETER 30FR 30CC",41.75]
[" 8012361","CATHETER ADAPTERS",2.2000000000000002]
[" 8022196","CATHETER BALLOON DILATION 15FRX10CM",1023.9]
[" 8022204","CATHETER BALLOON DILATION 18FRX4CM",1162.6500000000001]
[" 8011116","CATHETER BILIARY BALLOON 5FR.",183.4]
[" 8023970","CATHETER BILIARY BALLOON 6FR",183.4]
[" 8001521","CATHETER CHOLANGEGRM",183.4]
[" 8016693","CATHETER COUDE 14FR 5CC",49.65]
[" 8019846","CATHETER COUDE 16FR 5CC",49.65]
[" 8019853","CATHETER COUDE 18FR 5CC",49.65]
[" 8019861","CATHETER COUDE 20FR 5CC",53.9]
[" 8028326","CATHETER COUDE 22FR 5CC",53.9]
[" 8028334","CATHETER COUNCILL 20FR 5CC",53.9]
[" 8001869","CATHETER DRAIN BAG LATEX FREE 154102",27.8]
[" 8011108","CATHETER EMBOLECTOMY",253.3]
[" 8024283","CATHETER FOGARTY IRRIG 6FR",85.55]
[" 8019697","CATHETER FOLEY 10FR 3CC",39.049999999999997]
[" 8021537","CATHETER FOLEY 10FR 3CC SILICONE",22.4]
[" 8014680","CATHETER FOLEY 12FR 5CC",21.15]
[" 8014698","CATHETER FOLEY 14FR 30CC",22.4]
[" 8019705","CATHETER FOLEY 14FR 5CC",20.55]
[" 8021529","CATHETER FOLEY 14FR 5CC SILICONE",20.55]
[" 8025546","CATHETER FOLEY 16 FR COUNCIL TIP",96.9]
[" 8019754","CATHETER FOLEY 16FR 30CC",23.7]
[" 8019713","CATHETER FOLEY 16FR 5CC",19.600000000000001]
[" 8021511","CATHETER FOLEY 16FR 5CC SILICONE",20.55]
[" 8025553","CATHETER FOLEY 18 FR COUNCIL TIP",96.9]
[" 8019762","CATHETER FOLEY 18FR 30CC",23.7]
[" 8019721","CATHETER FOLEY 18FR 5CC",20.55]
[" 8021503","CATHETER FOLEY 18FR 5CC SILICONE",21.15]
[" 8019770","CATHETER FOLEY 20FR 30CC",23.7]
[" 8019739","CATHETER FOLEY 20FR 5CC",20.55]
[" 8014672","CATHETER FOLEY 20FR 5CC SILICONE",21.15]
[" 8019788","CATHETER FOLEY 22FR 30CC",25.95]
[" 8019796","CATHETER FOLEY 24FR 30CC",26.7]
[" 8019747","CATHETER FOLEY 24FR 5CC",23.15]
[" 8019804","CATHETER FOLEY 26FR 30CC",24.4]
[" 8014664","CATHETER FOLEY 6FR 3CC",112.55]
[" 8019689","CATHETER FOLEY 8FR 3CC",39.049999999999997]
[" 8021545","CATHETER FOLEY 8FR 3CC SILICONE",22.4]
[" 8021461","CATHETER HEMOSTASIS 25G",303.45]
[" 8005100","CATHETER INTRO PERCT",16.25]
[" 8029886","CATHETER KIT MIDLINE",436.35]
[" 8029902","CATHETER KIT MIDLINE BARD",527.45000000000005]
[" 8001836","CATHETER KIT TROCAR 12FR",183.4]
[" 8020133","CATHETER KIT TROCAR 20FR",166.75]
[" 8020141","CATHETER KIT TROCAR 28FR",166.75]
[" 8022766","CATHETER MALE SELF ADHESIVE",10.6]
[" 8010076","CATHETER MALECOT",73.3]
[" 8014383","CATHETER METAL",288.39999999999998]
[" 8017642","CATHETER MIDLINE 3FR",216.75]
[" 8019663","CATHETER MIDLINE 4FR",234.3]
[" 8022162","CATHETER NEPHROSTOMY 20FR 5CC",108.2]
[" 8020257","CATHETER PYLORIC DILATION 36FR",630.54999999999995]
[" 8020265","CATHETER PYLORIC DILATION 45FR",630.54999999999995]
[" 8020273","CATHETER PYLORIC DILATION 54FR",949.1]
[" 8001638","CATHETER RED RUBBER 10FR",14.95]
[" 8019879","CATHETER RED RUBBER 12FR",3.5]
[" 8019887","CATHETER RED RUBBER 14FR",3.5]
[" 8019895","CATHETER RED RUBBER 16FR",3.1]
[" 8019903","CATHETER RED RUBBER 18FR",14.95]
[" 8029688","CATHETER SPHENO TUNGSTEN",511.6]
[" 8027757","CATHETER STABILIZATION DEVICE",54.65]
[" 8001679","CATHETER SUB CLAVIAN",24.85]
[" 8020166","CATHETER SUCTION 10FR",1.65]
[" 8020174","CATHETER SUCTION 14FR",1.95]
[" 8020182","CATHETER SUCTION 18FR",1.75]
[" 8012395","CATHETER SUCTION 6FR",1.65]
[" 8020158","CATHETER SUCTION 8FR",1.65]
[" 8026155","CATHETER THORACIC 10FR",24.4]
[" 8026163","CATHETER THORACIC 12FR",24.4]
[" 8020042","CATHETER THORACIC 16FR",52.6]
[" 8020034","CATHETER THORACIC 20FR",33.799999999999997]
[" 8020026","CATHETER THORACIC 24FR",33.799999999999997]
[" 8020018","CATHETER THORACIC 28FR",35]
[" 8020000","CATHETER THORACIC 32FR",57.25]
[" 8019994","CATHETER THORACIC 36FR",33.799999999999997]
[" 8001828","CATHETER THORACIC 40FR",33.799999999999997]
[" 8007700","CATHETER TRAY UNIVERSAL FOLEY",18.3]
[" 8010068","CATHETER TRAY URETHERAL #15",7.3]
[" 8007049","CATHETER TROCAR 20FR",91.25]
[" 8020059","CATHETER TROCAR 24FR",85.55]
[" 8020067","CATHETER TROCAR 28FR",85.55]
[" 8020075","CATHETER TROCAR 32FR",91.25]
[" 8020091","CATHETER TROCAR 9  10FR",102.6]
[" 8020109","CATHETER TROCAR 9  12FR",102.6]
[" 8020083","CATHETER TROCAR 9  8FR",118.25]
[" 8001844","CATHETER UMBILICAL 3.5FR",151.9]
[" 8020117","CATHETER UMBILICAL 5.0FR",163.19999999999999]
[" 8019812","CATHETER URETHERAL 8FR CONE",39.9]
[" 8020208","CATHETER URETHERAL POLLACK",82.25]
[" 8024622","CAUTERY BRUSH 18GA",130.65]
[" 8017071","CAUTERY GROUND PAD",16.95]
[" 8029167","CAUTERY GROUND PAD INFANT",26.7]
[" 8014904","CAUTERY HAND",48.65]
[" 8017089","CAUTERY HAND PENCIL",16.95]
[" 8014375","CAUTERY SUCTION",49.65]
[" 8016370","CAUTERY TIP CLEANER",2.65]
[" 8022014","CAUTERY TIP NON STICK",21.15]
["10970705","CBC W/DIFF",63.5]
["10970952","CEA 978",170]
["10976888","CEA PLEURAL FLUID 17584",190.5]
["13028048","CEFDINIR (OMNICEF) CAP: 300MG",3.4]
["13029608","CEFEPIME(MAXIPIME) INJ:2GM",47]
["13011101","CEFOTAN INJ:1GM",40.9]
["13003629","CEFOTAXIME (CLAFORAN) INJ:1GM",35.75]
["20388588","CEFTRIAXONE SODIUM INJ PER 250MG-FAC FEE",5]
["13003439","CEFUROXIME (CEFTIN) TAB:250MG",4.05]
["13027291","CEFUROXIME (CEFTIN) TAB:500 MG",8.0500000000000007]
["13020854","CELECOXIB (CeleBREX) CAP:100MG",7]
["13020730","CELECOXIB (CeleBREX) CAP:200MG",3.25]
["20388593","CELESTONE 6MG/ML-FAC FEE",10]
["10971612","CELL COUNT MISC FLDS",74.5]
["10975084","CELL COUNT W/DIFF, CSF",93]
["10971620","CELL COUNT W/DIFF, MSC FLUID",93]
["10975043","CELL COUNT W/DIFF, SYN FLUID",93]
["20300664","CENTRAL LINE INSERT W/SUBC PORT-HPROV FE",557]
["20300652","CENTRAL LINE INSERTION-HPROV FEE",175]
["13006275","CEPHALEXIN (KEFLEX) CAP:500MG",3.15]
["13001946","CEPHALEXIN 250MG CAPS (ER #30)",12.85]
["13006259","CEPHALEXIN 250MG/5ML SUSP:100ML",29]
["13021852","CEPHALEXIN 500MG CAPS #30 ER",20.75]
["10978864","CERULOPLASMIN 326",99.5]
["15720406","CERV A-P & LAT-2V",298.25]
["15520406","CERV A-P & LAT-2V READ",36]
["15720505","CERV COMPLETE-MIN 4V",461.75]
["15520505","CERV COMPLETE-MIN 4V READ",56]
["15720521","CERV INC FLEX & EXT",595.5]
["20301050","CESAREAN DELIVERY ONLY-HPROV FEE",1636]
["13020631","CETIRIZINE (ZYRTEC) TAB:10MG",3]
["13024689","CETUXIMAB (ERBITUX) INJ:100MG/50ML",3051.55]
["13024690","CETUXIMAB (ERBITUX) INJ:200MG/100ML",3051.55]
["43000322","CGM SENSOR (PT OWNED)PLACEMNT/MONITORING",120]
["43000315","CGM SENSOR PLACEMNT/MONITORING",300]
["20300731","CHANGE GASTROSTOMY TUBE-CPROV FEE",84]
["20388730","CHANGE GASTROSTOMY TUBE-FAC FEE",790]
[" 8015257","CHEMO ADMIN KIT",32.549999999999997]
["27003314","CHEMO PROLONGED INFUS/PER PUMP IF",621]
["15002358","CHEMODENERVATION CERVICAL DISTONIA",755.75]
["15002345","CHEMODENERVATION MIGRAINES",808]
["27003343","CHEMOTHERAPY EA SEQUENTIAL INFUS 1HR IF",206]
["26003343","CHEMOTHERAPY EA SEQUENTIAL INFUSION 1HR",206]
["26000477","CHEMOTHERAPY IM/SUBQ",167]
["26000866","CHEMOTHERAPY IM/SUBQ HORMONAL",167]
["27000866","CHEMOTHERAPY IM/SUBQ HORMONAL IF",167]
["27000477","CHEMOTHERAPY IM/SUBQ IF",167]
["26000491","CHEMOTHERAPY INFUSION 1 HR",716]
["27000491","CHEMOTHERAPY INFUSION 1 HR IF",716]
["26003245","CHEMOTHERAPY INFUSION EA ADDL HOUR",159]
["27003245","CHEMOTHERAPY INFUSION EA ADDL HR IF",159]
["26000483","CHEMOTHERAPY IV PUSH",203]
["26000877","CHEMOTHERAPY IV PUSH ADDL MEDS",167]
["27000877","CHEMOTHERAPY IV PUSH ADDL MEDS IF",167]
["27000483","CHEMOTHERAPY IV PUSH IF",203]
["26003314","CHEMOTHERAPY PROLONGED INFUS/PER PUMP",621]
["15781006","CHEST 3VIEW",359.75]
["15710308","CHEST COMP-MIN 4V",359.75]
["15710100","CHEST SINGLE VIEW",210]
["15510100","CHEST SINGLE VIEW READ",26]
["26003287","CHEST TUBE INSERTION-ER",688]
["20300644","CHEST TUBE INSERTION-HPROV FEE",281]
["26003290","CHEST TUBE INSERTION-TR",792]
["26551576","CHEST TUBE PLACEMENT",1135]
["15710209","CHEST TWO VIEW",283.5]
["15510209","CHEST TWO VIEW READ",35]
["10975266","CHLAMYDIA RNA TMA 11361",187.5]
["13020698","CHLORASEPTIC LOZENGES (BOX)",7.3]
["13003538","CHLORDIAZEPOXIDE (LIBRIUM) CAP:25MG",2.9]
["13001516","CHLORDIAZEPOXIDE 10MG CAPS #6",6.05]
["13024107","CHLORHEXIDINE (PERIDEX) 0.12% SOLN:473ML",12.9]
["10970135","CHLORIDE",43]
["10975324","CHLORIDE,UR RANDOM 14520",63]
["13010103","CHLORPROMAZINE:30MG/ML CON",12.7]
["13008297","CHLORZOXAZONE:500MG TAB",1.6]
["15743002","CHOLANGIO OPER",447.25]
["15543002","CHOLANGIO OPER READ",54]
["10970168","CHOLESTEROL",59.5]
["13009113","CHOLESTYRAMINE (PREVALITE) POWDER:231GM",123.35]
["10979920","CHOLINESTERASE PLASMA 335",78.5]
[" 8016412","CHOLY 10MM LONG TRCA",441.6]
[" 8015406","CHOLY 10MM THREAD SL",48.65]
[" 8015422","CHOLY 10MM TROCAR",527.95000000000005]
[" 8016420","CHOLY 12MM TROCARR",527.95000000000005]
[" 8015398","CHOLY 5MM THREAD SLV",48.65]
[" 8015430","CHOLY 5MM TROCAR",442.9]
[" 8016438","CHOLY ARROW CATH SET",369.1]
[" 8016461","CHOLY ENDO GRASPER",509.25]
[" 8015448","CHOLY ENDOCLIP APPLC",617.04999999999995]
["10974798","CHROMIUM, URINE 24HR 10944",198]
["20301465","CHRONIC CARE MGMT-CPROV FEE",56]
["20388463","CHRONIC CARE MGMT-FAC FEE",17]
["13024204","CILOSTAZOL (PLETAL)TAB:100MG",3.1]
["13009840","CIMETIDINE TAB:300MG",1.65]
["13028843","CIMZIA SUBQ SOLUTION 200MG/1ML",4033.9]
["13020680","CIPRO TAB:750MG",8.5500000000000007]
["13003587","CIPROFLOXAC(CILOXAN)0.3% OPTH SOLN: 5ML",13.1]
["13022033","CIPROFLOXACIN (CIPRO) IVPB:400MG/200ML P",35.85]
["13024577","CIPROFLOXACIN (CIPRO) IVPB:400MG/290ML P",37]
["13024725","CIPROFLOXACIN (CIPRO) TAB:250MG",3.1]
["13003611","CIPROFLOXACIN (CIPRO) TAB:500MG",3.15]
["13001581","CIPROFLOXACIN TABS:500MG(ER #10)",21.05]
["26551212","CIRCUMCISION 54160",364]
["20300958","CIRCUMCISION SURG NEONATE<28DAY-CPRO FEE",258]
["20388957","CIRCUMCISION SURG NEONATE<28DAYS-FAC FEE",135]
["20300955","CIRCUMCISION W/CLAMP W/REG BLK-CPRO FEE",176]
["20388954","CIRCUMCISION W/CLAMP W/REG BLK-FAC FEE",102]
["13024084","CISplatin INJ:100MG/100ML",48.1]
["13024083","CISplatin INJ:50MG/50ML",71.45]
["13024328","CITALOPRAM (CeleXA) TAB:10MG",3.05]
["13024470","CITALOPRAM (CeleXA) TAB:20MG",2.9]
["13024106","CITALOPRAM (CeleXA) TAB:40MG",2.85]
["10974657","CITRATE, URINE 24HR 4616",283.5]
["10970184","CK",89]
["10972219","CK MB MASS",163.5]
[" 8025637","CLAMP LARGE COMBO",1854.3]
[" 8025645","CLAMP LARGE MULTI PIN",2017.7]
["15730009","CLAVICLE LEFT",223.75]
["15530009","CLAVICLE LEFT READ",27]
["15780707","CLAVICLE RIGHT",223.75]
["15580707","CLAVICLE RIGHT READ",27]
["13003652","CLINDAMYCIN (CLEOCIN) CAP:150MG",3.95]
["13024032","CLINDAMYCIN (CLEOCIN) INJ:900MG/6ML",37.15]
["13024708","CLINDAMYCIN (CLEOCIN) IVPB: 900MG",37.15]
["13021985","CLINDAMYCIN:600MG INJ",33.450000000000003]
[" 8025876","CLIP FIXING DEVICE",281.7]
["10973162","CLOMIPRAMINE 30013",31]
["13003371","CLONIDINE (CATAPRES) TAB:0.1MG",3]
["13028493","CLONIDINE HYDROCHLORIDE POWDER 16MG",221.4]
["13003389","CLONIDINE(CATAPRES-TTS 1) PATCH:0.1MG/24",27.4]
["13020086","CLONIDINE(CATAPRES-TTS 2) PATCH:0.2MG/24",36.5]
["13024378","CLOPIDOGREL (PLAVIX) 75MG TABS (ER #4)",32.799999999999997]
["13023825","CLOPIDOGREL (PLAVIX) TAB:75MG",2.95]
["26552070","CLOSED TRMT NURSEMAID ELBOW",890.5]
["20388272","CLOSURE SPLIT WOUND-FAC FEE",161]
["20300273","CLOSURE SPLT WOUND-CPRO FEE",335]
["13024279","CLOTRIMAZOLE (LOTRIMIN) 1% CREAM:28 GRAM",11.65]
["13007570","CLOTRIMAZOLE:10MG",3.3]
["10973245","CLOZAPINE 1769",151.5]
["26550933","CLSD AC JT DISL W/MN",1169]
["26550883","CLSD AC JT DISL W/O",863]
["26550875","CLSD CLV FX W/MAN",1329]
["26550867","CLSD DLV FX W/O MAN",927]
["26551303","CLSD HUMERAL FX W/O",1248]
["26551287","CLSD PROX HUM FX W/O",1169]
["26552069","CLSD REDUC FX W/MANIP DISTAL RADIUS",1541.25]
["26551295","CLSD SHLD DISL",1207]
["20300556","CLSD TX GT TOE,PHLNX,PH W/O MAN-CPRO FEE",223]
["20388555","CLSD TX GT TOE,PHLNX,PH W/O MANI-FAC FEE",38]
["20300454","CLSD TX POST MALLEOLUS FX W/O M-HPROV FE",502]
["10975654","CMV AB, IgG 403",82]
["10975662","CMV AB, IgM 8503",82]
["10972856","CMV qPCR, PLASMA (VIRACOR)",348.5]
[" 8024085","COAG SHEARS 5MM PISTOL GRIP",1492.95]
[" 8024150","COAG SHEARS 5MM SCISSORGRIP",1227.5999999999999]
["10973154","COCCIDIOIDES AB 908",156.5]
["20301459","COG/FUNC ASSESSMENT-CPROV FEE",308]
["20388458","COG/FUNC ASSESSMENT-FAC FEE",109]
["13003769","COLCHICINE CAPLET :0.6MG (COLCRYS)",7]
["10970945","COLD AGGLUTININS 349",72]
["10977470","COLLAGEN 1 C-TELOPEPTIDE 17406",150.5]
["10977780","COLLAGEN XLNK/NTx 24HR 36421",150.5]
["10979359","COLLAGEN XLNK/NTx RAND 36167",134.5]
[" 8019119","COLLAR CERV FIRM LG",27.9]
[" 8019101","COLLAR CERV FIRM MED",27.9]
[" 8004681","COLLAR CERV FIRM SM",27.9]
[" 8022113","COLLAR CERV FIRM XLG",28.6]
[" 8019093","COLLAR CERV PHILADELPHIA LG",54.45]
[" 8019085","COLLAR CERV PHILADELPHIA MED",54.45]
[" 8004699","COLLAR CERV PHILADELPHIA PED",55.6]
[" 8019077","COLLAR CERV PHILADELPHIA SM",53.9]
[" 8020802","COLLAR CERVICAL/ADULT ADJ",47.5]
[" 8020828","COLLAR CERVICAL/MINI ADJ",47.5]
["15742707","COLON BARIUM ENEMA",518.5]
["20300757","COLON REMOVAL-HPROV FEE",2231]
["15742756","COLON W/AIR CONTRAST",967.25]
["15542756","COLON W/AIR CONTRAST READ",116]
["20300815","COLONOSCOPY DIAG-HPROV FEE",337]
["20301548","COLONOSCOPY SCR/HI RISK INDV-HPROV FEE",337]
["20301550","COLONOSCOPY SCR/LOW RISK INDV-HPROV FEE",337]
["20300777","COLONOSCOPY VIA STOMA W/BX-HPRO FEE",314]
["20300775","COLONOSCOPY VIA STOMA-HPRO FEE",285]
["20300819","COLONOSCOPY W/BIOPSY-HPROV FEE",366]
["20300823","COLONOSCOPY W/CONTROL BLEED-HPROV FEE",472]
["20300817","COLONOSCOPY W/FB REMOVAL-HPROV FEE",435]
["20300821","COLONOSCOPY W/TATTOO INJ-HPROV FEE",366]
["20300829","COLONOSCOPY/BAND LIG HEMORRHOID-HPROV FE",428]
["20300825","COLONOSCOPY/LSN RMVL HOT BX/CAU-HPROV FE",416]
["20300827","COLONOSCOPY/LSN RMVL SNARE-HPROV FEE",464]
["20300779","COLONOSCOPY>STOMA W/HOT BX TUMOR-HPRO FE",362]
[" 8013302","COLOSTOMY CLAMP",3.5]
[" 8019622","COLOSTOMY SKIN COND CREME",19.95]
[" 8019630","COLOSTOMY SKIN OINTMENT",21.75]
[" 8019614","COLOSTOMY SKIN WIPES",36.950000000000003]
["20300984","COLPOSCOPY CERVIX INCL UP/ADJ VAG-CPRO F",163]
["20388983","COLPOSCOPY CERVIX INCL UP/ADJ VAG-FAC  F",29]
["20300987","COLPOSCOPY CERVIX W/BX & ENDC CURET-CPRO",238]
["20388986","COLPOSCOPY CERVIX W/BX & ENDC CURET-FAC",29]
["20300990","COLPOSCOPY W/BX CERVIX-CPRO FEE",195]
["20388989","COLPOSCOPY W/BX CERVIX-FAC FEE",56]
["20300992","COLPOSCOPY W/ECC-CPRO FEE",181]
["20388991","COLPOSCOPY W/ECC-FAC FEE",55]
["10972933","COMA PANEL UR COMP 91359",418]
[" 8021826","COMBITUBE 37FR",369.1]
["10973105","COMPLEMENT C3 351",150.5]
["10971802","COMPLEMENT C4 353",150.5]
["10973964","COMPLEMENT TOT CH50 618",190.5]
["20301693","COMPLEX CCM 60+MIN/MO-CPROV FEE",92]
["20388024","COMPLEX CCM 60+MIN/MO-FAC FEE",71]
["20301695","COMPLEX CCM EA ADDL 30MIN-CPROV FEE",46]
["20388028","COMPLEX CCM EA ADDL 30MIN-FAC FEE",35]
["20300303","COMPLX REP TRUNK EA ADDL 5CM-HPROV FEE",133]
["20301407","COMPR PREV MED EST PT 1-4 CPROV FEE",135]
["20388406","COMPR PREV MED EST PT 1-4 FAC FEE",51]
["20301413","COMPR PREV MED EST PT 12-17 CPROV FEE",153]
["20388411","COMPR PREV MED EST PT 12-17 FAC FEE",51]
["20301416","COMPR PREV MED EST PT 18-39 CPROV FEE",157]
["20388414","COMPR PREV MED EST PT 18-39 FAC FEE",51]
["20301419","COMPR PREV MED EST PT 40-64 CPROV FEE",170]
["20388418","COMPR PREV MED EST PT 40-64 FAC FEE",51]
["20301410","COMPR PREV MED EST PT 5-11 CPROV FEE",135]
["20388409","COMPR PREV MED EST PT 5-11 FAC FEE",51]
["20301422","COMPR PREV MED EST PT 65+ CPROV FEE",179]
["20388421","COMPR PREV MED EST PT 65+ FAC FEE",60]
["20301395","COMPR PREV MED NEW PT 18-39 YRS-CPROV FE",172]
["20388393","COMPR PREV MED NEW PT 18-39 YRS-FAC FEE",59]
["20301398","COMPR PREV MED NEW PT 40-64 YRS-CPROV FE",209]
["20388396","COMPR PREV MED NEW PT 40-64 YRS-FAC FEE",59]
[" 8011819","COMPR SCREWS LAG",616.9]
["26551261","COMPREHENSIVE EXAM",967]
[" 8030009","COMPRESSION BANDAGE COFLEX",64.849999999999994]
[" 8023988","COMPRESSION BANDAGE SYSTEM",64.849999999999994]
["10979607","COMPRHNSV MET PANEL (CMP)",91.5]
[" 8028540","CONNECTING TUBE MALE TO MALE",58.05]
[" 8029696","CONNECTING TUBE WITH STOPCOCK",87.75]
[" 8027765","CONNECTOR IV NEEDLELESS",6.2]
[" 8002164","CONNECTORS PLASTIC",2.2000000000000002]
["20301302","CONSULTATION DETAILED-CPROV FEE",167]
["20388301","CONSULTATION DETAILED-FAC FEE",47]
["20301299","CONSULTATION EXP HX & EXAM-CPROV FEE",120]
["20388298","CONSULTATION EXP HX & EXAM-FAC FEE",37]
["20301296","CONSULTATION PROB FOCUSED-CPROV FEE",57]
["20388295","CONSULTATION PROB FOCUSED-FAC FEE",26]
["21000522","CONTINUOUS EPIDURAL",2182]
["20300631","CONTROL NOSE BLEED ANT SMPL-CPROV FEE",100]
["20388630","CONTROL NOSE BLEED ANT SMPL-FAC FEE",140]
["10978930","COPPER SERUM 363",126]
["10978948","COPPER, URINE 24 HR 365",126]
["10902828","CORDSTAT (USDTL)",303.5]
[" 8017311","CORNEAL LIGHT SHIELD",10.6]
["20300524","CORR HALLUX RIGIDUS W/O IMPL-HPRO",638]
["20300530","CORR HALLUX VALGUS DOUBLE OSTEO-CPRO FEE",1037]
["20300528","CORR HALLUX VALGUS PHALNX OSTEO-CPRO FEE",887]
["20388527","CORR HALLUX VALGUS PHALNX OSTEO-FAC FEE",644]
["10972875","CORTISOL AM 4212",118.5]
["10973816","CORTISOL FREE UR 24HR 11280",187]
["10972883","CORTISOL PM 4213",118.5]
["10975744","CORTISOL,FREE  SRM 36432",161.5]
["13003843","COSYNTROPIN (CORTROSYN) INJ 0.25MG",80.75]
["10979508","COXSACKIE B(1-6) AB 7656",83.5]
["46001812","CPAP/ BREATHING TX INITIAL",122.5]
["46001937","CPAP/ SUBSEQUENT TX",104]
["46001963","CPAP/BIPAP HOME INSTR/CONSULT",472.5]
["46001919","CPAP/BIPAP INIT/MGMT DAILY",775]
["10973956","CPK ISOENZYMES 4451",192]
[" 8017501","CPM KNEE PADS",76.900000000000006]
["26551592","CPR",799]
["46002518","CPR",1121.5]
["11800305","CPR  BY HOSPITALIST",336]
["50100650","CPR BOOK ONLY BY OH",18]
["50100569","CPR CARD BY OH",17]
["50100694","CPR COMBO CLASS",54]
["50100547","CPR EQUIPMENT RENTAL",108]
["50100647","CPR REPLACEMENT CARD BY OH",8]
["50100999","CPR SINGLE CLASS",135]
["26003104","CPR/ER",1123]
["46000715","CPT/PD INITIAL",104]
["46000707","CPT/PD SUBSEQUENT",104]
["10970192","CREATININE",47]
["10970200","CREATININE CLEARANCE 24HR",130]
["10970330","CREATININE, BODY FLUID",63]
["10970176","CREATININE,URINE 24HR",56]
["10975357","CREATININE,URINE RANDOM",56]
["20301655","CRISIS PSYCHOTHERAPY 60MIN-CPRO FEE",239]
["20301657","CRISIS PSYCHOTHERAPY EA ADDL 30MIN-CPRO",114]
["26551253","CRIT CARE 1ST 60 MIN",1106]
["26551246","CRIT CARE ADDL 30 MIN",557]
["11800182","CRITICAL CARE 30-74MIN",398]
["20301322","CRITICAL CARE ADDL 30 MIN-HPROV FEE",196]
["11800193","CRITICAL CARE EA ADDL 30MIN",199]
["20301320","CRITICAL CARE FIRST 30-74MIN-HPROV FEE",391]
["13024213","CROFAB ANTIVENIN:1GM",5644]
["10979797","CRP CARDIO 10124",126]
["10902199","CRP CMMC",82.5]
[" 8022352","CRYOCUFF COOLER & TUBE ASSY",263.5]
[" 8022360","CRYOCUFF KNEE-MEDIUM",331.6]
[" 8022378","CRYOCUFF SHOULDER",401.25]
["10973113","CRYOGLOBULINS 36562",66.5]
["10978625","CRYPTOCOCCAL AG, RFLX TITER 11196",114.5]
["10979565","CRYPTOSPORIDIUM AG (ST DFA)",114.5]
["10902808","CRYPTOSPORIDIUM AG 37213",76.5]
["10971240","CRYSTALS, SYN FLUID",39]
["18000271","CT 3-D/MIP",942.25]
["18000500","CT ABD RENAL COLIC",1397.25]
["18500500","CT ABD RENAL COLIC READ",224]
["18000057","CT ABD W/CONTRAST",1823.5]
["18500057","CT ABD W/CONTRAST READ",292]
["18000107","CT ABD W/O CONTRAST",1466.5]
["18500107","CT ABD W/O CONTRAST READ",235]
["18000024","CT ABD WO/W CONTRAST",2280.25]
["18500024","CT ABD WO/W CONTRAST READ",365]
["18500700","CT ABD-PELVIS W/CONTR READ",303]
["18000700","CT ABD-PELVIS W/CONTRAST",1892.25]
["18000694","CT ABD-PELVIS W/O CONTRAST",1397.25]
["18500694","CT ABD-PELVIS W/O CONTRAST READ",224]
["18000719","CT ABD-PELVIS WO/W CONTRAST",3085.5]
["18500719","CT ABD-PELVIS WO/W CONTRAST READ",494]
["18000533","CT ANGIO ABD AORTA W/RUNOFF",2036]
["18500533","CT ANGIO ABD AORTA W/RUNOFF READ",326]
["18000514","CT ANGIO ABDOMEN",1758.75]
["18000732","CT ANGIO ABDOMEN & PELVIS",3021]
["18500732","CT ANGIO ABDOMEN & PELVIS READ",484]
["18500514","CT ANGIO ABDOMEN READ",282]
["18000526","CT ANGIO CAROTID",1943.5]
["18500526","CT ANGIO CAROTID READ",311]
["18000721","CT ANGIO CHEST",1758.75]
["18500721","CT ANGIO CHEST READ",282]
["18000542","CT ANGIO HEAD",1943.5]
["18500542","CT ANGIO HEAD READ",311]
["18000470","CT ANGIO LEFT LWR EXTR W/WO",1962]
["18000604","CT ANGIO LEFT UPPER EXTR W/WO",1962]
["18000462","CT ANGIO RIGHT LWR EXTR W/WO",1962]
["18500462","CT ANGIO RIGHT LWR EXTR W/WO READ",314]
["18000488","CT ANGIO RIGHT UPPER EXTR W/WO",1962]
["18000205","CT ANGIO UPPER EXTR W/WO",1962]
["18001372","CT ASPIR/INJ GANGLION CYST ANY LOC",266]
["18001245","CT ASPIR/INJ PERC SPINAL CYST/SYRINX",1595.75]
["18000986","CT ASPIR/INJ RENAL CYST",554]
["18001394","CT BILIARY CATHETER PLACEMENT",1971.5]
["18000740","CT BIOPSY ABDOMEN MASS",631]
["18001634","CT BIOPSY BONE DEEP w/GUIDANCE",632]
["18000757","CT BIOPSY BONE SUPERFICIAL w/GUIDANCE",420.25]
["18000764","CT BIOPSY LIVER",420.75]
["18000771","CT BIOPSY LUNG LEFT",735.75]
["18000788","CT BIOPSY LUNG RIGHT",735.75]
["18001037","CT BIOPSY LYMPH NODE",435.75]
["18001386","CT BIOPSY MUSCLE w/GUIDANCE",362]
["18001065","CT BIOPSY PANCREAS",1484]
["18000795","CT BIOPSY RENAL LEFT",589]
["18000801","CT BIOPSY RENAL RIGHT",589]
["18000263","CT C-SPINE W/CONTRAST",1805.5]
["18000255","CT C-SPINE W/O CONTRAST",1564.5]
["18500255","CT C-SPINE W/O CONTRAST READ",251]
["18000420","CT C-SPINE WO/W CONTRAST",2259.75]
["18001044","CT CELIAC PLEXUS ABLATION",2198.75]
["18001483","CT CHANGE PERC TUBE",630]
["18000094","CT CHEST PE ANGIO W/CONT",1848.75]
["18500094","CT CHEST PE ANGIO W/CONT READ",296]
["18000081","CT CHEST W/CONTRAST",1848.75]
["18500081","CT CHEST W/CONTRAST READ",296]
["18000123","CT CHEST W/O CONTRAST",1580]
["18500123","CT CHEST W/O CONTRAST READ",253]
["18000032","CT CHEST WO/W CONTRAST",1991.25]
["18500032","CT CHEST WO/W CONTRAST READ",319]
["18000446","CT CYST ASPIRATION",2119]
["18001413","CT FLUID COLL DRAINAGE BY CATH-SFT TISSU",2198.75]
["18001013","CT FLUID COLL DRAINAGE BY CATH-VISCERAL",2198.75]
["18001425","CT FOREIGN BODY REMOVAL",619.5]
["18500065","CT HEAD W/CONTR READ",213]
["18000065","CT HEAD W/CONTRAST",1329.75]
["18000115","CT HEAD W/O CONTRAST",1199.25]
["18500115","CT HEAD W/O CONTRAST READ",192]
["18000016","CT HEAD WO/W CONTRAST",1971.5]
["18500016","CT HEAD WO/W CONTRAST READ",316]
["18000856","CT INJ CELIAC PLEXUS BLOCK",2198.75]
["18000863","CT INJ EPIDURAL C/T SPINE w/guidance",4397]
["18001051","CT INJ EPIDURAL L/S SPINE w/guidance",4397]
["18000948","CT INJ FACET C/T 2ND LEVEL",1538.75]
["18001282","CT INJ FACET C/T 2ND LVL BILATERAL",2902.25]
["18000955","CT INJ FACET C/T 3RD LEVEL/MORE",1538.75]
["18001296","CT INJ FACET C/T 3RD LVL/MORE BILATERAL",2902.25]
["18001279","CT INJ FACET C/T BILATERAL",4397.5]
["18000931","CT INJ FACET C/T SINGLE",2198.75]
["18000962","CT INJ FACET L/S 2ND LEVEL",1538.75]
["18001257","CT INJ FACET L/S 2ND LVL BILAT",2902.25]
["18000979","CT INJ FACET L/S 3RD LEVEL/MORE",1538.75]
["18001263","CT INJ FACET L/S 3RD LVL/MORE BILAT",2902.25]
["18001140","CT INJ FACET L/S BILATERAL",4397]
["18000870","CT INJ FACET L/S SINGLE",2198.75]
["18001623","CT INJ ILIOINGNL/ILIOHYPOGSTRC BILAT NRV",1143.5]
["18001469","CT INJ ILIOINGUINAL/ILIOHYPOGASTRIC NERV",571.75]
["18001494","CT INJ INTERCOSTAL NERVE BLK BILATERAL",819.5]
["18001505","CT INJ INTERCOSTAL NERVE BLOCK",409.75]
["18001510","CT INJ INTERCOSTAL NERVE BLOCK MULTI",552.5]
["18000218","CT INJ MICROWAVE LUNG TUMOR ABLATION",2216.25]
["18001353","CT INJ NERVE ABLATION GENICULAR/PERIPHRL",2198.75]
["18001167","CT INJ PARAVERTEBRAL SYMPATHETIC BILA LT",4397.5]
["18000849","CT INJ PARAVERTEBRAL SYMPATHETIC L/T",2198.75]
["18001315","CT INJ PERIPHERAL NERVE BRANCH BILATERAL",549]
["18001304","CT INJ PERIPHERAL NERVE BRANCH SINGLE",274.5]
["18000825","CT INJ PUDENDAL NERVE BLOCK",2198.75]
["18000888","CT INJ PUDENDAL NERVE BLOCK BILATERAL",4397.5]
["18001214","CT INJ SACROILIAC BILATERAL",4397.5]
["18000894","CT INJ SACROILIAC LEFT",2198.75]
["18000900","CT INJ SACROILIAC RIGHT",2198.75]
["18000818","CT INJ SCIATIC NERVE BLK SINGLE",2198.75]
["18000832","CT INJ STELLATE GANGLION BLOCK",2198.75]
["18001228","CT INJ TRANSFOR EPI CT SPINE EA ADDL LVL",1283.25]
["18001236","CT INJ TRANSFOR EPI LS SPINE EA ADDL LVL",1108.25]
["18001172","CT INJ TRANSFORAMINAL EPID C/T SPINE BIL",2682.75]
["18001183","CT INJ TRANSFORAMINAL EPID L/S SPINE BIL",2682.75]
["18000917","CT INJ TRANSFORAMINAL EPIDURAL C/T SPINE",2198.75]
["18000924","CT INJ TRANSFORAMINAL EPIDURAL L/S SPINE",2198.75]
["18001190","CT INJ TRANSFRMNL EPID CT BILAT ADDL LVL",2566.25]
["18001209","CT INJ TRANSFRMNL EPID LS BILAT ADDL LVL",2391.25]
["18001546","CT INJ TRIGEMINAL NERVE BLK BILATERAL",793.5]
["18001533","CT INJ TRIGEMINAL NERVE BLOCK",396.75]
["18001575","CT INTERMED JOINT ASPIR/INJ BILAT",416.5]
["18001562","CT INTERMED JOINT ASPIR/INJ LEFT",208.25]
["18001554","CT INTRMED JOINT ASPIR/INJ RIGHT",208.25]
["18001367","CT IR FINE NEEDLE ASPIRATION",377]
["18000355","CT L-SPINE W/CONTRAST",1805.5]
["18000040","CT L-SPINE W/O CONTRAST",1564.5]
["18500040","CT L-SPINE W/O CONTRAST READ",251]
["18000313","CT L-SPINE WO/W CONTRAST",2259.75]
["18000438","CT LIMITED CT FOLLOW UP",904.5]
["18001527","CT LOW EXT BILATERAL W/CONTRAST",3063]
["18001611","CT LOW EXT BILATERAL W/O CONTRAST",2670.5]
["18500626","CT LOW LEFT EXT W/CONTR READ",246]
["18000626","CT LOW LEFT EXT W/CONTRAST",1531.5]
["18000648","CT LOW LEFT EXT W/O CONTRAST",1335.25]
["18500648","CT LOW LEFT EXT W/O CONTRAST READ",214]
["18001076","CT LOW LEFT EXT WO/W CONTRAST",1608.5]
["18500615","CT LOW RIGHT EXT W/CONTR READ",246]
["18000615","CT LOW RIGHT EXT W/CONTRAST",1531.5]
["18500637","CT LOW RIGHT EXT W/O CONTR READ",214]
["18000637","CT LOW RIGHT EXT W/O CONTRAST",1335.25]
["18001082","CT LOW RIGHT EXT WO/W CONTRAST",1608.5]
["18001642","CT LUNG CANCER SCREEN LDCT",1600]
["18501642","CT LUNG CANCER SCREEN LDCT READ",256]
["18001341","CT MAJOR JOINT ASPIR/INJ BILATERAL",560]
["18001320","CT MAJOR JOINT ASPIR/INJ LEFT",280]
["18001338","CT MAJOR JOINT ASPIR/INJ RIGHT",280]
["18000388","CT MAXILLOFACIAL W/CONTRAST",1540]
["18500230","CT MAXILLOFACIAL W/O CONTR READ",213]
["18000230","CT MAXILLOFACIAL W/O CONTRAST",1328]
["18500396","CT MAXILLOFACIAL WO/W CONTR READ",286]
["18000396","CT MAXILLOFACIAL WO/W CONTRAST",1786.75]
["18000404","CT NECK W/CONTRAST",1540]
["18500404","CT NECK W/CONTRAST READ",247]
["18000248","CT NECK W/O CONTRAST",1328]
["18500412","CT NECK WO/W CONTR READ",316]
["18000412","CT NECK WO/W CONTRAST",1971.5]
["18000222","CT NEEDLE GUIDANCE",2198.75]
["18001599","CT NEPHROSTOMY CATHETER PLACEMENT",3278]
["18001607","CT NEPHROSTOMY TUBE EXCHANGE",2827.5]
["18000297","CT NON IONIC CONTRAST 300MGS IODINE ml",3.75]
["18000302","CT NON IONIC CONTRAST 370MGS IODINE ml",4.25]
["18000073","CT PELVIS W/CONTRAST",1791.5]
["18500073","CT PELVIS W/CONTRAST READ",287]
["18500131","CT PELVIS W/O CONTR READ",255]
["18000131","CT PELVIS W/O CONTRAST",1590]
["18500008","CT PELVIS WO/W CONTR READ",359]
["18000008","CT PELVIS WO/W CONTRAST",2240]
["18001532","CT PERC PULMONARY CRYO ABLATION",3637.5]
["18001020","CT PLACEMENT CATH PERC DRAIN",2198.75]
["18001476","CT PLEURAL DRAINAGE DEVICE INSERTION",991.5]
["18000370","CT POST FOSSA W/CONTRAST",1484.75]
["18000164","CT POST FOSSA W/O CONTRAST",1280.5]
["18000362","CT POST FOSSA WO/W CONTRAST",1900]
["18001588","CT SMALL JOINT ASPIR/INJ BILATERAL",556]
["18001006","CT SMALL JOINT ASPIR/INJ LEFT",278]
["18000993","CT SMALL JOINT ASPIR/INJ RIGHT",278]
["18000339","CT T-SPINE W/CONTRAST",1805.5]
["18000321","CT T-SPINE W/O CONTRAST",1564.5]
["18500321","CT T-SPINE W/O CONTRAST READ",251]
["18000347","CT T-SPINE WO/W CONTRAST",2259.75]
["18001458","CT UP BILAT EXT WO/W CONTRAST",4164.5]
["18000663","CT UP LEFT EXT W/ CONTRAST",1531.5]
["18000687","CT UP LEFT EXT W/O CONTRAST",1335.25]
["18001442","CT UP LEFT EXT WO/W CONTRAST",2082.25]
["18500652","CT UP RIGHT EXT W/ CONTR READ",245]
["18000652","CT UP RIGHT EXT W/ CONTRAST",1531.5]
["18000675","CT UP RIGHT EXT W/O CONTRAST",1335.25]
["18001437","CT UP RIGHT EXT WO/W CONTRAST",2082.25]
["18001155","CT VERTEBROPLASTY LS CERV EA ADDL",1286.75]
["18001099","CT VERTEBROPLASTY LUMBOSACRAL",2585.75]
["18001134","CT VERTEBROPLASTY THORACIC SPINE",2754]
["18000186","CT VISIPAQUE 320",5.25]
["10971034","CULTURE ANAEROBIC",96]
["10971182","CULTURE BLOOD #1",143]
["10975514","CULTURE BLOOD #2",143]
["10975522","CULTURE BLOOD #3",143]
["10976874","CULTURE BLOOD #4",143]
["10975365","CULTURE BODY FLUID",76.5]
["10972834","CULTURE CHLAMYDIA",161.5]
["10975373","CULTURE CSF",76.5]
["10975381","CULTURE EAR",76.5]
["10975399","CULTURE EYE",76.5]
["10971222","CULTURE FUNGAL OTHER",81]
["10971414","CULTURE FUNGAL SKIN,HR,NAIL",81]
["10975407","CULTURE GENITAL",76.5]
["10975449","CULTURE MISC",72]
["10977389","CULTURE MRSA/MSSA SCREEN",45]
["10973271","CULTURE NASOPHARYNGEAL",76.5]
["10974763","CULTURE SALMONELLA",94.5]
["10975415","CULTURE SPUTUM",76.5]
["10971067","CULTURE STOOL",94.5]
["10975910","CULTURE SYNOVIAL FLUID",76.5]
["10975423","CULTURE THROAT COMPLETE",76.5]
["10971190","CULTURE THROAT STREP GROUP A",45]
["10972040","CULTURE URINE",51]
["10979227","CULTURE VIBRIO",102]
["10975431","CULTURE WOUND",76.5]
["10979235","CULTURE YERSINIA 4487",102]
["20301027","CURETTAGE POSTPARTUM-HPROV FEE",309]
[" 8027674","CUT RESIST GLOVE LINER",278.5]
[" 8027377","CUTISORB SORBACT 2.75X3.5",57.25]
[" 8027468","CUTISORB SORBACT 2.75X3.5",27.9]
[" 8027393","CUTISORB SORBACT 4X4",31.8]
[" 8027369","CUTISORB SORBACT GAUZE",47.1]
[" 8028706","CUTTING FORCEP 5MM X 33CM",1703.8]
["13003959","CYANOCOBALAMIN (VIT B-12) INJ:1000MCG",35.299999999999997]
["13005129","CYCLOBENZAPRINE (FLEXERIL) TAB:10MG",3]
["13021860","CYCLOBENZAPRINE TABS (ER #6)",7.25]
["13027915","CYCLOPENTOLATE (CYCLOGYL) 1% OPTH GTT",10.199999999999999]
["13001102","CYCLOPENTOLATE (CYCLOGYL) 1% OPTH:15ML",26.8]
["13003983","CYCLOPHOSPHAMIDE (CYTOXAN) INJ:1GM",1669.1]
["13024446","CYCLOPHOSPHAMIDE (CYTOXAN) INJ:2GM",134.85]
["13011127","CYCLOPHOSPHAMIDE (CYTOXAN) INJ:500MG",765.35]
["10972701","CYCLOSPORIN (ST V'S)",324.5]
["10977759","CYSTINE,URINE 24HR 10947",145.5]
["10971450","CYSTINE,URINE 401",163]
["15744307","CYSTOGRAPHY",431]
["22001012","CYSTOSCOPY",585]
["26551332","CYSTOSTOMY TUBE CHANGE",348]
["27003278","CYSTOSTOMY TUBE CHANGE IF",300]
["26003269","CYSTOSTOMY TUBE CHANGE-ER",300]
["26003278","CYSTOSTOMY TUBE CHANGE-TR",300]
[" 8017295","CYSTOTOME IRRIG 25DG",19.350000000000001]
["20300948","CYSTOURETHROSCOPY W/URET CATH-HPROV FEE",239]
["20300950","CYSTOURETHROSCOPY W/URET STENT-HPROV FE",280]
["13029523","CYTARABINE 100MG/ML 5MLVIAL",47.55]
["13029610","CYTARABINE 20MG/ML 5MLVIAL",47.55]
[" 8024515","CYTOLOGICAL KIT",655.20000000000005]
["26550644","D & C",1410]
["10979557","D-DIMER",157]
["13000690","D5NS:1000ML",43.3]
["13004023","D5W MINIBAG PLUS:100ML",43.3]
["13004049","D5W MINIBAG PLUS:50ML",43.3]
["13000724","D5W/0.45%NS:1000ML (PREDEFINED)",43.3]
["13004532","D5W/LR:1000 ML",43.3]
["13000682","D5W/LR:1000 ML (PREDEFINED)",43.3]
["13000716","D5W:1000ML",43.3]
["13000773","D5W:100ML",43.3]
["13000757","D5W:250ML",43.3]
["13000708","D5W:500ML",43.3]
["13024304","D5W:500ML (NON-PVC)",5.85]
["13000765","D5W:50ML",43.3]
["13030694","DACARBAZINE IV PWD FOR SOLN 200MG",42.43]
["21000563","DAILY EPIDURAL MANAGEMENT",141]
["13022835","DAKINS FULL STR SOLN:480ML",27.75]
["13022470","DAKINS HLF STR SOLN:480ML",19.149999999999999]
["13022488","DAKINS QTR STR SOLN:480ML",27.75]
["13028961","DAPTOMYCIN(CUBICIN) 840MG/67ML NS",812.25]
["13024692","DAPTOMYCIN(CUBICIN) INJ:500MG",812.25]
["13024346","DARBEPOETIN (ARANESP) INJ 60MCG/1ML",1330.4]
["13024546","DARBEPOETIN (ARANESP) INJ:100MCG",2125.8000000000002]
["13024288","DARBEPOETIN (ARANESP) INJ:100MCG/ML",710.5]
["13024284","DARBEPOETIN (ARANESP) INJ:200MCG/ML",4219.5]
["13024338","DARBEPOETIN (ARANESP) PFS:40MCG/0.4ML",375.8]
["20300047","DEBR-REMOVE FOREIGN MATERIAL-CPROV FEE",761]
["20388046","DEBR-REMV FOREIGN MATERIAL-FAC FEE",494]
["20300224","DEBRIDE DYSTROPHIC TOENAILS 1-5 CPRO FE",26]
["20388223","DEBRIDE DYSTROPHIC TOENAILS 1-5 FAC FEE",32]
["20300227","DEBRIDE DYSTROPHIC TOENAILS 6-10 CPRO FE",44]
["20388226","DEBRIDE DYSTROPHIC TOENAILS 6-10 FAC FEE",36]
["20300036","DEBRIDE INFECTED SKIN-CPROV FEE",51]
["20388035","DEBRIDE INFECTED SKIN-FAC FEE",46]
["20388043","DEBRIDE SKIN & MUSCLE-FAC FEE",422]
["20300041","DEBRIDE SKIN/FRACTURE SITE-CPROV FEE",508]
["20388040","DEBRIDE SKIN/FRACTURE SITE-FAC FEE",386]
["20300044","DEBRIDE SKIN/MUSCLE-CPROV FEE",538]
["20388061","DEBRIDE SUBC MUSC EA  ADL 20SQ CM-FAC FE",29]
["20300062","DEBRIDE SUBC MUSC EA ADL 20SQ CM-CPROV F",100]
["20300050","DEBRIDE SUBC TISSUE-CPROV FEE",110]
["20388049","DEBRIDE SUBC TISSUE-FAC FEE",97]
["20388058","DEBRIDE SUBQ TISS EA  ADL 20SQ CM-FAC FE",26]
["20300059","DEBRIDE SUBQ TISS EA ADL 20SQ CM-CPROV F",47]
["20300053","DEBRIDE TISSUE/MUSCLE-CPROV FEE",277]
["20388052","DEBRIDE TISSUE/MUSCLE-FAC FEE",128]
["20300056","DEBRIDE TISSUE/MUSCLE/BONE-CPROV FEE",411]
["20388055","DEBRIDE TISSUE/MUSCLE/BONE-FAC FEE",143]
["26551683","DEBRIDEMENT",285]
["26003325","DEBRIDEMENT NON EXCISIONAL-ER",151]
["26003339","DEBRIDEMENT NON EXCISIONAL-TR",151]
["27003197","DECLOTTING IMPL VASCLR DEV IF",306]
["26003206","DECLOTTING IMPL VASCLR DEV-ER",306]
["26003197","DECLOTTING IMPL VASCLR DEV-TR",306]
[" 8015513","DEFIB PADS PKG OF 2",22.4]
["26551600","DEFIBRILLATION EXT",654]
[" 5000012","DELIVERY CHARGES",2029]
["20301037","DELIVERY OF PLACENTA-HPROV FEE",164]
["26552034","DENTAL BLOCK",71]
["20388591","DEPO-MEDROL 20MG-FAC FEE",11]
["20388594","DEPO-MEDROL 40MG-FAC FEE",15]
["20388596","DEPO-MEDROL 80MG-FAC FEE",21]
["13000427","DEPO-MEDROL INJ:80MG/ML",51.25]
["13024538","DEPO-TESTOSTERONE 200MG/ML",61.55]
["50100727","DEPTH PERCEPTION",11]
[" 8025132","DEPUY BIPOLAR HIP SYSTEM",15621.95]
[" 8023830","DEPUY HIP",19046.05]
[" 8023731","DEPUY KNEE",15029.6]
[" 8029803","DERMABOND PRINEO",524.9]
[" 8020315","DERMABOND SKIN ADHESIVE",103.85]
["13030133","DERMOPLAST 20-0.5% AEROSOL SPRAY 56GM",15.7]
["13024090","DESFLURANE (SUPRANE) INH SOLN",110.9]
["10972990","DESIPRAMINE 412",170]
["13010251","DESOXIMETASONE 0.25% CRM:60GM",45.25]
["20300342","DESTR BENIGN LESION NOT SKN TAG15+CPRO F",153]
["20388341","DESTR BENIGN LESION NOT SKN TAG15+FAC FE",81]
["20300336","DESTR CUT VASC PROLIF LES<10SQ-CPRO FEE",493]
["20388335","DESTR CUT VASC PROLIF LES<10SQ-FAC FEE",115]
["20300345","DESTR H-F-NK-SP-GT MLG .5< CPRO FEE",178]
["20388344","DESTR H-F-NK-SP-GT MLG .5< FAC FEE",89]
["20300339","DESTRUCT BENIGN LESION<=14 CPRO FEE",124]
["20388338","DESTRUCT BENIGN LESION<=14 FAC FEE",73]
["20300327","DESTRUCT PREMALG LESION-CPRO FEE",94]
["20388326","DESTRUCT PREMALG LESION-FAC FEE",23]
["20300333","DESTRUCT PREMALG LESIONS 15+ CPRO FEE",177]
["20300330","DESTRUCT PREMALG LESIONS 2-14 CPRO FEE",4]
["20388329","DESTRUCT PREMALG LESIONS 2-14FAC FEE",5]
["20388332","DESTRUCT PREMALG LESIONS15+ FAC FEE",78]
["20300973","DESTRUCTION LESION VULVA SIMPLE-CPRO FEE",203]
["20388972","DESTRUCTION LESION VULVA SIMPLE-FAC FEE",30]
["20300981","DESTRUCTION VAGINAL LESION SIMPL-CPRO FE",173]
["20388980","DESTRUCTION VAGINAL LESION SIMPL-FAC FEE",28]
["26551279","DETAILED HX & EXAM",667]
["20388197","DEVELOPMENTAL TESTING LMTD W/I&R-FAC FEE",18]
["13026581","DEXAMETHASONE (DECADRON) INJ:10MG/ML",35.25]
["13000500","DEXAMETHASONE (DECADRON) INJ:4MG/ML",34.450000000000003]
["13024229","DEXAMETHASONE (DECADRON) MDV INJ:4MG/ML",34.65]
["13004213","DEXAMETHASONE (DECADRON) TAB:4MG",3.9]
["20388602","DEXAMETHASONE SOD PHOS PER1MG-FAC FEE",1]
["13001052","DEXTROSE 10% IN WATER:1000ML",43.3]
["13001334","DEXTROSE 50% PFS:25GM/50ML",50.75]
["10973022","DHEA UNCONJUGATED 19894",204]
["10973030","DHEA-SULFATE 402",222.5]
["43000152","DIABETIC EDUC/GROUP .5HR (2 OR MORE INDI",39]
["71000373","DIABETIC EDUC/GROUP .5HR (2 OR MORE INDI",41]
["43000145","DIABETIC EDUC/INDIV .5HR",80]
["71000362","DIABETIC EDUC/INDIV .5HR",78]
["20301713","DIABETIC FOOT EXAM-CPRO FEE",0.01]
["43000168","DIABETIC-PRE EDUC/INDIV PER 15MIN EA",31.5]
["20300896","DIAG LAPAROSCOPY SEP PROC-HPROV FEE",585]
["13004304","DIAZEPAM (VALIUM) CARPUJECT 5MG/ML (2ML)",85.55]
["13024421","DIAZEPAM (VALIUM) MDV:5MG/ML",67.7]
["13004320","DIAZEPAM (VALIUM) TAB:5MG",2.85]
["13001698","DIAZEPAM 5MG TABS (ER #6)",14]
["10974335","DIAZEPAM AND METABOLITE 90853",173.5]
["13030713","DICLOFENAC SODIUM GEL 1%",43.7]
["13024163","DICYCLOMINE (BENTYL) TAB:20MG",3]
["71000082","DIET INST-VST WEIGHT LOSS MGMT 15MIN",31.5]
["70001187","DIETARY SUPPLEMENT (ARGINAID)",4.2]
["70001163","DIETARY SUPPLEMENT (SUPLENA)",4.25]
["13021006","DIFLUCAN IVPB:400MG/200ML",238.15]
["13021007","DIFLUCAN TAB:200MG",17.75]
["10971356","DIGOXIN",123.5]
["13006473","DIGOXIN (LANOXIN) INJ:0.5MG/2ML",45.8]
["13006457","DIGOXIN (LANOXIN) TAB:0.125MG",3.75]
["13004379","DIGOXIN IMMUNE FAB (DIGIFAB) INJ:40MG",9969.25]
["10971373","DIHYDROTESTOSTERONE 90567",280.5]
["20300952","DILATION URETHRAL STRICTURE-HPROV FEE",115]
[" 8029969","DILATOR COONS TAPER 10FR/20CM",108.5]
[" 8029977","DILATOR COONS TAPER 12FR/20CM",108.5]
["13024741","DILAUDID-HP(HYDROMORPHONE)INJ 500MG/50ML",221.9]
["13021274","DILTIAZEM (CARDIZEM CD) CAP:120MG",3.15]
["13021290","DILTIAZEM (CARDIZEM CD) CAP:180MG",3.4]
["13020458","DILTIAZEM (CARDIZEM CD) CAP:240MG",3.4]
["13024375","DILTIAZEM (CARDIZEM CD) CAP:300MG",3.35]
["13025412","DILTIAZEM (CARDIZEM) FOR IVPUSH",45.5]
["13003306","DILTIAZEM (CARDIZEM) INJ: 50MG/10 ML",35.799999999999997]
["13003330","DILTIAZEM (CARDIZEM) TAB:60MG",3.1]
["13024575","DILTIAZEM INJ:25MG/5ML",35.15]
["13004486","DIPHENHYDRAMINE (BENADRYL) CAP:25MG",3.05]
["13002811","DIPHENHYDRAMINE (BENADRYL) CAP:50MG",2.95]
["13002803","DIPHENHYDRAMINE (BENADRYL) INJ:50MG/ML",34.5]
["13002829","DIPHENHYDRAMINE 12.5MG/5ML ELIXIR:120ML",11.55]
["13001748","DIPHENHYDRAMINE 25MG CAPS (ER #6)",6]
["13006770","DIPHENOX/ATROPINE (LOMOTIL) TAB:2.5MG",3.25]
["50100957","DIRECT OBSERVER FEE",54]
["26551998","DISCHARGE-DETAIL VST",491]
["26551980","DISCHARGE-VISIT",334]
["15001481","DISCOGRAPHY LUMBAR",714.5]
[" 8024366","DISSECTING HOOK 5MM",624.20000000000005]
[" 8028300","DISSECTOR 4.0mmX13cm",310.05]
["13024159","DIVALPROEX (DEPAKOTE) DR TAB 250MG",3.1]
["13004171","DIVALPROEX (DEPAKOTE) ER TAB:125MG",3]
["20301005","DIVISION OF FALLOPIAN TUBE-HPROV FEE",575]
["13004536","DOBUTamine INJ:250MG/250ML",49.95]
["13024509","DOCETAXEL (TAXOTERE) INJ 80MG/4ML",324.89999999999998]
["13024187","DOCETAXEL (TAXOTERE) INJ:20MG",1295.1500000000001]
["13004544","DOCUSATE SOD (COLACE) CAP:100MG",3]
["13008420","DOCUSATE/CASANTH SYRUP",11.95]
["13008438","DOCUSATE/CASANTHRANOL CAP",1.9]
["13024143","DONEPEZIL (ARICEPT) TAB:10MG",3.1]
["13001888","DONNATAL TABS #6",5.9]
["13029497","DOPAMINE HCL 400mg/D5W 250cc",49.35]
["50100661","DOT P-COMM DRIVER EXAM",146]
["50100582","DOT Y-COMM DRIVER EXAM",146]
["13024236","DOXAZOSIN (CARDURA 4MG):4MG",3.5]
["10977584","DOXEPIN 826",141.5]
["13024434","DOXORUBICIN (ADRIAMYCIN) INJ:10MG/5ML",56.4]
["13024080","DOXORUBICIN (ADRIAMYCIN) INJ:50MG/25ML",41.85]
["13001672","DOXYCYCLINE 100MG CAPS (ER #20)",34.65]
["13024746","DOXYCYCLINE CAP:100MG",3.3]
["13004643","DOXYCYCLINE/NS IVPB:100MG/250ML",75.099999999999994]
["20300888","DRAIN ABDOMINAL ABSCESS-HPROV FEE",2854]
[" 8025157","DRAIN BARD 10MM",79.75]
[" 8016818","DRAIN BARD 6.3MM 19FR 72231",140.4]
["20388350","DRAIN BREAST LESION-FAC FEE",120]
["20300351","DRAIN BREAST LESION-HPROV FEE",78]
[" 8017303","DRAIN EYE WICK",21.75]
[" 8018392","DRAIN PENROSE 1/2  STERILE",3.1]
[" 8007569","DRAIN PENROSE 1/4  STERILE",1.65]
[" 8018400","DRAIN PENROSE 3/4  STERILE",2.65]
["20300964","DRAIN SCROTUM ABSCESS-HPROV FEE",298]
["20300398","DRAIN/INJ JOINT/BURSA-CPRO FEE",82]
["20388397","DRAIN/INJ JOINT/BURSA-FAC FEE",24]
["20301480","DRAIN/INJ MAJOR JOINT/BURSA BI-CPROV FEE",166]
["20388479","DRAIN/INJ MAJOR JOINT/BURSA BIL-FAC FEE",48]
[" 8029936","DRAINAGE CATH W/TEMPTIP 10FR",441.45]
[" 8028490","DRAINAGE CATH W/TEMPTIP 14FR",441.45]
[" 8030330","DRAINAGE CATH W/TEMPTIP 8FR",492.15]
[" 8029217","DRAINAGE CATHETER MULTIPURPOSE",578.29999999999995]
[" 8028482","DRAINAGE CATHETER SYSTEM KIT",578.29999999999995]
["20300027","DRAINAGE HEMATOMA/FLUID-CPROV FEE",211]
["20388026","DRAINAGE HEMATOMA/FLUID-FAC FEE",80]
["20300427","DRAINAGE OF FINGER ABSCESS-CPRO FEE",244]
["20388426","DRAINAGE OF FINGER ABSCESS-FAC FEE",226]
["20300018","DRAINAGE PILONIDAL CYST-CPROV FEE",182]
["20388017","DRAINAGE PILONIDAL CYST-FAC FEE",135]
[" 8010134","DRAPE 3M STERI 6650EZ",35.700000000000003]
[" 8010100","DRAPE 3M STERI/1000",3.1]
[" 8010159","DRAPE 3M STERI/1016",24.4]
[" 8010126","DRAPE 3M STERI/1040",12.95]
[" 8010142","DRAPE 3M STERI/1060",29.8]
[" 8015588","DRAPE OB WITH POUCH",20.55]
["20300324","DRES/DEBR BURNS SM<5% BDY SURF-CPRO FEE",97]
["20388323","DRES/DEBR BURNS SM<5% BDY SURF-FAC FEE",48]
[" 8028284","DRESSING ADAPTIC 3X4.25",13.6]
[" 8027518","DRESSING ALLEVYN LIFE  4X4",14.25]
[" 8027708","DRESSING ALLEVYN LIFE  5X5",17.350000000000001]
[" 8026387","DRESSING AQUACEL 4 X 4",20.05]
[" 8026833","DRESSING AQUACEL 6 X 6",42.35]
[" 8027120","DRESSING AQUACEL FOAM 4X4",32.1]
[" 8026395","DRESSING AQUACEL ROPE",26.1]
[" 8026437","DRESSING ARGLAES POWDER",60.85]
[" 8027286","DRESSING DUODERM EXTRA THIN 6X6",18.2]
[" 8016446","DRESSING EPIGUARD",101.35]
[" 8025389","DRESSING HEEL",49.65]
[" 8026262","DRESSING HYDROGEL 4 X 4",3.3]
[" 8026452","DRESSING IODOSORB GEL",60.35]
[" 8026239","DRESSING MAXORB EXTRA 4 X 4",16.3]
[" 8026254","DRESSING MAXORB EXTRA AG 4 X 4",39.9]
[" 8026247","DRESSING MAXORB EXTRA ROPE",16.3]
[" 8026403","DRESSING MEDIHONEY 1.5 OZ",69.05]
[" 8014839","DRESSING MEDIHONEY 4 X 5",57.9]
[" 8030017","DRESSING MEPILEX 4X12",17.850000000000001]
[" 8028623","DRESSING MEPILEX 4X4",18.399999999999999]
[" 8028292","DRESSING MEPILEX 4X4 NONADHERING",19.600000000000001]
[" 8028631","DRESSING MEPILEX 6X6",30.55]
[" 8028615","DRESSING MEPILEX 6X6 NONADHERING",41]
[" 8010266","DRESSING NON ADHERING  3X3",1.2]
[" 8000069","DRESSING NON ADHERING  3X8",2.65]
[" 8014763","DRESSING OPSITE 4X5",6.15]
[" 8029993","DRESSING OPTICELL 4 X 4",27.8]
[" 8025355","DRESSING OPTIFOAM 4X4",18.25]
[" 8026817","DRESSING OPTIFOAM 4X4 NON ADHESIVE",15]
[" 8022428","DRESSING OPTIFOAM 6X6",27.2]
[" 8026825","DRESSING OPTIFOAM 6X6 NON ADHESIVE",21.85]
[" 8030090","DRESSING OPTIFOAM AG 3.5 X 6",88.15]
[" 8030033","DRESSING OPTIFOAM SILVER 4X10",118.8]
[" 8027146","DRESSING OPTILOCK 4X4",13]
[" 8026445","DRESSING OPTILOCK 5X5",13.7]
[" 8027310","DRESSING OPTILOCK 6.5X10",30.55]
[" 8017022","DRESSING PETROLEUM 1/2X 72",5.35]
[" 8007866","DRESSING PETROLEUM 1X8",1.65]
[" 8007858","DRESSING PETROLEUM 3X9",1.65]
[" 8007874","DRESSING PETROLEUM 6X36",3.1]
[" 8016867","DRESSING POLYMEM 3 X 3",17.55]
[" 8016263","DRESSING POLYMEM 5 X 5",34.65]
[" 8028607","DRESSING PROMOGRAN 4.34",43.45]
[" 8026460","DRESSING PURACOL PLUS 2X2",43.75]
[" 8026478","DRESSING PURACOL PLUS AG 4X4",136.9]
[" 8014631","DRESSING RESTORE",23.15]
[" 8025363","DRESSING SACRUM",57.45]
[" 8027260","DRESSING SILVASORB GEL",119.35]
[" 8030082","DRESSING SILVER OPTICELL 4 X 5",41.8]
[" 8027914","DRESSING SILVER OPTIFOAM 3.5X10",114.25]
[" 8027906","DRESSING SILVER OPTIFOAM 3.5X6",88]
[" 8028219","DRESSING STICK",21.5]
[" 8027435","DRESSING STRATASORB 4X14",13.6]
[" 8015968","DRESSING TEGADERM 2X3",1.2]
[" 8015976","DRESSING TEGADERM 4X5",2.2000000000000002]
[" 8018061","DRESSING TEGADERM 6X8",6.7]
[" 8027153","DRESSING VERSATEL 3X4",25.5]
[" 8028227","DRESSING WATER RESISTANT BARRIER",64.7]
[" 8014607","DRESSING WOUND CARE",23.15]
[" 8003246","DRESSING ZEROFORM 1X8",1.65]
[" 8018590","DRESSING ZEROFORM 5X9",1.95]
[" 8015778","DRESSINGS OWENS",19.2]
["50100134","DRUG HAIR COLLECTION",54]
["10977984","DRUG SCREEN 12 PANEL",92]
["10903055","DRUG SCREEN 7 PANEL",38]
["26002964","DRUG SCREEN/URINE COLLECTION-ER",159]
["50100037","DRUG URINE COLLECTION-DOT",27]
["50100101","DRUG URINE COLLECTION-PRIVATE",60]
["50100046","DRUG URINE COLLECTION-nonDOT",27]
["20388137","DTAP VACC<7YR IM-FAC FEE",52]
["20388149","DTAP-HEPB-IP IM-FAC FEE",174]
["20388135","DTAP-IPV IM-FAC FEE",118]
["13024412","DULoxetine HCL (CYMBALTA) CAP:60MG",3.35]
[" 8014771","DUODERM 4X4 EXTRA THIN",9.85]
[" 8014797","DUODERM 8X12 1 SHEET",74.400000000000006]
[" 8014789","DUODERM 8X12 BOX 3",374]
["13028051","DUOVISC SYRINGE:0.55ML",172.75]
["13030094","DURAMORPH PF INJ:10MG/10ML",70.75]
["13000625","DURAMORPH PF INJ:5MG/10ML",70.75]
[" 8025694","DURASPHERE 1ML SYRINGE",875.25]
["13024383","DUTASTERIDE (AVODART) CAP:0.5MG",3.4]
["15780681","DXA BONE DENSITY",488.5]
["15580681","DXA BONE DENSITY READ",59]
["15781477","DXA STUDY INCL FRACTURE ASSESSMENT",559]
["15780660","DXA VERTEBRAL FRACTURE ASSESSMENT",366.25]
["15780699","DXA WRIST",518.5]
[" 8028078","DYONICS 50 DEGREE PROBE W/CABLE",667.5]
[" 8028052","DYONICS 90 DEGREE PROBE W/CABLE",667.5]
[" 8027609","EAKIN RING 2",7.5]
[" 8029852","EAKIN RING 2  SLIM",19]
["13022579","EAR DROPS (CARB PEROXIDE):15ML",12.35]
["26550206","EAR I AND D ABS OR HEMA",491]
["26550818","EAR I AND D AUD CANAL AB",654]
["20388089","EAR IRRIGATION BILATERAL-FAC FEE",50]
["20388086","EAR IRRIGATION UNILATERAL-FAC FEE",25]
[" 8027591","EAR WICK POPE",14.25]
["10979847","EBV CAPSID AB,IgM 8426",182]
["10978716","EBV EARLY AG, AB 15447",128.5]
["10971918","EBV qPCR, PLASMA (VIRACOR)",348.5]
["20301169","ECG INTERP & REPORT ONLY-CPRO FEE",15]
["20301165","ECG ROUTINE W/12LEADS W/INTERP-CPROV FEE",30]
["20388164","ECG TRACING ONLY W/O INTERP/REPT-FAC FEE",15]
["18000572","ECO2 SEDATION MONITORING/CT",215]
["26003433","ECO2 SEDATION MONITORING/ER",199]
[" 3000529","ECO2 SEDATION MONITORING/HAC",197]
["19000533","ECO2 SEDATION MONITORING/MRI",184.25]
["19500533","ECO2 SEDATION MONITORING/MRI READ",30]
["16000264","ECO2 SEDATION MONITORING/NM",215]
["22001895","ECO2 SEDATION MONITORING/OR-SCOPE",221]
["17001173","ECO2 SEDATION MONITORING/US",215]
["15000544","ECO2 SEDATION MONITORING/XR",215.5]
["13022223","EFFEXOR TAB:75MG",4.55]
["20300710","EGD FLEX TRANSORAL W/DIL GASTR STR-HPROV",321]
["20300706","EGD TRANSORAL W/SUBMUSCL INJ-HPROV FEE",252]
["20300708","EGD W/BIOPSY-HPROV FEE",252]
["20300724","EGD W/CONTROL OF BLEEDING-HPROV FEE",366]
["20300714","EGD W/FB REMOVAL-HPROV FEE",324]
["20300722","EGD W/SNARE-HPROV FEE",358]
["20300704","EGD-HPROV FEE",224]
["10971329","EHRLICHIA CHAFF ABS 34271",125.5]
["46000936","EKG BY RT IN ER",238.5]
["46000939","EKG ELECTROCARDIOGRAM BY RT",238.5]
["11800294","EKG INTERP (HOSPITALIST)",15]
["26550033","EKG INTERPRETATION  BY ER PHYS",27]
["50100477","EKG RESTING OH(W/O INTERP)",27]
["15001125","ELBOW COMP BILATERAL 3V",507.5]
["15501125","ELBOW COMP BILATERAL 3V READ",62]
["15730801","ELBOW COMP LT-3V MIN",253.75]
["15530801","ELBOW COMP LT-3V MIN READ",31]
["15780772","ELBOW COMP RT-3V MIN",253.75]
["15580772","ELBOW COMP RT-3V MIN READ",31]
["15001155","ELBOW LTD BILATERAL-2V",538]
["15730702","ELBOW LTD LEFT-2V",269]
["15530702","ELBOW LTD LEFT-2V READ",33]
["15780764","ELBOW LTD RIGHT-2V",269]
["15580764","ELBOW LTD RIGHT-2V READ",33]
[" 8018111","ELBOW SUPPORT LARGE",42.1]
[" 8018103","ELBOW SUPPORT MEDIUM",43.15]
[" 8022089","ELBOW SUPPORT SMALL",42.1]
[" 8021008","ELECTRO LITHOTRIPTER PROBE 1.9FR",817.7]
[" 8020992","ELECTRO LITHOTRIPTER PROBE 3FR",797.95]
[" 8020505","ELECTRO LITHOTRIPTER PROBE 9FR",748.65]
[" 2000948","ELECTROCARDIOGRAM (EKG)/AC RN",237.5]
["26000948","ELECTROCARDIOGRAM (EKG)/ER RN",238]
[" 3000312","ELECTROCARDIOGRAM (EKG)HAC RN",237.5]
[" 8024499","ELECTRODE 2.3MM WEDGE",765.2]
[" 8024507","ELECTRODE 90 DEGREE HOOK",655.20000000000005]
[" 8018046","ELECTRODE E-STIM",41.8]
[" 8029720","ELECTRODE E-Z CLEAN",39.85]
[" 8021513","ELECTRODE FULGURATING 3FR",390.65]
[" 8026080","ELECTRODE HF BUTTON",836.35]
[" 8026072","ELECTRODE HF LOOP",1472.95]
[" 8026213","ELECTRODE HF NEEDLE",1561.3]
[" 8029738","ELECTRODE L-HOOK",157.30000000000001]
[" 8024481","ELECTRODE LG DIAMETER SUCTION",762.35]
[" 8029423","ELECTRODE NEUTRAL",145.80000000000001]
[" 8005142","ELECTRODE PACING 4FR.",527.95000000000005]
[" 8015059","ELECTRODE PACING 5FR.",527.95000000000005]
[" 8004996","ELECTRODE PACING 6FR.",527.95000000000005]
[" 8023780","ELECTRODE V+ LOOP",527.95000000000005]
["13005384","ELECTROLYTE (COLYTE) SOLN:4000ML",18.100000000000001]
["10974095","ELECTROLYTES",74]
[" 8000226","ELEVATOR  ARM",23.15]
["20301312","EMERGENCY DEPT VISIT-HPROV FEE",73]
["20301314","EMERGENCY DEPT VISIT-HPROV FEE",109]
["20301316","EMERGENCY DEPT VISIT-HPROV FEE",206]
["20301318","EMERGENCY DEPT VISIT-HPROV FEE",303]
["20301310","EMERGENCY ROOM VISIT-HPROV FEE",37]
["13027936","EMLA 2.5% CRM: 5GM FOR ER",17]
["13021004","EMLA 2.5% CRM:30GM",37.799999999999997]
["13007984","EMOLLIENT (NIVEA) OIL:225ML",12.7]
["13010566","ENALAPRIL (VASOTEC) TAB:10MG",3.9]
["13010582","ENALAPRILAT (VASOTEC) INJ:1.25MG/ML",36.4]
[" 8024564","ENDO ANCHOR 5MM",1069.95]
[" 8017162","ENDO BABCOCK 5mm",411.8]
[" 8023814","ENDO BLUE RELOAD 45MM",602.85]
[" 8017204","ENDO CLINCH",405.4]
[" 8023806","ENDO CUTTER 45MM",524.29999999999995]
[" 8026973","ENDO CUTTER ARTICULATING 45MM",738.5]
[" 8017196","ENDO GRASP 5MM",358.45]
[" 8020356","ENDO POUCH",384.9]
[" 8017170","ENDO RETRACTOR",643.29999999999995]
[" 8024747","ENDO SCISSOR TIP",261.85000000000002]
[" 8017188","ENDO SHEARS",437.25]
[" 8023954","ENDO WHITE RELOAD 45MM",519.04999999999995]
[" 8017212","ENDOCLIP 10MM",451.2]
[" 8030520","ENDOCLIP 12MM",428.4]
[" 8024523","ENDOCLIP 5MM",564.45000000000005]
[" 8029449","ENDOSCOPIC MARKER SPOT",166.35]
["22000662","ENDOSCOPY W/DILATION",1841]
["22000673","ENDOSCOPY W/DILATION & BIOPSY",2231]
["22000658","ENDOSCOPY/COLONOSCOPY",1763]
["22001191","ENDOSCOPY/COLONOSCOPY W-BIOPSY",2152]
["26551550","ENDOTRACH INTUBATION",597]
["13024879","ENGERIX-B VACCINE:20MCG/1ML",146.05000000000001]
["70000597","ENLIVE EA",4.05]
["13021010","ENOXAPARIN (LOVENOX) INJ:100MG",51.15]
["13024281","ENOXAPARIN (LOVENOX) INJ:120MG",65.650000000000006]
["13024542","ENOXAPARIN (LOVENOX) INJ:150MG",62.75]
["13021050","ENOXAPARIN (LOVENOX) INJ:30MG",36.049999999999997]
["13023387","ENOXAPARIN (LOVENOX) INJ:40MG",51.25]
["13021008","ENOXAPARIN (LOVENOX) INJ:60MG",69.5]
["13021009","ENOXAPARIN (LOVENOX) INJ:80MG",47.2]
["70000183","ENSURE 8OZ CAN",0.9]
["10970770","EOSINOPHIL COUNT BLOOD",28]
["10972545","EOSINOPHILS, NASAL",42]
["10902060","EOSINOPHILS, OTHER SOURCE",47]
[" 8015612","EPI LOCK-SHEET",24.85]
["21000571","EPIDURAL CATHETER PLACEMENTw/oGUIDANCE",1353]
["13024049","EPIDURAL SET 2C7554",37]
["21000555","EPIDURAL STEROID INJ/ANES w/o GUIDANCE",2095]
["22001178","EPIDURAL STEROID INJ/OR",900]
["20300926","EPIGASTRIC HERNIA REPAIR REDUCE-HPROV FE",748]
[" 8015760","EPILOCK",33.6]
["13004957","EPINEPHrine 1MG/10ML ABBOJECT",46.55]
["13024614","EPINEPHrine 1MG/ML MDV(PER ML)",12.25]
["13002142","EPINEPHrine 1MG/ML TOP SOLN:30ML",36.75]
["13001219","EPINEPHrine INJ:1MG/ML",56.1]
["13024703","EPINEPHrine PRES FREE 1MG/ML (FOR BOES)",56.1]
["13004965","EPSOM SALT:454GM",11.95]
["13024554","EPTIFIBATIDE (INTEGRILIN) INJ: 0.75MG/ML",727.7]
["11800342","ER CONSULT COMPREHENSIVE BY HOSPITALIST",206]
["11800338","ER CONSULT DETAILED BY HOSPITALIST",74]
["11800351","ER CONSULT HIGH COMPLEXITY BY HOSPITALIS",303]
["26000012","ER LEVEL 1",149]
["26000525","ER LEVEL 2",247]
["26000020","ER LEVEL 3",421]
["26000038","ER LEVEL 4",727]
["26000095","ER LEVEL 5",1070]
["26000103","ER LEVEL 6",1863]
["26000335","ER MEDICATION PICKUP",26]
["26000044","ER PROC LEVEL I",214]
["26003457","ER PSYCHIATRIC DIAG EVAL",378]
["26003462","ER PSYCHIATRIC DIAG EVAL W/MED SERV",467]
["26003446","ER TELEMED ORIG SITE FEE",68]
[" 8030611","ER-REBOA CATHETER SET",673.81]
["13024579","ERTAPENEM(INVANZ)INJ:1GM",201.2]
["13001367","ERYTHROMYCIN IVPB:500MG",53.15]
["13005038","ERYTHROMYCIN OPTH OINT:1GM",12.6]
["13026582","ERYTHROMYCIN OPTH OINT:3.5GM",17.100000000000001]
["13022603","ERYTHROPOETIN (PROCRIT) INJ:10,000U/ML",1100]
["13024014","ERYTHROPOETIN (PROCRIT) INJ:20,000U/ML",773.95]
["13024023","ERYTHROPOETIN (PROCRIT) INJ:40,000U/ML",1538.4]
["13024676","ERYTHROPOETIN(PROCRIT) 10,000U/ML ESRD",229.35]
["10971201","ERYTHROPOIETIN 427",160]
["13024390","ESCITALOPRAM (LEXAPRO) TAB:10MG",3.25]
["13024286","ESCITALOPRAM (LEXAPRO) TAB:20MG",3.2]
["13011499","ESMOLOL (BREVIBLOC) INJ:100MG/10ML",37.5]
["13030095","ESOMEPRAZOLE MAG CAP DR 20MG",3.3]
["13027268","ESOMEPRAZOLE/D5W IVPB  40 MG/50 ML D5W",78.95]
[" 8117477","ESOPH BALLOON DILATOR 30FR.",467.8]
[" 8020497","ESOPH BALLOON DILATOR 45FR",442.9]
[" 8020331","ESOPH BALLOON DILATOR 54F",417.05]
["20300702","ESOPH ENDOSC W/FB RMVL-HPROV FEE",257]
["20300718","ESOPH ENDOSCOPY DILATION-HPROV FEE",279]
[" 8029019","ESOPHAGEAL BALLOON DILATOR 16-17-18",547.6]
[" 8029027","ESOPHAGEAL BALLOON DILATOR 18-19-20",547.6]
[" 8013203","ESOPHAGEAL STETHOSCOPE 12FR.",18.2]
["20300728","ESOPHAGOGASTRIC TAMPONADE W/BALLOON-HPRO",389]
["20300700","ESOPHAGOSCOPY W/BIOPSY -HPROV FEE",187]
["15702618","ESOPHAGUS",507.25]
["20300698","ESOPHAGUS ENDOSCOPY-HPROV FEE",157]
["15502618","ESOPHAGUS READ",61]
["15742301","ESOPHXCINERADIO",771.25]
["15542301","ESOPHXCINERADIO READ",93]
[" 8025744","ESTEEM BAG 2 3/4",5.35]
[" 8025751","ESTEEM WAFER 2 3/4",12.55]
["13024477","ESTRADIOL 1MG TAB",2.9]
["10972651","ESTRADIOL 4021",304.5]
["13024013","ESTRADIOL TAB:1MG",1.75]
["10973579","ESTROGEN, TOTAL 439",202]
["11800327","ET INTUBATION BY HOSPITALIST",199]
["10975027","ETHOSUXIMIDE 214",128.5]
["10970051","ETHYL ALCOHOL",163]
["13020938","ETOMIDATE (AMIDATE) INJ:20MG/10ML",47.35]
["20388626","ETONOGESTREL IMPLNT CONTRACEPTIV-FAC FEE",926]
["13022694","ETOPOSIDE (VP-16) INJ:500MG/25ML",101.5]
["13026947","EUCERIN MOISTURIZING CRM:113GM",17.7]
["26552042","EVAC SUBUNGUAL HEMATOMA",205.5]
[" 8021651","EVACUATED CONTAINER 1000ML",72.75]
["20301183","EVENT MONITOR REVIEW & INTERP-HPROV FEE",45]
["10902438","EVEROLIMUS 18883",239]
["20300870","EXC ANAL LESION(S)-HPRO FEE",242]
["20300125","EXC B9 LESION .6-1CM T,A,L-CPROV FEE",185]
["20388124","EXC B9 LESION .6-1CM T,A,L-FAC FEE",80]
["20300122","EXC B9 LESION+MARG .5< CPROV FEE",144]
["20388121","EXC B9 LESION+MARG .5< FAC FEE",78]
["20300978","EXC BARTHOLINS GLAND/CYST-HPROV FEE",529]
["20301715","EXC BONE CYST/BENIGN TUMOR TALUS/C-HPROV",742]
["20300442","EXC BONE CYST/BENIGN TUMOR TIB/FIB-HPROV",1045]
["20300361","EXC BREAST CYST/TUMOR OPEN-HPROV FEE",738]
["20300363","EXC BREAST LESION/ID RAD MARKER-HPROV FE",818]
["20300681","EXC BX DEEP CERVICAL LYMPH NODES-HPROV",747]
["20300365","EXC EA ADL BRST LES/ID RAD MRKR-HPROV FE",290]
["20300854","EXC EXT HEMORRHOID TAGS/PAPILLAE-CPRO FE",309]
["20388853","EXC EXT HEMORRHOID TAGS/PAPILLAE-FAC FEE",178]
["20300863","EXC EXT THROMBOTIC HEMORRHOID-CPRO FEE",198]
["20388862","EXC EXT THROMBOTIC HEMORRHOID-FAC FEE",131]
["20300158","EXC FACE-MM B9+MARG .5<CM-CPROV FEE",184]
["20388157","EXC FACE-MM B9+MARG .5<CM-FAC FEE",56]
["20300161","EXC FACE-MM B9+MARG .6-1CM-CPROV FEE",234]
["20388160","EXC FACE-MM B9+MARG .6-1CM-FAC FEE",64]
["20300164","EXC FACE-MM B9+MARG 1.1-2CM-CPROV FEE",258]
["20388163","EXC FACE-MM B9+MARG 1.1-2CM-FAC FEE",75]
["20300167","EXC FACE-MM B9+MARG 2.1-3CM-CPROV FEE",316]
["20388166","EXC FACE-MM B9+MARG 2.1-3CM-FAC FEE",79]
["20388202","EXC FACE-MM MALIG+MARG .5<CM FAC FEE",132]
["20300203","EXC FACE-MM MALIG+MARG .5<CM-CPROV FEE",223]
["20388205","EXC FACE-MM MALIG+MARG .6-1CM FAC FEE",142]
["20300206","EXC FACE-MM MALIG+MARG .6-1CM-CPROV FEE",278]
["20388211","EXC FACE-MM MALIG+MARG 2.1-3CM FAC FEE",154]
["20300212","EXC FACE-MM MALIG+MARG 2.1-3CM-CPROV",411]
["20388214","EXC FACE-MM MALIG+MARG 3.1-4CM FAC FEE",188]
["20300215","EXC FACE-MM MALIG+MARG 3.1-4CM-CPROV",510]
["20300691","EXC GUM LESION-CPRO FEE",220]
["20388699","EXC GUM LESION-FAC FEE",159]
["20300140","EXC H-F-NK-SP B9+MARG .5<-CPROV FEE",144]
["20388139","EXC H-F-NK-SP B9+MARG .5<-FAC FEE",73]
["20300143","EXC H-F-NK-SP B9+MARG .6-1CM-CPROV FEE",195]
["20388142","EXC H-F-NK-SP B9+MARG .6-1CM-FAC FEE",82]
["20300146","EXC H-F-NK-SP B9+MARG 1.1-2CM-CPROV FEE",243]
["20388145","EXC H-F-NK-SP B9+MARG 1.1-2CM-FAC FEE",69]
["20300149","EXC H-F-NK-SP B9+MARG 2.1-3CM-CPROV FEE",278]
["20388148","EXC H-F-NK-SP B9+MARG 2.1-3CM-FAC FEE",78]
["20300152","EXC H-F-NK-SP B9+MARG 3.1-4CM-CPROV FEE",320]
["20388151","EXC H-F-NK-SP B9+MARG 3.1-4CM-FAC FEE",94]
["20300155","EXC H-F-NK-SP B9+MARG >4CM-CPROV FEE",492]
["20388154","EXC H-F-NK-SP B9+MARG >4CM-FAC FEE",101]
["20300191","EXC H-F-NK-SP MLG+MARG .5<CM-CPROV FEE",216]
["20388190","EXC H-F-NK-SP MLG+MARG .5<CM-FAC FEE",129]
["20300194","EXC H-F-NK-SP MLG+MARG .6-1CM-CPROV FEE",267]
["20388193","EXC H-F-NK-SP MLG+MARG .6-1CM-FAC FEE",140]
["20388196","EXC H-F-NK-SP MLG+MARG 1.1-2CM FAC FEE",148]
["20300197","EXC H-F-NK-SP MLG+MARG 1.1-2CM-CPROV FEE",306]
["20388199","EXC H-F-NK-SP MLG+MARG 2.1-3CM FAC FEE",153]
["20300200","EXC H-F-NK-SP MLG+MARG 2.1-3CM-CPROV FEE",379]
["20388200","EXC H-F-NK-SP MLG+MARG >4CM FAC FEE",196]
["20300198","EXC H-F-NK-SP MLG+MARG >4CM PROV FEE",525]
["20300502","EXC LESION,TENDON(T SHTH),CAPS TOE-HPROV",480]
["20388525","EXC LESION/TENDON/CAPS TOE-FAC FEE",281]
["20300218","EXC MALIG LES+MARG >4CM FEENL-CPROV",706]
["20388217","EXC MALIG LES+MARG >4CM FEENL-FAC FEE",203]
["20300209","EXC MALIG LESION+MARG 1.1-2 FEENL-CPROV",328]
["20388208","EXC MALIG LESION+MARG 1.1-2 FEENL-FAC FE",152]
["20300236","EXC NAIL & MATRIX PART/COMPL-CPRO FEE",180]
["20388235","EXC NAIL & MATRIX PART/COMPL-FAC FEE",91]
["20300408","EXC OF SCALP-CPRO FEE",461]
["20388407","EXC OF SCALP-FAC FEE",154]
["20300797","EXC RECTAL TUMOR INCL MUSCULARIS-HPRO FE",1459]
["20300170","EXC SKIN/SUBQ HIDRADENITIS,INGL-CPROV FE",432]
["20388169","EXC SKIN/SUBQ HIDRADENITIS,INGNL-FAC FEE",233]
["20300128","EXC TR-EXT B9+MARG 1.1-2CM-CPROV FEE",204]
["20388127","EXC TR-EXT B9+MARG 1.1-2CM-FAC FEE",91]
["20300131","EXC TR-EXT B9+MARG 2.1-3 CPROV FEE",263]
["20388130","EXC TR-EXT B9+MARG 2.1-3 FAC FEE",78]
["20300134","EXC TR-EXT B9+MARG 3.1-4 CPROV FEE",289]
["20388133","EXC TR-EXT B9+MARG 3.1-4 FAC FEE",97]
["20300137","EXC TR-EXT B9+MARG >4.0CM-CPROV FEE",441]
["20388136","EXC TR-EXT B9+MARG >4.0CM-FAC FEE",117]
["20300173","EXC TR-EXT MLG+MARG .5CM<-CPROV FEE",213]
["20388172","EXC TR-EXT MLG+MARG .5CM<-FAC FEE",129]
["20300176","EXC TR-EXT MLG+MARG .6-1CM-CPROV FEE",265]
["20388175","EXC TR-EXT MLG+MARG .6-1CM-FAC FEE",140]
["20300179","EXC TR-EXT MLG+MARG 1.1-2CM-CPROV FEE",292]
["20388178","EXC TR-EXT MLG+MARG 1.1-2CM-FAC FEE",147]
["20300182","EXC TR-EXT MLG+MARG 2.1-3CM-CPROV FEE",350]
["20388181","EXC TR-EXT MLG+MARG 2.1-3CM-FAC FEE",153]
["20300185","EXC TR-EXT MLG+MARG 3.1-4CM-CPROV FEE",385]
["20388184","EXC TR-EXT MLG+MARG 3.1-4CM-FAC FEE",172]
["20300188","EXC TR-EXT MLG+MARG >4CM-CPROV FEE",573]
["20388187","EXC TR-EXT MLG+MARG >4CM-FAC FEE",224]
["20300422","EXC TUMOR SFT TISS ABD WALL >5CM-HPROV F",1192]
["20300418","EXC TUMOR SFT TISS BACK/FLANK 3CM+ HPROV",841]
["20300416","EXC TUMOR SFT TISS BACK/FLANK-CPRO FEE",652]
["20388415","EXC TUMOR SFT TISS BACK/FLANK-FAC FEE",190]
["20388412","EXC TUMOR SFT TISS NECK/ANT  TH<3CM-FAC",192]
["20300413","EXC TUMOR SFT TISS NECK/ANT TH<3CM-CPRO",544]
["20300424","EXC TUMOR SFT TISS UPPER ARM >5CM-HPROV",1239]
["20300410","EXC TUMOR SFT TISS-NECK/THORAX-HPROV FEE",1305]
["20300420","EXC TUMOR SFT TISSUE BACK-HPROV FEE",1183]
["20300436","EXC TUMOR THIGH OR KNEE SUBQ 3CM+ HPROV",748]
["20301642","EXCIS LIPOMA ADB WALL-HPROV FEE",786]
["20300500","EXCISION GANGLION FOOT-HPROV FEE",549]
["20300785","EXCISION MERKELS DIVERTICULUM-HPRO FEE",1370]
["20300498","EXCISION NEUROMA-HPROV FEE",655]
["20300795","EXCISION RECTAL TUMOR-HPRO FEE",1079]
["20300696","EXCISION TONSIL TAGS-HPROV FEE",331]
["20300494","EXCISION TUMOR SUBCUT TISSUE-HPROV FEE",469]
["26550016","EXPANDED HX & EXAM 2",268]
["26550024","EXPANDED HX & EXAM 3",446]
["20300650","EXPL POSTOP HEMMOR/THROMB/INF-HPROV FEE",1513]
["20300884","EXPLORATION OF ABDOMEN-HPROV FEE",1381]
["20300741","EXPLORE SMALL INTESTINE-HPROV FEE",1747]
["20300373","EXPLORE WOUND ABDOMEN-HPROV FEE",458]
["20300375","EXPLORE WOUND EXTREMITY-HPROV FEE",622]
["13021753","EXTENSION SET 45",37.6]
[" 8015471","EXTENSION SET W/T",6.15]
[" 8025496","EXTENSION SET W/T MICRO NDLS",12.55]
[" 8021099","EXTENSION SET W/T STD NDLS",14.25]
["20301035","EXTERNAL CEPHALIC VERSION-HPROV FEE",185]
["15700312","EYE FOREIGN BODY LT",331.5]
["15700309","EYE FOREIGN BODY RT",331.5]
["13004056","EYE WASH (DACRIOSE) OPTH SOLN:120ML",14.95]
[" 8020190","EZ CLEAN CAUTERY",33.200000000000003]
[" 8026981","EZ IO STABILIZER",104.15]
[" 8021206","EZ WRAP EAR PROTECTOR",2.65]
["13000252","EphedRINE INJ:50MG/ML",52.2]
["15701505","FACIAL BONES CMP-3V MIN",388]
["15501505","FACIAL BONES CMP-3V MIN READ",47]
["15701406","FACIAL BONES LTD-<3V",231.75]
["15501406","FACIAL BONES LTD-<3V READ",28]
["10975019","FACTOR 10, PLASMA 359",193]
["10977829","FACTOR 11 ACT 360",173.5]
["10977836","FACTOR 12 ACT 362",188]
["10970617","FACTOR 8, FUNCT 347",153]
["10975001","FACTOR 9, PLASMA 352",193]
["10977428","FACTOR V(LEIDEN) MUT 17900",542.5]
["10974665","FACTOR V, ACTVTY 344",206.5]
["10979003","FACTOR X CHROMOGENIC 10663",177]
["13022611","FAMCICLOVIR (FAMVIR) TAB:500MG",5.35]
["20301661","FAMILY PSYCHOTHERAPY W/O PT 50 MIN-CPRO",184]
["20301663","FAMILY PSYCHOTHERAPY W/PT 50 MIN-CPRO",192]
["13030032","FAMOTIDINE (PEPCID) TAB:20MG",3.1]
["13021175","FAMOTIDINE(PEPCID) INJ:20MG/2ML",34.5]
["10974046","FAT STAIN SUDAN",45]
["26551790","FB CONJUNCTIVA EMBED",253]
["26551782","FB CONJUNCTIVA SPRFL",203]
["26551808","FB CORNEA NO SLT LMP",203]
["26551816","FB CORNEA W/SLT LMP",268]
["26550198","FB EAR REMOVE",268]
["26551824","FB EYELID",461]
["26550180","FB NOSE REMOVE",501]
["26550172","FB PHARNYX REMOVE",557]
["10902606","FECAL FAT, QUAL 3967",53]
["10903073","FECAL OCC BLOOD DX, IFOB",32.5]
["10903082","FECAL OCC BLOOD SCRN, IFOB",32.5]
[" 8027633","FEMORAL CANAL BRUSH",57.25]
["21000534","FEMORAL NERVE BLOCK",691]
["15735511","FEMUR BILATERAL 2V",538]
["15535511","FEMUR BILATERAL 2V READ",66]
["15700106","FEMUR LEFT 1V",149.25]
["15500106","FEMUR LEFT 1V READ",18]
["15735503","FEMUR LEFT 2V",269]
["15535503","FEMUR LEFT 2V READ",33]
["15700115","FEMUR RIGHT 1V",149.25]
["15780897","FEMUR RIGHT 2V",269]
["15580897","FEMUR RIGHT 2V READ",33]
["13021233","FENTANYL (DURAGESIC) PATCH 100MCG/HR",16.600000000000001]
["13024510","FENTANYL (DURAGESIC) PATCH 12MCG/HR",15.95]
["13004700","FENTANYL (DURAGESIC) PATCH 25MCG/HR",8.0500000000000007]
["13004718","FENTANYL (DURAGESIC) PATCH 50MCG/HR",9.25]
["13022595","FENTANYL (DURAGESIC) PATCH 75MCG/HR",14.4]
["13025133","FENTANYL (SUBLIMAZE) INJ:1000MCG/20ML",43.05]
["13024103","FENTANYL (SUBLIMAZE) INJ:100MCG/2ML",34.799999999999997]
["13000237","FENTANYL (SUBLIMAZE) INJ:250MCG/5ML",35.049999999999997]
["13028491","FENTANYL CITRATE POWDER 400MG",1333.2]
["13029884","FERRIC CARBOXYMALTOSE(INJECTAFER): 750MG",1463.95]
["10971760","FERRITIN CMMC",107.5]
["13005079","FERROUS GLUC TAB:324MG",2.85]
["13005095","FERROUS SULF TAB:325MG",3]
["20301021","FETAL NON-STRESS TEST-HPROV FEE",53]
[" 8002917","FETAL SCALP ELECTRODE-OB",22.4]
[" 8030421","FETAL SPIRAL ELECTRODE COROMETRICS",7.5]
["13005103","FIBER-LAX TAB",3.1]
["70001142","FIBERSOURCE HN 8OZ CAN",2.35]
[" 8027997","FIBERWIRE #2",99.05]
["10902658","FIBRINOGEN",65.5]
[" 8028565","FIDUCIARY MARKER KIT",525.45000000000005]
[" 8028557","FIDUCIARY MARKER KIT 10CM LONG",525.45000000000005]
["13011424","FILGRASTIM (NEUPOGEN) INJ:300MCG/ML",1046.1500000000001]
["13024173","FILGRASTIM (NEUPOGEN) INJ:480MCG/1.6ML",1320.55]
["13008966","FINASTERIDE (PROSCAR) TAB:5MG",3.1]
["15501027","FINGER(S)BILAT-MIN 2V READ",48]
["15001027","FINGER(S)BILATERAL-MIN 2V",389]
["15731403","FINGER(S)LEFT-MIN 2V",194.5]
["15531403","FINGER(S)LEFT-MIN 2V READ",24]
["15780830","FINGER(S)RIGHT-MIN 2V",194.5]
["15580830","FINGER(S)RIGHT-MIN 2V READ",24]
["13029277","FIRMAGON SUBQ POWDER 120MG",1200.25]
["13029328","FIRMAGON SUBQ POWDER 80MG",917.75]
["50100875","FIRST AID CLASS BY OH",33]
[" 8022410","FIRST STEP SELECT MATTRESS",91.4]
["15760808","FISTULA SINUS TRACT",414.75]
["50100485","FIT(RESPIRATOR)TEST BY OH",81]
["10971679","FK506 70007",119]
["20300316","FLAP REVISION>10CM-HPROV FEE",1388]
["10976327","FLECAINIDE 5309",146]
["20388488","FLU ADM INTRANASAL/ORAL 1 VACC-FAC FE",17]
["20388162","FLUCELVAX QUAD-FAC FEE",50]
["20388159","FLUCELVAX-FAC FEE",50]
["13004361","FLUCONAZOLE (DIFLUCAN) TAB:100MG",4.45]
["13030307","FLUCONAZOLE SODIUM 200MG/100ML INJECTION",42.4]
["13024603","FLUCONAZOLE SODIUM 400MG/200ML INJECTION",42.4]
["13007042","FLUMAZENIL (ROMAZICON) MDV INJ:0.1MG/ML",41.1]
["15780517","FLUORO < THAN 1HR",595.5]
["15580517","FLUORO < THAN 1HR READ",72]
["15780525","FLUORO > THAN 1HR",570.25]
["15500433","FLUORO CATH GUIDANCE READ",71]
["15000433","FLUORO CATHETER GUIDANCE",588.25]
["15000468","FLUORO FEEDING TUBE PLACEMENT",731.5]
["15500468","FLUORO FEEDING TUBE PLACEMENT READ",88]
["15780560","FLUORO GUIDANCE FOR NEEDLE PLCMNT <1HR",491.75]
["15580560","FLUORO GUIDNC FOR NEEDLE PLCMNT<1HR READ",59]
["15781353","FLUORO SPINAL GUIDANCE",894.25]
["15581353","FLUORO SPINAL GUIDANCE READ",108]
["15780388","FLUORO TUBE PATENCY/CVA",728.25]
["13028770","FLUOROURACIL INJ:2.5GM/50ML",54.25]
["13005160","FLUOROURACIL INJ:500MG/10ML",38.75]
["13009055","FLUOXETINE (PROZAC) CAP:20MG",6.15]
["13027913","FLURBIPROFEN 0.03% OPTH GTT",10.199999999999999]
["13021415","FLURBIPROFEN 0.03% OPTH SOLN:2.5ML",14.3]
["13024249","FLUTIC/SALMET(ADVAIR)100/50 DISK:60 DOSE",365.7]
["13024400","FLUTIC/SALMET(ADVAIR)250/50 DISK:14 DOSE",205.35]
["13024299","FLUTIC/SALMET(ADVAIR)250/50 DISK:60 DOSE",507.8]
["13024469","FLUTIC/SALMET(ADVAIR)500/50 DISK:14 DOSE",328.05]
["13024334","FLUTIC/SALMET(ADVAIR)500/50 DISK:60 DOSE",628.9]
["13022645","FLUTICASONE (FLONASE) NASAL SPRAY:16GM",19.05]
["13024182","FLUTICASONE (FLOVENT) 110MCG INH:12GM",333.3]
["13024101","FLUTICASONE (FLOVENT) 110MCG INH:7.9GM",80.849999999999994]
["13024196","FLUTICASONE (FLOVENT) 44MCG INH:13GM",86.4]
["20388125","FLUZONE HI DOSE PF SYRINGE 65+YR-FAC FEE",108]
["20388131","FLUZONE QUADRIVALENT .25ML IM-FAC FEE",38]
["20388132","FLUZONE QUADRIVALENT 6MO&OLDER-FAC FEE",38]
["13024393","FLUoxetine (PROZAC) CAP:10MG",2.85]
["13024211","FLUoxetine (PROZAC) CAP:20MG",3.1]
["20300009","FNA W/ IMAGE-CPROV FEE",117]
["20388008","FNA W/ IMAGE-FAC FEE",131]
["20300006","FNA W/O IMAGE-CPROV FEE",123]
["20388005","FNA W/O IMAGE-FAC FEE",92]
["10972602","FOLATE, RBC 467",256]
["10970242","FOLATE, SERUM",166.5]
["13005202","FOLIC ACID (FOLVITE) MDV INJ:5MG/ML",36.200000000000003]
["13005194","FOLIC ACID (FOLVITE) TAB:1MG",3.6]
["10902787","FONDAPARINUM NA (Xa INHIBITION) 16103",167.5]
["15001063","FOOT BILATERAL COMPL-2V MIN",420]
["15001006","FOOT BILATERAL COMPL-3V MIN",494.5]
["15501006","FOOT BILATERAL COMPL-3V MIN READ",60]
["15736303","FOOT COMP LT-3V MIN",247.25]
["15536303","FOOT COMP LT-3V MIN READ",30]
["15000334","FOOT COMP RT-3V MIN",247.25]
["15500334","FOOT COMP RT-3V MIN READ",30]
[" 8017659","FOOT ELEVATOR 4",55.1]
["15736204","FOOT LTD LEFT-2V",210]
["15536204","FOOT LTD LEFT-2V READ",26]
["15000326","FOOT LTD RIGHT-2V",210]
["15500326","FOOT LTD RIGHT-2V READ",26]
["20388632","FOOT REMVB INSERT/CUSTOM MOLDED-FAC FEE",100]
["15730900","FOREARM INC 1 JT LT-2V",223.75]
["15530900","FOREARM INC 1 JT LT-2V READ",27]
["15780780","FOREARM INC 1 JT RT-2V",223.75]
["15580780","FOREARM INC 1 JT RT-2V READ",27]
["15001101","FOREARMS INC 1 JT BILATERAL-2V",447.5]
["15780558","FOREIGN BODY/CHILD",223.75]
["15580558","FOREIGN BODY/CHILD READ",27]
["13004539","FORTICAL (CALCITONIN/SALMON) SPRAY:3.7ML",58.8]
["13025213","FOSAPREPITANT(EMEND) INJ: 150MG",620.75]
["20300739","FREE BOWEL ADHESION-HPROV FEE",1967]
[" 8024408","FROG SPLINT",6.7]
["10971794","FSH 470",87.5]
["70000951","FULL LIQUID TRAY",3.9]
["13005228","FUROSEMIDE (LASIX) INJ:100MG/10ML",40.4]
["13000492","FUROSEMIDE (LASIX) INJ:20MG/2ML",35.200000000000003]
["13005244","FUROSEMIDE (LASIX) INJ:40MG/4ML",35.549999999999997]
["13005236","FUROSEMIDE (LASIX) TAB:20MG",3]
["13005251","FUROSEMIDE (LASIX) TAB:40MG",3]
["10977455","G6PD, RBC 500",118.5]
["13020797","GABAPENTIN (NEURONTIN) CAP:100MG",3]
["13023023","GABAPENTIN (NEURONTIN) CAP:300MG",2.85]
["13020847","GABAPENTIN (NEURONTIN) CAP:400MG",2.95]
["10978450","GABAPENTIN 3557",125.5]
["20300882","GALLBLADDER REMOVAL-HPROV FEE",1915]
["13021373","GAMMA GLOBULIN INJ:5GM",534.29999999999995]
["10971307","GAMMA GT 482",76.5]
["13029834","GANCICLOVIR-SODIUM CHLORIDE IV 2MG/ML",253]
["10903046","GASTRIC OCCULT BLOOD",27.5]
[" 8027450","GASTRIC PH INDICATOR",53.2]
["10974061","GASTRIN 478",164]
["10902888","GASTROINTESTINAL PANEL PCR",621]
[" 8025298","GASTROSTOMY BUTTON 18FR",493.45]
[" 8024093","GASTROSTOMY PEG KIT 20FR",1126.6500000000001]
[" 8027641","GASTROSTOMY TUBE 20FR PONSKY",358.35]
[" 8021842","GASTROSTOMY TUBE 20FR REPLACEMENT",462]
["20300733","GASTROSTOMY TUBE PLACEMENT-HPROV FEE",1255]
[" 8021834","GASTROSTROMY TUBE 16FR REPLACEMENT",166.75]
["20300729","GASTROTOMY W/EXPL OR FB REMVL-HPROV FEE",1408]
[" 8027849","GAURDUS OVERTUBE-GASTRIC",781.35]
[" 8000796","GAUZE TUBE FINGER/H",4.45]
[" 8010316","GAUZE-OWENS/3X8",7.2]
[" 8000770","GAUZE-TUBE ELASTIC",15.1]
[" 8016644","GAVAGE BAG GRAVITY",9.85]
["10976240","GC BY RNA,TMA 11362",187.5]
["13024010","GELFOAM 12-7 SPONGE",17.05]
["13024012","GELFOAM SPONGE SIZE 100",40.549999999999997]
[" 8029811","GELPORT LAP SYSTEM",1828.35]
["13024709","GEMCITABINE (GEMZAR) INJ:1000MG",56.65]
["13024079","GEMCITABINE (GEMZAR) INJ:200MG/5ML",17.8]
["13006788","GEMFIBROZIL TAB:600MG",3.25]
["13024114","GENTAMICIN 0.3% OPTH OINT:3.5GM",19.75]
["13005301","GENTAMICIN 0.3% OPTH SOLN: 5ML",16]
["13020870","GENTAMICIN 80MG IVPB",32.1]
["13005277","GENTAMICIN INJ:NEONATAL IN 20CC NS",35.75]
["10975738","GENTAMICIN, PEAK",143.5]
["10971521","GENTAMICIN, THERAPEUTIC",148.5]
["10975720","GENTAMICIN, TROUGH",148.5]
["13005293","GENTAMICIN/NS IVBP:80MG/100ML",35]
["13024835","GENTEAL GEL :10 GRAMS",17.55]
["10979599","GIARDIA AG,EIA 8625",121.5]
[" 8028185","GLAUCOMA FILTRATION DEVICE EXPRESS",2497.5]
[" 8028169","GLAUCOMA VALVE MODEL FP7",1824.95]
["13024235","GLIMEPIRIDE (AMARYL) TAB:2MG",2.9]
["13030071","GLIMEPIRIDE (AMARYL) TAB:4MG",2.9]
["13000617","GLUCAGON INJ:1MG",257.05]
["70000155","GLUCERNA 8OZ CAN",1.7]
[" 8015497","GLUCOMETER KIT",20.85]
["10970507","GLUCOSE",47]
["10970564","GLUCOSE BODY FLUID",56.5]
["10975092","GLUCOSE CSF",56.5]
["20388102","GLUCOSE FINGER STICK-FAC FEE",9]
["50100968","GLUCOSE FINGERSTICK",38]
["10974848","GLUCOSE POST GLUCOLA",49]
["10975845","GLUCOSE POST PRANDIAL",45]
["10975050","GLUCOSE SYN FLUID (ST V'S)",56.5]
["10970523","GLUCOSE TOL 2HR(3 SPEC-F,1,2)",139.5]
["10972123","GLUCOSE TOL GESTATIONAL",62]
["10975134","GLUCOSE WHOLE BLOOD",31]
["13024024","GLUTOSE 40% ORAL GEL:15GM",7.8]
["13005350","GLYCERIN SUPP ADULT",5.15]
[" 8014300","GLYCINE IRRIG 3000CC",33.799999999999997]
["13000161","GLYCOPYRROLATE (ROBINUL)INJ:0.2MG/ML 1ML",48]
["13029642","GLYCOPYRROLATE (ROBINUL)INJ:0.2MG/ML 5ML",91.6]
[" 8030165","GONIA PRISM",312.64999999999998]
[" 8015828","GRABBER LONG HANDLED",25]
["20388535","GRAD COMP WRAP NONELAS,BELOW KNEE-FAC FE",75]
[" 8026288","GRAFTON DBM PUTTY .5CC",591.35]
["10975506","GRAM STAIN",49]
["10976165","GRAM STAIN, SPUTUM",49]
[" 8015075","GRAPH PROBE ST",246.95]
[" 8015711","GROSHONG CATH CAPS",17.5]
[" 8017535","GROSHONG CATHETER KIT 5.5FR",939.45]
[" 8022030","GROSHONG CATHETER KIT 7FR",868.65]
[" 8017733","GROSHONG INTRODUCER",102.6]
[" 8017568","GROSHONG LUERLOCK CAP",2.6]
[" 8017527","GROSHONG REPAIR KIT",332.8]
[" 8017550","GROSHONG REPL CONN",45.9]
["20301667","GROUP PSYCHOTHERAPY-CPRO FEE",46]
["10979540","GROWTH HORMONE 521",163]
["13020789","GUAIFENESIN (MUCINEX) TAB:600MG",3.35]
["13009337","GUAIFENESIN (Q-TUSSIN) SYRUP:120ML",11.45]
["13022157","GUAIFENESIN AC (ROBITUSSIN AC) LIQ:120ML",16.5]
["13009329","GUAIFENESIN DM (Q-TUSSIN DM) SYRUP:240ML",12.35]
["70000670","GUEST TRAY BRKFST",4.05]
["70000126","GUEST TRAY DINN/SUPP",6.5]
["70000761","GUEST TRAY LIQUID",3.9]
["70000753","GUEST TRAY SNACK",3.25]
[" 8030041","GUIDEWIRE .025X150CM ANGLED",303.8]
[" 8028516","GUIDEWIRE .035X145CM STRAIGHT TIP",171.05]
[" 8028276","GUIDEWIRE .035X150CM ANGLED",326.60000000000002]
[" 8022758","GUIDEWIRE .035X150CM STRAIGHT",233.95]
[" 8022071","GUIDEWIRE 1.6MM THREADED",177.9]
[" 8020596","GUIDEWIRE 2.8MM THREADED",508.55]
[" 8029043","GUIDEWIRE H2O HYDROPHILIC",233.95]
["10972248","H PYLORI  AG,STOOL 34838",146]
["10970692","H PYLORI UREA BREATH 14839",358]
["20300523","HALLUX RIGIDUS CORR W/CHEILECT IMP-HPROV",847]
["13005483","HALOPERIDOL (HALDOL) INJ:5MG/ML",34.799999999999997]
["13005467","HALOPERIDOL (HALDOL) TAB:1MG",3.15]
["13024201","HALOPERIDOL (HALDOL) TAB:5MG",3.45]
["13030840","HALOPERIDOL CONCENTRATE 2MG/ML",19.850000000000001]
["20300522","HAMMERTOE REPAIR-CPRO FEE",675]
["20388521","HAMMERTOE REPAIR-FAC FEE",286]
["15001577","HAND BILATERAL COMP 3V",538]
["15501577","HAND BILATERAL COMP 3V READ",66]
["15001546","HAND BILATERAL LTD-2V",420]
["15701333","HAND COMP BILAT-3V MIN",538]
["15501333","HAND COMP BILAT-3V MIN READ",66]
["15731304","HAND COMP LT-3V MIN",269]
["15531304","HAND COMP LT-3V MIN READ",33]
["15780822","HAND COMP RT-3V MIN",269]
["15580822","HAND COMP RT-3V MIN READ",33]
[" 8021297","HAND HELD NEBULIZER 1883",2.15]
["15731205","HAND LIMITED LEFT-2V",210]
["15780814","HAND LIMITED RIGHT-2V",210]
["15580814","HAND LIMITED RIGHT-2V READ",26]
[" 8029829","HANDPIECE I/A SILICONE COATED",146.44999999999999]
["10975860","HANTAVIRUS AB IGG/IGM ST",112]
["10979391","HAPTOGLOBIN 502",128.5]
["50100761","HCG ONE STEP UR",11]
["10971976","HCG SERUM QUAL",77]
["10970309","HCG URINE QUAL",62]
["10970341","HDL CHOLESTEROL",63]
[" 8004269","HEAD HALTER",16.25]
[" 8030355","HEAD POSITIONER",108]
["50100570","HEALTH RISK ASSESSMENT",38]
["50100887","HEALTHCARE PROVIDER AED CLASS BY OH",49]
["50100891","HEARTSAVER AED CLASS BY OH",44]
[" 8025223","HEEL WARMER",5.35]
[" 8020125","HEIMLICH CHEST DRAIN VALVE",64.7]
[" 8016156","HELISTAT",129.5]
[" 8027963","HEMACLEAR/60 LG BROWN",272.39999999999998]
[" 8027971","HEMACLEAR/90 XLG BLK & WHT",289.05]
["10970713","HEMATOCRIT",21.5]
["10978238","HEMATOCRIT-CAPILLARY/SPUN",23]
["13029218","HEMIN IV PWD FOR SOLN 350MG",19400.349999999999]
["10979698","HEMOCHROMATOSIS DNA(SHODAIR)",242.5]
["10978305","HEMOGLOBIN",21.5]
["10971555","HEMOGLOBIN A1C CMMC",122.5]
["10972149","HEMOGRAM",51]
["13020755","HEMORRHOIDAL OINT:60GM",14.9]
["20300858","HEMORRHOIDECTOMY INT/EXT 2+COL-HPROV FEE",853]
["20300856","HEMORRHOIDECTOMY-HPROV FEE",633]
["20300851","HEMORROIDECTOMY INT BY RUBBER BAND-CPRO",340]
["10977149","HEMOSIDERIN UR 518",51]
[" 8010753","HEMOVAC 400ML MEDIUM",48.45]
["10972685","HEP A AB IGM 512",53]
["10972677","HEP A AB TOTAL, RFLX TO IGM 36504",164]
["20388119","HEP A VACC PED/ADOL DOS-2 DOSE-FAC FEE",73]
["20388117","HEP A VACCINE-FAC FEE",77]
["10979466","HEP B CORE AB, IGM 4848",114.5]
["10972693","HEP B CORE AB, TOTAL, RFX IGM 37676",142]
["10971745","HEP B SURFACE AB  IMMUNITY 8475 (QN)",107]
["10972628","HEP B SURFACE AG 498",107.5]
["20388155","HEP B VACC PED/ADOL 3DOSE SCH IM-FAC FEE",54]
["10970824","HEP B VIRAL DNA,PCR 8369",404]
["10970763","HEP Be ANTIGEN 555",94.5]
["10972793","HEP C AB SCRN w/RFX RNA QUANT 8472",148.5]
["10972669","HEP C AB w/RFX HCV RNA QUANT 8472",148.5]
["10974020","HEP C RNA CHEMILUM",135.5]
["10975035","HEP C RNA, QUANT PCR 35645",169.5]
["10972302","HEP C VIRAL GENOTYPE 37811",375]
["10974376","HEP E AB, IgG 36583",170]
["10979631","HEP PANEL ACUTE W/ REFLEX 10306",446.5]
["13030500","HEPARIN 12500 UNITS/250ML D5W",169.4]
["13002019","HEPARIN 25000 UNITS/500ML D5W",169.4]
["13000443","HEPARIN 5000 UNIT INJ.",34.4]
["10978773","HEPARIN ANTI-Xa 30292",140]
["13004562","HEPARIN FLUSH 100U/ML:5ML",34.25]
["13024625","HEPARIN FLUSH 10U/ML:5ML",34.15]
["13021498","HEPARIN LOCK FLUSH 100U/ML:30ML",29.55]
["50100828","HEPATITIS A VACCINE",71]
["50100839","HEPATITIS B VACCINE",72]
["13024137","HERCEPTIN 440MG INJ",25.95]
[" 8026791","HERNIA MESH ULTRAPRO 3X6",552.1]
[" 8021644","HERNIA PATCH  LARGE CIRCLE",1094.95]
[" 8021636","HERNIA PATCH  SMALL CIRCLE",964.6]
[" 8024036","HERNIA PATCH COMPOSIX 8X10",3461]
[" 8024531","HERNIA PATCH COMPOSIX MED OVAL",2198.1999999999998]
[" 8024234","HERNIA PATCH COMPOSIX SM CIRCLE",1562.55]
[" 8024614","HERNIA PATCH COMPOSIX SM OVAL",1627.45]
[" 8024556","HERNIA PATCH CRURASOFT LG",1673.2]
[" 8024549","HERNIA PATCH CRURASOFT SM",1304.7]
[" 8024069","HERNIA PATCH PER FIX LG",564.45000000000005]
[" 8024051","HERNIA PATCH PER FIX MED",572.85]
[" 8024044","HERNIA PATCH PER FIX SM",575.6]
[" 8024077","HERNIA PATCH PER FIX XLG",710.35]
[" 8029241","HERNIA PATCH VENTRALEX LARGE",1910.7]
[" 8021487","HERNIA PATCH VENTRALEX MEDIUM",1613.85]
[" 8021479","HERNIA PATCH VENTRALEX SMALL",1727.9]
["20300924","HERNIA REPAIR W/MESH-HPROV FEE",481]
[" 8030140","HERNIA VENTRAL PATCH MED.",2122.0500000000002]
[" 8030132","HERNIA VENTRAL PATCH SMALL",1901]
["10976800","HERPES 2 IgG 3640",154]
["10902457","HERPES SIMPLEX VIRUS PCR(STATE)",163]
["10970022","HF COMPRHNSV MET PANEL (CMP)",17]
["10902254","HF HEMOGLOBIN A1C CMMC",30]
["10970068","HF HEMOGRAM",16]
["10903064","HF HEP C AB w/RFX 8472",40]
["10970102","HF LIPID PROFILE",19]
["10970152","HF PSA",35]
["10970235","HF TSH CMMC",33]
["10902186","HF VITAMIN D TOTAL 25-OH CMMC",47]
["20388038","HH CARE PLAN SUPERVISION 1ST 30MIN FAC F",24]
["20301703","HH CARE PLAN SUPERVISION 1ST 30MIN-CPRO",99]
["20388044","HH CARE PLAN SUPERVISION >30MIN FAC F",29]
["20301705","HH CARE PLAN SUPERVISION >30MIN-CPRO FEE",155]
["20301707","HH CARE PLAN SUPERVISION-CPRO FEE",190]
["46001302","HHN ER SUBSEQUENT TX",104]
["46000114","HHN ER TX-INITIAL",104]
["46000129","HHN TX-INITIAL",104]
["26000129","HHN TX-INITIAL BY ER NURSE",104]
["46001317","HHN-SUBSEQUENT TX",104]
[" 2000660","HHN-SUBSEQUENT TX BY AC RN",104.25]
["26001317","HHN-SUBSEQUENT TX BY ER NURSE",104]
[" 3000335","HHN-SUBSEQUENT TX BY HAC RN",104.25]
["20388576","HI INTENSIVE BEHV COUNSEL/STD 30 MIN-FAC",6]
["20301578","HI INTENSIVE BEHV COUNSEL/STD 30MIN-CPRO",42]
[" 3000063","HIGH ACUITY NURSE OBS 01HR",716.75]
[" 3000071","HIGH ACUITY NURSE OBS 02HR",430]
[" 3000089","HIGH ACUITY NURSE OBS 03HR",358.5]
[" 3000097","HIGH ACUITY NURSE OBS 04HR",286.75]
[" 3000105","HIGH ACUITY NURSE OBS 05HR",246.25]
[" 3000113","HIGH ACUITY NURSE OBS 06HR",219.5]
[" 3000121","HIGH ACUITY NURSE OBS 07HR",200]
[" 3000139","HIGH ACUITY NURSE OBS 08HR",186.75]
[" 3000147","HIGH ACUITY NURSE OBS 09HR",176.25]
[" 3000154","HIGH ACUITY NURSE OBS 10HR",165.75]
[" 3000162","HIGH ACUITY NURSE OBS 11HR",158.25]
[" 3000170","HIGH ACUITY NURSE OBS 12HR",152.25]
[" 3000188","HIGH ACUITY NURSE OBS 13HR",148]
[" 3000196","HIGH ACUITY NURSE OBS 14HR",143.25]
[" 3000204","HIGH ACUITY NURSE OBS 15HR",140.5]
[" 3000212","HIGH ACUITY NURSE OBS 16HR",136]
[" 3000220","HIGH ACUITY NURSE OBS 17HR",133]
[" 3000238","HIGH ACUITY NURSE OBS 18HR",131.25]
[" 3000246","HIGH ACUITY NURSE OBS 19HR",128.5]
[" 3000253","HIGH ACUITY NURSE OBS 20HR",127]
[" 3000261","HIGH ACUITY NURSE OBS 21HR",123.75]
[" 3000279","HIGH ACUITY NURSE OBS 22HR",122.5]
[" 3000287","HIGH ACUITY NURSE OBS 23HR",121]
[" 3000295","HIGH ACUITY NURSE OBS 24HR",119.5]
[" 3000303","HIGH ACUITY NURSE OBSERV >24HR",119.5]
[" 3000484","HIGH ACUITY-DIRECT ADMIT TO OBS",275.5]
["15535202","HIP BILAT 2-3V READ",108]
["15735202","HIP BILATERAL 2-3V",894.5]
["15001058","HIP BILATERAL 2V",596.25]
["15700188","HIP BILATERAL 3-4 VIEWS",745.25]
["15500188","HIP BILATERAL 3-4 VIEWS READ",90]
["15700192","HIP BILATERAL 5 VIEW MIN",893.5]
["15500192","HIP BILATERAL 5 VIEW MIN READ",108]
["15735008","HIP LEFT 1V",193.75]
["15535008","HIP LEFT 1V READ",24]
["15735107","HIP LEFT 2-3V",447.25]
["15535107","HIP LEFT 2-3V READ",54]
["15700177","HIP LEFT 4V MINIMUM",520.25]
["15780855","HIP RIGHT 1V",193.75]
["15780863","HIP RIGHT 2-3V",447.25]
["15580863","HIP RIGHT 2-3V READ",54]
["15700169","HIP RIGHT 4V MINIMUM",520.25]
["10978955","HISTAMINE, URINE 24HR 4946",258]
["10902577","HIV 1/2 AG/AB COMBO RAPID CMMC",137]
["10902603","HIV 1/2 AG/AB COMBO RAPID SCREEN CMMC",137]
["10977051","HIV-1 GENOTYPE 34949",1816]
["10971022","HIV-1 RNA,QUANT-PCR 40085",557.5]
["10971158","HLA-B27 ANTIGEN 528",267]
["10976812","HLA-DR4 10454",257.5]
["46001950","HOLTER MONITOR HOOKUP",264]
["20301179","HOLTER PHYS REV & INTERP-HPROV FEE",47]
["46000659","HOLTER SCAN/REPORT",337.5]
["46002495","HOME NEBULIZER INSTRUCTION",104]
["10974442","HOMOCYSTEINE 31789",151.5]
["10977111","HOMOVAN ACID UR 24HR 39527",209]
[" 8017543","HOOD STERILEVIEW 1/2 GOWN",129.5]
["20301291","HOSP I/P DISCHG 30MIN OR <-HPROV FEE",128]
["20301293","HOSP I/P DISCHG 30MIN OR >-HPROV FEE",189]
["20301454","HOSP NB ATTENDANCE-HPROV FEE",131]
["20388123","HPV-9 VACCINE 3 DOSE SCHEDULE-FAC FEE",250]
["10950087","HRA .BB ABO GROUP CHG",27.5]
["10950098","HRA .BB RH TYPE CHG",31]
["10950034","HRA CBC W/DIFF",41]
["10950007","HRA COMPRHNSV MET PANEL (CMP)",38]
["10950079","HRA HEMOGLOBIN A1C CMMC",43]
["10950101","HRA HEP C AB SCRN w/RFX RNA QUANT 8472",32.5]
["10950016","HRA LIPID PROFILE",38]
["10950164","HRA NICOTINE/COTININE 90642-CMMC ONLY",106.5]
["10950042","HRA PSA",43]
["10950025","HRA TSH CMMC",54]
["10950115","HRA VITAMIN D TOTAL, 25-OH",54]
["15730603","HUMERUS INC 1 JT LEFT",269]
["15530603","HUMERUS INC 1 JT LEFT READ",33]
["15780756","HUMERUS INC 1 JT RIGHT",269]
["15580756","HUMERUS INC 1 JT RIGHT READ",33]
[" 8014961","HUMID-VENT ANESTH",5.35]
[" 8003386","HUMIDIFIER COLD AIR",51.4]
["13001474","HUMULIN 70/30 INSULIN (PER ML)",2.65]
["13005582","HUMULIN N 100U/ML INSULIN (PER ML)",1.1000000000000001]
["13005590","HUMULIN R 100U/ML INSULIN (PER ML)",2.4]
["20301450","HX&XM NML NB INFT HOSP ADMIT-HPROV FEE",168]
["20300962","HYDROCELECTOMY UNILATERAL-HPROV FE",608]
["13008222","HYDROCHLOROTHIAZIDE (HCTZ 25MG):25MG",3.1]
["13008230","HYDROCHLOROTHIAZIDE (HCTZ) TAB:50MG",2.85]
["13023338","HYDROCOD/APAP 7.5-325/15ML ELIXIR:118ML",20.75]
["13005665","HYDROCOD/APAP 7.5-325/15ML ELIXIR:15ML",11.25]
["13024096","HYDROCOD/APAP 7.5-325/15ML ELIXIR:60ML",14.45]
["10974293","HYDROCODONE (LORTAB) 90489",224.5]
["13024704","HYDROCODONE/APAP (NORCO) 10/325 TAB",3.65]
["13025707","HYDROCODONE/APAP (NORCO) 5/325 TAB",2.9]
["13026192","HYDROCODONE/APAP (NORCO) 7.5/325 TAB",2.9]
["13001912","HYDROCODONE/APAP 5/325MG TAB (ER #6)",10.199999999999999]
["13003835","HYDROCORTISONE (HYDROCORTONE) TAB:10MG",3.4]
["13009584","HYDROCORTISONE (SOLU-CORTEF) INJ:100MG",63.3]
["13005673","HYDROCORTISONE 1% CRM:28.35GM",12.1]
["13001722","HYDROCORTISONE 1% CRM:30GM",9.15]
["13005681","HYDROCORTISONE 2.5% CRM:30GM",32.799999999999997]
["13004411","HYDROMORPHONE (DILAUDID) TAB:2MG",3.1]
["13024695","HYDROMORPHONE (DILAUDID)PCA 0.2MG/ML",58.5]
["13026022","HYDROMORPHONE(DILAUDID) INJ:1MG/ML",36.4]
["13030064","HYDROMORPHONE(DILAUDID) INJ:2MG/ML",35.950000000000003]
["13004518","HYDROMORPHONE(DILAUDID) INJ:4MG/ML",36.450000000000003]
["13005644","HYDROMORPHONE:4MG/ML INJ",49.5]
["15747409","HYSTEROSALPINGO",815.75]
["13024063","HYZAAR 100/25 TAB",7.15]
["26551659","I AND D ABSCESS COMPLEX",791]
["26551642","I AND D ABSCESS SIMPLE",403]
["26551865","I AND D BARTHOLIN GLAND",446]
["26551709","I AND D FB COMPLEX",886]
["26551691","I AND D FB SIMPLE",485]
["26551667","I AND D HEMATOMA SEROMA",525]
["26551325","I AND D PILONIDAL CYST",446]
["26551857","I AND D VULVA/PERINEAL",509]
["26551832","I AND PERIANAL ABSCESS",389]
[" 8030157","I STENT",8022.45]
["20300015","I&D ABSCESS COMPL OR MULTIPLE-CPROV FEE",319]
["20388014","I&D ABSCESS COMPL OR MULTIPLE-FAC FEE",45]
["20300012","I&D ABSCESS SIMPLE OR SINGLE-CPROV FEE",173]
["20388011","I&D ABSCESS SIMPLE OR SINGLE-FAC FEE",37]
["20300033","I&D COMPLX POSTOP WOUND INFECT-CPROV FEE",318]
["20388032","I&D COMPLX POSTOP WOUND INFECT-FAC FEE",120]
["20300434","I&D DEEP ABSCESS THIGH OR KNEE-HPROV FEE",898]
["20300970","I&D VULVA/PERINEUM-HPROV FEE",191]
[" 8030256","I-GELSUPRAGLOTTIC AIRWAY SZ3",62.9]
[" 8030249","I-GELSUPRAGLOTTIC AIRWAY SZ4",62.9]
[" 8030231","I-GELSUPRAGLOTTIC AIRWAY SZ5",62.9]
["26551972","I/P VISIT-HIGH CMPLX",491]
["26551956","I/P VISIT-LOW CMPLX",198]
["26551964","I/P VISIT-MOD CMPLX",348]
["13005756","IBUPROFEN (MOTRIN) 100MG/5ML SUSP:120ML",13.4]
["13002175","IBUPROFEN (MOTRIN) TAB:200MG",3]
["13007513","IBUPROFEN (MOTRIN) TAB:400MG",2.85]
["13007521","IBUPROFEN (MOTRIN) TAB:600MG",3.1]
["13007539","IBUPROFEN (MOTRIN) TAB:800MG",3]
["13022553","IBUTILIDE (CORVERT) INJ:1MG/10ML",1320.9]
["20300685","ID SENTINEL NODE-HPROV",71]
["13028365","IDARUCIZUMAB (PRAXBIND) INJ:2.5GM INJ",5434.85]
["26000055","IF IMPL PUMP REFILL/MAINT",309]
["10979581","IGF BP3 34458",131]
["10979573","IGF-1 (SOMATOMEDIN C)16293",181]
["20300769","ILEOSTOMY/JEJUNOSTOMY-HPRO FEE",1876]
["13023049","IMIPRAMINE (TOFRANIL) TAB:25MG",3.1]
["10972974","IMIPRAMINE/DESIPR 887",170]
["20388113","IMM ADM INTRANASAL/ORAL 1 VACC-FAC FEE",48]
["20388114","IMM ADM INTRANASAL/ORAL EA VACC-FAC FEE",23]
["20388108","IMM ADM PRQ ID SUBQ/IM INJ 1 VAC-FAC FEE",48]
["20388111","IMM ADM PRQ ID SUBQ/IM INJ EA VAC-FAC FE",23]
["20388192","IMM ONE INJ WO ALLERG EXTR-FAC FEE",16]
[" 8018988","IMMOBILIZER ARM LG",31.25]
[" 8018970","IMMOBILIZER ARM MED",31.25]
[" 8019069","IMMOBILIZER ARM SLING/SWATH",46.5]
[" 8000234","IMMOBILIZER ARM SM",31.25]
[" 8018996","IMMOBILIZER ARM XLG",31.25]
[" 8026130","IMMOBILIZER ARM XXLG",48.65]
["13028014","IMMUNE GLOBULIN (OCTAGAM) 10% INJ:10GM",3230.45]
["13029793","IMMUNE GLOBULIN (OCTAGAM) 10% INJ:20GM",6460.9]
["13029794","IMMUNE GLOBULIN (OCTAGAM) 10% INJ:5GM",996.6]
["13026112","IMMUNE GLOBULIN (OCTAGAM) INJ:10GM",2023.8]
["13026114","IMMUNE GLOBULIN (OCTAGAM) INJ:1GM",162.5]
["13028449","IMMUNE GLOBULIN (OCTAGAM) INJ:2.0GM",184.4]
["13026469","IMMUNE GLOBULIN (OCTAGAM) INJ:2.5GM",184.4]
["13026113","IMMUNE GLOBULIN (OCTAGAM) INJ:5GM",921.95]
["13030745","IMMUNE GLOBULIN (PRIVIGEN 10%) INJ:10GM",2988.9]
["13025770","IMMUNE GLOBULIN (PRIVIGEN 10%) INJ:20GM",5945.8]
["13030801","IMMUNE GLOBULIN (PRIVIGEN 10%) INJ:5GM",1548.5]
["50100909","IMMUNIZATION ADM/VACC PROVIDED-OCC HLTH",23]
["26003062","IMMUNIZATION ADMIN ADDL VAC ER",71]
["27003010","IMMUNIZATION ADMIN ADDL VAC IF",71]
["26003010","IMMUNIZATION ADMIN ADDL VAC TR",71]
["26003051","IMMUNIZATION ADMIN ER",103]
["27002981","IMMUNIZATION ADMIN IF",103]
["26002981","IMMUNIZATION ADMIN TR",103]
["50100221","IMMUNIZATION ADMIN/OCC HLTH",23]
["10972925","IMMUNOFIXATION, SER 549",203.5]
["10975829","IMMUNOFIXATION, UR 213",227]
["10970741","IMMUNOGLOBULIN A 539",91.5]
["10973790","IMMUNOGLOBULIN E 542",121.5]
["10974627","IMMUNOGLOBULIN G 543",90]
["10976862","IMMUNOGLOBULIN G CSF 4448",87.5]
["10973535","IMMUNOGLOBULIN G/M/A 7083",66.5]
["10903037","IMMUNOGLOBULIN M 545",82]
["20388195","IMMUNOTHERAPY INJECTIONS-FAC FEE",18]
["13022140","IMOGAM RABIES INJ:300IU/2ML",326.3]
["26001620","IMPLANT PUMP REFILL/MAINT",309]
["27001620","IMPLANT PUMP REFILL/MAINT IF",309]
["20300841","INC ANAL ABSCESS-CPRO FEE",174]
["20388840","INC ANAL ABSCESS-FAC FEE",187]
["20300743","INC LARGE BOWEL-HPROV FEE",1764]
["20300688","INC LINGUAL FRENUM(FRENOTOMY)-CPROV FEE",192]
["20388687","INC LINGUAL FRENUM(FRENOTOMY)-FAC FEE",166]
["20300838","INC RECTAL ABSCESS-CPRO FEE",743]
["20388837","INC RECTAL ABSCESS-FAC FEE",215]
[" 8021362","INCENTIVE SPIROMETER",23.9]
["20388843","INCISE EXT HEMORRHOID-FAC FEE",126]
["20300844","INCISE EXTERNAL HEMORRHOID-CPRO FEE",191]
["20300532","INCISION OF HEEL BONE-HPRO FEE",1161]
["13024467","INDIA INK 5ML",36.85]
["20301643","INDIV PSYCHOTHERAPY 16-37MIN-CPRO FEE",114]
["20301647","INDIV PSYCHOTHERAPY 38-52MIN-CPRO FEE",153]
["20301651","INDIV PSYCHOTHERAPY 53-67MIN-CPRO FEE",229]
["13005855","INDOMETHACIN CAP:25MG",2.95]
[" 8029035","INFLATION DEVICE ENDO BALLOON DILATION",188.3]
["13024191","INFLIXIMAB (REMICADE) 100MG INJ",3582.9]
["13026410","INFLUENZA (FLUZONE) VACCINE MDV:0.5ML",89.7]
["13005889","INFLUENZA (FLUZONE) VACCINE PFS:0.5ML",94]
["13029612","INFLUENZA (FLUZONE)HD VACCINE PFS:0.5ML",134.6]
["50100415","INFLUENZA VACC-OH",17]
[" 8028524","INFUSION QUICK-SET MEDTRONIC",104.55]
[" 8013823","INFUSION SET GALACTOGRAPHY",85.55]
[" 8020893","INFUSION SET-SUB Q",25.5]
["20300910","INGUINAL HERNIA REPAIR/SLIDING-HPROV FEE",1025]
["20301697","INIT PSYCH CARE MGMT 70MIN/MO-CPROV FEE",156]
["20388030","INIT PSYCH CARE MGMT 70MIN/MO-FAC FEE",122]
["20301701","INIT/SUBSQ PSYCH CARE EA ADDL 30MIN-CPRO",75]
["20388036","INIT/SUBSQ PSYCH CARE EA ADDL 30MIN-FAC",40]
["20300904","INITL ING HERNIA REPAIR/RDC >5Y-HPROV",932]
["20301071","INJ ANES GREATER OCCIPITAL NERV-CPRO FEE",113]
["20388071","INJ ANES GREATER OCCIPITAL NERVE-FAC FEE",68]
["20301074","INJ ANES OTH PERPHL NRV/BRNCH-CPRO FEE",81]
["20388074","INJ ANES OTH PERPHL NRV/BRNCH-FAC FEE",61]
["20300686","INJ DYE SENTINAL LYMPH NODES W/INTR-HPRO",247]
["20300383","INJ TENDON ORGIN/INSERTION-CPRO FEE",76]
["20388382","INJ TENDON ORGIN/INSERTION-FAC FEE",31]
["20388600","INJ TESTOSTERONE CYPIONATE 1MG-FAC FEE",0.03]
["20300386","INJ TRIGGER POINT 1/2 MUSCLE-CPRO FEE",68]
["20388385","INJ TRIGGER POINT 1/2 MUSCLE-FAC FEE",30]
["20300389","INJ TRIGGER POINT =/>3 CPRO FEE",77]
["20388388","INJ TRIGGER POINT =/>3 FAC FEE",35]
[" 8028680","INJECTOR 25GA X 4MM",141.44999999999999]
[" 8028672","INJECTOR 25GA X 5MM",141.44999999999999]
["20300249","INSERT DRUG IMPLANT DEVICE-CPROV FEE",149]
["20388248","INSERT DRUG IMPLANT DEVICE-FAC FEE",102]
["20388976","INSERT PESSARY/OTHR INTRVAG SUPP DEV-FAC",51]
["20300982","INSERT PESSARY/OTHR INTRVAG SUPP DV-CPRO",82]
["20300944","INSERT TEMP INDWL BLADDR CATH SMPL-CPRO",47]
["20388943","INSERT TEMP INDWL BLADDR CATH SMPL-FAC F",67]
["20300654","INSERT TUNNELED CV CATH-HPROV FEE",470]
["20300656","INSERT TUNNELED CV CATH-HPROV FEE",607]
["20300658","INSERT TUNNELED CV CATH-HPROV FEE",662]
["20300660","INSERT TUNNELED CV CATH-HPROV FEE",660]
["26000899","INSERTION INDWELLING URINARY CATH",159]
["27000899","INSERTION INDWELLING URINARY CATH IF",159]
["20300998","INSERTION INTRAUTERINE DEVICE-CPRO FEE",95]
["20388997","INSERTION INTRAUTERINE DEVICE-FAC FEE",34]
["26000888","INSERTION NON-INDWELLING URINARY CATH",103]
["27000888","INSRTN NON-INDWELLING URINARY CATH IF",103]
["26000903","INSRTN(COMPLICATED)INDWLG UR CATH",203]
[" 8011231","INSTRUMENT WIPE/MRCL",6.15]
[" 8029522","INSUFFLATION BULB FILTER",72.75]
["13021993","INSULIN LISPRO(HUMALOG) INJ:100U/ML",2.65]
["13005905","INSULIN REG:100 U/ML INJ",4.25]
["10979417","INSULIN, TOTAL 561",118.5]
["10974459","INSULIN, TOTAL 561  #2",105.5]
["50100113","INSURANCE COMPANY COLLECTION",76]
["15701349","INT AUDITORY MEATUS",474]
["20301581","INTENSIVE BEHV THERAPY/CARDIO DX-CPRO FE",42]
["20388581","INTENSIVE BEHV THERAPY/CARDIO DX-FAC FEE",4]
["20300301","INTMD WND REPAIR FACE/MM 7.6-12.5 CPROV",397]
["20388300","INTMD WND REPAIR FACE/MM 7.6-12.5 FAC FE",239]
["20300292","INTMD WND REPAIR N-HG/GENIT 7-6-12.5-HPR",384]
["20300276","INTMD WOUND REP S/TR/EXT 2.5+ CPRO FEE",273]
["20388275","INTMD WOUND REP S/TR/EXT 2.5+ FAC FEE",147]
["20300282","INTMD WOUND REP S/TR/EXT 7.6-12.5 CPRO F",371]
["20388281","INTMD WOUND REP S/TR/EXT 7.6-12.5FAC FEE",182]
["20300294","INTMD WOUND REPAIR F,E,E,N,L-CPRO FEE",306]
["20388293","INTMD WOUND REPAIR F,E,E,N,L-FAC FEE",150]
["20300297","INTMD WOUND REPAIR FACE/MM-CPRO FEE",365]
["20300300","INTMD WOUND REPAIR FACE/MM-CPRO FEE",390]
["20388296","INTMD WOUND REPAIR FACE/MM-FAC FEE",156]
["20388299","INTMD WOUND REPAIR FACE/MM-FAC FEE",221]
["20300288","INTMD WOUND REPAIR N-HF/GENIT CPRO FEE",268]
["20300291","INTMD WOUND REPAIR N-HF/GENIT CPRO FEE",358]
["20388287","INTMD WOUND REPAIR N-HF/GENIT-FAC FEE",151]
["20388290","INTMD WOUND REPAIR N-HF/GENIT-FAC FEE",153]
["20388278","INTMD WOUND REPAIR S/TR/EXT-FAC FEE",186]
["20300279","INTMD WOUND REPAIR S/TR/EXT-PRO FEE",348]
["20300285","INTR REPAIR N-HF/GENIT 12.6-20 CPRO FEE",429]
["20388284","INTR REPAIR N-HF/GENIT 12.6-20CM-FAC FEE",244]
["20300246","INTRALESIONAL INJECTION-CPROV FEE",56]
["20388245","INTRALESIONAL INJECTION-FAC FEE",43]
["13028278","INTRALIPID 20% INJ: 100ML",57]
["13024483","INTRALIPID 20% INJ: 250ML",65.900000000000006]
["21000587","INTRASCALENE BLOCK",691]
["21000548","INTRATHECAL NARC INJ",1058]
["20388621","INTRAUTERINE COPPER CONTRACEPTIV-FAC FEE",791]
[" 8014011","INTRAUTERINE MONITOR KIT",32.549999999999997]
["15780038","INTRAVENOUS PYELOGRM",804.5]
["13024840","INTRAVIA 250ML BAG",43.3]
["10976390","INTRINSIC FCT BLK AB 568",123.5]
[" 8001745","INTRO PACING 5 FR.",246.95]
[" 8024242","INTRODUCER BARD 10FR",230.55]
[" 8005092","INTRODUCER PACING 7 FR.",246.95]
["13024205","INTRON A INJ:32MMU/3.2ML",878.65]
["46000921","INTUBATION",1005.5]
["20300636","INTUBATION ENDOTRACHEAL-HPROV FEE",252]
["21000594","INTUBATION FOR RESP FAILURE",1004]
["10978119","IODINE URINE 16602",167]
[" 8027476","IODOFLEX CADEXOMER IODINE PAD",27.9]
["20301269","IP ADMIT COMPREHENSIVE-HPROV FEE",240]
["20301267","IP ADMIT DETAILED-HPROV FEE",178]
["20301271","IP ADMIT HIGH COMPLEXITY-HPROV FEE",356]
["20301308","IP CONSULT DETAILED-HPROV FEE",202]
["20301304","IP CONSULTATION-HPROV FEE",86]
["20301306","IP CONSULTATION-HPROV FEE",131]
["11800169","IP DISCHARGE 30 MIN OR LESS",129]
["11800170","IP DISCHARGE GREATER THAN 30 MIN",190]
["11800055","IP INITIAL CARE COMPREHENSIVE",243]
["11800044","IP INITIAL CARE DETAILED",180]
["11800066","IP INITIAL CARE HIGH COMPLEXITY",360]
["26550859","IPCT CERUMEN REMOVAL",154]
["13027074","IPILIMUMAB (YERVOY) INJ:50MG/10ML",18380.75]
["20301562","IPPE ECG INTERPRET & REPORT-CPROV FEE",15]
["20388558","IPPE ECG TRACING ONLY-FAC FEE",15]
["20301558","IPPE ECG W/12LEADS W/EXAM-CPROV FEE",30]
["20301556","IPPE LTD NEW BENEF DUR 1ST 12MO-CPROV FE",223]
["20388554","IPPE LTD NEW BENEF DUR 1ST 12MO-FAC FEE",69]
["13026196","IPRATROP/ALBUT (COMBIVENT)SPRAY 4 GRAM",451.2]
["13022942","IPRATROPIUM (ATROVENT) 0.02% NEB:2.5ML",10.1]
["15002255","IR BILIARY CATHETER PLACEMENT",2286.75]
["15002143","IR BIOPSY BONE DEEP w/GUIDANCE",632]
["15002124","IR BIOPSY BONE SUPERFICIAL w/GUIDANCE",539.5]
["15002113","IR BIOPSY MUSCLE w/GUIDANCE",437.5]
["15001139","IR BLOOD PATCH",260.25]
["15002324","IR CHANGE PERC TUBE",770.5]
["15002246","IR ELEC ANALYSIS PUMP PHYS REPROG/REFILL",346]
["15002239","IR ELEC ANALYSIS PUMP W/REPROG & REFILL",269]
["15002223","IR ELEC ANALYSIS PUMP W/REPROGR",261.75]
["15502223","IR ELEC ANALYSIS PUMP W/REPROGR READ",32]
["15002212","IR ELECTRONIC ANALYSIS PUMP",187.25]
["15002281","IR EPID C/T CATH PLACEMENT w/GUID",1629]
["15002290","IR EPID L/S CATH PLACEMENT w/GUID",1603]
["15001322","IR FINE NEEDLE ASPIRATION",466.75]
["15002302","IR FLUID COLL DRAINAGE BY CATH-SFT TISSU",1250]
["15780539","IR FOREIGN BODY REMVL MUSC/TENDON SMPL",1085.5]
["15780544","IR FOREIGN BODY REMVL SUBCUT SMPL",758.25]
["15001620","IR IMPL PUMP REFILL/MAINT",309.5]
["15002196","IR IMPLANT/REPLC OF DEVICE(SUBQ RES)",2263.25]
["15002160","IR IMPLANT/REV/REPOS TUNNEL INFUS PUMP",2976.75]
["15001436","IR INJ CYSTOGRAPHY/VOIDING URETH",335.5]
["15000285","IR INJ ELBOW ARTHROGRAPHY LEFT",511.25]
["15000296","IR INJ ELBOW ARTHROGRAPHY RIGHT",511.25]
["15502278","IR INJ EPID-INTRATH LS SPINE w/GUID READ",187]
["15001805","IR INJ FACET C/T BILATERAL SPINE",1788.5]
["15002008","IR INJ FACET C/T SPINE",894.25]
["15002022","IR INJ FACET C/T SPINE 2ND LVL",590.5]
["15001833","IR INJ FACET C/T SPINE 2ND LVL BILAT",1787.75]
["15002030","IR INJ FACET C/T SPINE 3RD LVL",590.5]
["15001844","IR INJ FACET C/T SPINE 3RD LVL BILAT",1787.75]
["15001750","IR INJ FACET L/S BILATERAL SPINE",1788.5]
["15002013","IR INJ FACET L/S SPINE",894.25]
["15002049","IR INJ FACET L/S SPINE 2ND LVL",590.5]
["15001789","IR INJ FACET L/S SPINE 2ND LVL BILAT",1787.75]
["15002051","IR INJ FACET L/S SPINE 3RD LVL",590.5]
["15001855","IR INJ FACET L/S SPINE 3RD LVL BILAT",1787.75]
["15002098","IR INJ FEMORAL NERVE BLOCK BILATERAL",980.5]
["15002086","IR INJ FEMORAL NERVE BLOCK SINGLE",490.25]
["15002267","IR INJ FOR EPID-INTRATH CT SPINE w/GUID",1698.75]
["15002278","IR INJ FOR EPID-INTRATH LS SPINE w/GUID",1558.5]
["15002132","IR INJ GI TUBE FOR PATENCY",245.5]
["15001405","IR INJ HIP ARTHROGRAPHY LEFT",528.25]
["15001399","IR INJ HIP ARTHROGRAPHY RIGHT",528.25]
["15002372","IR INJ ILIOINGNL/ILIOHYPOGSTRC BILAT NRV",1377]
["15002313","IR INJ ILIOINGUINAL/ILIOHYPOGASTRIC NERV",688.5]
["15001927","IR INJ INTERCOSTAL NERVE BLK BILATERAL",983.5]
["15001890","IR INJ INTERCOSTAL NERVE BLOCK",491.75]
["15001901","IR INJ INTERCOSTAL NERVE BLOCK MULTI",644]
["15001412","IR INJ KNEE ARTHROGRAPHY LEFT",380]
["15001429","IR INJ KNEE ARTHROGRAPHY RIGHT",380]
["15001559","IR INJ OCCIPITAL NERVE BLOCK",473.25]
["15001600","IR INJ OCCIPITAL NERVE BLOCK BILATERAL",946.5]
["15001970","IR INJ PARAVERTEBRAL SYMPATHETIC L/T BIL",3087]
["15001988","IR INJ PARAVERTEBRAL SYMPATHETIC L/T SNG",1543.5]
["15002105","IR INJ PERIPHERAL NERVE BRANCH BILATERAL",337]
["15002064","IR INJ PERIPHERAL NERVE BRANCH SINGLE",168.5]
["15001443","IR INJ RETROGRADE URETHROCYSTORAPHY",483.75]
["15001168","IR INJ SHOULDER ARTHROGRAM BILATERAL",779.5]
["15001382","IR INJ SHOULDER ARTHROGRAM LEFT",389.75]
["15001375","IR INJ SHOULDER ARTHROGRAM RIGHT",389.75]
["15702474","IR INJ SI BILATERAL",1257.5]
["15502474","IR INJ SI BILATERAL READ",152]
["15001474","IR INJ SI LEFT",628.75]
["15501474","IR INJ SI LEFT READ",76]
["15001467","IR INJ SI RIGHT",628.75]
["15001185","IR INJ SINGLE TENDON ORIGIN/INSERTION",315.25]
["15001172","IR INJ SINGLE TENDON/LIGAMENT",308.75]
["15002363","IR INJ SINGLE TENDON/LIGAMENT BILAT",617.5]
["15001764","IR INJ SPHENOPALATINE GANGLION BLK-BILAT",1166.5]
["15001746","IR INJ SPHENOPALATINE GANGLION BLK-LEFT",583.25]
["15001737","IR INJ SPHENOPALATINE GANGLION BLK-RIGHT",583.25]
["15001772","IR INJ TRIGEMINAL NERVE BLOCK BILATERAL",1121.5]
["15001653","IR INJ TRIGEMINAL NERVE BLOCK LEFT",560.75]
["15001615","IR INJ TRIGEMINAL NERVE BLOCK RIGHT",560.75]
["15001283","IR INJ TRIGGER POINT 1-2 MUSCLES",156.5]
["15501283","IR INJ TRIGGER POINT 1-2 MUSCLES READ",19]
["15001290","IR INJ TRIGGER POINT 3/MORE MUSCLES",468.25]
["15001146","IR INJECTION FOR DISCOGRAPHY/LUMBAR",779.25]
["15501528","IR INTERM JOINT ASPIR/INJ RIGHT READ",34]
["15001934","IR INTERM JOINT ASPIRATION/INJ BILATERAL",552.5]
["15001535","IR INTERM JOINT ASPIRATION/INJ LEFT",276.25]
["15001528","IR INTERM JOINT ASPIRATION/INJ RIGHT",276.25]
["15001450","IR INTROD LONG GI TUBE",184.75]
["15001221","IR KYPHOPLASTY LUMBAR SPINE",3194]
["15001314","IR KYPHOPLASTY T-L EA ADDL",1720.5]
["15001238","IR KYPHOPLASTY THORACIC SPINE",3324.25]
["15501245","IR LUMBAR PUNCTURE DIAG READ",63]
["15001245","IR LUMBAR PUNCTURE DIAGNOSTIC",520.25]
["15001252","IR LUMBAR PUNCTURE THERAPEUTIC",520.25]
["15501214","IR MAJOR JOINT ASPIR/INJ BILAT READ",84]
["15001214","IR MAJOR JOINT ASPIR/INJ BILATERAL",687]
["15001191","IR MAJOR JOINT ASPIR/INJ LEFT",343.5]
["15501191","IR MAJOR JOINT ASPIR/INJ LEFT READ",42]
["15001207","IR MAJOR JOINT ASPIR/INJ RIGHT",343.5]
["15501207","IR MAJOR JOINT ASPIR/INJ RIGHT READ",42]
["15001563","IR PANCREAS BIOPSY",1484]
["15001688","IR PIRIFORMIS INJ SCIATIC NRV BLCK",2312.75]
["15001498","IR PLACEMENT CATH-PERC DRAIN",886.25]
["15002336","IR PLEURAL DRAINAGE DEVICE INSERTION",1148]
["15002171","IR PROGRAMMABLE PUMP PREP",2874.75]
["15002204","IR REMOVAL OF SUBQ RESERVOIR/PUMP",2218.75]
["15002187","IR REMVL PREV IMPL INTRA/EPID CATH",2006.5]
["15001598","IR RF TUMOR ABLATION",2312.75]
["15001912","IR SMALL JOINT ASPIRATION/INJ BILATERAL",313]
["15001504","IR SMALL JOINT ASPIRATION/INJ LEFT",156.5]
["15001511","IR SMALL JOINT ASPIRATION/INJ RIGHT",156.5]
["15001945","IR TRANSFORAMINAL ADDL EPI C/T SPINE BIL",1787.75]
["15001956","IR TRANSFORAMINAL ADDL EPI L/S SPINE BIL",1787.75]
["15001351","IR TRANSFORAMINAL ADDL EPIDRL C/T SPINE",894.25]
["15001368","IR TRANSFORAMINAL ADDL EPIDRL L/S SPINE",894.25]
["15001888","IR TRANSFORAMINAL EPID C/T SPINE BILAT",1788.5]
["15001999","IR TRANSFORAMINAL EPID L/S SPINE BILAT",1788.5]
["15501276","IR TRANSFORAMINAL EPIDRL L/S SPINE READ",108]
["15001269","IR TRANSFORAMINAL EPIDURAL C/T SPINE",894.25]
["15001276","IR TRANSFORAMINAL EPIDURAL L/S SPINE",894.25]
["15501999","IR TRANSFRMNL EPID L/S SPINE BIL READ",215]
["15001666","IR VERTEBROPLASTY LS CERV EA ADDL",1499.5]
["15001580","IR VERTEBROPLASTY LUMBOSACRAL",3013.25]
["15001306","IR VERTEBROPLASTY THORACIC SPINE",3402]
["13022504","IRINOTECAN INJ:100MG/5ML",157.9]
["13028073","IRINOTECAN INJ:40MG/2ML",136.05000000000001]
[" 8028243","IRIS RETRACTOR FLEXIBLE",485.75]
["10973408","IRON CMMC",72]
["13024590","IRON SUCROSE (VENOFER) 20MG/ML  PREDEF",99.05]
["13024572","IRON SUCROSE 20MG/ML,5ML",105.2]
[" 8019671","IRRIG/ASPIRATION SET",212.35]
[" 8017246","IRRIGATING VECTIS SM. INCISION .40MM",72.400000000000006]
[" 8027724","IRRIGATING VECTIS SM. INCISION .40MM",125.45]
["26000924","IRRIGATION OF VAD",103]
["27000924","IRRIGATION OF VAD IF",103]
[" 8014524","IRRIGATOR KIT/COLOSTOMY",102.6]
["50100514","ISHIHARA (COLOR BLINDNESS) TEST BY OH",11]
["70000746","ISOCAL 8 OZ CAN",1.6]
["13006119","ISOPTO TEARS:15ML",11.95]
["13024330","ISOSORBIDE MONONITRATE (IMDUR) TAB:30MG",3.3]
["13022215","ISOSORBIDE MONONITRATE (IMDUR) TAB:60MG",3.15]
["15000370","ISOVUE M-200 CONTRAST",9]
["15000413","ISOVUE M-300 CONTRAST",11.5]
["26551634","IV ACCESS CENTRAL VENOUS CATH",565]
[" 8016511","IV FLO REGULATOR",27.3]
["26000812","IV HYDRATION 1ST HR-ER 31MIN-1HR",292]
["26000823","IV HYDRATION 1ST HR-TR 31MIN-1HR",292]
["27000823","IV HYDRATION 1ST HR-TR 31MIN-1HR IF",292]
["26000844","IV HYDRATION-ER EA ADDL HR",103]
["26000855","IV HYDRATION-TR EA ADDL HR",103]
["27000855","IV HYDRATION-TR EA ADDL HR IF",103]
["27003356","IV THER EA ADDL SEQ INFUSION 1HR IF",124]
["26003356","IV THER EA ADDL SEQUENTIAL INFUSION 1HR",124]
["26000798","IV THERAPEUTIC ADMIN 1 HR",435]
["27000798","IV THERAPEUTIC ADMIN 1 HR IF",435]
["26003253","IV THERAPEUTIC ADMIN EA ADDL HOUR",124]
["27003253","IV THERAPEUTIC ADMIN EA ADDL HOUR IF",124]
["26003367","IV THRPY CONCURRENT INFUSION 1HR",295]
["27003367","IV THRPY CONCURRENT INFUSION 1HR IF",295]
[" 8016826","JACKSON PRATT DRAIN 100CC",24.4]
["50100525","JAEGER VISION TEST BY OH",11]
["70001099","JEVITY 8 OZ CAN",0.85]
["70001074","JEVITY 8OZ(1.2CAL)",1.05]
["20300396","JOINT INJECTION BILATERAL-CPRO FEE",134]
["20388395","JOINT INJECTION BILATERAL-FAC FEE",44]
["20300395","JOINT INJECTION-CPRO FEE",67]
["20388394","JOINT INJECTION-FAC FEE",22]
[" 8012155","K WIRES PLAIN",51.3]
[" 8022105","K WIRES THREADED",74.400000000000006]
[" 8016016","KALTOSTAT WOUND DRSG 3X5",20.55]
[" 8019606","KALTOSTAT WOUND PACKING",25.4]
[" 8016636","KANGAROO NUTRITION BAG PUMP SET",10.6]
["20388612","KENALOG 10MG-FAC FEE",2.6]
["13029895","KETAMINE (KETALAR) INJ:200MG/20ML (ER)",72.650000000000006]
["13000195","KETAMINE (KETALAR) INJ:500MG/10ML",50.8]
["13029054","KETAMINE 250MG IN 250ML NS (PREDIFINED)",50.8]
["10970036","KETONES, QUANT (ST. V's)",47]
["10976681","KETONES, URINE",31]
["13027110","KETOROLA 0.5% OPTH SOLN:3ML",14.8]
["13010277","KETOROLAC (TORADOL) INJ:30MG/ML",34.6]
["13010285","KETOROLAC (TORADOL) INJ:60MG/2ML",34.799999999999997]
["20388603","KETOROLAC TROMETHAMINE INJ PER 15MG-FAC",5]
["13010269","KETOROLAC:10MG TAB",3.4]
[" 8030694","KING TUBE 0",177.6]
[" 8030686","KING TUBE 1",177.6]
[" 8030678","KING TUBE 2",177.6]
[" 8030660","KING TUBE 2.5",177.6]
[" 8030652","KING TUBE 3",162.4]
[" 8030645","KING TUBE 4",162.4]
[" 8030637","KING TUBE 5",162.4]
[" 8027922","KIWI OMNICUP VACUUM DELIVERY",136.05000000000001]
["10976173","KLEIHAUER BETKE STAIN",79]
[" 8005910","KLING 1  STERILE",1.05]
[" 8005928","KLING 2  STERILE 25496",1.05]
[" 8005936","KLING 3  STERILE",1.2]
[" 8005944","KLING 4  STERILE",1.45]
[" 8005969","KLING 6  STERILE",1.95]
[" 8020299","KLINGS UNSTERL 1 X24",23.15]
[" 8000705","KLINGS UNSTRL 2 X12",7.3]
[" 8018020","KLINGS UNSTRL 3 X12 NON25493",13.7]
[" 8016800","KLINGS UNSTRL 4 X12",10.6]
[" 8000697","KLINGS UNSTRL 6 X6",25.95]
["15000452","KNEE AP STANDING BILAT",205.75]
["15500452","KNEE AP STANDING BILAT READ",25]
[" 8018863","KNEE BRACE HINGED LG",59.95]
[" 8018855","KNEE BRACE HINGED MED",63.85]
[" 8027104","KNEE BRACE HINGED REDDIE LG",92.35]
[" 8026882","KNEE BRACE HINGED REDDIE MED",92.35]
[" 8026874","KNEE BRACE HINGED REDDIE SM",92.35]
[" 8016032","KNEE BRACE HINGED SM",61.15]
[" 8018871","KNEE BRACE HINGED XLG",59.7]
[" 8018889","KNEE BRACE HINGED XXLG",60.45]
[" 8024853","KNEE BRACE KNEERANGER 22",342.35]
[" 8024861","KNEE BRACE KNEERANGER 26",326.3]
[" 8018830","KNEE BRACE PATELLA LG",97.7]
[" 8016933","KNEE BRACE PATELLA MED",97.45]
[" 8018848","KNEE BRACE PATELLA XLG",61.9]
[" 8019150","KNEE BRACE POST OP 20",60.3]
[" 8019168","KNEE BRACE POST OP 22",60.3]
[" 8003857","KNEE BRACE POST OP COMPRESSION",112.55]
["15734704","KNEE LEFT-3V",274.75]
["15534704","KNEE LEFT-3V READ",33]
["15780624","KNEE LEFT-4V MIN",325]
["15580624","KNEE LEFT-4V MIN READ",39]
["15536402","KNEE LIMITED BILAT-1V/2V READ",66]
["15736402","KNEE LIMITED BILATERAL-1V/2V",538]
["15735602","KNEE LIMITED LEFT-1V/2V",269]
["15535602","KNEE LIMITED LEFT-1V/2V READ",33]
["15780905","KNEE LIMITED RIGHT-1V/2V",269]
["15580905","KNEE LIMITED RIGHT-1V/2V READ",33]
[" 8030181","KNEE POSITION LINER",261.89999999999998]
["15780848","KNEE RIGHT-3V",274.75]
["15580848","KNEE RIGHT-3V READ",33]
["15000409","KNEE RIGHT-4V MIN",325]
["15500409","KNEE RIGHT-4V MIN READ",39]
["15001086","KNEES BILATERAL-3V MIN",549.5]
["15501086","KNEES BILATERAL-3V MIN READ",66]
["15001042","KNEES BILATERAL-4V MIN",650]
["15501042","KNEES BILATERAL-4V MIN READ",78]
[" 8030223","KNIFE MANI SHORT HEAD",46.85]
[" 8030264","KNIFE SIDEPORT",49.55]
[" 8030363","KNIFE V-LANCE",93.65]
[" 8030504","KOALA INTRAUTERINE PRESSURE SYSTEM",128.80000000000001]
["10975472","KOH PREP",42.5]
[" 8029563","KYPHO BONE CEMENT",839.8]
[" 8029647","KYPHO TRAY",8479.7999999999993]
[" 8018905","L/S SUPPORT ELASTIC LG",85.55]
[" 8018897","L/S SUPPORT ELASTIC MED",85.55]
[" 8017345","L/S SUPPORT ELASTIC SM",85.55]
[" 8018913","L/S SUPPORT ELASTIC XLG",85.55]
[" 8024341","L/S SUPPORT ELASTIC XXLG",79.75]
["13000575","LABETALOL (NORMODYNE) INJ:100MG/20ML",41.9]
[" 5000069","LABOR MGMT LEVEL 1 (OVER 12 HRS)",1817]
[" 5000053","LABOR MGMT LEVEL 1-HOURLY",151]
[" 5000080","LABOR MGMT LEVEL 2 (OVER 12 HRS)",2076]
[" 5000076","LABOR MGMT LEVEL 2-HOURLY",173.5]
[" 5000108","LABOR MGMT LEVEL 3 (OVER 12 HRS)",2470]
[" 5000094","LABOR MGMT LEVEL 3-HOURLY",206]
[" 5000027","LABOR MGMT/DELIVERY LEVEL 1",1911]
[" 5000035","LABOR MGMT/DELIVERY LEVEL 2",2145]
[" 5000041","LABOR MGMT/DELIVERY LEVEL 3",2529]
["26550941","LACERATION REPAIR 1A-001",485]
["26550958","LACERATION REPAIR 1B-002",525]
["26550966","LACERATION REPAIR 1C-004",597]
["26550974","LACERATION REPAIR 1D-005",746]
["26550982","LACERATION REPAIR 2A-011",485]
["26550990","LACERATION REPAIR 2B-013",546]
["26551006","LACERATION REPAIR 2C-014",644]
["26551014","LACERATION REPAIR 2D-015",807]
["26551022","LACERATION REPAIR 2E-016",927]
["26551030","LACERATION REPAIR 3A-031",704]
["26551048","LACERATION REPAIR 3B-032",852]
["26551055","LACERATION REPAIR 3C-034",967]
["26551063","LACERATION REPAIR 3D-035",1081]
["26551071","LACERATION REPAIR 3E-036",1207]
["26551089","LACERATION REPAIR 4A-041",767]
["26551097","LACERATION REPAIR 4B-042",863]
["26551105","LACERATION REPAIR 4C-044",951]
["26551113","LACERATION REPAIR 4D-045",1129]
["26551121","LACERATION REPAIR 4E-046",1329]
["26551139","LACERATION REPAIR 5A-051",835]
["26551147","LACERATION REPAIR 5B-052",909]
["26551154","LACERATION REPAIR 5C-053",998]
["26551162","LACERATION REPAIR 5D-054",1048]
["26551170","LACERATION REPAIR 5E-055",1281]
["13024854","LACTATED RINGER+20 MEQ KCL:1000ML",43.3]
["13000674","LACTATED RINGERS:1000ML PREDEFINED",43.3]
["10902555","LACTIC ACID",105.5]
["10974772","LACTOSE TOLERANCE, 5 SPEC 7675",146]
["13006440","LACTULOSE (ENULOSE) 10GM/15ML SOLN:473ML",14.6]
["10975584","LAMOTRIGINE 22060",128.5]
["13025232","LAMOTRIGINE ORAL TABLET 100MG",3]
["13028467","LAMOTRIGINE TAB:25MG",2.7]
["13006499","LANOLIN ANHYDROUS OINTMENT",10.85]
["13005897","LANTUS 100U/ML INSULIN (PER ML)",1.6]
["20300880","LAP CHOLECYSTECTOMY W/CHOLNGRPHY-HPRO FE",1282]
["20300765","LAP CLOS ENTROSTMY LG/SM INT W/RESC-HPRO",2992]
["20300759","LAP COLECTOMY PRTL W/ANATOMOSI-HPROV FEE",2765]
["20300761","LAP COLECTOMY PRTL W/ILEUM-HPROV FEE",2404]
["20300877","LAP HEPATIC CYSTECTOMY-HPROV FEE",663]
["20300763","LAP SURG MOBILZ SPLENIC FLEXR-HPROV FEE",339]
["20301025","LAP TX ECTOPIC PREG W-SALP/OOPH-HPROV FE",1331]
["20300878","LAPAROSCOPIC CHOLECYSTECTOMY-HPRO FEE",1180]
["20301013","LAPAROSCOPY  EXCISE LESIONS-HPROV FEE",1249]
["20301011","LAPAROSCOPY  REMOVE ADNEXA-HPROV FEE",1144]
["20300793","LAPAROSCOPY APPENDECTOMY-HPRO FEE",1079]
["20300898","LAPAROSCOPY BX-HPROV FEE",619]
["20300936","LAPAROSCOPY HERNIA REPR REDUC-HPROV FEE",1334]
["20301009","LAPAROSCOPY LYSIS-HPROV FEE",1184]
["26550131","LARYNGOSCOPY DIRECT",481]
["26550123","LARYNGOSCOPY INDIRECT",243]
["26550164","LARYNGOSCOPY W/FB",718]
["20300638","LARYNGOSCOPY W/FB REMOVAL-HPROV FEE",353]
["13023544","LATANOPROST(XALATAN)0.005% OPTH:2.5ML",18.25]
["10979375","LATEX ALLERGY IgE 8927",70.5]
[" 8016297","LAVAGE ADULT KIT",44.1]
[" 8006116","LAVAGE KIT STMCH E Z",220.9]
[" 8005316","LAVAGE KT PERITONEAL",119.75]
["10974830","LDH ISOENZYMES 4411",131]
["10977152","LDH PERITONEAL FLUID 17588",79]
["10976764","LDH PLEURAL FLUID 17589",79]
["10976752","LDH SERUM 593",79]
["10970398","LDL DIRECT",56]
["10971828","LEAD (STATE)",103]
["10971836","LEAD, URINE 24 HR 36440",181.5]
["10975878","LEAD, URINE RANDOM 601",120.5]
[" 8018301","LEG BAG EXTENSION TUBE",16.95]
[" 8018293","LEG BAG SET",91.25]
[" 8017220","LEG BAG STRAP",25.1]
[" 8016602","LEG BAG STRAP DALE",22.4]
[" 8026841","LEG LIFTER FLEXIBLE 34",14.3]
["26002977","LEGAL BLOOD DRAW",131]
["10970987","LEGIONELLA AG 8856",202.5]
[" 8022311","LENS ALCON CZ70BD",262.75]
[" 8013666","LENS ALCON MA60AC",527.95000000000005]
[" 8021388","LENS ALCON MTA4UO",1118.75]
[" 8021040","LENS ALCON SN60WF",558.35]
[" 8020430","LENS ALCON SN6AT5",1787.9]
[" 8021792","LENS MORGAN",96.9]
[" 8022329","LENS PRECISION",592.9]
[" 8013989","LENS PRECISION MULTIFOCAL",2611]
[" 8021495","LENS STAAR TORIC",799.05]
["10978443","LEPTOSPIRA DNA QUAL 17875",167.5]
["13022116","LET SOLN:4ML",29.15]
["13006523","LEUCOVORIN CA INJ:100MG/10ML",49.3]
["13029631","LEUCOVORIN CA INJ:200MG",69.95]
["13024687","LEUCOVORIN CA INJ:350MG",73.599999999999994]
["10974871","LEUK DIAG PANEL-T CELLS",355]
["10974863","LEUK DIAG PANEL-WBC",31]
[" 8020471","LEUKOTAPE 1 1/2",17.399999999999999]
[" 8025819","LEUR LOCK CAP",5.85]
["10972719","LEUTINIZING HORMONE 615",175]
["13024127","LEVAQUIN 500MG TABLET(ER,10PK)",21.05]
["13023718","LEVAQUIN IVPB: 500MG/100ML PREDEFINED",59.85]
["13028732","LEVETIRACETAM (KEPPRA) INJ:500MG/5ML",37]
["10977416","LEVETIRACETAM 15142",118.5]
["13004596","LEVETIRACETAM(KEPPRA)TAB:250MG",3.15]
["13027911","LEVOBUNOLOL (BETAGAN) 0.5% OPTH GTT",10.199999999999999]
["13020565","LEVOBUNOLOL (BETAGAN) 0.5% OPTH SOLN:",20.399999999999999]
["13025193","LEVOFLOXACIN (LEVAQUIN) IVPB:500MG/100ML",36]
["13025194","LEVOFLOXACIN (LEVAQUIN) TAB: 500MG",3.1]
["13004527","LEVOFLOXACIN (LEVAQUIN) VIAL:500MG/20ML",46.15]
["13027116","LEVOFLOXACIN (LEVAQUIN) VIAL:750MG/30ML",47.15]
["13028765","LEVOFLOXACIN IVPB:750MG/130 ML PREDEFINE",48.5]
["20388620","LEVONORGESTREL IUD-FAC FEE",882]
["20388618","LEVONORGESTREL REL IUD(KYLEENA)-FAC FEE",882]
["13026091","LEVONORGESTREL TAB:1.5MG",28.65]
["13022017","LEVOTHYROXINE  TAB:0.075MG",3.4]
["13024112","LEVOTHYROXINE (LEVOTHROID) TAB:0.025MG",3.15]
["13006606","LEVOTHYROXINE (LEVOTHROID) TAB:0.05MG",3.3]
["13023411","LEVOTHYROXINE (LEVOTHROID) TAB:0.088MG",3.4]
["13023965","LEVOTHYROXINE (LEVOTHROID) TAB:0.112MG",3.55]
["13006556","LEVOTHYROXINE (LEVOTHROID) TAB:0.125MG",3.5]
["13023007","LEVOTHYROXINE (LEVOTHROID) TAB:0.175MG",3.1]
["13006549","LEVOTHYROXINE (LEVOTHROID) TAB:0.1MG",3.4]
["13020821","LEVOTHYROXINE (LEVOTHROID) TAB:0.2MG",3.3]
["13020292","LEVOTHYROXINE (SYNTHROID)  TAB:0.137MG",2.95]
["13025469","LEVOTHYROXINE INJ:100MCG/5ML",203.22]
["13026336","LIDO/BENADRYL/MYLANTA (TRIPLE MIX):120ML",29.45]
["13024391","LIDO/DIPH/MYLANT (MAGIC MOUTHWASH):120ML",15.25]
["13000369","LIDOCAINE (XYLOCAINE) 1% MDV INJ:10MG/ML",34.200000000000003]
["13029615","LIDOCAINE (XYLOCAINE) 2% JELLY:1 APPL",7.05]
["13010871","LIDOCAINE (XYLOCAINE) 2% JELLY:30ML",16.2]
["13000328","LIDOCAINE 1% INJ:20ML",34.65]
["13028486","LIDOCAINE 1% INJ:50ML",36.450000000000003]
["13006689","LIDOCAINE 2% INJ:20ML",35.200000000000003]
["13000351","LIDOCAINE 2% JELLY (UROJET):10ML",16.5]
["13011358","LIDOCAINE 2% VISC SOLN:100ML",24.55]
["13024321","LIDOCAINE 5% W/DEXTROSE INJ:2ML",48.55]
["13001250","LIDOCAINE DRIP:2GM/500ML D5W",37.200000000000003]
["13000336","LIDOCAINE PFS:100MG/5ML",36.35]
["13030110","LIDOCAINE- MPF 1% INJ:2ML",34.65]
["13004582","LIDODERM PATCH 5%",9.25]
["20300677","LIG/DIV SHRT SAPHENOUS VEIN AT JCT-HPROV",421]
["20301007","LIG/TRNSX FALP TUBE W/CSEC-HPROV FEE",135]
[" 8016347","LIGA CLIP 202",45.35]
[" 8016354","LIGA CLIP LT300",19.95]
[" 8017378","LIGA CLIP LT400",35.700000000000003]
[" 8017139","LIGA CLIP MEDIUM APPLIER",314.25]
[" 8025538","LIGA CLIP SMALL APPLIER",291.8]
["20300675","LIGATION MJR ARTERY EXTREMITY-HPROV",688]
["20300673","LIGATION MJR ARTERY POST TRAMA ABD-HPROV",2407]
["13004731","LINEZOLID(ZYVOX):600MG",9.6999999999999993]
["10972721","LIPASE",72]
["10971596","LIPID PROFILE",95.5]
["10971288","LIPID PROFILE SCREEN",95.5]
["13023320","LIPITOR TAB:10MG",5]
["10970260","LIPOPROTEIN (A) 34604",148.5]
["10979532","LIPOPROTEIN ELECTROPHORESIS 35436",112]
["20300348","LIQUID NITROGEN-CPRO FEE",87]
["20388347","LIQUID NITROGEN-FAC FEE",6]
["13010954","LISINOPRIL (PRINIVIL) TAB:10MG",2.85]
["13024149","LISINOPRIL (PRINIVIL) TAB:2.5MG",2.85]
["13022710","LISINOPRIL (PRINIVIL) TAB:20MG",3.1]
["13021014","LISINOPRIL (PRINIVIL) TAB:40MG",3.1]
["13010962","LISINOPRIL (PRINIVIL) TAB:5MG",2.85]
["13024098","LITHIUM CAP:150MG",2.95]
["10973436","LITHIUM CMMC",85.5]
["26003023","LIVER BIOPSY",757]
["10977938","LIVER PANEL",84]
["13005798","LOPERAMIDE (IMODIUM) CAP:2MG",3.55]
["13022405","LOPERAMIDE 1MG/5ML LIQ:120ML",11.3]
["13022272","LORATADINE (CLARITIN) TAB:10MG",3.1]
["13002589","LORazepam (ATIVAN) INJ:2MG/ML",34.700000000000003]
["13024735","LORazepam (ATIVAN) INJ:2MG/ML MDV",44.35]
["13006838","LORazepam (ATIVAN) TAB:0.5MG",2.85]
["13006846","LORazepam (ATIVAN) TAB:1MG",2.85]
["13001953","LORazepam 1MG TABS (ER #6)",6.15]
["13024285","LOSARTAN (COZAAR) TAB:100MG",3.6]
["13021696","LOSARTAN (COZAAR) TAB:50MG",3.25]
[" 8029597","LOW PRESSURE ADAPTOR 1 3/4",1.4]
[" 8029605","LOW PRESSURE ADAPTOR 2 3/4",1.4]
["15001117","LOWER EXTREMITY INFANT BILATERAL-2V MIN",421.5]
["15781455","LOWER EXTREMITY INFANT LEFT-2V MIN",210.75]
["15781466","LOWER EXTREMITY INFANT RIGHT-2V MIN",210.75]
["15721008","LUMBAR LIMITED-2V",298.25]
["15521008","LUMBAR LIMITED-2V READ",36]
["26003178","LUMBAR PUNCTURE-ER",617]
["22001270","LUMBAR PUNCTURE-OR/RR",643]
["26003161","LUMBAR PUNCTURE-TR",617]
["15721206","LUMBO BENDING-MIN 4V",372.75]
["15521206","LUMBO BENDING-MIN 4V READ",45]
["15721149","LUMBO INC BEND VIEWS",652.25]
["15721107","LUMBOSACRAL COMP W/OBL",546]
["15521107","LUMBOSACRAL COMP W/OBL READ",66]
["13024228","LUMIGAN 0.01% OPHT SOLN:2.5ML",174.25]
["13026125","LUPROLIDE ACETATE (ELIGARD) INJ:22.5MG",1027.2]
["13027889","LUPROLIDE ACETATE (ELIGARD) INJ:45MG",2547.0500000000002]
["13024362","LUPROLIDE ACETATE (ELIGARD) INJ:7.5MG",634.1]
["13020904","LUPRON DEPOT 30MG KIT",4283.3500000000004]
["13030279","LUPRON DEPOT INJ: 11.25MG",7826.1]
["13024361","LUPRON DEPOT INJ:22.5MG",11366.2]
["13027007","LUPRON DEPOT INJ:30MG",15154.9]
["13028635","LUPRON DEPOT INJ:45MG",22732.65]
["10974483","LUPUS ANTICOAGULANT EVAL 7079",119]
["13024482","LUTEIN 6MG CAPSULE",2.9]
["10974467","LYME DISEASE AB 6646",147]
["10976423","LYMPHOCYTE PANEL 4 7924",380]
["10974889","LYMPHOCYTE PANEL 5 8360",283.5]
[" 8017840","LYOFOAM PADS",10.6]
["13006960","MAG CITRATE (CITROMA) SOLN:300ML",4.75]
["13020532","MAG SULFATE 20MG/ML:1000ML",34.950000000000003]
["13024331","MAG SULFATE 40MG/ML:1000ML",45.9]
["13006952","MAG SULFATE 50% INJ:4.06MEQ/ML",34.85]
["10972065","MAGNESIUM",63]
["13009535","MAGNESIUM CHLORIDE (SLOW-MAG) TAB:64MG",2.9]
["13011549","MAGNESIUM HYDROXIDE (MOM) SUSP:30ML",10.050000000000001]
["13001383","MAGNESIUM HYDROXIDE (MOM) SUSP:480ML",12.15]
["13024198","MAGNESIUM OXIDE (MAG-OX) TAB:400MG",3]
["10974640","MAGNESIUM,URINE 24HR 11322",65]
["10973196","MALARIA, BLOOD 831",96.5]
[" 8021941","MALYUGIN RING",527.95000000000005]
["15701109","MANDIBLE COMP-MIN 4V",427]
["15701000","MANDIBLE LTD-UNI <4V",287.75]
["13021217","MANNITOL 10% SOLN:",25.2]
["13000484","MANNITOL INJ:12.5GM/50ML",35.700000000000003]
[" 8015315","MASK RESUSCITATION ADULT",47.2]
["20300371","MASTECTOMY MOD RAD-HPROV FEE",2137]
["20300367","MASTECTOMY PARTIAL-HPROV FEE",1164]
["20300369","MASTECTOMY SIMPLE COMPLETE-HPROV FEE",1713]
[" 8024432","MATTRESS AIR/SETUP",51.6]
["20388536","MCR ADMIN INFLUENZA VIRUS VACC-FAC FEE",48]
["46002280","MDI INSTRUCT OP/ER",104]
["46002331","MDI INSTRUCTION/INITIAL",104]
[" 8021172","MDI SPACER WITH MASK",69.650000000000006]
[" 8021180","MDI SPACER/AERO CHAMBER",26.7]
["46001879","MDI SUBSEQUENT TX",104]
[" 2001879","MDI SUBSEQUENT TX BY AC RN",103]
["46000632","MECH VENT DAILY",1790.5]
["46000640","MECH VENT/EA SUBSQ DAY",1565]
["13025634","MECLIZINE (ANTIVERT) TAB:12.5MG",2.85]
["13007067","MECLIZINE (ANTIVERT) TAB:25MG",3.05]
["27000319","MED ADMIN (IM-SUBQ)THER/PROP/DIAG INJ IF",124]
["26000319","MED ADMIN (IM-SUBQ)THER/PROP/DIAG INJ TR",124]
["26003037","MED ADMIN (IM-SUBQ)THER/PROP\\DIAG INJ ER",124]
["26003044","MED ADMIN (IV INJ) ER",124]
["27000352","MED ADMIN (IV INJ) IF",124]
["26000352","MED ADMIN (IV INJ) TR",124]
["26000935","MED ADMIN (IV INJ)ER EA ADDL DRUG",124]
["26000956","MED ADMIN (IV INJ)TR EA ADDL DRUG",124]
["27000956","MED ADMIN (IV INJ)TR EA ADDL DRUG IF",124]
["27003429","MED ADMIN IV PUSH SUBSQ SAME DRUG IF",107]
["26000987","MED ADMIN IV PUSH SUBSQ SAME DRUG-ER",107]
["26003429","MED ADMIN IV PUSH SUBSQ SAME DRUG-TR",107]
["20301227","MED SERVICES AFTER HOURS-CPROV FEE",100]
["20301380","MED TEAM CONF NONPHY-CPROV FEE",74]
["20388378","MED TEAM CONF NONPHYS-FAC FEE",1]
[" 8027419","MEDFIX EZ DRESSING RETENTION ROLL",21.5]
["13010400","MEDI-PADS (WITCH HAZEL):BOX 100",12.9]
["20388597","MEDROXYPROGESTERONE ACETATE 1MG-FAC FEE",0.7]
["13029867","MEDROXYPROGESTERONE INJ:150MG",250.15]
["13022256","MEGESTROL (MEGACE) TAB:40MG",3.15]
["13028554","MELATONIN 3MG",3.1]
["13024553","MELOXICAM 15MG TABLET",2.85]
["13024404","MEMANTINE (NAMENDA)TAB:10MG",3.15]
["50100817","MENINGOCOCCAL VACCINE",141]
["20388153","MENINGOCOCCAL VACCINE-FAC FEE",271]
[" 8019291","MENISCECTOMY ELECTRODE",411]
["13007133","MEPERIDINE (DEMEROL) INJ:100MG/ML",35.9]
["13007166","MEPERIDINE (DEMEROL) INJ:50MG/ML",35.9]
["13024162","MEPERIDINE (DEMEROL) TAB:50MG",5.35]
["13029840","MEPIVACAINE (CARBOCAINE)1.5% 30ML",45.1]
["13030642","MEPOLIZUMAB (NUCALA) INJ:100MG",8066.15]
["10979409","MERCURY BLOOD 636",157.5]
["10974954","MERCURY UR 24HR 36441",167]
["10977200","MERCURY UR RANDOM 637",137]
["13027904","MEROPENEM (MERREM)INJ: 1 GM",59.45]
["13028790","MEROPENEM (MERREM)INJ: 500 MG",52.7]
["13026741","MEROPENEM(MERREM)INJ:2GM/100ML",60]
[" 8017154","MESH BARD 1 X 4",223.35]
[" 8016834","MESH BARD 3X6",422.05]
[" 8027161","MESH FLAT SHEETS 3X6",1373.5]
[" 8015273","MESH MARLEX 6 X 6",359.2]
[" 8010654","MESH MARLEX/PR SQ IN",7.9]
[" 8010647","MESH MYCRO 7.5 X 12 CM",1104.0999999999999]
[" 8010662","MESH TEFLON/EA SHEET",284.64999999999998]
[" 8026718","MESH ULTRAPRO",1373.5]
[" 8024739","MESH VICRYL 12x12",1941.25]
[" 8011587","MESHGRAFT II DRMACAR",85.55]
["10976573","METANEPHR FRAC PLSMA 19548",96.5]
["10973188","METANEPHRINES UR 24HR 14962",82]
["13024242","METFORMIN (GLUCOPHAGE) TAB:500MG",3]
["13024243","METFORMIN (GLUCOPHAGE) TAB:850MG",3.1]
["10974319","METHADONE SERUM 3258",203.5]
["13024373","METHADONE TAB:10MG",2.9]
["13024372","METHADONE TAB:40MG",3.25]
["13007224","METHADONE TAB:5MG",2.85]
["10975894","METHADONE, UR QUAL 7176",128.5]
["13009295","METHOCARBAMOL (ROBAXIN) TAB:500MG",2.9]
["13009303","METHOCARBAMOL (ROBAXIN) TAB:750MG",2.9]
["10979151","METHOTREXATE 648",193.5]
["20388631","METHOTREXATE SODIUM 50MG-FAC FEE",6]
["13007240","METHOTREXATE TAB:2.5MG",4]
["13007232","METHYLENE BLUE 1% INJ:1ML",342.55]
["13007265","METHYLERGONOVINE(METHERGI) INJ:0.2MG/ML",58.85]
["13024108","METHYLPHENIDATE (RITALIN) TAB:5MG",3.55]
["13000062","METOCLOPRAMIDE (REGLAN) INJ:10MG/2ML",36.049999999999997]
["13009212","METOCLOPRAMIDE (REGLAN) SYRUP:480ML",15.05]
["13009196","METOCLOPRAMIDE (REGLAN) TAB:10MG",2.9]
["13024302","METOCLOPRAMIDE (REGLAN) TAB:5MG",3.1]
["13010921","METOLAZONE (ZAROXOLYN) TAB:2.5MG",5.15]
["13006820","METOPROLOL (LOPRESSOR) INJ:5MG/5ML",34.65]
["13024368","METOPROLOL SUCC ER (TOPROL XL) TAB:25MG",3.55]
["13024367","METOPROLOL SUCC ER (TOPROL XL):100MG",4.05]
["13023122","METOPROLOL TART (LOPRESSOR) TAB:100MG",3.1]
["13025322","METOPROLOL TART (LOPRESSOR) TAB:25MG",3.1]
["13006812","METOPROLOL TART (LOPRESSOR) TAB:50MG",3]
["13007323","METRONIDAZOLE (FLAGYL) IVPB:500MG/100ML",35.6]
["13024845","METRONIDAZOLE (FLAGYL) TAB: 500MG",3.45]
["13021886","METRONIDAZOLE 250MG TABS (ER #6)",6]
[" 8029332","MICRO INTRODUCER SHEATH SET",161.4]
["10975141","MICROALBUMIN, RANDOM UR",66.5]
["10979821","MICROALBUMIN, UR 24HR 15281",66.5]
["13022728","MICROBORE SET (2C6426S)",42.15]
["13009386","MICRONEFRIN 2.25% SOLN:30ML",59.4]
[" 8029068","MICROPUNCTURE TRANSITIONLESS",152.35]
["13025309","MIDAZOLAM (VERSED) INJ:10MG/10ML",35.25]
["13000203","MIDAZOLAM (VERSED) INJ:5MG/5ML",34.299999999999997]
["13024844","MIDAZOLAM (VERSED)HP NASAL:5MG/ML",34.799999999999997]
["13024416","MIDAZOLAM SYRUP 2MG/ML BILL PER ML",10.6]
["13025656","MIDODRINE HCL 10MG ORAL TABLET",5.35]
["13021365","MINERAL OIL STERILE:10ML",37]
["13007380","MINERAL OIL:480ML",12.7]
["13005053","MINERIN MOISTURIZING CRM:454GM",30]
["13020649","MINOCYCLINE CAP:100MG",3.6]
["13001144","MIOSTAT 0.01% OPTH SOLN:1.5ML",29.55]
["13024165","MIRTAZAPINE (REMERON) TAB:15MG",3.25]
["13024208","MIRTAZAPINE (REMERON) TAB:30MG",3.1]
["13024160","MISOPROSTOL (CYTOTEC) TAB:100MCG",3.4]
[" 8016073","MITROFLEX DRSG BOX",139.5]
[" 8016065","MITROFLEX DRSG EACH",32.35]
["15780327","MM BREAST SPECIMEN",275.5]
["15580312","MM MAMMO BILAT DIGITAL DIAG w/CAD READ",92]
["15581396","MM MAMMO BILAT DIGTL SCR w/CAD READ",71.5]
["15780312","MM MAMMO BILATERAL DIGITAL DIAG w/CAD",538]
["15781396","MM MAMMO BILATERAL DIGITAL SCR  w/CAD",345.25]
["15580639","MM MAMMO LT UNILAT DIGITL DIAGw/CAD READ",74]
["15780639","MM MAMMO LT UNILATERAL DIGITAL DIAGw/CAD",434.25]
["15580374","MM MAMMO RT UNILAT DIGTL DIAGw/CAD READ",74]
["15780374","MM MAMMO RT UNILATERAL DIGITAL DIAGw/CAD",434.25]
["15581404","MM MAMMO UNILAT DIGTL SCR w/CAD READ",71.5]
["15781404","MM MAMMO UNILATERAL DIGITAL SCR  w/CAD",345.25]
["15780338","MM PLACEMENT BREAST LOCALIZATION DEVICE",764]
["20388138","MMR LIVE SUBQ-FAC FEE",75]
["50100316","MMR VACC-OH",67]
["20388141","MMRV LIVE VACCINE SUBQ-FAC FEE",216]
["43000183","MNT ASSESS-DIABETES SELF MGMT EDUC 15MIN",31.5]
["71000066","MNT ASSESS-DIABETES SELF MGMT EDUC 15MIN",31.5]
["71000323","MNT ASSESS-RENAL NUTR THERAPY 15 MIN",31.5]
["43000209","MNT ASSESSMENT 15MIN",31.5]
["71000344","MNT ASSESSMENT 15MIN",31.5]
["43000216","MNT REASSESSMENT 15MIN",31.5]
["71000359","MNT REASSESSMENT 15MIN",31.5]
["43000194","MNT REASSMT-DIABETES SLF MGMT EDUC 15MIN",31.5]
["71000315","MNT REASSMT-DIABETES SLF MGMT EDUC 15MIN",31.5]
["71000337","MNT REASSMT-RENAL NUTR THERAPY 15 MIN",31.5]
["20300752","MOBIL SPLENIC FLEXR W/PART COLCTMY-HPRO",219]
["50100219","MOBILE 1ST URINE COLL/5p-8a DOT",60]
["50100269","MOBILE 1ST URINE COLL/5p-8a PRIVATE",71]
["50100433","MOBILE 1ST URINE COLL/5p-8a nonDOT",60]
["50100193","MOBILE 1ST URINE COLL/8-5 DOT",42]
["50100200","MOBILE 1ST URINE COLL/8-5 PRIVATE",71]
["50100424","MOBILE 1ST URINE COLL/8-5 nonDOT",42]
["50100982","MOBILE ADDL BREATH ALCOHOL DOT/non-DOT",57]
["50100397","MOBILE ADDL URINE COLL/5p-8a DOT",49]
["50100406","MOBILE ADDL URINE COLL/5p-8a PRIVATE",60]
["50100459","MOBILE ADDL URINE COLL/5p-8a nonDOT",49]
["50100375","MOBILE ADDL URINE COLL/8-5 DOT",38]
["50100388","MOBILE ADDL URINE COLL/8-5 PRIVATE",67]
["50100440","MOBILE ADDL URINE COLL/8-5 nonDOT",38]
["50100979","MOBILE BREATH ALCOHOL DOT/non-DOT",71]
["50100344","MOBILE COLLECTION MILEAGE/PER MILE",1]
["50100272","MOBILE URINE COLL/HOLIDAYS & WEEKENDS",193]
["18001101","MODERATE SED-CT <5YRS:1ST 15MIN",216]
["18001116","MODERATE SED-CT >5YRS:1ST 15MIN",176.25]
["18001123","MODERATE SED-CT:EACH ADDL 15MIN",134]
["26003138","MODERATE SED-ER <5YRS:1ST 15MIN",216]
["26000961","MODERATE SED-ER >5YRS:1ST 15MIN",176]
["26000973","MODERATE SED-ER:EACH ADDL 15MIN",134]
[" 3000537","MODERATE SED-HAC <5YRS:1ST 15MIN",216]
[" 3000548","MODERATE SED-HAC >5YRS:1ST 15MIN",176]
[" 3000510","MODERATE SED-HAC:EACH ADDL 15MIN",134]
["19000826","MODERATE SED-MRI <5YRS:1ST 15MIN",200]
["19000338","MODERATE SED-MRI >5YRS:1ST 15MIN",163]
["19500338","MODERATE SED-MRI >5YRS:1ST 15MIN READ",27]
["19000344","MODERATE SED-MRI:EACH ADDL 15MIN",124]
["19500344","MODERATE SED-MRI:EACH ADDL 15MIN READ",20]
["16000242","MODERATE SED-NM <5YRS:1ST 15MIN",216]
["16000234","MODERATE SED-NM >5YRS:1ST 15MIN",176.25]
["16000253","MODERATE SED-NM:EACH ADDL 15MIN",134]
["22001238","MODERATE SED-OR EA ADDL 15MIN",134]
["22001213","MODERATE SED-OR<5YRS:1ST 15MIN",216]
["22001227","MODERATE SED-OR>5YRS:1ST 15MIN",176]
["26003144","MODERATE SED-TR <5YRS:1ST 15MIN",216]
["26003293","MODERATE SED-TR >5YRS:1ST 15MIN",176]
["26003302","MODERATE SED-TR:EACH ADDL 15MIN",134]
["17001143","MODERATE SED-US <5YRS:1ST 15MIN",216]
["17001152","MODERATE SED-US >5YRS:1ST 15MIN",176.25]
["17001169","MODERATE SED-US:EACH ADDL 15MIN",134]
["15000508","MODERATE SED-XR <5YRS:1ST 15MIN",216]
["15000495","MODERATE SED-XR >5YRS:1ST 15MIN",176.25]
["15000536","MODERATE SED-XR:EACH ADDL 15 MIN",134]
["21000487","MONITORED PC ANES .25",621]
["21000324","MONITORED PC ANES .50",691]
["21000332","MONITORED PC ANES .75",761]
["21000340","MONITORED PC ANES 1.00",831]
["21000357","MONITORED PC ANES 1.25",901]
["21000365","MONITORED PC ANES 1.50",971]
["21000373","MONITORED PC ANES 1.75",1041]
["21000381","MONITORED PC ANES 2.00",1111]
["21000399","MONITORED PC ANES 2.25",1181]
["21000407","MONITORED PC ANES 2.50",1251]
["21000415","MONITORED PC ANES 2.75",1321]
["21000423","MONITORED PC ANES 3.00",1391]
["21000431","MONITORED PC ANES 3.25",1461]
["21000449","MONITORED PC ANES 3.50",1531]
["21000456","MONITORED PC ANES 3.75",1601]
["21000464","MONITORED PC ANES 4.00",1671]
["21300487","MONITORED TC ANES .25",73]
["21300324","MONITORED TC ANES .50",81]
["21300332","MONITORED TC ANES .75",89]
["21300340","MONITORED TC ANES 1.00",97]
["21300357","MONITORED TC ANES 1.25",105]
["21300365","MONITORED TC ANES 1.50",113]
["21300373","MONITORED TC ANES 1.75",121]
["21300381","MONITORED TC ANES 2.00",129]
["21300399","MONITORED TC ANES 2.25",137]
["21300407","MONITORED TC ANES 2.50",145]
["21300415","MONITORED TC ANES 2.75",153]
["21300423","MONITORED TC ANES 3.00",161]
["21300431","MONITORED TC ANES 3.25",169]
["21300449","MONITORED TC ANES 3.50",177]
["21300456","MONITORED TC ANES 3.75",185]
["21300464","MONITORED TC ANES 4.00",193]
["10970994","MONO TEST",66.5]
["13023882","MONTELUKAST (SINGULAIR) TAB:10MG",3.2]
["13024218","MORPHINE (ORAMORPH SR) TAB:15MG (BULK)",3.15]
["13011218","MORPHINE (ORAMORPH SR) TAB:30MG (BULK)",3.9]
["13024444","MORPHINE ER (MS CONTIN) TAB 15MG",3.15]
["13024414","MORPHINE ER (MS CONTIN) TAB:100MG",5.35]
["13024443","MORPHINE ER (MS CONTIN) TAB:30MG U/D",3.9]
["13024415","MORPHINE ER (MS CONTIN) TAB:60MG",4.95]
["13025203","MORPHINE FOR CADD PUMP",59.4]
["13007455","MORPHINE INJ:10MG/ML",35.9]
["13007505","MORPHINE INJ:4MG/ML",35.85]
["13024436","MORPHINE INJ:50MG/ML (20ML SDV) 1000MG",59.7]
["13024441","MORPHINE INJ:50MG/ML (50ML SDV) 2500MG",70.95]
["13029904","MORPHINE INJ:5MG/ML",37.950000000000003]
["13024419","MORPHINE IR (MS IR) TAB:15MG",2.9]
["13022850","MORPHINE IR (MS IR) TAB:30MG",2.95]
["13024298","MORPHINE PCA:50MG/50ML",54.25]
["13028996","MORPHINE POWDER FOR INJECTION",164.5]
["13026332","MORPHINE SULF CONC SOLN:20MG/ML",26.25]
["13024464","MOXIFLOXACIN(VIGAMOX) 0.5% OPTH SOLN:3ML",238.25]
["19000484","MRA ABDOMEN W/CONTRAST",2245.5]
["19000286","MRA ABDOMEN W/O CONTRAST",2133.75]
["19000496","MRA ABDOMEN WO/W CONTRAST",2460]
["19000509","MRA CHEST W/CONTRAST",2237.25]
["19000510","MRA CHEST W/O CONTRAST",2020.25]
["19000525","MRA CHEST WO/W CONTRAST",2460]
["19000300","MRA HEAD W/CONTRAST",2004.5]
["19000255","MRA HEAD W/O CONTRAST",1804.25]
["19500255","MRA HEAD W/O CONTRAST READ",289]
["19000372","MRA HEAD WO/W CONTRAST",2204.5]
["19000799","MRA LOW BILAT EXT WO/W CONTRAST",4500]
["19000808","MRA LOW EXTREMITY WO/W CONTRAST",2250]
["19000302","MRA NECK W/CONTRAST",2004.5]
["19500302","MRA NECK W/CONTRAST READ",321]
["19000075","MRA NECK W/O CONTRAST",1804.25]
["19000388","MRA NECK WO/W CONTRAST",2204.5]
["19000465","MRI ABDOMEN W/CONTRAST",2237.25]
["19000098","MRI ABDOMEN W/O",1993.25]
["19500098","MRI ABDOMEN W/O READ",319]
["19500092","MRI ABDOMEN WO/W CONTR READ",394]
["19000092","MRI ABDOMEN WO/W CONTRAST",2460]
["19000772","MRI BILAT UP EXTREM JOINT W/O CONTRAST",4026]
["19000122","MRI BRAIN W/GAD",2004.5]
["19000007","MRI BRAIN W/O GAD",1993.25]
["19500007","MRI BRAIN W/O GAD READ",319]
["19000221","MRI BRAIN WO/W GAD",2552]
["19500221","MRI BRAIN WO/W GAD READ",409]
["19000130","MRI C-SPINE W/CONT",2237.25]
["19000023","MRI C-SPINE W/O CONT",1993.25]
["19500023","MRI C-SPINE W/O CONT READ",319]
["19000171","MRI C-SPINE WO/W CON",2552]
["19500171","MRI C-SPINE WO/W CON",409]
["19000402","MRI CHEST & MEDIASTINUM W/CONTRAST",2237.25]
["19000015","MRI CHEST & MEDIASTINUM W/O",2013]
["19000414","MRI CHEST & MEDIASTINUM WO/W CONTRAST",2460]
["19000746","MRI EOVIST CONTRAST",484.25]
["19000148","MRI L-SPINE W/CONT",2237.25]
["19000049","MRI L-SPINE W/O CONT",1993.25]
["19500049","MRI L-SPINE W/O CONT READ",319]
["19000197","MRI L-SPINE WO/W CON",2552]
["19500197","MRI L-SPINE WO/W CON READ",409]
["19000835","MRI LOW BILAT EXT WO/W CONTRAST",4920]
["19000783","MRI LOW BILAT EXTRM W/JOINT W/O",4026]
["19000817","MRI LOW BILAT EXTRM W/O CONTRAST",2150]
["19000219","MRI LOW LEFT EXT W/JOINT W/CONTRAST",2237.25]
["19000275","MRI LOW LEFT EXT W/JOINT W/O",2013]
["19500275","MRI LOW LEFT EXT W/JOINT W/O READ",323]
["19000556","MRI LOW LEFT EXT W/JOINT WO/W CONTRAST",2532]
["19000572","MRI LOW LEFT EXT WO/W CONTRAST",2460]
["19000595","MRI LOW LEFT EXTRM W/CONTRAST",2237.25]
["19000619","MRI LOW LEFT EXTRM W/O CONTRAST",2013]
["19000206","MRI LOW RIGHT EXT W/JOINT W/CONTRAST",2237.25]
["19000262","MRI LOW RIGHT EXT W/JOINT W/O",2013]
["19500262","MRI LOW RIGHT EXT W/JOINT W/O READ",323]
["19000544","MRI LOW RIGHT EXT W/JOINT WO/W CONTRAST",2532]
["19000568","MRI LOW RIGHT EXT WO/W CONTRAST",2460]
["19000583","MRI LOW RIGHT EXTRM W/CONTRAST",2237.25]
["19500607","MRI LOW RIGHT EXTRM W/O CONTR READ",323]
["19000607","MRI LOW RIGHT EXTRM W/O CONTRAST",2013]
["19000106","MRI MYOCARDIUM W/O",2013]
["19000393","MRI ORB/FAC/NK W/CONTRAST",2237.25]
["19000239","MRI ORB/FAC/NK WO CONTRAST",1993.25]
["19500298","MRI ORB/FAC/NK WO/W CONTR READ",409]
["19000298","MRI ORB/FAC/NK WO/W CONTRAST",2552]
["19000163","MRI PELVIS W/CONTRAST",2237.25]
["19000170","MRI PELVIS W/O CONTRAST",1993.25]
["19500170","MRI PELVIS W/O CONTRAST READ",319]
["19500182","MRI PELVIS WO/W CONTR READ",394]
["19000182","MRI PELVIS WO/W CONTRAST",2460]
["19000755","MRI SPINAL SURVEY",2106.75]
["19000155","MRI T-SPINE W/CONT",2237.25]
["19000031","MRI T-SPINE W/O CONT",1993.25]
["19500031","MRI T-SPINE W/O CONTR READ",319]
["19000189","MRI T-SPINE WO/W CON",2552]
["19500189","MRI T-SPINE WO/W CON READ",409]
["19000764","MRI UP BILAT EXTREM JOINT W/O CONTRAST",4026]
["19000426","MRI UP EXTREM W/CONTRAST",2237.25]
["19000056","MRI UP EXTREM W/O CONTRAST",2013]
["19000315","MRI UP EXTREM WO/W CONTRAST",2460]
["19000438","MRI UP EXTREMITY JOINT W/CONTRAST",2237.25]
["19000064","MRI UP EXTREMITY JOINT W/O",2013]
["19000737","MRI UP LEFT EXT JOINT WO/W CONTRAST",2460]
["19000698","MRI UP LEFT EXTREM JOINT W/CONTRAST",2237.25]
["19000710","MRI UP LEFT EXTREM JOINT W/O CONTRAST",2013]
["19000632","MRI UP LEFT EXTREM W/CONTRAST",2237.25]
["19000654","MRI UP LEFT EXTREM W/O CONTRAST",2013]
["19000676","MRI UP LEFT EXTREM WO/W CONTRAST",2460]
["19500710","MRI UP LFT EXTRM JOINT W/O CONTR READ",323]
["19000728","MRI UP RIGHT EXT JOINT WO/W CONTRAST",2460]
["19000687","MRI UP RIGHT EXTREM JOINT W/CONTRAST",2237.25]
["19500709","MRI UP RIGHT EXTREM JOINT W/O CONTR READ",323]
["19000709","MRI UP RIGHT EXTREM JOINT W/O CONTRAST",2013]
["19000620","MRI UP RIGHT EXTREM W/CONTRAST",2237.25]
["19000643","MRI UP RIGHT EXTREM W/O CONTRAST",2013]
["19000665","MRI UP RIGHT EXTREM WO/W CONTRAST",2460]
["19000353","MRI UPPER EXT JOINT WO/W CONTRAST",2460]
["13021126","MUCOMYST 20% NEB",3.55]
["13010053","MULTIVITAMIN TAB",2.6]
["13010046","MULTIVITAMIN W/MIN TAB",2.95]
["10974517","MUMPS AB IGG 8624",113]
["10974525","MUMPS AB IGM 36565",113]
["13002761","MUPIROCIN CA (BACTROBAN) 2% OINT:22GM",16.8]
["13007554","MURO-128 5% OPTH OINT:3.5GM",27.7]
["20300321","MUSC,MYOCUT,FACIO FLAP LWR EXT-HPROV FEE",2361]
["20300377","MUSCLE BIOPSY-HPROV FEE",280]
["13020896","MUTAMYCIN INJ:20MG",566.35]
["13007562","MVI-12 INJ:10ML",49.35]
["13025169","MVI-12/TRACE MINERALS FOR TPN",47.1]
["10971992","MYCOPHENOLIC ACID 10662",233.5]
["10975985","MYCOPLASMA PNEUM IGM 21130",130]
["10974616","MYCOPLASMA PNEUM IgG 659",126]
["10976342","MYELIN BASIC PROTEIN 663",164]
["15780470","MYELOGRAPHY 2 REGIONS",1433.75]
["15722709","MYELOGRAPHY CERVICAL",959.25]
["15780418","MYELOGRAPHY ENTIRE",1433.75]
["15722501","MYELOGRAPHY LUMBAR",895.25]
["15522501","MYELOGRAPHY LUMBAR READ",108]
["15780400","MYELOGRAPHY THORACIC",875]
["13007604","MYLANTA CHEWABLE TABLET",1.6]
["13007638","MYLANTA GAS CHEWTAB:80MG",1.6]
["13007612","MYLANTA-II SUSPENSION",7.95]
["10974780","MYOGLOBIN URINE 661",143.5]
[" 8029837","MYRINGOTOMY KNIFE-SICKLE",82.25]
[" 8030496","MYRINGOTOMY KNIFE-SICKLE FLAT",73.45]
["20301077","N BLCK INJ PLANTER DIGIT-CPRO FEE",62]
["20388075","N BLCK INJ PLANTER DIGIT-FAC FEE",22]
["20388191","N-INVAS EAR/PLS OX F/02 SAT 1 DET-FAC FE",5]
["13000559","N20",28.9]
["13009220","NABUMETONE (RELAFEN) TAB:500MG",3.35]
["13024502","NABUMETONE (RELAFEN) TAB:750MG",3.35]
["13007661","NAFCILLIN/NS IVPB: 1GM/50ML",50.35]
["13024141","NAFCILLIN/NS IVPB: 2GM/100ML",86.25]
["20300239","NAIL BED REPAIR-CPRO FEE",202]
["20388238","NAIL BED REPAIR-FAC FEE",130]
[" 8014813","NAIL DRILL TIPS",22.45]
["13008107","NALBUPHINE (NUBAIN) INJ:10MG/ML",45.9]
["13000278","NALOXONE (NARCAN) INJ:0.4MG/ML",42.95]
["13030470","NALOXONE HCL INJECTION 1MG/ML",89.35]
["13007687","NAPROXEN (NAPROSYN) TAB:250MG",2.85]
["13007703","NAPROXEN (NAPROSYN) TAB:500MG",2.85]
["13021018","NASACORT 55MCG NASAL:10GM",82.55]
["15701604","NASAL BONES-MIN 3V",298.25]
["20300634","NASAL CAUTERIZATION/PA-CPROV FEE",187]
["20388633","NASAL CAUTERIZATION/PA-FAC FEE",384]
["26550073","NASAL HEM/ANT PACK",393]
["26550081","NASAL HEM/BILAT PACK",784]
["26550065","NASAL HEM/BILATERAL",605]
["26550115","NASAL HEM/POST PACK",501]
["26550057","NASAL HEM/SIMPLE",305]
[" 8026999","NASAL MUCOSAL ATOMIZATION DEVICE",34.65]
[" 8028029","NASAL MUCOSAL ATOMIZATION W/SYRINGE",31.8]
["13024736","NATALIZUMAB(TYSABRI) 20MG/ML INJ",19289]
["10971316","NATURAL KILLER CELLS 37088",379]
["13007729","NAVANE CAP:2MG",2.7]
["13024043","NDLSS BLOOD SET 2C6750Hs",49.45]
["13026118","NDLSS BLOOD SET 2C6750Hs",47.7]
["13024041","NDLSS PRIMARY SET 2C6537",41.95]
["13024042","NDLSS SECONDARY SET 2C7451",35.4]
["13024045","NDLSS VENTED SET 2C6435",37.1]
["15703600","NECK SOFT TISSUES",210]
["15503600","NECK SOFT TISSUES READ",26]
[" 8016230","NEEDLE ADAPTOR",5.35]
[" 8005159","NEEDLE AND OBT/PTS COU",18.8]
[" 8025884","NEEDLE ANGIOCATH IV 14 X 3 1/4 382268",72.349999999999994]
[" 8028433","NEEDLE ANGIOCATH IV 16 X 3 1/4",73.400000000000006]
[" 8029472","NEEDLE ANGIOCATH IV 18 X 2",23.25]
[" 8029464","NEEDLE ANGIOCATH IV 20 X 2",23.25]
[" 8004384","NEEDLE BIOPSY/6 TRUC",79.75]
[" 8004392","NEEDLE BUTTERFLY 19G",3.95]
[" 8018798","NEEDLE BUTTERFLY 21G 367281",2.2000000000000002]
[" 8018806","NEEDLE BUTTERFLY 23G 367297",2.2000000000000002]
[" 8018814","NEEDLE BUTTERFLY 25G",5.35]
["20300872","NEEDLE BX LIVER ADD ON-HPRO FEE",188]
[" 8022295","NEEDLE BX QCK CORE 16GAX9CM",211.2]
[" 8022303","NEEDLE BX QCK CORE 18GAX9CM",205.75]
[" 8029845","NEEDLE CHIBA 18GA X 20CM",39.85]
[" 8020979","NEEDLE CHIBA 22GA X 8",54.1]
[" 8014599","NEEDLE CHIBA DISP",88.85]
[" 8016131","NEEDLE COUNTER",5.35]
[" 8027179","NEEDLE ECHOSTIM  21ga X 2",56.05]
[" 8027187","NEEDLE ECHOSTIM  21ga X 4",61.5]
[" 8025934","NEEDLE EZ IO ADULT BLUE 9001",525.45000000000005]
[" 8027773","NEEDLE EZ IO LARGE ADULT YELLOW 9079",525.45000000000005]
[" 8025942","NEEDLE EZ IO PEDIATRIC PINK 9018",527.95000000000005]
[" 8025710","NEEDLE F.A.S.T. 1 SYSTEM",664.3]
[" 8029126","NEEDLE HAWKINS BLUNT 16GA X 15CM",99.05]
[" 8029134","NEEDLE HAWKINS BLUNT 18GA X 15CM",99.05]
[" 8025280","NEEDLE INJECTION 25GA",205.75]
[" 8022824","NEEDLE INSYTE IV 16GA",10.6]
[" 8022832","NEEDLE INSYTE IV 18GA",10.6]
[" 8022840","NEEDLE INSYTE IV 20GA",10.6]
[" 8022857","NEEDLE INSYTE IV 22GA",10.6]
[" 8022865","NEEDLE INSYTE IV 24GA",10.6]
[" 8004426","NEEDLE INTRACATHER",16.25]
[" 8022097","NEEDLE INTRAOSSEAOUS INFUSION",63.85]
[" 8020364","NEEDLE IV 16GAX1 1/4",2.2000000000000002]
[" 8017436","NEEDLE IV CATH W/Y 18GA",16.25]
[" 8018160","NEEDLE IV CATH W/Y 20G",16.25]
[" 8015042","NEEDLE JAMSHIDI BONE MARROW 11X15",96.05]
[" 8030512","NEEDLE JAMSHIDI BONE MARROW 13X9",90.4]
["20300353","NEEDLE LOC RT BREAST BIOPSY-HPROV FEE",301]
[" 8024598","NEEDLE LOCALIZATION 20GAx5CM ECHOTIP",239.6]
[" 8024606","NEEDLE LOCALIZATION 20GAx9CM ECHOTIP",211.2]
[" 8024580","NEEDLE LOCALIZATION 21GA X 5CM",119.75]
[" 8016107","NEEDLE LOCALIZATION 21GA X 9CM",165.75]
[" 8026171","NEEDLE NEXIVA 18GA X 1 3/4",31.95]
[" 8020372","NEEDLE NEXIVA 18GAX1 1/4",39.799999999999997]
[" 8020380","NEEDLE NEXIVA 20GAX 1",39.799999999999997]
[" 8026114","NEEDLE NEXIVA 20GAX1 3/4",39.200000000000003]
[" 8020398","NEEDLE NEXIVA 22GA X 1",39.799999999999997]
[" 8020406","NEEDLE NEXIVA 24GA X 3/4",32.15]
[" 8029662","NEEDLE NON-CORING 1.5",23.25]
[" 8025017","NEEDLE PAJUNK 22 GA X 40 MM",45.35]
[" 8025025","NEEDLE PAJUNK 22 GA X 80 MM",43.15]
[" 8027542","NEEDLE PENCAN SPINAL 22 X 3 1/2",29.7]
[" 8015521","NEEDLE PENCAN SPINAL 25 X 3 1/2",44.7]
[" 8029456","NEEDLE PENCAN SPINAL 25X1",49.05]
[" 8029274","NEEDLE PENCAN SPINAL 25X2",31.8]
[" 8023855","NEEDLE PENCAN SPINAL 25x5",33.799999999999997]
[" 8030025","NEEDLE POWERLOCK 20GA X 3/4",36.85]
[" 8020786","NEEDLE PROTECT IV 14GA",11.3]
[" 8020794","NEEDLE PROTECT IV 16GA",11.25]
[" 8028425","NEEDLE PROTECT IV 16GA",12.35]
[" 8013385","NEEDLE PROTECT IV 18G X 1-1/4",11.25]
[" 8017675","NEEDLE PROTECT IV 20G X 1-1/4",11.25]
[" 8018145","NEEDLE PROTECT IV 22G X 1",11.25]
[" 8018152","NEEDLE PROTECT IV 24G X 3/4",11.25]
[" 8030207","NEEDLE PTC SPINAL 22X4",41.3]
[" 8030215","NEEDLE PTC SPINAL 22X7",46.85]
[" 8025835","NEEDLE SCORPION MULTIFIRE",641.1]
[" 8028409","NEEDLE SPINAL 25GA X 15CM",141.44999999999999]
[" 8029746","NEEDLE SPINAL 25GA X 4 11/16",16.7]
[" 8027740","NEEDLE SPINAL DISP 18X4.75",50.6]
[" 8024945","NEEDLE SPINAL DISP 18X6",50.05]
[" 8027732","NEEDLE SPINAL DISP 20X4.75",50.6]
[" 8022048","NEEDLE SPINAL DISP 22X4 3/4",67.099999999999994]
[" 8028573","NEEDLE SPINAL DISP 22X5",16.7]
[" 8024952","NEEDLE SPINAL DISP 22X6",64.5]
[" 8022816","NEEDLE SPINAL DISP 24 X 1-1/2",57.95]
[" 8013898","NEEDLE SPINAL DISPBL 18 X 6",21.75]
[" 8004509","NEEDLE SPINAL DISPBL 18X3-1/2",5.35]
[" 8018756","NEEDLE SPINAL DISPBL 20X3-1/2",5.65]
[" 8018772","NEEDLE SPINAL DISPBL 22X1-1/2",5.65]
[" 8018764","NEEDLE SPINAL DISPBL 22X3-1/2 405181",5.65]
[" 8018780","NEEDLE SPINAL DISPBL 25X3-1/2 405180",5.65]
[" 8023871","NEEDLE SPROTTE EPIDURAL 18X31/2",76.900000000000006]
[" 8025306","NEEDLE STIM A 22 X 1 3/8",48.65]
[" 8026064","NEEDLE STIM A 22 X 2",48.65]
[" 8025702","NEEDLE TRANSURETHERAL INJ 18GA",157.65]
[" 8014557","NEEDLE TUOHY EPIDURAL 18GA",31.15]
[" 8023889","NEEDLE TUOHY EPIDURAL 18x5",96.9]
[" 8018822","NEEDLE TUOHY EPIDURAL 20GA",22.4]
[" 8025728","NEEDLE TUOHY EPIDURAL 22GA",46.5]
[" 8021453","NEEDLE VERESS DISPOSABLE",86.55]
[" 8027336","NEEDLE WHITACRE 22X3-1/2",26.75]
["13007752","NEO-SYNEPHRINE 0.25% DROPS:15ML",14]
["13007745","NEO-SYNEPHRINE 0.5% SPRAY:15ML",14]
["13007778","NEO-SYNEPHRINE:1/8% DROPS",11.85]
[" 8027443","NEO-TEE INLINE RESUSCITATOR",104.55]
["13003868","NEO/POLY/HC (CORTISPORIN) OTIC SUSP:10ML",75.7]
["13024146","NEOM/POLY/BACITR OPTH OINT:3.5GM",21.85]
["13007737","NEOMYCIN TAB:500MG",4.3]
["13027008","NEOMYCIN/POLYMIXIN/BACITRACIN/HC OINT:15",101.7]
["46001101","NEONATAL CARE/15 MIN",180]
["13007802","NEOSPORIN OINTMENT U/D:0.9GM",10.1]
["13007786","NEOSPORIN OPTH SOLN:10ML",34.700000000000003]
["13000138","NEOSTIGMINE INJ:1MG/ML",70.95]
["20388638","NEOX-FAC FEE",425]
[" 8028508","NEPHROSTOMY DRAINAGE CATHETER KIT",838.9]
[" 8014128","NEPHROSTOMY TRAY",585.70000000000005]
["20300496","NEURECTOMY FOOT-HPROV FEE",678]
["20301200","NEUROPSYCH COMPUTER TEST W/INTER-CPROV F",45]
["20388198","NEUROPSYCH COMPUTER TEST W/INTERP-FAC FE",38]
["13007844","NEUTROGENA FACIAL BAR",12.35]
["20301383","NEW PT <1YEAR-CPROV FEE",135]
["20388381","NEW PT <1YEAR-FAC FEE",60]
["20301386","NEW PT WELLNESS VISIT 1-4 YRS-CPROV FEE",144]
["20388384","NEW PT WELLNESS VISIT 1-4 YRS-FAC FEE",59]
["20301392","NEW PT WELLNESS VISIT 12-17 YRS-CPROV FE",179]
["20388390","NEW PT WELLNESS VISIT 12-17 YRS-FAC FEE",59]
["20301389","NEW PT WELLNESS VISIT 5-11 YRS-CPROV FEE",153]
["20388387","NEW PT WELLNESS VISIT 5-11 YRS-FAC FEE",58]
["20388401","NEW PT WELLNESS VISIT 65+ FAC FEE",66]
["20301401","NEW PT WELLNESS VISIT 65+-CPROV FEE",224]
[" 4000345","NEWBORN HEARING SCREENING",134]
["13025549","NEXIUM IV 40MG VIAL",52.2]
["13025348","NF-ACTIGALL CAP 300MG",2.8]
["13025406","NF-ARAVA (LEFLUNOMIDE) TAB: 20MG",2.95]
["13025593","NF-ENTOCORT EC 3MG ORAL CAPSULE, DELAYED",32.799999999999997]
["13025956","NF-ENTOCORT EC CAP DR 3MG",21.65]
["13028506","NF-GLYCERYL MONOSTEARATE POWDER",9.9499999999999993]
["13025665","NF-HYDROCODONE AND APAP TABLET 10MG-500M",29.9]
["13027765","NF-ISENTRESS CHEW TAB 100MG",13.5]
["13028505","NF-PHENOL CRYSTAL",33.25]
["13025497","NF-SKELAXIN 800MG ORAL TABLET",8.25]
["13030542","NF-Zenpep Oral Delayed Release Capsule",11.65]
[" 8030371","NG TUBE ATTACHMENT DEVICE",12.95]
["13007851","NIACIN (VITAMIN B3) IR TAB:500MG",2.85]
["13005418","NICOTINE (NICODERM) PATCH:14MG",7.4]
["13023148","NICOTINE (NICODERM) PATCH:7MG",7.45]
["13005426","NICOTINE (NICOTINE) PATCH:21MG",8]
["10979961","NICOTINE, URINE 90646",202.5]
["10970793","NICOTINE/COTININE 90642",152.5]
["13008859","NIFEdipine (PROCARDIA XL) TAB:30MG",3.15]
["13023205","NIFEdipine (PROCARDIA) CAP:10MG",3.4]
["20300359","NIPPLE EXPLORATION-HPROV FEE",612]
["13006937","NITROFURANTOIN (MACRODANTIN) CAP:100MG",6.3]
["13006945","NITROFURANTOIN (MACRODANTIN) CAP:50MG",3.45]
["13007976","NITROGLYCERIN 2% OINT:30GM",54]
["13024602","NITROGLYCERIN 2% OINT:60GM",47.5]
["13007893","NITROGLYCERIN CAP:2.5MG",2.9]
["13007950","NITROGLYCERIN CAP:6.5MG",2.85]
["13010350","NITROGLYCERIN INJ:50MG",43]
["13026275","NITROGLYCERIN IVPB: 25MG/250ML",69.099999999999994]
["13007943","NITROGLYCERIN PATCH:0.4MG/HR",5.6]
["13007919","NITROGLYCERIN SL TAB:0.3MG",1.6]
["13023494","NITROGLYCERIN SL TAB:0.4MG",3.9]
["13007935","NITROGLYCERIN SL TAB:0.4MG (BTL, 25)",22.2]
["13001409","NITROPRUSSIDE (NIPRIDE) INJ:10MG/50CC",118.6]
["16770053","NM ACUTE GI BLEED STUDY",839.75]
["16770145","NM BONE 3 PHASE",1352.75]
["16570145","NM BONE 3 PHASE READ",217]
["16770038","NM BONE SCAN COMPLETE",1469.75]
["16570038","NM BONE SCAN COMPLETE READ",236]
["16783007","NM BONE SCAN LIMITED",1161.5]
["16583007","NM BONE SCAN LIMITED READ",186]
["16770350","NM BONE SPECT",1705]
["16570350","NM BONE SPECT READ",273]
["16770376","NM CARDIAC MUGA",1371.75]
["16770472","NM CARDIAC PLANAR SINGLE",2316.5]
["16770384","NM CARDIAC SPECT-MULTI",3752.75]
["16570384","NM CARDIAC SPECT-MULTI READ",601]
["16770368","NM CARDIAC SPECT-SINGLE",2316.5]
["16000211","NM CSF SHUNT STUDY",1399.75]
["16770269","NM GALLIUM INF LOC LMTD",1697]
["16770012","NM GALLIUM INF WHOLE BODY",1697]
["16785132","NM GASTIC EMPTYING STUDY",854.75]
["16585132","NM GASTIC EMPTYING STUDY READ",137]
["16770049","NM HIDA W/EF",1373.5]
["16570049","NM HIDA W/EF READ",220]
["16770202","NM HIDA W/O EF",1191.75]
["16570202","NM HIDA W/O EF READ",191]
["16770293","NM LIVER/SPLEEN W/FLOW",1012]
["16785126","NM LUNG SCAN PERF/VENT",1863.5]
["16585126","NM LUNG SCAN PERF/VENT READ",299]
["16783601","NM LUNG SCAN PERFUSION",929.25]
["16770152","NM LUNG SCAN VENTILATION",1037.75]
["16790507","NM MECKELS DIVERTICULI",839.75]
["16780229","NM PARATHYROID IMAGING",762.5]
["16580229","NM PARATHYROID IMAGING READ",122]
["16770418","NM RADIONUC TC99m MEDRONATE",379.75]
["16770426","NM RADIONUC TC99m SESTAMIBI",788.25]
["16770434","NM RADIONUC TL201 PER MCI",586.25]
["16770442","NM RENAL FLOW SGL W/O RX",1101.5]
["16770451","NM RENAL FLOW SGL W/RX",1139.75]
["16770465","NM RENAL SCAN-MULTIPLE STUDY",1364.25]
["16783403","NM RENAL SCAN-STATIC",1098.75]
["16770163","NM SENTINEL NODE ID",791.75]
["16570163","NM SENTINEL NODE ID READ",127]
["16000228","NM SHUNT PUNCTURE",350]
["16000195","NM SINCALIDE PER 5MCG",446.25]
["16784203","NM SPLEEN SCAN W/FLOW",882.75]
["16000143","NM TECHNETIUM TC-99M MACROAG DIAG PR DOS",291.75]
["16000125","NM TECHNETIUM TC-99M MEBROF DIAG PER DOS",247.25]
["16000164","NM TECHNETIUM TC-99M MERTI DIAG PER DOSE",2025.75]
["16000138","NM TECHNETIUM TC-99M PENTET DIAG PER DOS",291.75]
["16770186","NM TESTICULAR SCAN W/FLOW",1098.75]
["16770343","NM THYROID METS WHOLE B",1306.75]
["16770178","NM THYROID THERAPY",794.5]
["16785114","NM THYROID W/UPTKE MULTI",775.5]
["16585114","NM THYROID W/UPTKE MULTI READ",125]
["16770285","NM TUMOR LOC LMTD",965.25]
["16770277","NM TUMOR LOC WHL/BODY",1697]
["15780301","NON IONIC CONT 300MGS IODINE",3.25]
[" 4000056","NON-STRESS TEST .5HR",65]
[" 4000064","NON-STRESS TEST 1 HR",130]
[" 4000002","NON-STRESS TEST 1.5HR",195]
[" 4000018","NON-STRESS TEST 2 HR",260]
[" 4000027","NON-STRESS TEST 2.5HR",325]
[" 4000035","NON-STRESS TEST 3 HR",390]
[" 4000043","NON-STRESS TEST 3.5HR",455]
[" 4000382","NON-STRESS TEST 4 HR",520]
[" 4000406","NON-STRESS TEST 4.5 HR",585]
[" 4000438","NON-STRESS TEST 5 HR",650]
[" 4000419","NON-STRESS TEST 6 HR",780]
[" 4000425","NON-STRESS TEST 7 HR",910]
["13006580","NOREPINEPHRINE INJ:4MG/4ML",51.5]
[" 8005654","NORMAL SALINE 1000CC POUR BOTTLE",12.35]
["13021068","NORMAL SALINE FLUSH 5ML",34]
[" 8014268","NORMAL SALINE IRGN 3000CC",27.3]
["13024681","NORMAL SALINE PREFILLED SYRINGE 10ML",34.200000000000003]
["13024576","NORMAL SALINE PREFILLED SYRINGE 5ML",34]
["13024479","NOROPIN 0.5% INJ 30ML(ROPIVACAINE)",70.05]
["10978146","NOROVIRUS PCR (ST)",299.5]
["13008040","NOROXIN:400MG TAB",6.9]
["13008263","NORTRIPTYLINE (PAMELOR) CAP:10MG",1.6]
["10973972","NORTRIPTYLINE 272",134.5]
[" 8024762","NOSE PACKING 4.5CM",151.9]
[" 8024770","NOSE PACKING 5.5CM",193.65]
[" 8024788","NOSE PACKING 7.5CM",188.3]
[" 8016594","NOSE PACKING MEROCEL",93.6]
["13024426","NOVOLOG 100U/ML INSULIN (PER ML)",19.350000000000001]
["13025014","NOVOLOG MIX 70/30:10ML",14.45]
[" 8015232","NOZ STOP CATH KIT",177.9]
["13008081","NS MINIBAG PLUS:100ML",43.3]
["13000823","NS:100ML",43.3]
["13000393","NS:30ML",34.450000000000003]
["13008099","NS:50ML",43.3]
[" 8018574","NU GAUZE IODOFORM 1",14.25]
[" 8018566","NU GAUZE IODOFORM 1/2",11.25]
[" 8018558","NU GAUZE IODOFORM 1/4",11.25]
[" 8018582","NU GAUZE IODOFORM 2",20.55]
[" 8018533","NU GAUZE PLAIN 1",28.6]
[" 8018525","NU GAUZE PLAIN 1/2",19.52]
[" 8000812","NU GAUZE PLAIN 1/4",10.6]
[" 8027112","NU GAUZE PLAIN 2",16.3]
[" 8027559","NUCLEUS HYDRODISSECTION 27GAX1",34.200000000000003]
["13008115","NULYTELY SOLN:4000ML",19.55]
[" 8025868","NUTRASHIELD SKIN PROTECTANT",26.8]
["71000181","NUTRITION HOME VISIT 15 MIN",31.5]
["13007869","NYSTATIN 100,000 U/ML SUSP:480ML",38.1]
["13025582","NYSTATIN 100,000 U/ML SUSP:60ML",15.8]
["13008131","NYSTATIN 100MU/GM CREAM:30GM",9.25]
["13022801","NYSTATIN 100MU/GM CREAM:30GM",19.100000000000001]
["13008149","NYSTATIN 100MU/GM OINT:15G",20.7]
["13021787","NYSTATIN POWDER:15GM",19.149999999999999]
["13004523","NYSTATIN/TRIAMCIN CREAM:15GM",154.94999999999999]
["13007588","NYSTATIN/TRIAMCIN OINT:30GM",10.25]
["22000441","O R COMBINATION EYE PROC CHG",3800]
["22001294","O R EYE PROC W/STENT",7560]
["20301048","OB CARE ANTEPARTUM C DLVR/PP-HPROV FEE",4121]
["20301029","OB CARE ANTEPARTUM VAG DLVR/PP-HPROV FEE",3715]
[" 4000367","OB DIRECT ADMIT TO OBS",175]
[" 4000812","OB IV HYDRATION 1ST HR-ER",291.5]
[" 4000844","OB IV HYDRATION-ER EA ADDL HR",107.5]
[" 4003356","OB IV THER EA ADDL SEQUENTIAL INFUS 1HR",107.5]
[" 4000798","OB IV THERAPEUTIC ADMIN 1 HR",291.5]
[" 4003253","OB IV THERAPEUTIC ADMIN EA ADDL HOUR",107.5]
[" 4003367","OB IV THRPY CONCURRENT INFUSION 1HR",296]
[" 4003037","OB MED ADM (IM-SUBQ)THER/PROP\\DIAG INJ",121]
[" 4003044","OB MED ADMIN (IV INJ)",121]
[" 4000935","OB MED ADMIN (IV INJ)ER EA ADDL DRUG",121]
[" 4000987","OB MED ADMIN IV PUSH SUBSQ SAME DRUG",107]
[" 4000098","OB NURS OBSERV 01HR",296.75]
[" 4000106","OB NURS OBSERV 02HR",178]
[" 4000114","OB NURS OBSERV 03HR",148.5]
[" 4000122","OB NURS OBSERV 04HR",118.75]
[" 4000130","OB NURS OBSERV 05HR",102]
[" 4000148","OB NURS OBSERV 06HR",91]
[" 4000155","OB NURS OBSERV 07HR",83]
[" 4000163","OB NURS OBSERV 08HR",77.25]
[" 4000171","OB NURS OBSERV 09HR",73]
[" 4000189","OB NURS OBSERV 10HR",68.75]
[" 4000197","OB NURS OBSERV 11HR",65.5]
[" 4000205","OB NURS OBSERV 12HR",63]
[" 4000213","OB NURS OBSERV 13HR",61.25]
[" 4000221","OB NURS OBSERV 14HR",59.5]
[" 4000239","OB NURS OBSERV 15HR",58.5]
[" 4000247","OB NURS OBSERV 16HR",56.25]
[" 4000254","OB NURS OBSERV 17HR",55]
[" 4000262","OB NURS OBSERV 18HR",54.5]
[" 4000270","OB NURS OBSERV 19HR",53.25]
[" 4000288","OB NURS OBSERV 20HR",52.5]
[" 4000296","OB NURS OBSERV 21HR",51.25]
[" 4000304","OB NURS OBSERV 22HR",50.75]
[" 4000312","OB NURS OBSERV 23HR",50]
[" 4000320","OB NURS OBSERV 24HR",49.5]
[" 4000338","OB NURSE OBS >24HRS",49.5]
[" 4000080","OB OUTPATIENT PROC(CIRC)",206]
["17000588","OB US LMTD SINGLE/MULTI BEDSIDE",252.5]
[" 4000374","OB-OP NURSE ASSESSMENT",185.5]
["43000225","OBESITY GROUP F2F EDUC .5HR (2-10 INDIV)",39]
["71000384","OBESITY GROUP F2F EDUC .5HR (2-10 INDIV)",41]
["43000232","OBESITY INDIV F2F EDUC .25HR",47.5]
["71000396","OBESITY INDIV F2F EDUC .25HR",49.5]
["43000306","OBESITY INDIV F2F INITIAL VISIT",190]
["71000469","OBESITY INDIV F2F INITIAL VISIT",190]
["20301263","OBS ADMIT COMPREHENSIVE-HPROV FEE",239]
["20301265","OBS ADMIT HIGH COMPLEXITY-HPROV FEE",327]
["20301261","OBS ADMIT LOW SEVERITY-HPROV FEE",175]
["11800009","OBS DISCHARGE",129]
["20301259","OBS DISCHARGE-HPROV FEE",128]
["11800022","OBS INITIAL CARE COMPREHENSIVE",241]
["11800033","OBS INITIAL CARE HIGH COMPLEXITY",329]
["11800010","OBS INITIAL CARE LOW SEVERITY",177]
["11800147","OBS/IP CARE SAME DAY D/C COMPREHENSIVE",300]
["11800136","OBS/IP CARE SAME DAY D/C DETAILED",238]
["11800158","OBS/IP CARE SAME DAY D/C HIGH COMPLEXITY",386]
["20301287","OBS/IP SAME DAY ADM/DC COMPREH-HPROV FEE",297]
["20301285","OBS/IP SAME DAY ADM/DC DETAIL-HPROV FEE",234]
["20301289","OBS/IP SAME DAY ADM/DC HI CMPLX-HPROV FE",383]
["26551915","OBSERVATION CARE-ADMIT HIGH",734]
["26551899","OBSERVATION CARE-ADMIT LOW",315]
["26551907","OBSERVATION CARE-ADMIT MOD",525]
["26551881","OBSERVATION DISCHRG",340]
[" 8023673","OBTRYX MID URETHERAL SLING SYSTEM",2799.95]
["13023058","OCTREOTIDE (SANDOSTATIN) INJ 100MCG/ML",37.4]
["13029890","OCUFLOX OPHTH SOLN 0.3%",29]
["13011440","OCUVITE TABLET",3.15]
["20301245","OFFICE VISIT BRIEF EST PT-CPROV FEE",16]
["20388244","OFFICE VISIT BRIEF EST PT-FAC FEE",22]
["20301242","OFFICE VISIT COMP HI CMPLX NEW PT-CPROV",296]
["20388241","OFFICE VISIT COMP HI CMPLX NEW PT-FAC FE",66]
["20301239","OFFICE VISIT COMP MOD CMPLX NW PT-CPROV",227]
["20388237","OFFICE VISIT COMP MOD CMPLX NW PT-FAC FE",61]
["20388234","OFFICE VISIT DETAIL EXAM NEW PT-FAC FEE",55]
["20301236","OFFICE VISIT DETAIL EXM NEW PT-CPROV FEE",135]
["20388253","OFFICE VISIT DETL MOD COMPLX EST-FAC FEE",51]
["20301254","OFFICE VISIT DETL MOD COMPX EST PT-CPROV",138]
["20301233","OFFICE VISIT EXP PR FOCUS NEW PT-CPROV F",89]
["20388231","OFFICE VISIT EXP PR FOCUS NEW PT-FAC FEE",43]
["20301251","OFFICE VISIT EXP PROB FOC EST PT-CPROV F",90]
["20388250","OFFICE VISIT EXP PROB FOC EST PT-FAC FEE",38]
["20301257","OFFICE VISIT HI COMPLX EST PT-CPROV FEE",195]
["20388256","OFFICE VISIT HI COMPLX EST PT-FAC FEE",60]
["20301230","OFFICE VISIT PR FOCUS NEW PT-CPROV FEE",47]
["20388228","OFFICE VISIT PR FOCUS NEW PT-FAC FEE",31]
["20301248","OFFICE VISIT PROB FOC EST PT-CPROV FEE",45]
["20388247","OFFICE VISIT PROB FOC EST PT-FAC FEE",32]
["50100468","OH BROWN BAG LUNCH SERIES <25 PARTICIPNT",162]
["50100913","OH BROWN BAG LUNCH SERIES ADDL 25 PARTI",108]
["50100360","OH CANCELLATION FEE",27]
["50100285","OH COLL WAIT TIME",32]
["50100946","OH CRANE OPERATOR EXAM",146]
["50100924","OH EMERGENCY RESPONSE EXAM",211]
["50100935","OH PRE-PLACEMENT EXAM",171]
["50100623","OH T-BRIEF PHYS EXAM",27]
["50100672","OH T-EKG INTPR & SIGNATURE",17]
["50100606","OH T-PHYS EXAM",81]
["50100784","OH T-RECTAL EXAM",37]
["50100352","OH WALK-IN FEE",6]
["50100618","OH Y-BRIEF PHYS EXAM",27]
["50100594","OH Y-PHYS EXAM",81]
["50100773","OH Y-RECTAL EXAM",37]
["13024380","OLANZAPINE (ZyPREXA) INJ:10MG",82.1]
["13024067","OLANZAPINE (ZyPREXA) TAB:10MG",2.95]
["13023353","OLANZAPINE (ZyPREXA) TAB:2.5MG",2.95]
["13023551","OLANZAPINE (ZyPREXA) TAB:5MG",2.9]
["13024270","OLANZAPINE ODT(ZYPREXA ZYDIS) TAB:5MG",4.1500000000000004]
["13024490","OLANZAPINE ODT(ZyPREXA ZYDIS) TAB: 10MG",28.25]
["10976355","OLIGOCLONAL BANDS 674",193]
["13026525","OMALIZUMAB (XOLAIR) INJ:150MG",3416.3]
["13024396","OMEPRAZOLE (RX)CAP:20MG",3.1]
["20301217","OMT 1-2 REGIONS-CPROV FEE",42]
["20388216","OMT 1-2 REGIONS-FAC FEE",14]
["20301220","OMT 3-4 REGIONS-CPROV FEE",63]
["20388219","OMT 3-4 REGIONS-FAC FEE",17]
["20301223","OMT 5-6 REGIONS-CPROV FEE",84]
["20388222","OMT 5-6 REGIONS-FAC FEE",22]
["13021258","ONDANSETRON (ZOFRAN) INJ:4MG/2ML",34.299999999999997]
["13024053","ONDANSETRON (ZOFRAN) IVPB:32MG/50ML",330.8]
["20388606","ONDANSETRON INJ-FAC FEE",0.35]
["13027196","ONDANSETRON TAB:8MG (NON-ODT)",1.9]
["13010988","ONDANSETRON(ZOFRAN) MDV: 4MG/2ML, 20ML",35.9]
["13024616","ONDANSETRON(ZOFRAN) ODT TAB:8MG",3.25]
["13030378","OPDIVO INTRAVENOUS SOLUTION 240MG/24ML",19666.2]
["20300470","OPEN BIMALLEOLI ANKLE FRACTURE-HPROV FEE",1375]
["20300462","OPEN DISTAL ANKLE FRACTURE-HPROV FEE",1159]
["20300480","OPEN SYNDESMOSIS DISRUPTION-HPROV FEE",1240]
["20300452","OPEN TREATMENT FX MEDIAL ANKLE-HPRO FEE",1083]
["20300475","OPEN TRIMALLEOLAR FX W/FIXATION-HPROV FE",1531]
["20300560","OPEN TX FX GRT TOE W/ INT FIX-HPRO FEE",892]
[" 8025173","OPES ABLATOR",576.4]
["20300553","OPN TX METATARSAL FX W/INT FIX-HPRO FEE",967]
["13022843","OPTHALMIC APPLICATION (EA)",18.899999999999999]
["13026119","OPTHALMIC APPLICATION TRIESSENCE GTT",41.3]
[" 8013229","OPTI GUARD",33.35]
[" 8021305","OPTI HALER DELIVERY SYSTEM",56.3]
["13008198","OPTI TEARS OPTHALMIC",15.5]
["15701896","OPTIC FORAMINA LT",287.75]
["15701901","OPTIC FORAMINA RT",287.75]
["22000625","OR BASIC EYE CHARGE",2344]
["22001309","OR LEVEL I .5 HR",1303]
["22001317","OR LEVEL I .75 HR",1688]
["22001325","OR LEVEL I 1 HR",2073]
["22001589","OR LEVEL I 1.25HR",2458]
["22001595","OR LEVEL I 1.5HR",2843]
["22001608","OR LEVEL I 1.75HR",3228]
["22001613","OR LEVEL I 2 HR",3613]
["22001739","OR LEVEL I 2.25HR",3998]
["22001740","OR LEVEL I 2.5HR",4383]
["22001758","OR LEVEL I 2.75HR",4768]
["22001762","OR LEVEL I 3 HR",5153]
["22001957","OR LEVEL I 3.25 HRS",5538]
["22001905","OR LEVEL I 3.5HR",5923]
["22001962","OR LEVEL I 3.75 HRS",6308]
["22001933","OR LEVEL I 4 HRS",6693]
["22002108","OR LEVEL I 4.25 HRS",7078]
["22002014","OR LEVEL I 4.5 HRS",7463]
["22002065","OR LEVEL I 4.75 HRS",7848]
["22001986","OR LEVEL I 5 HRS",8233]
["22002020","OR LEVEL I 5.25 HRS",8618]
["22002136","OR LEVEL I 5.5 HRS",9003]
["22002089","OR LEVEL I 5.75 HRS",9388]
["22001975","OR LEVEL I 6 HRS",9773]
["22002094","OR LEVEL I 6.25 HRS",10158]
["22002127","OR LEVEL I 6.5 HRS",10543]
["22002056","OR LEVEL I 6.75 HRS",10928]
["22001626","OR LEVEL II .5HR",1940]
["22001333","OR LEVEL II .75 HR",2367]
["22001342","OR LEVEL II 1 HR",2794]
["22001354","OR LEVEL II 1.25 HR",3221]
["22001366","OR LEVEL II 1.5 HR",3648]
["22001714","OR LEVEL II 1.75HR",4075]
["22001727","OR LEVEL II 2 HR",4502]
["22001870","OR LEVEL II 2.25HR",4929]
["22001599","OR LEVEL II 2.5 HR",5356]
["22001777","OR LEVEL III .75 HR",3046]
["22001378","OR LEVEL III 1 HR",3515]
["22001380","OR LEVEL III 1.25 HR",3984]
["22001392","OR LEVEL III 1.5 HR",4453]
["22001403","OR LEVEL III 1.75 HR",4922]
["22001414","OR LEVEL III 2 HR",5391]
["22001637","OR LEVEL III 2.25 HR",5860]
["22001644","OR LEVEL III 2.5 HR",6329]
["22001854","OR LEVEL III 2.75 HR",6798]
["22001867","OR LEVEL III 3 HR",7267]
["22001929","OR LEVEL III 3.25 HR",7736]
["22001889","OR LEVEL III 3.75HR",8674]
["22001592","OR LEVEL III 4.75HR",10550]
["22001426","OR LEVEL IV 1 HR",4260]
["22001437","OR LEVEL IV 1.25 HR",4771]
["22001445","OR LEVEL IV 1.5 HR",5282]
["22001458","OR LEVEL IV 1.75 HR",5793]
["22001469","OR LEVEL IV 2 HR",6304]
["22001470","OR LEVEL IV 2.25 HR",6815]
["22001485","OR LEVEL IV 2.5 HR",7326]
["22001496","OR LEVEL IV 2.75 HR",7837]
["22001507","OR LEVEL IV 3 HR",8348]
["22001783","OR LEVEL IV 3.25 HR",8859]
["22001796","OR LEVEL IV 3.5 HR",9370]
["22001809","OR LEVEL IV 3.75 HR",9881]
["22001815","OR LEVEL IV 4 HR",10392]
["22001828","OR LEVEL IV 4.25 HR",10903]
["22001833","OR LEVEL IV 4.5 HR",11414]
["22001842","OR LEVEL IV 4.75 HR",11925]
["22002072","OR LEVEL IV 5 HRS",12436]
["22001944","OR LEVEL IV 5.25 HR",12947]
["22001999","OR LEVEL IV 5.5 HR",13458]
["22001886","OR LEVEL IV 5.75 HR",13969]
["22002113","OR LEVEL IV 6.25 HR",14991]
["22001652","OR LEVEL V 1 HR",5205]
["22001669","OR LEVEL V 1.25 HR",5758]
["22001675","OR LEVEL V 1.5 HR",6311]
["22001686","OR LEVEL V 1.75 HR",6864]
["22001698","OR LEVEL V 2 HR",7417]
["22001703","OR LEVEL V 2.25 HR",7970]
["22001518","OR LEVEL V 2.5 HR",8523]
["22001522","OR LEVEL V 2.75 HR",9076]
["22001534","OR LEVEL V 3 HR",9629]
["22001543","OR LEVEL V 3.25 HR",10182]
["22001550","OR LEVEL V 3.5 HR",10735]
["22001566","OR LEVEL V 3.75 HR",11288]
["22001577","OR LEVEL V 4 HR",11841]
["22002008","OR LEVEL V 4.25 HR",12394]
["22001906","OR LEVEL V 4.5 HR",12947]
["22001585","OR LEVEL V 5.25 HR",14606]
["22001918","OR LEVEL V 5.5 HR",15159]
["22002033","OR LEVEL V 6.25 HR",16818]
["22002047","OR LEVEL V 7 HR",18477]
["13008214","ORABASE ORAL PASTE",9.9]
["13008206","ORABASE-B ORAL PASTE",10.4]
["15780252","ORBITS 1V FB CHECK (PRE-MRI) BILAT",298.25]
["15580252","ORBITS 1V FB CHECK (PRE-MRI) BILAT READ",36]
["15780236","ORBITS COMP-MIN 4V",395.5]
["15580236","ORBITS COMP-MIN 4V READ",48]
["20300959","ORCHIOPEXY ING APPR  W-W/O HERNIA R-HPRO",861]
["13026074","ORENCIA (abatacept) 250mg INJ",3214.7]
["13008024","ORPHENADRINE:60MG/2ML INJ",30]
["20301212","ORTHOTIC MGMT/TRNG/ASSMT/FTNG-CPROV FEE",82]
["20301214","ORTHOTIC/PROSTHETIC MGMT-CPROV FEE",85]
["15000428","OS CALCIS-HEEL BILAT-2V MIN",447.5]
["15736501","OS CALCIS-HEEL LT-2V MIN",223.75]
["15536501","OS CALCIS-HEEL LT-2V MIN READ",27]
["15000342","OS CALCIS-HEEL RT-2V MIN",223.75]
["15500342","OS CALCIS-HEEL RT-2V MIN READ",27]
["13024462","OSELTAMIVIR (TAMIFLU) CAP: 75MG",16.100000000000001]
["10973006","OSMOLALITY, SERUM (ST V'S)",66.5]
["10973014","OSMOLALITY, URINE (ST V'S)",66.5]
["70000829","OSMOLITE",1.2]
["20300508","OSTECTOMY CALCANEUS SPUR PLNTR FA-HPROV",642]
["20300506","OSTECTOMY CALCANEUS-HPROV FEE",740]
[" 8025439","OSTEOTOMY GUIDE SYSTEM STANDARD",353.85]
["20300534","OSTEOTOMY OTHR THN 1ST METATRSL EA-HPRO",675]
["20300531","OSTETOMY TARSAL NOT CALC/TALUS-HPROV",1084]
[" 8022394","OSTOMY BAG 4",9.85]
[" 8026593","OSTOMY PASTE",21.35]
[" 8029613","OSTOMY POUCH 1 3/4",8.1999999999999993]
[" 8027013","OSTOMY POUCH 1 3/4",4.3]
[" 8029639","OSTOMY POUCH 1 3/4 CONVATEC",2.2000000000000002]
[" 8029621","OSTOMY POUCH 2 3/4",8.1999999999999993]
[" 8029506","OSTOMY POUCH 2 3/4 CONVATEC",2.2000000000000002]
[" 8026619","OSTOMY POUCH 2 3/4 HOLLISTER",2.2000000000000002]
[" 8027005","OSTOMY POUCH FLANGE 1 3/4",13]
[" 8026601","OSTOMY POUCH FLANGE 2 3/4",12.85]
[" 8022279","OSTOMY POUCH W/CONVEX BARRIER",91.25]
[" 8022287","OSTOMY POUCH W/KARAYA RING",241.55]
[" 8029589","OSTOMY SYSTEM CUT TO FIT",11.25]
[" 8029571","OSTOMY SYSTEM MOLDABLE",11.25]
[" 8022386","OSTOMY WAFER 4",21.75]
["48008800","OT-AQUATIC THERAPY W/THER EXER EA 15MIN",90]
["48001107","OT-BIOFEEDBACK TRNG/SPECIFIED",90]
["48001112","OT-BIOFEEDBACK TRNG/UNSPECIFIED",90]
["48000313","OT-CANALITH REPOSITIONING PER DAY",90]
["48004230","OT-COG SKILLS RETRAIN DAILY",324]
["48004210","OT-COG SKILLS RETRAIN EA 15MIN",90]
["48004160","OT-COMM/WORK REINTEGRATION EA 15MIN",90]
["48003070","OT-CONTRAST BATHS EA 15MIN",90]
["48001050","OT-DEV TEST, EXTENDED",270]
["48001040","OT-DEV TEST, LTD",180]
["48002050","OT-ELECTRIC STIMUL EA 15MIN ATTENDED",90]
["48002065","OT-ELECTRIC STIMUL UNATTENDED",90]
["48005119","OT-EO STATIC W/O JOINT CUSTOM",315]
["48008780","OT-EVAL HIGH COMPL 60MIN",360]
["48008760","OT-EVAL LOW COMPL 30MIN",180]
["48008770","OT-EVAL MOD COMPL 40MIN",270]
["48005155","OT-EWHFO W/JOINT CUSTOM",1304]
["48005146","OT-EWHFO W/O JOINT CUSTOM",1210.75]
["48005128","OT-EWHO STATIC W/O JOINT CUSTOM",1210.75]
["48005137","OT-EWHO W/JOINT CUSTOM",1304]
["48001080","OT-FCE W/REPORT EA 15MIN",90]
["48002090","OT-FLUIDOTHERAPY",90]
["48005322","OT-FO STATIC W/O JOINT CUSTOM",245]
["48005330","OT-FO W/JOINT CUSTOM",245]
["48005304","OT-HFO STATIC W/O JOINT CUSTOM",315]
["48005313","OT-HFO W/JOINT CUSTOM",303.25]
["48005295","OT-HO W/O JOINT CUSTOM",315]
["48001400","OT-HOME EVALUATION EA 15MIN",90]
["48001459","OT-IONTOPHORESIS EA 15MIN",180]
["48001090","OT-JOB SITE ANALYSIS EA 15MIN",90]
["48004040","OT-MANUAL THERAPY TECH EA 15MIN",90]
["48004090","OT-NEUROMUSCULAR RE-EDUC EA 15MIN",90]
["48001060","OT-ORTHOTIC SUBSEQ CHECK EA 15MIN",90]
["48008100","OT-ORTHOTICS INITL FIT/TRAINING EA 15MIN",90]
["48002030","OT-PARAFFIN BATH",90]
["48000322","OT-POSITIONAL NYSTAGMUS TEST",90]
["48008200","OT-PROSTHETICS INITIAL TRAINING EA 15MIN",90]
["48001075","OT-RE-EVALUATION",180]
["48008790","OT-RE-EVALUATION",180]
["48004130","OT-SELF CARE/ADL TRNG EA 15MIN",90]
["48005100","OT-SEWHFO AIRPLANE W/JOINT CUSTOM",1879.5]
["48005087","OT-SEWHFO AIRPLANE W/O JOINT CUSTOM",1593.25]
["48005099","OT-SEWHFO CAP DESIGN W/JOINT CUSTOM",1784]
["48005075","OT-SEWHFO CAP DESIGN W/O JOINT CUSTOM",1593.25]
["48005050","OT-SEWHO AIRPLANE W/O JOINT CUSTOM",1879.5]
["48005063","OT-SEWHO CAP DESIGN W/JOINT CUSTOM",1784]
["48005048","OT-SEWHO CAP DESIGN W/O JOINT CUSTOM",1593.25]
["48005036","OT-SO AIRPLANE W/JOINT CUSTOM",1178.75]
["48005024","OT-SO AIRPLANE W/O JOINT CUSTOM",1084.5]
["48005012","OT-SO CAP DESIGN W/O JOINT CUSTOM",988]
["48008550","OT-TEST OR MEASURMENT W/REPORT EA 15MIN",90]
["48008510","OT-THERAPEUTIC ACTIVITY EA 15MIN",90]
["48004020","OT-THERAPEUTIC EXER EA 15MIN",90]
["48003080","OT-ULTRASOUND EA 15MIN",90]
["48004190","OT-WHEELCHAIR MGMT 15MIN",90]
["48005218","OT-WHFO W/JOINT CUSTOM",505.75]
["48005224","OT-WHFO W/O JOINT CUSTOM",393.5]
["48002040","OT-WHIRLPOOL",90]
["48005174","OT-WHO STATIC W/O JOINT(COCK-UP) CUSTOM",454.75]
["48005162","OT-WHO W/JOINT CUSTOM",908.5]
["48004200","OT-WORK HARDENING INIT 2HRS",360]
["48004220","OT-WORK HARDNG ADDL HR",270]
["48008600","OT/G-BODY POSITION CURRENT STATUS",0.01]
["48008620","OT/G-BODY POSITION D/C STATUS",0.01]
["48008610","OT/G-BODY POSITION GOAL STATUS",0.01]
["48008630","OT/G-CARRY CURRENT STATUS",0.01]
["48008650","OT/G-CARRY D/C STATUS",0.01]
["48008640","OT/G-CARRY GOAL STATUS",0.01]
["48008570","OT/G-MOBILITY CURRENT STATUS",0.01]
["48008590","OT/G-MOBILITY D/C STATUS",0.01]
["48008580","OT/G-MOBILITY GOAL STATUS",0.01]
["48008690","OT/G-OTHER PT-OT CURRENT STATUS",0.01]
["48008710","OT/G-OTHER PT-OT D/C STATUS",0.01]
["48008700","OT/G-OTHER PT-OT GOAL STATUS",0.01]
["48008660","OT/G-SELF CARE CURRENT STATUS",0.01]
["48008680","OT/G-SELF CARE D/C STATUS",0.01]
["48008670","OT/G-SELF CARE GOAL STATUS",0.01]
["48008720","OT/G-SUBSEQUENT PT-OT CURRENT STATUS",0.01]
["48008740","OT/G-SUBSEQUENT PT-OT D/C STATUS",0.01]
["48008730","OT/G-SUBSEQUENT PT-OT GOAL STATUS",0.01]
["20388634","OTC FUNCTIONAL ORTHOTICS-CPROV FEE",35]
["10973899","OXALATE, URINE 24HR 682",131]
["13024265","OXALIPLATIN (ELOXATIN) INJ:100MG/20ML",103.95]
["13024266","OXALIPLATIN (ELOXATIN) INJ:50MG/10ML",55.4]
["10976449","OXCARBAZEPINE 36637",151.5]
["13026975","OXCARBAZEPINE ORAL TABLET 150MG",1.65]
[" 8021354","OXY CANNULA 25FT",4.1500000000000004]
[" 8021271","OXY CANNULA 4FT",2.2000000000000002]
[" 8021263","OXY CANNULA 7FT 1103",1.65]
[" 8021321","OXY CANNULA CO2 SAMPLE",25]
[" 8021289","OXY CANNULA PEDIATRIC 1826",3.95]
[" 8021131","OXY EXT TUBING 14' 001303",2.15]
[" 8021149","OXY EXT TUBING 7' 001302",1.05]
[" 8021222","OXY FACE TENT",5.35]
[" 8021156","OXY MASK AEROSOL ADULT 001206",1.65]
[" 8021982","OXY MASK AEROSOL PEDIATRIC",1.95]
[" 8021164","OXY MASK MULTIVENT",7.3]
[" 8021248","OXY MASK NON-REBREATHING 001211",3.95]
[" 8021123","OXY MASK PEDIATRIC 1042",2.2000000000000002]
[" 8021230","OXY MASK SIMPLE 01041",1.9]
["13008255","OXYBUTYNIN (DITROPAN) TAB:5MG",3.35]
["13024376","OXYCODONE (OXY IR) TAB:5MG",2.95]
["13027012","OXYCODONE (OXYCONTIN) ER TAB:20MG",9.6999999999999993]
["13026333","OXYCODONE CONC SOLN:20MG/ML",145.80000000000001]
["10978158","OXYCODONE UR GCMS 36664",193]
["13008404","OXYCODONE/APAP (PERCOCET) 5MG/325MG TAB",3.15]
["13008396","OXYCODONE/ASA 4.88MG/325MG TAB",3.15]
["46002125","OXYGEN DAILY/HOSPITAL",271]
["46002114","OXYGEN HALF DAY/HOSPITAL",136]
[" 8026049","OXYGEN SUPPLY LINE",32.549999999999997]
["13001961","OXYMETAZOLINE 0.05% NASAL:15ML",10.8]
["13000435","OXYTOCIN (PITOCIN) INJ:10U/ML",35.25]
["13003181","OYSTER SHELL CA W/VIT D (OSCAL-D) TAB",3.1]
["10972511","P .CYTO NGYN (SV)",156]
["10972479","P BONE MRW SM 85097",222]
["10902344","P BRAF CHRG",504]
["10902137","P CHLAM 87491",167.5]
["10977077","P CYT CELL ENH 88112",167.5]
["10972529","P CYT GYN YPI 88164",95.5]
["10972503","P CYT NGYN YPI 88104",176]
["10976278","P CYT PSI YPI 88161",156.5]
["10979300","P CYT TPGYN YPI 88142",142]
["10979292","P CYT TPNGN YPI 88108",173.5]
["10972319","P CYTOLOGY 88175",151]
["10979144","P DECAL 88311",59.5]
["10973239","P FINE NDL ASP 88173",232]
["10902871","P FISH AUTO 88374",507.5]
["10975600","P FLOW DNA 88182",291.5]
["10977596","P FLOW MRKR 1ST 88184",324]
["10977605","P FLOW MRKR EA ADDT'L 88185",248.5]
["10978348","P FLUOR IN SITU HYB 88368",378]
["10976628","P FRZN SCTN ADL 88332",105]
["10972461","P FRZN SECTION 88331",146]
["10902854","P HER 2 AMP 88377",625]
["10972324","P HPV 87624",237.5]
["10979087","P IMMUNCYTOCHM 88341",205]
["10979052","P IMMUNCYTOCHM 88342",209]
["10977726","P IMMUNOHIST QNT 88360",210.5]
["10902860","P IN SITU HYB 88365",204.5]
["10902362","P JAK2 CHRG",474.5]
["10902353","P KRAS CHRG",1007.5]
["10902145","P NEISSERIA 87591",167.5]
["10972395","P PROSTATE 88305",148]
["10972487","P REC ESTROGEN",216]
["10978963","P REC HER 2NEU",215.5]
["10972495","P REC PROGEST",215.5]
["10972293","P SPECIAL STAIN 88312",217]
["10978617","P SPECIAL STAIN 88313",194.5]
["10972537","P TISSUE GROSS 88300",59.5]
["10972412","P TISSUE PROC A 88302",139.5]
["10972420","P TISSUE PROC B 88304",148]
["10972438","P TISSUE PROC C 88305",147]
["10972446","P TISSUE PROC D 88307",416]
["10972453","P TISSUE PROC E 88309",583]
[" 8024168","PACING CATH KIT 6FR TEMPORARY",602.29999999999995]
[" 8029324","PACK RADIOFREQUENCY",451.15]
["26551873","PACKING VAG HEMORR",509]
["13024505","PACLITAXEL (TAXOL) INJ 100MG/16.7ML",130.15]
["13025113","PACLITAXEL (TAXOL) INJ 300MG/50ML",106.9]
["13024085","PACLITAXEL (TAXOL) INJ:30MG/5ML",69.25]
["13026811","PACLITAXEL PROTEIN-BOUND(ABRAXANE) 100",3886.4]
[" 8011009","PAD ABD",0.9]
[" 8007171","PAD EYE",0.9]
["44000506","PAD REHAB",115]
[" 8005480","PADDING RESTON FOAM",12.55]
["46001538","PADNET MULTI COMPLETE",567.5]
["46001449","PADNET MULTI W/STRESS",704.5]
["46001496","PADNET SINGLE BILAT",376]
[" 8004111","PADS NURSING/OB",6.7]
[" 8024663","PADS SOOTHIES",46.85]
[" 8025686","PAIN PUMP SYSTEM W/CATH 1ML/HR",644.70000000000005]
[" 8025678","PAIN PUMP SYSTEM W/CATH 2ML/HR",644.70000000000005]
[" 8025660","PAIN PUMP SYSTEM W/CATH 5ML/HR",604.35]
["13009659","PAIN RELIEF CRM:85GM",16.100000000000001]
[" 8024424","PAK EYE BOES",747.6]
[" 8024416","PAK EYE LAGRECA",512.1]
[" 8014144","PAK LAPAROSCOPY",49.65]
[" 8003915","PAK LAPAROTOMY",54.45]
[" 8004129","PAK MATERNITY",53.9]
[" 8004038","PAK ORTHO NEURO",58.65]
[" 8010191","PAK PERI GYN 29171",43.45]
[" 8016974","PAK STER ORTHO MINOR",252.5]
[" 8016982","PAK STERIL C-SECTION",390.65]
[" 8021552","PAK STERIL C-SECTION LATEX FREE",1417.05]
[" 8021560","PAK STERIL ORTHOPEDIC LATEX FREE",1046.7]
[" 8016966","PAK STERILE ARTHROSCOPY",371.7]
[" 8017741","PAK STERILE EYE",118.25]
[" 8016990","PAK STERILE LAPAROTOMY",323.10000000000002]
[" 8018012","PAK STERILE TOTAL JOINT",620.4]
[" 8021578","PAK STERL LAPROSCOPIC LATEX FREE",1133.25]
[" 8025207","PAK UNIVERSAL LAPAROSCOPY",374.9]
["20388641","PALINGEN XPLUS MEMBRANE-FAC FEE",240]
["13024432","PALONOSETRON(ALOXI)INJ:  0.05MG/ML, 5ML",149.15]
["13022447","PAMIDRONATE (AREDIA) INJ:30MG",84.4]
["13028844","PANITUMUMAB (VECTIBIX) INJ:100MG/5ML",3379.55]
["13026090","PANITUMUMAB (VECTIBIX) INJ:400MG/20ML",13517.65]
["13024166","PANTOPRAZOLE  TAB:40MG",3.2]
["13024219","PANTOPRAZOLE/NS IVPB:40MG/100ML",36.85]
["13030312","PANTOPRAZOLE/NS IVPB:40MG/100ML-FOR DRIP",36.85]
["13030311","PANTOPRAZOLE/NS IVPB:80MG/100ML-BOLUS-",36.85]
["20301638","PAP SMEAR, OBTAIN/PREP/CONVEY-CPROV FEE",35]
["20388637","PAP SMEAR-OBTN/PREP/CONVEY-FAC FEE",43]
["26550750","PARACENTESIS",348]
["15702206","PARANASAL COMP-3V MIN",325.75]
["15502206","PARANASAL COMP-3V MIN READ",39]
["15702107","PARANASAL SINUS LTD<3V",257.75]
["20301068","PARATHYROID AUTOTRANSPL-HPROV FEE",435]
["10903126","PARATHYROID HORMONE INTRAOPERATIVE",194.5]
["20301066","PARATHYROIDECTOMY OR EXPLORAT-HPROV FEE",1719]
["13008305","PAREGORIC 2MG/5ML ELIXIR",14.1]
["20300753","PARTIAL COLON REMOVAL-HPROV FEE",2410]
["20300755","PARTIAL COLON REMOVAL-HPROV FEE",2992]
["20300510","PARTIAL EXCISION BONE TALUS/CALC-HPROV F",887]
["20300512","PARTIAL EXCISION BONE TAR/METATR-HPROV F",786]
["20300876","PARTIAL HEPATECTOMY-HPRO FEE",4181]
["20300514","PARTIAL PHALANX EXCISION-HPROV FEE",589]
["20301060","PARTIAL REMOVAL OF THYROID-HPROV FEE",1251]
["20300518","PARTIAL REMOVAL OF TOE EA-CPRO FEE",478]
["20388517","PARTIAL REMOVAL TOE EA-FAC FEE",271]
["10977163","PARVOVIRUS B19 PCR 34296",290]
["10974236","PARVOVIRUS B19,IgG 8945",131]
["10975811","PARVOVIRUS B19,IgM 8948",131]
["13024698","PARoxetine (PAXIL) TAB:10MG",2.85]
["13024339","PARoxetine (PAXIL) TAB:20MG",3]
["13023486","PARoxetine (PAXIL) TAB:30MG",3.1]
["13020114","PARoxetine (PAXIL) TAB:40MG",3.3]
["50100179","PATERNITY LEGAL TESTING COLL (FIRST 3)",432]
["50100162","PATERNITY SPEC COLLECTION ONLY",33]
["50100082","PATERNITY TEST COLL/NON-LEGAL(FIRST 3",324]
["50100090","PATERNITY TESTING  ADDL COLLECTION",130]
["13000997","PCA SET 30873",37.1]
["46002323","PEAK FLOW INSTRUCTION",179.5]
[" 8021313","PEAK FLOW METER",45.65]
["20388120","PED VAX HIB-3 DOSE SCHED-FAC FEE",57]
["13008339","PEDIAZOLE SUSP:200ML",17.05]
["13024369","PEGFILGRASTIM (NEULASTA) INJ:6MG/0.6ML",15390.15]
["13028433","PEGFILGRASTIM (NEULASTA) ONPRO KIT",15850.4]
[" 8026924","PELVIC ORTHOTIC DEVICE TRAUMA",612.29999999999995]
["15721909","PELVIS COMP-3V MIN",296.5]
["15521909","PELVIS COMP-3V MIN READ",36]
["15721602","PELVIS LTD-1V",257.75]
["15521602","PELVIS LTD-1V READ",31]
["13024615","PEMETREXED (ALIMTA) INJ: 100MG",1941.25]
["13024437","PEMETREXED (ALIMTA) INJ: 500 MG",9899.0499999999993]
["13027075","PEMROLIZUMAB (KEYTRUDA) INJ:100MG/4ML",14298.05]
["13001680","PEN VK 250MG TAB PACK/40",11.9]
["13011077","PENICILLIN G INJ:5MMU",33.35]
["13008347","PENICILLIN G/NS IVPB:5 MILLION UNIT/50ML",36.700000000000003]
["13002886","PENICILLIN VK 250MG/5ML:100ML",16.05]
["13021878","PENICILLIN VK 500MG TABS (ER #40)",30.35]
["13002878","PENICILLIN VK TAB:250MG",2.9]
["13002894","PENICILLIN VK TAB:500MG",3.3]
["13029817","PENTAMIDINE ISETHIONATE (NEBUPENT) 300MG",238.05]
["13010335","PENTOXIFYLLINE (TRENTAL) TAB:400MG",2.85]
[" 8022873","PEP PRESSURE INDICATOR",123.8]
["13008370","PEPCID 20MG/2.5ML SUSP:50ML",137.05000000000001]
["13008354","PEPCID INJ:20MG/2ML",35]
["13008362","PEPCID TAB:20MG",4.6500000000000004]
["13020045","PERCOCET TABS (ER #6)",10.199999999999999]
["10978872","PERCODAN(OXYCODONE)BLD 18885",193]
["20300551","PERCUT SKELTL FIX MET FX W/MANIP-HPRO FE",624]
[" 8024226","PERCUTANEOUS SHEATH INTRO 8.5FR",177.9]
["13008412","PERDIUM GRANULES",19.55]
["26551584","PERICARDIOCENTESIS",622]
["50100738","PERIPHERAL VISUAL FIELDS",11]
[" 8023863","PERITONEAL CATHETER INTRODUCER",129.5]
["20300892","PERITONEAL LAVAGE-HPROV FEE",195]
["13030140","PERJETA IV SOLN 30MG/1ML",15671.3]
["46002187","PFT AIR FLOW RESISTANCE",215.5]
["46000133","PFT CO DIFFUSION",230]
["46000837","PFT EMPLOYMENT",180]
["46000822","PFT FLOW VOLUME LOOP",179.5]
["46000806","PFT FVL MVV SVC",148.5]
["46000814","PFT PRE POST DILATOR",558.5]
["11800814","PFT PRE POST DILATOR-PHYS REV/HSPT INTRP",23]
["46001945","PFT PRE POST EXERCISE",558.5]
["20301188","PFT-HPROV FEE",23]
["10970630","PH DIP STICK",29]
[" 8029704","PHACO GLIDE",13.6]
[" 8020240","PHACO TUBING, DIPLOMAX",493.45]
["13022702","PHARMACY DISPENSING FEE",5.85]
["13000047","PHARMACY RX OTHER",427.8]
["13000039","PHARMACY TAKE HOME",13.1]
["15742103","PHARYNX-CERV ESOPH",488.5]
["13009097","PHENAZOPYRIDINE (PYRIDIUM) TAB:95MG",3.15]
["13022066","PHENAZOPYRIDINE 100MG TABS #6",6.35]
["13008446","PHENAZOPYRIDINE 95MG TABS (ER #6)",9.9499999999999993]
["10971265","PHENOBARB 708",113.5]
["13008545","PHENOBARBITAL 20MG/5ML ELIXIR:473ML",35.049999999999997]
["13008461","PHENOBARBITAL INJ:130MG/ML",36]
["13008503","PHENOBARBITAL TAB:32.4MG",2.85]
["13008529","PHENOBARBITAL TAB:64.8MG",2.85]
["13008495","PHENOBARBITAL:30MG/ML INJ",32]
["13003470","PHENOL (CHLORASEPTIC)1.4% SPRAY:180ML",11.6]
["13009188","PHENTOLAMINE INJ:5MG/ML",186.15]
["13027916","PHENYLEPHRINE 10% OPTH GTT",10.199999999999999]
["13001169","PHENYLEPHRINE 10% OPTH SOLN:5ML",144.69999999999999]
["13007760","PHENYLEPHRINE 2.5% OPTH SOLN:15ML",137.05000000000001]
["13000260","PHENYLEPHRINE(NEO-SYNEPHRINE)INJ:10MG/ML",62.95]
["10971273","PHENYTOIN (DILANTIN)",113.5]
["13004490","PHENYTOIN (DILANTIN) ER CAP: 100MG",3.15]
["13024352","PHENYTOIN (DILANTIN) INJ:100MG/2ML",34.5]
["13004387","PHENYTOIN (DILANTIN) INJ:250MG/5ML",35.5]
["26000665","PHLEBOTOMY",119]
[" 8015539","PHLEBOTOMY BAG 1000CC",44.25]
["27000665","PHLEBOTOMY IF",119]
["20301446","PHONE E&M BY PHYS 21-30 MIN-CPROV FEE",67]
["20388445","PHONE E&M BY PHYS 21-30 MIN-FAC FEE",2]
["10970382","PHOSPHORUS",79]
["10975308","PHOSPHORUS,UR RANDOM 1696",76.5]
["10970390","PHOSPHORUS,URINE 24HR 11319",76.5]
["22019243","PHYS CONSULT DETAILED",286]
[" 8016941","PICC CATHETER KIT 4FR",725.7]
[" 8027021","PICC CATHETER KIT 4FR BARD",850.65]
[" 8029878","PICC CATHETER KIT DUAL LUMEN",842.9]
[" 8019648","PICC INTRODUCER 3FR",108.2]
[" 8019655","PICC INTRODUCER 5FR",193.65]
["20300662","PICC LINE INSERTION 5YR+-HPROV FEE",153]
["26003091","PICC LINE INSERTION ER",1001]
["27003085","PICC LINE INSERTION IF",1169]
["26003085","PICC LINE INSERTION TR",1169]
[" 8027039","PICC PORT ACCESS KIT 19ga X 3/4 in.",67.95]
[" 8027047","PICC SAFESTEP 19ga. X 1 in.",26.75]
[" 8016255","PILLOW ABD UNIVER",146.30000000000001]
[" 8016859","PILLOW SHOULDER ABD",151.9]
["13006036","PILOCARPINE 1% OPTH SOLN:15ML",126.7]
[" 8017485","PIN BALL",31.25]
[" 8012122","PIN CALIBRID GUIDE",34.85]
[" 8012072","PIN HAGIE EA",139.69999999999999]
[" 8025611","PIN STEIMAN CENTRAL THREAD 4.5 X 225MM",527.95000000000005]
[" 8025629","PIN STEINMAN CENTRAL THREAD 5.0 X 275MM",527.95000000000005]
[" 8012148","PIN STEINMAN THREAD",59.4]
[" 8012130","PIN STEINMANN",44.1]
[" 8014326","PINS KNOWELS 5.25-6.0",263.5]
[" 8014276","PINS KNOWLES 2.5-4.0",263.5]
[" 8014284","PINS KNOWLES 4.25-5.0",263.5]
["10975480","PINWORM EXAM",45]
["13024422","PIOGLITAZONE (ACTOS) TAB:15MG",3.4]
["13024536","PIOGLITAZONE (ACTOS) TAB:30MG",3.1]
["13002447","PIPERACILLIN/TAZOBA(ZOSYN)IVPB: 3.375 GM",45.9]
["13027136","PIPERACILLIN/TAZOBAC(ZOSYN) IVPB:2.25GM",42]
["13024344","PIPERACILLIN/TAZOBAC(ZOSYN) IVPB:4.5GM",50.15]
["20300767","PLACEMNT ENTEROSTOMY/CECOSTOMY TUBE-HPRO",1513]
["20300488","PLANTAR FASCIOTOMY-HPROV FEE",523]
[" 8024630","PLASMA WAND T&A",1005.05]
[" 8030058","PLASMABLADE",1372.05]
["10910042","PLASMINOGEN ACTIVITY 4458",90.5]
[" 8005407","PLASTI BELL 1.1",16.95]
[" 8018681","PLASTI BELL 1.2",14.95]
[" 8018699","PLASTI BELL 1.3",14.95]
[" 8018707","PLASTI BELL 1.4",16.95]
[" 8018715","PLASTI BELL 1.5",16.95]
[" 8020612","PLATE CONDYLAR 95'",1412.75]
[" 8020877","PLATE MINI #241",363.7]
[" 8021016","PLATE REGULAR #224",427.25]
[" 8020869","PLATE SMALL #248",625.35]
[" 8011983","PLATE SUPRCDYLR",1047.8]
["10979805","PLATELET AB SCREEN IND 94303",99.5]
["10979904","PLATELET AB,DIRECT 5019",178.5]
["10970804","PLATELET COUNT",45]
[" 8011728","PLEDGETS 1/2X1/2",17.5]
[" 8011736","PLEDGETS 1X1",23.7]
[" 8011744","PLEDGETS 1X3",17.5]
[" 8012403","PLEUR EVAC",135.1]
[" 8029910","PLEURX CATH ACCESS KIT",135.6]
[" 8027617","PLEURX PERITONEAL CATHETER KIT",1848.4]
[" 8027625","PLEURX STARTER KIT",2141.6999999999998]
["26551675","PNCTR ASPR ABS HMTMA",446]
["20388152","PNEUMO POLYSACCHARIDE SYR 23VAL-FAC FEE",228]
["20388126","PNEUMOCOCCAL CONJ VACC 13 VALENT-FAC FEE",250]
["20388150","PNEUMONIA SHOT-FAC FEE",190]
["50100323","PNEUMOVAC VACC-OH",79]
["13008560","PNEUMOVAX-23 VACCINE:0.5ML",232.8]
[" 8030348","POLAR CARE",464.8]
["50100705","POLIO BOOSTER OCC HLTH",35]
["13024394","POLYETHYLEN GLYC (GLYCOLAX) PWDR:255GM",16.100000000000001]
["13027914","POLYMIXIN/TRIMET OPTH SINGLE DOSE",10.199999999999999]
["13024438","POLYMYXIN/TRIMET OPTH",15.35]
[" 8028698","POLYP TRAP INLINE SUCTION",36.25]
["13008628","PONTOCAINE 2% TOP SOLN:30ML",31.55]
["10975886","PORPHOBILINOG U 24HR 726",87]
["10971634","PORPHOBLINOG U QUANT 6329",91.5]
["10974970","PORPHYRINS UR FRACT 36592",151.5]
["50100019","POST ACCIDENT DRUG/ALC URINE COLL-DOT",108]
["50100028","POST ACCIDENT DRUG/ALC URINE COLL-nonDOT",108]
["20301046","POSTPARTUM CARE ONLY SPX-CPRO FEE",247]
["20388045","POSTPARTUM CARE ONLY SPX-FAC FEE",80]
["13000609","POT CHLOR INJ:20MEQ",35.1]
["13006192","POT CHLOR INJ:40MEQ",35.15]
["13006374","POT CHLOR. K-TAB TAB:20MEQ",3.35]
["13024099","POT CHLORIDE (K-TAB)  TAB:10MEQ",3.35]
["13024697","POT CHLORIDE (KLOR-CON) PKT:20MEQ",4.8499999999999996]
["13024233","POT CHLORIDE 20MEQ/15ML SOLN:480ML",393.6]
["13023676","POT CHLORIDE CAPSULE:10MEQ",3.4]
["13024834","POT CHLORIDE TAB:10mEq",3.2]
["13006390","POT PHOSPHATE INJ:3 mM/ML",67.75]
["10970408","POTASSIUM",40]
["13030348","POTASSIUM CHLORIDE INJECTION 40MEQ/100CC",25.35]
["10970416","POTASSIUM, URINE 24 HR",79]
["10975316","POTASSIUM, URINE RANDOM",79]
[" 8028128","POWER PORT IMPLANTABLE",1506.6]
["26003078","PPD ADMINISTRATION",40]
["50100239","PPD ADMINISTRATION/OCC HLTH",23]
[" 8026858","PRAFO BOOT ADULT SIZE",674.6]
["13024825","PRAMIPEXOLE (MIRAPEX) TAB 1.5MG TAB",2.95]
["13026692","PRAMIPEXOLE (MIRAPEX) TAB 1MG",3.1]
["13024077","PRAMIPEXOLE (MIRAPEX) TAB:0.25MG",2.7]
["13024715","PRAMIPEXOLE (MIRAPEX) TAB:0.5MG",7.05]
["13024384","PRAMIPEXOLE (MIRAPEX) TAB:0.75MG TAB",6.45]
["13024354","PRAVASTATIN (PRAVACHOL) TAB:40MG",9.4]
["10970752","PREALBUMIN 4847",126.5]
["13024617","PREGABALIN (LYRICA)CAP:100MG",11.5]
["13024525","PREGABALIN (LYRICA)CAP:25MG",11.5]
["13024522","PREGABALIN (LYRICA)CAP:50MG",11.5]
["13024573","PREGABALIN (LYRICA)CAP:75MG",11.35]
["10979656","PREGNENOLONE 31493",202.5]
["13008693","PREMARIN INJ:25MG",148.9]
["13008719","PREMARIN TAB:0.625MG",5.55]
["13008735","PREMARIN TAB:0.9MG",5.15]
["13008677","PREMARIN TAB:1.25MG",5.15]
["13008743","PREMARIN VAG CREAM:30GM",317.7]
["13011267","PREPIDIL GEL:0.5MG/3GM",230.95]
["20388189","PRESS/N-PRESS INHL TX F/AAO/SPTM-FAC FEE",33]
["20301425","PREV MED COUNSEL/INTERV 15 MIN-CPROV FEE",43]
["20388424","PREV MED COUNSEL/INTERV 15 MIN-FAC FEE",23]
["20301428","PREV MED COUNSEL/INTERV 30 MIN-CPROV FEE",88]
["20388427","PREV MED COUNSEL/INTERV 30 MIN-FAC FEE",22]
["20301431","PREV MED COUNSEL/INTERV 45 MIN-CPROV FEE",131]
["20388430","PREV MED COUNSEL/INTERV 45 MIN-FAC FEE",22]
["20301434","PREV MED COUNSEL/INTERV 60 MIN-CPROV FEE",175]
["20388433","PREV MED COUNSEL/INTERV 60 MIN-FAC FEE",23]
["20301404","PREV VST EST INFANT-CPROV FEE",123]
["20388403","PREV VST EST INFANT-FAC FEE",51]
["43000289","PREVENTATIVE MEDICINE  .5HR (2-10 INDIV)",39]
["71000408","PREVENTATIVE MEDICINE  .5HR (2-10 INDIV)",41]
["43000290","PREVENTATIVE MEDICINE  1HR (2-10 INDIV)",80]
["71000417","PREVENTATIVE MEDICINE  1HR (2-10 INDIV)",78]
["43000248","PREVENTATIVE MEDICINE INDIV 15 MIN",21]
["71000425","PREVENTATIVE MEDICINE INDIV 15MIN",31.5]
["43000257","PREVENTATIVE MEDICINE INDIV 30 MIN",59]
["71000431","PREVENTATIVE MEDICINE INDIV 30MIN",61]
["43000263","PREVENTATIVE MEDICINE INDIV 45 MIN",88.5]
["71000440","PREVENTATIVE MEDICINE INDIV 45MIN",91]
["43000274","PREVENTATIVE MEDICINE INDIV 60 MIN",118]
["71000456","PREVENTATIVE MEDICINE INDIV 60MIN",121]
["13027086","PREVNAR 13 VACCINE:0.5ML",373.2]
["13008776","PRIMAXIN/NS IVPB:500MG",57.8]
["13024395","PRIMIDONE (MYSOLINE) TAB:250MG",2.95]
["13021621","PRIMIDONE (MYSOLINE) TAB:50MG",2.9]
["10979458","PRIMIDONE/PHENO 751",151.5]
["13007646","PRIMIDONE:250MG TAB",2.7]
["13008792","PRO-BANTHINE TAB:7.5MG",2.65]
["13008800","PROBENECID/COLCH 0.5/500MG TAB",2.6]
["13024696","PROBIOTIC WITH LACTOSPORE CAPSULE",2.9]
["26550008","PROBLEM FOCUSED EXAM",172]
["10973832","PROCAINAMIDE 743",183]
["13008834","PROCAINAMIDE CAP:250MG",1.75]
["13008867","PROCAINAMIDE ER TAB:500MG",2.2999999999999998]
["13008875","PROCAINAMIDE ER TAB:750MG",2.6]
["13008909","PROCAINAMIDE INJ:1000MG/2ML",35.35]
["13008842","PROCAINE 2% INJ:",29.85]
["13003785","PROCHLORPERAZINE (COMPAZINE) SUPP:25MG",14.55]
["13003801","PROCHLORPERAZINE (COMPAZINE) TAB:5MG",3.1]
["13008818","PROCHLORPERAZINE INJ:10MG/2ML INJ",53.45]
["13024475","PROCRIT 20,000 U/ML FOR ESRD USE",511.45]
["26550768","PROCTOSCOPY",259]
["20300801","PROCTOSIGMOIDOSCOPOY W/FB REMVL-HPROV FE",174]
["10973089","PROGESTERONE 745",190.5]
["10973475","PROINSULIN 760",150.5]
["10971869","PROLACTIN 746",267]
[" 8028847","PROLENE HERNIA SYSTEM EXTENDED",1371.8]
[" 8028839","PROLENE HERNIA SYSTEM MEDIUM",1371.8]
["13026666","PROLIA (DENOSUMAB) 60MG",3463.6]
["20388590","PROLIA INJ(DENOSUMAB)-FAC FEE",20]
["26551238","PROLONGED DETENT 1HR",1008]
["20301377","PROLONGED F2F IP EA ADDL 30MIN-CPROV FEE",162]
["20301375","PROLONGED FACE TO FACE IP SERV-CPRO FEE",162]
["20301373","PROLONGED SERV IN OFFC/OTHER OP-CPRO FEE",214]
["20388372","PROLONGED SERV IN OFFC/OTHR OP-FAC FEE",15]
["13008891","PROMETH/COD (PHENERGAN/COD) SYRUP:120ML",14.05]
["13026164","PROMETH/COD (PHENERGAN/COD) SYRUP:480ML",18]
["13008883","PROMETHAZINE (PHENERGAN) INJ:25MG/ML",35.6]
["13008511","PROMETHAZINE (PHENERGAN) INJ:50MG/ML",34.9]
["13008487","PROMETHAZINE (PHENERGAN) SUPP:25MG",16.3]
["13008537","PROMETHAZINE (PHENERGAN) SYRUP:120ML",13.7]
["13008479","PROMETHAZINE (PHENERGAN) TAB:25MG",3]
["20388608","PROMETHAZINE HCL INJ <50MG-FAC FEE",2]
["13024220","PROPAFENONE (RYTHMOL) TAB:150MG",3.25]
["10973824","PROPAFENONE 6278",156.5]
["13011275","PROPANTHELINE:15MG TAB",1.75]
["13001177","PROPARACAINE (ALCAINE) 0.5% OPTH:15ML",37.299999999999997]
["13027918","PROPARACAINE (ALCAINE) 0.5% SINGLE GTT",10.55]
["13001060","PROPOFOL INJ:200MG/20ML",36.15]
["13024348","PROPOFOL IVPB:1000MG/100ML",61.8]
["13005814","PROPRANOLOL (INDERAL) INJ:1MG/ML",36.35]
["13008925","PROPRANOLOL (INDERAL) TAB:10MG",2.85]
["13024172","PROPRANOLOL (INDERAL) TAB:20MG",2.85]
["13008974","PROTAMINE INJ:50MG/5ML",52]
["10972909","PROTEIN C ACT/FUNCT 1777",148.5]
["10973915","PROTEIN C ANTIGEN 4948",148.5]
["10971851","PROTEIN ELP, SERUM 747",113.5]
["10973170","PROTEIN ELP, URINE RANDOM 8525",176.5]
["10973600","PROTEIN S ACT/FUNCT 1779",176.5]
["10973618","PROTEIN S AG(TOTAL) 5165",131]
["10972784","PROTEIN, BODY FLUID",66.5]
["10970465","PROTEIN, CSF",66.5]
["10975068","PROTEIN, SYN FLUID (ST V'S)",66.5]
["10970424","PROTEIN, TOTAL",45]
["10975274","PROTEIN,UR RANDOM",81.5]
["10970440","PROTEIN,URINE 24HR",81.5]
[" 8016362","PROTHESIS AUSTIN MOORE",2152.9499999999998]
["10971583","PROTHROMBIN (FACTOR II) MUTATION 17909",466.5]
["20388105","PROTHROMBIN TIME W/INR-FAC FEE",15]
["10970812","PROTIME",42.5]
["10973386","PROTIME MIXING STUDY",37.5]
["20300535","PROXIMAL PHALANX OSTEOTOMY 1ST TOE-HPRO",826]
["10971513","PSA",157.5]
["10972808","PSA POST PROST 14808",111]
["10971547","PSA SCREEN",157.5]
["13009717","PSEUDOEPHEDRINE (SUDAFED) LIQ:120ML",12]
["13009071","PSEUDOEPHEDRINE (SUDAFED) TAB:30MG",2.85]
["13007208","PSYLLIUM (METAMUCIL) POWDER:540GM",17.350000000000001]
["47000716","PT ADL TRAIN EA 15MIN",90]
["47000123","PT AQUATIC THERAPY W/THER EXER EA 15MIN",90]
["47000674","PT BALANCE TRAIN EA 15MIN",90]
["47000029","PT BIOFEEDBACK TRNG/SPECIFIED",90]
["47000034","PT BIOFEEDBACK TRNG/UNSPECIFIED",90]
["47000313","PT CANALITH REPOSITIONING PER DAY",90]
["47000419","PT CONTRAST BATH EA 15MIN",90]
["47000915","PT DEBRIDEMENT/SHARP EA ADDL 20 SQ CM",180]
["47000873","PT DEBRIDEMENT/SHARP FIRST 20 SQ CM",180]
["47000800","PT DRY NEEDLING EA 15MIN",90]
["47000534","PT ELECT STIM EA 15MIN ATTENDED",90]
["47000544","PT ELECT STIM UNATTENDED",90]
["47001623","PT EVAL-HIGH COMPL 45MIN",360]
["47001601","PT EVAL-LOW COMPL 20MIN",180]
["47001612","PT EVAL-MOD COMPL 30MIN",270]
["47001080","PT FCE W/REPORT EA 15MIN",90]
["47000886","PT FLUIDO THERAPY",90]
["47000658","PT GAIT TRAIN EA 15MIN",90]
["47001104","PT HOME SAFETY EVAL EA 15MIN",90]
["47000773","PT HOME TRACTION INST EA 15MIN",90]
["47000492","PT IONTOPHORESIS EA 15MIN",180]
["47000823","PT JOBST PUMP EA AREA",90]
["47000891","PT MANUAL THERAPY TECH EA 15MIN",90]
["47000633","PT MASSAGE EA 15MIN",90]
["47000865","PT ORTHO FIT/TRAIN EA 15MIN",90]
["47002030","PT PARAFFIN BATH",90]
["47000476","PT PHONOPHORESIS EA 15MIN",180]
["47000322","PT POSITIONAL NYSTAGMUS TEST",90]
["47008200","PT PROSTHETICS INITIAL TRAINING EA 15MIN",90]
["47001636","PT RE-EVALUATION",180]
["47001181","PT STRAP/ANKLE",180]
["47001147","PT STRAP/ELBOW-WRIST",180]
["47001152","PT STRAP/HAND-FINGER",180]
["47001168","PT STRAP/HIP",180]
["47001179","PT STRAP/KNEE",180]
["47001110","PT STRAP/LOW BACK",180]
["47001136","PT STRAP/SHOULDER",180]
["47001124","PT STRAP/THORAX",180]
["47000518","PT TENS APPLICATION",180]
["47000935","PT THERAPEUTIC ACT EA 15MIN",90]
["47000591","PT THERAPEUTIC EXER EA 15MIN",90]
["47000740","PT TRACTION/MECHANICAL",90]
["47000450","PT ULTRASOUND EA 15MIN",90]
["47000559","PT ULTRASOUND/E STIM EA 15MIN",90]
["47000947","PT WHEELCHAIR ACT EA 15MIN",90]
["47000351","PT WHIRLPOOL",180]
["47004200","PT WORK HARDENING INIT 2HRS",360]
["47004220","PT WORK HARDNG ADDL HR",270]
["47001394","PT/G BODY POSITION CURRENT STATUS",0.01]
["47001416","PT/G BODY POSITION D/C STATUS",0.01]
["47001405","PT/G BODY POSITION GOAL STATUS",0.01]
["47001427","PT/G CARRY CURRENT STATUS",0.01]
["47001448","PT/G CARRY D/C STATUS",0.01]
["47001438","PT/G CARRY GOAL STATUS",0.01]
["47001360","PT/G MOBILITY CURRENT STATUS",0.01]
["47001383","PT/G MOBILITY D/C STATUS",0.01]
["47001372","PT/G MOBILITY GOAL STATUS",0.01]
["47001484","PT/G OTHER PT/OT CURRENT STATUS",0.01]
["47001506","PT/G OTHER PT/OT D/C STATUS",0.01]
["47001492","PT/G OTHER PT/OT GOAL STATUS",0.01]
["47001457","PT/G SELF-CARE CURRENT STATUS",0.01]
["47001473","PT/G SELF-CARE D/C STATUS",0.01]
["47001465","PT/G SELF-CARE GOAL STATUS",0.01]
["47001518","PT/G SUBSEQUENT PT/OT CURRENT STATUS",0.01]
["47001533","PT/G SUBSEQUENT PT/OT D/C STATUS",0.01]
["47001520","PT/G SUBSEQUENT PT/OT GOAL STATUS",0.01]
["10971348","PTH INTACT WITH CALCIUM",269.5]
["10978137","PTH RELATED PROT 34478",134]
["10970879","PTT",90]
["10973923","PTT-MIXING STUDY",60.5]
["44000473","PULM REHAB GROUP",99]
["44000465","PULM REHAB IMPROVE RESP FUNCT EA 15MIN",63]
["44000480","PULM REHAB MONTHLY MAINTENCE",38]
["44000452","PULM REHAB STRENGTH/ENDURANCE EA 15MIN",54]
["13024612","PULMICORT RESPULES:0.25MG/2ML",19]
["13024324","PULMICORT RESPULES:0.5MG/2ML",12.6]
["70000837","PULMOCARE 8 OZ CAN",1.35]
["44000448","PULMONARY REHAB 1HR SESSION",217]
[" 8016750","PULSAVAC DUAL PUMP",151.9]
[" 8025512","PULSAVAC FAN SPRAY SET",208.5]
[" 8016743","PULSAVAC FEMORAL TIP",51.3]
[" 8016768","PULSAVAC HAND CONTROL",216.75]
[" 8016735","PULSAVAC SINGLE TIP",62.65]
[" 8015349","PUMP TUBING ANESTH",2.65]
["20300030","PUNCTURE DRAINAGE OF LESION-CPROV FEE",169]
["20388029","PUNCTURE DRAINAGE OF LESION-FAC FEE",61]
[" 8027385","PVC SILICONIZED DRAIN LRG. 1/4",15.5]
["13009105","PYRIDOXINE (VIT B6) TAB:50MG",2.85]
["13029460","Progesterone Oral Capsule 200MG",22.7]
["10971922","QUANTIFERON GOLD 16603",247]
["13024319","QUETIAPINE (SEROquel) TAB:100MG",3.15]
[" 8019531","QUICK COMB ELECTRODE PED",146.30000000000001]
[" 8017600","QUICK COMBO ELECTRODE ADULT",135.1]
[" 8028896","QUICKCLIP REPOSITIONABLE CLIP",564.75]
["50100157","QUICKTEST 12 PANEL DRUG UR COLL",76]
["50100073","QUICKTEST 5 PANEL DRUG URINE COLL",38]
[" 8026965","QUIKCLOT HEMOSTATIC 4X4 GAUZE SPONGE",119.75]
["13009154","QUINAGLUTE CR TAB:324MG",2.7]
["10971497","QUINIDINE 766",224]
["13009170","QUINIDINE ER TAB:300MG",2.5499999999999998]
["13009162","QUINIDINE INJ:80MG/ML",53.9]
["13009139","QUINIDINE TAB:200MG",1.75]
["13009147","QUININE SULFATE TAB:260MG",1.6]
["10972560","RA 4418",56]
["10979276","RABIES ANTIBODY 5789",137]
["13024226","RABIES IMMUNE GLOBULIN 150U/ML:2ML",1203.8699999999999]
["13024061","RABIES VACCINE:2.5U/ML",579.45000000000005]
["13021092","RACEPINEPHRINE 2.25% INH:0.5ML",12.2]
[" 8029290","RADIOFREQUENCY STYLET",1973.25]
["13024034","RALOXIFENE (EVISTA) TAB:60MG",4.3]
["13027792","RALTEGRAVIR (ISENTRESS) CHEW TAB: 100MG",13.5]
["13021167","RANITIDINE (ZANTAC) SDV INJ:25MG/ML, 2ML",53.7]
["13024206","RANITIDINE (ZANTAC) TAB:150MG",3.15]
["10977391","RAPAMYCIN 36712",126.5]
["10972115","RAPID STREP GROUP A",75]
["20388107","RAPID STREP GRP A-FAC FEE",32]
["20300538","RECONSTR TOE(S) POLYDACTYL-HPRO FEE",515]
["23000012","RECOVERY RM 1 HR",280]
["23000020","RECOVERY RM 1.25 HR",305]
["23000038","RECOVERY RM 1.50 HR",330]
["23000046","RECOVERY RM 1.75 HR",355]
["23000053","RECOVERY RM 2 HR",380]
["23000061","RECOVERY RM 2.25 HR",405]
["23000079","RECOVERY RM 2.50 HR",430]
["23000087","RECOVERY RM 2.75 HR",455]
["23000095","RECOVERY RM 3 HR",480]
["23000103","RECOVERY RM 3.25 HR",505]
["23000111","RECOVERY RM 3.50 HR",530]
["23000129","RECOVERY RM 3.75 HR",555]
["23000137","RECOVERY RM 4 HR",580]
["23000145","RECOVERY RM 4.25 HR",605]
["23000152","RECOVERY RM 4.50 HR",630]
["23000160","RECOVERY RM 4.75 HR",655]
["23000178","RECOVERY RM 5 HR",680]
["20388544","RECTAL EXAM-FAC FEE",22]
["20301546","RECTAL EXAM-HPROV FEE",16]
["20300908","RECURRENT ING HERNIA REPAIR/REDUC-HPROV",1132]
["20300745","REDUCE BOWEL OBSTRUCTION-HPROV FEE",1677]
["26551527","REDUCE DISLC DIGIT",986]
[" 8015455","REDUCER CAP 5-12MM",27.9]
[" 8023947","REDUCER CAP MULTISEAL",27.9]
["13001433","REFRESH PM OINTMENT:3.5GM",20.2]
["13028412","REGADENOSON (LEXISCAN) 0.08MG/ML 5ML PFS",449.85]
["20300521","RELEASE FOOT CONTRACTURE-HPROV FEE",598]
["13024694","RELENZA (ZANAMIVIR) 5MG INHAL POWDER",99.5]
["13024333","REMERON TAB:15MG",7.25]
["20300846","REMOVAL ANAL FISSURE-CPRO FEE",583]
["20300849","REMOVAL ANAL TAG-CPRO FEE",212]
["20388848","REMOVAL ANAL TAG-FAC FEE",156]
["15002077","REMOVAL CENTRAL VENOUS ACCESS LINE",1528.5]
["20300405","REMOVAL DEEP IMPLANT-HPROV FEE",755]
["20300252","REMOVAL DRUG IMPLANT DEVICE-CPROV FEE",178]
["20388251","REMOVAL DRUG IMPLANT DEVICE-FAC FEE",103]
["20301017","REMOVAL FALLOPIAN TUBE-HPROV FEE",1372]
["20300628","REMOVAL FB INTRANASAL-CPROV FEE",186]
["20388627","REMOVAL FB INTRANASAL-FAC FEE",125]
["20300504","REMOVAL FOOT LESION-HPROV FEE",632]
["20300230","REMOVAL NAIL PLATE-CPRO FEE",99]
["20388229","REMOVAL NAIL PLATE-FAC FEE",88]
["20300894","REMOVAL OMENTUM-HPROV FEE",1420]
["20301019","REMOVAL OVARY/TUBE(S)-HPROV FEE",1303]
["20300241","REMOVAL PILONIDAL LESION-HPROV FEE",329]
["20300243","REMOVAL PILONIDAL LESION-HPROV FEE",777]
["20300083","REMOVAL SKIN TAGS ADD ON-CPROV FEE",30]
["20388082","REMOVAL SKIN TAGS ADD ON-FAC FEE",4]
["20300080","REMOVAL SKIN TAGS-CPROV FEE",131]
["20388079","REMOVAL SKIN TAGS-FAC FEE",27]
["20300747","REMOVAL SMALL INTESTINE-HPROV FEE",2199]
["20300749","REMOVAL SMALL INTESTINE-HPROV FEE",2119]
["20388971","REMOVAL SPERM DUCT(S)-FAC FEE",281]
["20300403","REMOVAL SUPERFICIAL IMPLANT-HPROV FEE",261]
["20300669","REMOVAL TUNNELED CV CATH-CPROV FEE",342]
["20388668","REMOVAL TUNNELED CV CATH-FAC FEE",51]
["20300666","REMOVAL TUNNELED CV CATH-HPROV FE",245]
["20300960","REMOVE EPIDIDYMIS LESION-HPROV FEE",578]
["20300900","REMOVE FOREIGN BODY ABDOMEN-HPROV FEE",1537]
["20300024","REMOVE FOREIGN BODY COMPL-CPROV FEE",329]
["20388023","REMOVE FOREIGN BODY COMPL-FAC FEE",156]
["20300517","REMOVE FOREIGN BODY FOOT-CPRO FEE",239]
["20388516","REMOVE FOREIGN BODY FOOT-FAC FEE",224]
["20300021","REMOVE FOREIGN BODY SIMPLE-CPROV FEE",184]
["20388020","REMOVE FOREIGN BODY SIMPLE-FAC FEE",87]
["20301001","REMOVE INTRAUTERINE DEVICE-CPRO FEE",119]
["20388000","REMOVE INTRAUTERINE DEVICE-FAC FEE",48]
["20300831","REMOVE RECTAL OBSTRUCTION-HPROV FEE",407]
["20300968","REMOVE SPERM CORD LESION-HPROV FEE",812]
["20300966","REMOVE SPERM DUCT(S)-HPROV FEE",409]
["20388405","REMOVE SUPERFICIAL IMPLANT-FAC FEE",409]
["20301062","REMOVE THYROID-HPROV FEE",1632]
["20301084","REMV FB EXT AUDITORY CANAL W/O -CPRO FEE",84]
["20388083","REMV FB EXT AUDITORY CANAL W/O ANES-FAC",61]
["20300038","REMVL ABD WALL PROS MATRL/MESH-HPROV FEE",494]
["20300432","REMVL FB DEEP(SUBFACIAL/INTRMUSC)-HPROV",1090]
["13009238","RENACIDIN IRRIGATION SOL'N",40.35]
["10979623","RENAL FUNCTION PANEL",82.5]
["10971893","RENIN ACTIV 16846",272]
["20300886","REOPENING OF ABDOMEN-HPROV FEE",1877]
["20300450","REPAIR 2NDRY DISRPT LIGMNT ANKLE CO-HPRO",1144]
["20300626","REPAIR BOTH COLLATERAL LIGAMENT-HPROV FE",997]
["20300783","REPAIR BOWEL OPENING-HPRO FEE",1559]
["20300314","REPAIR CMPLX E,N,E,L 2.6-7.5 HPROV FEE",622]
["20300308","REPAIR COMPLEX WOUND 1.1-2.5CM-HPROV FEE",448]
["20300302","REPAIR COMPLX TRUNK 2.6-7.5CM-HPROV FEE",453]
["20300927","REPAIR EPIGASTRIC HERN,BLOCKED-HPROV FEE",923]
["20300914","REPAIR FEM HERNIA, INIT BLOCKD-HPROV FEE",1132]
["20300519","REPAIR FLEXOR TENDON FOOT W/O GRFT-HPROV",577]
["20300906","REPAIR INCAR HERNIA INIT BLOCK >5Y-HPROV",1050]
["20300902","REPAIR ING HERNIA INIT REDC 6M-<5Y HPROV",738]
["20300690","REPAIR LAC TONGUE/MOUTH FLOOR >2.6-HPROV",378]
["26552055","REPAIR NAIL BED",1096]
["20300536","REPAIR NONUNION/MALUN METARTARSAL-HPRO",1031]
["20300726","REPAIR PARA HIATAL HERNIA W/O MESH-HPROV",2083]
["20300448","REPAIR PRIM DISRPTD LIGMNT ANKLE CO-HPRO",849]
["20300912","REPAIR REM HERNIA, INIT,REDUCE-HPROV FEE",1032]
["20300444","REPAIR SECONDARY ACHILLES W-W/O GR-HPROV",1264]
["20300735","REPAIR STOMACH LESION-HPROV FEE",2441]
["20300255","REPAIR SUPERFICIAL WOUND(S)-CPRO FEE",79]
["20300258","REPAIR SUPERFICIAL WOUND(S)-CPRO FEE",104]
["20300264","REPAIR SUPERFICIAL WOUND(S)-CPRO FEE",98]
["20300267","REPAIR SUPERFICIAL WOUND(S)-CPRO FEE",103]
["20388254","REPAIR SUPERFICIAL WOUND(S)-FAC FEE",82]
["20388257","REPAIR SUPERFICIAL WOUND(S)-FAC FEE",91]
["20388263","REPAIR SUPERFICIAL WOUND(S)-FAC FEE",98]
["20388266","REPAIR SUPERFICIAL WOUND(S)-FAC FEE",102]
["20300922","REPAIR VENTRL HERNIA BLOCK-HPROV FEE",1682]
["20300918","REPAIR VENTRL HERNIA INIT BLOCK-HPROV FE",1667]
["20300916","REPAIR VENTRL HERNIA INIT REDUC-HPROV FE",1322]
["20300920","REPAIR VENTRL HERNIA REDUCE-HPROV FEE",1376]
["20300312","REPAIR WOUND OR LESION ADD ON-HPROV FEE",235]
["20300304","REPAIR WOUND OR LESION-HPROV FEE",478]
["20300310","REPAIR WOUND OR LESION-HPROV FEE",563]
["20300306","REPAIR WOUND/LESION ADD ON-HPROV FEE",154]
["20301079","RESECT PLANTAR NERVE LESION-HPROV FEE",697]
["20300579","RESECT SCAR LT HEEL-HPROV",500]
[" 8027716","RESECTION ELECTRODE LOOP 24 FR",321.95]
[" 8027492","RESECTION ELECTRODE LOOP 26 FR",321.95]
["10902899","RESPIRATORY PANEL PCR",621]
[" 8030454","RESURFACING TOOL 2.5MM EGG",524]
[" 8030462","RESURFACING TOOL 4.0MM EGG",524]
[" 8021800","RESUSCITATION BAG ADULT",40.9]
[" 8026221","RESUSCITATION BAG BABY W/MASK",135.1]
[" 8021818","RESUSCITATION BAG CHILD 8520",39.9]
[" 8028466","RESUSCITATION BAG INFANT",61.45]
[" 8021339","RESUSCITATION BAG INFANT W/MASK",59.45]
[" 8026023","RESUSCITATION KIT W/50MM MASK",61.5]
[" 8026031","RESUSCITATION KIT W/60MM MASK",61.5]
["10902646","RETICULOCYTE (CMMC)",47]
[" 8026205","RETRIEVAL DEVICE SPIDER-NET",523.79999999999995]
["15744208","RETROGRADE PYELOGRAP",824]
["20300737","REVIS GASTOJEJNSTMY W/RECONST-HPROV FEE",2939]
["20300446","REVISION TENDON,LEG/ANKLE SINGLE-HPROV",828]
[" 8029316","RF ABLATION CATHETER CF7-3-60",2596.4499999999998]
[" 8029308","RF ABLATION CATHETER CF7-7-100",2596.4499999999998]
[" 8029340","RF ABLATION CATHETER CF7-7-60",2596.4499999999998]
["15001725","RF NERVE ABLATION CT BILATERAL FACET",1685.75]
["15001967","RF NERVE ABLATION CT EA ADDL BIL FACET",1011]
["15001665","RF NERVE ABLATION CT EA ADDL FACET",843.25]
["15001710","RF NERVE ABLATION CT SGL FACET",1399.75]
["15001674","RF NERVE ABLATION GENICULAR/PERIPHERAL",843.25]
["15001697","RF NERVE ABLATION L/S BILAT FACET",1685.75]
["15001702","RF NERVE ABLATION L/S EA ADDL BIL FACET",1283.25]
["15001649","RF NERVE ABLATION L/S EA ADDL FACET",843.25]
["15001632","RF NERVE ABLATION L/S SGL FACET",1685.75]
["20388609","RHO D IMMUNE GLOBULIN IM-FAC FEE",225]
["20301177","RHYTHM STRIP W/INTERP & REPORT-HPROV FEE",22]
["15780616","RIBS BILAT W/CXR 4V",393.75]
["15580616","RIBS BILAT W/CXR 4V READ",48]
["15711108","RIBS BILATERAL-MIN 3V",544.5]
["15780609","RIBS UNILAT W/CXR 3V",457]
["15580609","RIBS UNILAT W/CXR 3V READ",55]
["15711009","RIBS UNILATERAL",312]
["15511009","RIBS UNILATERAL READ",38]
["13011135","RICELYTE-RTU SOLN",12.7]
["13009261","RIFAMPIN (RIFADIN) CAP:300MG",3.5]
["13024559","RIFAMPIN 150MG CAPSULES",4.3]
["20300799","RIGID PROCTOSCOPY UNDER ANES-HPRO FE",97]
["13011531","RIMANTADINE TAB:100MG",4.8]
["13009253","RINGERS:1000ML",43.3]
["13009279","RIOPAN PLUS SUSP:12OZ",12.95]
["10970866","RISTOCETIN COFACTOR 4459",332]
["13021016","RITUXIMAB (RITUXAN) INJ:100MG/10ML",2819.7]
["13025926","RITUXIMAB (RITUXAN) INJ:500MG/50ML",14098.15]
["13024769","RIZATRIPTAN (MAXALT) TAB: 10MG ODT",1.3]
["20301089","RMVL IMPACTED CERUMEN W/INSTR UNIL-CPROV",58]
["20388087","RMVL IMPACTED CERUMEN W/INSTR UNIL-FAC",27]
["10979169","ROCKY MT SPOTTED FVR 6419",157.5]
["13021183","ROCURONIUM (ZEMURON) INJ:50MG/5ML",47.35]
[" 8025603","ROD CARBON FIBER 150MM",756.9]
[" 8025595","ROD CARBON FIBER 200MM",756.9]
[" 8025587","ROD CARBON FIBER 350MM",785.05]
["13011226","ROLAIDS TABLET",2.65]
["13025967","ROMIPLOSTIM (nPLATE) 500MCG INJ",7382.85]
[" 8028045","ROOKE BOOT(VASCULAR) UNIVERSAL",631.85]
["13030497","ROPIVACAINE 0.2% INJ 100ML (NOROPIN)",96.7]
["10974384","ROTAVIRUS AG STOOL 706",128.5]
["20388129","ROTOVIRUS VACC 3 DOSE SCHED ORAL-FAC FEE",91]
["13009378","ROXICET  TABLET",1.6]
["10970739","RPR 36126",62]
["10976315","RSV RAPID ANTIGEN",170]
["10975761","RUBELLA AB,IgM 4422",114.5]
["10971489","RUBELLA SCREEN (IMMUNITY) 802",91.5]
["10979722","RUBEOLA AB, IgG 964",113]
[" 8014748","RUSH ROD",347.65]
["10973949","RUSSEL VIP VENOM DIL 15780",114.5]
["15722022","SACRO ILIAC COMP->=3V",286]
["15522022","SACRO ILIAC COMP->=3V READ",35]
["15722006","SACRO ILIAC JOINT LTD<3V",218.75]
["15722204","SACRUM & COCCYX-2V MIN",279.5]
["15522204","SACRUM & COCCYX-2V MIN READ",34]
[" 8015695","SAF-CLENS WOUND CLEANSER",32.549999999999997]
["10970473","SALICYLATES",87]
["10903223","SALICYLATES AND ACETAMINOPHEN",237.5]
["10903235","SALICYLATES/ACETAMINOPHEN/ETOH",400.5]
["13008164","SALINE NASAL SPRAY:45ML",12.45]
["13021225","SALMETEROL (SEREVENT) DISKUS (28-DOSE)",143.9]
["13024311","SALMETEROL (SEREVENT) DISKUS (60-DOSE)",251.25]
[" 8014110","SALPINGOGRAM TRAY",95.45]
["20301452","SBSQ HOSP DAILY NB CARE-HPROV FEE",73]
["15730108","SCAPULA LEFT",261]
["15530108","SCAPULA LEFT READ",32]
["15780715","SCAPULA RIGHT",261]
["15580715","SCAPULA RIGHT READ",32]
[" 8026304","SCD SLEEVE KNEE LARGE",109.6]
[" 8026296","SCD SLEEVE KNEE MEDIUM",211.7]
[" 8027294","SCD SLEEVE KNEE SMALL",131.1]
[" 8020224","SCD SLEEVE LARGE",286.25]
[" 8020216","SCD SLEEVE MEDIUM",228.45]
[" 8016784","SCD SLEEVES SMALL",214.15]
[" 8028177","SCLERA HUMAN HYDRATED",1039.8]
["22001253","SCOPE ROOM PROC LEVEL 1",1064]
["22001265","SCOPE ROOM PROC LEVEL 2",1193]
[" 8029209","SCOPE WARMER SEAL",24.3]
["13023643","SCOPOLAMINE (TRANSDERM-SCOP) PATCH:1.5MG",30.8]
[" 8025090","SCREW CANCELLOUS 4.0MM #206",118.25]
[" 8025108","SCREW CANCELLOUS 4.0MM #207",187.1]
[" 8020562","SCREW CANCELLOUS 6.5MM #218",200.1]
[" 8022055","SCREW CANNULATED 4.5MM",800.6]
[" 8020570","SCREW CANNULATED 7.3MM",1030.5]
[" 8025322","SCREW CANNULATED 8X25 ARTHREX",527.95000000000005]
[" 8020885","SCREW CORTEX 2.7MM #202",191.65]
[" 8020554","SCREW CORTEX 3.5MM #204",140.69999999999999]
[" 8020547","SCREW CORTEX 4.5MM #214",135.1]
[" 8020539","SCREW MALLOELAR 4.5MM #215",123.8]
[" 8025652","SCREW SCHANZ 4.0MM X 150MM",385.4]
[" 8025447","SCREW SCHANZ 4.0MM/3.0MM X 80MM",569.29999999999995]
["13009402","SECONAL:50MG CAP",1.65]
["13024047","SECONDARY VENTED SET 2C7452",35.35]
["10970853","SEDIMENTATION RATE",49]
["13009428","SELDANE:60MG TAB",3.4]
["10971141","SEMEN POST VAS",66.5]
["13022306","SENNA 8.6MG TAB",3]
["13030114","SENNA SYRUP 8.8MG/5ML  237ML",21.35]
["13024345","SENNA-S 8.6MG/50MG TAB",3]
["13028049","SENSORCAINE 0.25% W/EPI INJ:10ML",36]
["13000286","SENSORCAINE 0.5% W/EPI INJ:50ML",44.85]
["13000302","SENSORCAINE-MPF 0.25% INJ: 10ML",35]
["13000294","SENSORCAINE-MPF 0.5% INJ:30ML",36.65]
[" 8028318","SENSORWIRE STRAIGHT TIP",255.2]
["10977532","SEROTONIN 29851",290]
["13024258","SEROquel TAB:200MG",2.0499999999999998]
["13024607","SEROquel TAB:300MG",16.899999999999999]
["13023064","SERTRALINE (ZOLOFT) TAB:100MG",3.15]
["13026661","SERTRALINE (ZOLOFT) TAB:25MG",2.95]
["13010996","SERTRALINE (ZOLOFT) TAB:50MG",3.1]
["20300835","SETON PLACEMENT-HPROV FEE",420]
["13022108","SEVOFLURANE (ULTANE) INH SOLN",99.3]
["10979664","SEX HORM BIND GLOB 30740",111]
["20301207","SHARPS WOUND DEBR 1ST 20SQ CM-CPROV FEE",42]
["20388206","SHARPS WOUND DEBR 1ST 20SQ CM-FAC FEE",105]
["20388112","SHAVE LESION .3-1CM F,E,E,N,L MM-FAC FEE",80]
["20300113","SHAVE LESION .3-1CM F,E,E,N,L,MM-CPROV F",117]
["20300086","SHAVE SKIN LES .5<CM TRK/ARM/LEG-CPROV",63]
["20388085","SHAVE SKIN LES .5<CM TRK/ARM/LEG-FAC FEE",110]
["20300089","SHAVE SKIN LES SINGLE TRK/ARM/LEG-CPROV",95]
["20388088","SHAVE SKIN LES SINGLE TRK/ARM/LEG-FAC FE",117]
["20300116","SHAVE SKIN LESION-CPROV FEE",140]
["20300119","SHAVE SKIN LESION-CPROV FEE",180]
["20388115","SHAVE SKIN LESION-FAC FEE",144]
["20388118","SHAVE SKIN LESION-FAC FEE",149]
["20388109","SHAVE SKN LES .5< FACE/EAR/EYELD/NOS-FAC",117]
["20300110","SHAVE SKN LES .5<FACE/EAR/EYELD/NOS-CPRO",85]
["20300098","SHAVE SKN LES .5<SCLP/NCK/HND/F/G-CPROV",69]
["20388097","SHAVE SKN LES .5<SCLP/NCK/HND/FT/G-FAC F",105]
["20300101","SHAVE SKN LES .6-1 SCLP/NCK/HND/F/G-CPRO",93]
["20388100","SHAVE SKN LES .6-1 SCLP/NCK/HND/FT/G-FAC",123]
["20300092","SHAVE SKN LES 1.1-2CM TRK/ARM/LEG-CPROV",113]
["20388091","SHAVE SKN LES 1.1-2CM TRK/ARM/LEG-FAC FE",137]
["20300107","SHAVE SKN LES >2CM SCLP/NCK/HND/F/G-CPRO",132]
["20388106","SHAVE SKN LES >2CM SCLP/NCK/HND/FT/G-FAC",135]
["20300095","SHAVE SKN LES >2CM TRK/ARM/LEG-CPROV FEE",133]
["20388094","SHAVE SKN LES >2CM TRK/ARM/LEG-FAC FEE",143]
["20300104","SHAVE SKN LES1.1-2 SCLP/NCK/HND/F/G-CPRO",120]
["20388103","SHAVE SKN LES1.1-2 SCLP/NCK/HND/FT/G-FAC",136]
[" 8002842","SHIELD EYE",5.35]
["20388645","SHINGRIX VACCINE-FAC FEE",140]
[" 8015836","SHOE HORN",21.15]
[" 8017006","SHOE POST OP LG MENS",27.9]
[" 8022147","SHOE POST OP LG WOMENS",29.1]
[" 8019309","SHOE POST OP MED MENS",27.9]
[" 8022139","SHOE POST OP MED WOMENS",29.1]
[" 8019317","SHOE POST OP SM MENS",29.1]
[" 8022121","SHOE POST OP SM WOMENS",29.8]
[" 8026866","SHOULDER ARTHROSCOPY PACK",545.25]
[" 8016891","SHOULDER CANNULA",72.95]
[" 8025827","SHOULDER CANNULA PARTIALLY THREADED",151.9]
["15730306","SHOULDER COMP LT-2V MIN",266.5]
["15530306","SHOULDER COMP LT-2V MIN READ",32]
["15780731","SHOULDER COMP RT-2V MIN",266.5]
["15580731","SHOULDER COMP RT-2V MIN READ",32]
["15730207","SHOULDER LTD LEFT 1V",210]
["15530207","SHOULDER LTD LEFT 1V READ",26]
["15780723","SHOULDER LTD RIGHT 1V",210]
["15580723","SHOULDER LTD RIGHT 1V READ",26]
[" 8020901","SHOULDER PULLEY SYSTEM",35.950000000000003]
["15501034","SHOULDERS BILAT COMPL-2V MIN READ",64]
["15001034","SHOULDERS BILATERAL COMPL-2V MIN",533]
["15001094","SHOULDERS BILATERAL LTD 1V",420]
["22000666","SIGMOIDOSCOPY",635]
["22001183","SIGMOIDOSCOPY W/BIOPSY",878]
["20300805","SIGMOIDOSCOPY W/BIOPSY-HPROV FEE",130]
["20300811","SIGMOIDOSCOPY W/BLEED CONTROL-HPROV FEE",214]
["20300807","SIGMOIDOSCOPY W/FB REMOVAL-HPROV FEE",191]
["20300809","SIGMOIDOSCOPY W/POLYPECTOMY-HPROV FEE",171]
["20300813","SIGMOIDOSCOPY W/TUMOR REMVL-HPROV FEE",219]
["20300803","SIGMOIDOSCOPY-HPROV FEE",102]
["13024555","SILVER NITRATE SWABS",10.1]
["13009667","SILVER SUFADIAZINE (SILVADENE) CRM:400GM",54.95]
["13009675","SILVER SULFADIAZINE (SILVADENE) CRM:50GM",27.95]
["13024403","SIMETHICONE DROPS 40MG/0.6ML: 30CC",5.15]
["13023460","SIMETHICONE(MYLICON) CHEWTAB:80MG",2.85]
["13024278","SIMVASTATIN (ZOCOR) TAB:20MG",3.2]
["13004542","SIMVASTATIN (ZOCOR) TAB:40MG",3.15]
["13020722","SIMVASTATIN (ZOCOR) TAB:80MG",3.65]
[" 8002073","SKIN GEL",14]
[" 8026635","SKIN REPAIR CREME 32 OZ",42.3]
[" 8026270","SKIN REPAIR CREME 4 OZ",18.25]
[" 8027401","SKINTEGRITY HYDROGEL",31.2]
["15702602","SKULL COMPLETE-MIN 4V",496.75]
["15502602","SKULL COMPLETE-MIN 4V READ",60]
["15702503","SKULL LIMITED-<4V",269]
["15502503","SKULL LIMITED-<4V READ",33]
["20388624","SKYLA INTRAUTERINE CONTRACEPTIVE-FAC FEE",696]
["45000059","SLEEP STUDY",2780]
["45000048","SLEEP STUDY-HOME",729]
["45000037","SLEEP STUDY-MSLT DAY STUDY",1925]
["45000001","SLEEP STUDY-POLYSOM",2780]
["45000015","SLEEP STUDY-POLYSOM CPAP",3013]
[" 8019028","SLING ARM ENVELOPE LG",15.6]
[" 8019010","SLING ARM ENVELOPE MED",15.6]
[" 8019002","SLING ARM ENVELOPE SM",15.6]
[" 8026098","SLING ARM ENVELOPE XLG",15.6]
[" 8004194","SLING ARM ENVELOPE XSM",15.6]
[" 8004202","SLING ARM STRAP INFANT",19.3]
[" 8019051","SLING ARM STRAP LG",22.4]
[" 8019044","SLING ARM STRAP MED",70.400000000000006]
[" 8019036","SLING ARM STRAP SMALL",19.95]
["20300771","SM INT ENDO>2ND PORT DUOD W/BX-HPRO FEE",289]
["20300393","SM JT INJ BILATERAL-CPRO FEE",126]
["20388392","SM JT INJ BILATERAL-FAC FEE",44]
["20300773","SMALL BOWEL ENDOSCOPY-HPRO FEE",518]
["15780343","SMALL BOWEL EXAM",491.75]
["20300392","SMALL JOINT INJECTION-CPRO FEE",63]
["20388391","SMALL JOINT INJECTION-FAC FEE",22]
["10974038","SMEAR/STAIN MISC",47]
["20301437","SMOKING CESSATION 3-CPROV FEE",22]
["20388436","SMOKING CESSATION 3-FAC FEE",4]
["20301440","SMOKING CESSATION OVER-CPROV FEE",45]
["20388439","SMOKING CESSATION OVER-FAC FEE",4]
["20300270","SMPL REP FACE 5.1-7 CPRO FEE",133]
["20388269","SMPL REP FACE 5.1-7 FAC FEE",107]
[" 8014995","SNARE DISPOSABLE 000474",58.6]
[" 8027948","SNARE OVAL ROTATING",136.05000000000001]
[" 8028656","SNAREMASTER SOFT",55.5]
["50100536","SNELLEN VISION TEST BY OH",11]
[" 8024713","SOCK AIDE HARD",18.95]
[" 8015844","SOCK AIDE SOFT",37.799999999999997]
["13009550","SOD ACETATE INJ:40MEQ/20ML",34.950000000000003]
["13001391","SOD BICARBONATE 4.2%:5ML PFS",55.8]
["13024379","SOD BICARBONATE 8.4% INJ:50ML",52.8]
["13007679","SOD BICARBONATE 8.4% PFS:50ML",55.6]
["13023502","SOD BICARBONATE TAB:650MG",2.9]
["13024855","SOD CHLORIDE 0.45%+10 MEQ KCL:1000ML",43.3]
["13004534","SOD CHLORIDE 0.45%:1000ML",43.3]
["13001300","SOD CHLORIDE 0.45%:1000ML  (PREDEFINED)",43.3]
["13024853","SOD CHLORIDE 0.9%+10MEQ KCL:1000ML",43.3]
["13024591","SOD CHLORIDE 0.9%+20MEQKCL:1000ML(PREDE)",43.3]
["13024852","SOD CHLORIDE 0.9%+40MEQ KCL:1000ML",43.3]
["13004533","SOD CHLORIDE 0.9%:1000ML",43.3]
["13000658","SOD CHLORIDE 0.9%:1000ML (PREDEFINED)",43.3]
["13004538","SOD CHLORIDE 0.9%:250ML",43.3]
["13000831","SOD CHLORIDE 0.9%:250ML (PREDEFINED)",43.3]
["13000666","SOD CHLORIDE 0.9%:500ML",43.3]
["13025158","SOD CHLORIDE 14.6% INJ:100MEQ/40ML",34.9]
["13009568","SOD CHLORIDE 23.4% INJ:234MEQ/30ML",34.6]
["13029077","SOD CHLORIDE 3% SOLN FOR NEB: 4ML VIAL",10.55]
["13001268","SOD CHLORIDE BACT 0.9% INJ:30ML",34.950000000000003]
["13000815","SOD CHLORIDE PF 0.9% INJ:20ML",34.700000000000003]
["13026895","SOD CHLORIDE TAB:1 GM",3.95]
["13024723","SOD POLYSTYR SULF (KAYEXALATE):15G/60ML",14.35]
["13006184","SOD POLYSTYR SULF(KAYEXALATE)SUSP:473 ML",89]
["10970481","SODIUM",43]
["13029074","SODIUM CHLORIDE 3% SOLN FOR NEB (COMPND)",2.9]
["13002977","SODIUM CIT/CIT ACID (BICITRA) SOLN:480ML",20.25]
["10975290","SODIUM,UR RANDOM",74]
["10970499","SODIUM,URINE 24HR",74]
["20388611","SOLU-MEDROL 125MG-FAC FEE",13]
["13009592","SOLU-MEDROL INJ:125MG/2ML",49.5]
["13009626","SOLU-MEDROL INJ:1GM/8ML",99.8]
["13009618","SOLU-MEDROL INJ:40MG/ML",43.6]
["13024312","SOLU-MEDROL INJ:500MG/8ML",80.7]
["10974327","SOMA 312",211]
[" 8029282","SONICBEAT 35CM X 5MM FRONT GRIP",1506.6]
["13009634","SORBITOL 70% SOLN:480ML",12.1]
["13022496","SOTALOL TAB:80MG",3.1]
["46001921","SP02 OXIMETRY",117.5]
["46002190","SP02 OXIMETRY W/EX",203.5]
["46002075","SP02 OXIMETRY-CONTINUOUS MONITORING",225.5]
["27003404","SPEC COLL FROM CVC IF",144]
["26003415","SPEC COLL FROM CVC/ER",91]
["26003404","SPEC COLL FROM CVC/TR",144]
["27000574","SPEC COLL FROM VAD IF",144]
["26000582","SPEC COLL FROM VAD/ER",91]
["26000574","SPEC COLL FROM VAD/TR",144]
["10971661","SPEC COLLECT BLD",19]
["10972552","SPEC COLLECT BLD OFFSITE",25]
["10974228","SPEC COLLECT BLD SPCL BASIC",41]
["10979037","SPEC COLLECT BLD SPCL EXT",96]
["50100186","SPEC COLLECT BLD/URINE OCC HLTH",16]
["50100795","SPEC COLLECT DNA BUCCAL SWAB",33]
["10978029","SPEC COLLECT SPCL BASIC",41]
["10978526","SPEC GRAVITY MISC",27.5]
["10970622","SPEC GRAVITY URINE",27.5]
["44000124","SPECIALTY EXERCISE CLASS/MONTHLY",70]
[" 8016487","SPECIMEN COLLECTOR ARTHROSCOPY",3.95]
[" 8025256","SPECIMEN TRAP POLYP",50.05]
["49000253","SPEECH APHASIA ASSESSMENT",360]
["49000020","SPEECH COGNITIVE TRAINING DAILY",324]
["49000033","SPEECH COGNITIVE TRAINING EA 15MIN",90]
["49000159","SPEECH COMM DEVICE EVAL",360]
["49000160","SPEECH COMM DEVICE TRAINING",360]
["49000172","SPEECH ELECT STIMULATION 1/4 HR",90]
["49000581","SPEECH EVAL/BEHAVIORAL-QUAL ANALYSIS",360]
["49000555","SPEECH EVAL/FLUENCY",360]
["49000574","SPEECH EVAL/PROD W/COMPR-EXPRESSION",360]
["49000562","SPEECH EVAL/SOUND PRODUCTION",360]
["49000287","SPEECH INTRDCPLN TEAM W/ PT AND/OR FAM",180]
["49000298","SPEECH INTRDCPLN TEAM W/O PT OR FAMILY",180]
["49000275","SPEECH SGD ADDL .5HR EVAL",180]
["49000262","SPEECH STNDZ COGNITIVE PERF TESTING",360]
["49000245","SPEECH SWALLOWING DYSF THERAPY",270]
["49000148","SPEECH SWALLOWING EVAL W/VIDEO",360]
["49000137","SPEECH SWALLOWING EVALUATION",360]
["49000237","SPEECH THERAPY",270]
["49000598","SPEECH THERAPY GROUP >2",135]
["49000436","SPEECH/G-ATTEN CURRENT STATUS",0.01]
["49000458","SPEECH/G-ATTEN D/C STATUS",0.01]
["49000447","SPEECH/G-ATTEN GOAL STATUS",0.01]
["49000379","SPEECH/G-LANG COMP CURRENT STATUS",0.01]
["49000392","SPEECH/G-LANG COMP D/C STATUS",0.01]
["49000388","SPEECH/G-LANG COMP GOAL STATUS",0.01]
["49000403","SPEECH/G-LANG EXPRESS CURRENT STATUS",0.01]
["49000425","SPEECH/G-LANG EXPRESS D/C STATUS",0.01]
["49000414","SPEECH/G-LANG EXPRESS GOAL STATUS",0.01]
["49000469","SPEECH/G-MEMORY CURRENT STATUS",0.01]
["49000484","SPEECH/G-MEMORY D/C STATUS",0.01]
["49000472","SPEECH/G-MEMORY GOAL STATUS",0.01]
["49000345","SPEECH/G-MOTOR SPEECH CURRENT STATUS",0.01]
["49000360","SPEECH/G-MOTOR SPEECH D/C STATUS",0.01]
["49000352","SPEECH/G-MOTOR SPEECH GOAL STATUS",0.01]
["49000527","SPEECH/G-OTH SP/LANG CURRENT STATUS",0.01]
["49000540","SPEECH/G-OTH SP/LANG D/C STATUS",0.01]
["49000539","SPEECH/G-OTH SP/LANG GOAL STATUS",0.01]
["49000316","SPEECH/G-SWALLOW CURRENT STATUS",0.01]
["49000334","SPEECH/G-SWALLOW D/C STATUS",0.01]
["49000325","SPEECH/G-SWALLOW GOAL STATUS",0.01]
["49000496","SPEECH/G-VOICE CURRENT STATUS",0.01]
["49000513","SPEECH/G-VOICE D/C STATUS",0.01]
["49000508","SPEECH/G-VOICE GOAL STATUS",0.01]
["10979318","SPERM AB IgG/A 19492",106]
["26550776","SPINAL PUNCTURE",381]
["21000606","SPINAL PUNCTURE BY ANES",605]
["15780962","SPINE 1V",200.25]
["15580962","SPINE 1V READ",24]
["15520901","SPINE ENTIRE THOR/LUMBAR STUDY 1V READ",36]
["15720901","SPINE ENTIRE THOR/LUMBAR STUDY 1VIEW",298.25]
["15700204","SPINE ENTIRE THOR/LUMBAR STUDY 2-3V",527.5]
["15700218","SPINE ENTIRE THOR/LUMBAR STUDY 4-5V",527.5]
["15700225","SPINE ENTIRE THOR/LUMBAR STUDY 6V MIN",687.75]
["20301187","SPIROMETRY REVIEW & INTERP-HPROV FEE",45]
["13009642","SPIRONOLACTONE (ALDACTONE) TAB:25MG",3.1]
[" 8028250","SPLASHCAP",20.85]
[" 8005746","SPLINT 3  FINGER PADDED",3.5]
[" 8005753","SPLINT 3  FINGER THIMBLE",3.5]
[" 8018939","SPLINT 6  FINGER PADDED",3.5]
[" 8021693","SPLINT ARM OCL",34.85]
[" 8021677","SPLINT ARM PLASTER",23.6]
[" 8019135","SPLINT CLAVICAL LG",40.299999999999997]
[" 8019127","SPLINT CLAVICAL MED",33.200000000000003]
[" 8005720","SPLINT CLAVICAL SM",40.299999999999997]
[" 8019143","SPLINT CLAVICAL XLG",40.299999999999997]
[" 8004855","SPLINT FINGER METAL",14.4]
[" 8021701","SPLINT LEG OCL",91.5]
[" 8021685","SPLINT LEG PLASTER",49.85]
[" 8005803","SPLINT NASAL",16.350000000000001]
[" 8021616","SPLINT PLASTER CAST ARM POST-OP",102.2]
[" 8021629","SPLINT PLASTER CAST LEG POST-OP",123.75]
[" 8019242","SPLINT UNIV WRIST LEFT",31.25]
[" 8005902","SPLINT UNIV WRIST RIGHT",31.25]
[" 8005712","SPLINT-METAL/ARM",39.65]
[" 8005779","SPLINT-METL/SHRT LEG",193.05]
[" 8005761","SPLINT-MTL/LG LEG",260.55]
[" 8000747","SPONGE 12-3X3",6.05]
[" 8000739","SPONGE 4X4 10/PKG",1.65]
[" 8000655","SPONGE 4X4 RAYTEC",1.95]
[" 8006009","SPONGE 4X4 STERILE",0.9]
[" 8000713","SPONGE 6-4X8",5.45]
[" 8013716","SPONGE DISP LAPS 18X18",3.95]
[" 8013047","SPONGE DRAIN 256000",0.9]
[" 8014334","SPONGE KERLIX 4  STERILE",2.2000000000000002]
[" 8000689","SPONGE KERLIX 5/PKG",1.95]
[" 8015935","SPONGE PEANUT",11.25]
[" 8006082","SPONGE TONSIL",13.7]
[" 8006066","SPONGES-STR GZ 3X3/1",6.9]
["46002506","SPUTUM COLLECTOR",26.5]
["46001358","SPUTUM INDUCTION",104]
[" 8010985","STAPLE 15 REGULAR",28.6]
[" 8010878","STAPLE 30 3.5&4.8",790]
[" 8018731","STAPLE 35 REG",31.95]
[" 8018749","STAPLE 35 WIDE",31.95]
[" 8025918","STAPLE ECS25",1180.5999999999999]
[" 8024002","STAPLE ECS29",1064.6500000000001]
[" 8017113","STAPLE ECS33",1180.5999999999999]
[" 8024127","STAPLE GIA 55",463.7]
[" 8024135","STAPLE GIA 55 RELOAD",263.5]
[" 8025348","STAPLE GIA 55 RELOAD DEEP TISSUE",303.45]
[" 8010936","STAPLE GIA 75",527.85]
[" 8017121","STAPLE GIA 75 RELOAD",448.1]
[" 8025249","STAPLE HEMORRHOIDAL CIRCULAR",1495.85]
[" 8010951","STAPLE PLDS 15W",1463.4]
[" 8017105","STAPLE ROTICULATOR 55-3.5",1907.95]
[" 8013690","STAPLE TL30",498.65]
[" 8010928","STAPLE TX60B",453.3]
[" 8010902","STAPLE TX60B RELOAD",272.3]
[" 8024812","STATLOCK FOLEY CATHETER",20.55]
[" 8025793","STATLOCK IV NEXIVA",20.55]
[" 8024820","STATLOCK NG TUBE",5.35]
[" 8024838","STATLOCK PICC PLUS",27.45]
[" 8018129","STENT KWART",527.95000000000005]
[" 8028268","STENT SOFT URETERAL 6.0FR",520.65]
[" 8023798","STENT SOFT URETERAL 7.0FR",530.25]
["13010756","STERILE WATER INJ:20ML",34.950000000000003]
["13010764","STERILE WATER INJ:50ML",35.15]
["13024325","STERILE WATER:1000ML",43.3]
["15711306","STERNOCLAVICULAR-3V MIN",287.75]
["15711207","STERNUM-MIN 2V",298.25]
["15511207","STERNUM-MIN 2V READ",36]
[" 8019218","STOCKING KNEE TED LG",17.5]
[" 8019200","STOCKING KNEE TED MED",35.799999999999997]
[" 8006207","STOCKING KNEE TED SM",17.5]
[" 8019226","STOCKING KNEE TED XLG",17.5]
[" 8018087","STOCKING THIGH TED LG",31.25]
[" 8018079","STOCKING THIGH TED MED",31.55]
[" 8006215","STOCKING THIGH TED SM",31.25]
[" 8018095","STOCKING THIGH TED XLG",39.65]
[" 8015604","STOMAHESIVE PASTE",27.9]
[" 8015877","STOMAHESIVE POWDER",19.95]
["10971968","STONE ANALYSIS QUANT",131]
[" 8013781","STONE BASKET",734.7]
[" 8022808","STONE EXTRACTOR 3.2FR",680.9]
["10971232","STOOL FOR WBC",47]
["10974400","STOOL LIPIDS, QUAN 455",197.5]
[" 8003683","STOP COCK-3WAY/K-75",13.2]
[" 8003675","STOP-COCK 4WAY",12.35]
[" 8016719","STOPCOCK 3WAY 2C6240",8.1]
[" 8016727","STOPCOCK 4WAY 2C6204",3.1]
["20300941","STRAIGHT CATH INSERTION-CPRO FEE",46]
["20388940","STRAIGHT CATH INSERTION-FAC FEE",38]
[" 8007841","STRAINER URINE",0.9]
["20300620","STRAPPING ANKLE OR FOOT-CPROV FEE",32]
["20388619","STRAPPING OF ANKLE OR FOOT-FAC FEE",14]
["26551519","STRAPPING SHLDR VELP",206]
["10979425","STREP B AG,LTX 4423",114.5]
["10975456","STREP GROUP B PCR",177.5]
["13009709","STREPTOKINASE:750000IU INJ",479.15]
["20301275","SUBS OBS CARE EXP PROB FOCUS-HPROV FEE",128]
["20301277","SUBS OBS CARE HI COMPLEXITY-HPROV FEE",184]
["20301273","SUBS OBS CARE PROB FOCUSED-HPROV FEE",70]
["20301281","SUBSQ HOSP I/P EXP PROB FOC CARE-HPROV F",128]
["20301283","SUBSQ HOSP I/P HI COMPLX CARE-HPROV FEE",183]
["11800114","SUBSQ IP CARE EXP PROBL FOCUSED",128]
["11800125","SUBSQ IP CARE HIGH COMPLEXITY",185]
["11800103","SUBSQ IP CARE PROBLEM FOCUSED",70]
["20301279","SUBSQ IP PROB FOCUSED CARE-HPROV FEE",69]
["11800088","SUBSQ OBS CARE EXP PROBL FOCUSED",129]
["11800092","SUBSQ OBS CARE HIGH COMPLEXITY",186]
["11800077","SUBSQ OBS CARE PROBL FOCUSED",71]
["20301699","SUBSQ PSYCH CARE MGMT 60MIN/MO-CPROV FEE",141]
["20388034","SUBSQ PSYCH CARE MGMT 60MIN/MO-FAC FEE",81]
["20301195","SUBSQ TESTING W/REPRG GASTRIC NEURO-CPRO",65]
["20388194","SUBSQ TESTING W/REPRG GASTRIC NEUROT-FAC",30]
["20300625","SUBTALAR JOINT FUSION-HPRO FEE",1569]
["13000088","SUCCINYLCHOLINE INJ:200MG/10ML",70.099999999999994]
["13023957","SUCRALFATE (CARAFATE) TAB:1GM",3.25]
[" 8010571","SUCTION CANNISTER 1200 CC",8.1]
[" 8026312","SUCTION CANNISTER 3000 CC",7.6]
[" 8025462","SUCTION KIT CLOSED SYSTEM 14 FR",92.35]
[" 8001539","SUCTION KIT DEE LEE 10FR",22.4]
[" 8024754","SUCTION KIT W/GLOVE 12FR",2.2000000000000002]
[" 8001703","SUCTION KIT W/GLOVE 14FR",1.95]
[" 8027666","SUCTION KIT W/GLOVE 18FR",4.4000000000000004]
[" 8028888","SUCTION MULTIVAC 50 IFS",1557.2]
[" 8016289","SUCTION SUPER VAC",59.45]
[" 8019911","SUCTION TIP CURETTES 10MM",25.4]
[" 8019929","SUCTION TIP CURETTES 12MM",25.4]
[" 8015141","SUCTION TIP CURETTES 8MM",25.4]
[" 8014896","SUCTION TIP KAMVAC",112.55]
[" 8018426","SUCTION TIP POOLE",2.65]
[" 8025124","SUCTION TIP VASCULAR/PEDIATRIC",230.55]
[" 8027989","SUCTION TIP YANKAUER FLEXIBLE",2.15]
[" 8026502","SUCTION TIP YANKAUR STRAIGHT TIP",1.95]
[" 8018418","SUCTION TIP YANKAUR W/O VENT",1.95]
[" 8008062","SUCTION TIP YANKAUR W/VENT",1.95]
[" 8015133","SUCTION TUBING CURTT",34.799999999999997]
[" 8028961","SUCTION TURBOVAC 90 IFS",1634.4]
[" 8014987","SUCTION-CONVERTER",28.2]
["13009725","SULFACETAMIDE 10% OPTH SOLN:15ML",83.1]
["13009436","SULFAMETH/TMP (SEPTRA DS) TAB",3.2]
["13009444","SULFAMETH/TMP (SEPTRA) IVBP:80MG/16MG",91.25]
["13001755","SULFAMETH/TMP (SEPTRA) SUSP:120ML",42.3]
["13009451","SULFAMETH/TMP (SEPTRA) SUSP:480ML",194.6]
["13001847","SULFAMETH/TMP DS (ER #20)",21.4]
["13009733","SULFAMYLON 8.5% CRM:60GM",32]
["13023981","SULFASALAZINE (AZULFIDINE) TAB:500MG",2.95]
["13011317","SUMATRIPTAN (IMITREX) INJ:6MG/0.5ML",52.4]
[" 8019192","SUPPORT BELT LARGE",76.900000000000006]
[" 8019184","SUPPORT BELT MED",76.900000000000006]
[" 8019176","SUPPORT BELT SMALL",70.95]
["21000515","SUPRACLAVICULAR NERVE BLOCK",683]
[" 8029951","SUPRAPUBIC ACCESS SET 18FR.",507.4]
[" 8027302","SUPRAPUBIC INTRODUCER ONE-STEP",392.35]
["13021712","SUPRAX:100/5ML SUSPENSION",55.05]
[" 8013906","SURE FIT BAG 1 3/4",5.35]
[" 8019598","SURE FIT BAG 2 3/4",5.35]
[" 8013914","SURE FIT WAFER 1 3/4",7.3]
[" 8019580","SURE FIT WAFER 2 3/4",7.3]
[" 8024911","SURETRANS REINFUSION SYSTEM",669.55]
[" 8024929","SURETRANS Y SET & FILTER",57.95]
["20300833","SURG DX EXAM/ANORECTAL-HPROV FEE",192]
["20300860","SURG TX ANAL FISTULA SUBQ-HPROV FEE",701]
[" 8022501","SURGICEL 1/2 X 2",136.05000000000001]
[" 8019564","SURGICEL 2 X 3",228.65]
[" 8025397","SURGICEL 4 X 8",524]
[" 8030595","SURGIFOAM 3X5",123.2]
[" 8017147","SURGITIE LIGAT LOOP EJ10G",76.900000000000006]
[" 8024457","SURGITIE LIGAT LOOP EL06",79.75]
[" 8013724","SURICLIP M 11",368.8]
["13009790","SUS-PHRINE:5MG/ML INJ",54.2]
[" 8019275","SUSPENSORY SUPPORT LG",26.7]
[" 8019267","SUSPENSORY SUPPORT MED",29.1]
[" 8019259","SUSPENSORY SUPPORT SM",16.25]
[" 8019283","SUSPENSORY SUPPORT XLG",29.1]
[" 8026346","SUTURE #2 MAXBRAID 900334",153.94999999999999]
[" 8026510","SUTURE #2 MAXBRAID 900335",153.94999999999999]
[" 8026627","SUTURE #2 MAXBRAID 900336",153.94999999999999]
[" 8026338","SUTURE #5 MAXBRAID 900312",153.94999999999999]
[" 8028086","SUTURE 10-0 ETHILON 2830G",88]
[" 8028151","SUTURE 10-0 ETHILON 2850G",82.25]
[" 8023392","SUTURE 1654G",19.3]
[" 8028789","SUTURE 1667H 4-0 ETHILON",16.100000000000001]
[" 8023152","SUTURE 1669H",17.5]
[" 8023129","SUTURE 1674H",6.15]
[" 8023137","SUTURE 1698G",18.95]
[" 8024390","SUTURE 1713G",59.45]
[" 8023293","SUTURE 1727-41",15.6]
[" 8023640","SUTURE 1760G",49.65]
[" 8023285","SUTURE 1893G",22.4]
[" 8023277","SUTURE 1894G",21.75]
[" 8023269","SUTURE 1895G",22.4]
[" 8027864","SUTURE 3-0 MONOCRYL Y523H",12.35]
[" 8023061","SUTURE 3111-79",53.25]
[" 8023376","SUTURE 3185-31",27.3]
[" 8026536","SUTURE 3185-51",29.3]
[" 8023236","SUTURE 4-0 SILK",5.65]
[" 8023996","SUTURE 4470-81",53.9]
[" 8023335","SUTURE 48G",32.549999999999997]
[" 8023475","SUTURE 540G",48.65]
[" 8024101","SUTURE 6143-31",40.9]
[" 8028805","SUTURE 623H 2-0 SILK",5.45]
[" 8029258","SUTURE 624H 2-0 SILK KS",5.45]
[" 8023665","SUTURE 636H",10.6]
[" 8023657","SUTURE 639G",19.3]
[" 8023079","SUTURE 661H 5-0 ETHILON FS-2",6.7]
[" 8023087","SUTURE 662H",5.65]
[" 8025561","SUTURE 664H",6.7]
[" 8023095","SUTURE 669H",6.15]
[" 8027088","SUTURE 677G 2-0 SILK",6.95]
[" 8029266","SUTURE 680H 2-0 SILK",6.2]
[" 8023053","SUTURE 687G",21.35]
[" 8023582","SUTURE 697H",18.2]
[" 8023103","SUTURE 698H",18.8]
[" 8023111","SUTURE 699H 4-0 ETHILON",18.8]
[" 8025801","SUTURE 723G",19.95]
[" 8023319","SUTURE 7272-41",31.95]
[" 8023301","SUTURE 7608-31",23.7]
[" 8025470","SUTURE 7731G",44.7]
[" 8023624","SUTURE 7756G",76.900000000000006]
[" 8026106","SUTURE 796G",27.3]
[" 8023145","SUTURE 8204H",28.6]
[" 8028797","SUTURE 8411H 2-0 PROLENE",13.6]
[" 8025165","SUTURE 8424H",11.25]
[" 8025769","SUTURE 8425H",17.84]
[" 8027815","SUTURE 842H 3-0 PLAIN",16.100000000000001]
[" 8028946","SUTURE 8455H 1 PROLENE",11.95]
[" 8025371","SUTURE 8559H",23.15]
[" 8023632","SUTURE 8618G",25.1]
[" 8025991","SUTURE 8619G",25]
[" 8024671","SUTURE 8623H",9.85]
[" 8022907","SUTURE 8695G",21.75]
[" 8029480","SUTURE 8714H 6-0 PROLENE",26.75]
[" 8025488","SUTURE 8825G",18.8]
[" 8029142","SUTURE 8831H 4-0 PROLENE",13.6]
[" 8023160","SUTURE 8832H",11.25]
[" 8023178","SUTURE 8833H 2-0 PROLENE",11.25]
[" 8023491","SUTURE 89-5036M5",151.9]
[" 8030074","SUTURE 904H CHROMIC GUT 0",15.4]
[" 8023400","SUTURE 905H",10.6]
[" 8030124","SUTURE 922H CHROMIC GUT 3-0",15.4]
[" 8023418","SUTURE 924H",10.6]
[" 8023426","SUTURE 925H",10.6]
[" 8023434","SUTURE 932H",9.85]
[" 8011371","SUTURE ALCN 10-0/4-0",183.4]
[" 8028599","SUTURE ANCH CRKSCREW 3.5X10",1039.5]
[" 8028904","SUTURE ANCHOR BIO SWIVELOCK",1409.5]
[" 8028912","SUTURE ANCHOR CORKSCREW FT III",893.6]
[" 8028581","SUTURE ANCHOR MICRO CORKSCREW",1039.5]
[" 8029761","SUTURE ANCHOR MINI CORKSCREW",1063.8]
[" 8025199","SUTURE AR-7200 FIBERWIRE",119.7]
[" 8025231","SUTURE AR-7220",102.6]
[" 8029753","SUTURE AR-7250 FIBERWIRE TAPER 0",119.35]
[" 8016172","SUTURE B409T",14.25]
[" 8010514","SUTURE BOLSTERS",33.6]
[" 8029183","SUTURE BRIDGE",99.05]
[" 8023194","SUTURE C013D",43.45]
[" 8027252","SUTURE C584D NUROLON 4-0",77]
[" 8027237","SUTURE CT-2 VICRYL VCP334H",7.6]
[" 8029373","SUTURE CX27D ETHIBOND 0",46.65]
[" 8023459","SUTURE CX30D",55.1]
[" 8024119","SUTURE CX41D",63.85]
[" 8029779","SUTURE CX46D ETHIBOND 2-0",54.3]
[" 8028854","SUTURE D7185",136.05000000000001]
[" 8024176","SUTURE ED12",69.650000000000006]
[" 8026544","SUTURE EZ10G",193.65]
[" 8023343","SUTURE G121H",16.7]
[" 8023350","SUTURE G122H",14.25]
[" 8026015","SUTURE G123H",7.3]
[" 8023368","SUTURE G124H",7.3]
[" 8023327","SUTURE GG121",18.2]
[" 8027930","SUTURE GL30G CHROMIC GUT 1",30.55]
[" 8028771","SUTURE J111T VICRYL 2-0",39.799999999999997]
[" 8027583","SUTURE J205G 3-0 VICRYL",9.4]
[" 8023574","SUTURE J206G",11.9]
[" 8023384","SUTURE J207G",11.25]
[" 8030066","SUTURE J260H 0 VICRYL",7]
[" 8020919","SUTURE J347H",10.6]
[" 8022923","SUTURE J371H VICRYL CTX/GS-25",10.6]
[" 8022931","SUTURE J415H",9.85]
[" 8022949","SUTURE J416H 3-0 VICRYL",7.3]
[" 8022956","SUTURE J417H",9.85]
[" 8022964","SUTURE J423H",10.6]
[" 8028821","SUTURE J426H 4-0 VICRYL",20.85]
[" 8022972","SUTURE J441H",10.6]
[" 8030447","SUTURE J458H 3-0 VICRYL",12.3]
[" 8023020","SUTURE J460H",10.6]
[" 8023038","SUTURE J493H",19.95]
[" 8022915","SUTURE J494H",19.95]
[" 8028235","SUTURE J495G 5-0 VICRYL",18]
[" 8023046","SUTURE J531H",19.3]
[" 8022980","SUTURE J535H",14.95]
[" 8023590","SUTURE J546G",66.599999999999994]
[" 8023699","SUTURE J551G",52.1]
[" 8023608","SUTURE J579G",52.65]
[" 8023822","SUTURE J603H",11.9]
[" 8022899","SUTURE J635H",11.25]
[" 8022881","SUTURE J636H",11.25]
[" 8022998","SUTURE J695H",15.6]
[" 8027138","SUTURE J723D VICRYL 2-0",142.55000000000001]
[" 8026916","SUTURE J724D",61.55]
[" 8015174","SUTURE J764D",61.55]
[" 8028193","SUTURE J765D VICRYL 1",50.6]
[" 8028763","SUTURE J774D VICRYL 3-0",50.6]
[" 8029076","SUTURE J775D VICRYL 2-0",49.4]
[" 8025330","SUTURE J824G",21.75]
[" 8027872","SUTURE J839D 2-0 VICRYL",47.1]
[" 8027898","SUTURE J840D 0 VICRYL",50.6]
[" 8027781","SUTURE J870H 0 VICRYL",7.5]
[" 8023004","SUTURE J956H 3-0 VICRYL",10.6]
[" 8023012","SUTURE J957H 2-0 VICRYL",10.6]
[" 8027880","SUTURE J959H 1 VICRYL",17.350000000000001]
[" 8023244","SUTURE K832H",6.25]
[" 8023251","SUTURE K833H",5.65]
[" 8025314","SUTURE K834H",6.15]
[" 8026684","SUTURE L-2747",250.65]
[" 8027807","SUTURE L104G PLAIN 0 REEL",16.7]
[" 8024275","SUTURE LA54G PERMA-HAND SILK 3-0",5.35]
["20300781","SUTURE LARGE INTESTINE-HPRO FEE",1902]
[" 8023509","SUTURE MX69G ETHIBOND 2",70.95]
[" 8030116","SUTURE N2756K MONOSOF 10-0",272.39999999999998]
[" 8028201","SUTURE N2760K MONOSOF 9-0",244.55]
[" 8024846","SUTURE N864H",7.3]
["20300261","SUTURE OPEN WOUND-CPRO FEE",130]
["20388260","SUTURE OPEN WOUND-FAC FEE",99]
[" 8030108","SUTURE PASSER",405.25]
[" 8029159","SUTURE POLYSORB 5-0 L1669K",125.1]
[" 8029175","SUTURE PROLENE 2 3846T",45.2]
[" 8025983","SUTURE R832H",9.85]
[" 8025900","SUTURE RETRIEVER MED",200.1]
[" 8016909","SUTURE RETRIEVER SMALL",200.1]
[" 8023202","SUTURE SA75H",10.6]
[" 8023210","SUTURE SA86G",9.85]
[" 8023186","SUTURE SA8H",5.35]
[" 8023517","SUTURE T939G",23.15]
[" 8030439","SUTURE U204H CHROMIC GUT 3-0",16.61]
[" 8023541","SUTURE V549G 9-0 VICRYL",70.650000000000006]
[" 8023228","SUTURE VR493 5-0 VICRYL",22.4]
[" 8025892","SUTURE VR844",24.4]
[" 8023483","SUTURE X-4323",112.55]
[" 8027690","SUTURE X411H ETHIBOND 2-0",7.5]
[" 8027682","SUTURE X424H ETHIBOND 0",7.5]
[" 8023442","SUTURE X519H",14.95]
[" 8023616","SUTURE X519H",14.25]
[" 8028953","SUTURE Y416H 3-0 MONOCRYL",9.4]
[" 8029787","SUTURE Y417H 2-0 MONOCRYL",9.4]
[" 8026585","SUTURE Y496G",11.9]
[" 8023962","SUTURE Y935H",23.2]
[" 8026569","SUTURE Y936H",23.2]
[" 8027823","SUTURE Y946H 0 MONOCRYL",10.65]
[" 8025967","SUTURE Z304H",11.9]
[" 8025579","SUTURE Z316H",11.9]
[" 8024382","SUTURE Z317H",12.55]
[" 8023525","SUTURE Z340H",12.55]
[" 8023533","SUTURE Z341H",11.9]
[" 8023681","SUTURE Z359T",12.95]
[" 8028813","SUTURE Z690G PDSII 1",41.75]
[" 8028938","SUTURE Z880G PDS II",21.5]
[" 8026577","SUTURE Z991G",11.9]
[" 8013955","SUTURES DEPT 04 OB",13.7]
[" 8013534","SUTURES DEPT 22 OR",17.5]
[" 8013435","SUTURES DEPT 26 ER",13.7]
[" 8024200","SUTURING DEVICE ENDOSCOPIC",560.79999999999995]
[" 8024218","SUTURING DEVICE RELOAD",112.55]
[" 8015281","SWIMMER SUPPORTER",26.7]
["11800215","SWING BED/SNC ADMIT COMPREHENSIVE",231]
["11800204","SWING BED/SNC ADMIT DETAILED",163]
["11800226","SWING BED/SNC ADMIT HIGH COMPLEXITY",295]
["11800272","SWING BED/SNC DISCHARGE <30MIN",130]
["11800283","SWING BED/SNC DISCHARGE >30MIN",188]
["11800259","SWING BED/SNC VISIT DETAILED",162]
["11800248","SWING BED/SNC VISIT EXP PROBL FOCUSED",123]
["11800260","SWING BED/SNC VISIT HIGH COMPLEXITY",241]
["11800237","SWING BED/SNC VISIT PROBLEM FOCUSED",79]
[" 8026668","SYNTHES 4.5 CORTEX SCREW",131.1]
[" 8026676","SYNTHES 5.0 LOCKING SCREW",555.54999999999995]
[" 8025082","SYNTHES COMPRESSION SCREW",224.95]
[" 8020679","SYNTHES GUIDE PIN 2.5MM",267.39999999999998]
[" 8026643","SYNTHES HELIX BLADE",1102]
[" 8012171","SYNTHES LAG HIP SCREW",1196.2]
[" 8026650","SYNTHES LCP PLATE",1755.1]
[" 8012528","SYNTHES PLATE",1802.4]
["13029300","SYNVISC INJ SOLN 16MG/2ML",526.54999999999995]
["13029412","SYNVISC-ONE INJ SOLN 48MG/8ML",2307]
[" 8018723","SYRINGE BULB EAR 2OZ",2.15]
[" 8015802","SYRINGE BULB EAR 3OZ",22.1]
[" 8030488","T-TUBE RICHARDS MODIFIED",123.2]
["10975232","T3 FREE CMMC",202.5]
["10902303","T3 REVERSE 90963",125.5]
["10970658","T3 TOTAL 859",141.5]
["10971380","T3 UPTAKE 861",35]
["10973213","T4 FREE CMMC",114.5]
["10971398","T4 TOTAL 867",67.5]
["20300558","TA PERCUT PINNING HALLUX FX-HPRO FEE",434]
["13009865","TALWIN INJ:30MG/ML",34.6]
["13009873","TALWIN NX TAB",3.65]
["13009881","TAMBOCOR TAB:100MG",3.25]
["13024717","TAMIFLU 6MG/ML SUSP 5ML DOSE",18.25]
["13024547","TAMIFLU 75MG CAP (ER PACK=1CAPSULE)",16.100000000000001]
["13008016","TAMOXIFEN (NOLVADEX) TAB:10MG",3.1]
["13024283","TAMOXIFEN (NOLVADEX) TAB:20MG",3.1]
["13020839","TAMSULOSIN (FLOMAX) CAP:0.4MG",3.35]
[" 8000671","TAPE ELASTOPLAST 3",26.7]
[" 8020414","TAPE STRIPS, FOAM",12.95]
["20300546","TARSAL BONE FX W/O MANIP-CPRO FEE",340]
["20388545","TARSAL BONE FX W/O MANIP-FAC FEE",43]
["20300493","TARSAL TUNNEL RELEASE-HPROV FEE",635]
["13022207","TAXOL ADMIN SET (2C7557)",55.95]
["20388144","TDAP VACC>6YR IM-FAC FEE",92]
["28000043","TELEMED ORIG SITE FEE",68]
["20301443","TELEPHONE E&M-CPROV FEE",22]
["20388442","TELEPHONE E&M-FAC FEE",3]
[" 8027195","TELFA ISLAND DRESSING 4X10",7.6]
[" 8000846","TELFA PADS 3X4",0.9]
[" 8018517","TELFA PADS 3X8",0.9]
["13009246","TEMAZEPAM (RESTORIL) CAP:15MG",2.9]
["20300671","TEMPORAL ARTERY PROCEDURE-HPROV FE",370]
["15703303","TEMPOROMANDIBULAR-BIL",374.25]
["20300447","TENDON DEEP TRNFR/TRNSPLNT SINGLE-HPROV",1331]
["13026935","TENECTEPLASE (TNKase) INJ:50MG",16956.75]
["20300490","TENOTOMY MULTIPLE TENDONS-CPRO FEE",509]
["20388489","TENOTOMY MULTIPLE TENDONS-FAC FEE",61]
["20300438","TENOTOMY PERCUT ACHILLES TENDON-HPROV",332]
["20300487","TENOTOMY SINGLE TENDON-CPRO FEE",371]
["20388486","TENOTOMY SINGLE TENDON-FAC FEE",42]
["13009931","TENSILON INJ:10MG/ML",35]
["13005731","TERAZOSIN (HYTRIN) CAP:1MG",2.9]
["13022199","TERAZOSIN (HYTRIN) CAP:5MG",3.1]
["13024037","TERBINAFINE (LAMISIL AT) 1% CRM:24GM",18.350000000000001]
["13003066","TERBUTALINE (BRETHINE) INJ:1MG/ML",36.35]
["13021100","TERBUTALINE NEB",4.8499999999999996]
[" 8024333","TESTICULAR IMPLANT",527.95000000000005]
["10972644","TESTOSTERONE, TOT 873 (MALE)",128.5]
["10976738","TESTOSTERONE,TOT(W/C)15983",251]
["13024557","TET/DIPTH/ACELL PERTUSSIS(ADACEL) INJ",108.1]
["50100254","TET/DIPTH/ACELL PERTUSSIS(ADACEL)VACC/OH",65]
["10978346","TETANUS ANTITOXIN 4862",159]
["20388143","TETANUS DIPTHERIA TOXOID SVD VAC-FAC FEE",60]
["20388146","TETANUS DIPTHERIA TOXOID SVD VAC-FAC FEE",60]
["13005723","TETANUS IMMUNE GLOBULIN PFS:250 UNITS",1054.05]
["13009964","TETANUS/DIPTHERIA ADULT INJ",81.45]
["13009972","TETANUS/DIPTHERIA PED INJ:0.5ML",78.25]
["50100307","TETANUS/DIPTHERIA VACC-OH",24]
["13001185","TETRACAINE 0.5% OPTH:15ML",18.649999999999999]
["10973741","THC, URINE(GCMS)26514",113.5]
["13010004","THEO-24:200MG CAP",2.65]
["13010012","THEO-24:300MG CAP",2.7]
["13010038","THEOLAIR-SR:250MG TAB",3.1]
["13009998","THEOPHYLLINE (THEODUR) TAB:200MG",3.1]
["13010020","THEOPHYLLINE (THEODUR) TAB:300MG",2.9]
["10971463","THEOPHYLLINE 878",147]
["20388203","THER PROPH/DX INJ SUBQ/IM-FAC FEE",36]
["15780954","THERAPEUTIC ENEMA",859.5]
[" 8024184","THERMAL DILUTION CATH 7FR",369.1]
["13010061","THIAMINE INJ:200MG/2ML",46.15]
["13010079","THIAMINE TAB:100MG",2.85]
["70000179","THICK IT/CAN",14]
["26003382","THORACENTESIS FOR ASPIRATION-ER",688]
["26003398","THORACENTESIS FOR ASPIRATION-TR",688]
["20300646","THORACENTESIS W/O IMAGING GUID-HPROV FEE",161]
["26003210","THORACENTESIS W/TUBE-ER",701]
["26003003","THORACENTESIS W/TUBE-TR",701]
["15720703","THORACIC SPINE-2V",298.25]
["15520703","THORACIC SPINE-2V READ",36]
[" 8028342","THORACIC VENT PROCEDURE TRAY",952.95]
["15780608","THORACIC W/SWIMMERS-3V",372.75]
["15580608","THORACIC W/SWIMMERS-3V READ",45]
["26551568","THORACNTSIS NDL DCMP",383]
["26551318","THORACNTSIS W/INSERTION OF CHEST TUBE",590]
["15720802","THORACO LUMBAR JUNC-2V",257.75]
["15520802","THORACO LUMBAR JUNC-2V READ",31]
["26550800","THOROCENTESIS",726]
["20300648","THROMBECTOMY OF VEIN/ARM INCIS-HPROV FEE",1114]
["13010111","THROMBIN 10,000 UNIT VL W/DIL",142.9]
["13024011","THROMBIN 5000 UNIT VL W/DIL",80.75]
["13029633","THROMBIN BOV (FLOSEAL) KIT, 5 ML",293.75]
[" 8027351","THUMB SPICA LEFT",43.25]
[" 8027344","THUMB SPICA RIGHT",43.25]
[" 8028714","THUNDERBEAT 10CM X 5MM INLINE GRIP",1703.8]
[" 8028730","THUNDERBEAT 20CM X 5MM FRONT GRIP",1703.8]
[" 8028722","THUNDERBEAT 20CM X 9.7MM OPEN JAW",1801.65]
[" 8028748","THUNDERBEAT 35CM X 5MM FRONT GRIP",1703.8]
[" 8028755","THUNDERBEAT 45CM X 5MM FRONT GRIP",1703.8]
[" 8029498","THUNDERBEAT OPEN FINE JAW 9CM",1720.45]
["10978123","THYROGLOBULIN 19049",81]
["10971430","THYROID STIMULAT IG 30551",479.5]
["13022454","THYROID TAB:120MG",2.2999999999999998]
["20301064","THYROIDECTOMY TTL/SUBTTL MALIG-HPROV FEE",2347]
["10979912","THYROX BND GLOB 870",143.5]
["15500388","TIBIA FIBULA BILAT-2V READ",62]
["15000388","TIBIA FIBULA BILATERAL-2V",507.5]
["15735909","TIBIA FIBULA LEFT-2V",253.75]
["15535909","TIBIA FIBULA LEFT-2V READ",31]
["15000292","TIBIA FIBULA RIGHT-2V",253.75]
["15500292","TIBIA FIBULA RIGHT-2V READ",31]
[" 8020653","TIBIAL END CAP",805.45]
[" 8020638","TIBIAL GUIDE WIRE BULLET TIP",632.54999999999995]
[" 8020646","TIBIAL GUIDE WIRE SMOOTH",537.70000000000005]
[" 8020620","TIBIAL NAIL",2570.6999999999998]
[" 8020661","TIBIAL SCREW 4.2MM CORTICAL",619.6]
["13010160","TIGAN CAP:250MG",2.8]
["13010178","TIMENTIN INJ:3.1GM",46.1]
["13010186","TIMOLOL 0.25% OPTH SOLN: 5ML",12.1]
["13010194","TIMOLOL 0.5% OPTH SOLN:15ML",21.35]
["13024389","TIOTROPIUM BR (SPIRIVA) INH (30-DOSE)",527.45000000000005]
["13024387","TIOTROPIUM BR (SPIRIVA) INH (5-DOSE)",66.25]
[" 8028102","TISSEEL 4ml",747.8]
["13001441","TOBRADEX OPTH SUSP:2.5ML (GENERIC)",70.349999999999994]
["13010202","TOBRAMYCIN 0.3% OPTH SOLN:5ML",14.3]
["10973071","TOBRAMYCIN, PEAK 8576",170]
["10973048","TOBRAMYCIN, TROUGH 8577",176.5]
["13001151","TOBRAMYCIN/NS IVPB:80MG/100ML",35.65]
["13010210","TOBREX 0.3% OPTH OINT:3.5GM",88.55]
["13029509","TOCILIZUMAB (ACETMRA) INJ. 200MG/10ML",3354]
["13029900","TOCILIZUMAB (ACETMRA) INJ. 400MG/20ML",6098.85]
["13029508","TOCILIZUMAB (ACTEMRA) INJ. 80MG/4ML",1360.8]
["20300578","TOE AMPUTATION IPJ-CPROV FEE",662]
["20388577","TOE AMPUTATION IPJ-FAC FEE",304]
["20300575","TOE AMPUTATION MPJ-HPRO FEE",705]
["15736600","TOE LEFT-MIN 2V",239]
["15536600","TOE LEFT-MIN 2V READ",29]
["15000359","TOE RIGHT-MIN 2V",239]
["15500359","TOE RIGHT-MIN 2V READ",29]
["13010228","TOLMETIN:200MG TAB",3.1]
["13024212","TOLTERODINE (DETROL LA) CAP:4MG",12.6]
["13010244","TONOCARD TAB:400MG",3.4]
["20300694","TONSILLECTOMY PRIM/SEC >12YR-HPROV FEE",444]
["20300692","TONSILLECTOMY+ADENOIDECTOMY<13Y-HPROV FE",512]
["10902236","TOPIRAMATE 30965",75.5]
["13021936","TOPOTECAN (HYCAMTIN) INJ:4MG/4ML",368.75]
["13027082","TORISEL (temsirolimus) 25MG INJ",3886.65]
[" 8029225","TORPEDO",525.45000000000005]
["13024719","TORSEMIDE (DEMADEX) TAB: 5MG",2.5499999999999998]
["13020433","TORSEMIDE (DEMADEX) TAB:20MG",3.2]
["13009774","TOTAL B W/C TAB",2.85]
["20300995","TOTAL HYSTERECTOMY-CPRO FEE",1795]
[" 8026692","TOURNIQUET 18  STERILE",125.45]
["10971935","TOXOPLASMA AB IgG 3679",114.5]
["26003155","TPA ADMIN-ER (CARDIAC)",825]
["26003232","TPA ADMIN-ER (STROKE)",840]
[" 3000463","TPA ADMIN-HAC/OBS (CARDIAC)",845.75]
[" 3000495","TPA ADMIN-HAC/OBS (STROKE)",845.75]
["13011416","TRACE METALS CONCENTRATE INJ:1ML",53.4]
["46002299","TRACH SUCTION PROCEDURE",303]
["20300640","TRACH TRANS CRICOTHYROID MEMBRN-HPROV FE",597]
["46002083","TRACH TUBE CHANGE",486.5]
[" 8015364","TRACH TUBE DISP",216.75]
["46002174","TRACHEOSTOMY CARE",65]
[" 8018921","TRACTION KIT-BED",81.2]
[" 8004889","TRACTION KIT-OVER DOOR",63.4]
["13021654","TRAMADOL (ULTRAM) TAB:50MG",2.85]
["13027834","TRAMADOL 50 MG TAB (ER #6)",10.199999999999999]
["20301471","TRANS CARE MGMT HI COMPLEXITY-CPROV FEE",281]
["20388470","TRANS CARE MGMT HI COMPLEXITY-FAC FEE",126]
["20301468","TRANS CARE MGMT MOD COMPLEXITY-CPROV FEE",193]
["20388466","TRANS CARE MGMT MOD COMPLEXITY-FAC FEE",94]
["13023577","TRANSDERM-NITRO:0.1MG/HR PATCH",5.15]
[" 8015265","TRANSDUCER DISP DTX",205.75]
[" 8014003","TRANSDUCER DOMES OB",36.950000000000003]
[" 8015216","TRANSDUCER IU OB",169.05]
["10972594","TRANSFERRIN 891",150]
["10977064","TRANSGLUTAM IgA 8821",87.5]
["13010301","TRANXENE TAB:3.75MG",4.25]
["13029354","TRASTUZUMAB(HERCEPTIN) 150MG INJ",4894.2]
["26000132","TRAUMA ACTIVATION-FULL",1950]
["26000118","TRAUMA ACTIVATION-PARTIAL",1525]
[" 8022469","TRAY ARROW THORACENTESIS",246.95]
[" 8007064","TRAY BASIC BIOPSY",58.65]
[" 8007098","TRAY CHEST TUBE",108.05]
[" 8000457","TRAY CIRCUMCISION",44.3]
[" 8022790","TRAY CRICOTHYROTOMY",1603.15]
[" 8022774","TRAY CRICOTHYROTOMY 3.5MM",602.70000000000005]
[" 8022782","TRAY CRICOTHYROTOMY 4.0MM",568.9]
[" 8007106","TRAY CUT DOWN",123.05]
[" 8024655","TRAY CYST ASPIRATION",88]
[" 8007114","TRAY DOUCHE DISP",6.7]
[" 8007122","TRAY DRESSING",13.2]
[" 8002479","TRAY EPIDURAL/SPINAL ANEST",102.6]
[" 8007163","TRAY EYE",31.25]
[" 8016701","TRAY IRRIG-PISTON SYRINGE",4.1500000000000004]
[" 8015737","TRAY JAM LIVER BIOPSY",168.7]
[" 8015851","TRAY JAMSHIDI BONE MARROW",180.4]
[" 8015570","TRAY JAMSHIDI LIVER",160.55000000000001]
[" 8014227","TRAY MYELOGRAM DISP",60.85]
[" 8022154","TRAY OBSTRUCTED URETHRA",593.6]
[" 8007239","TRAY PARACENTESIS",108.05]
[" 8017360","TRAY PER Q/PICC DRESSING",56.1]
[" 8015869","TRAY PNEUMOTHORAX",442.9]
[" 8005456","TRAY PUDENDAL ANESTH",52.1]
[" 8007296","TRAY SPINAL ANESTHES",76.900000000000006]
[" 8016529","TRAY SPINAL PENCAN NEEDLE",74.400000000000006]
[" 8018434","TRAY SPINAL PUNCTURE ADULT",58.65]
[" 8018442","TRAY SPINAL PUNCTURE NEONATE",76.900000000000006]
[" 8007304","TRAY SPINAL PUNCTURE PED",40.9]
[" 8007320","TRAY SUBCLAVIAN",22.8]
[" 8022402","TRAY SUPRAPUBIC W/16FR 5CC CATH",342.8]
[" 8007338","TRAY SUTURE",44.3]
[" 8007346","TRAY THORACENTESIS",281.7]
[" 8007379","TRAY TRACHEOTOMY",123.05]
[" 8024648","TRAY ULTRASOUND BIOPSY",70.650000000000006]
[" 8007643","TRAY UMBILIC CATHETR",38.450000000000003]
[" 8007361","TRAY-TRACHEAL CARE",19.3]
["13023874","TRAZODONE (DESYREL) TAB:100MG",3.1]
["13010327","TRAZODONE (DESYREL) TAB:50MG",3.1]
["13010319","TRAZODONE:150MG TAB",2.5499999999999998]
["20300482","TREAT ANKLE DISLOCATION-HPROV FEE",658]
["20300563","TREAT FX PHALANGE W/O MANIP-CPRO FEE",213]
["20388562","TREAT FX PHALANGE W/O MANIP-FAC FEE",8]
["20300543","TREAT HEEL FRACTURE-HPRO FEE",1998]
["20300478","TREAT LOWER LEG FRACTURE-CPRO FEE",541]
["26000533","TREATMENT LEVEL I",104]
["27000533","TREATMENT LEVEL I IF",104]
["26000569","TREATMENT LEVEL II",149]
["27000569","TREATMENT LEVEL II IF",149]
["26000600","TREATMENT LEVEL III",345]
["20388477","TREATMENT LOWER LEG FRACTURE-FAC FEE",17]
["20300457","TREATMENT OF ANKLE FRACTURE-CPRO FEE",506]
["20300460","TREATMENT OF ANKLE FRACTURE-CPRO FEE",681]
["20300465","TREATMENT OF ANKLE FRACTURE-CPRO FEE",531]
["20300468","TREATMENT OF ANKLE FRACTURE-CPRO FEE",749]
["20300473","TREATMENT OF ANKLE FRACTURE-CPRO FEE",512]
["20388456","TREATMENT OF ANKLE FRACTURE-FAC FEE",55]
["20388459","TREATMENT OF ANKLE FRACTURE-FAC FEE",67]
["20388464","TREATMENT OF ANKLE FRACTURE-FAC FEE",63]
["20388467","TREATMENT OF ANKLE FRACTURE-FAC FEE",79]
["20388472","TREATMENT OF ANKLE FRACTURE-FAC FEE",61]
["10979672","TREPONEMAL PALLIDIUM AB 4112",118.5]
[" 8024895","TRIADYNE II AIR BED",272.3]
["13011085","TRIAMCINOLONE (KENALOG) 0.1% CRM:15GM",13.4]
["13028671","TRIAMCINOLONE (KENALOG) 0.1% CRM:454GM",42]
["13022769","TRIAMCINOLONE (KENALOG) 0.1% CRM:80GM",16.45]
["13025087","TRIAMCINOLONE (KENALOG) 0.1% OINT:454GM",13.7]
["13023890","TRIAMCINOLONE (KENALOG) 0.1% OINT:80GM",18.600000000000001]
["13023056","TRIAMCINOLONE (KENALOG) 0.5% CRM:15GM",16.399999999999999]
["13024485","TRIAMCINOLONE (KENALOG) INJ 40MG/ML 5ML",135.44999999999999]
["13006325","TRIAMCINOLONE(KENALOG) INJ:40MG/ML (1ML)",54.55]
["13027910","TRIAMCINOLONE(KENALOG)OPTHALMIC DROP",10.199999999999999]
["13007026","TRIAMT/HCTZ 37.5MG/25MG (MAXZIDE-25) TAB",2.95]
["10972032","TRICHROME STAIN",89]
["10974590","TRICYCLEC SCREEN-URINE",151.5]
["13026124","TRIESENCE INJ:40MG/ML SINGLE DROP",69.150000000000006]
["20300380","TRIGGER POINT INJECTION-CPRO FEE",70]
["20388379","TRIGGER POINT INJECTION-FAC FEE",24]
["10970598","TRIGLYCERIDES",62]
["13010368","TRILISATE TAB:500MG",2.65]
["20301553","TRIM DYSTROPHIC NAILS-CPROV FEE",14]
["20388552","TRIM DYSTROPHIC NAILS-FAC FEE",29]
["20300221","TRIM NONDYSTROPHIC NAILS-CPROV FE",14]
["20388220","TRIM NONDYSTROPHIC NAILS-FAC FEE",12]
["20300065","TRIM SINGLE SKIN LESION-CPROV FEE",29]
["20388064","TRIM SINGLE SKIN LESION-FAC FEE",56]
["20300068","TRIM SKIN LESIONS 2-4 CPROV FEE",40]
["20388067","TRIM SKIN LESIONS 2-4 FAC FEE",63]
["20300071","TRIM SKIN LESIONS 4+ CPROV FEE",53]
["20388070","TRIM SKIN LESIONS 4+ FAC FEE",64]
["13007810","TRIPLE ANTIBIOTIC OINT:15GM",11.65]
["13001813","TRIPLE ANTIBIOTIC OINT:30GM",15.9]
["13010392","TRIPLE SULFA VAGINAL CREAM",13.45]
["13001565","TRIPROL/PSEUD 2.5MG/60MG TAB",2.85]
[" 8023905","TROCAR 10MM BLADELESS W/HANDLE",303.45]
[" 8025041","TROCAR 10MM XCEL",287.14999999999998]
[" 8023772","TROCAR 11MM BLADELESS",303.45]
[" 8025058","TROCAR 12MM BLADE",303.45]
[" 8021990","TROCAR 12MM BLADELESS",303.45]
[" 8025033","TROCAR 5MM",224.95]
[" 8023913","TROCAR 5MM BLADELESS",257.95]
[" 8024465","TROCAR 5MM BLADELESS W/HANDLE",257.95]
[" 8026957","TROCAR BALLOON KII BLUNT TIP",239.25]
[" 8028870","TROCAR BALLOON KII FIOS 1ST ENTRY",273.25]
[" 8023921","TROCAR SLEEVE 5MM",46.95]
["13027917","TROPICAMIDE 0.5% OPTH SINGLE GTT",8.65]
["13007596","TROPICAMIDE 0.5% OPTH SOLN:15ML",15.8]
["10902566","TROPONIN ALTERNATE METHOD CMMC",163.5]
["10972010","TROPONIN CMMC",163.5]
["13024131","TRUVADA 200MG/300MG",125.55]
["10971476","TSH CMMC",148.5]
["20301003","TUBAL LIGATION-HPROV FEE",636]
[" 8024291","TUBE ENDOBRONCHIAL LEFT 37FR",272.3]
[" 8024309","TUBE ENDOBRONCHIAL LEFT 39FR",272.3]
[" 8024317","TUBE ENDOBRONCHIAL RIGHT 37FR",276.3]
[" 8024325","TUBE ENDOBRONCHIAL RIGHT 39FR",303.45]
[" 8019341","TUBE ENDOTRACHEAL 3.0MM",7.3]
[" 8019358","TUBE ENDOTRACHEAL 3.5MM",7.3]
[" 8019366","TUBE ENDOTRACHEAL 4.0MM",7.3]
[" 8019374","TUBE ENDOTRACHEAL 4.5MM",7.3]
[" 8019382","TUBE ENDOTRACHEAL 5.0MM",9.85]
[" 8019390","TUBE ENDOTRACHEAL 5.5MM",9.85]
[" 8019408","TUBE ENDOTRACHEAL 6.0MM",9.85]
[" 8019416","TUBE ENDOTRACHEAL 6.5MM",9.85]
[" 8019424","TUBE ENDOTRACHEAL 7.0MM",24.8]
[" 8019432","TUBE ENDOTRACHEAL 7.5MM",39.200000000000003]
[" 8019440","TUBE ENDOTRACHEAL 8.0MM",9.85]
[" 8019457","TUBE ENDOTRACHEAL 8.5MM",10.6]
[" 8019465","TUBE ENDOTRACHEAL 9.0MM",18.2]
[" 8007494","TUBE ET 2.5MM CUFFLESS",3.95]
[" 8029084","TUBE ET 3.0MM CUFFLESS",4.1500000000000004]
[" 8030579","TUBE ET 3.0MM CUFFLESS",4.4000000000000004]
[" 8027427","TUBE ET 3.5MM CUFFLESS",4.8]
[" 8029104","TUBE ET 4.0MM CUFFLESS",3.95]
[" 8030561","TUBE ET 4.0MM CUFFLESS",4.4000000000000004]
[" 8029118","TUBE ET 4.5MM CUFFLESS",4.1500000000000004]
[" 8030553","TUBE ET 4.5MM CUFFLESS",4.4000000000000004]
[" 8030546","TUBE ET 5.0MM CUFFLESS",4.4000000000000004]
[" 8030538","TUBE ET 5.5MM CUFFLESS",4.4000000000000004]
[" 8021073","TUBE EXTENSION W/2 INJ.SITES 20",14.25]
[" 8007460","TUBE EXTENSION/2C6227 33",2.6]
[" 8002875","TUBE FEEDING 5FR",3.1]
[" 8021081","TUBE FEEDING 5FR. SILICONE",79.75]
[" 8018384","TUBE FEEDING 8FR",3.3]
[" 8020307","TUBE FEEDING 8FR SILICONE",79.75]
[" 8003170","TUBE FEEDING 8FR WEIGHTED",41.85]
[" 8003188","TUBE GASTRC LEVINE 12FR",3.5]
[" 8018350","TUBE GASTRC LEVINE 14FR",9.85]
[" 8018368","TUBE GASTRC LEVINE 16FR",3.5]
[" 8018376","TUBE GASTRC LEVINE 18FR",3.5]
[" 8029985","TUBE JEJUNAL 14FR",567]
[" 8004087","TUBE LUKI",21.75]
[" 8020281","TUBE MOSS GASTROSTOMY",969.1]
[" 8010688","TUBE MYRINGOTOMY",58.6]
[" 8030397","TUBE NASAL JEJUNAL 10FR",523.79999999999995]
[" 8007528","TUBE NASAL RAE TRACHEAL 3.0",18.2]
[" 8021396","TUBE NASAL RAE TRACHEAL 3.5",18.2]
[" 8021404","TUBE NASAL RAE TRACHEAL 4.0",14.95]
[" 8021412","TUBE NASAL RAE TRACHEAL 4.5",16.25]
[" 8021420","TUBE NASAL RAE TRACHEAL 5.0",16.25]
[" 8021438","TUBE NASAL RAE TRACHEAL 5.5",18.2]
[" 8021446","TUBE NASAL RAE TRACHEAL 6.0",25.95]
[" 8022170","TUBE NASAL RAE TRACHEAL 6.5",29.1]
[" 8022188","TUBE NASAL RAE TRACHEAL 7.0",25.95]
[" 8001646","TUBE RECTAL 16FR",36.950000000000003]
[" 8018277","TUBE RECTAL 24FR",36.950000000000003]
[" 8018285","TUBE RECTAL 32FR",85.55]
[" 8005514","TUBE SALEM SUMP 10FR",12.55]
[" 8018319","TUBE SALEM SUMP 14FR",12.55]
[" 8018327","TUBE SALEM SUMP 16FR",3.95]
[" 8018335","TUBE SALEM SUMP 18FR",3.95]
[" 8024572","TUBE TOUMA T",96.9]
[" 8007536","TUBE TRACHEOSTOMY",140.69999999999999]
[" 8001489","TUBE-BAKER/JEJUNOSTO",352.3]
["13022421","TUBERCULIN SKIN TEST (EA)",50.45]
["50100242","TUBERCULIN SKIN TEST SERUM(EA)/OCC HL",7]
[" 8019937","TUBES T 10FR",50.15]
[" 8019945","TUBES T 12FR",50.15]
[" 8019952","TUBES T 14FR",45.35]
[" 8019960","TUBES T 16FR",45.35]
[" 8019978","TUBES T 18FR",50.15]
[" 8019986","TUBES T 20FR",50.15]
[" 8007619","TUBES T 8FR",50.15]
[" 8028060","TUBING ARTHROSCOPY DUALWAVE AR-6430",228.65]
[" 8025116","TUBING ARTHROSCOPY PUMP",348.15]
[" 8010738","TUBING CYSTO IRRIG SET",12.95]
[" 8016479","TUBING DISP INSUFFLATION",114.1]
[" 8029431","TUBING INFILTRATION SINGLE SPIKE",76.8]
[" 8010563","TUBING SUCTION",3.95]
[" 8010746","TUBING TUR SET Y TYPE",18.8]
[" 8015182","TUBING VAC & CURETTE",37.1]
["10978807","TULAREMIA Ab (ST)",108]
["20301023","TX ECTOPIC PREGNANCY-HPROV FEE",1415]
["20301054","TX INCMPL ABORTION ANY TRIMSTR-HPROV FEE",526]
["20300430","TX METACARPAL FX-CPRO FEE",490]
["20388429","TX METACARPAL FX-FAC FEE",32]
["20300549","TX METATARSAL FX-CPRO FEE",363]
["20388548","TX METATARSAL FX-FAC FEE",28]
["20301056","TX MISSED AB CMPLD SURG 1ST TR-HPROV FEE",634]
["20301058","TX MISSED AB CMPLD SURG 2ND TR-HPROV FEE",636]
["13010475","TYLENOL SOLUTION:500MG/15ML",13.6]
["13024257","TYLOX 5MG/500MG CAP",1.75]
["20388096","UA DIPSTICK NON AUTOM W/O MICRO-FAC FEE",8]
["15780129","UGI AIR WITH KUB",730]
["15580129","UGI AIR WITH KUB READ",88]
["20300712","UGI SCOPE W/PEG TUBE PLACEMENT-HPROV FEE",365]
["15742418","UGI SNGL CONTR W/KUB",617.25]
["15542418","UGI SNGL CONTR W/KUB READ",74]
["15742400","UGI SNGL CONTR W/O KUB",602]
["15781322","UGI W/SM BOWEL W/KUB",1059.5]
["15581322","UGI W/SM BOWEL W/KUB READ",128]
["15742459","UGI W/SM BOWEL W/O KUB",866]
[" 8026148","ULTRA CLIP TISSUE MARKER",523.79999999999995]
["20300930","UMBIL HERNIA REPAIR INCARC<5YR-HPROV FE",865]
["20300934","UMBIL HERNIA REPAIR INCARC>5YR-HPROV FE",852]
["20300928","UMBIL HERNIA REPAIR REDUC<5YR-HPROV FEE",596]
["20300932","UMBIL HERNIA REPAIR REDUC>5YR-HPROV FEE",797]
[" 8023467","UMBILICAL TAPE U10T",4.8]
["20300627","UNNA BOOT BILATERAL-CPRO FEE",102]
["20388625","UNNA BOOT BILATERAL-FAC FEE",116]
["20300623","UNNA BOOT-CPROV FEE",51]
["20388622","UNNA BOOT-FAC FEE",58]
["15781444","UPPER EXTREMITY INFANT LEFT-2V MIN",210.75]
["15781432","UPPER EXTREMITY INFANT RIGHT-2V MIN",210.75]
["20300716","UPPER GI ENDOSCOPY/GUIDE WIRE-HPROV FEE",303]
["20300720","UPPER GI ENDOSCOPY/TUMOR-HPROV FEE",311]
["13010517","URECHOLINE:5MG INJ",28.9]
["20300938","URETERORRHAPHY SUTURE SEP PROC-HPROV FE",1517]
["26550412","URETHRAL DILATION",203]
["15744406","URETHROCYSTO RETRO",635.25]
["15744554","URETHROCYSTO VOID",684.5]
["10970648","URIC ACID",66.5]
["10902203","URIC ACID,UR RANDOM",76.5]
["10902179","URIC ACID,URINE 24HR",76.5]
["10970002","URINALYSIS W/MICRO (COMPREHENSIVE)",41]
["20388099","URINALYSIS-FAC FEE",12]
["20388532","URINARY CATH LEG STRAP/ANCHR DEV-FAC FEE",10]
["26000623","URINARY SPEC COLL THRU CATH/ER",92]
["26000617","URINARY SPEC COLL THRU CATH/TR",92]
["50100756","URINE DIPSTICK-nonDOT",9]
["20388101","URINE PREGNANCY TEST-FAC FEE",12]
[" 8024010","URINEMETER TRAY W/16x5CC",91.25]
[" 8002941","URINEMETER W/BAG",38.4]
["10970663","UROBILINOGEN QUAL",48.5]
["15780673","UROGRAPHY ANTEGRADE",595.5]
["17000125","US ABD-COMPLETE",688]
["17500125","US ABD-COMPLETE READ",111]
["17000117","US ABD-LIMITED",525.75]
["17500117","US ABD-LIMITED READ",85]
["17000026","US AMNIOCENTESIS GUIDE",349.5]
["17000075","US AORTA",525.75]
["17500075","US AORTA READ",85]
["17000086","US AORTA SCR AAA",525.75]
["17500086","US AORTA SCR AAA READ",85]
["17000385","US ASPIR/INJ GANGLION BILAT CYST ANY LOC",327]
["17000333","US ASPIR/INJ GANGLION CYST ANY LOC",163.5]
["17000543","US ASPIR/INJ RENAL CYST",348]
["17001658","US BILIARY CATHETER PLACEMENT",1139.5]
["17000499","US BIOPSY ABDOMINAL/RETRO MASS",309.25]
["17000149","US BIOPSY BONE SUPERFICIAL w/GUIDANCE",269.5]
["17000475","US BIOPSY LIVER",371]
["17500475","US BIOPSY LIVER READ",60]
["17001427","US BIOPSY LYMPH NODE",256.25]
["17000102","US BIOPSY MUSCLE w/GUIDANCE",219.75]
["17000504","US BIOPSY PROSTATE",496.5]
["17001064","US BIOPSY RENAL LEFT",392.25]
["17001073","US BIOPSY RENAL RIGHT",392.25]
["17001088","US BIOPSY SKIN SUBQ TISSUE",181.5]
["17000529","US BIOPSY THYROID CORE",285]
["17001198","US BLADDER",324.5]
["17000402","US BREAST ADDL CYST ASPIRATION",78.5]
["17000413","US BREAST BIOPSY",563.5]
["17000426","US BREAST BIOPSY ADDL LESION",280]
["17001823","US BREAST BIOPSY BILAT",1127]
["17001357","US BREAST COMPLETE BILATERAL",1385]
["17001313","US BREAST COMPLETE LEFT",692.5]
["17001322","US BREAST COMPLETE RIGHT",692.5]
["17000390","US BREAST CYST ASPIRATION",156.25]
["17000183","US BREAST LIMITED BILATERAL",989.5]
["17500183","US BREAST LIMITED BILATERAL READ",159]
["17000637","US BREAST LIMITED LEFT",494.75]
["17500637","US BREAST LIMITED LEFT READ",80]
["17000257","US BREAST LIMITED RIGHT",494.75]
["17500257","US BREAST LIMITED RIGHT READ",80]
["17000437","US BREAST PLACEMENT  LOC DEVICE",563.5]
["17000444","US BREAST PLACEMENT ADDL LOC DEVICE",280]
["17001834","US BREAST PLACEMENT LOC DEVICE BILAT",1127]
["17000281","US CAROTID DUPLEX",773.75]
["17500281","US CAROTID DUPLEX READ",124]
["17000274","US CAROTID UNILATERAL/LTD",351]
["17001722","US CHANGE PERC TUBE",420.25]
["17000562","US CHEST SONOGRAM",295.25]
["17000372","US CRANIAL ULTRASOUND",318.75]
["17000539","US DOPPLER CARDIAC LTD",280.75]
["17000416","US DOPPLER LTD INTERPRETATION",130.75]
["17000463","US DUPLEX ART LOW BIL",698.5]
["17000603","US DUPLEX ART LOW LEFT",582.75]
["17000471","US DUPLEX ART LOW RIGHT",582.75]
["17000448","US DUPLEX ART UP BILAT",839.25]
["17000615","US DUPLEX ART UP LEFT",629.5]
["17000455","US DUPLEX ART UP RIGHT",629.5]
["17000422","US DUPLEX SCAN ORGAN COMPLETE",812.25]
["17000430","US DUPLEX SCAN ORGAN LTD",640.75]
["17500430","US DUPLEX SCAN ORGAN LTD READ",103]
["17001245","US DUPLEX VEN BILAT LOWER",682.25]
["17501245","US DUPLEX VEN BILAT LOWER READ",110]
["17001258","US DUPLEX VEN BILAT UPPER",682.25]
["17001216","US DUPLEX VEN LOWER LEFT",552.75]
["17501216","US DUPLEX VEN LOWER LEFT READ",89]
["17001233","US DUPLEX VEN LOWER RIGHT",552.75]
["17501233","US DUPLEX VEN LOWER RIGHT READ",89]
["17001209","US DUPLEX VEN UPPER LEFT",552.75]
["17501209","US DUPLEX VEN UPPER LEFT READ",89]
["17001224","US DUPLEX VEN UPPER RIGHT",552.75]
["17001025","US ECHO 2D COMPLETE",1698.5]
["17001030","US ECHO 2D LIMITED W/COLOR",767.75]
["17000567","US ECHO 2D LIMITED W/O COLOR",767.75]
["17001046","US ECHO DOPPLER COLOR FLOW",357.25]
["17001019","US ECHO STRESS REST",1651.75]
["17001878","US ELEC ANALYSIS PUMP W/REPROG & REFILL",486.75]
["17001378","US ENDOVENOUS ABAL 2ND/SUBSQ VEIN",772.75]
["17001635","US ENDOVENOUS ABAL BILAT INCMPL",3091]
["17001364","US ENDOVENOUS ABAL INCMPL 1ST VEIN",1545.5]
["17001766","US EXTREMITY COMPLETE",810]
["17000348","US EXTREMITY LTD STATIC/SOFT TISSUE",486.75]
["17500348","US EXTREMITY LTD STATIC/SOFT TISSUE READ",78]
["17001335","US FETAL UMBILICAL ARTERY DOPPLER",482.5]
["17501335","US FETAL UMBILICAL ARTERY DOPPLER READ",78]
["17001677","US FLUID COLL DRAINAGE BY CATH-SFT TISSU",625.25]
["17000512","US FLUID COLL DRAINAGE BY CATH-VISCERAL",765.5]
["17001441","US FOREIGN BODY REMVL MUSC/TENDON SMPL",521]
["17001664","US FOREIGN BODY REMVL SUBCUT SMPL",378.75]
["17000855","US HYSTROSONOGRAM",687.75]
["17000326","US INFANT HIPS",653.5]
["17001857","US INJ FEMORAL NERVE BLOCK BILATERAL",490.5]
["17001846","US INJ FEMORAL NERVE BLOCK SINGLE",245.25]
["17001865","US INJ ILIOINGNL/ILIOHYPOGSTRC BILAT NRV",816.5]
["17001699","US INJ ILIOINGUINAL/ILIOHYPOGASTRIC NERV",408.25]
["17001733","US INJ INTERCOSTAL NERVE BLK BILATERAL",546]
["17001744","US INJ INTERCOSTAL NERVE BLOCK",273]
["17001755","US INJ INTERCOSTAL NERVE BLOCK MULTI",368.5]
["17001456","US INJ OCCIPITAL NERVE BLOCK",473]
["17001597","US INJ PERIPHERAL NERVE BRANCH BILATERAL",374]
["17001584","US INJ PERIPHERAL NERVE BRANCH SINGLE",187]
["17001788","US INJ SCLEROSING SOL-MULTI BILAT VEINS",754.5]
["17001524","US INJ SCLEROSING SOL-MULTI VEINS",360]
["17001798","US INJ SCLEROSING SOL-SINGLE BILAT VEIN",630]
["17001519","US INJ SCLEROSING SOL-SINGLE VEIN",301]
["17001809","US INJ SCLEROSING SOL-SPIDER BILAT VEINS",525]
["17001642","US INJ SCLEROSING SOL-SPIDER VEINS",283.5]
["17001616","US INJ SINGLE TENDON ORIGIN/INSERTION",151.75]
["17001609","US INJ SINGLE TENDON/LIGAMENT",140.25]
["17001812","US INJ SINGLE TENDON/LIGAMENT BILAT",280.5]
["17001552","US INTERM JOINT ASPIR/INJ BILATERAL",1127]
["17001472","US INTERM JOINT ASPIR/INJ LEFT",563.5]
["17001485","US INTERM JOINT ASPIR/INJ RIGHT",563.5]
["17000536","US INTRAPERITONEAL CATH INSERTION",786.75]
["17001623","US IR FINE NEEDLE ASPIRATION",245.25]
["17501623","US IR FINE NEEDLE ASPIRATION READ",40]
["17001565","US MAJOR JOINT ASPIR/INJ BILATERAL",1127]
["17001507","US MAJOR JOINT ASPIR/INJ LEFT",563.5]
["17001498","US MAJOR JOINT ASPIR/INJ RIGHT",563.5]
["17501349","US MID CEREBRAL ARTERY DOPPLER READ",78]
["17001349","US MIDDLE CEREBRAL ARTERY DOPPLER",482.5]
["17000240","US NEEDLE GUIDANCE",563.5]
["17500240","US NEEDLE GUIDANCE READ",91]
["17000547","US OB BIO PHYSICIAL PROF",386]
["17500547","US OB BIO PHYSICIAL PROF READ",62]
["17000847","US OB COMPLETE",805.5]
["17000863","US OB COMPLETE EA ADDL FETUS",474]
["17500847","US OB COMPLETE READ",129]
["17000871","US OB F/U WITH MEASUREMENTS",297]
["17500871","US OB F/U WITH MEASUREMENTS READ",48]
["17000792","US OB GENETIC SCREENING",564]
["17000398","US OB LIMITED SINGLE OR MULTIPLE",398.25]
["17500398","US OB LMTD SINGLE OR MULTIPLE READ",64]
["17000815","US OB<14WKS EA ADDL FETUS",385.25]
["17000800","US OB<14WKS SINGLE FETUS",564]
["17500800","US OB<14WKS SINGLE FETUS READ",91]
["17000834","US OB>14WKS EA ADDL FETUS",385.25]
["17000826","US OB>14WKS SINGLE FETUS",398.25]
["17001777","US OR GUIDANCE",65]
["17501777","US OR GUIDANCE READ",11]
["17001463","US PANCREAS BIOPSY",1484]
["17000482","US PARACENTESIS",391]
["17500482","US PARACENTESIS READ",63]
["17000034","US PELVIC COMPLETE",625.25]
["17500034","US PELVIC COMPLETE READ",101]
["17000364","US PELVIS LIMITED",324.5]
["17500364","US PELVIS LTD READ",52]
["17001434","US PLACEMENT CATH PERC DRAIN",421.75]
["17000468","US PLEURAL DRAINAGE DEVICE INSERTION",553]
["17001536","US PLEURODESIS W/AGENT",265]
["20301095","US PREG UTERUS REAL TIME TRNSVAG-CPRO FE",67]
["20388093","US PREG UTERUS REAL TM TRNSVAG-FAC FEE",105]
["20301092","US PREGNANT UTERUS LMTD 1+ FETUS-CPRO FE",58]
["20388090","US PREGNANT UTERUS LMTD 1+ FETUS-FAC FEE",92]
["17000307","US PROSTATE",802.5]
["17000353","US PROSTATE VOLUME ONLY",774]
["17001543","US PSUEDO ANEURYSM INJ",364]
["17000063","US RENAL/BLADDER",676]
["17500063","US RENAL/BLADDER READ",109]
["17000091","US RETROPERI COMP",676]
["17500091","US RETROPERI COMP READ",109]
["17001686","US RF NERVE ABAL GENICULAR/PERIPHERAL",408.25]
["17001578","US SMALL JOINT ASPIR/INJ BILATERAL",1127]
["17001403","US SMALL JOINT ASPIR/INJ LEFT",563.5]
["17001410","US SMALL JOINT ASPIR/INJ RIGHT",563.5]
["17000138","US SOFT TISSUE HEAD/NECK",501.25]
["17500138","US SOFT TISSUE HEAD/NECK READ",81]
["17001380","US STAB PHEL 1 EXTR/10-20 INCIS",1978.5]
["17001392","US STAB PHEL 1 EXTR/>20 INCIS",2411.25]
["17001711","US TAP BLOCK BILAT",322.25]
["17001700","US TAP BLOCK UNILAT",257]
["17000299","US TESTICULAR ULTRASOUND",583]
["17500299","US TESTICULAR ULTRASOUND READ",94]
["17000451","US THORACENTESIS",563.5]
["17000141","US THYROID SCAN",501.25]
["17500141","US THYROID SCAN READ",81]
["17000888","US TRANSVAGINAL W/PREG",521.75]
["17500888","US TRANSVAGINAL W/PREG READ",84]
["17000315","US TRANSVAGINAL/NON OB",521.75]
["17500315","US TRANSVAGINAL/NON OB READ",84]
[" 8023723","VAC CANISTER KIT",228.45]
[" 8024697","VAC DRESSING KIT LG",323.10000000000002]
[" 8024705","VAC DRESSING KIT MED",275.25]
[" 8023715","VAC DRESSING KIT SMALL",230.55]
[" 8026890","VAC DRESSING SIMPLACE MED",291.8]
[" 8026908","VAC DRESSING WHITEFOAM LARGE",86.55]
[" 8026932","VAC Y-CONNECTOR",15.6]
[" 2000649","VACC INJ AC/FLU",80]
[" 2000654","VACC INJ AC/PNEU",80]
["26000323","VACC INJ ER/FLU",81]
["26000350","VACC INJ ER/PNEU",81]
[" 4000393","VACC INJ OB-NURS/HEP B",27.75]
["26000342","VACC INJ TR/FLU",81]
["26000334","VACC INJ TR/PNEU",81]
["20301033","VAG DLVR ONLY & POSTPARTUM CARE-HPROV FE",1856]
["20301031","VAG DLVR ONLY-HPROV FEE",1453]
["13023791","VALPROATE (DEPAKOTE SPRINKLE) CAP:125MG",3.8]
["10972257","VALPROIC ACID CMMC",180]
["13024231","VALPROIC ACID(DEPACON) INJ:500MG/5ML",36.299999999999997]
[" 8016305","VALVE ANTI REFLUX SALEM SUMP",20.55]
[" 8014805","VALVE PRESSURE RELIEF OB",70.400000000000006]
["13028417","VANCOMYCIN 1GRAM/NS250CC",42.05]
["13010533","VANCOMYCIN INJ:500MG",56.4]
["10973700","VANCOMYCIN, PEAK",195.5]
["10973716","VANCOMYCIN, TROUGH",195.5]
["13010525","VANCOMYCIN/NS IVPB:2GM",42.05]
["13024581","VANICREAM MOISTURIZING CRM:454GM",32]
[" 8026353","VAPR COOLPULSE 90 ELECTRODE",548.25]
[" 8026379","VAPR PREMIERE 50 ELECTRODE",524.29999999999995]
[" 8026361","VAPR PREMIERE 90 ELECTRODE",524.29999999999995]
["50100806","VARICELLA VACCINE",114]
["20388147","VARICELLA VIRUS VACC SUBQ-FAC FEE",130]
["10973527","VARICELLA ZOSTER IGG 4439",65.5]
["10979839","VARICELLA ZOSTER IGM 8683",65.5]
["10902693","VARICELLA ZOSTER IMM SCR 14505",135]
["10902445","VARICELLA ZOSTER VIRUS PCR (ST)",180]
[" 8027534","VASCULAR LOOP",19]
[" 8007882","VASELINE LG JAR 1#",17.8]
["10976557","VASOACT INT PP 920",334.5]
["13008552","VASOPRESSIN (PITRESSIN) INJ:20U/ML",231.55]
["13010574","VASOXYL:20MG/ML INJ",66.099999999999994]
["10971018","VDRL CSF QUAL 4128",84]
["13028689","VEDOLIZUMAB(ENTYVIO) INJ: 300MG",19056.5]
["13002419","VENLAFAXINE (EFFEXOR XR) CAP:150MG",3.2]
["13000615","VENLAFAXINE (EFFEXOR XR) CAP:75MG",3.1]
["13022231","VENLAFAXINE (EFFEXOR) TAB:37.5MG",4.3]
["13024705","VENLAFAXINE EXTENDED RELEASE TABLET:75MG",5.7]
["13024706","VENLAFAXINE XR TABLET:150MG",3.5]
["15758216","VENOGRAPHY EXT BILAT",1233]
["15758208","VENOGRAPHY EXT UNI LT",895.25]
["15000367","VENOGRAPHY EXT UNI RT",895.25]
["15758223","VENOGRAPHY SUPERIOR VENA CAVA",1077]
[" 8030470","VENT TUBE SHEA PARASOL",101.7]
[" 8021370","VENTILATOR CIRCUIT 18223-101",86.55]
["13023940","VERAPAMIL (CALAN SR) TAB:240MG",3.3]
["13010624","VERAPAMIL (ISOPTIN) INJ:5MG/2ML",68.150000000000006]
["13010632","VERAPAMIL ER CAP:120MG",2.6]
["10902614","VET AMYLASE",65.5]
["10978782","VET BUN",10.5]
["10978435","VET CBC",39]
["10978499","VET COMP/E1",27]
["10978992","VET CREAT",10.5]
["10978473","VET GLUCOSE",10.5]
["10978033","VET HEMOGRAM",16]
["10902635","VET LIPASE",54.5]
["10978485","VET LIVER PANEL",31.5]
["10902261","VET URINALYSIS W/MICRO (COMPREHENSIVE)",20.5]
["13010665","VI-DAYLIN LIQUID:240ML",27.7]
["13010657","VI-DAYLIN/F+IRON 0.25MG/ML:50ML",24.75]
["13024848","VIDAZA 100MG INJECTION",306.5]
["13024710","VIGAMOX 0.5% OPTHALMIC (EA DOSE/OR)",18.899999999999999]
["13010616","VINBLASTINE INJ:10MG/10ML",137.27000000000001]
["13008172","VINCRISTINE INJ:2MG/2ML",64.900000000000006]
[" 8024358","VISCERA RETAINER MED",114.25]
[" 8024192","VISCERA RETAINER SMALL",102.6]
["13001110","VISCOAT 40-30MG/ML:0.5ML",330.1]
["10979482","VISCOSITY, SERUM 918",114.5]
["13010673","VISINE 0.05% OPTH SOLN:15ML",11.2]
["13024519","VISION BLUE OPTHALMIC SOLUTION",185.5]
["50100716","VISION COLOR, TITMUS OR SIMILAR",11]
["50100635","VISUAL ACUITY W/O PHYSICAL BY OH",11]
["20388614","VIT B12 INJ-FAC FEE",9]
["20388615","VIT K INJ PER 1MG-FAC FEE",5]
["50100492","VITAL SIGNS BY OH",11]
["10977652","VITAMIN A 921",114.5]
["13010715","VITAMIN A&D U/D OINT:5GM",10.75]
["10978367","VITAMIN B1 PLASMA 90353",172.5]
["10970226","VITAMIN B12",156]
["10974418","VITAMIN B6 926",333.5]
["10974285","VITAMIN D 1-25 DI-OH 16558",350]
["10976157","VITAMIN D 25-OH  92888 (TOTAL D2 D3)",258]
["13010699","VITAMIN D CAP:50000 IU",3.35]
["10902842","VITAMIN D TOTAL 25-OH CMMC",210]
["13024729","VITAMIN D3 (CHOLECALCIFEROL) CAP:2000IU",2.95]
["13024209","VITAMIN D:400IU TAB",1.6]
["10979854","VITAMIN E 931",140]
["13010707","VITAMIN E CAP:400 IU",2.9]
["13002522","VITAMIN K (AQUAMEPHYTON) INJ:10MG/ML",127.85]
["13002530","VITAMIN K (AQUAMEPHYTON) INJ:2MG/ML",42.3]
["10974269","VITAMIN K 36585",404]
[" 8024440","VITRECTOMY TUBING",527.95000000000005]
["13010731","VIVACTIL TAB:5MG",3.25]
["10971810","VMA, URINE 24HR 39517",215.5]
["10977544","VMA, URINE RANDOM 1710",215.5]
["13011382","VOLTAREN 0.1% OPTH SOLN:5ML",78.349999999999994]
["13010749","VOLTAREN TAB:50MG",4]
["10971984","VOLUME MEAS TIMED",25]
["10970845","VON WILLEBRAND AG 4919",194.5]
[" 8024259","WALKER ANKLE LARGE",169.05]
[" 8024804","WALKER ANKLE MEDIUM",169.05]
[" 8024267","WALKER ANKLE SMALL",169.05]
[" 8024887","WALKER MAXTRAC LG",169.05]
[" 8024879","WALKER MAXTRAC MED",169.05]
[" 8000978","WALKER MAXTRAC SM",119.75]
["13021209","WARFARIN (COUMADIN) TAB:1MG",3.2]
["13003900","WARFARIN (COUMADIN) TAB:2.5MG",3.3]
["13003918","WARFARIN (COUMADIN) TAB:2MG",3.1]
["13022165","WARFARIN (COUMADIN) TAB:3MG",3.1]
["13003926","WARFARIN (COUMADIN) TAB:5MG",2.85]
["13024277","WARFARIN (COUMADIN) TAB:6MG",2.9]
["13003892","WARFARIN (JANTOVEN) TAB:10MG",3]
["13024452","WARFARIN (JANTOVEN) TAB:4MG",3.05]
["13003934","WARFARIN (JANTOVEN) TAB:7.5MG",3.3]
[" 8020778","WARMING BLANKET FULL",28.05]
[" 8025959","WARMING BLANKET GOWN",68.3]
[" 8016792","WARMING BLANKET LOWER",36.299999999999997]
[" 8024903","WARMING BLANKET UNDERBODY",85.55]
[" 8020760","WARMING BLANKET UPPER",36.299999999999997]
[" 8020588","WASHER 13MM",135.1]
[" 8017394","WASHER LARGE",135.1]
[" 8022063","WASHER SMALL",123.8]
["13010772","WATER BACT INJ:30ML",35.049999999999997]
[" 8015117","WATER IRGN 3000CC",27.3]
[" 8007973","WATER STERILE 1000CC POUR BOTTLE",11.25]
[" 8002206","WATER TRVN IRGN 1000CC BAG",11.25]
["10976360","WBC BLOOD",28]
["40471215","WC-APPLIC LE COMPRESSION",270]
["40471648","WC-APPLIC LE COMPRESSION BILAT",540]
["40471203","WC-APPLIC PASTE/UNNA BOOT",180]
["40471196","WC-APPLIC PASTE/UNNA BOOT BILATERAL",360]
["40471547","WC-APPLIC RIGID TOTAL CONTACT CAST",270]
["40471569","WC-APPLIC TOTAL CONTACT LEG CAST",270]
["40471226","WC-CHEMICAL WOUND CAUTERY",180]
["40471252","WC-DEBRIDEMENT NON-SHARP",180]
["40471237","WC-DEBRIDEMENT SHARP 1ST 20SQ CM or<",180]
["40471249","WC-DEBRIDMNT SHARP EA ADDL 20SQ CM",90]
["40471268","WC-NEG PRESS THERAPY <50SQ CM",180]
["40471274","WC-NEG PRESS THERAPY >50SQ CM",180]
["40471280","WC-TREATMENT LEVEL I",90]
["40471291","WC-TREATMENT LEVEL II",180]
["40471559","WC-TRIM NON-DYSTROPHIC NAILS UNLMTD",45]
["40471302","WC/G-OTHER PT/OT CURRENT STATUS",0.01]
["40471325","WC/G-OTHER PT/OT D/C STATUS",0.01]
["40471314","WC/G-OTHER PT/OT GOAL STATUS",0.01]
[" 8011215","WECK CEL SPEARS",6.15]
["10977236","WEST NILE IgG,IgM 36596",89]
["10976642","WEST NILE IgM 16012",89]
["10971174","WET PREP",39]
[" 8029050","WET-FIELD BIPOLAR CABLE",93.6]
[" 8027500","WET-FIELD ERASER",204.4]
[" 8016552","WINGED INFUSION SET 19GA x 3/4",29.8]
[" 8023749","WINGED INFUSION SET 19g x 1",29.8]
[" 8006744","WINGED INFUSION SET 22G X 1 1/2",29.1]
[" 8022212","WINGED INFUSION SET 22G X 1/2",17.5]
[" 8022246","WINGED INFUSION SET 22G X 3/4",29.8]
[" 8024374","WINGED INFUSION SET 22g x 1",29.8]
[" 8020604","WIRE CERCLAGE",29.1]
["20301448","WORK REL/MED DISABILITY EXAM-CPROV FEE",250]
["20301210","WOUND VAC APPLICATION-CPROV FEE",46]
["20388209","WOUND VAC APPLICATION-FAC FEE",32]
[" 8023558","WOUND VAC DAILY",360.5]
["15531502","WRIST BILAT LTD-2V READ",54]
["15731502","WRIST BILATERAL LTD-2V",447.5]
["15531608","WRIST COMP BILAT-3V MIN READ",64]
["15731608","WRIST COMP BILATERAL-3V MIN",522]
["15731106","WRIST COMP LEFT-3V MIN",261]
["15531106","WRIST COMP LEFT-3V MIN READ",32]
["15780806","WRIST COMP RIGHT-3V MIN",261]
["15580806","WRIST COMP RIGHT-3V MIN READ",32]
["15731007","WRIST LTD LEFT-2V",223.75]
["15531007","WRIST LTD LEFT-2V READ",27]
["15780798","WRIST LTD RIGHT-2V",223.75]
["15580798","WRIST LTD RIGHT-2V READ",27]
[" 8027245","WRISTJACK EXTERNAL FIXATION SYSTEM",3936.55]
["13010806","WYCILLIN INJ:1.2MMU",47.4]
["13010814","WYDASE INJ:150U/ML",59.2]
["13026779","XARELTO 20MG TABLET",15.15]
["13025375","XGEVA (DENOSUMAB) 120MG INJ",6488.65]
["13024215","XYLOCAINE 2% JELLY:30ML (OR ONLY)",20.149999999999999]
["13010863","XYLOCAINE-MPF 0.5% INJ:50ML",51.05]
["13023041","XYLOCAINE-MPF 2% INJ:5ML",36.15]
["13001193","XYLOCAINE-MPF 4% INJ:5ML",37.4]
["13010848","XYLOCAINE-MPF:1% INJ:30ML",42]
["13000377","XYLOCAINE/EPI 1% INJ:20ML",35.299999999999997]
["13010855","XYLOCAINE/EPI 2% INJ:20ML",35.35]
[" 8017634","Y CONNECTION SET",5.35]
["13010905","ZANTAC TAB:150MG",1.75]
["13010913","ZANTAC TAB:300MG",2.4500000000000002]
["10973543","ZARONTIN (ETHOSUX) 214",112]
["13010939","ZARONTIN CAP:250MG",3.25]
[" 8026122","ZIMMER KNEE TRAB METAL NON CEMENTED",16889.95]
[" 8025413","ZIMMER KNEE TRABECULAR METAL",15561.85]
[" 8029365","ZIMMER TOTAL KNEE",18340.55]
["13011168","ZINC CAP:50MG",2.85]
["13004197","ZINC OXIDE OINT:156GM",13.1]
["10977030","ZINC PLASMA 945",108.5]
["10979979","ZINC PROTOPORPHYRIN 948",137.5]
["10973840","ZINC URINE 24 HR 946",108.5]
["46000558","ZIO HOOK UP",87.5]
["20301181","ZIO REVIEW & INTERP-HPROV FEE",46]
["13024682","ZOLEDRONIC ACID (RECLAST) INJ:5MG/100ML",373.65]
["13026900","ZOLEDRONIC ACID (ZOMETA) INJ:4MG/100/ML",317.89999999999998]
["13024255","ZOLEDRONIC ACID (ZOMETA) INJ:4MG/5ML",57.9]
["13024364","ZOLPIDEM (AMBIEN) TAB:10MG",2.9]
["13021266","ZOLPIDEM (AMBIEN) TAB:5MG",2.95]
["13011002","ZONITE LIQUID DOUCHE",15.25]
["50100339","ZOSTAVAX (SHINGLES) VACC-OH",216]
["20388161","ZOSTAVAX (SHINGLES)-FAC FEE",236]
["13030600","Zenpep Oral Delayed Release Capsule",10.35]
["13022249","buPROPion (WELLBUTRIN SR)TAB:100MG",3.3]
["13023080","buPROPion(WELLBUTRIN SR) TAB:150MG",4.55]
["13024440","busPIRone (BUSPAR) TAB:15MG",3.1]
["13006309","ceFAZolin (ANCEF)/D5W IVPB:1GM/50ML",35.15]
["13025165","ceFAZolin (ANCEF)/D5W IVPB:2GM/50ML",48.85]
["13028285","ceFAZolin (ANCEF)/D5W IVPB:3GM/100ML",35.049999999999997]
["13004550","ceFOXitin(MEFOXIN) INJ:2GM",47.85]
["13000476","ceFOXitin(MEFOXIN)/D5W IVPB:1GM/50ML",46.3]
["13030480","ceFOXitin(MEFOXIN)/D5W IVPB:2GM/100ML",46.3]
["13009899","cefTAZidime (FORTAZ)/D5W IVPB:1GM/50ML",60.65]
["13024216","cefTAZidime (FORTAZ)/D5W IVPB:2GM/100ML",66.150000000000006]
["13026179","cefTAZidime (FORTAZ)INJ:1GM",43.3]
["13004565","cefTAZidime(FORTAZ)INJ:2GM FOR RX",52.5]
["13000450","cefTRIAXone (ROCEPHIN) IM INJ:1GM",35.25]
["13021399","cefTRIAXone (ROCEPHIN) IM INJ:250MG",35.35]
["13004526","cefTRIAXone (ROCEPHIN) IM INJ:2GM",36.25]
["13021001","cefTRIAXone (ROCEPHIN) IM INJ:500MG",35]
["13000451","cefTRIAXone/D5W IVPB:1GM/50ML",35.299999999999997]
["13025772","cefTRIAXone/D5W IVPB:250MG/50ML",35.35]
["13009352","cefTRIAXone/D5W IVPB:2GM/100ML",69.55]
["13025771","cefTRIAXone/D5W IVPB:500MG/50ML",35]
["13006366","clonazePAM (KlonoPIN) TAB:0.5MG",2.85]
["13029211","clonazePAM (KlonoPIN) TAB:1MG",2.85]
["13005335","glipiZIDE (GLUCOTROL) TAB:5MG",3]
["13004262","glyBURIDE (DIABETA) TAB:5MG",2.85]
["13002514","hydrALAZINE (APRESOLINE) INJ:20MG/ML",36.15]
["13004473","hydrALAZINE (APRESOLINE) TAB 25MG",1.2]
["13005624","hydrOXYzine PAM (VISTARIL) CAP:25MG",3.1]
["13005657","hydrOXYzine(VISTARIL) INJ:50MG/ML",53.45]
["13008982","medroxyPROGESTERone TAB:10MG",2.9]
["13009006","medroxyPROGESTERone TAB:2.5MG",2.85]
["13007075","methylPREDNISolone (MEDROL) TAB:4MG",5]
["13023817","methylPREDNISolone 4MG DOSEPAK",12.05]
["13011309","predniSONE 5MG/5ML SOLN:120ML",36.9]
["13008636","predniSONE TAB:10MG",3.15]
["13008644","predniSONE TAB:1MG",3.15]
["13008651","predniSONE TAB:20MG",3.2]
["13008669","predniSONE TAB:5MG",3.15]
["13023627","prednisoLONE (PRED FORTE) 1% OPTH:5ML",76.400000000000006]
["13024459","prednisoLONE SOD PHOS 15MG/5ML 240ML",31.35]
["13024458","prednisoLONE SOD PHOS 15MG/5ML 480ML",19.45]
["13024164","rOPINIRole  (REQUIP) TAB:0.25MG",3.45]
["13024175","rOPINIRole (REQUIP) TAB:0.5MG",3.1]
["13024184","rOPINIRole (REQUIP) TAB:1MG",3.1]
["13024186","rOPINIRole (REQUIP) TAB:2MG",3.1]
["13024721","rOPINIRole (REQUIP) TAB:2MG",2.95]
["13024340","risperiDONE (RISPERDAL) TAB:0.25MG",2.95]
["13024351","risperiDONE (RISPERDAL) TAB:0.5 MG",2.9]
["13020425","risperiDONE (RISPERDAL) TAB:1MG",3.1]
["13030320","tiZANidine HCl Tablet 4mg",3.25]

{"sheet":"Sheet2","index":1,"n_rows":0,"n_cols":0,"rows_kept":0,"cut":false,"hidden":false,"merged":[]}

{"sheet":"Sheet3","index":2,"n_rows":0,"n_cols":0,"rows_kept":0,"cut":false,"hidden":false,"merged":[]}