Updated 12/14/2021 Item Number Item Description Charge Amount HC89022628 11 DEOXYCORTISOL-QN $60.00 HC89018162 11-DEHYROTHROMBOXANE B2 UR-ES $93.00 HC83500348 "15-20 CELLS, 2 KARYO,BAND-GZ" $100.00 HC89014963 "15-20 CELLS, 2 KARYO,BAND-GZ" $223.00 HC89019970 17 HYDROXYPREGNENOLONE -ES $65.00 HC89008791 17 KETOSTEROIDS-AU $21.00 HC89008478 17 OH PROGESTERONE-AU $24.00 HC89008486 17 OH PROGESTERONE-ES $65.00 HC89008494 17-D HYDROXYPROGESTERONE-QN $45.00 HC89020895 17-D OH PROGES NEONATE STT -ES $101.00 HC89009682 17-HYDROXYPREGNENOLONE-AU $34.00 HC89022644 17-HYDROXYPREGNENOLONE-QN $64.96 HC89008809 17-KETOSTEROID FRACTIONAT'N-AU $288.00 HC89018139 17-KETOSTEROID FRACTIONAT'N-QD $98.00 HC89008445 17-OH CORTICOSTEROIDS -AU $45.00 HC89008437 17-OH CORTICOSTEROIDS-QN $29.00 HC44000008 3D RENDER W/ INDEPNDNT WORKSTN "$2,605.00 " HC51040145 3D RENDER W/ INDEPNDNT WORKSTN $300.00 HC44000016 3D RENDER W/O INDENDNPT WORKSTN "$1,788.00 " HC51061687 3D RENDER W/O INDENDNPT WORKSTN $200.00 HC89002984 5-HIAA 24HR URINE-QD $8.00 HC89008452 5-HIAA URINE-AU $20.00 HC89008460 5-HIAA URINE-CA $42.00 HC89021356 A FUMIGATUS-VC $132.00 HC89021364 A TERREUS-VC $131.00 HC89007116 A-1 ANTITRYPSIN FECES-AU $28.00 HC89007124 A-1 ANTITRYPSIN/PHENOTYPE-AU $16.00 HC89007108 A-1 ANTITRYPSIN-AU $9.00 HC89015325 A-1 ANTITRYPSIN-QD $18.00 71285-0431-1 AA 3.5% NO.2 PED-D10W-HEPARIN 3.5 %-10 %- 125 UNIT/250 ML IV SOLP $250.00 72196-0431-1 AA 3.5% NO.2 PED-D10W-HEPARIN 3.5 %-10 %- 125 UNIT/250 ML IV SOLP $268.50 31722-562-24 ABACAVIR 20 MG/ML ORAL SOLN $753.12 49702-222-48 ABACAVIR 20 MG/ML ORAL SOLN $881.28 0378-4105-91 ABACAVIR 300 MG ORAL TAB $48.22 31722-557-60 ABACAVIR 300 MG ORAL TAB $15.00 51079-204-01 ABACAVIR 300 MG ORAL TAB $51.82 51079-204-06 ABACAVIR 300 MG ORAL TAB $51.82 65862-073-60 ABACAVIR 300 MG ORAL TAB $15.00 0003-2187-13 ABATACEPT (WITH MALTOSE) 250 MG IV SOLR "$7,053.42 " HC44000024 ABDOMEN 2 VIEWS $968.00 HC44003069 ABDOMEN 3/> VIEWS "$1,174.00 " HC44000057 ABDOMEN SINGLE VIEW $674.00 HC44000032 ABDOMEN W/DECUB &/OR ERECT (3/>VIEWS) "$1,174.00 " HC62200050 ABDUCTION PILLOW $85.00 57894-150-12 ABIRATERONE 250 MG ORAL TAB $544.35 HC44702850 ABLAT ADD'L ATRIUM A FIB POST PVI+ "$13,531.00 " HC44702843 ABLAT NON1 DEG INCL RPT DX INDUC ARRHM+ "$13,451.00 " HC47200100 ABLAT PULM TUMOR(S) PERC UNILAT W/IMG GUID; RF "$11,818.00 " HC44504124 ABLAT PULM TUMOR(S) PERC UNILAT W/IMG GUID; CRYO "$16,142.00 " HC46502118 ABLAT RENAL TUMOR(S) PERC CRYO "$22,029.00 " HC44901049 ABLATE BONE TUMOR(S) PERQ W/CT;CRYO "$14,153.00 " HC44900041 ABLATE BONE TUMOR(S) PERQ W/CT;RF "$14,169.00 " HC23001993 ABLATE RF NERVE SACROILIAC JT INNRV W/IMAGE "$4,584.00 " HC23002009 ABLATE RF NERVE SACROILIAC JT INNRV W/IMAGE BIL "$6,972.00 " HC23002017 ABLATE RF NERVE SACROILIAC JT INNRV W/IMAGE LT "$4,584.00 " HC23002025 ABLATE RF NERVE SACROILIAC JT INNRV W/IMAGE RT "$4,584.00 " HC43000009 ABLATION CRYO BREAST FIBROADENOMA EA W/US "$6,416.00 " HC43001239 ABLATION CRYO BREAST MALIG TUMOR(S) &IMAG UNILAT "$13,000.00 " HC62200068 ABLATION DEVICE "$9,100.00 " HC62200076 ABLATION DEVICE(CARDIAC TISS) "$17,164.00 " HC51003333 ABLATION LASER CERVIX "$3,001.00 " HC44504322 ABLATION LIVER TUMOR(S) PERC; CRYO "$17,413.00 " HC46500005 ABLATION LIVER TUMOR(S) PERC; RF "$12,643.00 " HC46502936 ABLATION PERC CRYO LOWER EXTREMITY NERVE INCLDE IMAG "$5,500.00 " HC46502928 ABLATION PERC CRYO UPPER EXTREMITY NERVE INCLD IMAG "$5,500.00 " HC46502126 ABLATION RENAL TUMOR(S) PERC; CRYO LT "$22,029.00 " HC46502134 ABLATION RENAL TUMOR(S) PERC; CRYO RT "$22,029.00 " HC44500007 ABLATION RENAL TUMOR(S) PERC; RF "$13,948.00 " HC44500015 ABLATION RENAL TUMOR(S) PERC; RF LT "$13,948.00 " HC44500023 ABLATION RENAL TUMOR(S) PERC; RF RT "$13,948.00 " HC44504686 ABLATION UTERINE FIBROID(S) TRANSCERV W US GUIDE; RF "$11,467.00 " 15054-0530-6 ABOBOTULINUMTOXINA 300 UNIT IM SOLR "$3,093.00 " 15054-0500-1 ABOBOTULINUMTOXINA 500 UNIT IM SOLR "$5,154.00 " HC21000005 ABRASION; EA ADDL LESION 4OR< $530.00 HC21000013 ABRASION; SNGL LESION $554.00 HC81700817 ABSOLUTE T4/CELL MRKR ADD+ $276.00 HC44000065 AC JOINTS BILAT $909.00 HC62208459 ACAPELLA DEVICE $252.00 HC62200084 ACAPELLA W/MOUTHPIECE (RESP) $130.00 0054-0140-25 ACARBOSE 25 MG ORAL TAB $2.79 64380-758-06 ACARBOSE 25 MG ORAL TAB $2.30 69543-120-10 ACARBOSE 25 MG ORAL TAB $2.73 64380-759-06 ACARBOSE 50 MG ORAL TAB $2.48 69543-121-10 ACARBOSE 50 MG ORAL TAB $2.80 HC44504710 ACCESS DIALYSIS CIRCUIT EVAL->VENA CAVA WS&I "$9,460.00 " HC44504736 "ACCESS DIALYSIS CIRCUIT EVAL->VENA CAVA WS&I: PDS PTA,STENT(S)" "$22,218.00 " HC44504728 ACCESS DIALYSIS CIRCUIT EVAL->VENA CAVA WS&I; PDS PTA "$15,076.00 " HC62220108 ACCESS PORTL TRANSJUG INTRAHEP HSKL "$2,048.00 " 0378-1200-01 ACEBUTOLOL 200 MG ORAL CAP $1.85 50268-050-11 ACEBUTOLOL 200 MG ORAL CAP $8.89 50268-050-15 ACEBUTOLOL 200 MG ORAL CAP $8.89 0781-3156-06 "ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) IV SOLN" $213.00 0781-3156-95 "ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) IV SOLN" $213.00 24201-100-01 "ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) IV SOLN" $213.00 24201-100-24 "ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) IV SOLN" $213.00 43825-102-01 "ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) IV SOLN" $284.40 63323-434-00 "ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) IV SOLN (MHS)" $240.00 63323-434-41 "ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) IV SOLN (MHS)" $240.00 45802-732-00 ACETAMINOPHEN 120 MG RECTAL SUPP $1.85 45802-732-30 ACETAMINOPHEN 120 MG RECTAL SUPP $1.85 45802-732-33 ACETAMINOPHEN 120 MG RECTAL SUPP $1.00 66689-054-01 ACETAMINOPHEN 160 MG/5 ML (5 ML) ORAL SOLN $9.72 0536-1212-77 ACETAMINOPHEN 160 MG/5 ML ORAL SUSP $18.76 0121-0657-00 ACETAMINOPHEN 32 MG/ML ORAL SOLUTION (IMS) $9.72 0121-0657-05 ACETAMINOPHEN 32 MG/ML ORAL SOLUTION (IMS) $9.72 0121-1314-00 ACETAMINOPHEN 32 MG/ML ORAL SOLUTION (IMS) $10.90 0121-1314-11 ACETAMINOPHEN 32 MG/ML ORAL SOLUTION (IMS) $10.90 0121-1781-05 ACETAMINOPHEN 32 MG/ML ORAL SOLUTION (IMS) $6.96 0121-1971-00 ACETAMINOPHEN 32 MG/ML ORAL SOLUTION (IMS) $12.18 0121-1971-21 ACETAMINOPHEN 32 MG/ML ORAL SOLUTION (IMS) $12.18 0904-6820-76 ACETAMINOPHEN 32 MG/ML ORAL SOLUTION (IMS) $20.30 66689-055-01 ACETAMINOPHEN 32 MG/ML ORAL SOLUTION (IMS) $10.90 66689-055-99 ACETAMINOPHEN 32 MG/ML ORAL SOLUTION (IMS) $10.90 66689-056-01 ACETAMINOPHEN 32 MG/ML ORAL SOLUTION (IMS) $12.18 66689-056-99 ACETAMINOPHEN 32 MG/ML ORAL SOLUTION (IMS) $12.18 68094-015-59 ACETAMINOPHEN 32 MG/ML ORAL SOLUTION (IMS) $7.08 8770142902 ACETAMINOPHEN 325 MG ORAL TAB $1.00 0536-1164-01 ACETAMINOPHEN 325 MG ORAL TAB $1.00 0904-6719-50 ACETAMINOPHEN 325 MG ORAL TAB $1.00 0904-6719-80 ACETAMINOPHEN 325 MG ORAL TAB $1.00 0904-6773-61 ACETAMINOPHEN 325 MG ORAL TAB $1.00 10135-123-01 ACETAMINOPHEN 325 MG ORAL TAB $1.00 46122-390-78 ACETAMINOPHEN 325 MG ORAL TAB $1.00 50580-458-11 ACETAMINOPHEN 325 MG ORAL TAB $1.00 50580-600-02 ACETAMINOPHEN 325 MG ORAL TAB $1.00 63739-440-01 ACETAMINOPHEN 325 MG ORAL TAB $1.00 51672-2116-0 ACETAMINOPHEN 325 MG RECTAL SUPP $4.20 51672-2116-2 ACETAMINOPHEN 325 MG RECTAL SUPP $4.20 51672-2116-4 ACETAMINOPHEN 325 MG RECTAL SUPP $2.90 0904-6720-40 ACETAMINOPHEN 500 MG ORAL TAB $1.00 0904-6720-80 ACETAMINOPHEN 500 MG ORAL TAB $1.00 0904-6730-59 ACETAMINOPHEN 500 MG ORAL TAB $1.00 0904-6730-61 ACETAMINOPHEN 500 MG ORAL TAB $1.00 10135-152-01 ACETAMINOPHEN 500 MG ORAL TAB $1.00 50580-412-02 ACETAMINOPHEN 500 MG ORAL TAB $1.00 50580-457-11 ACETAMINOPHEN 500 MG ORAL TAB $1.00 57896-200-05 ACETAMINOPHEN 500 MG ORAL TAB $1.00 57896-201-10 ACETAMINOPHEN 500 MG ORAL TAB $1.00 57896-204-01 ACETAMINOPHEN 500 MG ORAL TAB $1.00 45802-730-00 ACETAMINOPHEN 650 MG RECTAL SUPP $1.67 45802-730-30 ACETAMINOPHEN 650 MG RECTAL SUPP $2.12 45802-730-33 ACETAMINOPHEN 650 MG RECTAL SUPP $1.23 0904-5791-46 ACETAMINOPHEN 80 MG ORAL CHEW $1.00 0472-1200-01 ACETAMINOPHEN 80 MG RECTAL SUPP $4.20 51672-2114-0 ACETAMINOPHEN 80 MG RECTAL SUPP $4.20 51672-2114-2 ACETAMINOPHEN 80 MG RECTAL SUPP $4.20 HC81100091 ACETAMINOPHEN/TYLENOL; 1-2 $400.00 0121-0504-05 ACETAMINOPHEN-CODEINE 120 MG-12 MG /5 ML (5 ML) ORAL SOLN $7.41 17856-0079-5 ACETAMINOPHEN-CODEINE 120 MG-12 MG /5 ML (5 ML) ORAL SOLN $9.99 50383-079-05 ACETAMINOPHEN-CODEINE 120 MG-12 MG /5 ML (5 ML) ORAL SOLN $7.44 17856-0079-1 ACETAMINOPHEN-CODEINE 300 MG-30 MG /12.5 ML ORAL SOLN $7.95 50383-079-12 ACETAMINOPHEN-CODEINE 300 MG-30 MG /12.5 ML ORAL SOLN $8.78 50383-079-13 ACETAMINOPHEN-CODEINE 300 MG-30 MG /12.5 ML ORAL SOLN $8.78 50383-079-21 ACETAMINOPHEN-CODEINE 300 MG-30 MG /12.5 ML ORAL SOLN $1.28 0093-0050-01 ACETAMINOPHEN-CODEINE 300-15 MG ORAL TAB $1.00 0406-0483-01 ACETAMINOPHEN-CODEINE 300-15 MG ORAL TAB $1.00 13107-058-01 ACETAMINOPHEN-CODEINE 300-15 MG ORAL TAB $1.00 0093-0150-01 ACETAMINOPHEN-CODEINE 300-30 MG ORAL TAB $1.00 0406-0484-23 ACETAMINOPHEN-CODEINE 300-30 MG ORAL TAB $1.00 0406-0484-62 ACETAMINOPHEN-CODEINE 300-30 MG ORAL TAB $1.00 0603-2338-21 ACETAMINOPHEN-CODEINE 300-30 MG ORAL TAB $2.53 51079-161-01 ACETAMINOPHEN-CODEINE 300-30 MG ORAL TAB $1.36 51079-161-20 ACETAMINOPHEN-CODEINE 300-30 MG ORAL TAB $1.36 68084-372-01 ACETAMINOPHEN-CODEINE 300-30 MG ORAL TAB $1.59 68084-372-11 ACETAMINOPHEN-CODEINE 300-30 MG ORAL TAB $1.59 0406-0485-01 ACETAMINOPHEN-CODEINE 300-60 MG ORAL TAB $1.73 0603-2339-21 ACETAMINOPHEN-CODEINE 300-60 MG ORAL TAB $4.97 68084-373-01 ACETAMINOPHEN-CODEINE 300-60 MG ORAL TAB $5.55 68084-373-11 ACETAMINOPHEN-CODEINE 300-60 MG ORAL TAB $5.55 99998-005-14 ACETAZOLAMIDE 25 MG/ML ORAL SUSP (COMPOUND) (MCH) $2.17 99998-005-15 ACETAZOLAMIDE 25 MG/ML ORAL SUSP (COMPOUND) (MCH) $2.77 99998-005-16 ACETAZOLAMIDE 25 MG/ML ORAL SUSP (COMPOUND) (MCH) $6.93 0527-1050-01 ACETAZOLAMIDE 250 MG ORAL TAB $6.00 0904-6663-61 ACETAZOLAMIDE 250 MG ORAL TAB $21.67 51672-4023-1 ACETAZOLAMIDE 250 MG ORAL TAB $13.84 68084-541-01 ACETAZOLAMIDE 250 MG ORAL TAB $20.94 68084-541-11 ACETAZOLAMIDE 250 MG ORAL TAB $20.94 29033-030-01 ACETAZOLAMIDE 500 MG ORAL CPSR $7.50 50742-233-01 ACETAZOLAMIDE 500 MG ORAL CPSR $3.00 68084-401-11 ACETAZOLAMIDE 500 MG ORAL CPSR $23.50 68084-401-21 ACETAZOLAMIDE 500 MG ORAL CPSR $23.50 0143-9503-01 ACETAZOLAMIDE SODIUM 500 MG INJ SOLR $263.76 39822-0190-1 ACETAZOLAMIDE SODIUM 500 MG INJ SOLR $189.00 39822-0190-7 ACETAZOLAMIDE SODIUM 500 MG INJ SOLR $189.00 67457-853-50 ACETAZOLAMIDE SODIUM 500 MG INJ SOLR $240.00 HC89003537 ACETAZOLAMIDE URINE-AU $91.00 5155200516 ACETIC ACID (BULK) 3 % MISC LIQD $96.00 5155200556 ACETIC ACID (BULK) 5 % MISC LIQD $99.00 99999-037-12 ACETIC ACID (BULK) 5 % MISC LIQD $5.22 99999-039-14 ACETIC ACID (BULK) 5 % MISC LIQD $19.80 0338-0656-04 ACETIC ACID 0.25 % IRR SOLN $36.00 0990-6143-09 ACETIC ACID 0.25 % IRR SOLN $30.00 0990-6143-22 ACETIC ACID 0.25 % IRR SOLN $31.50 50383-889-15 ACETIC ACID 2 % OTIC SOLN $168.03 60432-741-15 ACETIC ACID 2 % OTIC SOLN $168.03 HC81100349 ACETONE $212.00 24208-539-20 ACETYLCHOLINE CHLORIDE 1 % (10 MG/ML) INTRAOCULAR KIT $623.10 HC89013940 ACETYLCHOLINE RECEPTOR AB-AU $15.00 HC89001382 ACETYLCHOLINE RECEPTOR AB-QD $61.00 HC81101016 ACETYLCHOLINESTERASE $162.00 HC89006985 ACETYLCHOLINESTERASE-AU $16.00 0517-7504-01 ACETYLCYSTEINE 100 MG/ML (10 %) MISC SOLN $47.83 0517-7504-25 ACETYLCYSTEINE 100 MG/ML (10 %) MISC SOLN $47.83 63323-695-04 ACETYLCYSTEINE 100 MG/ML (10 %) MISC SOLN $61.39 99999-037-69 ACETYLCYSTEINE 100 MG/ML (10 %) MISC SOLN $6.67 99999-037-70 ACETYLCYSTEINE 100 MG/ML (10 %) MISC SOLN $13.34 0517-7610-03 ACETYLCYSTEINE 20 % (200 MG/ML) ORAL SOLN $73.50 99999-001-59 ACETYLCYSTEINE 20 % (200 MG/ML) ORAL SOLN $16.68 99999-001-58 ACETYLCYSTEINE 20 % (200 MG/ML) ORAL SYRINGE $12.51 0574-0805-00 ACETYLCYSTEINE 200 MG/ML (20 %) IV SOLN "$1,128.06 " 0574-0805-30 ACETYLCYSTEINE 200 MG/ML (20 %) IV SOLN "$1,128.06 " 25021-812-30 ACETYLCYSTEINE 200 MG/ML (20 %) IV SOLN $900.00 63323-963-30 ACETYLCYSTEINE 200 MG/ML (20 %) IV SOLN "$1,128.06 " 66220-207-30 ACETYLCYSTEINE 200 MG/ML (20 %) IV SOLN "$1,242.00 " 0409-3308-03 ACETYLCYSTEINE 200 MG/ML (20 %) MISC SOLN $64.44 0409-3308-11 ACETYLCYSTEINE 200 MG/ML (20 %) MISC SOLN $64.44 0517-7604-01 ACETYLCYSTEINE 200 MG/ML (20 %) MISC SOLN $72.00 0517-7604-25 ACETYLCYSTEINE 200 MG/ML (20 %) MISC SOLN $72.00 63323-690-30 ACETYLCYSTEINE 200 MG/ML (20 %) MISC SOLN $125.10 63323-692-10 ACETYLCYSTEINE 200 MG/ML (20 %) MISC SOLN $72.90 63323-694-04 ACETYLCYSTEINE 200 MG/ML (20 %) MISC SOLN $76.75 99999-040-38 ACETYLCYSTEINE 5 % (50 MG/ML) ORAL SOLUTION DILUTION $5.98 HC89016687 ACID FAST PARASITES-AU $16.00 HC82200049 ACID FAST STN/GR I W/INT&RPT+ $475.00 HC89009567 ACID PHOS PROSTATIC-AU $13.35 HC89013882 ACID PHOS PROSTATIC-AU $16.00 HC89009559 ACID PHOS -TOTAL-AU $10.00 HC82201492 "ACID PTASE STAIN, GRP III" $798.00 HC89015911 ACIDFAST BACILL STAIN (OTH)-QD $32.00 0145-0090-25 ACITRETIN 10 MG ORAL CAP $263.60 HC81101750 ACTH STIMULATION PANEL $693.00 HC89007017 ACTH-AU $18.00 HC89007009 ACTH-ES $88.00 HC89000863 ACTH-QD $89.00 HC89023014 ACTH-QN $112.00 0574-0121-04 ACTIVATED CHARCOAL 25 GRAM/120 ML ORAL SUSP $79.92 0574-0121-74 ACTIVATED CHARCOAL 25 GRAM/120 ML ORAL SUSP $79.92 66689-202-04 ACTIVATED CHARCOAL 25 GRAM/120 ML ORAL SUSP $131.76 1184578705 ACTIVATED CHARCOAL 260 MG ORAL CAP $1.00 10961-065-02 ACTIVATED CHARCOAL 260 MG ORAL CAP $1.00 0574-0120-04 ACTIVATED CHARCOAL-SORBITOL 25 GRAM/120 ML ORAL SUSP $79.92 0574-0120-74 ACTIVATED CHARCOAL-SORBITOL 25 GRAM/120 ML ORAL SUSP $79.92 66689-203-04 ACTIVATED CHARCOAL-SORBITOL 25 GRAM/120 ML ORAL SUSP $131.76 0574-0120-08 ACTIVATED CHARCOAL-SORBITOL 50 GRAM/240 ML ORAL SUSP $113.76 66689-203-08 ACTIVATED CHARCOAL-SORBITOL 50 GRAM/240 ML ORAL SUSP $180.00 HC81500118 ACTIVATED COAG TIME $193.00 HC81500480 ACTIVATED PROT C RESISTANCE $385.00 HC89004139 ACTIVATED PROT C RESISTANCE-AU $21.00 HC81100877 ACUTE HEPATITIS PANEL $715.00 0093-8940-01 ACYCLOVIR 200 MG ORAL CAP $1.00 0904-5789-61 ACYCLOVIR 200 MG ORAL CAP $1.00 61442-114-01 ACYCLOVIR 200 MG ORAL CAP $1.00 69076-146-01 ACYCLOVIR 200 MG ORAL CAP $1.00 75834-124-01 ACYCLOVIR 200 MG ORAL CAP $1.00 0378-8712-73 ACYCLOVIR 200 MG/5 ML ORAL SUSP "$2,137.01 " 0472-0082-16 ACYCLOVIR 200 MG/5 ML ORAL SUSP "$2,137.01 " 50383-810-16 ACYCLOVIR 200 MG/5 ML ORAL SUSP "$2,137.01 " 0093-8943-01 ACYCLOVIR 400 MG ORAL TAB $1.00 0904-5790-61 ACYCLOVIR 400 MG ORAL TAB $2.43 31722-777-01 ACYCLOVIR 400 MG ORAL TAB $1.00 50268-061-11 ACYCLOVIR 400 MG ORAL TAB $3.48 50268-061-15 ACYCLOVIR 400 MG ORAL TAB $3.48 60505-5306-1 ACYCLOVIR 400 MG ORAL TAB $1.00 61442-112-01 ACYCLOVIR 400 MG ORAL TAB $1.00 68084-108-01 ACYCLOVIR 400 MG ORAL TAB $2.33 68084-108-11 ACYCLOVIR 400 MG ORAL TAB $2.33 0187-0994-45 ACYCLOVIR 5 % TOPICAL CREAM "$5,065.74 " 0187-0993-95 ACYCLOVIR 5 % TOPICAL OINT "$8,778.06 " 0378-8700-06 ACYCLOVIR 5 % TOPICAL OINT $900.00 0591-1159-30 ACYCLOVIR 5 % TOPICAL OINT "$3,839.94 " 16714-885-01 ACYCLOVIR 5 % TOPICAL OINT "$1,100.16 " 16714-885-02 ACYCLOVIR 5 % TOPICAL OINT "$2,117.88 " 51079-550-67 ACYCLOVIR 5 % TOPICAL OINT $701.88 51079-550-68 ACYCLOVIR 5 % TOPICAL OINT $701.88 65162-835-96 ACYCLOVIR 5 % TOPICAL OINT "$1,800.00 " 68462-746-17 ACYCLOVIR 5 % TOPICAL OINT $360.00 68462-746-35 ACYCLOVIR 5 % TOPICAL OINT $720.00 99999-000-01 ACYCLOVIR 5 MG/ML NICU IV DILUTION $1.08 0093-8947-01 ACYCLOVIR 800 MG ORAL TAB $1.82 31722-778-01 ACYCLOVIR 800 MG ORAL TAB $1.82 50268-062-11 ACYCLOVIR 800 MG ORAL TAB $6.86 50268-062-15 ACYCLOVIR 800 MG ORAL TAB $6.86 60505-5307-1 ACYCLOVIR 800 MG ORAL TAB $1.82 61442-113-01 ACYCLOVIR 800 MG ORAL TAB $1.82 68084-109-01 ACYCLOVIR 800 MG ORAL TAB $5.46 68084-109-11 ACYCLOVIR 800 MG ORAL TAB $5.46 55150-154-10 ACYCLOVIR SODIUM 50 MG/ML IV SOLN $67.50 55150-154-11 ACYCLOVIR SODIUM 50 MG/ML IV SOLN $67.50 55150-155-20 ACYCLOVIR SODIUM 50 MG/ML IV SOLN $126.00 63323-325-03 ACYCLOVIR SODIUM 50 MG/ML IV SOLN $112.80 63323-325-09 ACYCLOVIR SODIUM 50 MG/ML IV SOLN $210.00 63323-325-10 ACYCLOVIR SODIUM 50 MG/ML IV SOLN $112.80 63323-325-20 ACYCLOVIR SODIUM 50 MG/ML IV SOLN $210.00 55390-612-10 ACYCLOVIR SODIUM 500 MG IV SOLR $27.00 HC89016091 ACYLCARNITINES QUANT-MA $48.00 0074-4339-02 ADALIMUMAB 40 MG/0.8 ML SUBCUTANEOUS PNKT "$16,670.91 " 0074-3799-02 ADALIMUMAB 40 MG/0.8 ML SUBCUTANEOUS SYKT "$16,670.91 " HC62802764 ADAPT/EXT PACING LEAD SPX "$2,425.00 " HC62222674 ADAPTER AIRWAY/RESP CPAP B $78.00 HC62200092 ADAPTER AIRWAY/RESPIRATORY E $164.00 HC62219886 ADAPTER ARTHROSCPC $585.00 HC62224654 ADAPTER CATH URETERAL/URINARY A $39.00 HC62200100 ADAPTER CATH URETERAL/URINARY C $91.00 HC62200118 ADAPTER DIALYSIS $14.00 HC62200126 ADAPTER FEEDING TUBE $56.00 HC62215769 ADAPTER INJECTION SPINAL "$1,080.00 " HC62214705 ADAPTER PTCA W/GUIDEWIRE $277.00 HC62214622 ADAPTER SIDEARM ENDO $46.00 HC62200134 ADAPTER SUCTION-IRRIGATION $95.00 HC62200142 ADAPTER/CONNECTOR IV $52.00 HC62200159 ADAPTOR CATH UROLOGICAL $39.00 HC62225909 ADAPTOR EXT BRACHYTHERAPY $98.00 HC62200167 ADAPTOR/CONNECTOR IRRIG TUR $104.00 HC62220371 ADAPTOR/SPLINT WALKER WRIST $85.00 HC38000352 ADDING WALKER HEEL PREV CAST $385.00 HC25005067 ADDING WALKER HEEL PREV CAST BILAT $676.00 HC25005042 ADDING WALKER HEEL PREV CAST LT $376.00 HC25005059 ADDING WALKER HEEL PREV CAST RT $376.00 HC82202797 ADDITIONAL UNSTAINED SLIDES $93.00 HC84200799 ADDITIONAL VIRUS TEST $262.00 HC82202789 ADDL UNSTAINED SLIDE/PROC BLK $87.00 61958-0501-1 ADEFOVIR 10 MG ORAL TAB $311.12 0409-1932-02 ADENOSINE (DIAGNOSTIC) 3 MG/ML IV SOLN $965.70 0703-8776-01 ADENOSINE (DIAGNOSTIC) 3 MG/ML IV SOLN $519.84 0703-8777-01 ADENOSINE (DIAGNOSTIC) 3 MG/ML IV SOLN $765.90 17478-544-30 ADENOSINE (DIAGNOSTIC) 3 MG/ML IV SOLN $765.90 67457-856-20 ADENOSINE (DIAGNOSTIC) 3 MG/ML IV SOLN $780.00 67457-857-30 ADENOSINE (DIAGNOSTIC) 3 MG/ML IV SOLN "$1,175.94 " 99999-034-66 ADENOSINE 1000 MCG / 100 ML FFR IC SOLUTION $66.60 17478-542-02 ADENOSINE 3 MG/ML IV SOLN $41.23 17478-542-25 ADENOSINE 3 MG/ML IV SOLN $37.42 17478-953-02 ADENOSINE 3 MG/ML IV SOLN $17.33 63323-651-02 ADENOSINE 3 MG/ML IV SOLN $75.88 67457-855-00 ADENOSINE 3 MG/ML IV SOLN $41.58 67457-855-02 ADENOSINE 3 MG/ML IV SOLN $41.58 HC89003669 ADENOSINE DEAMINASE-AU $31.00 0469-0871-30 ADENOSINE IV INFUSION "$1,959.66 " 55150-193-01 ADENOSINE IV INFUSION $858.06 HC89000111 ADENOVIRUS AB (PNL)-FT $70.00 HC89005201 ADENOVIRUS AB (SERUM) -FT $62.00 HC89004394 "ADENOVIRUS AB, IGG-AU" $11.00 HC89004402 "ADENOVIRUS AB, IGM-AU" $11.00 HC89012082 ADENOVIRUS AB-AU $21.00 HC89000210 ADENOVIRUS AB-QD $16.00 HC89004378 ADENOVIRUS AG-AU $19.00 HC84200815 ADENOVIRUS FA ANTIGEN $203.00 HC62219100 ADHESIVE SKIN CARDIAC/PCMKR $78.00 HC46501920 ADJUST GASTRIC BAND VIA PORT "$2,768.00 " HC12400099 ADMIN CHEMO INTRA ARTERIAL INJ "$1,507.00 " HC44701563 ADMIN RX;MULT MSRMNTS PRE/PST+ "$1,311.00 " HC36000008 ADMIN SURFACTANT THRU TUBE $559.00 HC12600094 ADMIN VACCINE COVID-19 MODERNA 2ND DOSE $128.00 HC51061406 ADMIN VACCINE COVID-19 MODERNA 2ND DOSE $90.00 HC12600086 ADMIN VACCINE COVID-19 MODERNA INITIAL DOSE $128.00 HC51061398 ADMIN VACCINE COVID-19 MODERNA INITIAL DOSE $90.00 HC12600078 ADMIN VACCINE COVID-19 PFIZER-BIONTECH 2ND DOSE $128.00 HC51061380 ADMIN VACCINE COVID-19 PFIZER-BIONTECH 2ND DOSE $90.00 HC12600060 ADMIN VACCINE COVID-19 PFIZER-BIONTECH INITIAL DOSE $131.00 HC51061372 ADMIN VACCINE COVID-19 PFIZER-BIONTECH INITIAL DOSE $90.00 HC12600052 ADMIN VACCINE HEPATITIS B $184.00 HC25001405 ADMIN VACCINE HEPATITIS B $111.00 HC12600029 ADMIN VACCINE INFLUENZA $184.00 HC12600037 ADMIN VACCINE PNEUMOCOCCAL $184.00 HC29000650 ADMIN/INTERP RISK ASSESS INSTR CAREGIVER FCS $159.00 HC29000643 ADMIN/INTERP RISK ASSESS INSTR PT-FOCUS $159.00 HC51020378 ADMINISTRATION OF VACCINE INFLUENZA $90.00 HC51020386 ADMINISTRATION OF VACCINE PNEUMOCOCCAL $90.00 50242-088-01 ADO-TRASTUZUMAB EMTANSINE 100 MG IV SOLR "$18,926.94 " 50242-087-01 ADO-TRASTUZUMAB EMTANSINE 160 MG IV SOLR "$30,283.08 " HC89004113 ADRENAL AB - AU $46.00 HC89007025 ADRENOCORTICOTROPIC HRMN-AU $6.00 HC62208889 ADVANCER ROTALINK $849.00 HC62217120 ADVANCER SYSTM ROTALINK $862.00 0944-3053-02 "ADVATE 1,000 (+/-) UNIT IV SOLR" "$9,840.00 " 0944-3053-03 "ADVATE 1,000 (+/-) UNIT IV SOLR" "$9,840.00 " 0944-3054-02 "ADVATE 1,500 (+/-) UNIT IV SOLR" "$14,760.00 " 0944-3045-10 "ADVATE 2,000 (+/-) UNIT IV SOLR" "$19,680.00 " 0944-3045-11 "ADVATE 2,000 (+/-) UNIT IV SOLR" "$19,680.00 " 0944-3046-10 "ADVATE 3,000 (+/-) UNIT IV SOLR" "$29,520.00 " 0944-3046-11 "ADVATE 3,000 (+/-) UNIT IV SOLR" "$29,520.00 " 0944-3052-02 ADVATE 500 (+/-) UNIT IV SOLR "$4,920.00 " 0944-3052-03 ADVATE 500 (+/-) UNIT IV SOLR "$4,920.00 " HC89017057 AEROBIC BACTERIAL ID-FT $58.00 HC84200278 AEROBIC ID EA ISOLATE $225.00 HC51080067 AEROCHAMBER $26.00 HC62200175 AEROCHAMBER $39.00 HC36000024 AEROSOL-CONTINUOUS TX EA AD'HR $624.00 HC51004067 AEROSOL-CONTINUOUS TX EA AD'HR $88.00 HC36000016 AEROSOL-CONTINUOUS TX FIRST HR $697.00 HC51004059 AEROSOL-CONTINUOUS TX FIRST HR $152.00 HC36000032 AEROSOL-HHN TREATMENT INIT $483.00 HC36000040 AEROSOL-HHN TX SUBSQ SAME DAY $445.00 HC36000057 AEROSOL-IPPB TREATMENT INIT $483.00 HC36000065 AEROSOL-IPPB TX SUBSQ SAME DAY $445.00 HC36000073 AEROSOL-MDI TREATMENT INIT $483.00 HC36000081 AEROSOL-MDI TX SUBSQ SAME DAY $445.00 HC36000099 AEROSOL-PENTAMADINE $510.00 HC36000107 AEROSOL-TREATMENT INITIAL $483.00 HC36000115 AEROSOL-TX SUBSQ SAME DAY $445.00 HC84200724 AFB ID BY PROBE $315.00 HC89014591 AFB MIC PRIMARY(PNL)-AU $62.00 HC89021513 "AFB MTB DNA, PCR-AU" $195.00 HC84200773 AFB STAIN DIRECT $182.00 HC81700049 AFP $302.00 HC89007132 AFP-AU $16.00 HC89007140 AFP-GE $11.00 HC89016133 AFP-QD $22.00 58468-0040-1 AGALSIDASE BETA 35 MG IV SOLR "$37,512.60 " HC89019863 AH50-ALTERNATE PATHWAY-SL $92.00 HC51060044 AHCP ASSESS/INTERVEN PER 30MIN $90.00 HC51060036 AHCP CONSULT TELEPHONE PER 15MIN $47.00 HC39001227 AHCP CONSULT TELEPHONE PER 15MIN/C $67.00 HC51060002 AHCP COORDINATE ACTIVITIES CASE $302.00 HC51060010 AHCP GROUP TEACH/COUNS SESSION $74.00 HC51060028 AHCP TEAM CONF PRTCPNT EA 15MIN $43.00 HC62211446 AIRWAY MASK LARYNGEAL (LMA) $42.00 HC36000677 AIRWAY RESISTANCE OSCILLOMETRY "$1,037.00 " HC36800720 AIRWAY RESISTANCE OSCILLOMETRY "$1,037.00 " HC62200183 AIRWAY SPECIALIZED $42.00 0135-0096-26 AL HYD-MG TR-ALG AC-SOD BICARB 80-14.2 MG ORAL CHEW $1.00 0591-2712-02 ALBENDAZOLE 200 MG ORAL TAB $580.95 16714-907-01 ALBENDAZOLE 200 MG ORAL TAB "$1,147.08 " 69097-237-72 ALBENDAZOLE 200 MG ORAL TAB $411.00 70710-1021-8 ALBENDAZOLE 200 MG ORAL TAB $714.24 HC81101511 ALBUMIN ISCHEMIA MODIFIED $417.00 HC89007074 ALBUMIN SERUM/PLASMA NEPHELOMETRY-AU $12.00 HC89007082 ALBUMIN URINE -AU $4.00 0053-7680-32 "ALBUMIN, HUMAN 25 % 25 % IV SOLP" $540.00 0053-7680-33 "ALBUMIN, HUMAN 25 % 25 % IV SOLP" "$1,080.00 " 0053-7680-91 "ALBUMIN, HUMAN 25 % 25 % IV SOLP" $540.00 0053-7680-92 "ALBUMIN, HUMAN 25 % 25 % IV SOLP" "$1,080.00 " 0944-0493-02 "ALBUMIN, HUMAN 25 % 25 % IV SOLP" $694.20 44206-251-05 "ALBUMIN, HUMAN 25 % 25 % IV SOLP" $540.00 44206-251-10 "ALBUMIN, HUMAN 25 % 25 % IV SOLP" "$1,080.00 " 44206-251-91 "ALBUMIN, HUMAN 25 % 25 % IV SOLP" "$1,080.00 " 68516-5216-1 "ALBUMIN, HUMAN 25 % 25 % IV SOLP" $276.00 68516-5216-2 "ALBUMIN, HUMAN 25 % 25 % IV SOLP" $552.00 68516-5216-3 "ALBUMIN, HUMAN 25 % 25 % IV SOLP" $276.00 68982-643-01 "ALBUMIN, HUMAN 25 % 25 % IV SOLP" $344.40 76125-792-10 "ALBUMIN, HUMAN 25 % 25 % IV SOLP" $576.00 76125-792-11 "ALBUMIN, HUMAN 25 % 25 % IV SOLP" $576.00 44206-251-90 "ALBUMIN, HUMAN 25 % IV SOLP (MCH)" $540.00 68516-5216-4 "ALBUMIN, HUMAN 25 % IV SOLP (MCH)" $552.00 99999-005-00 "ALBUMIN, HUMAN 25 % IV SOLP (MCH)" $108.00 99999-040-58 "ALBUMIN, HUMAN 25 % IV SOLP (MCH)" $54.00 44206-310-25 "ALBUMIN, HUMAN 5 % 5 % IV SOLP" $540.00 44206-310-50 "ALBUMIN, HUMAN 5 % 5 % IV SOLP" "$1,080.00 " 44206-310-90 "ALBUMIN, HUMAN 5 % 5 % IV SOLP" $540.00 44206-310-91 "ALBUMIN, HUMAN 5 % 5 % IV SOLP" "$1,080.00 " 68516-5214-1 "ALBUMIN, HUMAN 5 % 5 % IV SOLP" $276.00 68516-5214-2 "ALBUMIN, HUMAN 5 % 5 % IV SOLP" $552.00 68516-5214-3 "ALBUMIN, HUMAN 5 % 5 % IV SOLP" $276.00 68516-5214-4 "ALBUMIN, HUMAN 5 % 5 % IV SOLP" $552.00 68982-623-02 "ALBUMIN, HUMAN 5 % 5 % IV SOLP" $415.50 68982-623-03 "ALBUMIN, HUMAN 5 % 5 % IV SOLP" $831.00 76125-790-25 "ALBUMIN, HUMAN 5 % 5 % IV SOLP" $288.00 76125-790-26 "ALBUMIN, HUMAN 5 % 5 % IV SOLP" $288.00 99999-005-02 "ALBUMIN, HUMAN 5 % IV SOLP (MCH)" $21.60 99999-005-03 "ALBUMIN, HUMAN 5 % IV SOLP (MCH)" $64.80 99999-040-59 "ALBUMIN, HUMAN 5 % IV SOLP (MCH)" $10.80 HC81101487 ALBUMIN; OTHER SOURCE $217.00 HC89091276 ALBUMIN; OTHER SRC - AU $6.00 HC89020903 ALBUMIN; OTHER SRC: CSF -AU $6.00 HC81100364 ALBUMIN; SERUM/PLASMA/WHOLE BLOOD $157.00 HC81700635 ALBUMIN; URINE QUANT $171.00 HC89016299 ALBUMIN; URINE QUANT-QD $8.00 0487-9904-01 ALBUTEROL SULFATE 1.25 MG/3 ML INHALATION NEBU $7.97 0487-9501-01 ALBUTEROL SULFATE 2.5 MG /3 ML (0.083 %) INHALATION NEBU $1.21 0487-9501-03 ALBUTEROL SULFATE 2.5 MG /3 ML (0.083 %) INHALATION NEBU $1.00 0487-9501-25 ALBUTEROL SULFATE 2.5 MG /3 ML (0.083 %) INHALATION NEBU $1.00 76204-200-01 ALBUTEROL SULFATE 2.5 MG /3 ML (0.083 %) INHALATION NEBU $1.21 0487-9901-30 ALBUTEROL SULFATE 2.5 MG/0.5 ML INHALATION NEBU $2.28 53489-177-01 ALBUTEROL SULFATE 4 MG ORAL TAB $11.28 53489-177-05 ALBUTEROL SULFATE 4 MG ORAL TAB $11.28 69543-291-10 ALBUTEROL SULFATE 4 MG ORAL TAB $5.94 0378-4122-01 ALBUTEROL SULFATE 4 MG ORAL TB12 $8.56 50383-741-20 ALBUTEROL SULFATE 5 MG/ML INHALATION NEBU $289.80 99999-041-06 ALBUTEROL SULFATE 5 MG/ML INHALATION NEBU $38.40 0085-1132-04 ALBUTEROL SULFATE 90 MCG/ACTUATION INHALATION HFAA $478.38 0173-0682-20 ALBUTEROL SULFATE 90 MCG/ACTUATION INHALATION HFAA $332.21 0173-0682-24 ALBUTEROL SULFATE 90 MCG/ACTUATION INHALATION HFAA $132.38 0254-1007-52 ALBUTEROL SULFATE 90 MCG/ACTUATION INHALATION HFAA $215.87 45802-088-01 ALBUTEROL SULFATE 90 MCG/ACTUATION INHALATION HFAA $215.88 59310-579-22 ALBUTEROL SULFATE 90 MCG/ACTUATION INHALATION HFAA $401.27 99999-044-26 ALBUTEROL SULFATE 90 MCG/ACTUATION INHALATION HFAA $2.21 HC82201039 ALCIAN BLUE NO DIGEST'N/GRPII+ $418.00 HC82200130 ALCIAN BLUE STAIN/ GR I W/I&R+ $475.00 HC82201047 ALCIAN BLUE STN W/DIG/GRP II+ $412.00 HC81100380 ALCOHOL; 1-2 $374.00 HC89015309 ALCOHOL; 1-2 (URINE)-QD $17.00 HC89022826 ALCOHOL; 1-2 (URINE)-U2 $23.00 99999-010-06 "ALDESLEUKIN 8,800,000 UNIT/ML IV SOLN (SQ) (INVESTAGATIONAL)" "$2,823.36 " HC81101024 ALDOLASE $191.00 HC89015168 ALDOLASE-AU $5.00 HC89015317 ALDOLASE-QD $11.00 HC89000905 ALDOSTERONE URINE-QD $38.00 HC89007090 ALDOSTERONE-AU $23.00 HC89023204 ALDOSTERONE-QN $81.50 16714-631-01 ALENDRONATE 10 MG ORAL TAB $2.00 16714-631-02 ALENDRONATE 10 MG ORAL TAB $2.18 16714-632-01 ALENDRONATE 35 MG ORAL TAB $7.79 16714-632-02 ALENDRONATE 35 MG ORAL TAB $5.24 0006-0031-44 ALENDRONATE 70 MG ORAL TAB $191.76 16714-633-01 ALENDRONATE 70 MG ORAL TAB $6.75 16714-633-02 ALENDRONATE 70 MG ORAL TAB $5.21 69543-131-20 ALENDRONATE 70 MG ORAL TAB $16.74 29300-155-01 ALFUZOSIN 10 MG ORAL TB24 $2.10 47335-956-88 ALFUZOSIN 10 MG ORAL TB24 $2.10 57237-114-90 ALFUZOSIN 10 MG ORAL TB24 $2.33 60505-2850-1 ALFUZOSIN 10 MG ORAL TB24 $2.10 HC83001131 ALIQUOT PLASMA $621.00 HC83001289 ALIQUOT PLASMA CONVALESCENT $621.00 HC83000828 ALIQUOT PLATELETS $660.00 HC83000810 ALIQUOT RED CELLS $660.00 66993-141-30 ALISKIREN 150 MG ORAL TAB $37.36 70839-150-30 ALISKIREN 150 MG ORAL TAB $44.89 HC89009591 ALK PHOS ISO BONE SPECIFIC-AU $30.00 HC81100398 ALK PHOSPHATASE $177.00 HC89015481 ALK PHOSPHATASE-QD $18.00 HC89009583 ALKALINE PHOS ISOENZYMES-AU $13.00 HC89000616 ALKALINE PHOS ISOENZYMES-QD $41.00 HC81701906 "ALLERGEN IGE CRUDE EXTRACT, EACH" $52.00 HC81702011 ALLERGEN IGE SPECFC RECOMB QNT/SEMI QNT EA $161.00 HC89021190 ALLERGEN IGE-EA(IMMUNOCAP ISAC)-PD $3.00 HC89017149 "ALLERGEN SPECIFIC IGE, EACH-IB" $419.00 HC89002760 ALLERGEN(PNL 2)-AU $5.00 HC89014039 ALLERGEN(PNL)-AU $5.00 HC89014021 ALLERGEN-AU $7.00 HC89010904 ALLERGEN-INDIVIDUAL-AU $6.00 0378-0137-01 ALLOPURINOL 100 MG ORAL TAB $1.70 0904-6571-61 ALLOPURINOL 100 MG ORAL TAB $1.98 16714-041-10 ALLOPURINOL 100 MG ORAL TAB $1.59 16714-041-12 ALLOPURINOL 100 MG ORAL TAB $1.28 51079-205-01 ALLOPURINOL 100 MG ORAL TAB $1.88 51079-205-20 ALLOPURINOL 100 MG ORAL TAB $1.88 55111-729-01 ALLOPURINOL 100 MG ORAL TAB $1.00 62584-988-01 ALLOPURINOL 100 MG ORAL TAB $2.48 62584-988-11 ALLOPURINOL 100 MG ORAL TAB $2.48 63739-410-10 ALLOPURINOL 100 MG ORAL TAB $1.49 99999-034-96 ALLOPURINOL 20 MG/ML ORAL SUSP (COMPOUND) $1.00 0378-0181-05 ALLOPURINOL 300 MG ORAL TAB $3.42 0904-6572-61 ALLOPURINOL 300 MG ORAL TAB $4.04 16714-042-10 ALLOPURINOL 300 MG ORAL TAB $2.33 16714-042-11 ALLOPURINOL 300 MG ORAL TAB $2.44 51079-206-01 ALLOPURINOL 300 MG ORAL TAB $3.79 51079-206-20 ALLOPURINOL 300 MG ORAL TAB $3.79 55111-730-01 ALLOPURINOL 300 MG ORAL TAB $1.26 62584-713-01 ALLOPURINOL 300 MG ORAL TAB $4.41 62584-713-11 ALLOPURINOL 300 MG ORAL TAB $4.41 63739-796-10 ALLOPURINOL 300 MG ORAL TAB $3.05 0143-9533-01 ALLOPURINOL SODIUM 500 MG IV SOLR "$23,400.00 " 67457-187-50 ALLOPURINOL SODIUM 500 MG IV SOLR "$23,922.36 " 10939-27444 ALOE VERA TOPICAL GEL $28.80 68455-10842 ALOE VERA-COLLAGEN TOPICAL SOLN $10.62 64764-125-30 ALOGLIPTIN 12.5 MG ORAL TAB $79.42 HC82201518 "ALPHA NAPBUT STAIN, GRP III" $798.00 HC89008221 ALPHA-1 ACID GLYCOPROTEIN-AU $63.00 HC81701187 ALPHA1 ANTITRYPSIN $295.00 HC89009062 ALPHA-2 MACROGLOBULIN-AU $19.00 HC89018212 ALPHA-2 UR-AU $19.00 68516-4613-2 "ALPHANATE 1,000 (400 VWF) UNIT/10 ML IV SOLR" "$7,440.00 " 68516-4604-2 "ALPHANATE 1,500 (600 VWF) UNIT/10 ML IV SOLR" "$10,890.00 " 68516-4612-1 ALPHANATE 500 (200 VWF) UNIT/5 ML IV SOLR "$2,430.00 " HC89006308 ALPRAZOLAM (BENZODZEPNS) 1-12-AU $40.00 0228-2027-10 ALPRAZOLAM 0.25 MG ORAL TAB $1.00 0228-2027-50 ALPRAZOLAM 0.25 MG ORAL TAB $1.00 0781-1061-01 ALPRAZOLAM 0.25 MG ORAL TAB $1.00 47335-603-88 ALPRAZOLAM 0.25 MG ORAL TAB $1.00 51079-788-01 ALPRAZOLAM 0.25 MG ORAL TAB $1.00 51079-788-20 ALPRAZOLAM 0.25 MG ORAL TAB $1.00 59762-3719-1 ALPRAZOLAM 0.25 MG ORAL TAB $1.00 51079-789-01 ALPRAZOLAM 0.5 MG ORAL TAB $1.00 51079-789-20 ALPRAZOLAM 0.5 MG ORAL TAB $1.00 59762-3720-1 ALPRAZOLAM 0.5 MG ORAL TAB $1.00 0904-5860-61 ALPRAZOLAM 1 MG ORAL TAB $1.00 51079-790-01 ALPRAZOLAM 1 MG ORAL TAB $1.00 51079-790-20 ALPRAZOLAM 1 MG ORAL TAB $1.00 0009-3169-01 ALPROSTADIL 500 MCG/ML INJ SOLN $778.32 0009-3169-06 ALPROSTADIL 500 MCG/ML INJ SOLN $778.32 0703-1501-01 ALPROSTADIL 500 MCG/ML INJ SOLN $650.04 0703-1501-02 ALPROSTADIL 500 MCG/ML INJ SOLN $650.04 50242-044-13 ALTEPLASE (FOR STROKE) INFUSION (50 MG VIAL) "$26,401.08 " 50242-085-25 ALTEPLASE 100 MG IV SOLR "$52,802.16 " 50242-085-27 ALTEPLASE 100 MG IV SOLR "$52,802.16 " 50242-041-64 ALTEPLASE 2 MG INTRACATH SOLR $918.36 99999-035-63 ALTEPLASE 2 MG INTRACATH SOLR "$1,025.28 " 50242-044-06 ALTEPLASE 50 MG IV SOLR "$26,401.08 " 99999-033-78 ALTEPLASE IN BSS (100 MCG/ML) OPHTHALMIC INJECTION $113.22 99999-033-77 ALTEPLASE IN BSS (250 MCG/ML) OPHTHALMIC INJECTION $318.40 395004912 "ALUM, AMMONIUM (BULK) MISC POWD" $102.00 HC89007165 ALUMINIUM-AU $15.00 0536-0091-85 ALUMINUM HYDROXIDE GEL 320 MG/5 ML ORAL SUSP $31.22 99999-037-71 ALUMINUM HYDROXIDE GEL 320 MG/5 ML ORAL SUSP $1.00 0088-1174-47 ALUMINUM HYDROX-MAGNESIUM CARB 160-105 MG ORAL CHEW $1.00 0135-0098-26 ALUMINUM HYDROX-MAGNESIUM CARB 160-105 MG ORAL CHEW $1.00 0904-5365-60 ALUMINUM HYDROX-MAGNESIUM CARB 160-105 MG ORAL CHEW $1.00 0088-1171-12 ALUMINUM HYDROX-MAGNESIUM CARB 95-358 MG/15 ML ORAL SUSP $36.21 0135-0094-41 ALUMINUM HYDROX-MAGNESIUM CARB 95-358 MG/15 ML ORAL SUSP $36.21 0904-7727-14 ALUMINUM HYDROX-MAGNESIUM CARB 95-358 MG/15 ML ORAL SUSP $21.30 0121-1760-30 ALUMINUM-MAGNESIUM HYDROXIDE 200-200 MG/5 ML ORAL SUSP $18.00 0121-1761-30 ALUM-MAG HYDROXIDE-SIMETH 200-200-20 MG/5 ML ORAL SUSP $18.90 66689-060-01 ALUM-MAG HYDROXIDE-SIMETH 200-200-20 MG/5 ML ORAL SUSP $18.90 66689-060-99 ALUM-MAG HYDROXIDE-SIMETH 200-200-20 MG/5 ML ORAL SUSP $18.90 1093957844 ALUM-MAG HYDROXIDE-SIMETH 400-400-40 MG/5 ML ORAL SUSP $17.04 8770142972 ALUM-MAG HYDROXIDE-SIMETH 400-400-40 MG/5 ML ORAL SUSP $21.30 0121-1762-30 ALUM-MAG HYDROXIDE-SIMETH 400-400-40 MG/5 ML ORAL SUSP $18.90 0904-5725-14 ALUM-MAG HYDROXIDE-SIMETH 400-400-40 MG/5 ML ORAL SUSP $14.91 0904-5725-30 ALUM-MAG HYDROXIDE-SIMETH 400-400-40 MG/5 ML ORAL SUSP $8.10 0904-6755-14 ALUM-MAG HYDROXIDE-SIMETH 400-400-40 MG/5 ML ORAL SUSP $14.91 49348-303-39 ALUM-MAG HYDROXIDE-SIMETH 400-400-40 MG/5 ML ORAL SUSP $17.04 0591-2312-15 ALVIMOPAN 12 MG ORAL CAP $897.76 0591-2312-45 ALVIMOPAN 12 MG ORAL CAP $897.76 67919-020-10 ALVIMOPAN 12 MG ORAL CAP "$1,039.08 " HC11500766 AM/PACU EVAL BRIEF-I $219.00 HC11500790 AM/PACU EVAL COMPLX-V $829.00 HC11500576 AM/PACU EVAL LO/MOD-III $497.00 HC11500774 AM/PACU EVAL MINOR-II $363.00 HC11500782 AM/PACU EVAL MOD/HI-IV $622.00 60432-093-16 AMANTADINE HCL 10 MG/ML ORAL SOLN (MCH) $107.84 0781-2048-01 AMANTADINE HCL 100 MG ORAL CAP $9.69 0904-6630-61 AMANTADINE HCL 100 MG ORAL CAP $10.76 50268-069-11 AMANTADINE HCL 100 MG ORAL CAP $11.98 50268-069-15 AMANTADINE HCL 100 MG ORAL CAP $11.98 62332-246-31 AMANTADINE HCL 100 MG ORAL CAP $4.84 0121-0646-16 AMANTADINE HCL 50 MG/5 ML ORAL SOLN $107.84 50383-807-16 AMANTADINE HCL 50 MG/5 ML ORAL SOLN $107.84 HC42000034 AMB BP MONITOR 24HR+ ANALYSIS W/RPT; SCANNING $805.00 HC42000026 AMB BP MONITOR 24HR+ RECORD ONLY $804.00 76310-017-01 AMIFOSTINE CRYSTALLINE 500 MG IV SOLR "$6,428.44 " 76310-017-50 AMIFOSTINE CRYSTALLINE 500 MG IV SOLR "$6,428.44 " HC89004261 AMIKACIN - RANDOM-U2 $35.00 HC81100901 AMIKACIN SUBS $323.00 0703-9040-01 "AMIKACIN 1,000 MG/4 ML INJ SOLN" $43.80 0703-9040-03 "AMIKACIN 1,000 MG/4 ML INJ SOLN" $147.07 99999-004-72 AMIKACIN 10 MG/ML INJECTION SYRINGE (MCH) $1.00 99999-005-06 AMIKACIN 40 MG/5 ML INJ SOLN IN D5W (MCH-NICU) $3.21 99999-043-14 AMIKACIN 40 MG/5 ML INJ SOLN IN D5W (MCH-NICU) $919.20 0641-6167-01 AMIKACIN 500 MG/2 ML INJ SOLN $48.38 0641-6167-10 AMIKACIN 500 MG/2 ML INJ SOLN $48.38 0703-9032-01 AMIKACIN 500 MG/2 ML INJ SOLN $74.13 0703-9032-03 AMIKACIN 500 MG/2 ML INJ SOLN $74.13 23155-290-31 AMIKACIN 500 MG/2 ML INJ SOLN $74.13 23155-290-41 AMIKACIN 500 MG/2 ML INJ SOLN $74.13 25021-173-02 AMIKACIN 500 MG/2 ML INJ SOLN $46.87 63323-815-02 AMIKACIN 500 MG/2 ML INJ SOLN $69.90 HC81100893 AMIKACIN INIT $323.00 HC89006274 AMIKACIN PEAK OR TROUGH-U2 $35.00 HC89002885 AMIKACIN SUBSEQUENT-QD $71.00 99999-036-41 AMILORIDE 1 MG/ML ORAL LIQUID (MCH) (COMPOUND) $15.00 0574-0292-01 AMILORIDE 5 MG ORAL TAB $1.34 49884-117-01 AMILORIDE 5 MG ORAL TAB $5.42 0378-0577-01 AMILORIDE-HYDROCHLOROTHIAZIDE 5-50 MG ORAL TAB $2.44 0264-9341-55 AMINO ACID 10 % 10 % IV SOLP $162.00 0264-9371-55 AMINO ACID INFUSION 8 % 8 % IV SOLP $564.00 HC89001077 AMINO ACID SCREEN-QD $68.00 HC89007173 AMINO ACID SINGLE QUANT-AU $60.00 HC89007181 AMINO ACID SINGLE QUANT-QD $130.00 HC89017255 AMINO ACIDS QUANT URINE-AU $109.00 HC89007223 AMINO ACIDS QUANT URINE-CA $158.00 HC89007231 AMINO ACIDS QUANT-AU $90.00 HC89007215 AMINO ACIDS QUANT-CA $158.00 HC89016109 AMINO ACIDS QUANT-MA $137.00 HC81101032 AMINO ACIDS SNGL QUAN EA $314.00 99999-005-72 AMINOCAPROIC ACID 25 % ORAL SYRP (MCH) $322.32 99999-005-73 AMINOCAPROIC ACID 25 % ORAL SYRP (MCH) $644.64 49411-052-08 AMINOCAPROIC ACID 250 MG/ML (25 %) ORAL SOLN "$16,805.20 " 0409-4346-16 AMINOCAPROIC ACID 250 MG/ML IV SOLN $43.08 0409-4346-73 AMINOCAPROIC ACID 250 MG/ML IV SOLN $43.08 0517-9120-01 AMINOCAPROIC ACID 250 MG/ML IV SOLN $54.00 0517-9120-25 AMINOCAPROIC ACID 250 MG/ML IV SOLN $54.00 0517-9191-01 AMINOCAPROIC ACID 250 MG/ML IV SOLN $54.00 0517-9191-25 AMINOCAPROIC ACID 250 MG/ML IV SOLN $54.00 72572-015-01 AMINOCAPROIC ACID 250 MG/ML IV SOLN $33.24 72572-015-25 AMINOCAPROIC ACID 250 MG/ML IV SOLN $33.24 49411-050-30 AMINOCAPROIC ACID 500 MG ORAL TAB $128.88 69680-115-30 AMINOCAPROIC ACID 500 MG ORAL TAB $112.01 60687-505-25 AMINOCAPROIC ACID 500 MG ORAL TAB (MCH) $160.00 60687-505-95 AMINOCAPROIC ACID 500 MG ORAL TAB (MCH) $160.00 HC89007207 AMINOLEVULINIC ACID-AU $36.00 0409-5921-01 AMINOPHYLLINE 250 MG/10 ML IV SOLN $74.64 0409-5921-16 AMINOPHYLLINE 250 MG/10 ML IV SOLN $74.64 99999-000-03 AMINOPHYLLINE 5 MG/ML NICU IV DILUTION $1.36 0409-5922-01 AMINOPHYLLINE 500 MG/20 ML IV SOLN $45.96 0409-5922-16 AMINOPHYLLINE 500 MG/20 ML IV SOLN $45.96 0245-0144-01 AMIODARONE 100 MG ORAL TAB $37.57 0245-0144-30 AMIODARONE 100 MG ORAL TAB $37.63 0245-0144-89 AMIODARONE 100 MG ORAL TAB $37.56 16714-843-01 AMIODARONE 100 MG ORAL TAB $16.72 51672-4055-6 AMIODARONE 100 MG ORAL TAB $16.72 0185-0144-60 AMIODARONE 200 MG ORAL TAB $1.62 0245-0147-01 AMIODARONE 200 MG ORAL TAB $2.24 0245-0147-60 AMIODARONE 200 MG ORAL TAB $1.66 0245-0147-89 AMIODARONE 200 MG ORAL TAB $7.02 0904-6993-61 AMIODARONE 200 MG ORAL TAB $1.78 16714-844-01 AMIODARONE 200 MG ORAL TAB $1.82 16714-844-02 AMIODARONE 200 MG ORAL TAB $1.59 51862-241-90 AMIODARONE 200 MG ORAL TAB $1.62 63739-051-10 AMIODARONE 200 MG ORAL TAB $1.28 68084-371-01 AMIODARONE 200 MG ORAL TAB $2.21 68084-371-11 AMIODARONE 200 MG ORAL TAB $2.21 68382-227-05 AMIODARONE 200 MG ORAL TAB $1.59 68382-227-14 AMIODARONE 200 MG ORAL TAB $1.62 99999-038-52 AMIODARONE 5 MG/ML ORAL LIQUID $1.00 0143-9875-01 AMIODARONE 50 MG/ML IV SOLN $12.01 0143-9875-25 AMIODARONE 50 MG/ML IV SOLN $12.01 55150-180-03 AMIODARONE 50 MG/ML IV SOLN $12.01 55150-181-09 AMIODARONE 50 MG/ML IV SOLN $27.00 55150-182-18 AMIODARONE 50 MG/ML IV SOLN $81.65 63323-616-03 AMIODARONE 50 MG/ML IV SOLN $8.46 63323-616-09 AMIODARONE 50 MG/ML IV SOLN $26.30 67457-153-00 AMIODARONE 50 MG/ML IV SOLN $20.92 67457-153-03 AMIODARONE 50 MG/ML IV SOLN $20.92 67457-153-09 AMIODARONE 50 MG/ML IV SOLN $42.28 67457-153-18 AMIODARONE 50 MG/ML IV SOLN $81.65 67457-153-99 AMIODARONE 50 MG/ML IV SOLN $42.28 99999-044-45 AMIODARONE IN D5W 150 MG/100 ML (1.5 MG/ML) IV SOLN (MHS) $8.40 99999-044-46 AMIODARONE IN D5W 225 MG/250 ML (0.9 MG/ML) IV SOLN (MHS) $12.00 99999-044-47 AMIODARONE IN D5W 450 MG/250 ML (1.8 MG/ML) IV SOLN (MHS) $25.50 43066-150-10 "AMIODARONE IN DEXTROSE,ISO-OSM 150 MG/100 ML (1.5 MG/ML) IV SOLN" $208.20 HC89005821 AMIODARONE-AU $18.38 HC89001853 AMIODARONE-QD $60.00 HC89006290 AMITRIPTYLINE (ANTIDEPR)1 OR 2-AU $24.00 0378-2610-01 AMITRIPTYLINE 10 MG ORAL TAB $1.00 0603-2212-21 AMITRIPTYLINE 10 MG ORAL TAB $1.00 0781-1486-01 AMITRIPTYLINE 10 MG ORAL TAB $1.00 16714-446-01 AMITRIPTYLINE 10 MG ORAL TAB $1.00 51079-131-01 AMITRIPTYLINE 10 MG ORAL TAB $1.00 51079-131-20 AMITRIPTYLINE 10 MG ORAL TAB $1.00 16729-175-01 AMITRIPTYLINE 100 MG ORAL TAB $5.14 0603-2213-21 AMITRIPTYLINE 25 MG ORAL TAB $1.72 0781-1487-01 AMITRIPTYLINE 25 MG ORAL TAB $1.72 0904-0201-61 AMITRIPTYLINE 25 MG ORAL TAB $2.59 16714-447-01 AMITRIPTYLINE 25 MG ORAL TAB $1.72 60687-433-01 AMITRIPTYLINE 25 MG ORAL TAB $2.58 60687-433-11 AMITRIPTYLINE 25 MG ORAL TAB $2.58 0603-2214-21 AMITRIPTYLINE 50 MG ORAL TAB $3.43 0781-1488-01 AMITRIPTYLINE 50 MG ORAL TAB $3.43 0904-0202-61 AMITRIPTYLINE 50 MG ORAL TAB $4.42 16714-448-01 AMITRIPTYLINE 50 MG ORAL TAB $3.43 16729-173-01 AMITRIPTYLINE 50 MG ORAL TAB $2.57 51079-133-01 AMITRIPTYLINE 50 MG ORAL TAB $3.43 51079-133-20 AMITRIPTYLINE 50 MG ORAL TAB $3.43 0904-6371-61 AMLODIPINE 10 MG ORAL TAB $1.00 29300-398-10 AMLODIPINE 10 MG ORAL TAB $1.00 63739-631-10 AMLODIPINE 10 MG ORAL TAB $1.00 67877-199-90 AMLODIPINE 10 MG ORAL TAB $1.00 68382-123-05 AMLODIPINE 10 MG ORAL TAB $1.00 68382-123-16 AMLODIPINE 10 MG ORAL TAB $1.00 0378-5208-77 AMLODIPINE 2.5 MG ORAL TAB $1.00 0904-6369-61 AMLODIPINE 2.5 MG ORAL TAB $1.00 67877-197-90 AMLODIPINE 2.5 MG ORAL TAB $1.00 68382-121-16 AMLODIPINE 2.5 MG ORAL TAB $1.00 0069-1530-41 AMLODIPINE 5 MG ORAL TAB $41.11 0904-6370-61 AMLODIPINE 5 MG ORAL TAB $1.00 51079-451-01 AMLODIPINE 5 MG ORAL TAB $1.00 51079-451-20 AMLODIPINE 5 MG ORAL TAB $1.00 67877-198-05 AMLODIPINE 5 MG ORAL TAB $1.00 67877-198-90 AMLODIPINE 5 MG ORAL TAB $1.00 68382-122-05 AMLODIPINE 5 MG ORAL TAB $1.00 68382-122-16 AMLODIPINE 5 MG ORAL TAB $1.00 52652-5001-1 AMLODIPINE BENZOATE 1 MG/ML ORAL SUSP "$2,981.70 " 0078-0405-05 AMLODIPINE-BENAZEPRIL 5-10 MG ORAL CAP $56.96 HC81100414 AMMONIA $417.00 1678414012 AMMONIA AROMATIC 15 % (W/V) INHALATION SOLN $1.00 39822-9900-1 AMMONIA AROMATIC 15 % (W/V) INHALATION SOLN $2.57 39822-9900-2 AMMONIA AROMATIC 15 % (W/V) INHALATION SOLN $2.63 4580251377 AMMONIUM LACTATE 12 % TOPICAL CREAM $63.00 904598426 AMMONIUM LACTATE 12 % TOPICAL LOTN $23.05 4580252555 AMMONIUM LACTATE 12 % TOPICAL LOTN $58.57 45802-419-54 AMMONIUM LACTATE 12 % TOPICAL LOTN $121.50 HC62200191 AMNIHOOK $26.00 99999-042-03 AMNIOBAND MEMBRANE (14 MM) $787.50 99999-042-04 AMNIOBAND MEMBRANE (2X2 CM) "$2,418.75 " 99999-042-05 AMNIOBAND MEMBRANE (2X4 CM) "$2,700.00 " 99999-042-06 AMNIOBAND MEMBRANE (3X4 CM) "$3,037.50 " HC25006115 AMNIOCENTESIS "$2,250.00 " HC26000000 AMNIOCENTESIS "$3,380.00 " HC44200665 AMNIOCENTESIS "$3,412.00 " HC25006123 AMNIOCENTESIS FLUID REDUCTION "$1,775.00 " HC26000018 AMNIOCENTESIS FLUID REDUCTION "$4,088.00 " HC89017073 AMNIOTIC BILIRUBIN SCAN-AU $44.00 HC81101040 AMNIOTIC FLUID SCAN $276.00 0781-6039-46 AMOXICILLIN 125 MG/5 ML ORAL SUSR $17.40 0093-3107-01 AMOXICILLIN 250 MG ORAL CAP $1.00 0781-2020-01 AMOXICILLIN 250 MG ORAL CAP $1.00 0781-2020-05 AMOXICILLIN 250 MG ORAL CAP $1.00 16714-298-01 AMOXICILLIN 250 MG ORAL CAP $1.00 0093-4155-73 AMOXICILLIN 250 MG/5 ML ORAL SUSR $22.20 0093-4155-79 AMOXICILLIN 250 MG/5 ML ORAL SUSR $19.68 0143-9889-01 AMOXICILLIN 250 MG/5 ML ORAL SUSR $18.00 0143-9889-80 AMOXICILLIN 250 MG/5 ML ORAL SUSR $15.84 0781-6041-46 AMOXICILLIN 250 MG/5 ML ORAL SUSR $21.60 0781-6041-55 AMOXICILLIN 250 MG/5 ML ORAL SUSR $30.60 65862-707-01 AMOXICILLIN 250 MG/5 ML ORAL SUSR $21.60 99999-004-53 AMOXICILLIN 250 MG/5 ML ORAL SUSR $1.11 99999-007-33 AMOXICILLIN 250 MG/5 ML ORAL SUSR $1.78 99999-007-34 AMOXICILLIN 250 MG/5 ML ORAL SUSR $3.55 99999-035-41 AMOXICILLIN 250 MG/5 ML ORAL SUSR $1.00 0143-9887-01 AMOXICILLIN 400 MG/5 ML ORAL SUSR $39.00 0093-3109-05 AMOXICILLIN 500 MG ORAL CAP $1.00 0093-3109-53 AMOXICILLIN 500 MG ORAL CAP $1.00 0781-2613-01 AMOXICILLIN 500 MG ORAL CAP $1.00 0781-2613-05 AMOXICILLIN 500 MG ORAL CAP $1.00 16714-299-03 AMOXICILLIN 500 MG ORAL CAP $1.00 16714-299-04 AMOXICILLIN 500 MG ORAL CAP $1.00 57237-031-01 AMOXICILLIN 500 MG ORAL CAP $1.00 65862-017-01 AMOXICILLIN 500 MG ORAL CAP $1.00 0781-1943-39 "AMOXICILLIN-POT CLAVULANATE 1,000-62.5 MG ORAL TB12" $36.82 0781-1943-82 "AMOXICILLIN-POT CLAVULANATE 1,000-62.5 MG ORAL TB12" $36.83 43598-020-40 "AMOXICILLIN-POT CLAVULANATE 1,000-62.5 MG ORAL TB12" $42.91 43598-220-40 "AMOXICILLIN-POT CLAVULANATE 1,000-62.5 MG ORAL TB12" $33.51 0781-1874-31 AMOXICILLIN-POT CLAVULANATE 250-125 MG ORAL TAB $28.48 16714-476-01 AMOXICILLIN-POT CLAVULANATE 250-125 MG ORAL TAB $28.48 43598-204-51 AMOXICILLIN-POT CLAVULANATE 250-62.5 MG/5 ML ORAL SUSR $543.60 60432-065-00 AMOXICILLIN-POT CLAVULANATE 250-62.5 MG/5 ML ORAL SUSR $414.60 60432-065-75 AMOXICILLIN-POT CLAVULANATE 250-62.5 MG/5 ML ORAL SUSR $310.50 72508-204-07 AMOXICILLIN-POT CLAVULANATE 250-62.5 MG/5 ML ORAL SUSR $543.60 72508-204-10 AMOXICILLIN-POT CLAVULANATE 250-62.5 MG/5 ML ORAL SUSR $726.00 0093-2272-34 AMOXICILLIN-POT CLAVULANATE 400-57 MG ORAL CHEW $24.26 0781-1643-66 AMOXICILLIN-POT CLAVULANATE 400-57 MG ORAL CHEW $19.41 0143-9982-75 AMOXICILLIN-POT CLAVULANATE 400-57 MG/5 ML ORAL SUSR $68.85 16714-293-02 AMOXICILLIN-POT CLAVULANATE 400-57 MG/5 ML ORAL SUSR $68.85 16714-293-03 AMOXICILLIN-POT CLAVULANATE 400-57 MG/5 ML ORAL SUSR $117.00 66685-1012-1 AMOXICILLIN-POT CLAVULANATE 400-57 MG/5 ML ORAL SUSR $68.85 0093-2274-34 AMOXICILLIN-POT CLAVULANATE 500-125 MG ORAL TAB $8.47 16714-494-01 AMOXICILLIN-POT CLAVULANATE 500-125 MG ORAL TAB $7.72 66685-1002-2 AMOXICILLIN-POT CLAVULANATE 500-125 MG ORAL TAB $8.12 0093-8675-78 AMOXICILLIN-POT CLAVULANATE 600-42.9 MG/5 ML ORAL SUSR $172.80 0781-6139-57 AMOXICILLIN-POT CLAVULANATE 600-42.9 MG/5 ML ORAL SUSR $135.00 16714-294-01 AMOXICILLIN-POT CLAVULANATE 600-42.9 MG/5 ML ORAL SUSR $129.60 0093-2275-34 AMOXICILLIN-POT CLAVULANATE 875-125 MG ORAL TAB $10.13 16714-478-01 AMOXICILLIN-POT CLAVULANATE 875-125 MG ORAL TAB $9.36 16714-478-02 AMOXICILLIN-POT CLAVULANATE 875-125 MG ORAL TAB $9.04 65862-503-20 AMOXICILLIN-POT CLAVULANATE 875-125 MG ORAL TAB $2.88 66685-1001-1 AMOXICILLIN-POT CLAVULANATE 875-125 MG ORAL TAB $9.73 HC89021745 "AMPHETAMINES(MDA,MDEA,MDMA)MEC(CONF PNL)-AU" $47.50 HC89021653 AMPHETAMINES;1 OR 2 MEC(CONF PNL)-AU $47.50 HC89022032 AMPHETAMINES;1 OR 2 SERUM QNT(PNL)-AU $30.00 99999-041-04 AMPHOTERICIN B 0.5 MG/ML TOPICAL SOLUTION (COMPOUNDED) $22.80 39822-1055-5 AMPHOTERICIN B 50 MG INJ SOLR $228.00 57665-101-41 AMPHOTERICIN B LIPID COMPLEX 5 MG/ML IV SUSP $600.00 0469-3051-30 AMPHOTERICIN B LIPOSOME 50 MG IV SUSR "$1,557.00 " 0781-2144-01 AMPICILLIN 250 MG ORAL CAP $1.00 0781-2145-01 AMPICILLIN 500 MG ORAL CAP $3.11 99999-038-74 AMPICILLIN IV (FOR DESENSITIZATION USE) $1.00 0781-3404-85 AMPICILLIN SODIUM 1 GRAM INJ SOLR $41.45 0781-3404-95 AMPICILLIN SODIUM 1 GRAM INJ SOLR $41.45 0781-9404-85 AMPICILLIN SODIUM 1 GRAM INJ SOLR $41.45 0781-9404-95 AMPICILLIN SODIUM 1 GRAM INJ SOLR $41.45 25021-136-10 AMPICILLIN SODIUM 1 GRAM INJ SOLR $30.00 44567-102-10 AMPICILLIN SODIUM 1 GRAM INJ SOLR $36.00 55150-113-10 AMPICILLIN SODIUM 1 GRAM INJ SOLR $29.07 67457-351-01 AMPICILLIN SODIUM 1 GRAM INJ SOLR $29.10 67457-351-10 AMPICILLIN SODIUM 1 GRAM INJ SOLR $29.10 0781-3400-78 AMPICILLIN SODIUM 125 MG INJ SOLR (MCH) $25.06 0781-3400-95 AMPICILLIN SODIUM 125 MG INJ SOLR (MCH) $25.06 0409-3720-10 AMPICILLIN SODIUM 2 G IV SOLR (MCH) $42.00 25021-137-20 AMPICILLIN SODIUM 2 G IV SOLR (MCH) $45.00 44567-103-10 AMPICILLIN SODIUM 2 G IV SOLR (MCH) $66.00 0781-3408-80 AMPICILLIN SODIUM 2 GRAM INJ SOLR $80.41 0781-3408-95 AMPICILLIN SODIUM 2 GRAM INJ SOLR $80.41 0781-9408-80 AMPICILLIN SODIUM 2 GRAM INJ SOLR $80.40 0781-9408-95 AMPICILLIN SODIUM 2 GRAM INJ SOLR $80.41 0409-3719-10 AMPICILLIN SODIUM 250 MG INJ SOLR $10.80 0781-3402-78 AMPICILLIN SODIUM 250 MG INJ SOLR $20.09 0781-3402-95 AMPICILLIN SODIUM 250 MG INJ SOLR $20.09 0781-9242-95 AMPICILLIN SODIUM 250 MG INJ SOLR $20.09 0781-9402-78 AMPICILLIN SODIUM 250 MG INJ SOLR $20.09 25021-134-10 AMPICILLIN SODIUM 250 MG INJ SOLR $12.00 55150-111-10 AMPICILLIN SODIUM 250 MG INJ SOLR $11.07 65219-014-01 AMPICILLIN SODIUM 250 MG INJ SOLR $13.50 65219-014-10 AMPICILLIN SODIUM 250 MG INJ SOLR $13.50 0781-3407-78 AMPICILLIN SODIUM 500 MG INJ SOLR $21.14 0781-3407-95 AMPICILLIN SODIUM 500 MG INJ SOLR $21.14 0781-9407-78 AMPICILLIN SODIUM 500 MG INJ SOLR $21.12 0781-9407-95 AMPICILLIN SODIUM 500 MG INJ SOLR $21.14 25021-135-10 AMPICILLIN SODIUM 500 MG INJ SOLR $18.00 44567-101-10 AMPICILLIN SODIUM 500 MG INJ SOLR $18.00 55150-112-10 AMPICILLIN SODIUM 500 MG INJ SOLR $14.22 0049-0013-81 AMPICILLIN-SULBACTAM 1.5 GRAM INJ SOLR $45.59 0049-0013-83 AMPICILLIN-SULBACTAM 1.5 GRAM INJ SOLR $45.59 0641-6116-01 AMPICILLIN-SULBACTAM 1.5 GRAM INJ SOLR $25.20 0641-6116-10 AMPICILLIN-SULBACTAM 1.5 GRAM INJ SOLR $25.25 25021-142-20 AMPICILLIN-SULBACTAM 1.5 GRAM INJ SOLR $33.07 25021-186-20 AMPICILLIN-SULBACTAM 1.5 GRAM INJ SOLR $33.07 44567-210-10 AMPICILLIN-SULBACTAM 1.5 GRAM INJ SOLR $47.70 55150-116-20 AMPICILLIN-SULBACTAM 1.5 GRAM INJ SOLR $16.38 63323-368-20 AMPICILLIN-SULBACTAM 1.5 GRAM INJ SOLR $23.34 66794-206-02 AMPICILLIN-SULBACTAM 1.5 GRAM INJ SOLR $39.08 66794-206-41 AMPICILLIN-SULBACTAM 1.5 GRAM INJ SOLR $39.08 67457-348-10 AMPICILLIN-SULBACTAM 1.5 GRAM INJ SOLR $18.00 71288-005-20 AMPICILLIN-SULBACTAM 1.5 GRAM INJ SOLR $30.84 71288-005-21 AMPICILLIN-SULBACTAM 1.5 GRAM INJ SOLR $30.84 44567-211-10 AMPICILLIN-SULBACTAM 3 G IV SOLR (MCH) $95.89 55150-117-20 AMPICILLIN-SULBACTAM 3 G IV SOLR (MCH) $32.20 67457-349-03 AMPICILLIN-SULBACTAM 3 G IV SOLR (MCH) $23.74 67457-349-10 AMPICILLIN-SULBACTAM 3 G IV SOLR (MCH) $23.74 71288-006-30 AMPICILLIN-SULBACTAM 3 G IV SOLR (MCH) $49.12 71288-006-31 AMPICILLIN-SULBACTAM 3 G IV SOLR (MCH) $49.12 0049-0014-81 AMPICILLIN-SULBACTAM 3 GRAM INJ SOLR $86.08 0049-0014-83 AMPICILLIN-SULBACTAM 3 GRAM INJ SOLR $86.08 0641-6117-01 AMPICILLIN-SULBACTAM 3 GRAM INJ SOLR $45.72 0641-6117-10 AMPICILLIN-SULBACTAM 3 GRAM INJ SOLR $45.72 25021-143-30 AMPICILLIN-SULBACTAM 3 GRAM INJ SOLR $54.11 63323-369-20 AMPICILLIN-SULBACTAM 3 GRAM INJ SOLR $46.26 66794-207-02 AMPICILLIN-SULBACTAM 3 GRAM INJ SOLR $57.00 66794-207-41 AMPICILLIN-SULBACTAM 3 GRAM INJ SOLR $57.00 99999-043-16 AMPICILLIN-SULBACTAM 30 MG/ML INJ SYRINGE (USING 3G) $257.40 HC89013395 AMPLIFIED PROBE TECH-AU $16.00 HC25005703 AMPUTATE FINGER/THUMB SGL W/CLOSURE "$3,966.00 " HC25005711 AMPUTATE FINGER/THUMB SGL W/CLOSURE LT "$2,649.00 " HC25005729 AMPUTATE FINGER/THUMB SGL W/CLOSURE RT "$2,649.00 " HC81100422 AMYLASE $253.00 HC89001986 AMYLASE ISOENZYME-QD $5.00 HC89004048 AMYLASE ISOENZYMES -AU $7.50 HC89022883 "AMYLASE, BODY FLUID-AU" $12.00 HC89007256 AMYLASE-QD $73.00 HC82200007 AMYLOID (CONGO RED)/GRP II+ $412.00 HC82200148 AMYLOID (CRYST VIOLET)/GRP II+ $412.00 HC82201054 AMYLOID ST BENNHOLDS/GRP II+ $412.00 HC89002901 ANA FLUID-QD $321.00 HC81700650 ANA TITER $203.00 HC89014062 ANA TITER (PNL)-RD $13.00 HC89014070 ANA TITER REFLEX (PNL)-AU $14.00 HC89002612 ANA TITER-QD $12.00 HC89014054 ANA-AU $16.00 HC89013080 ANAEROBIC BACTERIAL ID-FT $93.00 HC84200286 ANAEROBIC ID EA ISOLATE $257.00 HC89000285 ANAEROBIC ID PRESUM(PNL)-FT $39.00 HC89000301 ANAEROBIC SUSC(PNL)-FT $39.00 HC89015903 ANAEROBIC SUSCEPTIBILITY-QD $27.00 0172-5241-60 ANAGRELIDE 0.5 MG ORAL CAP $5.00 13668-453-01 ANAGRELIDE 0.5 MG ORAL CAP $5.00 54092-063-01 ANAGRELIDE 0.5 MG ORAL CAP $49.61 66658-234-01 ANAKINRA 100 MG/0.67 ML SUBCUTANEOUS SYRG $838.80 66658-234-07 ANAKINRA 100 MG/0.67 ML SUBCUTANEOUS SYRG $930.05 HC89023071 ANAL' GENE NUDT15 COMMON VARIANT-AU $124.00 HC89023063 ANAL' GENE TPMT COMMON VARIANT-AU $76.00 HC51010338 ANAL' IMPLANTED PUMP NO PROG/REFILL $347.00 HC51010353 ANAL' IMPLNTD PUMP W/PROG MD SKILL $390.00 HC23000003 ANALYSIS IMPLANTED PUMP W/PROG "$1,447.00 " HC51010346 ANALYSIS IMPLANTED PUMP W/PROG $446.00 HC51002582 ANALYZ COMPLX NRSTM SPNL CD/PERIPH W/PROG $379.00 HC51004133 ANALYZ NRSTM NO REPROGRAMMING $268.00 HC89014047 ANA-RD $32.00 16729-035-10 ANASTROZOLE 1 MG ORAL TAB $3.00 60505-2985-3 ANASTROZOLE 1 MG ORAL TAB $7.80 60687-112-11 ANASTROZOLE 1 MG ORAL TAB $5.44 60687-112-21 ANASTROZOLE 1 MG ORAL TAB $5.44 62756-250-83 ANASTROZOLE 1 MG ORAL TAB $1.59 68001-155-04 ANASTROZOLE 1 MG ORAL TAB $3.00 HC82200460 ANATOMIC CONSULT:COMP.REVIEW $549.00 HC82200452 ANATOMIC CONSULT:REVIEW/PREP $483.00 HC82200429 ANATOMIC CONSULT:SLIDE REVIEW $373.00 HC82202623 ANATOMIC CONSULT:SLIDE REVW*OP $373.00 HC89016927 ANATOMIC CONSULT; CMPLX REV-CE $275.00 HC89016935 ANATOMIC CONSULT; CMPLX REV-JH $250.00 HC83504449 ANATOMIC CONSULT; COMP. REV-CS "$1,283.00 " HC83505537 ANATOMIC CONSULT; COMPLEX REV-UX $272.00 HC83505800 ANATOMIC CONSULT; SLIDE REV-BC $125.00 HC83505503 ANATOMIC CONSULT; SLIDE REV-CS $140.00 HC83502252 ANATOMIC CONSULT; SLIDE REV-JH $225.00 HC83504324 ANATOMIC CONSULT; SLIDE REV-MA $259.00 HC89020093 ANCA ELISA IGG SPECIF(PNL)-PR $20.00 HC62225420 ANCHOR CLIP ENDOSCOPIC "$1,300.00 " HC89013478 ANDROSTENEDIONE-AU $24.00 HC89013486 ANDROSTENEDIONE-ES $65.00 HC89022560 ANDROSTENEDIONE-QN $54.00 HC77400075 ANESTHESIA ADD'L 15MIN $729.00 HC77400273 ANESTHESIA ADD'L 15MIN CASE CX $512.00 HC77400158 ANESTHESIA EPIDURAL EA ADD 15MIN $279.00 HC77400166 ANESTHESIA EPIDURAL INITIAL HR "$1,113.00 " HC77400067 ANESTHESIA INITIAL HR "$2,901.00 " HC77400141 ANESTHESIA INIT'L HR CASE CX "$2,046.00 " HC77400190 ANESTHESIA LOCAL EA ADD 15MIN $214.00 HC77400208 ANESTHESIA LOCAL INITIAL HR $849.00 HC77400117 ANESTHESIA MAC EACH ADD 15 MIN $313.00 HC77400109 ANESTHESIA MAC INITIAL HOUR "$1,251.00 " HC77400133 ANESTHESIA REGIONAL ADD 15 MIN $252.00 HC77400125 ANESTHESIA REGIONAL INITIAL HOUR "$1,000.00 " HC77400174 ANESTHESIA SPINAL EA ADD 15MIN $252.00 HC77400182 ANESTHESIA SPINAL INITIAL HR "$1,003.00 " HC44500031 ANGIO ADRENAL BILAT "$12,276.00 " HC44500049 ANGIO ADRENAL LT "$7,436.00 " HC44500056 ANGIO ADRENAL RT "$7,436.00 " HC44500171 ANGIO EA ADD'L VESSEL + "$7,144.00 " HC44500213 ANGIO EXTREMITY BILAT "$13,656.00 " HC44500221 ANGIO EXTREMITY UE OR LE LT "$8,535.00 " HC44500239 ANGIO EXTREMITY UE OR LE RT "$8,535.00 " HC44504017 ANGIO IL/FEM DURING HRTCATH&/CORO W/S&I "$3,846.00 " HC44500262 ANGIO PELVIC "$7,974.00 " HC44500270 ANGIO PULMONARY BILAT "$12,977.00 " HC44500288 ANGIO PULMONARY LT "$7,341.00 " HC44500312 ANGIO PULMONARY NON SELECT LT "$6,460.00 " HC44500320 ANGIO PULMONARY NON SELECT RT "$6,460.00 " HC44500296 ANGIO PULMONARY RT "$7,341.00 " HC44500379 ANGIO SPINAL SELECTIVE LT "$9,776.00 " HC44500387 ANGIO SPINAL SELECTIVE RT "$9,776.00 " HC44500395 ANGIO THRU EXISTING CATH "$4,086.00 " HC44500437 ANGIO VISCERAL "$9,729.00 " HC89022149 ANGIOTENSIN CONVERT ENZYME CSF -AU $20.00 HC89007264 ANGIOTENSIN CONVERT ENZYME-AU $8.00 HC89000848 ANGIOTENSIN CONVERT ENZYME-QD $144.00 0049-0116-28 ANIDULAFUNGIN 100 MG IV SOLR "$1,080.00 " HC44002798 ANKLE 2 VIEWS $728.00 HC44000073 ANKLE 2 VIEWS BILAT "$1,304.00 " HC44000081 ANKLE 2 VIEWS LT $728.00 HC44000099 ANKLE 2 VIEWS RT $728.00 HC44000107 ANKLE ARTHROGRAM BILAT "$2,737.00 " HC44000115 ANKLE ARTHROGRAM LT "$1,474.00 " HC44000123 ANKLE ARTHROGRAM RT "$1,474.00 " HC44000131 ANKLE COMP MIN 3 VWS BILAT "$1,880.00 " HC44000149 ANKLE COMP MIN 3 VWS LT $941.00 HC44000156 ANKLE COMP MIN 3 VWS RT $941.00 HC44002806 ANKLE MIN 3 VIEWS $941.00 HC89018154 ANNEXIN AB V IGG -EC $93.00 HC89018147 ANNEXIN AB V IGM -EC $93.00 HC27000009 ANORECTAL MANOMETRY "$3,992.00 " HC51003424 ANORECTAL MANOMETRY $700.00 HC27001296 ANORECTAL MANOMETRY DISCON'D "$1,034.00 " HC27000017 "ANORECTAL WALL BX,ANAL APPROAC" "$7,018.00 " HC25000928 ANOSCOPY DIAGNOSTIC $667.00 HC27000025 ANOSCOPY DX (INCL COLLECTION) "$1,315.00 " HC51003622 ANOSCOPY DX (INCL COLLECTION) $416.00 HC27000033 ANOSCOPY W/ABLATION "$6,418.00 " HC27000041 ANOSCOPY W/BIOPSY "$4,422.00 " HC51003648 ANOSCOPY W/BIOPSY "$1,705.00 " HC27000058 ANOSCOPY W/BLEED CONTROL "$3,401.00 " HC27000066 ANOSCOPY W/DILATION "$4,307.00 " HC51003630 ANOSCOPY W/DILATION "$1,706.00 " HC27000074 ANOSCOPY W/FB REMOVAL "$3,816.00 " HC51003655 ANOSCOPY W/FB REMOVAL "$1,305.00 " HC27000082 ANOSCOPY W/HOT BIOPSY "$5,521.00 " HC25000332 ANOSCOPY W/PROCEDURE $423.00 HC25005356 ANOSCOPY W/REMOVE FB "$1,259.00 " HC27000108 ANOSCOPY W/SNARE MULTI REMVL "$6,177.00 " HC27000090 ANOSCOPY W/SNARE SINGLE REMVL "$4,161.00 " HC89022529 ANSER IFX SUBSEQUENT MEASUREMENTS-PR $300.00 HC89020929 ANSER IFX-PR "$2,000.00 " HC89022784 ANSER VDZ SUBSEQUENT MEASUREMENTS-PR $300.00 HC89022776 ANSER VDZ-PR "$2,000.00 " HC62204615 ANTENNA TRANSMIT EXT NEUROSTIM $251.00 HC89000830 ANTI CENTROMERE-QD $18.00 HC89016323 ANTI JO 1-SL-QD $21.00 HC89011951 ANTI MICROSOMAL THYROI(PNL)-RD $13.00 HC89004733 ANTI MICROSOMAL THYROI(PNL2-RD $25.00 HC89017750 ANTI MICROSOMAL THYROID(PNL-AU $16.00 HC89011969 ANTI MICROSOMAL THYROID-AU $14.00 HC89011944 ANTI MICROSOMAL THYROID-ES $32.00 HC89003115 ANTI MICROSOMAL THYROID-QD $26.00 HC89002869 ANTI NEUT CYTOPLASMIC AB-QD $66.00 HC81700684 ANTI SMOOTH MUSC/RNP AB $237.00 HC89011449 ANTI SMOOTH MUSCLE AB-AU $16.00 HC89020127 ANTI-A4-FLE2 ELISA(PNL)-PR $20.00 HC89022164 ANTIBODY ACETYLCHOLINE RCPTR MODULTNG -AU $44.00 HC89019541 ANTIBODY IGG MUMPS VIRUS -AU $9.00 HC89014112 ANTIBODY PM-1 AB-AU $71.00 HC89023386 ANTIBODY SARS-COV-2 COVID-19 ELISA-AU $40.00 HC89023378 ANTIBODY SARS-COV-2 COVID-19 QUAL CIA-AU $27.50 HC89004741 ANTI-CARDIOLIPIN AB (PNL2)-RD $40.00 HC89010953 ANTI-CARDIOLIPIN AB-AU $16.00 HC89010946 ANTI-CARDIOLIPIN AB-RD $13.00 HC89017503 ANTI-CARDIOLIPIN IGG/GM(PNL-AU $8.00 HC89004634 ANTI-CBIR1 (PNL)-PR $32.00 HC89020119 ANTI-CBIR1 ELISA(PNL)-PR $20.00 HC89011183 ANTI-CCP AB (PNL)-RD $32.00 HC89011506 ANTI-CENTROM AB TITER(PNL)-RD $13.00 HC89011191 ANTI-CHROMATIN AB (PNL)-RD $13.00 HC89004725 ANTI-CHROMATIN AB (PNL2)-RD $24.00 0409-1967-03 ANTICOAG CITRATE PHOS DEXTROSE 2.63-222 GRAM-MG/100ML MISC SOLN $127.01 HC89021968 ANTIDEPRSSNTS TRICYCL =6/> QUANT UR -AU $36.75 HC81700726 ANTI-DNA (DS) $172.00 HC89017743 ANTI-DNA AB (DS)(PNL)-AU $16.00 HC89011126 ANTI-DNA ANTIBODIES (DS)-AU $16.00 HC89002570 ANTI-DNA ANTIBODIES (DS)-QD $27.00 HC89011134 ANTI-DNA ANTIBODIES (DS)-RD $13.00 HC89015705 ANTI-DNA ANTIBODIES (SS)-QD $27.00 HC89023097 ANTI-DNA ANTIBODIES SNGL STRND-QI $130.00 HC89000574 ANTI-DNASE B-AU $7.00 HC89001325 ANTI-DNASE B-QD $15.00 HC89019582 ANTI-EMA IGA AB IFA 1ST STAIN(PNL1155/6360)-PR $120.00 HC89004196 ANTI-ENDOMY IGA AB IFA1ST STAIN(PNL)-PR $106.00 HC89004527 ANTI-ENDOMY IGA AB IFA1ST STAIN(PNL2-PR $106.00 HC89020135 ANTI-FLA-X ELISA (PNL)-PR $20.00 HC89004162 "ANTI-GLIADIN, IGA SPEC(PNL)-PR" $23.00 HC89004493 "ANTI-GLIADIN, IGA SPEC(PNL2-PR" $23.00 HC89004170 "ANTI-GLIADIN, IGG SPEC(PNL)-PR" $23.00 HC89004501 "ANTI-GLIADIN, IGG SPEC(PNL2-PR" $23.00 HC89500961 ANTIGLOBULIN DIRECT TEST COOMBS; EACH ANTISERUM-SB $15.00 HC89500979 ANTIGLOBULIN INDIRECT TEST COOMBS; QUAL EA REAGENT RC-SB $20.00 HC89000566 ANTI-HISTONE AB-AU $11.00 HC89001630 ANTI-HISTONE AB-QD $18.00 HC89004188 ANTI-HUMAN TIS TRNS IGA(PNL-PR $62.00 HC89004519 ANTI-HUMAN TIS TRNSIGA(PNL2-PR $62.00 HC89019574 ANTI-HU-TTG IGA (PNL1155/6360)-PR $36.00 HC89004709 ANTI-LA (SS-B) (PNL)-RD $24.00 HC89011209 ANTI-LA (SS-B) (PNL2)-RD $13.00 HC89002927 ANTI-MAG-QD $49.00 HC89091367 ANTI-MULLERIAN HORMONE-AU $63.00 HC89018105 ANTI-NEUTROPHIL CYTOPLSM IGG TITR-AU $40.00 HC89011456 ANTI-NEUTROPHIL CYTOPLSMC SCRN IGG-AU $12.00 HC81700262 ANTI-NUCLEAR AB EIA $202.00 HC89020101 ANTI-OMPC ELISA IGA SPC(PN)-PR $20.00 HC89004626 ANTI-OMPC IGA (PNL)-PR $32.00 HC89011464 ANTI-PARIETAL AB-AU $20.00 HC89011514 ANTI-RETICULIN AB TITER-AU $84.00 HC89017321 ANTI-RIBOSOMAL AB-QD $86.00 HC89011217 ANTI-RNP AB (PNL)-RD $13.00 HC89004691 ANTI-RNP AB (PNL2)-RD $24.00 HC89011233 ANTI-RO SS-A (PNL)-RD $32.00 HC89017818 ANTI-RO SS-A (PNL)-RD $31.00 HC89004675 ANTI-RO SS-A (PNL2)-RD $21.00 HC89011241 ANTI-SCL-70 AB (PNL)-RD $13.00 HC89004717 ANTI-SCL-70 AB (PNL2)-RD $24.00 HC89011258 ANTI-SM AB (PNL)-RD $13.00 HC89004683 ANTI-SM AB (PNL2)-RD $24.00 HC89014211 ANTI-SMOOTH MUSCLE TITER AB-AU $34.00 HC89011274 ANTI-SSA AB-AU $16.00 HC89011282 ANTI-SSB AB-AU $16.00 HC89011522 ANTI-STRIAT MUSCLE AB IGG SCREEN-AU $12.00 HC89022412 ANTI-STRIAT MUSCLE AB IGG TITER -AU $49.00 HC81500431 ANTITHROMBIN III $428.00 HC81500449 ANTITHROMBIN III AG $276.00 HC89010649 ANTITHROMBIN III AG-AU $21.18 HC89015648 ANTITHROMBIN III AG-QD $22.00 HC89010631 ANTITHROMBIN III-AU $22.78 HC89015630 ANTITHROMBIN III-QD $19.00 58468-0080-1 ANTI-THYMOCYTE GLOB (RABBIT) 25 MG IV SOLR "$5,250.48 " 0006-4084-01 "ANTIVENIN LATRODECTUS MACTANS 6,000 UNIT INJ SOLR" $166.26 0006-5424-02 "ANTIVENIN LATRODECTUS MACTANS 6,000 UNIT INJ SOLR" $166.26 HC44500445 AORTOGRAM ABD W/ RUN OFF "$10,012.00 " HC44500452 AORTOGRAM ABDOMINAL "$8,322.00 " HC44500460 AORTOGRAM ABDOMINAL LTD "$5,211.00 " HC44500478 AORTOGRAM THOR W/ SERIAL(ARCH) "$8,575.00 " HC88600200 AP TRANSPORT CHARGE $68.00 0003-0893-21 APIXABAN 2.5 MG ORAL TAB $47.08 0003-0893-31 APIXABAN 2.5 MG ORAL TAB $47.09 0003-0894-21 APIXABAN 5 MG ORAL TAB $47.08 0003-0894-31 APIXABAN 5 MG ORAL TAB $47.09 HC89007272 APOLIPOPROTEIN A-1 AU $11.00 HC89017735 APOLIPOPROTEIN A1(PNL)-AU $15.00 HC38000006 APPLIC CAST LEG CLUBFOOT $553.00 HC51001543 APPLIC CAST LEG CLUBFOOT $298.00 HC38000014 APPLICATION CAST FINGER $361.00 HC38000089 APPLICATION CAST GAUNTLET $449.00 HC62218524 APPLICATOR W/MIXING TIP ORTHO $179.00 HC62227996 APPLICATOR/TIP SYRINGE ONLY $195.00 HC62220488 APPLICATOR/TIP SYRINGE ONLY B $65.00 HC62220496 APPLICATOR/TIP SYRINGE ONLY D $130.00 HC62213624 APPLICATOR/TIP SYRINGE ONLY E $195.00 HC62220504 APPLICATOR/TIP SYRINGE ONLY F $260.00 HC62220512 APPLICATOR/TIP SYRINGE ONLY I $455.00 HC62228648 APPLIER CLIP CLOSURE ANASTOMOSIS "$3,247.00 " HC62224324 APPLIER CLIP ENDO Q "$1,300.00 " HC62300058 APPLIER CLIP ROBOTIC B $56.00 HC62204482 APPLIER LIGA/HEMOCLIP ENDO D $130.00 HC62224340 APPLIER LIGA/HEMOCLIP ENDO F $260.00 HC62223037 APPLIER LIGA/HEMOCLIP ENDO I $455.00 HC62223045 APPLIER LIGA/HEMOCLIP ENDO J $520.00 HC62202858 APPLIER LIGA/HEMOCLIP ENDO L $650.00 HC62223052 APPLIER LIGA/HEMOCLIP ENDO N $780.00 HC62223060 APPLIER LIGA/HEMOCLIP ENDO P $910.00 HC62209358 APPLIER PORT RAPIDPORT EZ "$2,258.00 " HC38000261 APPLY BODY CAST; FULL ADULT "$1,221.00 " HC38000279 APPLY BODY CAST; FULL CHILD "$1,185.00 " HC38000253 APPLY BODY CAST;SHOLD/HIP/1THI $889.00 HC38000246 APPLY BODY CAST;SHOLD-HIP-HEAD $814.00 HC38000238 APPLY BODY CAST;SHOULDER-HIPS $754.00 HC25004946 APPLY CAST HAND & LWR FOREARM (GAUNTLET) BIL $600.00 HC25004920 APPLY CAST HAND & LWR FOREARM (GAUNTLET) LT $333.00 HC25004938 APPLY CAST HAND & LWR FOREARM (GAUNTLET) RT $333.00 HC38000030 APPLY CAST LONG ARM $710.00 HC51001469 APPLY CAST LONG ARM $421.00 HC38000063 APPLY CAST LONG LEG $793.00 HC51001485 APPLY CAST LONG LEG $452.00 HC25005000 APPLY CAST LONG LEG BILATERAL "$1,292.00 " HC25004987 APPLY CAST LONG LEG LT $713.00 HC25004995 APPLY CAST LONG LEG RT $713.00 HC38000345 APPLY CAST PATELR TENDN BEARNG $712.00 HC51001519 APPLY CAST PATELR TENDN BEARNG $430.00 HC38000071 APPLY CAST RIGID TOTAL LEG "$1,076.00 " HC38000428 APPLY CAST RISSER JACKET BODY; ONLY $961.00 HC38000436 APPLY CAST RISSER JACKET BODY; WITH HEAD "$1,031.00 " HC38000022 APPLY CAST SHORT ARM $635.00 HC51001477 APPLY CAST SHORT ARM $312.00 HC38000048 APPLY CAST SHORT LEG $717.00 HC51001527 APPLY CAST SHORT LEG $433.00 HC25005034 APPLY CAST SHORT LEG BILATERAL "$1,274.00 " HC25005018 APPLY CAST SHORT LEG LT $645.00 HC25005026 APPLY CAST SHORT LEG RT $645.00 HC38000055 APPLY CAST SHORT LEG WALKING $803.00 HC51001535 APPLY CAST SHORT LEG WALKING $453.00 HC38000287 APPLY CAST SPICA SHOULDER $742.00 HC25004912 APPLY CAST; ELBOW TO FINGER (SHORT ARM) BILAT "$1,183.00 " HC25004896 APPLY CAST; ELBOW TO FINGER (SHORT ARM) LT $629.00 HC25004904 APPLY CAST; ELBOW TO FINGER (SHORT ARM) RT $629.00 HC25004888 APPLY CAST; SHOULDER TO HAND (LONG ARM) BILAT "$1,244.00 " HC25004862 APPLY CAST; SHOULDER TO HAND (LONG ARM) LT $697.00 HC25004870 APPLY CAST; SHOULDER TO HAND (LONG ARM) RT $697.00 HC38000097 APPLY CMPRSSN BOOT/WRAP(UNNA) $612.00 HC38000212 APPLY CMPRSSN BOOT/WRAP(UNNA)BI "$1,149.00 " HC38000204 APPLY CMPRSSN BOOT/WRAP(UNNA)L $612.00 HC38000196 APPLY CMPRSSN BOOT/WRAP(UNNA)R $612.00 HC38000337 APPLY CYLINDER CAST(THI-ANKLE) $678.00 HC51001501 APPLY CYLINDER CAST(THI-ANKLE) $418.00 HC38000329 APPLY LONG LEG CAST BRACE $571.00 HC38000311 APPLY LONG LEG CAST/WALKER $859.00 HC51001493 APPLY LONG LEG CAST/WALKER $497.00 HC47200613 APPLY LOW DOSE RADIONUCLIDE SOURCE "$1,294.00 " HC21000690 APPLY MULTILAY COMPRS BK BIL "$1,576.00 " HC21000682 APPLY MULTILAY COMPRS BK LT $764.00 HC21000674 APPLY MULTILAY COMPRS BK RT $764.00 HC21000914 APPLY MULTILAY COMPRS UPREX B "$1,548.00 " HC21000922 APPLY MULTILAY COMPRS UPREX LT $776.00 HC21000930 APPLY MULTILAY COMPRS UPREX RT $776.00 HC12200291 APPLY ON-BODY INJECTOR FOR TIMED SQ INJ $316.00 HC38000295 APPLY SPICA HIP ONE LEG $893.00 HC38000303 APPLY SPICA HIP1 1/2 OR 2 LEGS "$1,069.00 " HC38000121 APPLY SPLINT FINGER STATIC $266.00 HC38000139 APPLY SPLINT LONG ARM $741.00 HC51001550 APPLY SPLINT LONG ARM $375.00 HC38000147 APPLY SPLINT LONG LEG $795.00 HC51001576 APPLY SPLINT LONG LEG $404.00 HC38000154 APPLY SPLINT SHORT ARM $595.00 HC51001568 APPLY SPLINT SHORT ARM $311.00 HC38000162 APPLY SPLINT SHORT LEG $637.00 HC51001584 APPLY SPLINT SHORT LEG $334.00 HC38000360 APPLY STRAPPNG KNEE(ROBRTJONES $449.00 HC38000410 APPLY TRACTN MECHANCL 1+ AREAS $198.00 HC21000815 APPY SKIN SUB HEAD/HND/FT 1ST25SQ~HC "$2,654.00 " HC21000989 APPY SKIN SUB HEAD/HND/FT 1ST25SQ~LC "$3,086.00 " HC21000823 APPY SKIN SUB HEAD/HND/FT EA+25SQ~HC "$1,498.00 " HC21000997 APPY SKIN SUB HEAD/HND/FT EA+25SQ~LC "$1,812.00 " HC21000831 APPY SKIN SUB HED/HND/FT 1ST100SQ~HC "$3,866.00 " HC21001003 APPY SKIN SUB HED/HND/FT 1ST100SQ~LC "$4,398.00 " HC21000849 APPY SKIN SUB HED/HND/FT EA+100SQ~HC "$2,294.00 " HC21001011 APPY SKIN SUB HED/HND/FT EA+100SQ~LC "$2,829.00 " HC21000799 "APPY SKIN SUB T,A,L 1ST 100SQ~HC" "$4,078.00 " HC21000963 "APPY SKIN SUB T,A,L 1ST 100SQ~LC" "$5,271.00 " HC21000773 "APPY SKIN SUB T,A,L 1ST 25SQ~HC" "$2,701.00 " HC21000948 "APPY SKIN SUB T,A,L 1ST 25SQ~LC" "$2,982.00 " HC21000781 "APPY SKIN SUB T,A,L EA +25SQ~HC" "$1,756.00 " HC21000955 "APPY SKIN SUB T,A,L EA +25SQ~LC" "$2,065.00 " HC21000807 "APPY SKIN SUB T,A,L EA+ 100SQ~HC" "$2,277.00 " HC21000971 "APPY SKIN SUB T,A,L EA+ 100SQ~LC" "$2,944.00 " 61314-665-05 APRACLONIDINE 0.5 % OPHT DROP $385.50 68462-585-40 APREPITANT 125 MG ORAL CAP "$1,528.25 " 68462-585-76 APREPITANT 125 MG ORAL CAP "$1,528.25 " 99999-035-26 APREPITANT 20 MG/ML ORAL LIQUID $244.50 0781-2322-06 APREPITANT 80 MG ORAL CAP $978.15 0781-2322-68 APREPITANT 80 MG ORAL CAP $978.05 68462-584-40 APREPITANT 80 MG ORAL CAP $978.05 68462-584-76 APREPITANT 80 MG ORAL CAP $978.05 HC81101149 APT TEST (FETAL HGB) $147.00 HC81500621 APTT SUBS PLASMA FRACTIONS EA $287.00 63402-911-01 ARFORMOTEROL 15 MCG/2 ML INHALATION NEBU $107.28 63402-911-04 ARFORMOTEROL 15 MCG/2 ML INHALATION NEBU $107.28 63402-911-30 ARFORMOTEROL 15 MCG/2 ML INHALATION NEBU $107.28 63402-911-64 ARFORMOTEROL 15 MCG/2 ML INHALATION NEBU $107.28 0143-9674-01 ARGATROBAN 100 MG/ML IV SOLN "$3,000.00 " 0409-1140-01 ARGATROBAN 100 MG/ML IV SOLN "$1,605.96 " 42023-182-01 ARGATROBAN 100 MG/ML IV SOLN "$3,060.00 " 63323-526-03 ARGATROBAN 100 MG/ML IV SOLN "$3,000.00 " 0143-9559-01 ARGATROBAN IN 0.9 % SOD CHLOR 1 MG/ML IV SOLN "$1,188.00 " 55150-241-01 ARGATROBAN IN 0.9 % SOD CHLOR 1 MG/ML IV SOLN "$1,170.00 " 55150-241-10 ARGATROBAN IN 0.9 % SOD CHLOR 1 MG/ML IV SOLN "$1,170.00 " 0781-3314-91 ARGATROBAN IN NACL (ISO-OS) 50 MG/50 ML (1 MG/ML) IV SOLN "$1,320.00 " 0781-3314-95 ARGATROBAN IN NACL (ISO-OS) 50 MG/50 ML (1 MG/ML) IV SOLN "$1,320.00 " 42367-203-07 ARGATROBAN IN NACL (ISO-OS) 50 MG/50 ML (1 MG/ML) IV SOLN "$1,362.00 " 0009-0436-01 ARGININE HCL (L-ARGININE) 10 % IV SOLP $230.40 99999-010-97 ARGININE HCL 2.5 MEQ/ML ORAL LIQUID $1.00 HC89010227 ARGININE VASOPRESSIN HORMON-AU $29.73 HC89010235 ARGININE VASOPRESSIN HORMON-QN $61.00 13668-218-30 ARIPIPRAZOLE 10 MG ORAL TAB $8.92 16714-785-01 ARIPIPRAZOLE 10 MG ORAL TAB $40.97 16729-280-01 ARIPIPRAZOLE 10 MG ORAL TAB $8.92 43598-556-30 ARIPIPRAZOLE 10 MG ORAL TAB $8.92 65162-898-03 ARIPIPRAZOLE 10 MG ORAL TAB $1.84 65862-663-30 ARIPIPRAZOLE 10 MG ORAL TAB $4.99 62332-103-30 ARIPIPRAZOLE 10 MG ORAL TBDL $201.08 16714-786-01 ARIPIPRAZOLE 15 MG ORAL TAB $6.92 27241-054-03 ARIPIPRAZOLE 15 MG ORAL TAB $4.20 13668-216-30 ARIPIPRAZOLE 2 MG ORAL TAB $8.92 16714-783-01 ARIPIPRAZOLE 2 MG ORAL TAB $35.71 43598-554-30 ARIPIPRAZOLE 2 MG ORAL TAB $8.92 59148-006-13 ARIPIPRAZOLE 2 MG ORAL TAB $178.39 60687-157-11 ARIPIPRAZOLE 2 MG ORAL TAB $56.07 60687-157-21 ARIPIPRAZOLE 2 MG ORAL TAB $56.07 0904-6656-40 ARIPIPRAZOLE 5 MG ORAL TAB $2.28 13668-217-30 ARIPIPRAZOLE 5 MG ORAL TAB $8.92 16714-784-01 ARIPIPRAZOLE 5 MG ORAL TAB $39.80 16729-279-01 ARIPIPRAZOLE 5 MG ORAL TAB $1.88 27241-052-03 ARIPIPRAZOLE 5 MG ORAL TAB $4.20 31722-820-30 ARIPIPRAZOLE 5 MG ORAL TAB $9.10 33342-123-07 ARIPIPRAZOLE 5 MG ORAL TAB $13.00 43598-555-30 ARIPIPRAZOLE 5 MG ORAL TAB $8.92 59148-007-13 ARIPIPRAZOLE 5 MG ORAL TAB $178.39 60505-2673-3 ARIPIPRAZOLE 5 MG ORAL TAB $8.92 65162-897-03 ARIPIPRAZOLE 5 MG ORAL TAB $1.84 65162-897-09 ARIPIPRAZOLE 5 MG ORAL TAB $1.84 65862-662-30 ARIPIPRAZOLE 5 MG ORAL TAB $4.99 67877-431-03 ARIPIPRAZOLE 5 MG ORAL TAB $1.40 14789-600-07 ARSENIC TRIOXIDE 1 MG/ML IV SOLN "$3,373.44 " 14789-600-10 ARSENIC TRIOXIDE 1 MG/ML IV SOLN "$3,373.44 " 63323-637-03 ARSENIC TRIOXIDE 1 MG/ML IV SOLN "$3,564.00 " 63323-637-10 ARSENIC TRIOXIDE 1 MG/ML IV SOLN "$3,564.00 " 68382-997-01 ARSENIC TRIOXIDE 1 MG/ML IV SOLN "$3,249.00 " 68382-997-10 ARSENIC TRIOXIDE 1 MG/ML IV SOLN "$3,249.00 " HC89017602 ARSENIC URINE (PNL)-AU $13.00 HC89003552 ARSENIC URINE-AU $13.00 HC89002836 ARSENIC URINE-QD $63.00 HC89007298 "ARSENIC, BLOOD-AU" $11.00 HC89020952 "ARSENIC, FRACTIONATED-AU" $87.00 HC89002059 ARSENIC-QD $63.00 HC44200046 ART STDY BILAT U/L 1-2 LVL LTD "$1,464.00 " HC44200053 ART STDY BILAT U/L 3/> LVL CMP "$2,259.00 " HC44200855 ART STDY SNG U/L 1-2 LVL LTD-L "$1,011.00 " HC44200848 ART STDY SNG U/L 1-2 LVL LTD-R "$1,011.00 " HC44200871 ART STDY SNG U/L 3/> LVL CMP-L "$1,464.00 " HC44200863 ART STDY SNG U/L 3/> LVL CMP-R "$1,464.00 " HC62200209 ARTERIAL LINE $308.00 HC36000727 ARTERIAL PUNCTURE $392.00 HC36800795 ARTERIAL PUNCTURE $392.00 HC51004109 ARTERIAL PUNCTURE $138.00 HC88600002 ARTERIAL PUNCTURE $390.00 HC38420303 ARTERY EXPOS/GRAFT ARTERY PERFUSION ECMO/ECLS "$10,002.65 " HC84200732 ARTHROPOD ID $107.00 5529960104 ARTIFICIAL SALIVA (CMCE-LYTES) MUCOUS MEMB SPRP $53.28 0065-0426-36 ARTIFICIAL TEAR(DXTRN-HPM-GLY) 0.1-0.3-0.2 % OPHT DROP $36.00 0065-0426-37 ARTIFICIAL TEAR(DXTRN-HPM-GLY) 0.1-0.3-0.2 % OPHT DROP $66.06 0998-0408-15 ARTIFICIAL TEARS(HYPROMELLOSE) 0.5 % OPHT DROP $155.07 HC89003545 ARYLSULFATASE A URINE-AU $332.00 HC89020077 ASCA ELISA IGA SPECIFIC(PNL) -PR $20.00 HC89020085 ASCA ELISA IGG SPECIF(PNL)-PR $20.00 HC89004592 ASCA IGA (PNL)-PR $32.00 HC89004600 ASCA IGG (PNL)-PR $32.00 5026886011 ASCORBIC ACID (VITAMIN C) 250 MG ORAL TAB $1.40 5026886015 ASCORBIC ACID (VITAMIN C) 250 MG ORAL TAB $1.40 904052360 ASCORBIC ACID (VITAMIN C) 500 MG ORAL TAB $1.00 904052361 ASCORBIC ACID (VITAMIN C) 500 MG ORAL TAB $1.00 904052372 ASCORBIC ACID (VITAMIN C) 500 MG ORAL TAB $1.00 904052380 ASCORBIC ACID (VITAMIN C) 500 MG ORAL TAB $1.00 3076800517 ASCORBIC ACID (VITAMIN C) 500 MG ORAL TAB $1.00 67457-118-50 ASCORBIC ACID (VITAMIN C) 500 MG/ML INJ SOLN $543.00 67157-101-50 ASCORBIC ACID (VITAMIN C) 500 MG/ML IV SOLN "$1,380.00 " 67157-101-51 ASCORBIC ACID (VITAMIN C) 500 MG/ML IV SOLN "$1,362.60 " 99999-036-54 ASCORBIC ACID 125 MG ORAL PARTIAL TAB (MCH) $1.00 99999-043-93 ASCORBIC ACID 1500 MG IN NS 50 ML IVPB (SLH) $50.00 HC81700676 ASO SCREEN $114.00 HC81700668 ASO TITER $131.00 HC89015697 ASO TITER-QD $12.00 HC23000029 ASP & INJ GANGLION CYST "$1,055.00 " HC51061539 ASP & INJ GANGLION CYST $457.00 HC25003401 ASP & INJ GANGLION CYST(S) $528.00 HC25001058 ASP BLADDER W/INSERT SUPRAPUB "$3,235.00 " HC46500047 ASP BLADDER W/INSERT SUPRAPUB "$7,598.00 " HC51002764 ASP BLADDER W/INSERT SUPRAPUB "$2,242.00 " HC46500054 ASP PERC SPINAL CORD CYST "$2,085.00 " HC46500062 ASP&INJ BONE CYST "$2,134.00 " HC44500486 ASP/DECOMP PERC DISKECTOMY "$11,322.00 " HC46500070 ASP/INJ HYDROCELE "$2,002.00 " HC51003069 ASP/INJ HYDROCELE "$1,005.00 " HC23000094 ASP/INJ JOINT LRG W/O UTZ GUIDE-BILAT "$3,317.00 " HC23000102 ASP/INJ JOINT LRG W/O UTZ GUIDE-LT "$1,895.00 " HC23000110 ASP/INJ JOINT LRG W/O UTZ GUIDE-RT "$1,895.00 " HC23001803 ASP/INJ JOINT LRG W/UTZ GUIDE-BILAT "$6,030.00 " HC23001811 ASP/INJ JOINT LRG W/UTZ GUIDE-LT "$3,351.00 " HC23001829 ASP/INJ JOINT LRG W/UTZ GUIDE-RT "$3,351.00 " HC23000060 ASP/INJ JOINT MED W/O UTZ GUIDE-BILAT "$2,903.00 " HC23000078 ASP/INJ JOINT MED W/O UTZ GUIDE-LT "$1,355.00 " HC23000086 ASP/INJ JOINT MED W/O UTZ GUIDE-RT "$1,356.00 " HC23001779 ASP/INJ JOINT MED W/UTZ GUIDE-BILAT "$5,854.00 " HC23001787 ASP/INJ JOINT MED W/UTZ GUIDE-LT "$3,175.00 " HC23001795 ASP/INJ JOINT MED W/UTZ GUIDE-RT "$3,175.00 " HC23000037 ASP/INJ JOINT SM W/O UTZ GUIDE-BILAT "$1,955.00 " HC23000045 ASP/INJ JOINT SM W/O UTZ GUIDE-LT "$1,037.00 " HC23000052 ASP/INJ JOINT SM W/O UTZ GUIDE-RT "$1,016.00 " HC23001746 ASP/INJ JOINT SM W/UTZ GUIDE-BILAT "$3,542.00 " HC23001753 ASP/INJ JOINT SM W/UTZ GUIDE-LT "$2,722.00 " HC23001761 ASP/INJ JOINT SM W/UTZ GUIDE-RT "$2,722.00 " HC25005679 ASP/INJ JOINT/BURSA MAJOR W/US-BIL "$1,235.00 " HC25005687 ASP/INJ JOINT/BURSA MAJOR W/US-LT $822.00 HC25005695 ASP/INJ JOINT/BURSA MAJOR W/US-RT $822.00 HC25000894 ASP/INJ LARGE JOINT-BILAT "$1,599.00 " HC51010239 ASP/INJ LARGE JOINT-BILAT $494.00 HC25000902 ASP/INJ LARGE JOINT-LT $860.00 HC51010247 ASP/INJ LARGE JOINT-LT $309.00 HC25000910 ASP/INJ LARGE JOINT-RT $860.00 HC51010254 ASP/INJ LARGE JOINT-RT $309.00 HC25000860 ASP/INJ MED JOINT-BILAT "$1,214.00 " HC51010205 ASP/INJ MED JOINT-BILAT $481.00 HC25000878 ASP/INJ MED JOINT-LT $655.00 HC51010213 ASP/INJ MED JOINT-LT $276.00 HC25000886 ASP/INJ MED JOINT-RT $655.00 HC51010221 ASP/INJ MED JOINT-RT $276.00 HC46501771 ASP/INJ RENAL CYST/PELVIS "$4,038.00 " HC51002236 ASP/INJ RENAL CYST/PELVIS "$1,055.00 " HC46500088 ASP/INJ RENAL CYST/PELVIS BI "$7,664.00 " HC46500096 ASP/INJ RENAL CYST/PELVIS LT "$4,038.00 " HC46500104 ASP/INJ RENAL CYST/PELVIS RT "$4,038.00 " HC51010171 ASP/INJ SMALL JNT-SC BILAT $453.00 HC51010189 ASP/INJ SMALL JNT-SC LT $259.00 HC51010197 ASP/INJ SMALL JNT-SC RT $259.00 HC25000837 ASP/INJ SMALL JOINT-BILAT $965.00 HC25000845 ASP/INJ SMALL JOINT-LT $587.00 HC25000852 ASP/INJ SMALL JOINT-RT $587.00 HC46500112 ASP/INJ THYROID CYST "$2,280.00 " 57902-249-01 "ASPARAGINASE (ERWINIA CHRYSAN) 10,000 UNIT INJ SOLR" "$24,185.04 " 57902-249-05 "ASPARAGINASE ERWINIA CHRYSANTHEMI (ERWINAZE) 10,000 UNITS/ML INJ SOLN" "$24,185.04 " HC89021059 ASPERGILLUS AB (PNL2)-AU $6.00 HC89012108 ASPERGILLUS AB BY CF-AU $11.03 HC89023428 ASPERGILLUS AB BY ID-AU $11.28 HC89017800 ASPERGILLUS AB(PNL)-AU $19.00 HC89001135 ASPERGILLUS AB-QD $17.00 HC89004964 ASPERGILLUS ANTIGEN-AU $50.00 HC89005516 ASPERGILLUS ANTIGEN-FT $217.00 HC89019012 ASPERGILLUS ANTIGEN-MV $95.00 HC21000153 ASPIRATION OF ABCESS/CYST "$1,909.00 " HC25000746 ASPIRATION OF ABCESS/CYST "$1,010.00 " HC21000161 ASPIRATION OF ABCESS/CYST-ADDL "$1,610.00 " HC51002749 ASPIRATION OF BLADDER BY NEEDLE "$1,040.00 " HC25000084 ASPIRATION OF BLADDER TROCAR "$1,435.00 " HC51002756 ASPIRATION OF BLADDER TROCAR "$1,676.00 " HC25005836 ASPIRATION W/ CATHETER; NASOTRACHEAL $188.00 HC36001089 ASPIRATION W/ CATHETER; NASOTRACHEAL $320.00 HC62200225 ASPIRATOR MECONIUM $91.00 HC62222377 ASPIRATOR ULTRASONIC SURG B "$1,625.00 " HC62225735 ASPIRATOR ULTRASONIC SURG C "$1,950.00 " HC62200233 ASPIRATOR ULTRASONIC SURG E "$2,600.00 " 99999-036-55 ASPIRIN 20.25 MG ORAL PARTIAL CHEWTAB (MCH) $1.00 0574-7034-12 ASPIRIN 300 MG RECTAL SUPP $7.00 1093924233 ASPIRIN 325 MG ORAL TAB $1.00 1093924333 ASPIRIN 325 MG ORAL TAB $1.00 49348-001-10 ASPIRIN 325 MG ORAL TAB $1.00 57896-901-01 ASPIRIN 325 MG ORAL TAB $1.00 66553-001-01 ASPIRIN 325 MG ORAL TAB $1.00 0536-1232-01 ASPIRIN 325 MG ORAL TBEC $1.00 0904-6784-80 ASPIRIN 325 MG ORAL TBEC $1.00 57896-921-01 ASPIRIN 325 MG ORAL TBEC $1.00 69618-015-01 ASPIRIN 325 MG ORAL TBEC $1.00 99999-036-56 ASPIRIN 40.5 MG ORAL PARTIAL CHEWTAB (MCH) $1.00 0574-7036-12 ASPIRIN 600 MG RECTAL SUPP $7.24 0904-4040-73 ASPIRIN 81 MG ORAL CHEW $1.00 0904-6794-80 ASPIRIN 81 MG ORAL CHEW $1.00 0904-6794-89 ASPIRIN 81 MG ORAL CHEW $1.00 63739-434-01 ASPIRIN 81 MG ORAL CHEW $1.00 66553-002-01 ASPIRIN 81 MG ORAL CHEW (MCH) $1.00 1093944144 ASPIRIN 81 MG ORAL TBEC $1.00 1093944344 ASPIRIN 81 MG ORAL TBEC $1.00 1093944444 ASPIRIN 81 MG ORAL TBEC $1.00 1284353640 ASPIRIN 81 MG ORAL TBEC $1.00 8770140309 ASPIRIN 81 MG ORAL TBEC $1.00 0280-2100-12 ASPIRIN 81 MG ORAL TBEC $1.00 0904-6751-80 ASPIRIN 81 MG ORAL TBEC $1.00 10135-173-62 ASPIRIN 81 MG ORAL TBEC $1.00 10135-689-62 ASPIRIN 81 MG ORAL TBEC $1.00 46122-262-87 ASPIRIN 81 MG ORAL TBEC $1.00 46122-615-87 ASPIRIN 81 MG ORAL TBEC $1.00 49348-980-23 ASPIRIN 81 MG ORAL TBEC $1.00 49348-980-53 ASPIRIN 81 MG ORAL TBEC $1.00 49348-981-15 ASPIRIN 81 MG ORAL TBEC $1.00 49483-481-10 ASPIRIN 81 MG ORAL TBEC $1.00 49483-481-12 ASPIRIN 81 MG ORAL TBEC $1.00 57896-981-01 ASPIRIN 81 MG ORAL TBEC $1.00 63739-212-01 ASPIRIN 81 MG ORAL TBEC $1.00 63739-212-10 ASPIRIN 81 MG ORAL TBEC $1.00 69618-046-02 ASPIRIN 81 MG ORAL TBEC $1.00 99999-004-81 ASPIRIN DESENSITIZATION (LB) $1.00 99999-004-82 ASPIRIN DESENSITIZATION TABLET (LB) $1.00 1093938533 ASPIRIN-ACETAMINOPHEN-CAFFEINE 250-250-65 MG ORAL TAB $1.00 0067-2000-20 ASPIRIN-ACETAMINOPHEN-CAFFEINE 250-250-65 MG ORAL TAB $1.00 0067-2000-91 ASPIRIN-ACETAMINOPHEN-CAFFEINE 250-250-65 MG ORAL TAB $1.00 0904-5135-59 ASPIRIN-ACETAMINOPHEN-CAFFEINE 250-250-65 MG ORAL TAB $1.00 16714-964-01 ASPIRIN-DIPYRIDAMOLE 25-200 MG ORAL CM12 $29.68 62559-850-60 ASPIRIN-DIPYRIDAMOLE 25-200 MG ORAL CM12 $4.82 65162-596-06 ASPIRIN-DIPYRIDAMOLE 25-200 MG ORAL CM12 $29.92 HC89009070 ASSAY NICOTINE-AU $68.00 HC89015465 ASSAY NICOTINE-QD $11.00 HC89006233 ASSAY PHENCYCLIDINE (PCP)-AU $75.00 HC11200011 ASSESS-DIRECT OBSERV ADMIT $650.00 0003-3624-12 ATAZANAVIR 150 MG ORAL CAP $146.33 16714-860-01 ATAZANAVIR 150 MG ORAL CAP $102.68 65862-711-60 ATAZANAVIR 150 MG ORAL CAP $44.55 0003-3622-12 ATAZANAVIR 300 MG ORAL CAP $289.88 0093-0753-01 ATENOLOL 100 MG ORAL TAB $1.00 0781-1507-01 ATENOLOL 100 MG ORAL TAB $1.00 51079-685-01 ATENOLOL 100 MG ORAL TAB $1.30 51079-685-20 ATENOLOL 100 MG ORAL TAB $1.30 68382-024-01 ATENOLOL 100 MG ORAL TAB $1.00 99999-042-79 ATENOLOL 2 MG/ML ORAL LIQUID $1.00 0093-0787-01 ATENOLOL 25 MG ORAL TAB $1.00 0378-0218-01 ATENOLOL 25 MG ORAL TAB $1.00 0781-1078-01 ATENOLOL 25 MG ORAL TAB $1.00 0781-1078-10 ATENOLOL 25 MG ORAL TAB $1.00 51079-759-01 ATENOLOL 25 MG ORAL TAB $1.00 51079-759-20 ATENOLOL 25 MG ORAL TAB $1.00 68382-022-01 ATENOLOL 25 MG ORAL TAB $1.00 68382-022-10 ATENOLOL 25 MG ORAL TAB $1.00 0093-0752-01 ATENOLOL 50 MG ORAL TAB $1.00 0093-0752-10 ATENOLOL 50 MG ORAL TAB $1.00 0378-0231-01 ATENOLOL 50 MG ORAL TAB $1.00 0378-0231-10 ATENOLOL 50 MG ORAL TAB $1.00 0781-1506-01 ATENOLOL 50 MG ORAL TAB $1.00 0781-1506-10 ATENOLOL 50 MG ORAL TAB $1.00 51079-684-01 ATENOLOL 50 MG ORAL TAB $1.00 51079-684-20 ATENOLOL 50 MG ORAL TAB $1.00 68382-023-01 ATENOLOL 50 MG ORAL TAB $1.00 68382-023-10 ATENOLOL 50 MG ORAL TAB $1.00 50242-917-01 "ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) IV SOLN" "$55,164.24 " 50242-918-01 ATEZOLIZUMAB 840 MG/14 ML (60 MG/ML) IV SOLN "$38,614.88 " HC89020218 ATG16L1 SNP (RS2241880)(PL)-PR $14.40 HC44503233 ATHER' TRLUML ABD AORTA W/S&I "$17,762.00 " HC44503217 ATHER' TRLUML RENAL ART&S&I-BI "$33,185.00 " HC44503209 ATHER' TRLUML RENAL ART&S&I-LT "$17,964.00 " HC44503191 ATHER' TRLUML RENAL ART&S&I-RT "$17,964.00 " HC44503225 ATHER' TRLUML VISERCL EA & S&I "$10,910.00 " HC44503266 ATHER'TRLUML BRACH EAVES W/S&I-B "$33,528.00 " HC44503258 ATHER'TRLUML BRACH EAVES W/S&I-L "$18,111.00 " HC44503241 ATHER'TRLUML BRACH EAVES W/S&I-R "$18,111.00 " HC44503290 ATHER'TRLUML ILIAC EAVES W/S&I-B "$38,540.00 " HC44503282 ATHER'TRLUML ILIAC EAVES W/S&I-L "$21,159.00 " HC44503274 ATHER'TRLUML ILIAC EAVES W/S&I-R "$21,159.00 " 0002-3227-30 ATOMOXETINE 10 MG ORAL CAP $79.08 0002-3228-30 ATOMOXETINE 25 MG ORAL CAP $79.08 0002-3239-30 ATOMOXETINE 60 MG ORAL CAP $85.92 0071-0155-23 ATORVASTATIN 10 MG ORAL TAB $65.96 0071-0155-40 ATORVASTATIN 10 MG ORAL TAB $69.26 0378-3950-05 ATORVASTATIN 10 MG ORAL TAB $1.27 0904-6290-61 ATORVASTATIN 10 MG ORAL TAB $1.48 16714-874-02 ATORVASTATIN 10 MG ORAL TAB $1.00 50268-093-11 ATORVASTATIN 10 MG ORAL TAB $1.77 50268-093-15 ATORVASTATIN 10 MG ORAL TAB $1.77 51079-208-01 ATORVASTATIN 10 MG ORAL TAB $1.85 51079-208-20 ATORVASTATIN 10 MG ORAL TAB $1.85 59762-0155-1 ATORVASTATIN 10 MG ORAL TAB $1.27 59762-0155-2 ATORVASTATIN 10 MG ORAL TAB $1.27 60505-2578-8 ATORVASTATIN 10 MG ORAL TAB $1.27 60505-2578-9 ATORVASTATIN 10 MG ORAL TAB $1.27 63739-018-10 ATORVASTATIN 10 MG ORAL TAB $1.00 68084-097-01 ATORVASTATIN 10 MG ORAL TAB $2.22 68084-097-11 ATORVASTATIN 10 MG ORAL TAB $2.22 0071-0156-23 ATORVASTATIN 20 MG ORAL TAB $94.09 0071-0156-40 ATORVASTATIN 20 MG ORAL TAB $98.80 0904-6291-61 ATORVASTATIN 20 MG ORAL TAB $1.81 16714-875-01 ATORVASTATIN 20 MG ORAL TAB $1.66 16714-875-02 ATORVASTATIN 20 MG ORAL TAB $1.00 50268-094-11 ATORVASTATIN 20 MG ORAL TAB $2.18 50268-094-15 ATORVASTATIN 20 MG ORAL TAB $2.18 51079-209-01 ATORVASTATIN 20 MG ORAL TAB $2.22 51079-209-20 ATORVASTATIN 20 MG ORAL TAB $2.22 59762-0156-1 ATORVASTATIN 20 MG ORAL TAB $1.81 59762-0156-2 ATORVASTATIN 20 MG ORAL TAB $1.81 60505-2579-8 ATORVASTATIN 20 MG ORAL TAB $1.81 60505-2579-9 ATORVASTATIN 20 MG ORAL TAB $1.81 62175-891-43 ATORVASTATIN 20 MG ORAL TAB $1.00 68084-098-01 ATORVASTATIN 20 MG ORAL TAB $2.70 68084-098-11 ATORVASTATIN 20 MG ORAL TAB $2.70 0904-6292-61 ATORVASTATIN 40 MG ORAL TAB $1.91 16714-876-01 ATORVASTATIN 40 MG ORAL TAB $1.69 16714-876-02 ATORVASTATIN 40 MG ORAL TAB $1.72 50268-095-11 ATORVASTATIN 40 MG ORAL TAB $2.26 50268-095-15 ATORVASTATIN 40 MG ORAL TAB $2.26 55111-123-90 ATORVASTATIN 40 MG ORAL TAB $1.00 59762-0157-1 ATORVASTATIN 40 MG ORAL TAB $1.81 60505-2580-8 ATORVASTATIN 40 MG ORAL TAB $1.81 60505-2580-9 ATORVASTATIN 40 MG ORAL TAB $1.81 62175-892-41 ATORVASTATIN 40 MG ORAL TAB $1.00 68084-099-01 ATORVASTATIN 40 MG ORAL TAB $2.70 68084-099-11 ATORVASTATIN 40 MG ORAL TAB $2.70 0071-0158-23 ATORVASTATIN 80 MG ORAL TAB $94.09 0378-3953-05 ATORVASTATIN 80 MG ORAL TAB $1.81 0904-6293-04 ATORVASTATIN 80 MG ORAL TAB $2.60 50268-096-11 ATORVASTATIN 80 MG ORAL TAB $3.14 50268-096-12 ATORVASTATIN 80 MG ORAL TAB $3.14 55111-124-90 ATORVASTATIN 80 MG ORAL TAB $1.00 59762-0158-1 ATORVASTATIN 80 MG ORAL TAB $1.81 60505-2671-8 ATORVASTATIN 80 MG ORAL TAB $1.81 60505-2671-9 ATORVASTATIN 80 MG ORAL TAB $1.81 63304-830-90 ATORVASTATIN 80 MG ORAL TAB $1.00 68084-590-25 ATORVASTATIN 80 MG ORAL TAB $4.06 68084-590-95 ATORVASTATIN 80 MG ORAL TAB $4.06 0173-0547-00 ATOVAQUONE 750 MG/5 ML ORAL SUSP $198.93 0173-0665-18 ATOVAQUONE 750 MG/5 ML ORAL SUSP "$9,035.46 " 16714-900-01 ATOVAQUONE 750 MG/5 ML ORAL SUSP "$5,507.46 " 66689-062-01 ATOVAQUONE 750 MG/5 ML ORAL SUSP $215.67 66689-062-42 ATOVAQUONE 750 MG/5 ML ORAL SUSP $177.00 66993-062-72 ATOVAQUONE 750 MG/5 ML ORAL SUSP "$6,890.94 " 68462-421-69 ATOVAQUONE 750 MG/5 ML ORAL SUSP $177.00 99999-005-85 ATOVAQUONE 750 MG/5 ML ORAL SUSP (MCH) $189.45 99999-005-86 ATOVAQUONE 750 MG/5 ML ORAL SUSP (MCH) $397.86 0173-0675-01 ATOVAQUONE-PROGUANIL 250-100 MG ORAL TAB $40.38 0173-0675-02 ATOVAQUONE-PROGUANIL 250-100 MG ORAL TAB $41.20 68462-404-01 ATOVAQUONE-PROGUANIL 250-100 MG ORAL TAB $34.32 68462-404-44 ATOVAQUONE-PROGUANIL 250-100 MG ORAL TAB $35.02 0409-1105-02 ATRACURIUM 10 MG/ML IV SOLN $75.60 0409-1109-01 ATRACURIUM 10 MG/ML IV SOLN $37.80 25021-672-10 ATRACURIUM 10 MG/ML IV SOLN $96.00 55150-217-10 ATRACURIUM 10 MG/ML IV SOLN $84.00 0409-9630-05 ATROPINE 0.05 MG/ML INJ SYRG $83.19 0409-1630-10 ATROPINE 0.1 MG/ML INJ SYRG $33.12 0409-1630-15 ATROPINE 0.1 MG/ML INJ SYRG $33.12 0409-4911-11 ATROPINE 0.1 MG/ML INJ SYRG $62.52 0409-4911-34 ATROPINE 0.1 MG/ML INJ SYRG $62.52 76329-3339-1 ATROPINE 0.1 MG/ML INJ SYRG $54.00 0409-4910-11 ATROPINE 0.1 MG/ML INJ SYRG CODE PEDS $54.48 0517-0401-25 ATROPINE 0.4 MG/ML INJ SOLN $46.14 0641-6006-01 ATROPINE 0.4 MG/ML INJ SOLN $210.60 0641-6006-10 ATROPINE 0.4 MG/ML INJ SOLN $210.60 0065-0303-55 ATROPINE 1 % OPHT DROP $280.20 17478-215-02 ATROPINE 1 % OPHT DROP $223.02 17478-215-05 ATROPINE 1 % OPHT DROP $307.92 24208-825-55 ATROPINE 1 % OPHT OINT $105.06 0517-1010-25 ATROPINE 1 MG/ML INJ SOLN $72.48 HC62224076 ATTACHMENT DISTAL COLONOSCOPE $83.00 HC36001071 ATTENDANCE AT DELIVERY $635.00 HC34000067 AUD-ACOUSTIC REFLEX TEST/MWC $252.00 HC34000034 AUD-AUDIO THRESHOLD W/RECOG $329.00 HC34000026 AUD-AUDIOMETRY THRESHOLD $201.00 HC34000125 AUD-AUDITORY EVOKED AEP BBS HEARING DETERM W/I&R $675.00 HC34000216 AUD-AUDITORY EVOKED AEP NEURODIAGNOSTIC W/I&R $601.00 HC34000208 AUD-AUDITORY EVOKED AEP THRESHOLD EST MULT FREQ W/I&R $705.00 HC34000042 AUD-COMPREHENSV AUDIOMETRY/MCW $723.00 HC34000091 AUD-CONDITIONING PLAY AUDIO $404.00 HC34000141 AUD-EV OTOACOUSTIC EMM COMP/MW $724.00 HC34000158 AUD-HEARING AID EXAM MONAURAL $361.00 HC34000166 AUD-HEARING AID EXAM&SEL BI/MCW $499.00 HC34000190 AUD-INFANT HEARING SCREEN AEP BBS AUTO INITIAL IP $790.00 HC34000109 AUD-INFANT HEARING SCREEN AEP BBS AUTO INITIAL OP $682.00 HC34000117 AUD-INFANT HEARING SCREEN AEP BBS AUTO REPEAT OP $583.00 HC29000304 AUDIOMETRY $255.00 HC41500000 AUDITORY EVOKED AEP BBS HEARING DETERM W/I&R "$2,144.00 " HC41500018 AUDITORY EVOKED AEP BBS HEARING DETERM W/I&R "$1,198.00 " HC41500547 AUDITORY EVOKED AEP BBS HEARING DETERM W/I&R "$2,144.00 " HC41500935 AUDITORY EVOKED AEP NEURODIAGNOSTIC W/I&R "$1,568.00 " HC41500927 AUDITORY EVOKED AEP THRESHOLD EST MULT FREQ W/I&R "$1,568.00 " HC34000133 AUD-OTOACOUSTIC EVOKED RESP LTD $515.00 HC34000000 AUD-PURE TONE AUDIO AIR ONLY $274.00 HC34000018 AUD-PURE TONE AUDIO AIR&BONE $446.00 HC34000059 AUD-TYMPANOMETRY/MCW $316.00 HC34000083 AUD-VISUAL REINFORCE AUDIO(VRA) $389.00 HC62211271 AUTO TRANSFUSION SUPPLIES "$1,256.00 " HC89500326 AUTO/DD BLD/COMP PROC/STOR-UCI $773.00 HC83000299 AUTOL/DD BLD/COMPON PROC/STOR "$1,392.00 " 44087-3535-1 AVELUMAB 20 MG/ML IV SOLN "$9,867.18 " HC21000187 "AVULSION OF NAIL, EA ADDL'" $452.00 HC25000779 "AVULSION OF NAIL, EA ADDL'" $320.00 HC21000179 "AVULSION OF NAIL, SIMPLE:1" $683.00 HC25000761 "AVULSION OF NAIL, SIMPLE:1" $560.00 HC62228028 AWL SINGLE PATIENT USE $130.00 HC62217591 AWL SPINAL SINGLE PATIENT USE C $390.00 HC62217609 AWL SPINAL SINGLE PATIENT USE D $455.00 HC62217617 AWL SPINAL SINGLE PATIENT USE E $520.00 HC62217625 AWL SPINAL SINGLE PATIENT USE G $650.00 HC62217633 AWL SPINAL SINGLE PATIENT USE H $715.00 HC62217641 AWL SPINAL SINGLE PATIENT USE I $780.00 HC62217658 AWL SPINAL SINGLE PATIENT USE J $845.00 HC62217666 AWL SPINAL SINGLE PATIENT USE K $910.00 HC62217674 AWL SPINAL SINGLE PATIENT USE N "$1,105.00 " HC62217682 AWL SPINAL SINGLE PATIENT USE Q "$1,300.00 " HC62217690 AWL SPINAL SINGLE PATIENT USE R "$1,430.00 " HC62217708 AWL SPINAL SINGLE PATIENT USE S "$1,560.00 " HC62217716 AWL SPINAL SINGLE PATIENT USE V "$1,950.00 " HC62217724 AWL SPINAL SINGLE PATIENT USE X "$2,210.00 " HC29000601 AWV ANNUAL WELLNESS PLAN; INITIAL $365.00 HC29000619 AWV ANNUAL WELLNESS PLAN; SUBSEQUENT $298.00 0781-3253-94 AZACITIDINE 100 MG INJ SOLR "$1,867.68 " 43598-305-62 AZACITIDINE 100 MG INJ SOLR "$2,400.00 " 59572-102-01 AZACITIDINE 100 MG INJ SOLR "$3,511.44 " 69097-805-40 AZACITIDINE 100 MG INJ SOLR "$1,260.00 " 72485-201-01 AZACITIDINE 100 MG INJ SOLR $630.00 99999-036-42 AZATHIOPRINE 12.5 MG ORAL PARTIAL TAB $1.00 99999-036-43 AZATHIOPRINE 25 MG ORAL PARTIAL TAB $2.03 51079-620-01 AZATHIOPRINE 50 MG ORAL TAB $3.29 51079-620-06 AZATHIOPRINE 50 MG ORAL TAB $3.29 67877-493-01 AZATHIOPRINE 50 MG ORAL TAB $1.50 68084-229-01 AZATHIOPRINE 50 MG ORAL TAB $4.06 68084-229-11 AZATHIOPRINE 50 MG ORAL TAB $4.06 99999-033-50 AZATHIOPRINE 50 MG/ML ORAL SUSP (COMPOUND) $4.06 47335-779-91 AZELASTINE 137 MCG (0.1 %) NASL SPRA $261.00 51991-814-03 AZELASTINE 137 MCG (0.1 %) NASL SPRA $130.50 60505-0833-5 AZELASTINE 137 MCG (0.1 %) NASL SPRA $261.00 65162-676-84 AZELASTINE 137 MCG (0.1 %) NASL SPRA $120.06 17478-307-03 AZITHROMYCIN 1 % OPHT DROP "$1,237.26 " 0069-3140-19 AZITHROMYCIN 200 MG/5 ML ORAL SUSR $156.96 0093-2026-31 AZITHROMYCIN 200 MG/5 ML ORAL SUSR $156.96 59762-3120-1 AZITHROMYCIN 200 MG/5 ML ORAL SUSR $156.96 59762-3130-1 AZITHROMYCIN 200 MG/5 ML ORAL SUSR $157.01 59762-3140-1 AZITHROMYCIN 200 MG/5 ML ORAL SUSR $156.96 0781-8089-26 AZITHROMYCIN 250 MG ORAL TAB $13.00 0904-6708-06 AZITHROMYCIN 250 MG ORAL TAB $7.41 50111-787-10 AZITHROMYCIN 250 MG ORAL TAB $12.75 50111-787-51 AZITHROMYCIN 250 MG ORAL TAB $8.44 50111-787-66 AZITHROMYCIN 250 MG ORAL TAB $8.44 51224-022-30 AZITHROMYCIN 250 MG ORAL TAB $12.65 59762-2198-1 AZITHROMYCIN 250 MG ORAL TAB $6.75 59762-2198-3 AZITHROMYCIN 250 MG ORAL TAB $6.75 59762-2198-7 AZITHROMYCIN 250 MG ORAL TAB $10.20 59762-3060-2 AZITHROMYCIN 250 MG ORAL TAB $12.75 59762-3060-3 AZITHROMYCIN 250 MG ORAL TAB $20.40 60687-282-01 AZITHROMYCIN 250 MG ORAL TAB $10.42 60687-282-11 AZITHROMYCIN 250 MG ORAL TAB $10.42 60687-282-65 AZITHROMYCIN 250 MG ORAL TAB $9.36 62332-251-30 AZITHROMYCIN 250 MG ORAL TAB $12.75 64679-961-01 AZITHROMYCIN 250 MG ORAL TAB $12.75 64679-961-04 AZITHROMYCIN 250 MG ORAL TAB $8.44 64679-961-05 AZITHROMYCIN 250 MG ORAL TAB $3.34 65862-641-63 AZITHROMYCIN 250 MG ORAL TAB $8.44 65862-641-69 AZITHROMYCIN 250 MG ORAL TAB $8.44 68180-160-11 AZITHROMYCIN 250 MG ORAL TAB $8.44 68180-160-13 AZITHROMYCIN 250 MG ORAL TAB $8.44 0069-3150-83 AZITHROMYCIN 500 MG IV SOLR $36.00 0069-3150-84 AZITHROMYCIN 500 MG IV SOLR $36.00 55150-174-10 AZITHROMYCIN 500 MG IV SOLR $37.20 62756-512-44 AZITHROMYCIN 500 MG IV SOLR $36.00 63323-398-01 AZITHROMYCIN 500 MG IV SOLR $44.58 63323-398-10 AZITHROMYCIN 500 MG IV SOLR $44.58 67457-860-00 AZITHROMYCIN 500 MG IV SOLR $36.00 67457-860-50 AZITHROMYCIN 500 MG IV SOLR $36.00 70436-019-82 AZITHROMYCIN 500 MG IV SOLR $28.20 70860-100-10 AZITHROMYCIN 500 MG IV SOLR $30.00 70860-100-41 AZITHROMYCIN 500 MG IV SOLR $30.00 0069-3070-30 AZITHROMYCIN 500 MG ORAL TAB $17.60 60687-271-11 AZITHROMYCIN 500 MG ORAL TAB $22.00 60687-271-21 AZITHROMYCIN 500 MG ORAL TAB $22.00 50111-789-10 AZITHROMYCIN 600 MG ORAL TAB $27.63 60687-314-95 AZITHROMYCIN 600 MG ORAL TAB $22.70 0003-2560-16 AZTREONAM 1 G INJ SOLR (MCH) $174.00 63323-401-20 AZTREONAM 1 G INJ SOLR (MCH) $197.70 63323-401-26 AZTREONAM 1 GRAM INJ SOLR $163.86 63323-402-20 AZTREONAM 2 G INJ SOLR (MCH) $401.70 0003-2570-16 AZTREONAM 2 GRAM INJ SOLR $348.00 63323-402-30 AZTREONAM 2 GRAM INJ SOLR $327.72 99999-004-78 AZTREONAM 50 MG/ML DILUTION INJECTION $12.24 99999-035-62 AZTREONAM IV (FOR DESENSITIZATION USE) $1.00 HC89005110 B BURGDORFERI C6 PEP RFLX-FT $93.00 HC89005128 B BURGDORFERI IGG WB -FT $89.00 HC89005136 B BURGDORFERI IGM WB -FT $89.00 HC81701450 B CELL TOTAL COUNT $382.00 536730001 B COMPLEX-VITAMIN C-FOLIC ACID 0.8 MG ORAL TAB $1.00 6025816001 B COMPLEX-VITAMIN C-FOLIC ACID 0.8 MG ORAL TAB $1.00 HC89020002 B PARAPERTUSSIS PCR - AU $46.00 HC89014757 B PARAPERTUSSIS PCR-AU $45.00 HC89019996 B PERTUSSIS PCR - AU $46.00 HC89014740 B PERTUSSIS PCR(PNL)-AU $45.00 HC89015937 B. PARAPERTUSSIS/PERT DFA-QD $29.00 HC89023436 B. PERTUSSIS & PARAPERTUSSIS PCR-AU $70.00 HC84201318 B. PERTUSSIS BY PCR (RVP PNL) $457.00 HC89003917 B.PARAPERTUSSIS/PERT DFA-U2 $13.00 0009-0233-01 "BACITRACIN 50,000 UNIT IM SOLR" $66.54 70594-026-01 "BACITRACIN 50,000 UNIT IM SOLR" $60.00 70594-026-02 "BACITRACIN 50,000 UNIT IM SOLR" $60.00 99999-035-11 "BACITRACIN 50,000 UNIT/10ML IRR SYRINGE" $79.86 0574-4022-35 BACITRACIN 500 UNIT/GRAM OPHT OINT $592.20 0713-0280-31 BACITRACIN 500 UNIT/GRAM TOPICAL OINT $13.29 45802-060-01 BACITRACIN 500 UNIT/GRAM TOPICAL OINT $10.16 45802-060-03 BACITRACIN 500 UNIT/GRAM TOPICAL OINT $14.78 45802-060-70 BACITRACIN 500 UNIT/GRAM TOPICAL PACK $1.00 1093956433 BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINT $14.48 0472-1105-56 BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINT $29.74 24385-060-03 BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINT $14.48 49348-154-72 BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINT $14.48 51672-2075-2 BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINT $27.95 54162-017-15 BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINT $9.72 58980-011-10 BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINT $23.64 54162-017-09 BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OIPK $1.00 57896-111-09 BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OIPK $1.00 57896-111-14 BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OIPK $1.00 81079888 "BACITRACIN ZINC-POLYMYXIN B 500-10,000 UNIT/GRAM TOPICAL OINT" $23.60 1093956833 "BACITRACIN ZINC-POLYMYXIN B 500-10,000 UNIT/GRAM TOPICAL OINT" $9.71 49348-274-72 "BACITRACIN ZINC-POLYMYXIN B 500-10,000 UNIT/GRAM TOPICAL OINT" $9.71 0574-4021-35 "BACITRACIN-POLYMYXIN B 500-10,000 UNIT/GRAM OPHT OINT" $130.62 17478-238-35 "BACITRACIN-POLYMYXIN B 500-10,000 UNIT/GRAM OPHT OINT" $83.39 24208-555-55 "BACITRACIN-POLYMYXIN B 500-10,000 UNIT/GRAM OPHT OINT" $137.53 0501-3798-05 "BACITRACIN-POLYMYXIN B 500-10,000 UNIT/GRAM TOPICAL OINT" $22.07 1254723813 "BACITRACIN-POLYMYXIN B 500-10,000 UNIT/GRAM TOPICAL PACK" $1.00 58232-4034-1 "BACITRACIN-POLYMYXIN B 500-10,000 UNIT/GRAM TOPICAL PACK" $1.80 58232-4034-9 "BACITRACIN-POLYMYXIN B 500-10,000 UNIT/GRAM TOPICAL PACK" $1.80 69968-0060-9 "BACITRACIN-POLYMYXIN B 500-10,000 UNIT/GRAM TOPICAL PACK" $1.00 0172-4096-60 BACLOFEN 10 MG ORAL TAB $1.79 0603-2406-21 BACLOFEN 10 MG ORAL TAB $1.00 0904-6475-61 BACLOFEN 10 MG ORAL TAB $2.53 16714-071-04 BACLOFEN 10 MG ORAL TAB $1.62 16714-071-06 BACLOFEN 10 MG ORAL TAB $1.76 63739-479-10 BACLOFEN 10 MG ORAL TAB $2.78 68084-855-01 BACLOFEN 10 MG ORAL TAB $3.43 68084-855-11 BACLOFEN 10 MG ORAL TAB $3.43 66794-155-02 "BACLOFEN 10,000 MCG/20ML (500 MCG/ML) INTRATHECAL SOLN" "$1,417.80 " 70257-563-01 "BACLOFEN 2,000 MCG/ML INTRATHECAL SOLN" "$5,670.84 " 70257-563-20 "BACLOFEN 2,000 MCG/ML INTRATHECAL SOLN" "$5,670.84 " 99999-036-57 BACLOFEN 2.5 MG ORAL PARTIAL TAB (MCH) $1.00 0172-4097-60 BACLOFEN 20 MG ORAL TAB $2.96 0603-2407-21 BACLOFEN 20 MG ORAL TAB $2.16 0904-6476-61 BACLOFEN 20 MG ORAL TAB $4.00 16714-072-04 BACLOFEN 20 MG ORAL TAB $2.78 63739-480-10 BACLOFEN 20 MG ORAL TAB $4.28 68084-868-01 BACLOFEN 20 MG ORAL TAB $5.65 68084-868-11 BACLOFEN 20 MG ORAL TAB $5.65 66794-157-02 "BACLOFEN 40,000 MCG/20ML (2,000 MCG/ML) INTRATHECAL SOLN" "$5,670.84 " 99999-036-58 BACLOFEN 5 MG ORAL PARTIAL TAB (MCH) $1.29 99999-041-34 BACLOFEN 5 MG/ML ORAL LIQUID (COMPOUNDED) $1.07 66794-151-01 BACLOFEN 50 MCG/ML (1 ML) INTRATHECAL SYRG $527.52 70257-562-11 BACLOFEN 50 MCG/ML INTRATHECAL SOLN $197.82 70257-562-55 BACLOFEN 50 MCG/ML INTRATHECAL SOLN $197.82 70257-560-01 BACLOFEN 500 MCG/ML INTRATHECAL SOLN "$1,417.80 " 70257-560-20 BACLOFEN 500 MCG/ML INTRATHECAL SOLN "$1,417.80 " HC51010320 BACLOPHEN PUMP TRIAL PROCEDURE "$1,068.00 " HC89012009 BACTERIAL AG SCREEN - CSF-FT $167.00 HC84200260 BACTERIAL ANTIGENS EIA $188.00 HC62213764 BAG AUTOTRANSFUSION $39.00 HC62200258 BAG BILE $72.00 HC62200266 BAG BLOOD COLLECTION APHERESIS $39.00 HC62200274 BAG COLOSTOMY/ILEOSTOMY/LOOP $13.00 HC62200282 BAG DECANTER $46.00 HC62200290 BAG DIALYSIS ACCESSORY $18.00 HC62200316 BAG ENEMA W/ W/O TUBING $65.00 HC62200324 BAG FEEDING $38.00 HC62200332 BAG NEONATAL HYPERIFLATION $238.00 HC62200340 BAG PRESSURE $39.00 HC62200357 BAG URINARY DRAINAGE $72.00 HC62200365 BAG URINARY LEG $33.00 HC62200373 BAG VENTRICULAR DRAIN $130.00 HC62200308 BAG/POUCH DRAINAGE $85.00 HC62227343 BAG/POUCH RETRIEVAL SPECMN ENDO B $130.00 HC62220827 BAG/POUCH RETRIEVAL SPECMN ENDO C $228.00 HC62202908 BAG/POUCH RETRIEVAL SPECMN ENDO D $293.00 HC62222369 BAG/POUCH RETRIEVAL SPECMN ENDO F $423.00 HC62202825 BAG/POUCH RETRIEVAL SPECMN ENDO G $488.00 HC62220835 BAG/POUCH RETRIEVAL SPECMN ENDO M $878.00 0065-0800-50 BALANCED SALT SOLN NO.1 IRRIG. INTRAOCULAR SOLN $462.00 0065-0795-15 BALANCED SALT SOLN NO.2 IRRIG. INTRAOCULAR SOLN $59.49 0065-0795-50 BALANCED SALT SOLN NO.2 IRRIG. INTRAOCULAR SOLN $183.00 0065-0530-01 BALANCED SALT SOLN NON-SURG 3 OPHT SOLN $109.80 0065-0530-04 BALANCED SALT SOLN NON-SURG 3 OPHT SOLN $167.76 HC62800016 BALLOON BILIARY $715.00 HC62210315 BALLOON BIOFEEDBACK $715.00 HC62800024 BALLOON DILATOR BILIARY/NEPHRO "$1,014.00 " HC62800032 BALLOON ERCP $845.00 HC62800040 BALLOON ESOPHAGEAL $845.00 HC62210323 BALLOON EXPANDER AAA STENT "$1,447.00 " HC62802814 BALLOON HDR APPLICATOR "$2,022.00 " HC62800057 BALLOON HYSTEROSALPINGOGRAM $325.00 HC62227475 BALLOON LATEX EUS $65.00 HC62210331 BALLOON SIZING SEPTAL DEFECT $897.00 HC62209291 BALLOON TAMPONADE GYN (BAKRI) $670.00 HC62800115 BALLOON TAMPONADE UTERINE "$1,976.00 " HC62800123 BALLOON UTERINE "$1,976.00 " HC62208905 BALLOON VALVULOPLASTY "$2,657.00 " HC62216809 BALLOON VERTEBRAL "$4,290.00 " 50242-860-02 BALOXAVIR MARBOXIL 40 MG ORAL TAB $450.00 0054-0079-28 BALSALAZIDE 750 MG ORAL CAP $4.52 50268-102-11 BALSALAZIDE 750 MG ORAL CAP $10.88 50268-102-13 BALSALAZIDE 750 MG ORAL CAP $10.88 65649-101-02 BALSALAZIDE 750 MG ORAL CAP $33.45 5155203174 BALSAM PERU (BULK) MISC LIQD $114.00 0395-2255-94 BALSAM PERU (BULK) MISC LIQD $350.53 8164219344 BALSAM PERU-ZINC OXIDE TOPICAL OINT $30.51 0002-7910-01 BAMLANIVIMAB 700 MG/20 ML (35 MG/ML) IV SOLN $0.01 HC62200381 BAND LIGATOR "$1,300.00 " HC62200399 BANDAGE COMPRESSION $104.00 HC62200407 BANDAGE ELASTIC(ACE AND COBAN) $13.00 HC62200415 BANDAGE ESMARK $20.00 HC62200423 BANDAGE KLING $13.00 HC62200431 BANDAGE LEG COMP $107.00 HC51080117 BANDGE ELASTC(ACE/COBAN) PER5ROLLS $7.00 HC62200449 BANDS RADIAL OCCLUSIVE $195.00 HC89021661 BARBITURATES MEC(PNL)-AU $135.50 HC89007314 BARBITURATES QUANTITATIVE EA SPEC-U2 $42.00 HC89022040 BARBITURATES SERUM QNTS(PNL)-AU $76.00 HC62202486 BARRIER ADHESION PELVIC(INTERCEED) $982.00 HC62222195 BARRIER/BAG DEFECT WALL VENTRAL/ABD $991.00 HC89012116 BARTONELLA AB-AU $11.35 HC89015770 BARTONELLA AB-QD $16.00 HC89005474 BARTONELLA DNA QNT BY PCR-AU $194.00 HC47200001 BASIC DOSIMETRY CALCULATION "$1,789.00 " HC81101891 BASIC METABOLIC PAN/ION'D CA (POS) $335.00 HC81101446 BASIC METABOLIC PANEL/ION'D CA $358.00 HC81100448 BASIC METABOLIC PANEL/TOTAL CA $445.00 0078-0331-84 BASILIXIMAB 20 MG IV SOLR "$23,596.44 " HC62214812 BASKET RETRIEVAL F $286.00 HC62225917 BASKET RETRIEVAL H $423.00 HC62218060 BASKET RETRIEVAL K $585.00 HC62219985 BASKET RETRIEVAL M $748.00 HC62200464 BASKET RETRIEVAL N $943.00 HC62200456 BASKET RETRIEVAL O $975.00 HC62228473 BASKET RETRIEVAL BILIARY (SPYGLASS) "$1,650.00 " HC83001230 BB PATH; DIFFICULT CROSSMATCH IRREG AB $298.00 HC83001065 BB PATH; INVEST TRANFUSION REACTION $531.00 HC62802780 BEAD DC MICROSPHERE PER VIAL "$5,282.00 " HC62204458 BEAD LC MICROSPHERE PER VIAL "$6,000.00 " 99996-000-14 BECKSTRAND DEODORANT (CHARGE ONLY) $12.06 0173-0388-79 BECLOMETHASONE DIPROP (AQ) 42 MCG (0.042 %) NASL SPRY "$1,760.10 " 59310-302-40 BECLOMETHASONE DIPROPIONATE 40 MCG/ACTUATION INHALATION HFAB "$1,141.24 " HC77400083 BEDSIDE/OTHER ANESTH' ADD'L 15MIN $354.00 HC77400281 BEDSIDE/OTHER ANESTH' ADD'L 15MIN CASE CX $177.00 HC77400091 BEDSIDE/OTHER ANESTH' INITIAL HR "$1,412.00 " HC77400265 BEDSIDE/OTHER ANESTH' INIT'L HR CASE CX $711.00 HC74200247 BEDSIDE/OTHER SURGICAL ADD'L 15MIN 1 "$1,201.00 " HC74200254 BEDSIDE/OTHER SURGICAL ADD'L 15MIN 2 "$1,559.00 " HC74200262 BEDSIDE/OTHER SURGICAL ADD'L 15MIN 3 "$1,860.00 " HC74200270 BEDSIDE/OTHER SURGICAL ADD'L 15MIN 4 "$2,157.00 " HC74200288 BEDSIDE/OTHER SURGICAL ADD'L 15MIN 5 "$2,330.00 " HC74200296 BEDSIDE/OTHER SURGICAL ADD'L 15MIN 6 "$2,504.00 " HC74200304 BEDSIDE/OTHER SURGICAL CANCEL LVL 1 "$2,381.00 " HC74200312 BEDSIDE/OTHER SURGICAL CANCEL LVL 2 "$3,090.00 " HC74200320 BEDSIDE/OTHER SURGICAL CANCEL LVL 3 "$3,684.00 " HC74200338 BEDSIDE/OTHER SURGICAL CANCEL LVL 4 "$4,272.00 " HC74200346 BEDSIDE/OTHER SURGICAL CANCEL LVL 5 "$4,617.00 " HC74200353 BEDSIDE/OTHER SURGICAL CANCEL LVL 6 "$4,959.00 " HC74200189 BEDSIDE/OTHER SURGICAL INITIAL HR 1 "$4,919.00 " HC74200197 BEDSIDE/OTHER SURGICAL INITIAL HR 2 "$6,272.00 " HC74200205 BEDSIDE/OTHER SURGICAL INITIAL HR 3 "$7,198.00 " HC74200213 BEDSIDE/OTHER SURGICAL INITIAL HR 4 "$8,672.00 " HC74200221 BEDSIDE/OTHER SURGICAL INITIAL HR 5 "$9,370.00 " HC74200239 BEDSIDE/OTHER SURGICAL INITIAL HR 6 "$10,065.00 " HC39001342 BEHAVIOR ADAPT MULT FAM TX GDN W/O PT; EA 15MIN $116.00 HC51070647 BEHAVIOR ADAPT MULT FAM TX GDN W/O PT; EA 15MIN $82.00 HC39001326 BEHAVIOR ADAPT TX ADMN QHCP EA 15MIN $116.00 HC51070621 BEHAVIOR ADAPT TX ADMN QHCP EA 15MIN $82.00 HC39001334 BEHAVIOR ADAPT TX FAMILY GUIDNC QHCP W GUARDIANS EA 15MIN $116.00 HC51070639 BEHAVIOR ADAPT TX FAMILY GUIDNC QHCP W GUARDIANS EA 15MIN $82.00 HC39001359 BEHAVIOR ADAPT TX GROUP BY QHCP; EA 15MIN $116.00 HC51070654 BEHAVIOR ADAPT TX GROUP BY QHCP; EA 15MIN $82.00 HC39001318 BEHAVIOR ID ASSESS ADMIN BY QHCP PT/GUARD EA 15MIN $116.00 HC51070613 BEHAVIOR ID ASSESS ADMIN BY QHCP PT/GUARD EA 15MIN $82.00 0003-0371-13 BELATACEPT 250 MG IV SOLR "$5,677.32 " 49401-101-01 BELIMUMAB 120 MG IV SOLR "$3,203.22 " 49401-102-01 BELIMUMAB 400 MG IV SOLR "$10,677.12 " 0574-7045-12 BELLADONNA ALKALOIDS-OPIUM 16.2-30 MG RECTAL SUPP $132.08 0574-7040-01 BELLADONNA ALKALOIDS-OPIUM 16.2-60 MG RECTAL SUPP $160.57 0574-7040-12 BELLADONNA ALKALOIDS-OPIUM 16.2-60 MG RECTAL SUPP $160.57 43547-336-10 BENAZEPRIL 10 MG ORAL TAB $1.00 43547-336-50 BENAZEPRIL 10 MG ORAL TAB $1.00 50268-110-11 BENAZEPRIL 10 MG ORAL TAB $4.11 50268-110-15 BENAZEPRIL 10 MG ORAL TAB $4.11 65162-752-50 BENAZEPRIL 10 MG ORAL TAB $1.00 0185-0820-01 BENAZEPRIL 20 MG ORAL TAB $1.00 43547-337-10 BENAZEPRIL 20 MG ORAL TAB $1.00 50268-111-11 BENAZEPRIL 20 MG ORAL TAB $4.31 50268-111-15 BENAZEPRIL 20 MG ORAL TAB $4.31 65162-753-10 BENAZEPRIL 20 MG ORAL TAB $1.00 65162-753-50 BENAZEPRIL 20 MG ORAL TAB $1.00 43547-338-10 BENAZEPRIL 40 MG ORAL TAB $1.00 50268-112-11 BENAZEPRIL 40 MG ORAL TAB $4.76 50268-112-15 BENAZEPRIL 40 MG ORAL TAB $4.76 65862-118-01 BENAZEPRIL 40 MG ORAL TAB $1.00 0185-0505-01 BENAZEPRIL 5 MG ORAL TAB $1.00 43547-335-10 BENAZEPRIL 5 MG ORAL TAB $1.00 50268-109-11 BENAZEPRIL 5 MG ORAL TAB $3.76 50268-109-15 BENAZEPRIL 5 MG ORAL TAB $3.76 65162-751-10 BENAZEPRIL 5 MG ORAL TAB $1.00 0378-4775-01 BENAZEPRIL-HYDROCHLOROTHIAZIDE 20-25 MG ORAL TAB $5.37 63459-348-04 BENDAMUSTINE 25 MG/ML IV SOLN "$14,842.80 " 58394-635-03 "BENEFIX 1,000 UNIT IV SOLR" "$8,220.00 " 58394-633-03 BENEFIX 250 UNIT IV SOLR "$2,055.00 " 58394-637-03 "BENEFIX 3,000 UNIT IV SOLR" "$24,660.00 " 58394-634-03 BENEFIX 500 UNIT IV SOLR "$4,110.00 " 0310-1730-30 BENRALIZUMAB 30 MG/ML SUBCUTANEOUS SYRG "$30,262.32 " 1031028313 BENZOCAINE 20 % MUCOUS MEMB GEL $26.92 0573-0225-67 BENZOCAINE 20 % MUCOUS MEMB GEL $27.49 0283-0679-02 BENZOCAINE 20 % MUCOUS MEMB SPRA $171.00 0283-0610-26 BENZOCAINE 20 % MUCOUS MEMB SPRY $59.00 0283-0610-43 BENZOCAINE 20 % MUCOUS MEMB SPRY $62.94 6373637882 BENZOCAINE 20 % TOPICAL AEROSOL $23.26 6382473016 BENZOCAINE-MENTHOL 15-2.6 MG MUCOUS MEMB LOZG $1.00 63824-732-16 BENZOCAINE-MENTHOL 15-2.6 MG MUCOUS MEMB LOZG $1.00 6382471016 BENZOCAINE-MENTHOL 15-3.6 MG MUCOUS MEMB LOZG $1.00 0904-6255-49 BENZOCAINE-MENTHOL 15-3.6 MG MUCOUS MEMB LOZG $1.00 63824-713-16 BENZOCAINE-MENTHOL 15-3.6 MG MUCOUS MEMB LOZG $1.00 63824-724-82 BENZOCAINE-MENTHOL 15-3.6 MG MUCOUS MEMB LOZG $1.00 16864-680-01 BENZOCAINE-MENTHOL 20-0.5 % TOPICAL AEROSOL $29.02 16864-680-02 BENZOCAINE-MENTHOL 20-0.5 % TOPICAL AEROSOL $27.22 1150900367 BENZOCAINE-RESORCINOL 5-2 % TOPICAL CREAM $15.96 HC89020481 BENZODIAZEPINES ;13 OR > URINE-AU $43.00 HC89022057 BENZODIAZEPINES 1-12 SERUM QNTS(PNL)-AU $35.00 HC89021679 BENZODIAZEPINES; 1-12 MEC(PNL)-AU $128.75 HC89006332 BENZODIAZEPINES; 1-12-AU $31.00 0395-0247-92 BENZOIN (BULK) TOPICAL TINC $64.44 9277110504 BENZOIN COMPOUND TOPICAL SPRY $41.77 1093914433 BENZOIN TOPICAL TINC $23.36 4056511182 BENZOIN TOPICAL TINC $211.69 49348-801-30 BENZOIN TOPICAL TINC $23.36 0395-0243-92 BENZOIN-ALOE VERA-STORAX-TOLU 10-2-8-4 % TOPICAL TINC $48.60 0069-0122-01 BENZONATATE 100 MG ORAL CAP $11.68 0904-6564-60 BENZONATATE 100 MG ORAL CAP $1.00 0904-6564-61 BENZONATATE 100 MG ORAL CAP $2.96 42806-714-01 BENZONATATE 100 MG ORAL CAP $1.00 42806-714-05 BENZONATATE 100 MG ORAL CAP $1.00 51224-010-60 BENZONATATE 100 MG ORAL CAP $1.37 60687-346-01 BENZONATATE 100 MG ORAL CAP $2.78 60687-346-11 BENZONATATE 100 MG ORAL CAP $2.78 63739-029-10 BENZONATATE 100 MG ORAL CAP $2.75 64380-712-06 BENZONATATE 100 MG ORAL CAP $1.80 67877-573-01 BENZONATATE 100 MG ORAL CAP $1.50 67877-573-05 BENZONATATE 100 MG ORAL CAP $1.00 69452-143-20 BENZONATATE 100 MG ORAL CAP $1.80 69452-143-30 BENZONATATE 100 MG ORAL CAP $1.00 0603-2437-21 BENZTROPINE 0.5 MG ORAL TAB $1.00 60687-356-01 BENZTROPINE 0.5 MG ORAL TAB $2.94 60687-356-11 BENZTROPINE 0.5 MG ORAL TAB $2.94 0603-2438-21 BENZTROPINE 1 MG ORAL TAB $1.00 60687-368-01 BENZTROPINE 1 MG ORAL TAB $2.94 60687-368-11 BENZTROPINE 1 MG ORAL TAB $2.94 69315-137-01 BENZTROPINE 1 MG ORAL TAB $1.00 69315-137-10 BENZTROPINE 1 MG ORAL TAB $1.00 76385-104-01 BENZTROPINE 1 MG ORAL TAB $1.00 0143-9729-01 BENZTROPINE 1 MG/ML INJ SOLN $360.00 0143-9729-05 BENZTROPINE 1 MG/ML INJ SOLN $360.00 63323-970-02 BENZTROPINE 1 MG/ML INJ SOLN $330.00 76478-611-02 BENZTROPINE 1 MG/ML INJ SOLN $885.89 0603-2439-21 BENZTROPINE 2 MG ORAL TAB $1.22 49471-001-05 BENZYLPENICILLOYL POLYLYSINE 0.25 ML INTRADERMAL SOLN $828.00 0074-1040-08 BERACTANT IN 0.9 %SOD.CHLORIDE 25 MG/ML INTRATRACH SUSP "$4,067.28 " HC89022016 "BETA 2 GLYCOPROTEIN, IGA- AU" $10.00 HC89004352 "BETA 2 GLYCOPROTEIN, IGG- AU" $10.00 HC89004360 "BETA 2 GLYCOPROTEIN, IGM- AU" $10.00 HC89015291 BETA HYDROXYBUTYRATE-QD $23.00 HC84201045 BETA STREP SCREEN(QUAL) $210.00 HC81700056 BETA-2 MICROGLOBULIN $259.00 HC89013502 BETA-2 MICROGLOBULIN CSF-AU $12.00 HC89004279 BETA-2 MICROGLOBULIN SR/PLS-AU $8.00 HC89013510 BETA-2 MICROGLOBULIN URINE-AU $14.00 HC89000699 "BETA-GLUCURONIDASE, CSF-AU" $164.00 HC89010318 BETA-HCG QUANT-AU $14.00 HC89002406 BETA-HCG QUANT-QD $96.00 0085-4320-01 "BETAMETHASONE ACET,SOD PHOS 6 MG/ML INJ SUSP" $224.40 0517-0720-01 "BETAMETHASONE ACET,SOD PHOS 6 MG/ML INJ SUSP" $296.64 51754-5060-1 "BETAMETHASONE ACET,SOD PHOS 6 MG/ML INJ SUSP" $240.00 99999-011-05 "BETAMETHASONE ACET,SOD PHOS 6 MG/ML INJ SUSP" $59.33 99999-011-06 "BETAMETHASONE ACET,SOD PHOS 6 MG/ML INJ SUSP" $118.66 0065-0246-10 BETAXOLOL 0.25 % OPHT DRPS "$1,863.18 " 17478-705-10 BETAXOLOL 0.5 % OPHT DROP $304.38 61314-245-01 BETAXOLOL 0.5 % OPHT DROP $305.88 10702-013-01 BETAXOLOL 10 MG ORAL TAB $4.33 99999-007-29 BETHANECHOL 1 MG/ML ORAL LIQUID $1.00 0832-0511-01 BETHANECHOL CHLORIDE 10 MG ORAL TAB $3.81 0832-0511-89 BETHANECHOL CHLORIDE 10 MG ORAL TAB $3.84 65162-572-10 BETHANECHOL CHLORIDE 10 MG ORAL TAB $2.63 68084-365-01 BETHANECHOL CHLORIDE 10 MG ORAL TAB $4.09 68084-365-11 BETHANECHOL CHLORIDE 10 MG ORAL TAB $4.09 0832-0512-00 BETHANECHOL CHLORIDE 25 MG ORAL TAB $2.74 0832-0512-01 BETHANECHOL CHLORIDE 25 MG ORAL TAB $5.48 0832-0512-89 BETHANECHOL CHLORIDE 25 MG ORAL TAB $5.46 0904-6178-61 BETHANECHOL CHLORIDE 25 MG ORAL TAB $4.82 65162-573-10 BETHANECHOL CHLORIDE 25 MG ORAL TAB $3.04 65162-571-10 BETHANECHOL CHLORIDE 5 MG ORAL TAB $1.74 50242-060-01 BEVACIZUMAB 25 MG/ML CHEMO INTRAVITREAL SOLN "$4,781.64 " 50242-061-01 BEVACIZUMAB 25 MG/ML IV SOLN "$19,126.56 " 55513-206-01 BEVACIZUMAB-AWWB 25 MG/ML IV SOLN "$4,064.40 " 55513-207-01 BEVACIZUMAB-AWWB 25 MG/ML IV SOLN "$16,257.60 " 0006-3025-00 BEZLOTOXUMAB 25 MG/ML IV SOLN "$22,800.00 " 0006-3025-01 BEZLOTOXUMAB 25 MG/ML IV SOLN "$22,800.00 " 0904-6019-46 BICALUTAMIDE 50 MG ORAL TAB $1.73 16714-816-01 BICALUTAMIDE 50 MG ORAL TAB $4.24 16714-816-02 BICALUTAMIDE 50 MG ORAL TAB $4.23 60429-177-30 BICALUTAMIDE 50 MG ORAL TAB $1.00 24571-113-06 "BICARB DIAL SOLN13-NO CA,K,DEX MG 1.2 MEQ/L HEMO SOLN" $210.00 HC81101560 BICARBONATE $124.00 HC81100463 BICARBONATE/CO2 $126.00 61958-2501-1 BICTEGRAV-EMTRICIT-TENOFOV ALA 50-200-25 MG ORAL TAB $647.66 HC89008940 BILE ACID FRACTIONATED-AU $205.00 HC89016190 BILE ACID FRACTIONATED-QD $2.00 HC89007348 BILE ACIDS TOTAL-AU $13.00 HC81100240 BILIRUBIN DIRECT/CONJUGATED $160.00 HC89022909 BILIRUBIN SERUM(PANEL)-AU $44.00 HC81100323 BILIRUBIN TOTAL $146.00 HC81101693 BILIRUBIN TRANSCUTANEOUS(POCS) $168.00 HC89022891 "BILIRUBIN, TOTAL BODY FLUID-AU" $9.00 HC62220843 BINDER ABDOMINAL BASIC A $33.00 HC62220850 BINDER ABDOMINAL BASIC B $65.00 HC62200472 BINDER ABDOMINAL BASIC C $98.00 HC62200480 BINDER BREAST $65.00 HC62219118 BINDER/ORTHOSIS LUMBAR/SACRAL PRFB $49.00 HC62200498 BIO GLUE W/APPLICATOR "$2,600.00 " HC27001932 BIOFEEDBACK PERINEAL MSCLS W/EMG&/MNMTRY F2F 1ST 15MIN $219.00 HC51003929 BIOFEEDBACK PERINEAL MSCLS W/EMG&/MNMTRY F2F 1ST 15MIN $140.00 HC27001940 BIOFEEDBACK PERINEAL MSCLS W/EMG&/MNMTRY F2F ADD'L 15MIN+ $150.00 HC51003937 BIOFEEDBACK PERINEAL MSCLS W/EMG&/MNMTRY F2F ADD'L 15MIN+ $54.00 HC42000042 BIOIMPEDENCE THORACIC $701.00 HC46502761 BIOPSY INCISIONAL SKIN; EACH SEP ADD'L LESION $911.00 HC46502753 BIOPSY INCISIONAL SKIN; SINGLE INITIAL LESION "$1,246.00 " HC46500245 BIOPSY LIVER(NEEDLE/PERCUTAN) "$5,404.00 " HC46500252 BIOPSY MUSCLE PERC NEEDLE "$4,086.00 " HC46500286 BIOPSY NEEDLE ABD/RETROMASS "$4,245.00 " HC46500294 BIOPSY NEEDLE PANCREAS "$4,367.00 " HC46501763 BIOPSY NEEDLE RENAL "$5,196.00 " HC46500302 BIOPSY NEEDLE RENAL-BILAT "$9,969.00 " HC46500310 BIOPSY NEEDLE RENAL-LT "$5,196.00 " HC46500328 BIOPSY NEEDLE RENAL-RT "$5,196.00 " HC46500336 BIOPSY NEEDLE SALIVARY GLAND "$2,428.00 " HC51003036 BIOPSY PENIS(SEPARATE PROC) "$1,902.00 " HC46502068 BIOPSY PLEURA NEEDLE "$2,546.00 " HC46502746 BIOPSY PUNCH SKIN; EACH SEP ADD'L LESION $766.00 HC46502738 BIOPSY PUNCH SKIN; SINGLE INITIAL LESION "$1,114.00 " HC46502720 BIOPSY TANGENTIAL SKIN; EACH SEP ADD'L LESION $645.00 HC46502712 BIOPSY TANGENTIAL SKIN; SINGLE INITIAL LESION $949.00 HC46500351 BIOPSY TRANSCATHETER "$7,848.00 " HC46500344 BIOPSY TRANSCATHETER RAD S&I "$7,374.00 " 3076860730 BIOTIN 1 MG ORAL TAB $1.00 3076813430 BIOTIN 5 MG ORAL CAP $1.00 1093980944 BIOTIN 5 MG ORAL TAB $1.00 7431258913 "BIOTIN 5,000 MCG SL SUBL" $1.00 8142102103 BISACODYL 10 MG RECTAL SUPP $4.76 0574-7050-12 BISACODYL 10 MG RECTAL SUPP $2.12 0574-7050-50 BISACODYL 10 MG RECTAL SUPP $1.57 0597-0052-16 BISACODYL 10 MG RECTAL SUPP $4.76 68784-102-12 BISACODYL 10 MG RECTAL SUPP $1.38 0132-0703-36 BISACODYL 10 MG/30 ML RECTAL ENEM $12.43 1093977544 BISACODYL 5 MG ORAL TBEC $1.00 3848514001 BISACODYL 5 MG ORAL TBEC $1.00 8142102004 BISACODYL 5 MG ORAL TBEC $1.00 0904-6407-61 BISACODYL 5 MG ORAL TBEC $1.00 0904-6748-17 BISACODYL 5 MG ORAL TBEC $1.00 0904-6748-60 BISACODYL 5 MG ORAL TBEC $1.00 0904-6748-80 BISACODYL 5 MG ORAL TBEC $1.00 57896-441-01 BISACODYL 5 MG ORAL TBEC $1.00 57896-441-25 BISACODYL 5 MG ORAL TBEC $1.00 69618-058-01 BISACODYL 5 MG ORAL TBEC $1.00 58914-601-20 BISMUTH SUBCIT K-METRONIDZ-TCN 140-125-125 MG ORAL CAP $46.08 149032642 BISMUTH SUBSALICYLATE 262 MG ORAL CHEW $1.00 1093939644 BISMUTH SUBSALICYLATE 262 MG ORAL CHEW $1.00 0536-1021-07 BISMUTH SUBSALICYLATE 262 MG ORAL CHEW $1.00 0904-1315-46 BISMUTH SUBSALICYLATE 262 MG ORAL CHEW $1.00 49348-953-44 BISMUTH SUBSALICYLATE 262 MG ORAL CHEW $1.00 149003908 BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSP $22.66 149003942 BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSP $354.00 37000-032-01 BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSP $14.87 99999-035-33 BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSP $1.40 29300-127-13 BISOPROLOL FUMARATE 10 MG ORAL TAB $5.52 29300-126-01 BISOPROLOL FUMARATE 5 MG ORAL TAB $4.97 29300-126-13 BISOPROLOL FUMARATE 5 MG ORAL TAB $5.52 HC62208533 BIT VERTEBROPLASTY $338.00 HC62200514 BITE BLOCK $20.00 0409-8300-10 BIVALIRUDIN 250 MG IV SOLR "$3,150.00 " 0409-8300-20 BIVALIRUDIN 250 MG IV SOLR "$3,150.00 " 0781-3158-94 BIVALIRUDIN 250 MG IV SOLR "$3,300.00 " 0781-3158-95 BIVALIRUDIN 250 MG IV SOLR "$3,300.00 " 0781-9158-94 BIVALIRUDIN 250 MG IV SOLR "$3,300.00 " 0781-9158-95 BIVALIRUDIN 250 MG IV SOLR "$3,300.00 " 55111-652-07 BIVALIRUDIN 250 MG IV SOLR "$2,640.00 " 55111-652-37 BIVALIRUDIN 250 MG IV SOLR "$2,250.00 " 63323-562-10 BIVALIRUDIN 250 MG IV SOLR "$3,048.00 " 67457-256-00 BIVALIRUDIN 250 MG IV SOLR "$3,300.00 " 67457-256-10 BIVALIRUDIN 250 MG IV SOLR "$3,300.00 " 70860-402-10 BIVALIRUDIN 250 MG IV SOLR $870.00 70860-402-41 BIVALIRUDIN 250 MG IV SOLR $870.00 70860-403-50 BIVALIRUDIN 250 MG/50 ML (5 MG/ML) IV SOLN "$1,053.00 " 70860-403-51 BIVALIRUDIN 250 MG/50 ML (5 MG/ML) IV SOLN "$1,053.00 " HC25000571 BLADDER IRRIGATION SIMPLE $645.00 HC51002772 BLADDER IRRIGATION SIMPLE $421.00 HC62200571 BLADE BEAVER C $195.00 HC62212865 BLADE BONE SHAVER B $130.00 HC62212048 BLADE BONE/ENDO SHAVER C $195.00 HC62214945 BLADE CUP N $910.00 HC62215082 BLADE CUP AB "$1,950.00 " HC62214952 BLADE CUP/OSTOETOME O $943.00 HC62200548 BLADE DERMATOME $195.00 HC62220017 BLADE ENDOSCOPIC CARPAL TUNNEL $673.00 HC62227194 BLADE HOOK ENDOSCOPIC "$1,170.00 " HC62213947 BLADE INCISIONAL A $65.00 HC62220868 BLADE INCISIONAL C $195.00 HC62200530 BLADE INCISIONAL D $260.00 HC62200522 BLADE INCISIONAL E $325.00 HC62200555 BLADE INCISIONAL G $455.00 HC62213103 BLADE INCISIONAL H $520.00 HC62213111 BLADE INCISIONAL I $585.00 HC62213129 BLADE INCISIONAL J $650.00 HC62213137 BLADE INCISIONAL K $715.00 HC62211503 BLADE INCISIONAL M $845.00 HC62213152 BLADE INCISIONAL N $910.00 HC62213160 BLADE INCISIONAL O $975.00 HC62227160 BLADE INCISIONAL T "$1,300.00 " HC62220876 BLADE INCISIONAL V "$1,950.00 " HC62213095 BLADE INCISIONAL ORTHO E $325.00 HC62200563 BLADE INDIANACTOME $416.00 HC62213087 BLADE KNIFE B $130.00 HC62217245 BLADE MILL BONE "$1,300.00 " HC62200589 BLADE NEURO H $364.00 HC62218045 BLADE OPHTHALM B $26.00 HC62218037 BLADE OPHTHALM D $52.00 HC62222682 BLADE OPHTHALM F $78.00 HC62204433 BLADE OPHTHALM J $130.00 HC62200597 BLADE OPHTHALM Q $312.00 HC62218029 BLADE OPHTHALM Z $547.00 HC62213145 BLADE OSTEOTOME/CUP J $780.00 HC62227749 BLADE ROBOTIC (SNAP-FIT) $195.00 HC62215157 BLADE SAW A $13.00 HC62215165 BLADE SAW B $26.00 HC62215173 BLADE SAW C $39.00 HC62215181 BLADE SAW D $52.00 HC62215199 BLADE SAW E $65.00 HC62215207 BLADE SAW F $78.00 HC62215215 BLADE SAW G $91.00 HC62215223 BLADE SAW H $104.00 HC62215231 BLADE SAW I $117.00 HC62215249 BLADE SAW J $130.00 HC62215256 BLADE SAW K $156.00 HC62211511 BLADE SAW L $176.00 HC62215264 BLADE SAW M $208.00 HC62215272 BLADE SAW N $234.00 HC62215280 BLADE SAW O $260.00 HC62215298 BLADE SAW P $286.00 HC62215306 BLADE SAW Q $312.00 HC62215314 BLADE SAW R $338.00 HC62215322 BLADE SAW S $364.00 HC62215330 BLADE SAW T $390.00 HC62215348 BLADE SAW U $416.00 HC62215355 BLADE SAW V $442.00 HC62215363 BLADE SAW W $468.00 HC62215371 BLADE SAW X $494.00 HC62215389 BLADE SAW Y $520.00 HC62215397 BLADE SAW Z $546.00 HC62220165 BLADE SAW AA $572.00 HC62219894 BLADE SAW AE $715.00 HC62213954 BLADE SHAVER A $65.00 HC62226204 BLADE SHAVER AC "$1,820.00 " HC62222690 BLADE SHAVER B $130.00 HC62225982 BLADE SHAVER C $195.00 HC62212873 BLADE SHAVER D $260.00 HC62200605 BLADE SHAVER F $390.00 HC62212899 BLADE SHAVER G $455.00 HC62212907 BLADE SHAVER H $520.00 HC62212915 BLADE SHAVER I $585.00 HC62212923 BLADE SHAVER J $650.00 HC62212931 BLADE SHAVER K $715.00 HC62212949 BLADE SHAVER L $780.00 HC62212956 BLADE SHAVER M $845.00 HC62212964 BLADE SHAVER N $910.00 HC62212972 BLADE SHAVER O $975.00 HC62212980 BLADE SHAVER P "$1,040.00 " HC62212998 BLADE SHAVER Q "$1,105.00 " HC62213004 BLADE SHAVER R "$1,170.00 " HC62213012 BLADE SHAVER S "$1,235.00 " HC62213020 BLADE SHAVER T "$1,300.00 " HC62213038 BLADE SHAVER U "$1,365.00 " HC62213046 BLADE SHAVER V "$1,430.00 " HC62213053 BLADE SHAVER W "$1,495.00 " HC62213061 BLADE SHAVER X "$1,560.00 " HC62213079 BLADE SHAVER Z "$1,625.00 " HC62215744 BLADE SHAVER AH "$4,225.00 " HC62212881 BLADE SHAVER ORTHO E $325.00 HC62221999 BLADE TREPHINE B $130.00 HC62222120 BLADE TREPHINE B $130.00 HC62222005 BLADE TREPHINE C $195.00 HC62222138 BLADE TREPHINE C $195.00 HC62200613 BLADE TREPHINE F $390.00 HC62220884 BLANKET HYPER/HYPOTHERMIA A $33.00 HC62220892 BLANKET HYPER/HYPOTHERMIA B $65.00 HC62200621 BLANKET HYPER/HYPOTHERMIA C $98.00 HC62220900 BLANKET HYPER/HYPOTHERMIA R "$1,040.00 " HC62209143 BLANKET TEMP MNGMNT SYSTEM/BOX "$3,010.00 " HC89020838 BLASTOMYCES AB IMM -AU $14.00 HC89017545 BLASTOMYCES AB(PNL)-AU $13.70 HC89012124 BLASTOMYCES AB-AU $12.35 HC89001309 BLASTOMYCES AB-QD $17.00 HC81500092 BLEEDING TIME $200.00 0703-3154-01 BLEOMYCIN 15 UNIT INJ SOLN (MCH) $343.20 16714-886-01 BLEOMYCIN 15 UNIT INJ SOLN (MCH) $230.94 71288-106-10 BLEOMYCIN 15 UNIT INJ SOLN (MCH) $184.08 61703-332-18 BLEOMYCIN 15 UNIT INJ SOLR $298.26 63323-136-10 BLEOMYCIN 15 UNIT INJ SOLR $198.72 0703-3155-01 BLEOMYCIN 30 UNIT INJ SOLR $636.60 61703-323-22 BLEOMYCIN 30 UNIT INJ SOLR $553.38 63323-137-20 BLEOMYCIN 30 UNIT INJ SOLR $439.38 55513-160-01 BLINATUMOMAB 35 MCG IV KIT "$24,034.56 " HC62210505 BLOCK FOAM EXERCISE $26.00 HC81500787 BLOOD COUNT LEUKOCYTE(WBC)AUTO $97.00 HC81500233 BLOOD COUNT/WBC (EOS) $180.00 HC83000901 BLOOD DELIVERY-ZONE1-MHL $32.00 HC12200135 BLOOD DRAW IMP'T VENOUS DEVICE $434.00 HC51000461 BLOOD DRAW IMP'T VENOUS DEVICE $145.00 HC36800431 BLOOD GAS LTD $567.00 HC36800449 BLOOD GAS LTD CORD $567.00 HC36800464 BLOOD GAS O2 SAT ONLY $246.00 HC81101321 BLOOD GAS O2 SAT ONLY $243.00 HC36800423 BLOOD GAS PH ONLY $218.00 HC81101370 BLOOD GAS PH ONLY $232.00 HC36800456 BLOOD GAS W/MEASURED O2 SAT $689.00 HC81101115 BLOOD GAS W/MEASURED O2 SAT $760.00 HC81101313 BLOOD GASES LTD $636.00 HC81101768 BLOOD GASES LTD (POS) $636.00 HC83000588 BLOOD LR FROZ/DEGLY/WASH'D "$1,163.00 " HC25001066 BLOOD PATCH (INJ EPIDURAL) "$2,116.00 " HC46500385 BLOOD PATCH (INJ EPIDURAL) "$4,204.00 " HC81500639 BLOOD SMEAR SCAN $81.00 HC89000004 BLOOD TYPE SERO; ABO FRANCSLLA AGLTNS-AU $95.00 HC89500516 BLOOD TYPE SERO; PER AG/ANTIGEN DNR-SB $80.00 HC83000919 BLOOD TYPE SERO; PER AG/ANTIGEN DONOR $334.00 HC83000141 BLOOD TYPE SEROLOGIC; ABO $189.00 HC89500490 BLOOD TYPE SEROLOGIC; ABO-SB $20.00 HC83000158 BLOOD TYPE SEROLOGIC; RH(D) $188.00 HC89500508 BLOOD TYPE SEROLOGIC; RH(D)-SB $20.00 HC89500128 BLOOD TYPING AG SCREEN(PT)-AA $60.00 HC89500599 BLOOD TYPING AG SCREEN(PT)-SB $62.00 HC82202714 BM BIOPSY PROC & INT 2ND SITE $678.00 HC82202706 BM BIOPSY PROCESSING & INTERP $678.00 HC82202722 BM CELL BLOCK & INTER-2ND SITE $678.00 HC82202367 BM CELL BLOCK & INTERP $678.00 HC83500322 BM: CHROMOSOME ANALYSIS-GZ $200.00 HC62200647 BOARD PATIENT COMMUNICATION $39.00 HC62200654 BODY ALIGNER $385.00 HC44000214 BONE AGE STUDIES $721.00 HC62808605 BONE GRAFT INFUSE™ IDE G180160 $1.01 HC44000222 BONE LENGTH STUDIES "$2,033.00 " HC82201062 BONE MAR IRON STN/GRP II+ $412.00 HC82200320 BONE MARROW DX; ASP(S) ONLY "$3,079.00 " HC82204512 BONE MARROW DX; ASP(S) ONLY BILAT "$4,190.00 " HC82200809 BONE MARROW DX; ASP(S) ONLY LT "$3,079.00 " HC82200791 BONE MARROW DX; ASP(S) ONLY RT "$3,079.00 " HC46500120 BONE MARROW DX; ASPIRATION(S) ONLY "$3,048.00 " HC51010833 BONE MARROW DX; ASPIRATION(S) ONLY "$1,221.00 " HC46501961 BONE MARROW DX; ASPIRATION(S) ONLY LT "$3,048.00 " HC46501979 BONE MARROW DX; ASPIRATION(S) ONLY RT "$3,048.00 " HC46502563 BONE MARROW DX; BIOPSY(IES) & ASPIRATION(S) "$4,596.00 " HC51003895 BONE MARROW DX; BIOPSY(IES) & ASPIRATION(S) "$1,950.00 " HC46502597 BONE MARROW DX; BIOPSY(IES) & ASPIRATION(S) BILAT "$7,449.00 " HC46502589 BONE MARROW DX; BIOPSY(IES) & ASPIRATION(S) LT "$4,596.00 " HC46502571 BONE MARROW DX; BIOPSY(IES) & ASPIRATION(S) RT "$4,596.00 " HC46501987 BONE MARROW DX; BIOPSY(SIES) ONLY "$3,290.00 " HC51010841 BONE MARROW DX; BIOPSY(SIES) ONLY "$1,542.00 " HC46501995 BONE MARROW DX; BIOPSY(SIES) ONLY LT "$3,290.00 " HC46502001 BONE MARROW DX; BIOPSY(SIES) ONLY RT "$3,290.00 " HC82204504 BONE MARROW DX; BX(S) & ASP(S) BILAT "$7,449.00 " HC82204496 BONE MARROW DX; BX(S) & ASP(S) LT "$4,596.00 " HC82204488 BONE MARROW DX; BX(S) & ASP(S) RT "$4,596.00 " HC82202532 BONE MARROW DX; BX(S) ONLY "$3,322.00 " HC82204520 BONE MARROW DX; BX(S) ONLY BILAT "$5,325.00 " HC82200825 BONE MARROW DX; BX(S) ONLY LT "$3,322.00 " HC82200817 BONE MARROW DX; BX(S) ONLY RT "$3,322.00 " HC81500332 BONE MARROW SMEAR INTERP $747.00 HC82200486 BONE MARROW SMEAR INTERP $788.00 HC62200662 BONE MARROW SUPPLY FEE $103.00 HC62200670 BONE MARROW TRAY $181.00 HC44000230 BONE SURVEY COMPLETE "$2,501.00 " HC44000248 BONE SURVEY INFANT "$1,552.00 " HC44000255 BONE SURVEY LTD "$1,506.00 " HC62209200 BONE TUNNELING SYSTEM $637.00 HC62200696 BONE WAX $111.00 HC62200704 BOOT BUCKS TRACTION UNIT $289.00 HC62200712 BOOT WAFFLE DISP $100.00 HC62206701 BOOT WLKNG AIR W/WO JNTS PREFB C $98.00 HC62219126 BOOT WLKNG AIR W/WO JNTS PREFB D $130.00 HC89018972 BORDETELLA PERTUS FHA IGA-AU $15.00 HC89005318 BORDETELLA PERTUS FHA IGA-FT $41.00 HC89018980 BORDETELLA PERTUS FHA IGG-AU $15.00 HC89005300 BORDETELLA PERTUS FHA IGG-FT $41.00 HC89018998 BORDETELLA PERTUS IMMUNOBLOT IGA-AU $31.00 HC89019004 BORDETELLA PERTUS IMMUNOBLOT IGG-AU $31.00 HC89005292 BORDETELLA PERTUS PT IGA-FT $41.00 HC89005284 BORDETELLA PERTUS PT IGG-FT $41.00 HC89021331 BORDETELLA PERTUSSIS CULTURE-AU $39.00 63020-049-01 BORTEZOMIB 3.5 MG INJ SOLR "$9,618.00 " 63323-721-10 BORTEZOMIB 3.5 MG IV SOLR (IV ONLY) (MHS) "$9,617.88 " 66215-102-06 BOSENTAN 125 MG ORAL TAB "$1,163.16 " 99999-036-45 BOSENTAN 15.625 MG ORAL PARTIAL TAB $250.96 99999-036-46 BOSENTAN 31.25 MG ORAL PARTIAL TAB $501.92 99999-039-82 BOSENTAN 6.25 MG/ML ORAL LIQUID $100.38 66215-101-03 BOSENTAN 62.5 MG ORAL TAB "$1,163.16 " 66215-101-06 BOSENTAN 62.5 MG ORAL TAB "$1,163.16 " 68382-446-14 BOSENTAN 62.5 MG ORAL TAB "$1,003.85 " HC62200720 BOTTLE DRAIN DBL DUAL LUMEN $196.00 HC62200738 BOTTLE EVAC ADULT/PEDS $125.00 HC62200746 BOTTLE FEEDING $77.00 HC62221742 BOTTLE REPLACEMENT DRAINAGE $74.00 99999-033-30 BOTULISM IMMUNE GLOBULIN INJECTION "$68,760.00 " HC62200753 BOWL CEMENT MIXING $348.00 HC62226824 BOWL CEMENT MIXING E $195.00 HC62210349 BRA SURGICAL POST OP $55.00 HC65800047 BRACHY NONSTRNDED GOLD 198 SRC $618.00 HC65800054 BRACHY SEED HDR IRIDIUM 192 $878.00 HC65800062 BRACHY SEED IRIDIUM-192\NON HI $202.00 HC47200084 BRACHYTX INSERT HEYMAN CAPSULE "$5,260.00 " HC47200092 BRACHYTX INSERT UTERINE TANDEM "$6,253.00 " HC47201165 BRACHYTX INSERT VAG RAD AFTRLOAD DEVICE "$2,910.00 " HC47201058 BRACHYTX ISODOSE W/DOSIMETRY; SIMPL "$3,497.00 " HC47201074 BRACHYTX ISODOSE W/DOSIMETRY;CMPLX "$6,843.00 " HC47201066 BRACHYTX ISODOSE W/DOSIMETRY;INTRM "$4,615.00 " HC65800088 BRACHYTX NONSTRAND NOS PER SRC $195.00 HC83505636 BRAF MUTATION ANALYSIS-NG $170.00 HC43000066 BREAST BX CORE W/O GUIDE-BI "$3,346.00 " HC43000041 BREAST BX CORE W/O GUIDE-LT "$1,988.00 " HC43000058 BREAST BX CORE W/O GUIDE-RT "$1,988.00 " HC43001072 BREAST PROCEDURE UNSPECIFIED "$6,358.00 " HC62200761 BREAST PUMP $267.00 HC62200779 BREAST SHIELD $33.00 HC27000140 BREATH HYDROGEN TEST "$1,435.00 " HC51000156 BREATH HYDROGEN TEST $255.00 HC36001113 BREATHING RESPONSE HYPOXIA CURVE $579.00 HC36800811 BREATHING RESPONSE HYPOXIA CURVE $579.00 HC25006180 BREECH VERSION EXTERNAL MANIP "$2,655.00 " HC26000026 BREECH VERSION EXTERNAL MANIP "$4,019.00 " 51144-050-01 BRENTUXIMAB VEDOTIN 50 MG IV SOLR "$51,552.00 " 59148-037-13 BREXPIPRAZOLE 1 MG ORAL TAB $232.98 HC62200787 BRIDGE CARDIAC OUTPUT $178.00 99999-037-23 BRILLIANT GREEN 5% TOPICAL SOLUTION $9.00 17478-715-10 BRIMONIDINE 0.2 % OPHT DROP $88.20 24208-411-05 BRIMONIDINE 0.2 % OPHT DROP $87.00 24208-411-15 BRIMONIDINE 0.2 % OPHT DROP $262.53 61314-143-05 BRIMONIDINE 0.2 % OPHT DROP $90.00 70069-231-01 BRIMONIDINE 0.2 % OPHT DROP $84.00 0023-9211-05 BRIMONIDINE-TIMOLOL 0.2-0.5 % OPHT DROP "$1,110.90 " 50474-870-15 BRIVARACETAM 10 MG/ML ORAL SOLN "$7,075.80 " 99999-041-25 BRIVARACETAM 10 MG/ML ORAL SOLN $214.02 50474-570-66 BRIVARACETAM 50 MG ORAL TAB $121.48 HC89006654 BROMIDES-AU $32.00 0574-0106-01 BROMOCRIPTINE 2.5 MG ORAL TAB $18.02 0574-0106-03 BROMOCRIPTINE 2.5 MG ORAL TAB $19.86 0781-5325-31 BROMOCRIPTINE 2.5 MG ORAL TAB $30.09 63304-962-01 BROMOCRIPTINE 2.5 MG ORAL TAB $18.02 63304-962-30 BROMOCRIPTINE 2.5 MG ORAL TAB $19.86 HC36000867 BRONCH DIAG W/BRUSHING "$6,341.00 " HC36800027 BRONCH DIAG W/BRUSHING "$6,341.00 " HC36000883 BRONCH DIAG W/LAVAGE "$6,393.00 " HC36800035 BRONCH DIAG W/LAVAGE "$6,393.00 " HC36000826 BRONCH DIAGNOSTIC "$6,025.00 " HC36000941 BRONCH DIAGNOSTIC DC'D PROC "$2,272.00 " HC36800050 BRONCH DIAGNOSTIC DC'D PROC "$2,272.00 " HC36000958 BRONCH THERAPEUTIC DC'D PROC "$2,290.00 " HC36800084 BRONCH THERAPEUTIC DC'D PROC "$2,290.00 " HC36800514 BRONCH THERAPEUTIC DC'D PROC "$2,290.00 " HC36000891 BRONCH THERAPEUTIC INIT (PER DOS) "$5,095.00 " HC36800092 BRONCH THERAPEUTIC INIT (PER DOS) "$5,094.00 " HC36000909 BRONCH THERAPEUTIC SUBSEQ (PER DOS) "$5,047.00 " HC36800100 BRONCH THERAPEUTIC SUBSEQ (PER DOS) "$5,047.00 " HC36000917 BRONCH W/BRONCHIAL/ENDO BX(S) "$6,354.00 " HC36800019 BRONCH W/BRONCHIAL/ENDO BX(S) "$6,354.00 " HC36001188 BRONCH W/COMPTR-ASST IMAGE-GUIDE NAVIGATE+ "$2,225.00 " HC36800894 BRONCH W/COMPTR-ASST IMAGE-GUIDE NAVIGATE+ "$2,225.00 " HC36000875 BRONCH W/DESTRUCT TUMOR/STEN "$9,764.00 " HC36800118 BRONCH W/DESTRUCT TUMOR/STEN "$9,764.00 " HC36001121 BRONCH W/EBUS SAMPLING 1/2 NODES "$9,686.00 " HC36800829 BRONCH W/EBUS SAMPLING 1/2 NODES "$9,686.00 " HC36001139 BRONCH W/EBUS SAMPLING 3/> NODES "$10,395.00 " HC36800837 BRONCH W/EBUS SAMPLING 3/> NODES "$10,248.00 " HC36000933 BRONCH W/LUNG BX; EA ADD'L+ "$3,353.00 " HC36800480 BRONCH W/LUNG BX; EACH ADD'L+ "$3,353.00 " HC36800068 BRONCH W/LUNG BX; SINGLE LOBE "$6,471.00 " HC36000925 BRONCH W/LUNG BX;SINGLE LOBE "$6,471.00 " HC36800498 BRONCH W/NDL ASP BX(S) EA ADDL+ "$3,320.00 " HC36800076 BRONCH W/NDL ASP BX(S) INITIAL "$7,065.00 " HC36000834 BRONCH W/NDL ASP BX(S);INITIAL "$7,065.00 " HC36000842 BRONCH W/NDL ASP BX; EA ADD'L+ "$3,320.00 " HC36800134 BRONCHIAL PROVOCATION EVAL "$2,242.00 " HC62228515 BRONCHOSCOPE ASCOPE LRG DISP "$1,021.00 " HC62228507 BRONCHOSCOPE ASCOPE REG DISP $888.00 HC62228499 BRONCHOSCOPE ASCOPE SLIM DISP $888.00 HC36800043 BRONCHOSCOPY DIAGNOSTIC "$6,035.00 " HC36001162 BRONCHOSCOPY FIDUCIAL PLMT SGL/MULTI "$6,750.00 " HC36800878 BRONCHOSCOPY FIDUCIAL PLMT SGL/MULTI "$6,750.00 " HC36000818 BRONCHOSCOPY THRU ESTAB TRACH "$4,583.00 " HC36800001 BRONCHOSCOPY THRU ESTAB TRACH "$4,583.00 " HC36000859 BRONCHOSCOPY W/FB REMOVAL "$6,480.00 " HC36800506 BRONCHOSCOPY W/FB REMOVAL "$6,481.00 " HC82200056 BROWN BREEN GRM STN/GR I W/I&R+ $475.00 HC89012173 BRUCELLA AB-AU $12.38 HC89016208 BRUCELLA AB-QD $20.00 HC62209390 BRUSH BIOPSY TRACKING $130.00 HC62200795 BRUSH BRONCHIAL $315.00 HC62220918 BRUSH CYTOLOGY A $33.00 HC62200803 BRUSH CYTOLOGY G $325.00 HC62209382 BRUSH CYTOLOGY BRONCHIAL G $315.00 HC62209408 BRUSH CYTOLOGY NDLTIP TRACKING E $178.00 HC62200811 BRUSH ERCP M $774.00 HC62200829 BRUSH MEDULLARY CANAL E $176.00 HC62228747 BRUSH(ALWAYS-ON TIP TRACKED®) "$1,843.00 " HC81100174 B-TYPE NATRIURETIC PEPTIDE $504.00 HC89023329 B-TYPE NATRIURETIC PEPTIDE-AU $60.00 HC89005391 B-TYPE NATRIURETIC PEPTIDE-UCI $100.00 0093-6815-45 BUDESONIDE 0.25 MG/2 ML INHALATION NBSP $45.19 0093-6815-73 BUDESONIDE 0.25 MG/2 ML INHALATION NBSP $45.19 0487-9601-01 BUDESONIDE 0.25 MG/2 ML INHALATION NBSP $47.44 0781-7515-14 BUDESONIDE 0.25 MG/2 ML INHALATION NBSP $45.19 0781-7515-87 BUDESONIDE 0.25 MG/2 ML INHALATION NBSP $45.19 0093-6816-45 BUDESONIDE 0.5 MG/2 ML INHALATION NBSP $53.18 0093-6816-73 BUDESONIDE 0.5 MG/2 ML INHALATION NBSP $53.18 0186-1989-04 BUDESONIDE 0.5 MG/2 ML INHALATION NBSP $61.55 0487-9701-01 BUDESONIDE 0.5 MG/2 ML INHALATION NBSP $55.82 0487-9701-30 BUDESONIDE 0.5 MG/2 ML INHALATION NBSP $30.00 0781-7516-14 BUDESONIDE 0.5 MG/2 ML INHALATION NBSP $53.18 0781-7516-87 BUDESONIDE 0.5 MG/2 ML INHALATION NBSP $53.18 69097-321-87 BUDESONIDE 1 MG/2 ML INHALATION NBSP $62.50 0186-0916-12 BUDESONIDE 180 MCG/ACTUATION INHALATION AEPB "$1,418.28 " 0378-7155-01 BUDESONIDE 3 MG ORAL CECX $26.70 0574-9855-10 BUDESONIDE 3 MG ORAL CECX $13.35 16714-829-01 BUDESONIDE 3 MG ORAL CECX $50.30 51079-020-01 BUDESONIDE 3 MG ORAL CECX $109.45 51079-020-03 BUDESONIDE 3 MG ORAL CECX $109.45 65162-778-10 BUDESONIDE 3 MG ORAL CECX $13.35 60505-6129-2 BUDESONIDE 32 MCG/ACTUATION NASL SPRY $82.50 0186-0370-28 BUDESONIDE-FORMOTEROL 160-4.5 MCG/ACTUATION INHALATION HFAA "$1,456.49 " HC81500282 BUFFY COAT $177.00 HC62200837 BULB IRRIGATION $13.00 0409-1412-04 BUMETANIDE 0.25 MG/ML INJ SOLN $12.60 0409-1412-10 BUMETANIDE 0.25 MG/ML INJ SOLN $18.90 0409-1412-34 BUMETANIDE 0.25 MG/ML INJ SOLN $12.60 0409-1412-40 BUMETANIDE 0.25 MG/ML INJ SOLN $18.90 0641-6007-01 BUMETANIDE 0.25 MG/ML INJ SOLN $17.88 0641-6007-10 BUMETANIDE 0.25 MG/ML INJ SOLN $17.88 0641-6008-01 BUMETANIDE 0.25 MG/ML INJ SOLN $16.49 0641-6008-10 BUMETANIDE 0.25 MG/ML INJ SOLN $16.49 0641-6161-01 BUMETANIDE 0.25 MG/ML INJ SOLN $13.66 0641-6161-10 BUMETANIDE 0.25 MG/ML INJ SOLN $13.66 0641-6162-01 BUMETANIDE 0.25 MG/ML INJ SOLN $14.82 0641-6162-10 BUMETANIDE 0.25 MG/ML INJ SOLN $14.82 55390-500-05 BUMETANIDE 0.25 MG/ML INJ SOLN $10.51 55390-500-10 BUMETANIDE 0.25 MG/ML INJ SOLN $30.00 16714-831-01 BUMETANIDE 0.5 MG ORAL TAB $5.09 42799-119-01 BUMETANIDE 0.5 MG ORAL TAB $5.20 0185-0129-01 BUMETANIDE 1 MG ORAL TAB $5.24 16714-832-01 BUMETANIDE 1 MG ORAL TAB $5.12 42799-120-01 BUMETANIDE 1 MG ORAL TAB $5.24 50268-131-11 BUMETANIDE 1 MG ORAL TAB $7.50 50268-131-15 BUMETANIDE 1 MG ORAL TAB $7.50 60687-384-01 BUMETANIDE 1 MG ORAL TAB $6.49 60687-384-11 BUMETANIDE 1 MG ORAL TAB $6.49 60687-384-25 BUMETANIDE 1 MG ORAL TAB $9.79 60687-384-95 BUMETANIDE 1 MG ORAL TAB $9.79 HC44700011 BUNDLE OF HIS RECORDING "$8,331.00 " 0409-1159-01 BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJ SOLN $9.66 0409-1159-02 BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJ SOLN $9.90 0409-1159-09 BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJ SOLN $8.46 0409-1159-10 BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJ SOLN $8.46 0409-1159-18 BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJ SOLN $9.66 0409-1159-19 BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJ SOLN $9.90 0409-1559-10 BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJ SOLN $19.68 0409-1559-18 BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJ SOLN $19.68 0409-1559-19 BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJ SOLN $22.86 0409-1559-30 BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJ SOLN $22.86 55150-167-10 BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJ SOLN $12.48 55150-168-30 BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJ SOLN $12.78 63323-464-01 BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJ SOLN $34.20 63323-464-02 BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJ SOLN $39.24 63323-464-17 BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJ SOLN $34.20 63323-464-31 BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJ SOLN $41.40 63323-464-37 BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJ SOLN $39.24 0409-1162-01 BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJ SOLN $11.28 0409-1162-02 BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJ SOLN $10.98 0409-1162-18 BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJ SOLN $11.28 0409-1162-19 BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJ SOLN $10.98 0409-1560-10 BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJ SOLN $23.16 0409-1560-18 BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJ SOLN $23.16 55150-169-10 BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJ SOLN $14.34 63323-466-03 BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJ SOLN $27.36 63323-466-17 BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJ SOLN $27.36 63323-466-37 BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJ SOLN $37.80 0409-1165-01 BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJ SOLN $12.00 0409-1165-02 BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJ SOLN $19.62 0409-1165-18 BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJ SOLN $12.00 0409-1165-19 BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJ SOLN $19.62 0409-1582-10 BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJ SOLN $23.34 0409-1582-18 BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJ SOLN $23.34 0409-1582-29 BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJ SOLN $37.26 55150-171-10 BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJ SOLN $14.34 55150-172-30 BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJ SOLN $25.38 63323-472-17 BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJ SOLN $28.50 63323-472-33 BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJ SOLN $39.60 63323-472-37 BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJ SOLN $39.24 0409-1160-01 BUPIVACAINE HCL 0.25 % (2.5 MG/ML) INJ SOLN $17.40 0409-1160-18 BUPIVACAINE HCL 0.25 % (2.5 MG/ML) INJ SOLN $17.40 63323-465-57 BUPIVACAINE HCL 0.25 % (2.5 MG/ML) INJ SOLN $60.30 0409-1163-01 BUPIVACAINE HCL 0.5 % (5 MG/ML) INJ SOLN $14.40 0409-1163-18 BUPIVACAINE HCL 0.5 % (5 MG/ML) INJ SOLN $14.40 63323-467-57 BUPIVACAINE HCL 0.5 % (5 MG/ML) INJ SOLN $67.20 65250-133-09 BUPIVACAINE LIPOSOME (PF) 1.3 % (13.3 MG/ML) LINF SUSP "$1,082.10 " 65250-133-10 BUPIVACAINE LIPOSOME (PF) 1.3 % (13.3 MG/ML) LINF SUSP "$1,082.10 " 65250-266-09 BUPIVACAINE LIPOSOME (PF) 1.3 % (13.3 MG/ML) LINF SUSP "$2,005.08 " 65250-266-20 BUPIVACAINE LIPOSOME (PF) 1.3 % (13.3 MG/ML) LINF SUSP "$2,005.08 " 99999-038-73 BUPIVACAINE PF 0.125 % (1.25 MG/ML) INJ DILUTION $2.23 0409-1162-09 BUPIVACAINE PF 0.5% AUTOFUSER PUMP $10.98 0409-1162-10 BUPIVACAINE PF 0.5% AUTOFUSER PUMP $10.98 0409-1560-29 BUPIVACAINE PF 0.5% AUTOFUSER PUMP $24.12 55150-170-30 BUPIVACAINE PF 0.5% AUTOFUSER PUMP $14.22 0409-1761-02 BUPIVACAINE-DEXTROSE-WATER(PF) 0.75 % (7.5 MG/ML) INJ SOLN $26.80 0409-1761-18 BUPIVACAINE-DEXTROSE-WATER(PF) 0.75 % (7.5 MG/ML) INJ SOLN $7.22 0409-1761-19 BUPIVACAINE-DEXTROSE-WATER(PF) 0.75 % (7.5 MG/ML) INJ SOLN $26.80 0409-1761-62 BUPIVACAINE-DEXTROSE-WATER(PF) 0.75 % (7.5 MG/ML) INJ SOLN $7.22 0409-3613-01 BUPIVACAINE-DEXTROSE-WATER(PF) 0.75 % (7.5 MG/ML) INJ SOLN $13.92 0409-3613-11 BUPIVACAINE-DEXTROSE-WATER(PF) 0.75 % (7.5 MG/ML) INJ SOLN $13.99 36000-092-01 BUPIVACAINE-DEXTROSE-WATER(PF) 0.75 % (7.5 MG/ML) INJ SOLN $29.40 36000-092-10 BUPIVACAINE-DEXTROSE-WATER(PF) 0.75 % (7.5 MG/ML) INJ SOLN $29.40 63323-473-02 BUPIVACAINE-DEXTROSE-WATER(PF) 0.75 % (7.5 MG/ML) INJ SOLN $23.60 0409-1746-10 "BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJ SOLN" $21.66 0409-1746-30 "BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJ SOLN" $54.18 0409-1746-71 "BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJ SOLN" $54.18 0409-9042-01 "BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJ SOLN" $23.94 0409-9042-11 "BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJ SOLN" $23.94 0409-9042-16 "BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJ SOLN" $18.72 0409-9042-17 "BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJ SOLN" $18.72 63323-468-01 "BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJ SOLN" $31.86 63323-468-02 "BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJ SOLN" $50.40 63323-468-17 "BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJ SOLN" $31.86 63323-468-37 "BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJ SOLN" $50.40 0409-1749-10 "BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJ SOLN" $23.46 0409-1749-29 "BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJ SOLN" $27.72 0409-1749-70 "BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJ SOLN" $23.46 0409-1749-71 "BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJ SOLN" $27.72 0409-9045-01 "BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJ SOLN" $14.22 0409-9045-16 "BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJ SOLN" $14.58 0409-9045-17 "BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJ SOLN" $14.58 63323-462-01 "BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJ SOLN" $54.18 63323-462-04 "BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJ SOLN" $32.64 63323-462-17 "BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJ SOLN" $32.64 63323-462-31 "BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJ SOLN" $49.50 63323-462-37 "BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJ SOLN" $54.18 63323-460-37 "BUPIVACAINE-EPINEPHRINE (PF) 0.75 %-1:200,000 INJ SOLN" $60.84 0409-1752-50 "BUPIVACAINE-EPINEPHRINE 0.25 %-1:200,000 INJ SOLN" $57.30 63323-461-01 "BUPIVACAINE-EPINEPHRINE 0.25 %-1:200,000 INJ SOLN" $80.70 63323-461-57 "BUPIVACAINE-EPINEPHRINE 0.25 %-1:200,000 INJ SOLN" $80.70 0409-1755-50 "BUPIVACAINE-EPINEPHRINE 0.5 %-1:200,000 INJ SOLN" $76.50 0409-9046-01 "BUPIVACAINE-EPINEPHRINE 0.5 %-1:200,000 INJ SOLN" $35.08 0409-9046-11 "BUPIVACAINE-EPINEPHRINE 0.5 %-1:200,000 INJ SOLN" $35.08 63323-463-57 "BUPIVACAINE-EPINEPHRINE 0.5 %-1:200,000 INJ SOLN" $86.40 99999-044-58 "BUPIVACAINE-EPINEPHRINE 0.5 %-1:200,000 INJ SOLN" $14.52 0228-3156-03 BUPRENORPHINE HCL 2 MG SL SUBL $14.90 42858-501-03 BUPRENORPHINE HCL 2 MG SL SUBL $3.20 50383-924-93 BUPRENORPHINE HCL 2 MG SL SUBL $4.52 42858-502-03 BUPRENORPHINE HCL 8 MG SL SUBL $8.00 50383-930-93 BUPRENORPHINE HCL 8 MG SL SUBL $8.00 HC89021729 BUPRENORPHINE MEC(PNL)-AU $79.00 HC89022065 BUPRENORPHINE&METABLTS SERUM QNTS(PNL)-AU $58.63 12496-1202-1 BUPRENORPHINE-NALOXONE 2-0.5 MG SL FILM $30.06 12496-1202-3 BUPRENORPHINE-NALOXONE 2-0.5 MG SL FILM $30.06 47781-355-03 BUPRENORPHINE-NALOXONE 2-0.5 MG SL FILM $21.20 47781-355-11 BUPRENORPHINE-NALOXONE 2-0.5 MG SL FILM $21.20 12496-1208-1 BUPRENORPHINE-NALOXONE 8-2 MG SL FILM $53.88 12496-1208-3 BUPRENORPHINE-NALOXONE 8-2 MG SL FILM $53.88 47781-357-03 BUPRENORPHINE-NALOXONE 8-2 MG SL FILM $38.00 47781-357-11 BUPRENORPHINE-NALOXONE 8-2 MG SL FILM $38.00 65162-415-03 BUPRENORPHINE-NALOXONE 8-2 MG SL SUBL $13.33 0591-3543-60 BUPROPION HCL (SMOKING DETER) 150 MG ORAL TB12 $2.70 0173-0947-55 BUPROPION HCL 100 MG ORAL SR12 $41.54 0185-0410-01 BUPROPION HCL 100 MG ORAL SR12 $2.69 0185-0410-60 BUPROPION HCL 100 MG ORAL SR12 $4.06 0591-3540-60 BUPROPION HCL 100 MG ORAL SR12 $2.69 43547-288-10 BUPROPION HCL 100 MG ORAL SR12 $1.50 43598-536-60 BUPROPION HCL 100 MG ORAL SR12 $1.42 43598-751-01 BUPROPION HCL 100 MG ORAL SR12 $1.35 51079-391-01 BUPROPION HCL 100 MG ORAL SR12 $4.61 51079-391-20 BUPROPION HCL 100 MG ORAL SR12 $4.61 68084-697-01 BUPROPION HCL 100 MG ORAL SR12 $3.88 68084-697-11 BUPROPION HCL 100 MG ORAL SR12 $3.88 0378-0435-01 BUPROPION HCL 100 MG ORAL TAB $4.00 0781-1064-01 BUPROPION HCL 100 MG ORAL TAB $4.33 0904-6636-61 BUPROPION HCL 100 MG ORAL TAB $9.83 23155-192-01 BUPROPION HCL 100 MG ORAL TAB $4.28 0185-0415-60 BUPROPION HCL 150 MG ORAL SR12 $2.70 0591-3541-25 BUPROPION HCL 150 MG ORAL SR12 $2.70 0591-3541-60 BUPROPION HCL 150 MG ORAL SR12 $2.70 0904-6585-61 BUPROPION HCL 150 MG ORAL SR12 $3.52 43547-289-10 BUPROPION HCL 150 MG ORAL SR12 $1.50 47335-737-86 BUPROPION HCL 150 MG ORAL SR12 $3.20 47335-737-88 BUPROPION HCL 150 MG ORAL SR12 $3.19 68084-708-25 BUPROPION HCL 150 MG ORAL SR12 $3.67 68084-708-95 BUPROPION HCL 150 MG ORAL SR12 $3.67 0187-0730-30 BUPROPION HCL 150 MG ORAL TB24 $293.95 0591-3331-19 BUPROPION HCL 150 MG ORAL TB24 $7.83 0591-3331-30 BUPROPION HCL 150 MG ORAL TB24 $7.83 10370-101-03 BUPROPION HCL 150 MG ORAL TB24 $5.00 16729-443-10 BUPROPION HCL 150 MG ORAL TB24 $1.00 43598-655-30 BUPROPION HCL 150 MG ORAL TB24 $2.50 50268-140-11 BUPROPION HCL 150 MG ORAL TB24 $15.83 50268-140-13 BUPROPION HCL 150 MG ORAL TB24 $15.83 60687-312-01 BUPROPION HCL 150 MG ORAL TB24 $11.11 60687-312-11 BUPROPION HCL 150 MG ORAL TB24 $11.11 68382-353-16 BUPROPION HCL 150 MG ORAL TB24 $2.04 10370-102-03 BUPROPION HCL 300 MG ORAL TB24 $6.00 51079-109-01 BUPROPION HCL 300 MG ORAL TB24 $12.24 51079-109-03 BUPROPION HCL 300 MG ORAL TB24 $12.24 68084-252-11 BUPROPION HCL 300 MG ORAL TB24 $15.19 68084-252-21 BUPROPION HCL 300 MG ORAL TB24 $15.19 0378-0433-01 BUPROPION HCL 75 MG ORAL TAB $3.00 0781-1053-01 BUPROPION HCL 75 MG ORAL TAB $3.25 0904-6635-61 BUPROPION HCL 75 MG ORAL TAB $7.25 23155-191-01 BUPROPION HCL 75 MG ORAL TAB $3.21 51079-943-01 BUPROPION HCL 75 MG ORAL TAB $7.37 51079-943-20 BUPROPION HCL 75 MG ORAL TAB $7.37 60505-0158-1 BUPROPION HCL 75 MG ORAL TAB $3.21 HC62200860 BURN PADS $250.00 HC25001322 BURNS 1ST DEGREE INITIAL TX $736.00 HC25000233 BURNS LOCAL TREATMENT LG 36% $743.00 HC25000241 BURNS LOCAL TREATMENT MED 18% $604.00 HC25000258 BURNS LOCAL TREATMENT SM 9% $464.00 HC62213178 BURR A $65.00 HC62213962 BURR B $130.00 HC62213186 BURR C $195.00 HC62213194 BURR D $260.00 HC62200878 BURR E $325.00 HC62200894 BURR F $390.00 HC62200845 BURR G $455.00 HC62213202 BURR H $520.00 HC62213210 BURR I $585.00 HC62213228 BURR J $650.00 HC62213236 BURR K $715.00 HC62213244 BURR L $780.00 HC62213251 BURR M $845.00 HC62213269 BURR N $910.00 HC62213277 BURR O $975.00 HC62213285 BURR P "$1,040.00 " HC62213293 BURR Q "$1,105.00 " HC62213301 BURR R "$1,170.00 " HC62213319 BURR S "$1,235.00 " HC62200852 BURR MIDAS REX/ANSPACH F $390.00 HC62200886 BURR ORTHO F $390.00 0093-0054-01 BUSPIRONE 10 MG ORAL TAB $1.00 0093-0054-05 BUSPIRONE 10 MG ORAL TAB $1.00 0378-1150-01 BUSPIRONE 10 MG ORAL TAB $1.00 16729-202-01 BUSPIRONE 10 MG ORAL TAB $1.00 24689-907-01 BUSPIRONE 10 MG ORAL TAB $1.00 51079-986-01 BUSPIRONE 10 MG ORAL TAB $1.00 51079-986-20 BUSPIRONE 10 MG ORAL TAB $1.00 64380-742-06 BUSPIRONE 10 MG ORAL TAB $1.00 64380-742-07 BUSPIRONE 10 MG ORAL TAB $1.00 64380-742-08 BUSPIRONE 10 MG ORAL TAB $1.00 68382-181-01 BUSPIRONE 10 MG ORAL TAB $1.00 0093-0053-01 BUSPIRONE 5 MG ORAL TAB $1.00 16729-200-01 BUSPIRONE 5 MG ORAL TAB $1.00 24689-781-01 BUSPIRONE 5 MG ORAL TAB $1.00 51079-985-01 BUSPIRONE 5 MG ORAL TAB $1.00 51079-985-20 BUSPIRONE 5 MG ORAL TAB $1.00 64380-741-06 BUSPIRONE 5 MG ORAL TAB $1.00 68382-180-01 BUSPIRONE 5 MG ORAL TAB $1.00 99999-009-79 BUSULFAN 2MG/ML ORAL SUSPENSION $26.76 59148-070-91 BUSULFAN 60 MG/10 ML IV SOLN "$3,000.00 " HC89007322 BUTALBITAL/FLORINAL-AU $16.00 0591-3220-01 BUTALBITAL-ACETAMINOP-CAF-COD 50-325-40-30 MG ORAL CAP $6.53 0603-2553-21 BUTALBITAL-ACETAMINOP-CAF-COD 50-325-40-30 MG ORAL CAP $6.86 0603-2544-21 BUTALBITAL-ACETAMINOPHEN-CAFF 50-325-40 MG ORAL TAB $6.74 0904-6938-06 BUTALBITAL-ACETAMINOPHEN-CAFF 50-325-40 MG ORAL TAB $10.84 10702-253-01 BUTALBITAL-ACETAMINOPHEN-CAFF 50-325-40 MG ORAL TAB $1.60 51862-540-01 BUTALBITAL-ACETAMINOPHEN-CAFF 50-325-40 MG ORAL TAB $6.74 52959-370-00 BUTALBITAL-ACETAMINOPHEN-CAFF 50-325-40 MG ORAL TAB $2.93 68084-396-11 BUTALBITAL-ACETAMINOPHEN-CAFF 50-325-40 MG ORAL TAB $9.76 68084-396-65 BUTALBITAL-ACETAMINOPHEN-CAFF 50-325-40 MG ORAL TAB $9.76 10223-0201-3 BUTAMBEN-TETRACAINE-BENZOCAINE 2 %-2 %-14 % (200 MG/SEC) TOPICAL SPRA $347.16 10223-0201-4 BUTAMBEN-TETRACAINE-BENZOCAINE 2 %-2 %-14 % (200 MG/SEC) TOPICAL SPRA $315.12 HC62200902 BUTTON GASTRIC EXTENSION $618.00 HC62802632 BUTTON TEFLON/PLASTIC $117.00 HC21000195 BX BONE OPEN; SUPERFICIAL "$8,667.00 " HC46500211 BX BONE TROC/NEEDLE; SUPERFICIAL "$4,287.00 " HC46500146 BX BONE TROCAR/NEEDLE; DEEP "$6,331.00 " HC46500393 BX DEEP PELV/HIP-SC BIL "$8,426.00 " HC46500401 BX DEEP PELV/HIP-SC LT "$4,682.00 " HC46500419 BX DEEP PELV/HIP-SC RT "$4,682.00 " HC46501912 BX LYMPH NODE(S) DEEP CERV-*DS "$6,283.00 " HC46501755 BX LYMPH NODE(S) DEEP CERVICAL "$6,283.00 " HC46500450 BX LYMPH NODE(S)-SUPERFCL-BIL "$7,463.00 " HC46500468 BX LYMPH NODE(S)-SUPERFCL-LT "$3,928.00 " HC46500476 BX LYMPH NODE(S)-SUPERFCL-RT "$3,928.00 " HC46501813 BX LYMPH NODE(S)SUPERFICIAL*DS "$3,928.00 " HC46501748 BX LYMPH NODE(S)SUPERFICIAL-SC "$3,928.00 " HC46501821 BX NECK/THORAX SOFT TISSUE*DS "$5,395.00 " HC46501730 BX NECK/THORAX SOFT TISSUE-SC "$5,395.00 " HC46500526 BX PLEURA NDL-LT "$2,546.00 " HC46500534 BX PLEURA NDL-RT "$2,546.00 " HC46500542 BX PROSTATE NDL/PUNCH SGL/MULT "$5,124.00 " HC51003093 BX PROSTATE NDL/PUNCH SGL/MULT "$2,663.00 " HC46502084 BX PROSTATE STEREO/TEMPLAT W/IMG "$5,423.00 " HC46500559 BX SFT TISS PELV/HIP-BIL "$7,364.00 " HC46500567 BX SFT TISS PELV/HIP-LT "$4,291.00 " HC46500575 BX SFT TISS PELV/HIP-RT "$4,291.00 " HC46502035 BX SOFT TISS THIGH/KNEE;SUP BI "$4,088.00 " HC46502043 BX SOFT TISS THIGH/KNEE;SUP LT "$2,300.00 " HC46502050 BX SOFT TISS THIGH/KNEE;SUP RT "$2,300.00 " HC46500609 BX THYROID NEEDLE CORE "$2,924.00 " HC51003192 BX VAGINA EXTENSIVE INCL CYSTS "$2,887.00 " HC51003184 BX VAGINA SIMPLE "$1,226.00 " HC46500369 BX VERTEBRAL BODY; OPEN THORACIC "$8,917.00 " HC51003127 BX VULVA $487.00 HC51003135 BX VULVA EACH ADDITIONAL+ $279.00 HC44504439 "BX(S) BILTREE PERC SNGL/MULTI(IMG,S&I)+" "$5,854.00 " HC51003374 BX(S)/SAMPL ENDOMETRIAL W/COLPOSCPY+ $264.00 HC51003366 BX(S)/SAMPL ENDOMETRIAL(SEP PROC) $391.00 HC51003309 BX(S)CERVIX / EXCISE LESION(SEP PROC) "$1,366.00 " HC46501706 BX/RMVL LYMPH NODE(S)-OPEN BI "$11,941.00 " HC46501714 BX/RMVL LYMPH NODE(S)-OPEN LT "$6,283.00 " HC46501722 BX/RMVL LYMPH NODE(S)-OPEN RT "$6,283.00 " HC84201110 C DIFFICILE AG EIA $193.00 HC84200914 "C DIFFICILE AG, EIA" $344.00 HC84201193 C DIFFICILE TOXIN $350.00 HC84201185 C DIFFICILE TOXIN GENE PCR $440.00 HC89010292 C PEPTIDE-ES $50.00 HC89005664 C PNEUMONIAE IGA ANTIBODY-FT $90.00 HC89005656 C PNEUMONIAE IGG ANTIBODY-FT $90.00 HC89005672 C PNEUMONIAE IGM ANTIBODY-FT $90.00 HC81701534 C TRACHOMATIS BY DNA AMP PROBE $383.00 HC84201607 C TRACHOMATIS BY DNA AMP PROBE $426.00 HC81700544 C TRACHOMATIS BY DNA PROBE $270.00 HC84201326 C. PNEUMONIAE BY PCR (RVP PNL) $439.00 HC89020390 C.TRACHOMATIS DNA AMP PROBE-PI $39.00 63833-825-02 C1 ESTERASE INHIBITOR 500 UNIT (10 ML) IV KIT "$18,600.00 " HC89011027 C-1 ESTERASE INHIBITOR FUNCTIONAL-AU $20.00 HC89001150 C-1 ESTERASE INHIBITOR-QD $49.00 HC89010961 C1 INHIBITOR-AU $13.00 HC89000434 C1Q COMPLEMENT-QD $17.00 HC89010979 C1Q COMPLEMENT-QN $22.00 HC89010987 C2 COMPLEMENT-AU $32.00 HC89002281 C2 COMPLEMENT-QD $16.00 HC81101289 C3 COMPLEMENT $303.00 HC89011001 C3 COMPLEMENT (PNL)-RD $13.00 HC89017263 C3 COMPLEMENT-AU $6.00 HC89003123 C3 COMPLEMENT-QD $16.00 HC81101297 C4 COMPLEMENT $303.00 HC89011019 C4 COMPLEMENT (PNL)-RD $13.00 HC89017271 C4 COMPLEMENT-AU $6.00 HC89003131 C4 COMPLEMENT-QD $16.00 HC89010995 C5 COMPLEMENT-AU $28.38 HC81700338 CA 125 $298.00 HC89015721 CA 125-QD $9.00 HC81701880 CA 15-3 $315.00 HC89003149 CA 15-3-QD $10.00 HC81700320 CA 19-9 $291.00 HC89015713 CA 19-9-QD $10.00 HC81700312 CA 27-29 $315.00 HC51003457 CA SCREEN-EXAM PELVIC/BREAST $146.00 0024-5824-11 CABAZITAXEL 10 MG/ML (FIRST DILUTION) IV SOLN "$68,024.64 " 99999-041-22 CABERGOLINE 0.25 MG ORAL PARTIAL TAB $28.14 0093-5420-88 CABERGOLINE 0.5 MG ORAL TAB $97.50 50742-118-08 CABERGOLINE 0.5 MG ORAL TAB $18.75 59762-1005-1 CABERGOLINE 0.5 MG ORAL TAB $46.79 HC62800784 CABLE DALL MILES "$1,270.00 " HC62224563 CABLE ELECTRODE MICRO TARGET/SCREEN $293.00 HC62300207 CABLE EP A $33.00 HC62300215 CABLE EP E $163.00 HC62200936 CABLE INTRAUTERINE PRESSURE $371.00 HC62226493 CABLE LIGHT MIS SPINAL DISP "$1,950.00 " HC62205109 CABLE PACER DISP C $207.00 HC62222526 CABLE PACING DISP A $33.00 HC62220926 CABLE PACING DISP B $65.00 HC62226683 CABLE PACING DISP D $130.00 HC62200944 CABLE PACING DISP E $228.00 HC62208897 CABLE THRESHOLD $351.00 4056512249 CADEXOMER IODINE 0.9 % TOPICAL GEL $685.44 HC89017636 CADMIUM(PNL)-AU $33.00 HC89007363 CADMIUM-AU $15.00 HC81100968 CAFFEINE $405.00 38779-0419-5 CAFFEINE (BULK) 100 % MISC POWD $472.20 70677-0021-1 CAFFEINE 200 MG ORAL TAB $1.00 99999-041-84 CAFFEINE CITRATE (BASE) 10 MG / ML ORAL SOLN $255.91 42571-244-69 CAFFEINE CITRATE 20 MG/ML INJ SOLN (MCH) $102.01 51754-0500-1 CAFFEINE CITRATE 20 MG/ML INJ SOLN (MCH) $144.00 63323-407-03 CAFFEINE CITRATE 20 MG/ML INJ SOLN (MCH) $170.59 99999-005-15 CAFFEINE CITRATE 5 MG/ML INJ DILUTION (MCH) $12.00 99999-040-17 CAFFEINE CITRATE 5 MG/ML INJ DILUTION (MCH) $172.80 25021-601-03 CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) IV SOLN $120.01 47335-289-40 CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) IV SOLN $210.01 51754-0502-1 CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) IV SOLN $144.00 25021-602-03 CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) ORAL SOLN $120.01 47335-290-40 CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) ORAL SOLN $210.01 51754-0501-3 CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) ORAL SOLN $144.00 51754-0503-3 CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) ORAL SOLN $144.00 63323-406-03 CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) ORAL SOLN $232.51 99999-005-74 CAFFEINE CITRATED 10 MG/ML ORAL SOLN (COMPOUND) (MCH) $1.00 99999-005-75 CAFFEINE CITRATED 10 MG/ML ORAL SOLN (COMPOUND) (MCH) $28.43 99999-005-76 CAFFEINE CITRATED 10 MG/ML ORAL SOLN (COMPOUND) (MCH) $56.87 99999-005-77 CAFFEINE CITRATED 10 MG/ML ORAL SOLN (COMPOUND) (MCH) $142.17 HC89022156 CAFFEINE SERUM/PLASMA - AU $40.25 0517-2502-10 CAFFEINE-SODIUM BENZOATE 250 MG/ML (125 MG/ML CAFFEINE) INJ SOLN $126.18 HC89002596 CAFFEINE-U2 $26.00 1093914833 CALAMINE-ZINC OXIDE 8-8 % TOPICAL LOTN $10.62 0363-0063-30 CALAMINE-ZINC OXIDE 8-8 % TOPICAL LOTN $36.11 0395-0413-96 CALAMINE-ZINC OXIDE 8-8 % TOPICAL LOTN $21.24 0904-2533-21 CALAMINE-ZINC OXIDE 8-8 % TOPICAL LOTN $8.50 49348-011-34 CALAMINE-ZINC OXIDE 8-8 % TOPICAL LOTN $10.62 HC44000297 CALCANEUS (HEEL) BILAT "$1,159.00 " HC44000305 CALCANEUS (HEEL) LT $622.00 HC44000313 CALCANEUS (HEEL) RT $622.00 0781-7117-35 CALCIPOTRIENE 0.005 % TOPICAL CREAM "$2,120.76 " 16714-763-01 CALCIPOTRIENE 0.005 % TOPICAL CREAM "$1,591.92 " 50222-260-06 CALCIPOTRIENE 0.005 % TOPICAL CREAM "$4,611.96 " 49884-161-11 CALCITONIN (SALMON) 200 UNIT/ACTUATION NASL SPRY $449.22 60505-0823-6 CALCITONIN (SALMON) 200 UNIT/ACTUATION NASL SPRY $449.22 67457-675-02 CALCITONIN (SALMON) 200 UNIT/ML INJ SOLN "$17,272.62 " HC89013536 CALCITONIN-AU $20.00 HC89013544 CALCITONIN-ES $54.00 HC89001218 CALCITONIN-QD $21.00 0054-0007-13 CALCITRIOL 0.25 MCG ORAL CAP $6.14 0054-0007-25 CALCITRIOL 0.25 MCG ORAL CAP $5.68 60687-345-01 CALCITRIOL 0.25 MCG ORAL CAP $3.83 60687-345-11 CALCITRIOL 0.25 MCG ORAL CAP $3.83 69452-207-13 CALCITRIOL 0.25 MCG ORAL CAP $1.63 69452-207-20 CALCITRIOL 0.25 MCG ORAL CAP $1.63 0093-7353-01 CALCITRIOL 0.5 MCG ORAL CAP $9.17 23155-663-01 CALCITRIOL 0.5 MCG ORAL CAP $2.54 17478-931-01 CALCITRIOL 1 MCG/ML IV SOLN $45.01 63323-731-01 CALCITRIOL 1 MCG/ML IV SOLN $35.94 0054-3120-41 CALCITRIOL 1 MCG/ML ORAL SOLN $859.23 63304-241-59 CALCITRIOL 1 MCG/ML ORAL SOLN $816.21 45802-608-01 CALCITRIOL 3 MCG/GRAM TOPICAL OINT "$3,373.80 " 7132180320 CALCIUM ACETATE 667 MG ORAL TAB $1.00 0054-0088-26 CALCIUM ACETATE(PHOSPHAT BIND) 667 MG ORAL CAP $3.41 0781-2081-02 CALCIUM ACETATE(PHOSPHAT BIND) 667 MG ORAL CAP $3.79 29033-026-02 CALCIUM ACETATE(PHOSPHAT BIND) 667 MG ORAL CAP $4.21 69097-862-83 CALCIUM ACETATE(PHOSPHAT BIND) 667 MG ORAL CAP $3.60 23155-621-02 CALCIUM ACETATE(PHOSPHAT BIND) 667 MG ORAL TAB $2.53 1650002324 "CALCIUM ACETATE-ALUMINUM SULF 952-1,347 MG TOPICAL PWPK" $4.00 51224-162-12 "CALCIUM ACETATE-ALUMINUM SULF 952-1,347 MG TOPICAL PWPK" $3.75 51224-162-99 "CALCIUM ACETATE-ALUMINUM SULF 952-1,347 MG TOPICAL PWPK" $3.72 57074-00177 "CALCIUM ACETATE-ALUMINUM SULF 952-1,347 MG TOPICAL PWPK" $4.24 0135-0071-27 CALCIUM CARBONATE 200 MG CALCIUM (500 MG) ORAL CHEW $1.00 0536-1007-15 CALCIUM CARBONATE 200 MG CALCIUM (500 MG) ORAL CHEW $1.00 66553-004-01 CALCIUM CARBONATE 200 MG CALCIUM (500 MG) ORAL CHEW $1.00 0135-0178-03 CALCIUM CARBONATE 300 MG (750 MG) ORAL CHEW $1.00 904188361 "CALCIUM CARBONATE 500 MG CALCIUM (1,250 MG) ORAL TAB" $1.00 904188372 "CALCIUM CARBONATE 500 MG CALCIUM (1,250 MG) ORAL TAB" $1.00 8068100400 "CALCIUM CARBONATE 500 MG CALCIUM (1,250 MG) ORAL TAB" $1.00 54311763 "CALCIUM CARBONATE 500 MG/5 ML (1,250 MG/5 ML) ORAL SUSP" $54.00 0121-0766-16 "CALCIUM CARBONATE 500 MG/5 ML (1,250 MG/5 ML) ORAL SUSP" $59.60 0121-4766-05 "CALCIUM CARBONATE 500 MG/5 ML (1,250 MG/5 ML) ORAL SUSP" $15.36 904188260 CALCIUM CARBONATE-VITAMIN D3 250-125 MG-UNIT ORAL TAB $1.00 904188261 CALCIUM CARBONATE-VITAMIN D3 250-125 MG-UNIT ORAL TAB $1.00 2055502500 CALCIUM CARBONATE-VITAMIN D3 250-125 MG-UNIT ORAL TAB $1.00 536781710 "CALCIUM CARBONATE-VITAMIN D3 500 MG(1,250MG) -200 UNIT ORAL TAB" $1.00 904546052 "CALCIUM CARBONATE-VITAMIN D3 500 MG(1,250MG) -200 UNIT ORAL TAB" $1.00 904546072 "CALCIUM CARBONATE-VITAMIN D3 500 MG(1,250MG) -200 UNIT ORAL TAB" $1.00 904546080 "CALCIUM CARBONATE-VITAMIN D3 500 MG(1,250MG) -200 UNIT ORAL TAB" $1.00 1000670038 "CALCIUM CARBONATE-VITAMIN D3 500 MG(1,250MG) -200 UNIT ORAL TAB" $1.00 3786408289 "CALCIUM CARBONATE-VITAMIN D3 500 MG(1,250MG) -200 UNIT ORAL TAB" $1.00 5164582899 "CALCIUM CARBONATE-VITAMIN D3 500 MG(1,250MG) -200 UNIT ORAL TAB" $1.00 6373929101 "CALCIUM CARBONATE-VITAMIN D3 500 MG(1,250MG) -200 UNIT ORAL TAB" $1.00 0409-4928-34 CALCIUM CHLORIDE 10% IV SOLN (MCH) $55.98 76329-3304-1 CALCIUM CHLORIDE 10% IV SOLN (MCH) $54.00 0517-6710-01 CALCIUM CHLORIDE 100 MG/ML (10 %) IV SOLN $121.32 0517-6710-10 CALCIUM CHLORIDE 100 MG/ML (10 %) IV SOLN $121.32 0409-1631-40 CALCIUM CHLORIDE 100 MG/ML (10 %) IV SYRG $40.74 1191705014 CALCIUM CITRATE 200 MG (950 MG) ORAL TAB $1.00 4329255606 CALCIUM CITRATE 250 MG CALCIUM ORAL TAB $1.00 536322301 CALCIUM CITRATE-VITAMIN D3 200 MG-6.25 MCG (250 UNIT) ORAL TAB $1.00 HC89018071 CALCIUM FOR PTH(PNL)-QD $170.00 44567-620-01 "CALCIUM GLUC IN NACL, ISO-OSM 1 GRAM/50 ML IV SOLN" $118.50 44567-620-24 "CALCIUM GLUC IN NACL, ISO-OSM 1 GRAM/50 ML IV SOLN" $118.50 63323-360-03 CALCIUM GLUCONATE 100 MG/ML (10%) IV SOLN $135.00 63323-360-05 CALCIUM GLUCONATE 100 MG/ML (10%) IV SOLN $270.00 63323-360-59 CALCIUM GLUCONATE 100 MG/ML (10%) IV SOLN $135.00 63323-360-01 CALCIUM GLUCONATE 100 MG/ML (10%) IV SOLN (MCH) $54.90 63323-360-19 CALCIUM GLUCONATE 100 MG/ML (10%) IV SOLN (MCH) $54.90 63323-360-61 CALCIUM GLUCONATE 100 MG/ML (10%) IV SOLN (TPN-GMS) $270.00 99999-045-10 CALCIUM GLUCONATE 2.5% TOPICAL GEL (COMPOUNDED) $109.80 HC36800654 CALCIUM IONIZED $266.00 HC81101065 CALCIUM IONIZED $283.00 HC81101800 CALCIUM IONIZED (POS) $283.00 HC89005052 CALCIUM IONIZED-AU $9.00 HC89000350 CALCIUM IONIZED-QD $130.00 HC89005045 CALCIUM IONIZED-U2 $30.00 7733311810 CALCIUM POLYCARBOPHIL 625 MG ORAL TAB $1.43 7733311825 CALCIUM POLYCARBOPHIL 625 MG ORAL TAB $1.43 0005-2500-02 CALCIUM POLYCARBOPHIL 625 MG ORAL TAB $1.00 0536-4306-08 CALCIUM POLYCARBOPHIL 625 MG ORAL TAB $1.00 0904-2500-91 CALCIUM POLYCARBOPHIL 625 MG ORAL TAB $1.00 HC81100489 CALCIUM TOTAL $166.00 HC81100497 CALCIUM URINE QUANT TIMED SPEC $168.00 HC89015341 CALCIUM URINE-QD $16.00 HC89500300 CALL BACK FEE HRLY(2HR MIN)-AA $280.00 HC89500532 CALL BACK FEE HRLY-SB $380.00 HC81700825 CALLA/ACUTE LYMPH LEUK AG MKR+ $276.00 HC41500661 CALORIC VESTIB BITHERM 2 IRRIG W/REC $738.00 HC41500026 CALORIC VESTIB BITHERM 4 IRRIG W/REC "$1,187.00 " HC89022735 CALPROTECTIN FECAL-AU $95.00 46581-110-60 CAMPHOR-METHYL SALICYL-MENTHOL 3.1-10-6 % TOPICAL PTMD $1.00 46581-210-06 CAMPHOR-METHYL SALICYL-MENTHOL 3.1-10-6 % TOPICAL PTMD $3.67 46581-110-20 CAMPHOR-METHYL SALICYL-MENTHOL TOPICAL PTMD $1.00 0024-5150-06 CAMPHOR-PHENOL 10.8-4.7 % TOPICAL SOLN $27.81 50458-140-30 CANAGLIFLOZIN 100 MG ORAL TAB $103.70 50458-140-90 CANAGLIFLOZIN 100 MG ORAL TAB $103.71 50458-141-30 CANAGLIFLOZIN 300 MG ORAL TAB $103.70 HC89011613 CANCER AG 15-3-AU $10.00 33342-116-07 CANDESARTAN 16 MG ORAL TAB $6.20 49884-660-09 CANDESARTAN 16 MG ORAL TAB $14.11 33342-114-07 CANDESARTAN 4 MG ORAL TAB $7.60 49884-658-09 CANDESARTAN 4 MG ORAL TAB $14.10 0781-5937-31 CANDESARTAN 8 MG ORAL TAB $15.86 33342-115-07 CANDESARTAN 8 MG ORAL TAB $8.00 49884-659-09 CANDESARTAN 8 MG ORAL TAB $14.10 HC89016059 CANDIDA AB - AU $13.00 HC89012017 CANDIDA AB-FT $16.00 HC89012181 CANDIDA AB-FT $16.00 HC89002125 CANDIDA AB-QD $13.00 59584-138-01 CANDIDA ALBICANS SKIN TEST FDA STANDARD INTRADERMAL ALRG "$1,350.00 " HC89021018 CANDIDA SPECIES DNA-AU $22.00 10122-620-01 CANGRELOR 50 MG IV SOLR "$4,494.00 " 10122-620-10 CANGRELOR 50 MG IV SOLR "$4,494.00 " 70127-100-01 CANNABIDIOL 100 MG/ML ORAL SOLN "$7,860.00 " 70127-100-10 CANNABIDIOL 100 MG/ML ORAL SOLN "$7,860.00 " HC89022073 CANNABINOIDS NATURAL SERUM QNT(PNL)-AU $54.00 HC89021687 "CANNABINOIDS, NATURAL MEC(PNL)-AU" $50.00 HC89006258 "CANNABINOIDS, NATURAL(THC)-AU" $20.00 HC62227806 CANNISTER COLLECTING TISSUE (DHS) $260.00 HC62200951 CANNISTER SUCTION $36.00 HC62223979 CANNISTER SUCTION NEURO/SPINAL "$1,170.00 " HC62225701 CANNISTER WOUND NEG PRESSURE $98.00 HC62224084 CANNULA AORTIC ARCH B $65.00 HC62200969 CANNULA AORTIC ARCH D $130.00 HC62210992 CANNULA AORTIC EASY FLOW $611.00 HC62211032 CANNULA AORTIC FEMORAL (CPS) EXISTS $676.00 HC62213632 CANNULA AORTIC FILTERING "$1,381.00 " HC62211008 CANNULA AORTIC PEDS $319.00 HC62200977 CANNULA AORTIC ROOT $101.00 HC62213681 CANNULA ARTERIAL A $130.00 HC62226923 CANNULA ARTERIAL B $260.00 HC62226956 CANNULA ARTERIAL C $260.00 HC62222955 CANNULA ARTERIAL J $650.00 HC62222963 CANNULA ARTERIAL K $780.00 HC62200985 CANNULA ARTERIAL V "$1,470.00 " HC62211016 CANNULA ARTERIAL PEDS P "$1,138.00 " HC62211024 CANNULA ARTERIAL STRAIGHT N $953.00 HC62213780 CANNULA ARTHROSCOPIC C $98.00 HC62220173 CANNULA ARTHROSCOPIC E $195.00 HC62222286 CANNULA ARTHROSCOPIC F $260.00 HC62220777 CANNULA ARTHROSCOPIC H $390.00 HC62225321 CANNULA ARTHROSCOPIC L $650.00 HC62225339 CANNULA ARTHROSCOPIC N $910.00 HC62227855 CANNULA ARTHROSCOPIC P "$1,170.00 " HC62225347 CANNULA ARTHROSCOPIC Q "$1,300.00 " HC62219902 CANNULA ARTHRSCPC ROTATING K "$1,836.00 " HC62219910 CANNULA ARTHRSCPC ROTATING/BUR E $780.00 HC62219134 CANNULA ARTHRSCPC(STICK SWITCHING)H $423.00 HC62217336 CANNULA BIOPSY BREAST $134.00 HC62221593 CANNULA CEMENT BONE E $195.00 HC62221601 CANNULA CEMENT BONE Q "$1,300.00 " HC62200993 CANNULA CORONARY $722.00 HC62222708 CANNULA CORONARY SOFT-TIP $65.00 HC62219142 CANNULA CURVED DUAL ELECTROSURG $105.00 HC62210240 CANNULA ECMO "$7,638.00 " HC62210927 CANNULA ENDO ARTERIAL "$1,677.00 " HC62223532 CANNULA ENDOSCOPIC SPINAL "$1,284.00 " HC62224092 CANNULA ERCP E $163.00 HC62201009 CANNULA ERCP G $228.00 HC62201082 CANNULA HOLDER/GRIP SKIN TENDER $36.00 HC62213798 CANNULA INFUSION/IRRIG OPHTH $81.00 HC62201025 CANNULA INNER DISPOSABLE $65.00 HC62201017 CANNULA INTRAOCULAR C $83.00 HC62224357 CANNULA INTRAOCULAR E $169.00 HC62201033 CANNULA NASAL $13.00 HC62201058 CANNULA OXYGEN $65.00 HC62222724 CANNULA PERFUSION D $130.00 HC62213939 CANNULA PERFUSION F $260.00 HC62226964 CANNULA PERFUSION O "$1,040.00 " HC62222716 CANNULA PERFUSION ARTRL/VENOUS B $65.00 HC62227632 CANNULA PERFUSION RETROGRADE "$1,950.00 " HC62222179 CANNULA PERFUSION W/FILTER Q "$1,356.00 " HC62212030 CANNULA PERFUSN VENOUS FEMORAL M $811.00 HC62221619 CANNULA REDUCER ENDOWRIST $85.00 HC62201066 CANNULA RETROPLEGIA $358.00 HC62210141 CANNULA SAMPLING CO2 W/W-O O2 $51.00 HC62224365 CANNULA SUCTION & COAGULATION $780.00 HC62214077 CANNULA TARGETNG NEEDLE(STREAMLINE) $516.00 HC62219159 CANNULA TIP SOFT LONG $975.00 HC62201074 CANNULA TRACH INNER B $98.00 HC62221627 CANNULA TRACH INNER C $163.00 HC62213640 CANNULA TROCAR $488.00 HC62201090 CANNULA VEIN IRRIGATION $469.00 HC62223102 CANNULA VENOUS C $98.00 HC62223896 CANNULA VENOUS D $130.00 HC62201108 CANNULA VENOUS F $208.00 HC62211040 CANNULA VENOUS FEMORAL Q "$1,381.00 " HC62211057 CANNULA VENOUS STRAIGHT K $576.00 HC62208541 CANNULA WATERS $441.00 HC62803515 CAP END SCREW $568.00 HC62212022 CAP ENDO HALO $92.00 HC62227483 CAP ENDOSCOPIC HYBRID D $130.00 HC62219076 CAP ENDOSEAL $52.00 HC62214630 CAP KIT LEAD PACEMAKER A $65.00 HC62214648 CAP KIT LEAD PACEMAKER B $113.00 HC62807698 CAP KIT LEAD PACEMAKER I $455.00 HC62201116 CAP PEG $38.00 HC62209192 CAP PIN PROTECTOR $13.00 HC62201124 CAP/IV INJECTION $7.00 0004-1100-20 CAPECITABINE 150 MG ORAL TAB $81.35 0004-1101-50 CAPECITABINE 500 MG ORAL TAB $271.12 0378-2512-78 CAPECITABINE 500 MG ORAL TAB $49.00 16714-468-01 CAPECITABINE 500 MG ORAL TAB $92.30 16729-073-29 CAPECITABINE 500 MG ORAL TAB $6.11 HC36000719 CAPILLARY/HEEL/FINGER STICK $57.00 HC36800787 CAPILLARY/HEEL/FINGER STICK $57.00 HC51004091 CAPILLARY/HEEL/FINGER STICK $17.00 HC88600010 CAPILLARY/HEEL/FINGER STICK $58.00 17478-080-50 CAPREOMYCIN 1 GRAM INJ SOLR "$1,363.86 " 0536-2525-25 CAPSAICIN 0.025 % TOPICAL CREAM $41.76 4116775142 CAPSAICIN 0.1 % TOPICAL CREAM $52.28 4116775160 CAPSAICIN-MENTHOL 0.025-10 % TOPICAL GEL $34.68 HC62210810 CAPSULE DISSOLVABLE DX RFID $98.00 HC62802806 CAPSULE ENDOSCOPY (PILL CAM) "$1,580.00 " HC62218110 CAPSULE PH (IMPLANT) C $880.00 HC62800792 CAPSULE PH (IMPLANT) I "$1,560.00 " 99999-033-69 CAPTOPRIL 1 MG/ML (NICU) ORAL SYRINGE $1.00 99996-001-55 CAPTOPRIL 1 MG/ML ORAL SUSP (COMPOUND) $1.00 99996-001-56 CAPTOPRIL 1 MG/ML ORAL SUSP (COMPOUND) $1.50 99999-011-00 CAPTOPRIL 1 MG/ML ORAL SUSP (COMPOUND) $1.00 0143-1171-01 CAPTOPRIL 12.5 MG ORAL TAB $6.08 0378-3007-01 CAPTOPRIL 12.5 MG ORAL TAB $6.08 0904-5045-61 CAPTOPRIL 12.5 MG ORAL TAB $8.48 0143-1172-01 CAPTOPRIL 25 MG ORAL TAB $6.51 0143-1172-10 CAPTOPRIL 25 MG ORAL TAB $6.51 0378-3012-01 CAPTOPRIL 25 MG ORAL TAB $6.51 0781-8061-01 CAPTOPRIL 25 MG ORAL TAB $6.51 0904-5046-61 CAPTOPRIL 25 MG ORAL TAB $8.99 51079-864-01 CAPTOPRIL 25 MG ORAL TAB $9.32 51079-864-20 CAPTOPRIL 25 MG ORAL TAB $9.32 60687-315-11 CAPTOPRIL 25 MG ORAL TAB $9.23 60687-315-21 CAPTOPRIL 25 MG ORAL TAB $9.23 0378-3017-01 CAPTOPRIL 50 MG ORAL TAB $11.30 0065-0023-15 CARBACHOL 0.01 % INTRAOCULAR SOLN $218.52 HC81100299 CARBAMAZEPINE TOTAL $409.00 0093-0778-01 CARBAMAZEPINE 100 MG ORAL CHEW $3.16 0904-3854-61 CARBAMAZEPINE 100 MG ORAL CHEW $3.07 13668-271-01 CARBAMAZEPINE 100 MG ORAL CHEW $3.16 51672-4041-1 CARBAMAZEPINE 100 MG ORAL CHEW $2.41 99999-041-94 CARBAMAZEPINE 100 MG ORAL PARTIAL TAB $4.13 0078-0510-05 CARBAMAZEPINE 100 MG ORAL TB12 $8.14 0781-8016-01 CARBAMAZEPINE 100 MG ORAL TB12 $5.50 68094-007-59 CARBAMAZEPINE 100 MG/5 ML (5 ML) ORAL SUSP $18.15 68094-007-62 CARBAMAZEPINE 100 MG/5 ML (5 ML) ORAL SUSP $18.15 0078-0508-83 CARBAMAZEPINE 100 MG/5 ML ORAL SUSP $980.10 51672-4047-9 CARBAMAZEPINE 100 MG/5 ML ORAL SUSP (MCH) $423.90 60432-129-16 CARBAMAZEPINE 100 MG/5 ML ORAL SUSP (MCH) $359.10 99999-005-96 CARBAMAZEPINE 100 MG/5 ML ORAL SUSP (MCH) $5.01 99999-005-97 CARBAMAZEPINE 100 MG/5 ML ORAL SUSP (MCH) $10.02 0078-0509-05 CARBAMAZEPINE 200 MG ORAL TAB $15.20 0904-6172-61 CARBAMAZEPINE 200 MG ORAL TAB $5.38 51672-4005-1 CARBAMAZEPINE 200 MG ORAL TAB $5.43 68084-561-11 CARBAMAZEPINE 200 MG ORAL TB12 $20.18 68084-561-21 CARBAMAZEPINE 200 MG ORAL TB12 $20.18 68094-008-59 CARBAMAZEPINE 200 MG/10 ML ORAL SUSP $22.74 68094-008-62 CARBAMAZEPINE 200 MG/10 ML ORAL SUSP $22.74 4203710478 CARBAMIDE PEROXIDE 6.5 % OTIC DROP $26.91 7811273621 CARBAMIDE PEROXIDE 6.5 % OTIC DROP $28.26 8770142560 CARBAMIDE PEROXIDE 6.5 % OTIC DROP $7.83 0074-7362-01 CARBAMIDE PEROXIDE 6.5 % OTIC DROP $29.88 0074-7362-03 CARBAMIDE PEROXIDE 6.5 % OTIC DROP $22.86 0904-6627-35 CARBAMIDE PEROXIDE 6.5 % OTIC DROP $8.73 57896-339-05 CARBAMIDE PEROXIDE 6.5 % OTIC DROP $9.90 25010-711-15 CARBIDOPA 25 MG ORAL TAB $177.50 43975-220-10 CARBIDOPA 25 MG ORAL TAB $52.50 0228-2538-10 CARBIDOPA-LEVODOPA 10-100 MG ORAL TAB $1.57 0378-0078-01 CARBIDOPA-LEVODOPA 10-100 MG ORAL TAB $1.57 0228-2539-10 CARBIDOPA-LEVODOPA 25-100 MG ORAL TAB $1.78 0228-2539-50 CARBIDOPA-LEVODOPA 25-100 MG ORAL TAB $1.75 0228-2539-96 CARBIDOPA-LEVODOPA 25-100 MG ORAL TAB $1.75 0904-6237-61 CARBIDOPA-LEVODOPA 25-100 MG ORAL TAB $1.00 51862-079-01 CARBIDOPA-LEVODOPA 25-100 MG ORAL TAB $1.78 68084-093-01 CARBIDOPA-LEVODOPA 25-100 MG ORAL TAB $2.19 68084-093-11 CARBIDOPA-LEVODOPA 25-100 MG ORAL TAB $2.19 51079-978-01 CARBIDOPA-LEVODOPA 25-100 MG ORAL TBSR $2.28 51079-978-20 CARBIDOPA-LEVODOPA 25-100 MG ORAL TBSR $2.28 68084-281-01 CARBIDOPA-LEVODOPA 25-100 MG ORAL TBSR $4.70 68084-281-11 CARBIDOPA-LEVODOPA 25-100 MG ORAL TBSR $4.70 0228-2540-10 CARBIDOPA-LEVODOPA 25-250 MG ORAL TAB $2.06 0228-2540-50 CARBIDOPA-LEVODOPA 25-250 MG ORAL TAB $1.96 0904-6238-61 CARBIDOPA-LEVODOPA 25-250 MG ORAL TAB $1.48 68084-094-01 CARBIDOPA-LEVODOPA 25-250 MG ORAL TAB $3.03 68084-094-11 CARBIDOPA-LEVODOPA 25-250 MG ORAL TAB $3.03 0378-0094-01 CARBIDOPA-LEVODOPA 50-200 MG ORAL TBSR $8.43 16729-079-01 CARBIDOPA-LEVODOPA 50-200 MG ORAL TBSR $7.59 51079-923-01 CARBIDOPA-LEVODOPA 50-200 MG ORAL TBSR $5.35 51079-923-20 CARBIDOPA-LEVODOPA 50-200 MG ORAL TBSR $5.35 62756-457-88 CARBIDOPA-LEVODOPA 50-200 MG ORAL TBSR $4.20 68084-282-01 CARBIDOPA-LEVODOPA 50-200 MG ORAL TBSR $4.37 68084-282-11 CARBIDOPA-LEVODOPA 50-200 MG ORAL TBSR $4.37 64896-664-01 CARBIDOPA-LEVODOPA 61.25-245 MG ORAL CPSR $25.25 0378-8301-01 CARBIDOPA-LEVODOPA-ENTACAPONE 18.75-75-200 MG ORAL TAB $18.01 0703-4239-01 CARBOPLATIN 10 MG/ML IV SOLN $396.36 0703-4244-01 CARBOPLATIN 10 MG/ML IV SOLN $49.50 0703-4246-01 CARBOPLATIN 10 MG/ML IV SOLN $126.00 0703-4248-01 CARBOPLATIN 10 MG/ML IV SOLN $389.88 0703-4248-91 CARBOPLATIN 10 MG/ML IV SOLN $389.88 16729-295-12 CARBOPLATIN 10 MG/ML IV SOLN $263.88 61703-339-18 CARBOPLATIN 10 MG/ML IV SOLN $79.20 61703-339-22 CARBOPLATIN 10 MG/ML IV SOLN $137.43 61703-339-50 CARBOPLATIN 10 MG/ML IV SOLN $266.76 61703-339-56 CARBOPLATIN 10 MG/ML IV SOLN $334.44 63323-172-45 CARBOPLATIN 10 MG/ML IV SOLN $567.81 63323-172-60 CARBOPLATIN 10 MG/ML IV SOLN $648.00 99999-033-44 CARBOPLATIN IV SOLN (FOR DESENSITIZATION USE) (MHS) $1.00 0009-0856-05 CARBOPROST TROMETHAMINE 250 MCG/ML IM SOLN "$2,126.60 " 0009-0856-08 CARBOPROST TROMETHAMINE 250 MCG/ML IM SOLN "$2,126.60 " 43598-698-11 CARBOPROST TROMETHAMINE 250 MCG/ML IM SOLN "$1,913.94 " 43598-698-58 CARBOPROST TROMETHAMINE 250 MCG/ML IM SOLN "$1,913.94 " 43598-917-11 CARBOPROST TROMETHAMINE 250 MCG/ML IM SOLN "$1,913.94 " 43598-917-58 CARBOPROST TROMETHAMINE 250 MCG/ML IM SOLN "$1,913.94 " HC81101362 CARBOXYHEMOGLOBIN $291.00 HC36800597 "CARBOXYHEMOGLOBIN,QUANT" $279.00 HC89007397 CARBOXYHEMOGLOBIN-AU $39.00 HC89001069 CARBOXYHEMOGLOBIN-QD $8.00 0023-0403-30 CARBOXYMETHYLCELLULOSE SODIUM 0.5 % OPHT DPET $1.65 0023-0403-50 CARBOXYMETHYLCELLULOSE SODIUM 0.5 % OPHT DPET $1.54 0023-0403-70 CARBOXYMETHYLCELLULOSE SODIUM 0.5 % OPHT DPET $1.50 0023-5487-30 CARBOXYMETHYLCELLULOSE SODIUM 0.5 % OPHT DPET $1.60 0904-6329-46 CARBOXYMETHYLCELLULOSE SODIUM 0.5 % OPHT DPET $1.41 0904-6329-51 CARBOXYMETHYLCELLULOSE SODIUM 0.5 % OPHT DPET $1.32 0023-4554-30 CARBOXYMETHYLCELLULOSE SODIUM 1 % OPHT DPGE $1.94 HC81700064 CARCINOEMBRYONIC ANTIGEN (CEA) $424.00 HC89023006 CARCINOEMBRYONIC ANTIGEN (CEA) BODY FLUID-AU $17.40 HC89015994 CARCINOEMBRYONIC ANTIGEN (CEA)-QD $6.00 HC45200003 CARDIAC BLOOD POOL 1ST PASS+ "$2,208.00 " HC81700270 CARDIOLIPIN AB EA IG CLASS $289.00 71285-0108-1 CARDIOPLEGIC NO.14 (MAINT 8:1) 36 MEQ/500 ML (POTASSIUM) PERF SOLN $864.00 0409-7969-05 CARDIOPLEGIC SOLN 16 MEQ/L (= K+) PERF SOLN $306.00 71285-0102-1 CARDIOPLEGIC SOLUTION NO.10 108 MEQ/500 ML (POTASSIUM) PERF SOLN $834.00 HC25001017 CARDIOVERSION EXTERNAL "$2,123.00 " HC42000059 CARDIOVERSION EXTERNAL "$4,093.00 " HC44700029 CARDIOVERSION INTERNAL "$5,058.00 " 76075-101-01 CARFILZOMIB 60 MG IV SOLR "$14,612.52 " 61874-115-30 CARIPRAZINE 1.5 MG ORAL CAP $244.97 61874-130-30 CARIPRAZINE 3 MG ORAL CAP $244.97 0591-5513-01 CARISOPRODOL 350 MG ORAL TAB $1.00 16714-510-01 CARISOPRODOL 350 MG ORAL TAB $1.00 42543-700-01 CARISOPRODOL 350 MG ORAL TAB $1.00 58657-645-01 CARISOPRODOL 350 MG ORAL TAB $1.00 69584-111-10 CARISOPRODOL 350 MG ORAL TAB $1.00 0015-3012-60 CARMUSTINE 100 MG IV SOLR "$1,028.46 " 23155-261-41 CARMUSTINE 100 MG IV SOLR "$15,824.34 " 24338-050-08 CARMUSTINE IN POLIFEPROSAN 7.7 MG IMPL WAFR "$24,742.86 " HC89007405 CARNITINE FREE & TOTAL-AU $30.88 HC89016083 CARNITINE FREE & TOTAL-MA $32.00 HC89008551 CARNITINE URINE-CA $110.00 HC89004063 "CARNITINE, FREE-AU" $23.00 HC89008544 CARNITINE-CA $42.00 HC89007413 CAROTENE-AU $16.00 HC44500601 CAROTID STENT W/EMBOL PROT LT "$29,133.00 " HC44500619 CAROTID STENT W/EMBOL PROT RT "$29,133.00 " HC44502698 CAROTID STENT W/O EMBO PROT LT "$29,133.00 " HC44502706 CAROTID STENT W/O EMBO PROT RT "$29,133.00 " HC62201140 CARTRIDGE (DIALYSIS) "$1,245.00 " HC62228630 CARTRIDGE ENZYME DIGEST RELIZORB $127.00 HC62201132 CARTRIDGE HIGH FREQ JET $941.00 HC62226162 CARTRIDGE MECHNCL WOUND NEG PRESSURE $390.00 HC62227939 CARTRIDGE MECHNCL WOUND NEG PRESSURE D $650.00 0007-4141-20 CARVEDILOL 12.5 MG ORAL TAB $29.65 0093-7295-01 CARVEDILOL 12.5 MG ORAL TAB $1.00 0093-7295-05 CARVEDILOL 12.5 MG ORAL TAB $1.00 0904-6302-61 CARVEDILOL 12.5 MG ORAL TAB $1.00 51079-931-01 CARVEDILOL 12.5 MG ORAL TAB $1.00 51079-931-20 CARVEDILOL 12.5 MG ORAL TAB $1.00 68382-094-01 CARVEDILOL 12.5 MG ORAL TAB $1.00 0007-4142-20 CARVEDILOL 25 MG ORAL TAB $29.65 0093-7296-01 CARVEDILOL 25 MG ORAL TAB $1.00 0093-7296-05 CARVEDILOL 25 MG ORAL TAB $1.00 0378-3634-01 CARVEDILOL 25 MG ORAL TAB $1.00 0904-6303-61 CARVEDILOL 25 MG ORAL TAB $1.00 51079-932-01 CARVEDILOL 25 MG ORAL TAB $1.00 51079-932-20 CARVEDILOL 25 MG ORAL TAB $1.00 65862-145-05 CARVEDILOL 25 MG ORAL TAB $1.00 68382-095-01 CARVEDILOL 25 MG ORAL TAB $1.00 68462-165-01 CARVEDILOL 25 MG ORAL TAB $1.00 0007-4139-20 CARVEDILOL 3.125 MG ORAL TAB $29.65 0093-0051-01 CARVEDILOL 3.125 MG ORAL TAB $1.00 0093-0051-05 CARVEDILOL 3.125 MG ORAL TAB $1.00 0378-3631-05 CARVEDILOL 3.125 MG ORAL TAB $1.00 0904-6300-61 CARVEDILOL 3.125 MG ORAL TAB $1.00 51079-771-01 CARVEDILOL 3.125 MG ORAL TAB $1.00 51079-771-20 CARVEDILOL 3.125 MG ORAL TAB $1.00 68001-153-00 CARVEDILOL 3.125 MG ORAL TAB $1.00 68084-843-01 CARVEDILOL 3.125 MG ORAL TAB $1.00 68084-843-11 CARVEDILOL 3.125 MG ORAL TAB $1.00 68382-092-01 CARVEDILOL 3.125 MG ORAL TAB $1.00 68382-092-05 CARVEDILOL 3.125 MG ORAL TAB $1.00 0007-4140-20 CARVEDILOL 6.25 MG ORAL TAB $29.65 0093-0135-01 CARVEDILOL 6.25 MG ORAL TAB $1.00 0093-0135-05 CARVEDILOL 6.25 MG ORAL TAB $1.00 0378-3632-01 CARVEDILOL 6.25 MG ORAL TAB $1.00 0378-3632-05 CARVEDILOL 6.25 MG ORAL TAB $1.00 0781-5222-01 CARVEDILOL 6.25 MG ORAL TAB $1.00 0904-6301-61 CARVEDILOL 6.25 MG ORAL TAB $1.00 51079-930-01 CARVEDILOL 6.25 MG ORAL TAB $1.00 51079-930-20 CARVEDILOL 6.25 MG ORAL TAB $1.00 68001-154-00 CARVEDILOL 6.25 MG ORAL TAB $1.00 68084-854-01 CARVEDILOL 6.25 MG ORAL TAB $1.00 68084-854-11 CARVEDILOL 6.25 MG ORAL TAB $1.00 68382-093-01 CARVEDILOL 6.25 MG ORAL TAB $1.00 68462-163-05 CARVEDILOL 6.25 MG ORAL TAB $1.00 60505-4713-3 CARVEDILOL PHOSPHATE 10 MG ORAL CM24 $47.56 0006-3822-10 CASPOFUNGIN 50 MG IV SOLR "$2,026.26 " 0006-3823-10 CASPOFUNGIN 70 MG IV SOLR "$2,105.28 " HC62222146 CASSETTE PURGE LVAD/RVAD $650.00 HC62211586 CASSETTE WND IRRIG/SUCTN $178.00 HC31001852 CAST ROOM USE $282.00 HC62201157 CASTING MATERIAL FIBERGLASS $39.00 HC51080166 CASTING MATERIAL PLASTER $59.00 HC62201165 CASTING MATERIAL PLASTER $143.00 HC62225503 CASTING MATERIAL THERMOPLSTC EA ROLL $72.00 HC51080158 CASTING SUPPLIES FIBERGLASS $85.00 HC62201173 CASTING SUPPLIES SYNTHETIC $209.00 0869-0078-16 CASTOR OIL 100 % ORAL OIL $5.66 HC89017008 CATECHOLAMINES FRACT UR-AU $25.00 HC89007421 CATECHOLAMINES FRACT-AU $28.00 HC89003008 CATECHOLAMINES TOTAL URINE-QD $14.00 HC89000921 CATECHOLAMINES TOTAL-QD $108.00 HC44700037 CATH ABLAT AV NODE HEART BLOCK "$24,832.00 " HC62803671 CATH ABLAT TISS COOL-TIP(HALO 360)I "$7,719.00 " HC62803689 CATH ABLAT TISS(E.G.HALO 60/90) E "$3,900.00 " HC62800131 CATH ABLAT VASC NON CARDIAC "$3,900.00 " HC62807110 CATH ABLATION CARDIAC "$9,425.00 " HC62803697 CATH ABLATION THERMO HALO AD "$5,525.00 " HC62201199 CATH ABR TRIPLE LUMEN $430.00 HC62210752 CATH ACCESS DUODENOSCOPE "$2,470.00 " HC62209663 CATH ACCESS PORT IDD THERAPY $82.00 HC62201207 CATH ADAPTOR $131.00 HC62201215 CATH A-LINE INSYTE $94.00 HC62211818 CATH ANGIO MICRO(DIAG/MARTHN/EXCLSR)Q "$2,763.00 " HC62210620 CATH ANGIO(BNCHMRK/ECHELN/EXCELSR/DAC57/HEADWY)Q "$3,250.00 " HC62805593 CATH ANGIO/GUID NEURO/PERIPH(DAC44)R "$3,575.00 " HC62220389 CATH ANGIOG GUIDING DUAL ACCESS(ENVOY)J "$1,170.00 " HC62212261 CATH ANGIOG GUIDING(SLIP/GLIDE) E $195.00 HC62212063 CATH ANGIOG PERIPH CTO CROSSING AQ "$13,000.00 " HC62211644 CATH ANGIOGRAPHY B $65.00 HC62224910 CATH ANGIOGRAPHY J $520.00 HC62217112 CATH ANGIOGRAPHY GUIDING C $98.00 HC62212204 CATH ANGIOGRAPHY W/BALLOON E $195.00 HC62800149 CATH ANGIOGRAPHY W/BALLOON O "$1,040.00 " HC62217104 CATH ANGIOGRAPHY(LB HNB) A $33.00 HC62201223 CATH ARTERY PULMONARY $260.00 HC62806294 CATH ATHERCTMY ROTATNL(DIAMNDBCK) B "$11,050.00 " HC62806302 CATH ATHERCTMY ROTATNL(DIAMNDBCK) D "$12,350.00 " HC62800164 CATH ATHERECTOMY DIRECTIONAL E "$8,887.00 " HC62800172 CATH ATHERECTOMY DIRECTIONAL H "$11,245.00 " HC62807037 CATH ATHERECTOMY ROTATIONAL AE "$5,850.00 " HC62800180 CATH ATHERECTOMY ROTATIONAL AH "$7,150.00 " HC62805387 CATH ATHERECTOMY ROTATNL (PREDATOR) "$9,734.00 " HC62213335 CATH ATHERECTOMY ROTATNL (STEALTH) "$11,034.00 " HC62219167 CATH ATRIOSEPTISTOTOMY "$2,243.00 " HC62220090 CATH BALLOON DIL NON VASCULAR A $33.00 HC62215991 CATH BALLOON DIL NON VASCULAR D $130.00 HC62216007 CATH BALLOON DIL NON VASCULAR F $260.00 HC62216015 CATH BALLOON DIL NON VASCULAR H $390.00 HC62800198 CATH BALLOON DIL NON VASCULAR J $520.00 HC62216023 CATH BALLOON DIL NON VASCULAR L $650.00 HC62216031 CATH BALLOON DIL NON VASCULAR M $780.00 HC62224928 CATH BALLOON DIL NON VASCULAR S "$1,950.00 " HC62800206 CATH BALLOON DILAT URO MAX J $520.00 HC62806153 CATH BALLOON DUCT LACRIMAL T "$2,275.00 " HC62220157 CATH BALLOON MANOMETRY ANORECTAL $144.00 HC62806567 CATH BALLOON NEURO(HYPERFORM) I "$6,549.00 " HC62806559 CATH BALLOON NEURO(HYPERGLIDE/SCEPTER XC)H "$6,192.00 " HC62210646 CATH BALLOON NEURO(SCEPTER) B "$4,550.00 " HC62800156 CATH BALLOON PTA(COYOTE) H $975.00 HC62211768 CATH BALLOON PTA(GATEWAY) S "$3,900.00 " HC62800214 CATH BALLOON PYLORIC T "$2,275.00 " HC62222567 CATH BALLOON RENAL N $910.00 HC62222575 CATH BALLOON RENAL O "$1,040.00 " HC62806658 CATH BALLOON RETRIEVAL D $325.00 HC62800222 CATH BALLOON RETRIEVAL F $488.00 HC62211560 CATH BALLOON SINUPLASTY G "$1,625.00 " HC62208715 CATH BALLOON SINUPLASTY I "$2,275.00 " HC62208731 CATH BALLOON SINUPLASTY J "$2,600.00 " HC62212188 CATH BALLOON SINUPLASTY SYSTEM J "$2,600.00 " HC62212006 CATH BALLOON SIZING HALO ESOPH Q "$1,300.00 " HC62800230 CATH BALLOON THERMACHOICE U "$2,600.00 " HC62800248 CATH BALLOON ULTRA THIN H $390.00 HC62225461 CATH BALLOON UTZ BRONCHOSCOPC $98.00 HC62201231 CATH BARTHOLIN GLAND $68.00 HC62209416 CATH BASKET RETRIEVAL AIRWAY Y $910.00 HC62806989 CATH BI-CAVAL PERFUSION "$7,638.00 " HC62224811 CATH BLOCKER BRONCH/TRACH $390.00 HC62201249 CATH BONNANO $228.00 HC62806484 CATH BRACHY TX SEED ADMIN C "$4,940.00 " HC62800255 CATH BRACHY TX SEED ADMIN K "$9,100.00 " HC62201256 CATH BRINKLEY $157.00 HC62201264 CATH BRONCH VENTILATION $163.00 HC62204573 CATH CARDIAC "$1,066.00 " HC62219175 CATH CAVITY MAMMOSITE EVAL $485.00 HC62220934 CATH CENTRAL VENOUS A $33.00 HC62220942 CATH CENTRAL VENOUS C $98.00 HC62220959 CATH CENTRAL VENOUS D $130.00 HC62220967 CATH CENTRAL VENOUS E $195.00 HC62201272 CATH CENTRAL VENOUS F $260.00 HC62226832 CATH CENTRAL VENOUS G $325.00 HC62222062 CATH CENTRAL VENOUS H $390.00 HC62222070 CATH CENTRAL VENOUS M $780.00 HC62201280 CATH CENTRAL VENOUS MULT LUMEN I $455.00 HC62211230 CATH CHEST(ARGYLE) $53.00 HC62201298 CATH CHOLANGIOGRAM $130.00 HC62201306 CATH CONDOM $13.00 HC62800263 CATH CORONARY SINUS "$3,458.00 " HC62219183 CATH CTO-CROSSER "$8,450.00 " HC62800818 CATH CVP/PICC GROSHONG $494.00 HC62201314 CATH DIAGNOSTIC D $130.00 HC62223904 CATH DIAGNOSTIC F $260.00 HC62222054 CATH DIAGNOSTIC H $390.00 HC62217930 CATH DIAGNOSTIC I $488.00 HC62201322 CATH DIAGNOSTIC M $748.00 HC62218219 CATH DIAGNOSTIC R "$1,625.00 " HC62218227 CATH DIAGNOSTIC S "$1,950.00 " HC62208996 CATH DIAGNOSTIC RADIAL $208.00 HC62219191 CATH DIALYSIS SHORT-TERM C $163.00 HC62806039 CATH DIALYSIS SHORT-TERM D $228.00 HC62806047 CATH DIALYSIS SHORT-TERM E $293.00 HC62806054 CATH DIALYSIS SHORT-TERM F $358.00 HC62805569 CATH DIALYSIS SHORT-TERM G $423.00 HC62201330 CATH DIALYSIS SHORT-TERM J $618.00 HC62203823 CATH DIALYSIS SHORT-TERM K $696.00 HC62800271 CATH DILATOR I $455.00 HC62201348 CATH DRAINAGE F $260.00 HC62211669 CATH DRAINAGE Y "$3,900.00 " HC62224647 CATH DUODENOSCP DIGTL ACCESS/DELVRY "$7,963.00 " HC62210182 CATH EMBOLECTOMY ARTERIAL FOGARTY F $260.00 HC62223110 CATH EMBOLECTOMY FOGARTY D $130.00 HC62217948 CATH EMBOLECTOMY FOGARTY E $195.00 HC62216767 CATH EP DIAG/ABLAT 3D/VECT E "$1,625.00 " HC62806708 CATH EP DIAG/ABLAT 3D/VECT N "$4,550.00 " HC62805064 CATH EP DIAG/ABLAT 3D/VECT Q "$6,760.00 " HC62805494 CATH EP DIAG/ABLAT 3D/VECT T "$6,500.00 " HC62805502 CATH EP DIAG/ABLAT 3D/VECT U "$7,150.00 " HC62805072 CATH EP DIAG/ABLAT 3D/VECT V "$7,800.00 " HC62800297 CATH EP DIAG/ABLAT 3D/VECT W "$8,450.00 " HC62805080 CATH EP DIAG/ABLAT 3D/VECT X "$9,100.00 " HC62225669 CATH EP DIAG/ABLAT 3D/VECT AA "$11,050.00 " HC62225677 CATH EP DIAG/ABLAT 3D/VECT AB "$11,700.00 " HC62224696 CATH EP DIAG/ABLAT 3D/VECT RPRSD $130.00 HC62804687 CATH EP DIAG/MAPPING<20 ELECT L "$3,900.00 " HC62802566 CATH EP DIAG/MAPPING<20 ELECT R "$5,850.00 " HC62202775 CATH EP DIAG/MAPPING<20 ELECT V "$7,800.00 " HC62805882 CATH EP DX <20 ELECTRODES B $260.00 HC62805890 CATH EP DX <20 ELECTRODES C $390.00 HC62223425 CATH EP DX <20 ELECTRODES D $130.00 HC62805908 CATH EP DX <20 ELECTRODES D $520.00 HC62805015 CATH EP DX <20 ELECTRODES E $650.00 HC62222252 CATH EP DX <20 ELECTRODES G $910.00 HC62222260 CATH EP DX <20 ELECTRODES H "$1,040.00 " HC62806393 CATH EP DX <20 ELECTRODES I "$1,170.00 " HC62805916 CATH EP DX <20 ELECTRODES J "$1,300.00 " HC62805924 CATH EP DX <20 ELECTRODES K "$1,560.00 " HC62806161 CATH EP DX <20 ELECTRODES L "$1,820.00 " HC62800313 CATH EP DX <20 ELECTRODES N "$2,340.00 " HC62805932 CATH EP DX <20 ELECTRODES Q "$3,120.00 " HC62805940 CATH EP DX <20 ELECTRODES U "$4,160.00 " HC62800305 CATH EP DX <20 ELECTRODES Y "$5,200.00 " HC62224753 CATH EP DX <20 ELECTRODES RPRSD H $390.00 HC62223441 CATH EP DX <20 ELECTRODES RPRSD D $130.00 HC62223433 CATH EP DX <20 ELECTRODES RPRSD I $455.00 HC62224605 CATH EP DX <20 ELECTRODES RPRSD M $780.00 HC62227640 CATH EP DX <20 ELECTRODES RPRSD M $845.00 HC62806179 CATH EP DX 20+ ELECTRODES C "$3,120.00 " HC62805098 CATH EP DX 20+ ELECTRODES E "$3,640.00 " HC62800321 CATH EP DX 20+ ELECTRODES J "$4,940.00 " HC62805684 CATH EP DX 20+ ELECTRODES L "$5,460.00 " HC62805106 CATH EP DX 20+ ELECTRODES O "$6,240.00 " HC62225297 CATH EP DX 20+ ELECTRODES RPRSD N $910.00 HC62223870 CATH EP DX 20+ ELECTRODES RPRSD O "$1,040.00 " HC62219209 CATH EP QUAD RPRSD H $390.00 HC62806351 CATH EP/ABLAT NOT COOL-TIP/3D/V MAP AA "$4,875.00 " HC62805718 CATH EP/ABLAT NOT COOL-TIP/3D/V MAP AD "$5,525.00 " HC62805726 CATH EP/ABLAT NOT COOL-TIP/3D/V MAP AE "$5,850.00 " HC62806369 CATH EP/ABLAT NOT COOL-TIP/3D/V MAP AF "$6,175.00 " HC62800354 CATH EP/ABLAT NOT COOL-TIP/3D/V MAP AG "$6,500.00 " HC62806021 CATH EP/ABLAT NOT COOL-TIP/3D/V MAP AS "$15,600.00 " HC62806005 CATH EP/ABLAT NOT COOL-TIP/3D/V MAP AT "$16,900.00 " HC62222278 CATH EP/ABLAT NOT COOL-TIP/3D/V MAP F $260.00 HC62805957 CATH EP/ABLAT NOT COOL-TIP/3D/V MAP S "$1,950.00 " HC62805510 CATH EP/ABLAT NOT COOL-TIP/3D/V MAP T "$2,275.00 " HC62805700 CATH EP/ABLAT NOT COOL-TIP/3D/V MAP U "$2,600.00 " HC62201181 CATH EP/ABLAT NOT COOL-TIP/3D/V MAP V "$2,925.00 " HC62800339 CATH EP/ABLAT NOT COOL-TIP/3D/V MAP W "$3,250.00 " HC62806278 CATH EP/ABLAT NOT COOL-TIP/3D/V MAP X "$3,575.00 " HC62216270 CATH EP/ABLAT NOT COOL-TIP/3D/V MAP Y "$3,900.00 " HC62800347 CATH EP/ABLATION COOL-TIP G "$4,550.00 " HC62805577 CATH EP/ABLATION COOL-TIP I "$5,200.00 " HC62225644 CATH EP/ABLATION COOL-TIP L "$6,175.00 " HC62805585 CATH EP/ABLATION COOL-TIP Q "$9,100.00 " HC62805551 CATH EP/ABLATION COOL-TIP S "$10,400.00 " HC62806724 CATH EP/ABLATION COOL-TIP T "$11,050.00 " HC62201355 CATH EPIDURAL $339.00 HC62215983 CATH ERCP (PUSHING) A $130.00 HC62225354 CATH ERCP (PUSHING) B $325.00 HC62201363 CATH ERCP (PUSHING) C $391.00 HC62201371 CATH ESOPHAGEAL PH $299.00 HC62201389 CATH EXCHANGE PTCA $612.00 HC62224035 CATH EXCHANGER AIRWAY $195.00 HC62201397 CATH FEM ART SET $170.00 HC62201405 CATH FLUSH $274.00 HC62201413 CATH FOGARTY I $455.00 HC62220975 CATH FOLEY A $33.00 HC62201421 CATH FOLEY B $65.00 HC62201439 CATH FOLEY TEMP SENSOR $117.00 HC62219878 CATH FOLLOWER URETH PHILLIPS $36.00 HC62226972 CATH FOLLOWER URETH PHILLIPS F $195.00 HC62201447 CATH GASTRO TUBE "$1,092.00 " HC62211461 CATH GUID NEURO/PERIPH(DI058X115/NAVIEN)W "$5,200.00 " HC62208707 CATH GUIDE F S OR M SINUPLASTY "$1,333.00 " HC62224837 CATH GUIDE REPERFUS(DAC/FLOWGATE) S "$3,900.00 " HC62222211 CATH GUIDING D $130.00 HC62222229 CATH GUIDING F $260.00 HC62800362 CATH GUIDING K $585.00 HC62225743 CATH GUIDING M $780.00 HC62800370 CATH GUIDING R "$1,625.00 " HC62227103 CATH GUIDING (GUIDEZILLA II) P "$1,170.00 " HC62805528 CATH GUIDING CARDIAC S "$1,950.00 " HC62211735 CATH GUIDING DEFLECTABLE T "$2,275.00 " HC62211743 CATH GUIDING DEFLECTABLE Z "$6,175.00 " HC62221635 CATH GUIDING EXTENSION(GUIDEZILLA)Q "$1,300.00 " HC62805692 CATH GUIDING NEURO(DI058X125) V "$4,875.00 " HC62210638 CATH GUIDING REPERFUS(MARKSMAN) T "$4,225.00 " HC62224829 CATH GUIDNG(PX400/SILICONE/STRYKER BLLN)R "$3,575.00 " HC62208681 CATH HANDLE SINUS GUIDE $179.00 HC62807706 CATH HEMO/PERI DIAL LONG TERM E $195.00 HC62806062 CATH HEMO/PERI DIAL LONG TERM L $650.00 HC62800826 CATH HEMO/PERI DIAL LONG TERM O "$1,040.00 " HC62800834 CATH HEMO/PERI DIAL SHORT TRM N $943.00 HC62806070 CATH HICKMAN/BROVIAC H $390.00 HC62806088 CATH HICKMAN/BROVIAC I $455.00 HC62806096 CATH HICKMAN/BROVIAC J $520.00 HC62800867 CATH HICKMAN/BROVIAC L $650.00 HC62201454 CATH HYDRAGLIDE PVC ATRIUM $683.00 HC62226840 CATH INFUS/THROMBOLYSS(CRAGG-MCNAMARA)H $390.00 HC62201470 CATH INFUS/THROMBOLYSS(CRAGG-MCNAMARA)L $650.00 HC62800388 CATH INFUSION Q "$1,300.00 " HC62800396 CATH INTRA AORTIC BALLOON C "$2,600.00 " HC62201462 CATH INTRA AORTIC BALLOON D "$3,250.00 " HC62208798 CATH INTRACARDIAC ECHO/UTZ C "$3,900.00 " HC62805460 CATH INTRACARDIAC ECHO/UTZ F "$8,775.00 " HC62228036 CATH INTRACARDIAC ECHO/UTZ H "$9,100.00 " HC62226154 CATH INTRACARDIAC ECHO/UTZ RPRSD B "$2,275.00 " HC62300223 CATH INTRACARDIAC ECHO/UTZ RPRSD C "$2,925.00 " HC62800404 CATH INTRACARDIAC ECHO/UTZ RPRSD E "$3,900.00 " HC62227657 CATH INTRACARDIAC ECHO/UTZ RPRSD F "$4,550.00 " HC62208806 CATH INTRAVASC ULTRASOUND "$2,737.00 " HC62201488 CATH INTRODUCER $213.00 HC62220397 CATH INTRODUCER PEEL-AWAY C $52.00 HC62218235 CATH INTRODUCER PEEL-AWAY F $130.00 HC62218243 CATH INTRODUCER PEEL-AWAY G $163.00 HC62218250 CATH INTRODUCER PEEL-AWAY H $195.00 HC62218268 CATH INTRODUCER PEEL-AWAY I $228.00 HC62218276 CATH INTRODUCER PEEL-AWAY J $260.00 HC62201496 CATH INTRODUCER PEEL-AWAY L $325.00 HC62223219 CATH INTRODUCER PEEL-AWAY N $455.00 HC62221908 CATH INTRODUCER PEEL-AWAY T "$1,040.00 " HC62218284 CATH INTRODUCER PEEL-AWAY AA "$1,300.00 " HC62218292 CATH INTRODUCER PEEL-AWAY AB "$1,625.00 " HC62211545 CATH IRRIG/DRAIN SINUSPLASTY $503.00 HC62220983 CATH IV ANGIOGRAPHIC $52.00 HC62200001 CATH IV BASIC $59.00 HC62227202 CATH IV MIDLINE D $130.00 HC62227210 CATH IV MIDLINE E $195.00 HC62227228 CATH IV MIDLINE F $260.00 HC62227236 CATH IV MIDLINE H $390.00 HC62227244 CATH IV MIDLINE I $455.00 HC62227251 CATH IV MIDLINE J $520.00 HC62800412 CATH IVUS PV LARGE VESSEL "$2,737.00 " HC62800420 CATH IVUS PV SMALL VESSEL "$2,737.00 " HC62808597 CATH LITHOTRIPSY CORONARY TRANSLUM INTRAVASC "$15,275.00 " HC62201504 CATH MALECOT $169.00 HC62805031 CATH MAPPING PH ESOPHAGEAL "$1,788.00 " HC62228838 CATH MEASUREMENT ENDOFLIP "$1,283.00 " HC62212659 CATH MICRO CTO/REPRFNS(ENTEER/5MAX ACE)AJ "$8,450.00 " HC62217906 CATH MICRO NEURO (AXS CATALYST) AH "$7,150.00 " HC62212519 CATH MICRO NEURO(ARC132) AA "$6,500.00 " HC62223383 CATH MICRO NEURO(ENVOY/REBAR) L "$1,625.00 " HC62223367 CATH MICRO NEURO(FUBUKI) H $910.00 HC62210612 CATH MICRO NEURO(HEADWAY/MAGIC) N "$2,275.00 " HC62223375 CATH MICROCATHETER NEUROVASC I "$1,040.00 " HC62219217 CATH MICROCATHETER NEUROVASC K "$1,372.00 " HC62211842 CATH MICRO'P'VASC INJECT SOL/COIL P "$3,250.00 " HC62222534 CATH NEPHROSTOMY A $33.00 HC62222542 CATH NEPHROSTOMY F $260.00 HC62222559 CATH NEPHROSTOMY G $325.00 HC62223722 CATH NEPHROSTOMY H $390.00 HC62201512 CATH NEPHROSTOMY I $455.00 HC62226980 CATH NEPHROSTOMY N $780.00 HC62800438 CATH NON VASC DIL RENAL $742.00 HC62225206 CATH OCCLUSION F $260.00 HC62800545 CATH OCCLUSION H $390.00 HC62800552 CATH OCCLUSION Q "$1,300.00 " HC62208814 CATH PACING TRANSESOPHAGEAL "$2,232.00 " HC62209648 CATH PASSER IDD THERAPY $319.00 HC62800446 CATH PICC L $722.00 HC62805874 CATH PICC PEDS B $65.00 HC62805734 CATH PICC PEDS C $98.00 HC62804562 CATH PICC PEDS G $325.00 HC62806666 CATH PICC PEDS H $390.00 HC62201520 CATH PLUG $13.00 HC62225107 CATH PTA ANGIOPLS BALLOON NON-LSR A $130.00 HC62223342 CATH PTA ANGIOPLS BALLOON NON-LSR B $260.00 HC62226998 CATH PTA ANGIOPLS BALLOON NON-LSR C $325.00 HC62212196 CATH PTA ANGIOPLS BALLOON NON-LSR E $455.00 HC62223268 CATH PTA ANGIOPLS BALLOON NON-LSR G $585.00 HC62224902 CATH PTA ANGIOPLS BALLOON NON-LSR H $650.00 HC62223409 CATH PTA ANGIOPLS BALLOON NON-LSR I $780.00 HC62226857 CATH PTA ANGIOPLS BALLOON NON-LSR J $910.00 HC62223334 CATH PTA ANGIOPLS BALLOON NON-LSR K "$1,040.00 " HC62800081 CATH PTA ANGIOPLS BALLOON NON-LSR L "$1,170.00 " HC62800065 CATH PTA ANGIOPLS BALLOON NON-LSR M "$1,300.00 " HC62223417 CATH PTA ANGIOPLS BALLOON NON-LSR N "$1,625.00 " HC62214721 CATH PTA ANGIOPLS BALLOON NON-LSR P "$2,275.00 " HC62211776 CATH PTA ANGIOPLS BALLOON NON-LSR Q "$2,600.00 " HC62800107 CATH PTA ANGIOPLS BALLOON NON-LSR R "$2,925.00 " HC62214747 CATH PTA ANGIOPLS BALLOON NON-LSR S "$3,250.00 " HC62214796 CATH PTA ANGIOPLS BALLOON NON-LSR Y "$5,200.00 " HC62806237 CATH PTA W/BALLOON RX(DCB) D "$4,550.00 " HC62806252 CATH PTA W/BALLOON RX(DCB) E "$4,875.00 " HC62806260 CATH PTA W/BALLOON RX(DCB) F "$5,200.00 " HC62807284 CATH PTA W/BALLOON RX(DCB) H "$5,850.00 " HC62211867 CATH PTCA ANGIOPLASTY NON-LASER M "$1,625.00 " HC62805965 CATH PTCA ANGIOPLASTY NON-LASER O "$2,275.00 " HC62213970 CATH PTCA BALLOON NON-LASER B $260.00 HC62213988 CATH PTCA BALLOON NON-LASER C $390.00 HC62212584 CATH PTCA BALLOON NON-LASER D $520.00 HC62212212 CATH PTCA BALLOON NON-LASER E $650.00 HC62212592 CATH PTCA BALLOON NON-LASER F $780.00 HC62212600 CATH PTCA BALLOON NON-LASER G $910.00 HC62212618 CATH PTCA BALLOON NON-LASER H $975.00 HC62212626 CATH PTCA BALLOON NON-LASER I "$1,040.00 " HC62212634 CATH PTCA BALLOON NON-LASER J "$1,105.00 " HC62800073 CATH PTCA BALLOON NON-LASER K "$1,170.00 " HC62212642 CATH PTCA BALLOON NON-LASER L "$1,300.00 " HC62214713 CATH PTCA BALLOON NON-LASER N "$1,950.00 " HC62214739 CATH PTCA BALLOON NON-LASER P "$2,600.00 " HC62800099 CATH PTCA BALLOON NON-LASER Q "$2,925.00 " HC62805056 CATH PTCA BALLOON NON-LASER R "$3,250.00 " HC62214754 CATH PTCA BALLOON NON-LASER T "$3,900.00 " HC62214762 CATH PTCA BALLOON NON-LASER U "$4,225.00 " HC62214770 CATH PTCA BALLOON NON-LASER V "$4,550.00 " HC62214788 CATH PTCA BALLOON NON-LASER W "$4,875.00 " HC62805114 CATH PTCA BALLOON NON-LASER X "$5,200.00 " HC62214804 CATH PTCA BALLOON NON-LASER Y "$5,850.00 " HC62805478 CATH PTCA BALLOON NON-LASER AD "$9,100.00 " HC62208913 CATH PTCA BALLOON NON-LASER CRYO Z "$6,500.00 " HC62800453 CATH QUINTON Q "$1,300.00 " HC62201538 CATH RADIAL ARTERY $176.00 HC62212295 CATH RETRIEV STONE BACKSTOP GEL AI "$1,235.00 " HC62201546 CATH ROBINSON/STRAIGHT $39.00 HC62209028 CATH SEGURA BASKET R $683.00 HC62210562 CATH SELECT NEURO A $390.00 HC62224662 CATH SENSING PRESSUR INTRNL ABDOMEN $107.00 HC62290424 CATH SENSING PRESSUR INTRNL ABDOMEN $107.00 HC62224670 CATH SENSING PRESSUR INTRNL VESICAL $160.00 HC62211925 CATH SHEATH GUIDING $195.00 HC62219225 CATH SIALOGRAPHY $86.00 HC62201553 CATH SILICONE $143.00 HC62800461 CATH SINGLE LUMEN $325.00 HC62201561 CATH SUCTION $27.00 HC62210299 CATH SUCTION ELBOW INLINE $98.00 HC62211636 CATH SUCTION INLINE CLOSED RESP $57.00 HC62211677 CATH SUCTION REPLOGLE NG $29.00 HC62204243 CATH SUPRAPUBIC/CYSTOSCOPIC F $260.00 HC62201579 CATH SUPRAPUBIC/CYSTOSCOPIC H $390.00 HC62805312 CATH SWAN GANZ/THERMODILUTION D $130.00 HC62805320 CATH SWAN GANZ/THERMODILUTION E $163.00 HC62805338 CATH SWAN GANZ/THERMODILUTION G $325.00 HC62806104 CATH SWAN GANZ/THERMODILUTION I $455.00 HC62806906 CATH SWAN GANZ/THERMODILUTION L $618.00 HC62800495 CATH SWAN GANZ/THERMODILUTION M $722.00 HC62800479 CATH SWAN GANZ/THERMODILUTION P "$1,138.00 " HC62806997 CATH SWAN GANZ/THERMODILUTION R "$1,625.00 " HC62201587 CATH THORACIC $177.00 HC62210596 CATH THROMBECT DELIV INCL NEURO M "$1,950.00 " HC62224761 CATH THROMBECTOMY AC "$5,850.00 " HC62807128 CATH THROMBECTOMY AD "$6,175.00 " HC62800511 CATH THROMBECTOMY AG "$6,500.00 " HC62806187 CATH THROMBECTOMY AH "$7,150.00 " HC62807136 CATH THROMBECTOMY AI "$9,100.00 " HC62806757 CATH THROMBECTOMY AL "$9,750.00 " HC62219233 CATH THROMBECTOMY/EMBOLECTOMY E $390.00 HC62220082 CATH THROMBECTOMY/EMBOLECTOMY N $910.00 HC62220181 CATH THROMBECTOMY/EMBOLECTOMY O "$1,040.00 " HC62220199 CATH THROMBECTOMY/EMBOLECTOMY P "$1,170.00 " HC62220207 CATH THROMBECTOMY/EMBOLECTOMY Q "$1,300.00 " HC62220215 CATH THROMBECTOMY/EMBOLECTOMY R "$1,625.00 " HC62800289 CATH THROMBECTOMY/EMBOLECTOMY T "$2,275.00 " HC62800503 CATH THROMBECTOMY/EMBOLECTOMY U "$2,600.00 " HC62224779 CATH THROMBECTOMY/EMBOLECTOMY V "$3,900.00 " HC62805601 CATH THROMBECTOMY/EMBOLECTOMY V "$2,925.00 " HC62806229 CATH THROMBECTOMY/REPERFUS(3MAX) AD "$5,525.00 " HC62805544 CATH THROMBOLYSIS/RX DELIVERY AN "$11,050.00 " HC62225628 CATH TRANSLUM ANGIO LASER K "$4,550.00 " HC62225685 CATH TRANSLUM ANGIO LASER T "$8,450.00 " HC62800529 CATH TRANSLUM ANGIO LASER U "$9,100.00 " HC62225693 CATH TRANSLUM ANGIO LASER Z "$11,700.00 " HC62800537 CATH TRIPLE LUMEN $325.00 HC62220991 CATH UMBILICAL A $33.00 HC62221007 CATH UMBILICAL C $98.00 HC62225529 CATH UMBILICAL G $228.00 HC62207543 CATH UMBILICAL DOUBLE LUMEN $124.00 HC62201603 CATH UMBILICAL SINGLE LUMEN D $130.00 HC62214101 CATH URETERAL A $13.00 HC62214119 CATH URETERAL B $26.00 HC62214127 CATH URETERAL C $39.00 HC62214135 CATH URETERAL D $52.00 HC62214143 CATH URETERAL E $65.00 HC62214150 CATH URETERAL F $78.00 HC62214168 CATH URETERAL G $91.00 HC62214176 CATH URETERAL I $117.00 HC62214184 CATH URETERAL J $130.00 HC62214192 CATH URETERAL K $156.00 HC62214200 CATH URETERAL L $182.00 HC62201637 CATH URETERAL M $208.00 HC62214218 CATH URETERAL N $234.00 HC62214226 CATH URETERAL O $260.00 HC62201611 CATH URETERAL P $286.00 HC62214242 CATH URETERAL Q $312.00 HC62214259 CATH URETERAL R $338.00 HC62214267 CATH URETERAL S $364.00 HC62214275 CATH URETERAL T $390.00 HC62214283 CATH URETERAL U $416.00 HC62214291 CATH URETERAL W $468.00 HC62214309 CATH URETERAL X $494.00 HC62214317 CATH URETERAL Y $520.00 HC62214325 CATH URETERAL Z $546.00 HC62201629 CATH URETERAL DUAL LUMEN V $442.00 HC62221015 CATH URETHRAL TRAY B $65.00 HC62207568 CATH URETHRAL TRAY C $98.00 HC62201645 CATH URINARY $130.00 HC62201652 CATH VASCULAR $787.00 HC62803309 CATH VENTRICL EXT DRAIN/MONITR "$2,093.00 " HC62808415 CATH VENTRICULAR NEURO $910.00 HC62808621 CATH/TUBE BRACHY CLICK FIT $315.00 HC62211701 CATHETER ASPIRATION $133.00 HC51080232 CATHETER DUAL LUMEN URODYNAMCS $34.00 HC62211065 CATHETER ENDOCLAMP "$9,799.00 " HC62211073 CATHETER ENDOVENT PULMONARY "$4,615.00 " HC62208251 CATHETER ENTEROCLYSIS $722.00 HC62209671 CATHETER IMPEDANCE PH $355.00 HC62208723 CATHETER IRRIGATION SINUPLASTY $407.00 HC62209861 CATHETER MICRO CTO (CORSAIR) W "$3,250.00 " HC62212667 CATHETER MICRO CTO(VIANCE) AG "$6,500.00 " HC62803721 CATHETER PACING BIPOLAR E $195.00 HC62808381 CATHETER PACING BIPOLAR G $325.00 HC62805296 CATHETER PERITONEAL F $423.00 HC62800883 CATHETER PERITONEAL AH "$1,560.00 " HC62213657 CATHETER PICC PEDS $325.00 HC62800891 CATHETER PLEURAL/KIT "$1,560.00 " HC51080240 CATHETER PRESSURE ABDOMINL URO $49.00 HC62211081 CATHETER SINUS ENDO PLEDGE "$6,744.00 " HC62222039 CATHETER VENOGRAM BALLOON $325.00 HC21000203 CAUTERIZE W/CHEM; GRAN TISSUE "$1,024.00 " HC51002616 CAUTERIZE W/CHEM; GRAN TISSUE $323.00 HC62201660 CAUTERY BOVIE $94.00 HC62200019 CAUTERY CORD $208.00 HC62201678 CAUTERY EYE $134.00 HC62201686 CAUTERY HEMO ERASER (EYE) $134.00 HC62218151 CAUTERY HOOK ASSEMBLY C $39.00 HC62201694 CAUTERY HOOK ASSEMBLY AO "$1,138.00 " HC62300025 CAUTERY LTD REUSE/'PERMANT' ROBOTIC $650.00 HC62300066 CAUTERY MONOPOLAR ROBOTIC $699.00 HC62222732 CAUTERY PENCIL A $33.00 HC62222740 CAUTERY PENCIL B $65.00 HC62222757 CAUTERY PENCIL C $98.00 HC62201702 CAUTERY PENCIL D $129.00 HC62222765 CAUTERY PENCIL E $195.00 HC62226212 CAUTERY PENCIL F $260.00 HC62200027 CAUTERY TIP D $130.00 HC62224191 CAUTERY TIP F $260.00 HC51001931 CBC W/O DIFF $62.00 HC81500159 CBC W/O DIFF $199.00 HC85100485 CBC W/O DIFF $61.00 HC51001907 CBC WITH AUTOMATED DIFF $78.00 HC81500068 CBC WITH AUTOMATED DIFF $280.00 HC85100477 CBC WITH AUTOMATED DIFF $76.00 HC44900959 CCTA HEART EVAL W/3D IMAGE "$6,173.00 " HC81700361 CD3 ABSOLUTE COUNT $473.00 HC81700379 CD4 AND CD8 COUNT WITH RATIO $510.00 16571-071-12 CEFACLOR 250 MG/5 ML ORAL SUSR (MCH) "$1,050.30 " 99999-000-05 CEFAZOLIN 50 MG/ML OPHTHALMIC SOLUTION $180.00 0143-9262-01 CEFAZOLIN 1 GRAM INJ SOLR $6.31 0143-9262-25 CEFAZOLIN 1 GRAM INJ SOLR $6.31 0143-9924-90 CEFAZOLIN 1 GRAM INJ SOLR $8.21 0781-3451-70 CEFAZOLIN 1 GRAM INJ SOLR $36.00 0781-3451-96 CEFAZOLIN 1 GRAM INJ SOLR $36.00 25021-101-10 CEFAZOLIN 1 GRAM INJ SOLR $9.60 44567-707-25 CEFAZOLIN 1 GRAM INJ SOLR $9.90 60505-0749-1 CEFAZOLIN 1 GRAM INJ SOLR $8.58 60505-0749-5 CEFAZOLIN 1 GRAM INJ SOLR $8.57 60505-6142-0 CEFAZOLIN 1 GRAM INJ SOLR $8.58 60505-6142-5 CEFAZOLIN 1 GRAM INJ SOLR $8.57 63323-237-10 CEFAZOLIN 1 GRAM INJ SOLR $9.54 0409-2585-01 CEFAZOLIN 1 GRAM IV SOLR $16.15 99999-034-85 CEFAZOLIN 1 GRAM/10 ML SYRINGE (USING 10 G) $10.00 99999-042-13 CEFAZOLIN 1 GRAM/10 ML SYRINGE (USING 100 G) $5.70 0143-9261-01 CEFAZOLIN 10 GRAM INJ SOLR $51.00 0143-9261-10 CEFAZOLIN 10 GRAM INJ SOLR $51.00 0143-9983-03 CEFAZOLIN 10 GRAM INJ SOLR $66.30 0143-9983-91 CEFAZOLIN 10 GRAM INJ SOLR $66.30 0781-3452-46 CEFAZOLIN 10 GRAM INJ SOLR $288.00 0781-3452-95 CEFAZOLIN 10 GRAM INJ SOLR $288.00 25021-102-99 CEFAZOLIN 10 GRAM INJ SOLR $72.00 44567-708-10 CEFAZOLIN 10 GRAM INJ SOLR $66.00 60505-0769-0 CEFAZOLIN 10 GRAM INJ SOLR $49.79 60505-6143-0 CEFAZOLIN 10 GRAM INJ SOLR $72.00 60505-6143-4 CEFAZOLIN 10 GRAM INJ SOLR $72.00 63323-238-61 CEFAZOLIN 10 GRAM INJ SOLR $68.70 66288-1100-1 CEFAZOLIN 100 GRAM INJ SOLR $570.00 99999-041-13 CEFAZOLIN 2 G IN NS 100 ML (SLH) $14.40 99999-044-37 CEFAZOLIN 2 GRAM/20 ML SYRINGE (USING 10 G) $13.20 99999-037-37 CEFAZOLIN 2 GRAM/20 ML SYRINGE (USING 100 G) $11.40 99999-038-26 CEFAZOLIN 3 GRAMS/30 ML IV SYRINGE (OB) $21.60 99999-005-18 CEFAZOLIN 50 MG/ML INJ DILUTION (MCH) $1.00 99999-040-93 CEFAZOLIN 50 MG/ML INJ SYRINGE (SLH 10 G) $2.58 99999-040-94 CEFAZOLIN 50 MG/ML INJ SYRINGE (SLH 10 G) $5.16 99999-040-95 CEFAZOLIN 50 MG/ML INJ SYRINGE (SLH 10 G) $15.48 99999-000-04 CEFAZOLIN 500 MG / 5 ML SYRINGE $4.50 0143-9923-90 CEFAZOLIN 500 MG INJ SOLR $12.01 0781-3450-70 CEFAZOLIN 500 MG INJ SOLR $46.73 0781-3450-95 CEFAZOLIN 500 MG INJ SOLR $46.73 63323-236-10 CEFAZOLIN 500 MG INJ SOLR $15.54 99999-033-79 CEFAZOLIN IN BSS (10 MG/ML) OPHTHALMIC INJECTION $24.90 0338-3508-41 CEFAZOLIN IN DEXTROSE (ISO-OS) 2 GRAM/100 ML IV PGBK $55.80 0264-3105-11 CEFAZOLIN IN DEXTROSE (ISO-OS) 2 GRAM/50 ML IV PGBK $68.64 99999-037-50 CEFAZOLIN IN DEXTROSE (ISO-OS) 2 GRAM/50 ML IV PGBK $10.10 99999-041-69 CEFAZOLIN IN DEXTROSE (ISO-OS) 2 GRAM/50 ML IV PGBK $12.62 16714-393-01 CEFDINIR 250 MG/5 ML ORAL SUSR $333.00 65862-219-01 CEFDINIR 250 MG/5 ML ORAL SUSR $150.00 16714-391-01 CEFDINIR 300 MG ORAL CAP $9.25 16714-391-02 CEFDINIR 300 MG ORAL CAP $9.25 60505-6146-0 CEFEPIME 1 G INJ SOLR (MCH) $42.72 60505-6146-4 CEFEPIME 1 G INJ SOLR (MCH) $42.72 25021-121-20 CEFEPIME 1 GRAM INJ SOLR $36.00 44567-240-10 CEFEPIME 1 GRAM INJ SOLR $34.20 60505-6144-0 CEFEPIME 1 GRAM INJ SOLR $36.54 60505-6144-4 CEFEPIME 1 GRAM INJ SOLR $36.59 63323-326-20 CEFEPIME 1 GRAM INJ SOLR $34.80 44567-241-10 CEFEPIME 2 G INJ SOLR (MCH) $58.80 60505-6147-0 CEFEPIME 2 G INJ SOLR (MCH) $84.78 60505-6147-4 CEFEPIME 2 G INJ SOLR (MCH) $84.78 25021-122-50 CEFEPIME 2 GRAM INJ SOLR $60.00 60505-6145-0 CEFEPIME 2 GRAM INJ SOLR $54.00 60505-6145-4 CEFEPIME 2 GRAM INJ SOLR $54.00 63323-340-20 CEFEPIME 2 GRAM INJ SOLR $59.40 99998-000-09 CEFEPIME 25 MG/ML INJ DILUTION (MCH) $5.00 99999-040-50 CEFEPIME 40 MG/ML INJ SYRINGE $1.68 99999-035-55 CEFEPIME IV (FOR DESENSITIZATION USE) $1.00 59630-266-01 CEFIDEROCOL 1 GRAM IV SOLR "$1,100.00 " 59630-266-10 CEFIDEROCOL 1 GRAM IV SOLR "$1,100.00 " 16714-766-01 CEFIXIME 100 MG/5 ML ORAL SUSR $994.80 68180-202-03 CEFIXIME 100 MG/5 ML ORAL SUSR "$1,361.10 " 68180-405-01 CEFIXIME 100 MG/5 ML ORAL SUSR "$1,068.90 " 16714-767-01 CEFIXIME 200 MG/5 ML ORAL SUSR "$1,972.50 " 27437-206-03 CEFIXIME 200 MG/5 ML ORAL SUSR "$2,722.20 " 43598-674-50 CEFIXIME 200 MG/5 ML ORAL SUSR "$1,769.40 " 65862-752-50 CEFIXIME 200 MG/5 ML ORAL SUSR "$2,004.60 " 99999-037-73 CEFIXIME 200 MG/5 ML ORAL SUSR $272.22 27437-208-08 CEFIXIME 400 MG ORAL CAP $138.38 27437-208-11 CEFIXIME 400 MG ORAL CAP $138.38 67877-584-50 CEFIXIME 400 MG ORAL CAP $72.00 99999-042-36 CEFOTAXIME (STERIMAX - CANADA) 1 GRAM INJ SOLR $60.00 0039-0019-10 CEFOTAXIME 2 G INJ SOLR (MCH) $27.00 99999-039-97 CEFOTAXIME 50 MG/ML INJ DILUTION (MCH) $1.00 63323-385-10 CEFOTETAN 1 GRAM INJ SOLR $115.38 63323-386-01 CEFOTETAN 2 GRAM INJ SOLR $230.82 63323-386-20 CEFOTETAN 2 GRAM INJ SOLR $230.82 25021-109-10 CEFOXITIN 1 GRAM IV SOLR $36.00 44567-245-25 CEFOXITIN 1 GRAM IV SOLR $59.70 60505-0759-1 CEFOXITIN 1 GRAM IV SOLR $42.24 60505-0759-5 CEFOXITIN 1 GRAM IV SOLR $42.24 63323-341-25 CEFOXITIN 1 GRAM IV SOLR $38.28 0143-9877-25 CEFOXITIN 2 GRAM IV SOLR $118.80 25021-110-20 CEFOXITIN 2 GRAM IV SOLR $60.00 44567-246-25 CEFOXITIN 2 GRAM IV SOLR $119.70 63323-342-25 CEFOXITIN 2 GRAM IV SOLR $76.50 99998-005-27 CEFOXITIN 50 MG/ML IV SOLN (MCH) $1.80 99998-005-28 CEFOXITIN 50 MG/ML IV SOLN (MCH) $39.54 99998-005-29 CEFOXITIN 50 MG/ML IV SOLN (MCH) $79.08 99998-005-30 CEFOXITIN 50 MG/ML IV SOLN (MCH) $158.16 0264-3123-11 "CEFOXITIN IN DEXTROSE, ISO-OSM 1 GRAM/50 ML IV PGBK" $76.08 0264-3125-11 "CEFOXITIN IN DEXTROSE, ISO-OSM 2 GRAM/50 ML IV PGBK" $139.68 0781-5438-20 CEFPODOXIME 100 MG ORAL TAB $32.34 16714-394-01 CEFPODOXIME 100 MG ORAL TAB $32.34 65862-095-20 CEFPODOXIME 100 MG ORAL TAB $32.34 16714-403-02 CEFPODOXIME 100 MG/5 ML ORAL SUSR $787.20 65862-141-50 CEFPODOXIME 100 MG/5 ML ORAL SUSR $413.70 99999-001-97 CEFPODOXIME 100 MG/5 ML ORAL SUSR $37.05 99999-006-09 CEFPODOXIME 100 MG/5 ML ORAL SUSR (MCH) $37.05 0781-5439-20 CEFPODOXIME 200 MG ORAL TAB $40.60 16714-395-01 CEFPODOXIME 200 MG ORAL TAB $40.60 99999-001-96 CEFPODOXIME 50 MG/5 ML ORAL SUSR $19.47 0093-1077-01 CEFPROZIL 250 MG ORAL TAB $19.70 16714-397-03 CEFPROZIL 250 MG/5 ML ORAL SUSR (MCH) $328.80 0456-0400-01 CEFTAROLINE FOSAMIL 400 MG IV SOLR "$1,210.38 " 0456-0400-10 CEFTAROLINE FOSAMIL 400 MG IV SOLR "$1,210.36 " 0456-0600-01 CEFTAROLINE FOSAMIL 600 MG IV SOLR "$1,210.38 " 0456-0600-10 CEFTAROLINE FOSAMIL 600 MG IV SOLR "$1,210.36 " 99999-002-23 CEFTAZIDIME - BSS 100 MG/0.5 ML OPHTHALMIC SYRINGE $9.59 0409-5082-11 CEFTAZIDIME 1 GRAM INJ SOLR $25.20 0409-5082-16 CEFTAZIDIME 1 GRAM INJ SOLR $25.20 0781-3177-80 CEFTAZIDIME 1 GRAM INJ SOLR $34.96 25021-127-20 CEFTAZIDIME 1 GRAM INJ SOLR $31.20 44567-235-25 CEFTAZIDIME 1 GRAM INJ SOLR $27.00 99999-000-07 CEFTAZIDIME 1000 MG / 10 ML SYRINGE $23.58 99999-001-56 CEFTAZIDIME 100MG/ML (NICU) IV SYRINGE $9.00 0409-5084-11 CEFTAZIDIME 2 GRAM INJ SOLR $56.91 0409-5084-13 CEFTAZIDIME 2 GRAM INJ SOLR $56.46 25021-128-50 CEFTAZIDIME 2 GRAM INJ SOLR $66.53 44567-236-10 CEFTAZIDIME 2 GRAM INJ SOLR $60.48 0409-5093-11 CEFTAZIDIME 2 GRAM IV SOLR $71.48 99998-000-31 CEFTAZIDIME 25 MG/ML INJ DILUTION (MCH) $3.54 99999-005-23 CEFTAZIDIME 50 MG/ML INJ DILUTION $4.50 0409-5086-11 CEFTAZIDIME 6 GRAM INJ SOLR $180.66 25021-129-99 CEFTAZIDIME 6 GRAM INJ SOLR $175.00 44567-237-06 CEFTAZIDIME 6 GRAM INJ SOLR $144.00 99999-034-68 CEFTAZIDIME IN BSS INTRAVITREAL INJECTION (SLH) $12.00 99999-038-46 CEFTAZIDIME IN NS INTRAVITREAL INJ $27.00 99999-010-03 CEFTAZIDIME SUBCONJUNCTIVAL INJECTION (MCH) $18.00 0456-2700-01 CEFTAZIDIME-AVIBACTAM 2.5 GRAM IV SOLR "$2,152.86 " 0456-2700-10 CEFTAZIDIME-AVIBACTAM 2.5 GRAM IV SOLR "$2,152.85 " 67919-030-01 CEFTOLOZANE-TAZOBACTAM 1.5 GRAM IV SOLR $751.32 0409-7332-01 CEFTRIAXONE 1 G INJ SOLR (MCH) $9.00 0409-7332-11 CEFTRIAXONE 1 G INJ SOLR (MCH) $9.05 99999-040-53 CEFTRIAXONE 1 G/25 ML (40 MG/ML) INJ SYR (USING 10G) $26.70 0143-9857-01 CEFTRIAXONE 1 GRAM INJ SOLR $15.00 0143-9857-25 CEFTRIAXONE 1 GRAM INJ SOLR $15.00 0409-7332-20 CEFTRIAXONE 1 GRAM INJ SOLR $9.00 0409-7332-21 CEFTRIAXONE 1 GRAM INJ SOLR $9.00 0781-3208-85 CEFTRIAXONE 1 GRAM INJ SOLR $27.99 0781-3208-95 CEFTRIAXONE 1 GRAM INJ SOLR $27.99 25021-106-10 CEFTRIAXONE 1 GRAM INJ SOLR $14.40 44567-701-25 CEFTRIAXONE 1 GRAM INJ SOLR $18.00 60505-0752-4 CEFTRIAXONE 1 GRAM INJ SOLR $21.00 60505-6148-0 CEFTRIAXONE 1 GRAM INJ SOLR $21.00 60505-6148-4 CEFTRIAXONE 1 GRAM INJ SOLR $21.00 63323-346-10 CEFTRIAXONE 1 GRAM INJ SOLR $23.40 72572-061-01 CEFTRIAXONE 1 GRAM INJ SOLR $8.82 72572-061-25 CEFTRIAXONE 1 GRAM INJ SOLR $8.82 0409-7334-10 CEFTRIAXONE 10 GRAM INJ SOLR $102.36 0781-3210-46 CEFTRIAXONE 10 GRAM INJ SOLR $267.66 44567-703-01 CEFTRIAXONE 10 GRAM INJ SOLR $168.00 99999-000-08 CEFTRIAXONE 100 MG/ML SYRINGE $6.00 99999-040-54 CEFTRIAXONE 2 G/50 ML (40 MG/ML) INJ SYR (USING 10G) $53.40 0143-9856-01 CEFTRIAXONE 2 GRAM INJ SOLR $27.00 0143-9856-25 CEFTRIAXONE 2 GRAM INJ SOLR $27.00 0409-7335-03 CEFTRIAXONE 2 GRAM INJ SOLR $17.10 0409-7335-13 CEFTRIAXONE 2 GRAM INJ SOLR $17.10 0409-7335-20 CEFTRIAXONE 2 GRAM INJ SOLR $17.10 0409-7335-21 CEFTRIAXONE 2 GRAM INJ SOLR $17.10 0781-3209-90 CEFTRIAXONE 2 GRAM INJ SOLR $53.53 0781-3209-95 CEFTRIAXONE 2 GRAM INJ SOLR $53.53 60505-0753-3 CEFTRIAXONE 2 GRAM INJ SOLR $36.00 60505-0753-4 CEFTRIAXONE 2 GRAM INJ SOLR $36.00 63323-347-20 CEFTRIAXONE 2 GRAM INJ SOLR $46.80 68180-644-01 CEFTRIAXONE 2 GRAM INJ SOLR $66.24 68180-644-10 CEFTRIAXONE 2 GRAM INJ SOLR $66.24 72572-062-01 CEFTRIAXONE 2 GRAM INJ SOLR $14.40 72572-062-25 CEFTRIAXONE 2 GRAM INJ SOLR $14.40 0409-7337-01 CEFTRIAXONE 250 MG INJ SOLR $4.50 0409-7337-11 CEFTRIAXONE 250 MG INJ SOLR $4.50 0409-7337-20 CEFTRIAXONE 250 MG INJ SOLR $4.50 0409-7337-21 CEFTRIAXONE 250 MG INJ SOLR $4.50 0781-3206-85 CEFTRIAXONE 250 MG INJ SOLR $10.66 0781-3206-95 CEFTRIAXONE 250 MG INJ SOLR $10.66 60505-0750-1 CEFTRIAXONE 250 MG INJ SOLR $11.16 60505-0750-4 CEFTRIAXONE 250 MG INJ SOLR $11.17 99999-001-57 CEFTRIAXONE 40 MG / ML (NICU) IV SYRINGE $3.00 99999-040-49 CEFTRIAXONE 40 MG/ML INJ SYRINGE $1.00 99999-042-07 CEFTRIAXONE 40 MG/ML INJ SYRINGE (2 G) $1.00 0409-7338-01 CEFTRIAXONE 500 MG INJ SOLR $5.70 0409-7338-11 CEFTRIAXONE 500 MG INJ SOLR $5.70 25021-105-10 CEFTRIAXONE 500 MG INJ SOLR $10.80 0264-3153-11 "CEFTRIAXONE IN DEXTROSE,ISO-OS 1 GRAM/50 ML IV PGBK" $90.18 99998-000-14 CEFUROXIME 50 MG/ML INJ DILUTION (MCH) $3.00 99998-000-15 CEFUROXIME 50 MG/ML INJ DILUTION (MCH) $30.00 99998-000-16 CEFUROXIME 50 MG/ML INJ DILUTION (MCH) $45.00 99998-000-17 CEFUROXIME 50 MG/ML INJ DILUTION (MCH) $60.00 99998-000-18 CEFUROXIME 50 MG/ML INJ DILUTION (MCH) $90.00 99998-000-19 CEFUROXIME 50 MG/ML INJ DILUTION (MCH) $120.00 0143-9979-22 CEFUROXIME SODIUM 750 MG INJ SOLR $17.54 0143-9979-90 CEFUROXIME SODIUM 750 MG INJ SOLR $17.54 0025-1520-31 CELECOXIB 100 MG ORAL CAP $48.58 0025-1520-34 CELECOXIB 100 MG ORAL CAP $48.58 0093-7165-01 CELECOXIB 100 MG ORAL CAP $7.22 0378-7160-01 CELECOXIB 100 MG ORAL CAP $5.80 0904-6502-61 CELECOXIB 100 MG ORAL CAP $7.24 16714-732-01 CELECOXIB 100 MG ORAL CAP $5.93 51079-199-01 CELECOXIB 100 MG ORAL CAP $14.08 51079-199-20 CELECOXIB 100 MG ORAL CAP $14.08 60687-436-01 CELECOXIB 100 MG ORAL CAP $8.70 60687-436-11 CELECOXIB 100 MG ORAL CAP $8.70 0025-1525-31 CELECOXIB 200 MG ORAL CAP $79.68 0025-1525-34 CELECOXIB 200 MG ORAL CAP $79.68 0093-7166-01 CELECOXIB 200 MG ORAL CAP $11.96 0378-7150-01 CELECOXIB 200 MG ORAL CAP $9.61 0904-6503-61 CELECOXIB 200 MG ORAL CAP $11.96 16714-733-01 CELECOXIB 200 MG ORAL CAP $9.82 62332-142-31 CELECOXIB 200 MG ORAL CAP $3.60 65862-909-01 CELECOXIB 200 MG ORAL CAP $2.40 HC89021778 CELIAC DX DUAL ANTIGEN SCREEN-AU $39.00 HC84600261 CELL BLOCK (TISSUE EX)DIST SVC $678.00 HC84600253 CELL BLOCK (TISSUE EXAM LVL 4) $678.00 HC81500225 CELL COUNT CORD BLOOD $177.00 HC81500001 CELL COUNT FLUID W/ DIFF $254.00 HC81500142 CELL COUNT FLUID W/O DIFF $210.00 HC62201710 CEMENT INJECTOR $406.00 HC62201728 CEMENT VERTEBROPLASTY $406.00 61755-008-01 CEMIPLIMAB-RWLC 50 MG/ML IV SOLN "$54,600.00 " HC41500521 CENTRAL MOTOR EVOK UP& LWR LIMBS "$4,733.00 " HC41500034 CENTRAL MOTOR EVOKED LOW LIMBS "$2,233.00 " HC41500042 CENTRAL MOTOR EVOKED UP LIMBS "$2,314.00 " HC81700734 CENTROMERE AB $172.00 0093-4175-73 CEPHALEXIN 125 MG/5 ML ORAL SUSR $114.00 68180-440-01 CEPHALEXIN 125 MG/5 ML ORAL SUSR $114.00 0093-3145-01 CEPHALEXIN 250 MG ORAL CAP $1.00 50268-151-11 CEPHALEXIN 250 MG ORAL CAP $2.41 50268-151-15 CEPHALEXIN 250 MG ORAL CAP $2.41 60687-152-01 CEPHALEXIN 250 MG ORAL CAP $1.94 60687-152-11 CEPHALEXIN 250 MG ORAL CAP $1.94 65862-018-01 CEPHALEXIN 250 MG ORAL CAP $1.00 67877-220-01 CEPHALEXIN 250 MG ORAL CAP $1.00 0093-4177-73 CEPHALEXIN 250 MG/5 ML ORAL SUSR $138.00 68180-441-01 CEPHALEXIN 250 MG/5 ML ORAL SUSR $138.00 24979-155-14 CEPHALEXIN 250 MG/5 ML ORAL SUSR (MCH) $138.00 0093-3147-01 CEPHALEXIN 500 MG ORAL CAP $1.31 0093-3147-05 CEPHALEXIN 500 MG ORAL CAP $1.24 50268-152-11 CEPHALEXIN 500 MG ORAL CAP $2.66 50268-152-15 CEPHALEXIN 500 MG ORAL CAP $2.66 60687-163-01 CEPHALEXIN 500 MG ORAL CAP $2.18 60687-163-11 CEPHALEXIN 500 MG ORAL CAP $2.18 65862-019-01 CEPHALEXIN 500 MG ORAL CAP $1.00 65862-019-05 CEPHALEXIN 500 MG ORAL CAP $1.00 68180-122-01 CEPHALEXIN 500 MG ORAL CAP $1.78 68180-122-02 CEPHALEXIN 500 MG ORAL CAP $1.73 69543-102-10 CEPHALEXIN 500 MG ORAL CAP $1.00 50474-710-79 CERTOLIZUMAB PEGOL 400 MG/2 ML (200 MG/ML X 2) SUBCUTANEOUS SYKT "$27,782.10 " HC81101073 CERULOPLASMIN $209.00 HC89017230 CERULOPLASMIN-AU $7.00 HC89003164 CERULOPLASMIN-QD $19.00 HC44000321 CERVICAL SPINE 1 VIEW $722.00 HC44000339 CERVICAL SPINE 2 OR 3VWS $988.00 HC44000354 CERVICAL SPINE 4/5VWS "$1,420.00 " HC44000347 CERVICAL SPINE COMP 6/> VWS "$1,507.00 " HC65800021 CESIUM-131 NONSTRND PER SOURCE $406.00 1093935444 CETIRIZINE 1 MG/ML ORAL SOLN $29.74 1093959444 CETIRIZINE 1 MG/ML ORAL SOLN $29.52 0603-9063-05 CETIRIZINE 1 MG/ML ORAL SOLN $9.12 49348-934-34 CETIRIZINE 1 MG/ML ORAL SOLN $29.74 51672-2102-8 CETIRIZINE 1 MG/ML ORAL SOLN $38.16 51991-837-16 CETIRIZINE 1 MG/ML ORAL SOLN $72.00 54838-572-80 CETIRIZINE 1 MG/ML ORAL SOLN $53.92 70677-0014-1 CETIRIZINE 1 MG/ML ORAL SOLN $118.00 1254720436 CETIRIZINE 10 MG ORAL TAB $3.19 0904-6717-61 CETIRIZINE 10 MG ORAL TAB $1.00 16714-271-02 CETIRIZINE 10 MG ORAL TAB $1.00 16714-799-01 CETIRIZINE 10 MG ORAL TAB $2.28 51079-597-01 CETIRIZINE 10 MG ORAL TAB $1.00 51079-597-20 CETIRIZINE 10 MG ORAL TAB $1.00 0378-3635-01 CETIRIZINE 5 MG ORAL TAB $1.00 16571-401-10 CETIRIZINE 5 MG ORAL TAB $1.00 45802-147-62 CETIRIZINE-PSEUDOEPHEDRINE 5-120 MG ORAL TB12 $4.48 66733-948-23 CETUXIMAB 100 MG/50 ML IV SOLN "$3,999.00 " 66733-958-23 CETUXIMAB 2 MG/ML IV SOLN (MCH) "$7,879.80 " 99999-008-00 CETUXIMAB 2 MG/ML IV SOLN (MCH) "$3,507.00 " 0054-0334-25 CEVIMELINE 30 MG ORAL CAP $15.50 16571-657-10 CEVIMELINE 30 MG ORAL CAP $12.87 63304-479-01 CEVIMELINE 30 MG ORAL CAP $15.50 63395-201-13 CEVIMELINE 30 MG ORAL CAP $46.74 99999-034-76 CH - NITRIC OXIDE GAS PER HOUR/ EACH $825.60 99999-034-84 CH - PHARMACY COMP. FEE $360.00 HC89014401 CHAGAS AB (PNL)-AU $19.00 HC89004436 CHAGAS AB-AU $16.00 HC25005877 CHANGE CYSTOSTOMY TUBE; SIMPLE $622.00 HC46500617 CHANGE CYSTOSTOMY TUBE; SIMPLE "$1,556.00 " HC51002434 CHANGE CYSTOSTOMY TUBE; SIMPLE $470.00 HC46500625 CHANGE CYSTOSTOMY; COMPLICATED "$2,991.00 " HC51002442 CHANGE CYSTOSTOMY; COMPLICATED $849.00 HC25000936 CHANGE GT TUBE W/O IMAGE/ENDO "$1,337.00 " HC27000157 CHANGE GT TUBE W/O IMAGE/ENDO "$2,060.00 " HC51000578 CHANGE GT TUBE W/O IMAGE/ENDO $307.00 HC25002734 CHANGE GT TUBE W/REV TRACT W/O IMAGE ENDO INCL REMVL "$1,508.00 " HC27001916 CHANGE GT TUBE W/REV TRACT W/O IMAGE/ENDO INCL REMVL "$3,629.00 " HC51003911 CHANGE GT TUBE W/REV TRACT W/O IMAGE/ENDO INCL REMVL $388.00 HC46500674 CHANGE PERC GT TO GJ TUBE W/FLUORO "$6,318.00 " HC25005158 CHANGE TRACH TUBE PRIOR ESTAB FISTULA TRACT $551.00 HC46500690 CHANGE URETEROSTOMY TUBE LT "$5,175.00 " HC46500708 CHANGE URETEROSTOMY TUBE RT "$5,175.00 " HC84201201 CHARCOT-LEYDEN CRYSTALS $247.00 99999-036-33 CHARGE - COLD INDUCTION CARDIOPLEGIA SOLN $300.00 99999-036-34 CHARGE - MAINTENANCE CARDIOPLEGIA SOLN $300.00 99999-036-35 CHARGE - REPERFUSION CARDIOPLEGIA SOLN $900.00 99999-033-31 CHARGE-ADULT 3 IN 1 ADMIX 1000ML $714.00 99999-001-76 CHARGE-ADULT 3 IN 1 ADMIX 1500ML $864.00 99999-001-77 CHARGE-ADULT 3 IN 1 ADMIX 2000ML "$1,146.00 " 99999-001-78 CHARGE-ADULT 3 IN 1 ADMIX 2500ML "$1,434.00 " 99999-001-79 CHARGE-ADULT 3 IN 1 ADMIX 3000ML "$1,638.00 " 99999-034-92 CHARGE-ADULT TPN (LBM) "$1,122.00 " 99999-035-87 CHARGE-DEL NIDO CARDIOPLEGIC SOLUTION 1059 ML $355.82 99999-001-80 CHARGE-NEONATAL HYPERAL $858.00 99999-001-98 CHARGE-NEONATAL LVIV <4 ADDS $360.00 99999-001-99 CHARGE-NEONATAL LVIV 4-9 ADDS $576.00 HC62214465 CHARGER BATTERY NEUROSTIM A "$4,225.00 " HC62214473 CHARGER BATTERY NEUROSTIM B "$8,187.00 " HC62226501 CHARGER BATTERY NEUROSTIM B "$6,156.00 " HC89018469 CHEMILUMINESCENT ASSAY(PNL)-PR $25.00 HC12400065 CHEMO ADMIN CNS W/SPINAL PUNCTURE "$2,006.00 " HC51010890 CHEMO ADMIN CNS W/SPINAL PUNCTURE $770.00 HC12400156 CHEMO ADMIN INTRA ARTERIAL INF EA ADDL HR+ $388.00 HC12400149 CHEMO ADMIN INTRA ARTERIAL INFUSION UP TO 1 HR "$1,343.00 " HC12400016 CHEMO ADMIN IV ADD'L HR $933.00 HC12400008 CHEMO ADMIN IV INITIAL HR "$1,961.00 " HC12400040 CHEMO ADMIN IVP SNGL/ADD'L INJ "$1,028.00 " HC51000529 CHEMO ADMIN IVP SNGL/ADD'L INJ $480.00 HC12400032 CHEMO ADMIN IVP SNGL/INIT'LINJ "$1,336.00 " HC51000511 CHEMO ADMIN IVP SNGL/INIT'LINJ $493.00 HC12400123 CHEMO ADMIN PLEURAL CAV W/THORACENTESIS "$2,536.00 " HC51010908 CHEMO ADMIN PLEURAL CAV W/THORACENTESIS "$1,087.00 " HC12400073 CHEMO HORMON ANTINEOPL SQ/IM $853.00 HC51000545 CHEMO HORMON ANTINEOPL SQ/IM $164.00 HC12400024 CHEMO INF SEQ/NEW RX 1ST HR $975.00 HC12400131 CHEMO INJECT(S) SUBARACHNOID/INTRAVENT VIA RESEVOIR "$1,758.00 " HC51010932 CHEMO INJECT(S) SUBARACHNOID/INTRAVENT VIA RESEVOIR $530.00 HC12400081 CHEMO NONHRMNL ANTINEOPL SQ/IM $965.00 HC51000537 CHEMO NONHRMNL ANTINEOPL SQ/IM $223.00 HC27001882 CHEMODENERVATION ANAL MUSCLE "$3,924.00 " HC83500124 CHEMOSENSITIVITY ASSAY-WD $880.00 395266216 CHERRY FLAVOR (BULK) ORAL SYRP $82.30 99999-008-52 CHERRY FLAVOR (BULK) ORAL SYRP $1.00 HC44000362 CHEST 2 VIEWS $777.00 HC44000388 CHEST 2 VWS W/APICAL LORDOTIC (3VIEWS) $878.00 HC44000396 CHEST 2 VWS W/OBLIQUES (4VIEWS) $923.00 HC44003051 CHEST 3 VIEWS $878.00 HC44000404 CHEST 4/> VIEWS "$1,079.00 " HC62201744 CHEST DRAINAGE (PLEUREVAC) $397.00 HC44000412 CHEST SINGLE VIEW $609.00 HC62222773 CHEST TUBE A $33.00 HC62201751 CHEST TUBE B $65.00 HC89091409 CHIKUNGUNYA AB IGG -AU $43.50 HC89091417 CHIKUNGUNYA AB IGM -AU $43.50 HC89012199 CHLAMYDIA AB (PNL)-AU $8.00 HC89012207 CHLAMYDIA AB IGM (PNL)-AU $8.00 HC89002265 CHLAMYDIA AB IGM-QD $19.00 HC89003677 CHLAMYDIA AB-QD $12.00 HC89013239 CHLAMYDIA DNA PROBE-AU $11.00 HC84200831 CHLAMYDIA FA ANTIGEN $248.00 HC89017065 CHLAMYDIA FA ANTIGEN-AU $28.00 HC89005458 CHLAMYDIA PNEUMONIAE BY PCR-AU $180.00 HC89013247 CHLAMYDIA TRACHOMATIS AMP-AU $15.00 99999-038-05 CHLORAMBUCIL 1 MG ORAL PARTIAL TAB $32.02 76388-635-25 CHLORAMBUCIL 2 MG ORAL TAB $145.97 99999-000-12 CHLORAMPHENICOL 1000 MG / 10 ML SYRINGE $17.96 HC89004428 CHLORAMPHENICOL CSF-MA $124.00 63323-011-15 CHLORAMPHENICOL SOD SUCCINATE 1 GRAM IV SOLR $233.52 HC89007439 CHLORAMPHENICOL-AU $73.00 0555-0033-02 CHLORDIAZEPOXIDE HCL 10 MG ORAL CAP $1.00 43547-252-10 CHLORDIAZEPOXIDE HCL 10 MG ORAL CAP $1.00 51079-375-01 CHLORDIAZEPOXIDE HCL 10 MG ORAL CAP $2.95 51079-375-20 CHLORDIAZEPOXIDE HCL 10 MG ORAL CAP $2.95 0555-0159-02 CHLORDIAZEPOXIDE HCL 25 MG ORAL CAP $1.00 0555-0159-04 CHLORDIAZEPOXIDE HCL 25 MG ORAL CAP $1.00 51079-141-01 CHLORDIAZEPOXIDE HCL 25 MG ORAL CAP $3.19 51079-141-20 CHLORDIAZEPOXIDE HCL 25 MG ORAL CAP $3.19 0555-0158-02 CHLORDIAZEPOXIDE HCL 5 MG ORAL CAP $1.00 51079-374-01 CHLORDIAZEPOXIDE HCL 5 MG ORAL CAP $3.86 51079-374-20 CHLORDIAZEPOXIDE HCL 5 MG ORAL CAP $3.86 42494-409-01 CHLORDIAZEPOXIDE-CLIDINIUM 5-2.5 MG ORAL CAP $238.49 51293-696-01 CHLORDIAZEPOXIDE-CLIDINIUM 5-2.5 MG ORAL CAP $54.30 0116-2001-16 CHLORHEXIDINE GLUCONATE 0.12 % MUCOUS MEMB MWSH $31.22 0116-2001-60 CHLORHEXIDINE GLUCONATE 0.12 % MUCOUS MEMB MWSH $15.12 0126-0271-16 CHLORHEXIDINE GLUCONATE 0.12 % MUCOUS MEMB MWSH $36.89 17856-2002-3 CHLORHEXIDINE GLUCONATE 0.12 % MUCOUS MEMB MWSH $7.92 52376-021-02 CHLORHEXIDINE GLUCONATE 0.12 % MUCOUS MEMB MWSH $53.92 69339-138-15 CHLORHEXIDINE GLUCONATE 0.12 % MUCOUS MEMB MWSH $11.43 69339-138-17 CHLORHEXIDINE GLUCONATE 0.12 % MUCOUS MEMB MWSH $11.43 69339-138-19 CHLORHEXIDINE GLUCONATE 0.12 % MUCOUS MEMB MWSH $10.71 99999-001-82 CHLORHEXIDINE GLUCONATE 0.12 % MUCOUS MEMB MWSH $7.92 99999-042-76 CHLORHEXIDINE GLUCONATE 0.12 % MUCOUS MEMB MWSH $1.00 52380-1272-4 CHLORHEXIDINE GLUCONATE 4 % TOPICAL LIQD $33.28 67618-200-04 CHLORHEXIDINE GLUCONATE 4 % TOPICAL LIQD $34.69 HC36800605 CHLORIDE $127.00 HC89017388 CHLORIDE CSF-AU $16.00 HC89007447 CHLORIDE FECAL-AU $14.00 HC81101099 CHLORIDE OTHER SOURCE $183.00 HC81100513 CHLORIDE SERUM $143.00 HC81101081 CHLORIDE URINE $161.00 HC89022917 "CHLORIDE, BODY FLUID-AU" $10.00 63323-477-01 CHLOROPROCAINE (PF) 20 MG/ML (2 %) INJ SOLN $127.92 63323-477-27 CHLOROPROCAINE (PF) 20 MG/ML (2 %) INJ SOLN $127.92 0143-9210-01 CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJ SOLN $134.28 0143-9210-10 CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJ SOLN $134.28 63323-478-01 CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJ SOLN $134.28 63323-478-27 CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJ SOLN $134.28 63323-476-37 CHLOROPROCAINE 20 MG/ML (2 %) INJ SOLN $110.88 63304-460-50 CHLOROQUINE PHOSPHATE 250 MG ORAL TAB $7.68 64980-177-50 CHLOROQUINE PHOSPHATE 250 MG ORAL TAB $18.59 64980-178-02 CHLOROQUINE PHOSPHATE 500 MG ORAL TAB $48.22 99999-000-10 CHLOROTHIAZIDE 25 MG / 5 ML SYRINGE $89.31 99999-033-70 CHLOROTHIAZIDE 25 MG / ML SYRINGE "$8,931.00 " 99999-005-28 CHLOROTHIAZIDE 25 MG/ML INJ DILUTION (MCH) $87.00 65649-311-12 CHLOROTHIAZIDE 250 MG/5 ML ORAL SUSP $413.80 0517-1820-01 CHLOROTHIAZIDE SODIUM 500 MG IV SOLR $960.00 17478-419-40 CHLOROTHIAZIDE SODIUM 500 MG IV SOLR $598.80 25021-305-20 CHLOROTHIAZIDE SODIUM 500 MG IV SOLR $360.00 47335-330-40 CHLOROTHIAZIDE SODIUM 500 MG IV SOLR $598.80 63323-658-20 CHLOROTHIAZIDE SODIUM 500 MG IV SOLR "$1,786.20 " 63323-658-27 CHLOROTHIAZIDE SODIUM 500 MG IV SOLR $292.14 67457-263-30 CHLOROTHIAZIDE SODIUM 500 MG IV SOLR $360.00 0904-0012-59 CHLORPHENIRAMINE MALEATE 4 MG ORAL TAB $1.00 0904-0012-61 CHLORPHENIRAMINE MALEATE 4 MG ORAL TAB $1.00 0904-5351-24 CHLORPHENIRAMINE-PSEUDOEPHED 4-60 MG ORAL TAB $1.00 0781-5913-01 CHLORPROMAZINE 10 MG ORAL TAB $20.64 0832-0300-00 CHLORPROMAZINE 10 MG ORAL TAB $15.88 16714-047-01 CHLORPROMAZINE 10 MG ORAL TAB $16.34 51079-518-20 CHLORPROMAZINE 10 MG ORAL TAB $26.52 69238-1054-1 CHLORPROMAZINE 10 MG ORAL TAB $15.88 16714-050-01 CHLORPROMAZINE 100 MG ORAL TAB $47.39 0832-0301-00 CHLORPROMAZINE 25 MG ORAL TAB $22.68 0904-6893-61 CHLORPROMAZINE 25 MG ORAL TAB $31.25 16714-048-01 CHLORPROMAZINE 25 MG ORAL TAB $23.41 51079-519-01 CHLORPROMAZINE 25 MG ORAL TAB $38.24 51079-519-20 CHLORPROMAZINE 25 MG ORAL TAB $38.24 60687-430-11 CHLORPROMAZINE 25 MG ORAL TAB $35.56 69238-1056-1 CHLORPROMAZINE 25 MG ORAL TAB $22.68 0641-1397-31 CHLORPROMAZINE 25 MG/ML INJ SOLN $173.33 0641-1397-35 CHLORPROMAZINE 25 MG/ML INJ SOLN $173.33 0641-1398-31 CHLORPROMAZINE 25 MG/ML INJ SOLN $198.61 0641-1398-35 CHLORPROMAZINE 25 MG/ML INJ SOLN $198.61 51079-130-01 CHLORPROMAZINE 50 MG ORAL TAB $55.33 51079-130-20 CHLORPROMAZINE 50 MG ORAL TAB $55.33 HC89013866 CHLORPROMAZINE; 1-3-AU $65.00 HC89000715 CHLORPROPAMIDE-AU $84.00 0378-0222-01 CHLORTHALIDONE 25 MG ORAL TAB $5.80 16714-800-01 CHLORTHALIDONE 25 MG ORAL TAB $5.62 51079-058-01 CHLORTHALIDONE 25 MG ORAL TAB $11.48 51079-058-20 CHLORTHALIDONE 25 MG ORAL TAB $11.48 60687-317-25 CHLORTHALIDONE 25 MG ORAL TAB $11.50 60687-317-95 CHLORTHALIDONE 25 MG ORAL TAB $11.50 HC44000446 CHOLANGIOGRAM INTRAOP ADDL SET $606.00 HC44000438 CHOLANGIOGRAM INTRAOPERATIVE "$1,832.00 " HC44500668 CHOLANGIOGRAM W/STONE REMVL "$9,914.00 " 904582360 CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) ORAL TAB $1.00 4329255881 CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) ORAL TAB $1.00 5026886311 CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) ORAL TAB $1.40 5026886315 CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) ORAL TAB $1.40 7733394810 CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) ORAL TAB $1.36 7733394825 CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) ORAL TAB $1.36 87086644 CHOLECALCIFEROL (VITAMIN D3) 10 MCG/ML (400 UNIT/ML) ORAL DROP $42.90 5038391750 CHOLECALCIFEROL (VITAMIN D3) 10 MCG/ML (400 UNIT/ML) ORAL DROP $32.70 5483800650 CHOLECALCIFEROL (VITAMIN D3) 10 MCG/ML (400 UNIT/ML) ORAL DROP $15.00 5026886811 "CHOLECALCIFEROL (VITAMIN D3) 125 MCG (5,000 UNIT) ORAL CAP" $1.88 5026886815 "CHOLECALCIFEROL (VITAMIN D3) 125 MCG (5,000 UNIT) ORAL CAP" $1.88 5319124401 "CHOLECALCIFEROL (VITAMIN D3) 125 MCG (5,000 UNIT) ORAL CAP" $1.00 7431219377 "CHOLECALCIFEROL (VITAMIN D3) 125 MCG (5,000 UNIT) ORAL CAP" $1.00 8068113100 "CHOLECALCIFEROL (VITAMIN D3) 125 MCG (5,000 UNIT) ORAL CAP" $1.00 5026886611 "CHOLECALCIFEROL (VITAMIN D3) 125 MCG (5,000 UNIT) ORAL TAB" $1.63 5026886615 "CHOLECALCIFEROL (VITAMIN D3) 125 MCG (5,000 UNIT) ORAL TAB" $1.63 536333401 "CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) ORAL TAB" $1.00 2055503300 "CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) ORAL TAB" $1.00 4843310401 "CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) ORAL TAB" $1.00 8068116801 "CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) ORAL TAB" $1.00 8068116900 "CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) ORAL TAB" $1.00 5026886711 "CHOLECALCIFEROL (VITAMIN D3) 50 MCG (2,000 UNIT) ORAL CAP" $2.03 5026886715 "CHOLECALCIFEROL (VITAMIN D3) 50 MCG (2,000 UNIT) ORAL CAP" $2.03 5026886511 "CHOLECALCIFEROL (VITAMIN D3) 50 MCG (2,000 UNIT) ORAL TAB" $1.48 5026886515 "CHOLECALCIFEROL (VITAMIN D3) 50 MCG (2,000 UNIT) ORAL TAB" $1.48 HC44000487 CHOLECYSTOGRAM ORAL (GB) "$1,066.00 " HC81100521 CHOLESTEROL $137.00 HC81101701 CHOLESTEROL (DA) $117.00 HC89017016 CHOLESTEROL ARUP-AU $13.00 HC89022800 CHOLESTEROL FLUID SPECTROPHTMTRY-AU $11.00 0185-0940-98 CHOLESTYRAMINE (WITH SUGAR) 4 GRAM ORAL PWPK $12.31 27241-134-21 CHOLESTYRAMINE (WITH SUGAR) 4 GRAM ORAL PWPK $9.00 27241-134-36 CHOLESTYRAMINE (WITH SUGAR) 4 GRAM ORAL PWPK $9.00 49884-465-64 CHOLESTYRAMINE (WITH SUGAR) 4 GRAM ORAL PWPK $12.31 49884-465-65 CHOLESTYRAMINE (WITH SUGAR) 4 GRAM ORAL PWPK $12.31 0185-0939-98 CHOLESTYRAMINE-ASPARTAME 4 GRAM ORAL PWPK $12.31 0245-0036-42 CHOLESTYRAMINE-ASPARTAME 4 GRAM ORAL PWPK $12.33 0245-0036-89 CHOLESTYRAMINE-ASPARTAME 4 GRAM ORAL PWPK $12.30 0245-0536-60 CHOLESTYRAMINE-SUCROSE 4 G ORAL PACK (MCH) $12.31 0245-0536-89 CHOLESTYRAMINE-SUCROSE 4 G ORAL PACK FOR DISSOLVE (MCH) $12.30 HC89017669 CHOLINESTERASE RBC(PNL)-AU $14.00 HC89007470 CHOLINESTERASE RBC-AU $17.00 HC89007454 CHOLINESTERASE-AU $14.00 8065183150 CHONDROITIN SULF-SOD HYALURON 3 %-4 %(0.5 ML) 1 % (0.55 ML) INTRAOCULAR SYRG "$1,296.24 " 8065183905 CHONDROITIN SULF-SOD HYALURON 4-3 % (40-30 MG/ML) INTRAOCULAR SYRG $932.52 HC89018675 "CHROM ADD KARYOTYPE, AF-AU" $42.00 HC89018634 "CHROM ANAL 15-20 CELLS, BLD-AU" $161.20 HC89018832 "CHROM ANAL 15-20 CELLS, POC-AU" $211.50 HC83505891 CHROM ANAL 20-25 CELLS BONE MARROW-NG $200.00 HC89018600 "CHROM ANAL 20-25 CELLS, BM-AU" $163.00 HC83504019 CHROM ANAL 45 CELLS-GZ $360.00 HC83504035 CHROM ANAL ADD SPEC BAND-GZ $135.00 HC83500629 CHROM ANAL ADDL HI RESOLUTION -GZ $149.00 HC89014997 CHROM ANAL AF COUNTING-GZ $250.00 HC89014906 CHROM ANAL AF TISSUE CULT-GZ $78.00 HC89014872 CHROM ANAL BLOOD TISSU CULT-GZ $228.00 HC89018626 "CHROM ANAL TISS CULT, BLD-AU" $148.80 HC83500405 CHROM ANAL TISSUE COUNT-GZ $100.00 HC83500397 CHROM ANAL TISSUE COUNT-US $175.00 HC89018659 "CHROM ANAL TISSUE CULT, AF-AU" $183.00 HC89018592 "CHROM ANAL TISSUE CULT, BM-AU" $163.00 HC89018840 CHROM ANAL TISSUE POC-AU $238.50 HC89014898 CHROM ANAL-TISSUE-TISSU CUL-GZ $252.00 HC89003958 CHROM ANALYSIS BONE MARROW-GC $517.00 HC89014922 CHROM ANALYSIS BONE MARROW-GZ $110.00 HC89018667 "CHROM COUNT 6-12 CELLS, AF-AU" $207.00 HC83505883 CHROM TISSUE CULT BONE MARROW-NG $150.00 HC89007488 CHROMATOGRAPHY QUAL-AU $120.00 HC89022594 CHROMATOGRAPHY/SPECTROMETRY QL/QN-QN $185.00 0409-4093-01 CHROMIUM CHLORIDE 4 MCG/ML IV SOLN $117.24 HC83500272 CHROMO TISSUE BLOOD-IM $175.00 HC83500256 CHROMO TISSUE BLOOD-US $175.00 HC83500421 CHROMO AMNIOTIC FLD CT 17-GZ $399.00 HC83500199 "CHROMO ANALYSIS, TISSUE -GZ" $350.00 HC83500389 CHROMO CT 15-20 W/BANDING-US $180.00 HC89011621 CHROMOGRANIN A-AU $35.00 70515-712-01 CICLESONIDE 160 MCG/ACTUATION INHALATION HFAA "$1,645.24 " 70515-711-01 CICLESONIDE 80 MCG/ACTUATION INHALATION HFAA "$1,645.24 " 23155-216-31 CIDOFOVIR 75 MG/ML IV SOLN "$4,440.00 " 67457-210-05 CIDOFOVIR 75 MG/ML IV SOLN "$5,932.32 " 0093-2064-06 CILOSTAZOL 100 MG ORAL TAB $2.19 0185-0223-60 CILOSTAZOL 100 MG ORAL TAB $3.60 50268-177-11 CILOSTAZOL 100 MG ORAL TAB $6.39 50268-177-15 CILOSTAZOL 100 MG ORAL TAB $6.39 0054-0028-21 CILOSTAZOL 50 MG ORAL TAB $1.89 0093-2065-06 CILOSTAZOL 50 MG ORAL TAB $1.91 60505-2521-1 CILOSTAZOL 50 MG ORAL TAB $2.19 1093934633 CIMETIDINE 200 MG ORAL TAB (MCH) $1.00 8770189358 CIMETIDINE 200 MG ORAL TAB (MCH) $1.00 0378-0053-01 CIMETIDINE 200 MG ORAL TAB (MCH) $2.14 24385-111-65 CIMETIDINE 200 MG ORAL TAB (MCH) $1.00 0093-8192-01 CIMETIDINE 300 MG ORAL TAB $2.22 0378-0317-01 CIMETIDINE 300 MG ORAL TAB $2.22 0093-8204-01 CIMETIDINE 400 MG ORAL TAB $3.61 0378-0372-01 CIMETIDINE 400 MG ORAL TAB $3.61 HC89000772 CIMETIDINE/TAGAMET-AU $100.00 HC89002943 CIMETIDINE/TAGAMET-QD $60.00 16714-078-01 CINACALCET 30 MG ORAL TAB $68.86 16729-440-15 CINACALCET 30 MG ORAL TAB $61.72 31722-103-30 CINACALCET 30 MG ORAL TAB $11.04 47335-379-83 CINACALCET 30 MG ORAL TAB $137.14 55513-073-30 CINACALCET 30 MG ORAL TAB $161.34 60687-525-11 CINACALCET 30 MG ORAL TAB $155.00 60687-525-21 CINACALCET 30 MG ORAL TAB $155.00 70436-007-04 CINACALCET 30 MG ORAL TAB $137.14 99999-044-02 CINACALCET 5 MG/ML ORAL LIQUID (COMPOUND) $22.85 HC44500676 CINERADIOGRAPHY W/ EXAM $694.00 HC44500684 CINERADIOGRAPHY(SEPARATE PROC) "$1,006.00 " 50419-774-01 CIPROFLOXACIN 10 G/100 ML ORAL SUMC (MCH) $792.60 99999-006-20 CIPROFLOXACIN 10 G/100 ML ORAL SUMC (MCH) $23.58 99999-006-21 CIPROFLOXACIN 10 G/100 ML ORAL SUMC (MCH) $39.30 99999-041-37 CIPROFLOXACIN 2 MG/ML INJECTION (MHS) $18.00 50419-773-01 CIPROFLOXACIN 500 MG/5 ML ORAL SUMC $913.80 69251-201-01 CIPROFLOXACIN 6 % (6 MG/0.1 ML) ITYM SUSP "$1,699.20 " 0065-0656-05 CIPROFLOXACIN HCL 0.3 % OPHT DROP $725.52 17478-714-10 CIPROFLOXACIN HCL 0.3 % OPHT DROP $45.90 17478-714-25 CIPROFLOXACIN HCL 0.3 % OPHT DROP $38.70 61314-656-05 CIPROFLOXACIN HCL 0.3 % OPHT DROP $151.38 61314-656-25 CIPROFLOXACIN HCL 0.3 % OPHT DROP $80.10 69315-308-02 CIPROFLOXACIN HCL 0.3 % OPHT DROP $63.00 69315-308-05 CIPROFLOXACIN HCL 0.3 % OPHT DROP $84.00 0065-0654-35 CIPROFLOXACIN HCL 0.3 % OPHT OINT "$1,286.17 " 60687-528-01 CIPROFLOXACIN HCL 250 MG ORAL TAB $1.81 60687-528-11 CIPROFLOXACIN HCL 250 MG ORAL TAB $1.81 63739-700-10 CIPROFLOXACIN HCL 250 MG ORAL TAB $1.22 51079-182-01 CIPROFLOXACIN HCL 500 MG ORAL TAB $1.00 63739-559-10 CIPROFLOXACIN HCL 500 MG ORAL TAB $1.00 68084-070-01 CIPROFLOXACIN HCL 500 MG ORAL TAB $2.09 68084-070-11 CIPROFLOXACIN HCL 500 MG ORAL TAB $2.09 0781-3239-46 CIPROFLOXACIN IN 5 % DEXTROSE 200 MG/100 ML IV PGBK $13.20 36000-008-24 CIPROFLOXACIN IN 5 % DEXTROSE 200 MG/100 ML IV PGBK $18.00 0409-4777-02 CIPROFLOXACIN IN 5 % DEXTROSE 400 MG/200 ML IV PGBK $18.00 25021-114-87 CIPROFLOXACIN IN 5 % DEXTROSE 400 MG/200 ML IV PGBK $42.00 36000-009-24 CIPROFLOXACIN IN 5 % DEXTROSE 400 MG/200 ML IV PGBK $24.00 0409-4777-23 CIPROFLOXACIN IN D5W 200 MG/100 ML IV PGBK (MCH) $14.40 0781-6186-67 CIPROFLOXACIN-DEXAMETHASONE 0.3-0.1 % OTIC DRPS "$1,345.10 " 43598-326-75 CIPROFLOXACIN-DEXAMETHASONE 0.3-0.1 % OTIC DRPS "$1,049.99 " 99999-044-98 CIPROFLOXACIN-DEXAMETHASONE 0.3-0.1 % OTIC DRPS "$1,049.99 " 0065-8531-10 CIPROFLOXACIN-HYDROCORTISONE 0.2-1 % OTIC DRPS "$1,895.22 " HC89011829 CIQ BINDING ASSAY-AU $18.00 HC62201769 CIRCUIT AEROSOL/IPPB $98.00 HC62226865 CIRCUIT VENT A $33.00 HC62210893 CIRCUIT VENT B $64.00 HC62201793 CIRCUIT VENT D $182.00 HC62201777 CIRCUIT VENT BIPAP $169.00 HC62209747 CIRCUIT VENT HBO ADAPTABLE $202.00 HC62201785 CIRCUIT VENT HI-FREQ $811.00 HC62210166 CIRCUIT VENT KIT W/CHAMBER O2 ADAPT $126.00 HC62211800 CIRCUIT VENT O2 HIGH FLOW THERAPY $302.00 HC62224373 CIRCUIT VENT SHORT WIRE HEATED $390.00 HC62201801 CIRCUM' DEVICE/CLAMP DISPOSABLE $99.00 HC51002335 CIRCUMCISION INFANT >28D EXCISE NO DEVICE $791.00 HC51002327 CIRCUMCISION INFANT<28D EXCISE NO DEVICE $665.00 HC46500716 CIRCUMCISION PROCEDURE "$3,301.00 " HC51002293 CIRCUMCISION W/DEVICE RING/BLOCK $554.00 0074-4382-20 CISATRACURIUM 10 MG/ML CONC. (ICU USE ONLY) IV SOLN "$1,782.00 " 0074-4382-93 CISATRACURIUM 10 MG/ML CONC. (ICU USE ONLY) IV SOLN "$1,782.00 " 0409-1103-01 CISATRACURIUM 10 MG/ML CONC. (ICU USE ONLY) IV SOLN "$1,623.00 " 0409-1103-11 CISATRACURIUM 10 MG/ML CONC. (ICU USE ONLY) IV SOLN "$1,623.00 " 0703-2045-01 CISATRACURIUM 10 MG/ML CONC. (ICU USE ONLY) IV SOLN "$1,623.00 " 0703-2045-03 CISATRACURIUM 10 MG/ML CONC. (ICU USE ONLY) IV SOLN "$1,623.00 " 0781-3153-80 CISATRACURIUM 10 MG/ML CONC. (ICU USE ONLY) IV SOLN "$1,639.44 " 0781-3153-95 CISATRACURIUM 10 MG/ML CONC. (ICU USE ONLY) IV SOLN "$1,639.44 " 63323-418-20 CISATRACURIUM 10 MG/ML CONC. (ICU USE ONLY) IV SOLN "$1,623.00 " 70069-151-01 CISATRACURIUM 10 MG/ML CONC. (ICU USE ONLY) IV SOLN "$1,079.28 " 70069-151-10 CISATRACURIUM 10 MG/ML CONC. (ICU USE ONLY) IV SOLN "$1,079.28 " 0074-4378-05 CISATRACURIUM 2 MG/ML IV SOLN $94.08 0074-4380-10 CISATRACURIUM 2 MG/ML IV SOLN $165.00 0074-4380-81 CISATRACURIUM 2 MG/ML IV SOLN $165.00 0703-2056-01 CISATRACURIUM 2 MG/ML IV SOLN $138.00 0781-3152-70 CISATRACURIUM 2 MG/ML IV SOLN $151.80 0781-3152-95 CISATRACURIUM 2 MG/ML IV SOLN $151.80 63323-416-05 CISATRACURIUM 2 MG/ML IV SOLN $84.00 63323-417-10 CISATRACURIUM 2 MG/ML IV SOLN $138.00 70069-141-01 CISATRACURIUM 2 MG/ML IV SOLN $61.11 70069-141-10 CISATRACURIUM 2 MG/ML IV SOLN $61.11 70069-161-01 CISATRACURIUM 2 MG/ML IV SOLN $99.36 70069-161-10 CISATRACURIUM 2 MG/ML IV SOLN $99.36 0781-3150-75 CISATRACURIUM 2 MG/ML IV SOLN (MCH) $86.52 0781-3150-95 CISATRACURIUM 2 MG/ML IV SOLN (MCH) $86.52 0143-9504-01 CISPLATIN 1 MG/ML IV SOLN $92.10 0703-5747-11 CISPLATIN 1 MG/ML IV SOLN $120.90 0703-5748-11 CISPLATIN 1 MG/ML IV SOLN $241.80 16729-288-11 CISPLATIN 1 MG/ML IV SOLN $108.30 16729-288-38 CISPLATIN 1 MG/ML IV SOLN $180.00 63323-103-51 CISPLATIN 1 MG/ML IV SOLN $108.30 63323-103-64 CISPLATIN 1 MG/ML IV SOLN $433.20 63323-103-65 CISPLATIN 1 MG/ML IV SOLN $216.60 99999-033-45 CISPLATIN IV SOLN (FOR DESENSITIZATION USE) (MHS) $2.60 0904-6084-61 CITALOPRAM 10 MG ORAL TAB $1.00 13668-009-01 CITALOPRAM 10 MG ORAL TAB $1.00 55111-342-01 CITALOPRAM 10 MG ORAL TAB $1.00 55111-342-30 CITALOPRAM 10 MG ORAL TAB $1.00 65862-005-01 CITALOPRAM 10 MG ORAL TAB $1.00 0054-0062-58 CITALOPRAM 10 MG/5 ML ORAL SOLN $479.52 0456-4020-01 CITALOPRAM 20 MG ORAL TAB $56.77 0904-6085-61 CITALOPRAM 20 MG ORAL TAB $1.00 13668-010-01 CITALOPRAM 20 MG ORAL TAB $1.00 13668-010-05 CITALOPRAM 20 MG ORAL TAB $1.00 52959-010-00 CITALOPRAM 20 MG ORAL TAB $17.23 55111-343-01 CITALOPRAM 20 MG ORAL TAB $1.00 55111-343-30 CITALOPRAM 20 MG ORAL TAB $1.00 57664-508-80 CITALOPRAM 20 MG ORAL TAB $1.00 65862-006-01 CITALOPRAM 20 MG ORAL TAB $1.00 65862-006-05 CITALOPRAM 20 MG ORAL TAB $1.00 68084-744-01 CITALOPRAM 20 MG ORAL TAB $1.00 68084-744-11 CITALOPRAM 20 MG ORAL TAB $1.00 0942-0641-03 CITRATE DEXTROSE SOLUTION MISC SOLN $39.00 0942-0641-04 CITRATE DEXTROSE SOLUTION MISC SOLN $42.00 HC89013585 CITRATE-AU $13.00 HC89001408 CITRIC ACID-QD $10.00 8008799734 CITRULLINE 600 MG ORAL CAP $10.75 53335-006-89 CITRULLINE 600 MG ORAL CAP $6.61 53335-006-90 CITRULLINE 600 MG ORAL CAP $8.58 63323-140-10 CLADRIBINE 10 MG/10 ML IV SOLN "$2,610.00 " HC62214051 CLAMP ABLATION (ISOL SYNERGY) "$9,100.00 " HC62214333 CLAMP INSERT $30.00 HC62201819 CLAMP MORGAN $74.00 HC62201827 CLAMP UMBILICAL CORD STRL $13.00 0527-1931-06 CLARITHROMYCIN 250 MG ORAL TAB $5.63 50268-178-11 CLARITHROMYCIN 250 MG ORAL TAB $29.19 50268-178-15 CLARITHROMYCIN 250 MG ORAL TAB $29.19 65862-225-60 CLARITHROMYCIN 250 MG ORAL TAB $5.60 0781-6023-46 CLARITHROMYCIN 250 MG/5 ML ORAL SUSR $952.80 99999-006-26 CLARITHROMYCIN 250 MG/5 ML ORAL SUSR (MCH) $15.03 99999-007-43 CLARITHROMYCIN 250 MG/5 ML ORAL SUSR (MCH) $15.03 99999-007-44 CLARITHROMYCIN 250 MG/5 ML ORAL SUSR (MCH) $30.06 0527-1932-06 CLARITHROMYCIN 500 MG ORAL TAB $5.63 50268-179-11 CLARITHROMYCIN 500 MG ORAL TAB $34.97 50268-179-13 CLARITHROMYCIN 500 MG ORAL TAB $34.97 57237-045-60 CLARITHROMYCIN 500 MG ORAL TAB $9.85 65862-226-60 CLARITHROMYCIN 500 MG ORAL TAB $5.60 68084-651-25 CLARITHROMYCIN 500 MG ORAL TAB $29.88 68084-651-95 CLARITHROMYCIN 500 MG ORAL TAB $29.88 HC44000503 CLAVICLE BILATERAL "$1,204.00 " HC44000511 CLAVICLE LT $673.00 HC44000529 CLAVICLE RT $673.00 99999-000-13 CLINDAMYCIN 10 MG/ML (NICU) SYRINGE $3.48 99999-005-31 CLINDAMYCIN 10 MG/ML IV DILUTION (MCH) $1.00 99999-040-02 CLINDAMYCIN 10 MG/ML IV DILUTION (MCH) $1.00 99999-042-09 CLINDAMYCIN 10 MG/ML IV DILUTION (MCH) $1.00 0904-5959-61 CLINDAMYCIN HCL 150 MG ORAL CAP $1.98 59762-3328-1 CLINDAMYCIN HCL 150 MG ORAL CAP $1.00 63304-692-01 CLINDAMYCIN HCL 150 MG ORAL CAP $1.00 63739-059-10 CLINDAMYCIN HCL 150 MG ORAL CAP $3.39 65862-185-01 CLINDAMYCIN HCL 150 MG ORAL CAP $1.00 68084-243-01 CLINDAMYCIN HCL 150 MG ORAL CAP $2.63 68084-243-11 CLINDAMYCIN HCL 150 MG ORAL CAP $2.63 68084-244-01 CLINDAMYCIN HCL 300 MG ORAL CAP $6.64 68084-244-11 CLINDAMYCIN HCL 300 MG ORAL CAP $6.64 0781-3288-09 CLINDAMYCIN IN 5 % DEXTROSE 300 MG/50 ML IV PGBK $47.10 0781-3288-91 CLINDAMYCIN IN 5 % DEXTROSE 300 MG/50 ML IV PGBK $47.10 0781-3289-09 CLINDAMYCIN IN 5 % DEXTROSE 600 MG/50 ML IV PGBK $71.10 0781-3289-91 CLINDAMYCIN IN 5 % DEXTROSE 600 MG/50 ML IV PGBK $71.10 0781-9221-91 CLINDAMYCIN IN 5 % DEXTROSE 600 MG/50 ML IV PGBK $71.10 0781-3290-09 CLINDAMYCIN IN 5 % DEXTROSE 900 MG/50 ML IV PGBK $87.00 0781-3290-91 CLINDAMYCIN IN 5 % DEXTROSE 900 MG/50 ML IV PGBK $87.00 0781-9222-91 CLINDAMYCIN IN 5 % DEXTROSE 900 MG/50 ML IV PGBK $87.00 0009-0760-04 CLINDAMYCIN PALMITATE 75 MG/5 ML ORAL SOLR (MCH) $183.00 59762-0016-1 CLINDAMYCIN PALMITATE 75 MG/5 ML ORAL SOLR (MCH) $248.40 65862-596-01 CLINDAMYCIN PALMITATE 75 MG/5 ML ORAL SOLR (MCH) $282.00 16714-483-01 CLINDAMYCIN PALMITATE HCL 75 MG/5 ML ORAL SOLR $284.40 0168-0202-30 CLINDAMYCIN PHOSPHATE 1 % TOPICAL GEL $497.52 0168-0202-60 CLINDAMYCIN PHOSPHATE 1 % TOPICAL GEL $896.04 0009-3329-01 CLINDAMYCIN PHOSPHATE 1 % TOPICAL LOTN $692.28 0168-0203-60 CLINDAMYCIN PHOSPHATE 1 % TOPICAL LOTN $692.28 0009-3116-01 CLINDAMYCIN PHOSPHATE 1 % TOPICAL SOLN $438.12 0009-0775-20 CLINDAMYCIN PHOSPHATE 150 MG/ML INJ SOLN $17.51 0009-0775-26 CLINDAMYCIN PHOSPHATE 150 MG/ML INJ SOLN $17.51 0009-0902-11 CLINDAMYCIN PHOSPHATE 150 MG/ML INJ SOLN $25.23 0009-0902-18 CLINDAMYCIN PHOSPHATE 150 MG/ML INJ SOLN $25.23 25021-115-04 CLINDAMYCIN PHOSPHATE 150 MG/ML INJ SOLN $21.21 25021-115-06 CLINDAMYCIN PHOSPHATE 150 MG/ML INJ SOLN $28.54 63323-282-04 CLINDAMYCIN PHOSPHATE 150 MG/ML INJ SOLN $22.15 63323-282-06 CLINDAMYCIN PHOSPHATE 150 MG/ML INJ SOLN $29.41 67457-815-00 CLINDAMYCIN PHOSPHATE 150 MG/ML INJ SOLN $15.12 67457-815-04 CLINDAMYCIN PHOSPHATE 150 MG/ML INJ SOLN $15.12 67457-816-00 CLINDAMYCIN PHOSPHATE 150 MG/ML INJ SOLN $21.74 67457-816-06 CLINDAMYCIN PHOSPHATE 150 MG/ML INJ SOLN $21.74 72611-642-01 CLINDAMYCIN PHOSPHATE 150 MG/ML INJ SOLN $27.50 72611-642-25 CLINDAMYCIN PHOSPHATE 150 MG/ML INJ SOLN $27.50 0168-0277-40 CLINDAMYCIN PHOSPHATE 2 % VAGINAL CREAM $625.68 59762-5009-1 CLINDAMYCIN PHOSPHATE 2 % VAGINAL CREAM $521.28 HC62201835 CLIP COLOSTOMY BAG $26.00 HC62808514 CLIP DELIVERY SYSTEM MITRACLIP "$97,500.00 " HC62221759 CLIP ENDOSCOPIC A $33.00 HC62221767 CLIP ENDOSCOPIC E $195.00 HC62202841 CLIP ENDOSCOPIC H $390.00 HC62221775 CLIP ENDOSCOPIC I $455.00 HC62203005 CLIP ENDOSCOPIC L $650.00 HC62807359 CLIP ENDOSCOPIC Q "$1,300.00 " HC62807334 CLIP ENDOSCOPIC R "$1,625.00 " HC62807342 CLIP ENDOSCOPIC S "$1,950.00 " HC62201843 CLIP FOGARTY SOFT JAW $105.00 HC62201850 CLIP GUN COMPLETE $326.00 HC62201868 CLIP HEMO (PKG) $16.00 HC62804828 CLIP LEFT ATRIAL APPENDAGE-LAA A "$3,234.00 " HC62804836 CLIP LEFT ATRIAL APPENDAGE-LAA B "$9,750.00 " HC62223763 CLIP MAGAZINE RANEY SCALP $46.00 HC62201876 CLIP RANEY $215.00 HC62214564 CLIP STIMULATION NERVE E $910.00 HC62220223 CLIP STIMULATION NERVE I "$1,625.00 " HC62208244 CLIP TISSUE MARKER $260.00 HC62208962 CLIP WIRE ROTABLATOR $150.00 HC62201884 CLIPPER BLADE $33.00 HC62201892 CLIPPER HEAD SNG/USE FOR 3M $33.00 0054-0526-25 CLOBAZAM 10 MG ORAL TAB $4.50 16714-887-01 CLOBAZAM 10 MG ORAL TAB $10.51 51991-900-01 CLOBAZAM 10 MG ORAL TAB $3.60 60687-423-11 CLOBAZAM 10 MG ORAL TAB $13.00 60687-423-21 CLOBAZAM 10 MG ORAL TAB $13.00 67386-314-01 CLOBAZAM 10 MG ORAL TAB $132.17 68180-157-01 CLOBAZAM 10 MG ORAL TAB $3.60 69452-114-20 CLOBAZAM 10 MG ORAL TAB $4.50 0378-8043-21 CLOBAZAM 2.5 MG/ML ORAL SUSP $480.24 16714-087-01 CLOBAZAM 2.5 MG/ML ORAL SUSP $899.28 66689-058-04 CLOBAZAM 2.5 MG/ML ORAL SUSP $480.24 0168-0163-15 CLOBETASOL 0.05 % TOPICAL CREAM $373.59 0168-0163-30 CLOBETASOL 0.05 % TOPICAL CREAM $747.18 0472-0400-15 CLOBETASOL 0.05 % TOPICAL CREAM $615.51 16714-730-01 CLOBETASOL 0.05 % TOPICAL CREAM $429.03 50383-267-15 CLOBETASOL 0.05 % TOPICAL CREAM $150.57 51672-1258-1 CLOBETASOL 0.05 % TOPICAL CREAM $373.59 51672-1258-2 CLOBETASOL 0.05 % TOPICAL CREAM $747.18 52565-051-15 CLOBETASOL 0.05 % TOPICAL CREAM $60.03 69238-1532-3 CLOBETASOL 0.05 % TOPICAL CREAM $84.06 69238-1532-5 CLOBETASOL 0.05 % TOPICAL CREAM $42.03 0168-0162-15 CLOBETASOL 0.05 % TOPICAL OINT $518.13 0168-0162-30 CLOBETASOL 0.05 % TOPICAL OINT $865.80 16714-782-01 CLOBETASOL 0.05 % TOPICAL OINT $392.67 16714-782-02 CLOBETASOL 0.05 % TOPICAL OINT $636.30 16714-782-04 CLOBETASOL 0.05 % TOPICAL OINT "$1,249.92 " 42291-077-15 CLOBETASOL 0.05 % TOPICAL OINT $15.66 43386-096-60 CLOBETASOL 0.05 % TOPICAL OINT $186.57 51672-1259-2 CLOBETASOL 0.05 % TOPICAL OINT $394.20 52565-039-15 CLOBETASOL 0.05 % TOPICAL OINT $69.21 68462-530-35 CLOBETASOL 0.05 % TOPICAL OINT $374.04 0955-1746-01 CLOFARABINE 1 MG/ML IV SOLN (MCH) "$17,400.00 " 0024-5860-01 CLOFARABINE 20 MG/20 ML IV SOLN "$18,559.44 " 43598-309-20 CLOFARABINE 20 MG/20 ML IV SOLN "$15,847.68 " 16714-849-01 CLOMIPRAMINE 25 MG ORAL CAP $40.96 51672-4011-5 CLOMIPRAMINE 25 MG ORAL CAP $40.47 51672-4011-6 CLOMIPRAMINE 25 MG ORAL CAP $40.47 52817-280-10 CLOMIPRAMINE 25 MG ORAL CAP $2.40 0378-3050-01 CLOMIPRAMINE 50 MG ORAL CAP $53.96 HC89004055 CLOMIPRAMINE; 1-2-AU $16.00 0555-0095-96 CLONAZEPAM 0.25 MG ORAL TBDL $5.61 49884-307-02 CLONAZEPAM 0.25 MG ORAL TBDL $5.54 49884-307-52 CLONAZEPAM 0.25 MG ORAL TBDL $5.54 0093-0832-01 CLONAZEPAM 0.5 MG ORAL TAB $1.00 16729-136-00 CLONAZEPAM 0.5 MG ORAL TAB $1.00 43547-406-10 CLONAZEPAM 0.5 MG ORAL TAB $1.00 60687-544-01 CLONAZEPAM 0.5 MG ORAL TAB $1.42 60687-544-11 CLONAZEPAM 0.5 MG ORAL TAB $1.42 0093-3212-01 CLONAZEPAM 1 MG ORAL TAB $1.00 0781-5567-01 CLONAZEPAM 1 MG ORAL TAB $1.00 16729-137-00 CLONAZEPAM 1 MG ORAL TAB $1.00 43547-407-10 CLONAZEPAM 1 MG ORAL TAB $1.00 51079-882-01 CLONAZEPAM 1 MG ORAL TAB $1.00 51079-882-20 CLONAZEPAM 1 MG ORAL TAB $1.00 60687-555-01 CLONAZEPAM 1 MG ORAL TAB $1.42 60687-555-11 CLONAZEPAM 1 MG ORAL TAB $1.42 HC89006381 CLONAZEPAM; 1-12-AU $29.00 0517-0730-01 "CLONIDINE (PF) 1,000 MCG/10 ML (100 MCG/ML) EPIDURAL SOLN" $252.00 39822-2000-1 "CLONIDINE (PF) 1,000 MCG/10 ML (100 MCG/ML) EPIDURAL SOLN" $150.00 67457-218-10 "CLONIDINE (PF) 1,000 MCG/10 ML (100 MCG/ML) EPIDURAL SOLN" $188.04 99999-039-90 CLONIDINE 0.01 MG/ML ORAL LIQUID (COMPOUND) $1.00 99999-044-00 CLONIDINE 0.01 MG/ML ORAL LIQUID (COMPOUND) $1.00 0378-0871-16 CLONIDINE 0.1 MG/24 HR TRANSDERMAL PTWK $158.99 0378-0871-99 CLONIDINE 0.1 MG/24 HR TRANSDERMAL PTWK $158.99 0555-1009-01 CLONIDINE 0.1 MG/24 HR TRANSDERMAL PTWK $159.15 0591-3508-04 CLONIDINE 0.1 MG/24 HR TRANSDERMAL PTWK $158.99 0591-3508-54 CLONIDINE 0.1 MG/24 HR TRANSDERMAL PTWK $158.99 0597-0031-34 CLONIDINE 0.1 MG/24 HR TRANSDERMAL PTWK $418.62 51862-453-01 CLONIDINE 0.1 MG/24 HR TRANSDERMAL PTWK $79.58 51862-453-04 CLONIDINE 0.1 MG/24 HR TRANSDERMAL PTWK $79.58 99999-037-32 CLONIDINE 0.1 MG/ML ORAL LIQUID $1.00 0378-0872-16 CLONIDINE 0.2 MG/24 HR TRANSDERMAL PTWK $267.68 0378-0872-99 CLONIDINE 0.2 MG/24 HR TRANSDERMAL PTWK $267.68 0591-3509-04 CLONIDINE 0.2 MG/24 HR TRANSDERMAL PTWK $267.68 0591-3509-54 CLONIDINE 0.2 MG/24 HR TRANSDERMAL PTWK $267.68 0597-0032-34 CLONIDINE 0.2 MG/24 HR TRANSDERMAL PTWK $704.87 0378-0873-16 CLONIDINE 0.3 MG/24 HR TRANSDERMAL PTWK $371.34 0378-0873-99 CLONIDINE 0.3 MG/24 HR TRANSDERMAL PTWK $371.34 0591-3510-04 CLONIDINE 0.3 MG/24 HR TRANSDERMAL PTWK $371.34 0591-3510-54 CLONIDINE 0.3 MG/24 HR TRANSDERMAL PTWK $371.34 0597-0033-34 CLONIDINE 0.3 MG/24 HR TRANSDERMAL PTWK $977.79 0228-2127-10 CLONIDINE HCL 0.1 MG ORAL TAB $1.00 0228-2127-50 CLONIDINE HCL 0.1 MG ORAL TAB $1.00 29300-135-01 CLONIDINE HCL 0.1 MG ORAL TAB $1.00 29300-135-05 CLONIDINE HCL 0.1 MG ORAL TAB $1.00 60687-113-01 CLONIDINE HCL 0.1 MG ORAL TAB $1.59 60687-113-11 CLONIDINE HCL 0.1 MG ORAL TAB $1.59 68001-237-00 CLONIDINE HCL 0.1 MG ORAL TAB $1.00 0228-2128-10 CLONIDINE HCL 0.2 MG ORAL TAB $1.00 0228-2128-50 CLONIDINE HCL 0.2 MG ORAL TAB $1.00 29300-136-01 CLONIDINE HCL 0.2 MG ORAL TAB $1.00 52817-181-10 CLONIDINE HCL 0.2 MG ORAL TAB $1.00 0228-2129-10 CLONIDINE HCL 0.3 MG ORAL TAB $1.00 29300-137-01 CLONIDINE HCL 0.3 MG ORAL TAB $1.00 51079-301-01 CLONIDINE HCL 0.3 MG ORAL TAB $1.00 51079-301-20 CLONIDINE HCL 0.3 MG ORAL TAB $1.00 99999-037-53 CLOPIDOGREL 5 MG/ML ORAL LIQUID (COMPOUND) $1.00 0904-6294-61 CLOPIDOGREL 75 MG ORAL TAB $1.42 33342-060-10 CLOPIDOGREL 75 MG ORAL TAB $1.00 33342-060-15 CLOPIDOGREL 75 MG ORAL TAB $1.00 47335-894-13 CLOPIDOGREL 75 MG ORAL TAB $1.25 47335-894-81 CLOPIDOGREL 75 MG ORAL TAB $1.25 47335-894-83 CLOPIDOGREL 75 MG ORAL TAB $1.25 55111-196-05 CLOPIDOGREL 75 MG ORAL TAB $1.00 55111-196-90 CLOPIDOGREL 75 MG ORAL TAB $1.00 60505-0253-2 CLOPIDOGREL 75 MG ORAL TAB $1.00 60505-0253-3 CLOPIDOGREL 75 MG ORAL TAB $1.00 63653-1171-1 CLOPIDOGREL 75 MG ORAL TAB $38.67 65862-357-05 CLOPIDOGREL 75 MG ORAL TAB $1.00 65862-357-30 CLOPIDOGREL 75 MG ORAL TAB $1.00 68084-536-01 CLOPIDOGREL 75 MG ORAL TAB $1.55 68084-536-11 CLOPIDOGREL 75 MG ORAL TAB $1.55 51672-4043-1 CLORAZEPATE DIPOTASSIUM 7.5 MG ORAL TAB $24.09 HC51061521 CLOSED TREATMENT TIBIAL FRACTURE PROXIMAL W/O MANIP $365.00 HC51061547 CLOSED TREATMENT ULNAR SHAFT FRACTURE W/O MANIP $364.00 HC25004565 CLOSED TX ANKLE DISLOC; NO ANES BIL "$1,212.00 " HC25004540 CLOSED TX ANKLE DISLOC; NO ANES LT $682.00 HC25004557 CLOSED TX ANKLE DISLOC; NO ANES RT $682.00 HC51001394 CLOSED TX ANKLE FX $823.00 HC25005794 CLOSED TX ANKLE FX W/MANIP BIL "$1,516.00 " HC25005802 CLOSED TX ANKLE FX W/MANIP LT $812.00 HC25005810 CLOSED TX ANKLE FX W/MANIP RT $812.00 HC25004144 CLOSED TX ARTICULAR FX W/MANIP EA "$2,260.00 " HC51001436 CLOSED TX BIG TOE FX $302.00 HC25004680 CLOSED TX BIG TOE FX; NO MANIPULTN BIL "$1,051.00 " HC25004664 CLOSED TX BIG TOE FX; NO MANIPULTN LT $584.00 HC25004672 CLOSED TX BIG TOE FX; NO MANIPULTN RT $584.00 HC25004714 CLOSED TX BIG TOE FX; W/MANIPULTN BIL "$1,155.00 " HC25004698 CLOSED TX BIG TOE FX; W/MANIPULTN LT $614.00 HC25004706 CLOSED TX BIG TOE FX; W/MANIPULTN RT $614.00 HC51001410 CLOSED TX BIMALLEO ANKLE FX NO MAN $999.00 HC25004508 CLOSED TX BIMALLEOLA ANKLE FX; W/MANIP BIL "$4,883.00 " HC25004482 CLOSED TX BIMALLEOLA ANKLE FX; W/MANIP LT "$2,782.00 " HC25004490 CLOSED TX BIMALLEOLA ANKLE FX; W/MANIP RT "$2,782.00 " HC25003922 CLOSED TX CARPAL BONE FX W/M EA BONE LT "$2,617.00 " HC25003930 CLOSED TX CARPAL BONE FX W/M EA BONE RT "$2,617.00 " HC25003948 CLOSED TX CARPAL BONE FX W/M EA BONE-BIL "$4,446.00 " HC25003906 CLOSED TX CARPAL SCAPHOID FX W/MAN LT "$2,601.00 " HC25003914 CLOSED TX CARPAL SCAPHOID FX W/MAN RT "$2,601.00 " HC25003898 CLOSED TX CARPAL SCAPHOID FX W/MAN-BIL "$4,498.00 " HC51061125 CLOSED TX CARPAL SCAPHOID FX W/O MAN $624.00 HC51001170 CLOSED TX CLAVICLE FX $449.00 HC25003450 CLOSED TX CLAVICLE FX LT $568.00 HC25003468 CLOSED TX CLAVICLE FX RT $568.00 HC25003484 CLOSED TX CLAVICLE FX W/MANIP LT "$1,148.00 " HC25003492 CLOSED TX CLAVICLE FX W/MANIP RT "$1,148.00 " HC25003476 CLOSED TX CLAVICLE FX W/MANIP-BIL "$2,299.00 " HC25003443 CLOSED TX CLAVICLE FX-BIL $682.00 HC25003989 CLOSED TX DISTL RADIOULNAR DISLOC W/M LT $740.00 HC25003997 CLOSED TX DISTL RADIOULNAR DISLOC W/M RT $740.00 HC25004003 CLOSED TX DISTL RADIOULNAR DISLOC W/M-BIL "$1,092.00 " HC25003658 CLOSED TX ELBOW DISLOC W/O ANES LT $644.00 HC25003666 CLOSED TX ELBOW DISLOC W/O ANES RT $644.00 HC25003674 CLOSED TX ELBOW DISLOC W/O ANES-BIL "$1,148.00 " HC51001220 CLOSED TX ELBOW DISLOCATION $550.00 HC25003682 CLOSED TX ELBOW DISLOCATION LT $515.00 HC25003690 CLOSED TX ELBOW DISLOCATION RT $515.00 HC25003708 CLOSED TX ELBOW DISLOCATION-BIL $928.00 HC25005760 CLOSED TX FIBULA DISTAL FX W/MANIP BIL "$1,369.00 " HC25005778 CLOSED TX FIBULA DISTAL FX W/MANIP LT $769.00 HC25005786 CLOSED TX FIBULA DISTAL FX W/MANIP RT $769.00 HC51001386 CLOSED TX FIBULA FX $606.00 HC51001303 "CLOSED TX FINGER DISTAL FX,EA,NO M" $399.00 HC25004177 CLOSED TX FINGER JNT DISLOC $613.00 HC25004102 CLOSED TX FINGER JNT DISLOC W/MAN SINGLE $631.00 HC51001295 "CLOSED TX FINGER SHAFT FX,EA,NO MAN" $364.00 HC25004151 CLOSED TX FINGER/THUMB DISTAL FX NO MANIP EA $617.00 HC25004169 CLOSED TX FINGER/THUMB DISTAL FX W/MANIP EA $624.00 HC25004128 CLOSED TX FINGER/THUMB SHAFT FX NO MANIP EA $629.00 HC25004136 CLOSED TX FINGER/THUMB SHAFT FX W/MANIP EA $591.00 HC51061133 CLOSED TX FINGER/THUMB SHAFT FX W/MANIP EA $684.00 HC51001279 CLOSED TX FX RAD/ULN DISTAL FX NO M $754.00 HC25004235 CLOSED TX HIP DISLOC POST ARTHROPLASTY BIL "$1,370.00 " HC25004219 CLOSED TX HIP DISLOC POST ARTHROPLASTY LT $761.00 HC25004227 CLOSED TX HIP DISLOC POST ARTHROPLASTY RT $761.00 HC25004201 CLOSED TX HIP DISLOC TRAUMIC BIL "$1,110.00 " HC25004185 CLOSED TX HIP DISLOC TRAUMIC LT $629.00 HC25004193 CLOSED TX HIP DISLOC TRAUMIC RT $629.00 HC25005737 CLOSED TX HIP FX W/MANIP BIL "$1,589.00 " HC25005745 CLOSED TX HIP FX W/MANIP LT $948.00 HC25005752 CLOSED TX HIP FX W/MANIP RT $948.00 HC51001204 CLOSED TX HUMERL SUPRA/TRANS CON FX $944.00 HC51001188 CLOSED TX HUMERUS NECK FX NO MANIP $668.00 HC51001196 CLOSED TX HUMERUS SHAFT FX NO MANIP $839.00 HC51001212 CLOSED TX HUMRL CON FX MED/LAT NO M $988.00 HC25003542 CLOSED TX HUMRL FX W/MAN W/WO SKLTL TRAC LT "$1,318.00 " HC25003559 CLOSED TX HUMRL FX W/MAN W/WO SKLTL TRAC RT "$1,318.00 " HC25003534 CLOSED TX HUMRL FX W/MAN W/WO SKLTL TRAC-BIL "$2,638.00 " HC25006107 CLOSED TX INTERPHALANGEAL JNT DISLOC; NO ANES BIL $878.00 HC25004854 CLOSED TX INTERPHALANGEAL JNT DISLOC; NO ANES LT $591.00 HC25006099 CLOSED TX INTERPHALANGEAL JNT DISLOC; NO ANES RT $538.00 HC25004326 CLOSED TX KNEE DISLOC; NO ANESTH BIL "$1,370.00 " HC25004300 CLOSED TX KNEE DISLOC; NO ANESTH LT $754.00 HC25004318 CLOSED TX KNEE DISLOC; NO ANESTH RT $754.00 HC51001360 CLOSED TX KNEE FX(S) "$2,112.00 " HC51001352 CLOSED TX KNEECAP FX $822.00 HC25004110 CLOSED TX KNUCLE DISLOC W/MANIP EA $587.00 HC51001402 CLOSED TX LAT MALLEO ANKL FX NO MAN $809.00 HC25004441 CLOSED TX MEDIAL MALLEO(ANKLE)FX W/MANIP W/W-O TRAC BIL "$5,080.00 " HC25004425 CLOSED TX MEDIAL MALLEO(ANKLE)FX W/MANIP W/W-O TRAC LT "$2,750.00 " HC25004433 CLOSED TX MEDIAL MALLEO(ANKLE)FX W/MANIP W/W-O TRAC RT "$2,750.00 " HC51001287 CLOSED TX METACARPAL FX NO MANIP $646.00 HC25004037 CLOSED TX METACARPAL FX W/MAN EA $571.00 HC51001428 CLOSED TX METATARSAL FX $646.00 HC25004649 CLOSED TX METATARSAL FX; NO MANIPULTN EA $629.00 HC25004656 CLOSED TX METATARSAL FX; W/MANIPULTN EA $592.00 HC25006081 CLOSED TX METATARSOPHALAN JNT DISLOC; NO ANES BIL $878.00 HC25004847 CLOSED TX METATARSOPHALAN JNT DISLOC; NO ANES LT $599.00 HC25006073 CLOSED TX METATARSOPHALAN JNT DISLOC; NO ANES RT $544.00 HC51001345 "CLOSED TX MIDFOOT FX, EACH" $672.00 HC25003427 CLOSED TX NOSE FX W/ STABILIZATION "$2,277.00 " HC25003419 CLOSED TX NOSE FX W/O STABILIZATION "$2,134.00 " HC51001329 CLOSED TX OF FEMUR FX $750.00 HC51001337 CLOSED TX OF THIGH FX $750.00 HC25004359 CLOSED TX PATELLAR DISLOC; NO ANESTH BIL "$1,183.00 " HC25004334 CLOSED TX PATELLAR DISLOC; NO ANESTH LT $629.00 HC25004342 CLOSED TX PATELLAR DISLOC; NO ANESTH RT $629.00 HC51001311 CLOSED TX PELVIC RING FX W/O MANIPULATION $998.00 HC25004722 CLOSED TX PHALANX(TOE) FX; NO MANIPULTN $577.00 HC25004730 CLOSED TX PHALANX(TOE) FX; W/MANIPULTN EA $622.00 HC25004474 CLOSED TX PROX FIBULA/SHAFT FX; W/MANIP BIL "$4,644.00 " HC25004458 CLOSED TX PROX FIBULA/SHAFT FX; W/MANIP LT "$2,591.00 " HC25004466 CLOSED TX PROX FIBULA/SHAFT FX; W/MANIP RT "$2,591.00 " HC25004532 CLOSED TX PROX TIBIOFIBULAR JNT DISLOC; NO ANES BIL "$1,153.00 " HC25004516 CLOSED TX PROX TIBIOFIBULAR JNT DISLOC; NO ANES LT $629.00 HC25004524 CLOSED TX PROX TIBIOFIBULAR JNT DISLOC; NO ANES RT $629.00 HC25003815 CLOSED TX RAD&ULN SHAFT FX W/MAN LT "$2,577.00 " HC25003823 CLOSED TX RAD&ULN SHAFT FX W/MAN RT "$2,577.00 " HC25003807 CLOSED TX RAD&ULN SHAFT FX W/MAN-BIL "$4,535.00 " HC25003831 CLOSED TX RAD/EPHYSL SEP&ULN FX NO M LT $629.00 HC25003849 CLOSED TX RAD/EPHYSL SEP&ULN FX NO M RT $629.00 HC25003856 CLOSED TX RAD/EPHYSL SEP&ULN FX NO M-BIL $949.00 HC51061117 CLOSED TX RAD/EPHYSL SEP&ULN FX W/MAN "$2,496.00 " HC25003872 CLOSED TX RAD/EPHYSL SEP&ULN FX W/MAN LT "$2,817.00 " HC25003880 CLOSED TX RAD/EPHYSL SEP&ULN FX W/MAN RT "$2,817.00 " HC25003864 CLOSED TX RAD/EPHYSL SEP&ULN FX W/MAN-BIL "$4,831.00 " HC51001238 CLOSED TX RADIAL HED/NEK FX NO MANP $696.00 HC51001253 CLOSED TX RADIAL SHAFT FX NO MANIP $688.00 HC25003757 CLOSED TX RADIAL SHAFT FX W/MANIP LT "$2,539.00 " HC25003765 CLOSED TX RADIAL SHAFT FX W/MANIP RT "$2,539.00 " HC25003740 CLOSED TX RADIAL SHAFT FX W/MANIP-BIL "$4,353.00 " HC51001261 CLOSED TX RADIUS&ULNA SHAFT FX NO M $694.00 HC25004763 CLOSED TX SESAMOID FX BILAT "$1,046.00 " HC25004748 CLOSED TX SESAMOID FX LT $584.00 HC25004755 CLOSED TX SESAMOID FX RT $584.00 HC25003575 CLOSED TX SHOULDR DSLC W/MAN W/O ANES LT $696.00 HC25003583 CLOSED TX SHOULDR DSLC W/MAN W/O ANES RT $696.00 HC25003567 CLOSED TX SHOULDR DSLC W/MAN W/O ANES-BIL "$1,197.00 " HC25003526 CLOSED TX STERNOCLVCLE DISLOC W/MAN RT $623.00 HC25003500 CLOSED TX STERNOCLVCLE DISLOC W/MAN-BIL $916.00 HC25003518 CLOSED TX STRENOCLVCLE DISLOC W/MAN LT $623.00 HC25004821 CLOSED TX TALOTARSAL JNT DISLOC; NO ANES BIL $878.00 HC25004805 CLOSED TX TALOTARSAL JNT DISLOC; NO ANES LT $645.00 HC25004813 CLOSED TX TALOTARSAL JNT DISLOC; NO ANES RT $645.00 HC25004797 CLOSED TX TARSAL DISLOC; NO ANES BIL "$1,183.00 " HC25004771 CLOSED TX TARSAL DISLOC; NO ANES LT $636.00 HC25004789 CLOSED TX TARSAL DISLOC; NO ANES RT $636.00 HC25004631 CLOSED TX TARSAL FX; W/MANIPLTN EA "$2,203.00 " HC25006065 CLOSED TX TARSOMETATARSAL JNT DISLOC; NO ANES BIL $878.00 HC25004839 CLOSED TX TARSOMETATARSAL JNT DISLOC; NO ANES LT $645.00 HC25006057 CLOSED TX TARSOMETATARSAL JNT DISLOC; NO ANES RT $586.00 HC25004060 CLOSED TX THUMB DISLOC W/MANIP BIL $917.00 HC25004045 CLOSED TX THUMB DISLOC W/MANIP LT $525.00 HC25004052 CLOSED TX THUMB DISLOC W/MANIP RT $525.00 HC25004094 CLOSED TX THUMB FX DISLOC W/MAN(BENNETT)BIL "$4,553.00 " HC25004078 CLOSED TX THUMB FX DISLOC W/MAN(BENNETT)LT "$2,490.00 " HC25004086 CLOSED TX THUMB FX DISLOC W/MAN(BENNETT)RT "$2,490.00 " HC51001378 CLOSED TX TIBIA FX $861.00 HC25004417 CLOSED TX TIBIAL SHAFT FX W/MANIP W/W-O FIBFX/TRAC BIL "$5,129.00 " HC25004391 CLOSED TX TIBIAL SHAFT FX W/MANIP W/W-O FIBFX/TRAC LT "$2,762.00 " HC25004409 CLOSED TX TIBIAL SHAFT FX W/MANIP W/W-O FIBFX/TRAC RT "$2,762.00 " HC25003435 CLOSED TX TMJ DISLOCATION 1ST/SBSQ $475.00 HC51001444 CLOSED TX TOE FX $277.00 HC25003773 CLOSED TX ULNA SHAFT FX W/MANIP LT $757.00 HC25003781 CLOSED TX ULNA SHAFT FX W/MANIP RT $757.00 HC25003799 CLOSED TX ULNA SHAFT FX W/MANIP-BIL "$1,170.00 " HC51001246 CLOSED TX ULNAR FX $734.00 HC25003955 CLOSED TX WRIST DSLOC 1/> BONES W/MAN LT $740.00 HC25003963 CLOSED TX WRIST DSLOC 1/> BONES W/MAN RT $740.00 HC25003971 CLOSED TX WRIST DSLOC 1/> BONES W/MAN-BIL "$1,130.00 " HC84200179 CLOSTRIDIUM DIFFICILE TOXIN $265.00 HC89013155 CLOSTRIDIUM DIFFICILE TOXIN-AU $28.05 HC62201900 CLOSURE DRAINABLE POUCH $33.00 HC25003054 CLOSURE SUPERFCL WOUND DEHISC SIMPLE "$1,056.00 " HC25003062 CLOSURE SUPERFCL WOUND DEHISC W/PACKING "$1,203.00 " HC62217831 CLOSURE WND EXPANDER TISSUE A "$3,085.00 " HC62217849 CLOSURE WND EXPANDER TISSUE B "$3,410.00 " HC81701518 CLOTEST FOR H. PYLORI $768.00 HC84201102 CLOTEST FOR H. PYLORI $276.00 0536-1272-11 CLOTRIMAZOLE 1 % TOPICAL CREAM $7.39 0904-7822-36 CLOTRIMAZOLE 1 % TOPICAL CREAM $7.40 45802-434-01 CLOTRIMAZOLE 1 % TOPICAL CREAM $18.90 45802-434-11 CLOTRIMAZOLE 1 % TOPICAL CREAM $27.36 51672-1275-1 CLOTRIMAZOLE 1 % TOPICAL CREAM $70.20 51672-2002-1 CLOTRIMAZOLE 1 % TOPICAL CREAM $30.60 51672-2002-2 CLOTRIMAZOLE 1 % TOPICAL CREAM $39.60 68462-181-17 CLOTRIMAZOLE 1 % TOPICAL CREAM $57.06 51672-2003-6 CLOTRIMAZOLE 1 % VAGINAL CREAM $24.30 0054-4146-22 CLOTRIMAZOLE 10 MG MUCOUS MEMB TROC $11.87 0054-8146-22 CLOTRIMAZOLE 10 MG MUCOUS MEMB TROC $16.49 0574-0107-70 CLOTRIMAZOLE 10 MG MUCOUS MEMB TROC $7.72 0574-0107-77 CLOTRIMAZOLE 10 MG MUCOUS MEMB TROC $6.86 1093957833 CLOTRIMAZOLE 2 % VAGINAL CREAM $37.30 49348-379-54 CLOTRIMAZOLE 2 % VAGINAL CREAM $37.30 51672-2062-0 CLOTRIMAZOLE 2 % VAGINAL CREAM $42.84 0168-0258-15 CLOTRIMAZOLE-BETAMETHASONE 1-0.05 % TOPICAL CREAM $101.16 16714-496-01 CLOTRIMAZOLE-BETAMETHASONE 1-0.05 % TOPICAL CREAM $131.49 51672-4048-1 CLOTRIMAZOLE-BETAMETHASONE 1-0.05 % TOPICAL CREAM $101.16 51672-4048-6 CLOTRIMAZOLE-BETAMETHASONE 1-0.05 % TOPICAL CREAM $217.89 0168-0370-30 CLOTRIMAZOLE-BETAMETHASONE 1-0.05 % TOPICAL LOTN $742.86 0093-7772-01 CLOZAPINE 100 MG ORAL TAB $13.86 0378-0860-01 CLOZAPINE 100 MG ORAL TAB $13.09 51079-922-01 CLOZAPINE 100 MG ORAL TAB $9.90 51079-922-20 CLOZAPINE 100 MG ORAL TAB $9.90 65862-846-01 CLOZAPINE 100 MG ORAL TAB $6.53 0093-4359-01 CLOZAPINE 25 MG ORAL TAB $5.34 0093-4359-19 CLOZAPINE 25 MG ORAL TAB $3.92 0093-4359-93 CLOZAPINE 25 MG ORAL TAB $3.92 51079-921-01 CLOZAPINE 25 MG ORAL TAB $3.90 51079-921-20 CLOZAPINE 25 MG ORAL TAB $3.90 HC89006662 CLOZAPINE-AU $24.00 HC89017586 CMV AB IGG (PNL)-AU $8.00 HC89014278 CMV AB IGG (PNL)-FT $70.00 HC89017289 CMV AB IGG(PNL-2)-AU $8.00 HC89012264 CMV AB IGG-AU $8.00 HC89003172 CMV AB IGG-QD $13.00 HC89017552 CMV AB IGM(PNL)-AU $8.00 HC89012280 CMV AB IGM(PNL)-FT $70.00 HC89012272 CMV AB IGM-AU $8.00 HC89003842 CMV AB IGM-QD $13.00 HC83001057 CMV AB NEGATIVE BLOOD $153.00 HC83000273 CMV IGM $243.00 HC89500839 CMV IGM / UNIT-HC $40.00 HC89500706 CMV IGM / UNIT-SB $40.00 HC81500506 COAG TIME OTHER METHODS $178.00 HC62201918 COAGULATION SUCTION $65.00 61958-1401-1 COBICISTAT 150 MG ORAL TAB $48.35 0527-1961-74 COCAINE 4 % NASL SOLN "$1,323.00 " 0527-1971-74 COCAINE 4 % NASL SOLN "$1,323.00 " 64950-362-04 COCAINE 4 % NASL SOLN "$1,470.00 " HC89021695 COCAINE MEC(PNL)-AU $98.88 HC89022081 COCAINE SERUM QNT(PNL)-AU $48.63 HC89014260 COCCIDIOIDES AB CSF(PNL) -AU $11.00 HC89002893 COCCIDIOIDES AB CSF-QD $22.00 HC89012215 COCCIDIOIDES AB SERUM -AU $10.25 HC89000624 COCCIDIOIDES AB-QD $11.00 HC89017537 COCCIDIOIDES FUNGAL AB PAN (PNL)-AU $9.00 0054-0244-24 CODEINE SULFATE 30 MG ORAL TAB $5.15 0527-1698-01 CODEINE SULFATE 30 MG ORAL TAB $2.39 HC89015259 CODEINE URINE - U2 $71.00 HC89001861 CODEINE URINE-QD $60.00 51991-074-01 CODEINE-BUTALBITAL-ASA-CAFF 30-50-325-40 MG ORAL CAP $13.70 0121-1550-00 CODEINE-GUAIFENESIN 10-100 MG/5 ML ORAL LIQD $3.90 0121-1550-10 CODEINE-GUAIFENESIN 10-100 MG/5 ML ORAL LIQD $3.90 0121-1775-05 CODEINE-GUAIFENESIN 10-100 MG/5 ML ORAL LIQD $3.39 0603-1075-05 CODEINE-GUAIFENESIN 10-100 MG/5 ML ORAL LIQD $4.62 50383-087-05 CODEINE-GUAIFENESIN 10-100 MG/5 ML ORAL LIQD $3.39 50383-087-07 CODEINE-GUAIFENESIN 10-100 MG/5 ML ORAL LIQD $3.39 50383-087-10 CODEINE-GUAIFENESIN 10-100 MG/5 ML ORAL LIQD $3.90 50383-087-12 CODEINE-GUAIFENESIN 10-100 MG/5 ML ORAL LIQD $3.90 1093975133 COENZYME Q10 100 MG ORAL CAP $1.00 1093988744 COENZYME Q10 100 MG ORAL CAP $1.00 4934860544 COENZYME Q10 100 MG ORAL CAP $1.00 8068108000 COENZYME Q10 100 MG ORAL CAP $2.17 904501546 COENZYME Q10 30 MG ORAL CAP $1.00 8068110400 COENZYME Q10 30 MG ORAL CAP $1.00 904561646 COENZYME Q10 50 MG ORAL CAP $1.00 3504600431 COENZYME Q10 50 MG ORAL CAP $1.43 4009310232 COENZYME Q10 50 MG ORAL CAP $1.00 HC89013577 COENZYME Q10(PNL)-AU $65.00 HC62803366 COIL CEREBRAL ANEURYSM A $72.00 HC62806625 COIL EMBOLIZ(3D PRIME BARE SUPER SFT)AN "$6,825.00 " HC62806583 COIL EMBOLIZ(AXIUM HELIX BARE) AH "$4,875.00 " HC62804406 COIL EMBOLIZ(AXIUM PRIME 3D 3MM) AD "$3,770.00 " HC62804331 COIL EMBOLIZ(BARR PLAT DETACH) W "$2,860.00 " HC62804281 COIL EMBOLIZ(CONCERTO HELIX NYLON)R "$2,210.00 " HC62806591 COIL EMBOLIZ(HELIX BARE SUPER SFT)AI "$5,200.00 " HC62806732 COIL EMBOLIZ(PRIME 3D ES) AM "$6,500.00 " HC62807169 COIL EMBOLIZ(PRIME/HYPERSOFT 3D) AL "$6,175.00 " HC62806609 COIL EMBOLIZ(PRIME/NYLON HELIX) AJ "$5,525.00 " HC62804497 COIL EMBOLIZATION B $130.00 HC62804166 COIL EMBOLIZATION D $390.00 HC62804216 COIL EMBOLIZATION E $520.00 HC62804174 COIL EMBOLIZATION F $650.00 HC62804182 COIL EMBOLIZATION G $780.00 HC62804190 COIL EMBOLIZATION H $910.00 HC62804208 COIL EMBOLIZATION I "$1,040.00 " HC62800958 COIL EMBOLIZATION J "$1,217.00 " HC62804224 COIL EMBOLIZATION K "$1,300.00 " HC62804232 COIL EMBOLIZATION L "$1,430.00 " HC62804240 COIL EMBOLIZATION N "$1,690.00 " HC62804257 COIL EMBOLIZATION O "$1,820.00 " HC62804265 COIL EMBOLIZATION P "$1,950.00 " HC62804273 COIL EMBOLIZATION Q "$2,080.00 " HC62804299 COIL EMBOLIZATION S "$2,340.00 " HC62804307 COIL EMBOLIZATION T "$2,470.00 " HC62804315 COIL EMBOLIZATION U "$2,600.00 " HC62804349 COIL EMBOLIZATION X "$2,990.00 " HC62804356 COIL EMBOLIZATION Y "$3,120.00 " HC62804364 COIL EMBOLIZATION Z "$3,250.00 " HC62804372 COIL EMBOLIZATION AA "$3,380.00 " HC62804380 COIL EMBOLIZATION AB "$3,510.00 " HC62804398 COIL EMBOLIZATION AC "$3,640.00 " HC62806575 COIL EMBOLIZATION AG "$4,550.00 " HC62803804 COIL EMBOLIZATION FIBERED M "$1,537.00 " HC62803705 COIL EMBOLIZATION MICROCOIL C $298.00 HC62806617 COIL EMBOLIZATION(3D/SMART) AK "$5,850.00 " HC62210976 COIL FLOW MID-CAB SHUNTS $374.00 HC62209424 COIL MARKER FIDUCIAL $390.00 HC62802913 COIL NEUROVASC(HELIX/ULTRA HELICAL)AA "$4,550.00 " HC62807052 COIL NEUROVASC(TARGET 360 NANO) AM "$6,500.00 " HC62802921 COIL NEUROVASC(TARGET 360 SOFT/ULTRA)AK "$5,850.00 " HC62807078 COIL NEUROVASC(TARGET XL 360 SOFT)AJ "$8,450.00 " HC62807219 COIL NEUROVASCULAR AD "$4,225.00 " HC62802939 COIL NEUROVASCULAR AO "$7,150.00 " HC62807060 COIL NEUROVASCULAR AP "$7,800.00 " HC62802962 COIL NEUROVASCULAR AR "$9,100.00 " HC62807045 COIL NEUROVASCULAR(TARGET SOFT) AC "$5,200.00 " 99999-041-35 COLCHICINE 0.3 MG ORAL PARTIAL TAB $27.87 60687-358-25 COLCHICINE 0.6 MG ORAL CAP $40.80 60687-358-95 COLCHICINE 0.6 MG ORAL CAP $40.80 0254-2008-01 COLCHICINE 0.6 MG ORAL TAB $33.68 0254-2008-11 COLCHICINE 0.6 MG ORAL TAB $33.68 0378-1086-93 COLCHICINE 0.6 MG ORAL TAB $33.68 42292-054-01 COLCHICINE 0.6 MG ORAL TAB $55.75 42292-054-03 COLCHICINE 0.6 MG ORAL TAB $55.75 60687-389-11 COLCHICINE 0.6 MG ORAL TAB $55.75 60687-389-21 COLCHICINE 0.6 MG ORAL TAB $55.75 64764-119-01 COLCHICINE 0.6 MG ORAL TAB $43.15 64764-119-07 COLCHICINE 0.6 MG ORAL TAB $43.15 HC83000802 COLD AGGLUTININS TITER $151.00 43598-230-18 COLESEVELAM 625 MG ORAL TAB $5.50 51660-996-28 COLESEVELAM 625 MG ORAL TAB $5.50 60687-385-25 COLESEVELAM 625 MG ORAL TAB $19.97 60687-385-95 COLESEVELAM 625 MG ORAL TAB $19.97 65597-701-18 COLESEVELAM 625 MG ORAL TAB $22.32 68462-433-18 COLESEVELAM 625 MG ORAL TAB $6.65 0115-5211-16 COLESTIPOL 1 GRAM ORAL TAB $6.19 59762-0450-1 COLESTIPOL 1 GRAM ORAL TAB $6.31 0009-0260-01 COLESTIPOL 5 GRAM ORAL PACK $40.30 0115-5212-30 COLESTIPOL 5 GRAM ORAL PACK $12.02 59762-0260-1 COLESTIPOL 5 GRAM ORAL PACK $18.86 25021-159-10 COLISTIN (COLISTIMETHATE NA) 150 MG INJ SOLR $144.00 39822-0615-1 COLISTIN (COLISTIMETHATE NA) 150 MG INJ SOLR $168.00 39822-0615-2 COLISTIN (COLISTIMETHATE NA) 150 MG INJ SOLR $168.00 42023-107-01 COLISTIN (COLISTIMETHATE NA) 150 MG INJ SOLR $168.00 42023-107-06 COLISTIN (COLISTIMETHATE NA) 150 MG INJ SOLR $168.00 42023-131-01 COLISTIN (COLISTIMETHATE NA) 150 MG INJ SOLR $167.94 63323-393-06 COLISTIN (COLISTIMETHATE NA) 150 MG INJ SOLR $167.94 70594-023-01 COLISTIN (COLISTIMETHATE NA) 150 MG INJ SOLR $168.00 50484-010-30 COLLAGENASE CLOSTRIDIUM HISTO. 250 UNIT/GRAM TOPICAL OINT "$1,492.74 " HC62212345 COLLAR CERV 2 PIECE W-THORA EXTN $868.00 HC62212238 COLLAR CERV CALIF TRACH $34.00 HC62226519 COLLAR CERV OCC/MAND SUP MULTI POST $455.00 HC62212329 COLLAR CERV RIGID TRACHEA OPEN LG $52.00 HC62212220 COLLAR CERV SEMI-RIDG OCC/MAND SUP $35.00 HC62201926 COLLAR CERVICAL HARD $221.00 HC62210356 COLLAR CERVICAL MIAMI J D $130.00 HC62224381 COLLAR CERVICAL MIAMI J F $260.00 HC62212337 COLLAR CERVICAL MIAMI J PEDS E $195.00 HC62201934 COLLAR CERVICAL PHILADELPHIA $130.00 HC62201942 COLLAR CERVICAL SOFT $82.00 HC62225925 COLLAR GYN BRACHYTHERAPY $228.00 HC51004034 "COLLCTN SPUTM AEROSL TECH, SEP PROC" $292.00 HC38420022 COLLECT AUTO'BLOOD ADD'L UNIT "$1,336.00 " HC38420014 COLLECT AUTOLOGUS BLD INL' 2 HR "$2,434.00 " HC51061976 COLLECT INTERP PHYSIOLOGIC DATA PT TRANSMIT $25.00 HC11501020 COLLECTION SPECIMEN SARS-COV-2 $131.00 HC47201215 COLLECTION SPECIMEN SARS-COV-2 $131.00 HC51061232 COLLECTION SPECIMEN SARS-COV-2 $77.00 HC84600493 COLLOIDAL IRON STAIN/GRP II+ $412.00 8137003640 COLLOIDAL OATMEAL TOPICAL PACK $3.47 HC27001239 COLONOS' SCREEN HI RISK (Q48MO) "$4,303.00 " HC27002377 COLONOS' SCREEN NOT HI RISK (Q120MO) "$4,308.00 " HC27000181 COLONOSCOPY DIAGNOSTIC DC'D "$1,697.00 " HC27000173 COLONOSCOPY DX (INCL COLLECTION) "$5,157.00 " HC27001775 COLONOSCOPY FLEX W/LIGATION BAND "$4,918.00 " HC27001734 COLONOSCOPY FLEX ABLAT TUMR/POLYP/LESN GUIDEWIRE "$5,628.00 " HC27001767 COLONOSCOPY FLEX W/DECOMP&PLACE TUBE "$5,401.00 " HC27001866 COLONOSCOPY FLEX W/EUS "$5,180.00 " HC27001858 COLONOSCOPY FLEX W/EUS FNA/BX "$5,049.00 " HC27001742 COLONOSCOPY FLEX W/PLACE STENT "$5,994.00 " HC27001759 COLONOSCOPY FLEX W/RESECTN MUCOSL "$5,306.00 " HC27001619 COLONOSCOPY STOMA W/ABLAT LESN GUIDEWIRE "$5,132.00 " HC27000207 COLONOSCOPY STOMA W/BIOPSY "$4,905.00 " HC27000215 COLONOSCOPY STOMA W/BLEED CONT "$5,191.00 " HC27001684 COLONOSCOPY STOMA W/DECOMP&PLACE TUBE "$4,678.00 " HC27001650 COLONOSCOPY STOMA W/DILATN BALLOON "$4,830.00 " HC27001676 COLONOSCOPY STOMA W/EUS FNA/BX COLON "$4,912.00 " HC27001668 COLONOSCOPY STOMA W/EXAM US COLON "$4,816.00 " HC27000223 COLONOSCOPY STOMA W/FRN BDY(S)REMOV "$4,674.00 " HC27000231 COLONOSCOPY STOMA W/HOT BIOPSY "$4,897.00 " HC27001643 COLONOSCOPY STOMA W/INJ SUBMUCOSL "$4,626.00 " HC27001627 COLONOSCOPY STOMA W/PLCMNT STENT "$5,359.00 " HC27001635 COLONOSCOPY STOMA W/RESECT MUCOSL "$5,308.00 " HC27000249 COLONOSCOPY STOMA W/SNARE TECH "$5,037.00 " HC27000256 COLONOSCOPY THRU STOMA INCL COLLECTN "$4,637.00 " HC27000272 COLONOSCOPY W/BIOPSY "$5,272.00 " HC27000280 COLONOSCOPY W/BLEED CONTROL "$5,357.00 " HC27000298 COLONOSCOPY W/DILATION/BALLOON "$5,578.00 " HC27000306 COLONOSCOPY W/FB(S) REMOVAL "$5,346.00 " HC27000314 COLONOSCOPY W/HOT BIOPSY "$4,810.00 " HC27000322 COLONOSCOPY W/INJ SUBMUCOSAL "$4,958.00 " HC27000330 COLONOSCOPY W/SNARE TECH "$5,088.00 " HC51003242 COLPOSCOPY CERVIX&ADJACENT VAGINA $423.00 HC51003234 COLPOSCOPY VAG W/BX(S)VAGINA/CERVIX "$1,622.00 " HC51003226 COLPOSCOPY VAGINA W/CERVIX IF PRESENT $657.00 HC51003143 COLPOSCOPY VULVA $375.00 HC51003150 COLPOSCOPY VULVA W/BX(S) $531.00 HC51003283 COLPOSCPY CERV W/BX(S)LOOP ELECTRD "$3,260.00 " HC51003291 COLPOSCPY CERV W/CONIZ LOOP ELECTRD "$3,537.00 " HC51003267 COLPOSCPY CERV&ADJ VAG W/CERV BX(S) $671.00 HC51003259 COLPOSCPY CERV&ADJ VAG W/CERV BX(S)&ECC $747.00 HC51003275 COLPOSCPY CERV&ADJ VAG W/ECC $625.00 HC44700078 COMB RT & LT CATH FOR ANOMAL "$25,675.00 " HC44700102 COMB RT & LT THRU SEPT F/ANOM "$22,652.00 " HC44700128 COMB RT< THRU OPEN F/ANOMAL "$23,910.00 " HC83000166 COMBS DIRECT(EA) $202.00 HC83000281 COMBS INDIR TITER EA ANTISER $410.00 HC44700144 COMP EP EVAL W/ INDUC ARRHYTHM "$24,524.00 " HC44702835 COMP EP EVAL W/INDUC&ABLAT AFIB PVI "$60,238.00 " HC44702819 COMP EP EVAL W/INDUC&ABLAT TX SVT "$38,448.00 " HC44702827 COMP EP EVAL W/INDUC&ABLAT TX VT "$52,679.00 " HC44700151 COMP EP EVAL W/LT ATRIAL PACE+ "$12,394.00 " HC44700169 COMP EP EVAL W/LT VENT PACE+ "$10,637.00 " HC44700136 COMP EP EVAL W/O IND ARRHYTH "$19,047.00 " HC81100273 COMP METABOLIC PANEL $540.00 HC62209762 COMPARTM'L PRESS' MSRMT SUPPLY $352.00 HC21000765 COMPARTM'L PRESSURE MEASURM'NT "$1,508.00 " HC81700288 COMPLEMENT TOT HEMOLYTIC CH50 $322.00 HC89011035 COMPLEMENT TOTAL HEMOLYTIC-AU $15.00 HC89016158 COMPLEMENT TOTAL HEMOLYTIC-QD $16.00 574031216 COMPOUND VEH.SUSP SUGAR-FREE 1 ORAL SUSP $105.01 574030316 COMPOUND VEHICLE SUSP SF NO.20 ORAL SUSP $105.01 395009416 COMPOUNDING VEHICLE SF NO.9 ORAL LIQD $85.14 574030216 COMPOUNDING VEHICLE SF NO.9 ORAL LIQD $105.01 574030416 COMPOUNDING VEHICLE SYRUP NO23 ORAL SYRP $105.01 HC84200567 CONCENTRATION AFB/TB/MYCOBACTERIA $133.00 HC89021455 CONCENTRATION AGNT INF SPECIMEN -AU $35.00 HC89000251 CONCENTRATION INF AGTS(PNL)-FT $15.00 HC89019475 CONCENTRATION;MICROSPORIDIA-AU $12.00 HC62201959 CONCHA COLUMN STANDARD $218.00 66220-160-10 CONIVAPTAN IN 5 % DEXTROSE 20 MG/100 ML IV SOLN "$4,245.60 " HC51003341 CONIZATION CERVIX LOOP ELECTRD "$3,863.00 " 0046-1105-11 CONJ ESTROG-MEDROXYPROGEST ACE 0.3-1.5 MG ORAL TAB $43.46 0046-1106-11 CONJ ESTROG-MEDROXYPROGEST ACE 0.45-1.5 MG ORAL TAB $43.46 0046-1100-81 CONJUGATED ESTROGENS 0.3 MG ORAL TAB $35.42 0046-1100-91 CONJUGATED ESTROGENS 0.3 MG ORAL TAB $35.42 0046-1101-81 CONJUGATED ESTROGENS 0.45 MG ORAL TAB $35.42 0046-1102-81 CONJUGATED ESTROGENS 0.625 MG ORAL TAB $35.42 0046-0872-21 CONJUGATED ESTROGENS 0.625 MG/GRAM VAGINAL CREAM "$2,353.50 " 0046-1103-81 CONJUGATED ESTROGENS 0.9 MG ORAL TAB $35.42 0046-1104-81 CONJUGATED ESTROGENS 1.25 MG ORAL TAB $35.42 0046-0749-05 CONJUGATED ESTROGENS 25 MG INJ SOLR "$1,869.84 " HC62201967 CONNECTOR 5-1 $26.00 HC62223169 CONNECTOR ASSIST PUMP VENTRICULAR $894.00 HC62208558 CONNECTOR COBE $125.00 HC62219928 CONNECTOR LUERLOCK ICP $155.00 HC62201975 CONNECTOR SURGICAL $274.00 HC62201983 CONNECTOR Y/T $42.00 HC89020341 CONNEXIN 26 (GJB2) SEQUENCING-AU $520.00 HC82202276 CONSULT DURING SURG DIST SVC $344.00 HC82200361 CONSULT DURING SURGERY $344.00 HC82200692 CONSULT PATH SURGICAL GROSS $344.00 HC83505339 CONSULTATION PATH; REF SLIDE REV-BR $300.00 HC62209499 CONTACT LENS REMOVER $35.00 HC62227111 CONTROL DOSE C02 MANUAL PAT(AEROFORM) "$1,021.00 " HC25005133 "CONTROL NASAL HEMORRHAGE,ANTERIOR,COMPLEX ANY TX" $310.00 HC25005125 "CONTROL NASAL HEMORRHAGE,ANTERIOR,SIMPLE ANY TX" $310.00 HC25005141 "CONTROL NASAL HEMORRHAGE,POSTERIOR W/PACKS+/OR CAUTRY INT'L" $388.00 HC46502464 "CONVERT NEPH CATH -> NEPH'URET PERC(NEPH/URET'GRM,S&I)EXST BI" "$11,061.00 " HC51061034 "CONVERT NEPH CATH->NEPH'URET PERC(NEPH/URET'GRM,S&I)EXST BI" "$3,676.00 " HC46502472 "CONVERT NEPH CATH->NEPH'URET PERC(NEPH/URET'GRM,S&I)EXST LT" "$5,822.00 " HC51061042 "CONVERT NEPH CATH->NEPH'URET PERC(NEPH/URET'GRM,S&I)EXST LT" "$2,626.00 " HC46502480 "CONVERT NEPH CATH->NEPH'URET PERC(NEPH/URET'GRM,S&I)EXST RT" "$5,822.00 " HC51061059 "CONVERT NEPH CATH->NEPH'URET PERC(NEPH/URET'GRM,S&I)EXST RT" "$2,626.00 " HC44504389 "CONVRT CATH DRN BIL EXT->INT-EXT PERC(CHOLANG,S&I)" "$7,919.00 " 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67457-227-02 COSYNTROPIN 0.25 MG INJ SOLR $529.01 0548-5900-00 COSYNTROPIN 0.25 MG INJ SOLR (MCH) $639.48 HC29000635 COUNSEL ASSESS CA LUNG SCREEN LDCT $241.00 HC62227665 COUNTERSINK C $260.00 HC62225990 COUNTERSINK G $520.00 HC62226006 COUNTERSINK K $780.00 HC62226014 COUNTERSINK Q "$1,300.00 " HC62226022 COUNTERSINK R "$1,625.00 " HC62220728 COUNTERSINK CANNULATED E $325.00 HC62803523 COUNTERSINK CANNULATED F $455.00 HC62226774 COUNTERSINK CANNULATED G $585.00 HC62220736 COUNTERSINK CANNULATED L $845.00 HC62227178 COUNTERSINK CANNULATED M $910.00 HC62220744 COUNTERSINK CANNULATED O "$1,040.00 " HC62202015 COVER FOOT AV IMPULSE $504.00 HC62223474 COVER ORTHOTIC 'CTLS' UPRIGHT $139.00 HC62227756 COVER TIP ACCESSORY ROBOTIC $65.00 HC62226527 COVER/SLEEVE PROBE $358.00 HC89012397 COXSACKIE A AB (PNL)-AU $23.00 HC89012389 COXSACKIE A AB (PNL)-FT $22.00 HC89014286 COXSACKIE A AB-QD $17.00 HC89000525 COXSACKIE A AB-SL $28.00 HC89012405 COXSACKIE A9 AB-AU $23.00 HC89012421 COXSACKIE B AB 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EVAL LVL4- (45MIN) $486.00 HC28000131 CR NEW PT EVAL LVL5-(60MIN) $657.00 HC28000016 CR REHAB CARDIAC IP SESSION PHASE I $585.00 HC28000024 CR REHAB CARDIAC W/ ECG SESSION (II) $585.00 HC28000032 CR REHAB CARDIAC W/O ECG SESSION (II) $500.00 HC28000222 CR REHAB PAD PERIPHERAL PER SESSION $289.00 HC28000008 CR REHAB PHASE III MONTHLYNTH $82.00 HC81101248 C-REACTIVE PROTEIN $157.00 HC81101255 C-REACTIVE PROTEIN HI SENS $198.00 HC89018477 C-REACTIVE PROTEIN(PNL)-PR $8.00 HC89020184 C-REACTIVE PROTEIN(PNL2)-PR $22.40 HC81100547 CREATININE $159.00 HC81190043 CREATININE (POS) $155.00 HC81100562 CREATININE CLEARANCE $341.00 HC81100554 CREATININE OTHER $168.00 HC89018121 CREATININE OTHER SRC (PNL)-QD $98.00 HC89003735 CREATININE URINE (PNL)-AU $8.00 HC89018170 CREATININE URINE (PNL)-ES $52.00 HC89022925 "CREATININE, BODY FLUID-AU" $9.00 HC25000100 CRICOTHYROIDOSTOMY "$1,203.00 " HC25000068 CRITICAL CARE EA ADDL 30 MIN "$2,474.00 " 0078-0883-61 CRIZANLIZUMAB-TMCA 10 MG/ML IV SOLN "$14,142.84 " 0037-0678-08 CROMOLYN 100 MG/5 ML ORAL CONC $59.01 0037-0678-96 CROMOLYN 100 MG/5 ML ORAL CONC $59.01 16571-600-96 CROMOLYN 100 MG/5 ML ORAL CONC $32.04 42571-132-21 CROMOLYN 100 MG/5 ML ORAL CONC $24.99 42571-132-52 CROMOLYN 100 MG/5 ML ORAL CONC $24.99 51525-0470-9 CROMOLYN 100 MG/5 ML ORAL CONC $31.38 69784-200-96 CROMOLYN 100 MG/5 ML ORAL CONC $12.51 0172-6406-05 CROMOLYN 20 MG/2 ML INHALATION NEBU $32.63 0172-6406-49 CROMOLYN 20 MG/2 ML INHALATION NEBU $32.63 69784-205-30 CROMOLYN 20 MG/2 ML INHALATION NEBU $108.46 69784-205-60 CROMOLYN 20 MG/2 ML INHALATION NEBU $108.46 17478-291-11 CROMOLYN 4 % OPHT DROP $136.74 61314-237-10 CROMOLYN 4 % OPHT DROP $135.00 57782-397-26 CROMOLYN 5.2 MG/SPRAY (4 %) NASL SPRY $41.96 50633-110-12 CROTALIDAE POLYVAL IMMUNE FAB INJ SOLR "$19,188.00 " HC62202023 CRUTCHES $42.00 HC51003325 CRYOCAUTERY CERVIX $709.00 HC81701716 CRYOFIBRINOGEN $125.00 HC89007785 CRYOFIBRINOGEN-AU $9.00 HC81700072 CRYOGLOBULIN $150.00 HC89016869 "CRYOGLOBULIN IGA, QUANT-AU" $8.00 HC89016885 "CRYOGLOBULIN IGG, QUANT-AU" $8.00 HC89016877 "CRYOGLOBULIN IGM, QUANT-AU" $8.00 HC89007793 CRYOGLOBULIN(QUAL/SEMI QT)-AU $8.00 HC89016174 CRYOGLOBULIN(QUAL/SEMI QT)-QD $4.00 HC83001024 CRYOPRECIP 5 UNITS POOLED -SB $710.00 HC83001123 CRYOPRECIPITATE 4 UNITS POOLED-SB $621.00 HC83000075 CRYOPRECIPITATE EA UNIT $347.00 HC83001172 CRYOPRECIPITATE EA UNIT $347.00 HC83001016 CRYOPRECIPITATE EA UNIT -SB $347.00 HC83000844 CRYOPRECIPITATE POOLED 5 UNITS $691.00 HC84200583 CRYPTCOCCUS AB QNT BLOOD $230.00 HC89004972 CRYPTOCOCCUS AB (SERUM)-FT $76.00 HC89012249 CRYPTOCOCCUS AB-AU $75.00 HC89012256 CRYPTOCOCCUS AB-FT $76.00 HC89001499 CRYPTOCOCCUS AB-QD $18.00 HC84200344 CRYPTOCOCCUS AG EA CSF $259.00 HC89001481 CRYPTOCOCCUS AG-QD $18.00 HC84200419 CRYPTOCOCCUS NEOFORMANS AG $214.00 HC89014658 CRYPTOCOCCUS NEOFORMANS AG-AU $21.00 HC81700742 CRYPTOCUCCUS AG - SERUM $220.00 HC84201060 CRYPTOSPORIDIUM $167.00 HC89004345 CRYPTOSPORIDIUM ANTIGEN-AU $16.00 HC81500050 CRYSTALS FLUID $197.00 HC82202201 CRYSTALS FLUID $193.00 HC25001298 CS DIFF MD ADD'L 15 MIN $201.00 HC77400059 CS DIFF MD ADD'L 15 MIN $246.00 HC45200029 CSF FLOW W/ VENTRICULOGRAPHY "$4,250.00 " HC44901007 CT ABD & PELVIS W/O CONST LTD "$3,927.00 " HC44900991 CT ABD & PELVIS W/O&W CONTRAST "$8,674.00 " HC44900983 CT ABDOMEN & PELVIS W/CONTRAST "$7,716.00 " HC44900975 CT ABDOMEN & PELVIS W/O CONTRAST "$6,577.00 " HC44900009 CT ABDOMEN W&W/O CONTRAST "$5,989.00 " HC44900017 CT ABDOMEN W/ CONTRAST "$5,068.00 " HC44900025 CT ABDOMEN W/O CONTRAST "$4,421.00 " HC44900033 CT ABDOMEN W/O CONTRAST LTD "$3,031.00 " HC46500732 CT ASP&INJ BONE CYST-LT "$2,134.00 " HC46500740 CT ASP&INJ BONE CYST-RT "$2,134.00 " HC44900876 CT BODY SCAN ABD/CHEST/PEL/HRT "$1,259.00 " HC44900918 CT BODY SCAN HRT/LUNG/SC $728.00 HC44900850 CT BODY SCAN LTD ABD/CHEST $728.00 HC44900868 CT BODY SCAN LTD ABD/CHEST/PEL $994.00 HC44900843 CT BODY SCAN LTD ABD/PELVIS $728.00 HC44900892 CT BODY SCAN NK/CH/ABD/PEL "$1,325.00 " HC44900884 CT BODY SCAN NK/CH/ABD/PEL/HRT "$1,524.00 " HC44900066 CT BONE DENSITY STDY AXIAL SKL "$1,357.00 " HC44901098 CT BREAST 3D RENDER BILAT W/CONTRAST "$4,250.00 " HC44901080 CT BREAST 3D RENDER BILAT W/O CONTRAST "$4,000.00 " HC44901072 CT BREAST 3D RENDER UNILAT W&W/O CONTRAST "$3,250.00 " HC44901106 CT BREAST 3D RENDER UNILAT W&W/O CONTRAST "$4,555.00 " HC44901064 CT BREAST 3D RENDER UNILAT W/CONTRAST "$2,775.00 " HC44901056 CT BREAST 3D RENDER UNILAT W/O CONTRAST "$2,610.00 " HC44901031 CT CEREBRAL PERF ANALYSIS "$5,494.00 " HC44900074 CT CHEST DX HI RESOLUTION W/ CNTRST "$4,974.00 " HC44900082 CT CHEST DX HI RESOLUTION W/O CNTRST "$4,519.00 " HC44900108 CT CHEST DX W&W/O CONTRAST "$5,791.00 " HC44900116 CT CHEST DX W/ CONTRAST "$4,820.00 " HC44900124 CT CHEST DX W/O CONTRAST "$4,425.00 " HC44900090 CT CHEST/LUNG LOW DOSE SCREENING "$2,189.00 " HC44900926 CT COLONOGRAPHY DX VIRTUAL W/ CONTRAST "$3,942.00 " HC44900835 CT COLONOGRAPHY DX VIRTUAL W/O CONTRAST "$3,257.00 " HC44900827 CT COLONOGRAPHY SCREEN VIRTUAL W&WO CONTRAST "$1,689.00 " HC44900132 CT C-SPINE W&W/O CONTRAST "$7,279.00 " HC44900140 CT C-SPINE W/ CONTRAST "$6,705.00 " HC44900157 CT C-SPINE W/O CONTRAST "$6,252.00 " HC62209101 CT ELECTRODE SPRSLIM 2.0 CM EA "$4,449.00 " HC44900181 CT GUIDANCE ABLATION PARENCHYMAL TISSUE "$3,799.00 " HC47200852 CT GUIDANCE SRS LOCALIZATION "$8,140.00 " HC44900165 CT GUIDE NEEDLE PLACEMENT "$4,020.00 " HC44900173 CT GUIDE STEREOTACTIC LOC "$8,506.00 " HC44900207 CT HEAD W&W/O CONTRAST "$5,987.00 " HC44900215 CT HEAD W/CONTRAST "$5,537.00 " HC44900223 CT HEAD W/O CONTRAST "$5,146.00 " HC44900942 CT HEART CONGEN EVAL /3D IMAGE "$4,092.00 " HC44900934 CT HEART EVAL W/ 3D IMAGE "$3,378.00 " HC44900744 CT HEART W/CORO CALC W/O CON "$1,350.00 " HC44900231 CT LOW EXT W&W/O CONT BILAT "$8,678.00 " HC44900249 CT LOW EXT W&W/O CONTRAST LT "$5,113.00 " HC44900256 CT LOW EXT W&W/O CONTRAST RT "$5,113.00 " HC44900264 CT LOW EXT W/CONTRAST BILAT "$8,328.00 " HC44900272 CT LOW EXT 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"$5,089.00 " HC44900488 CT PELVIS W/O CONTRAST "$4,620.00 " HC44900496 CT PELVIS W/O CONTRAST LTD "$3,111.00 " HC44900900 CT PRIVATE CONSULT W/RAD $66.00 HC47200118 CT RAD THER PLANNING "$3,072.00 " HC44900504 CT T-SPINE W&W/O CONTRAST "$6,878.00 " HC44900512 CT T-SPINE W/ CONTRAST "$5,995.00 " HC44900520 CT T-SPINE W/O CONTRAST "$5,346.00 " HC44900538 CT UPPER EXT W&W/O CONT BILAT "$8,756.00 " HC44900546 CT UPPER EXT W&W/O CONTRAST LT "$5,321.00 " HC44900553 CT UPPER EXT W&W/O CONTRAST RT "$5,321.00 " HC44900561 CT UPPER EXT W/CONTRAST BILAT "$8,006.00 " HC44900579 CT UPPER EXT W/CONTRAST LT "$4,529.00 " HC44900587 CT UPPER EXT W/CONTRAST RT "$4,529.00 " HC44900595 CT UPPER EXT W/O CONTRAST BIL "$7,982.00 " HC44900603 CT UPPER EXT W/O CONTRAST LT "$4,171.00 " HC44900611 CT UPPER EXT W/O CONTRAST RT "$4,171.00 " HC44900629 CT WHOLE BODY SCREEN "$1,253.00 " HC44500700 CTA ABD AORTA/ILIOFEM RUNOFF "$8,235.00 " HC44900637 CTA ABDOMEN "$6,383.00 " HC44901023 CTA ABDOMEN+PELVIS "$9,650.00 " HC44900645 CTA CHEST "$6,171.00 " HC42000935 CTA CORO FFR ANLYSIS FLUID DYNAMICS&HYPEREMIA MAX SIM W/DATA MODEL "$4,000.00 " HC42000927 CTA CORONARY FFR DATA PREP&TRANSMIT $725.00 HC44900652 CTA HEAD "$6,427.00 " HC44900660 CTA LOW EXT BILAT "$10,972.00 " HC44900678 CTA LOW EXT LT "$5,802.00 " HC44900686 CTA LOW EXT RT "$5,802.00 " HC44900694 CTA NECK "$6,302.00 " HC44900702 CTA PELVIS "$6,232.00 " HC44900710 CTA UPPER EXT W/CONTRAST-BILAT "$11,405.00 " HC44900728 CTA UPPER EXT W/CONTRAST-LT "$6,002.00 " HC44900736 CTA UPPER EXT W/CONTRAST-RT "$6,002.00 " HC89020457 C-TELOPEPTIDE BETA-X-LINKED-AU $40.00 HC62220819 CUFF AORTIC ROOT EXPOSURE DEVICE $244.00 HC84201417 CULT DNA/RNA AMP PCR GRAM NEG ISO $389.00 HC84201425 CULT DNA/RNA AMP PCR GRAM POS ISO $389.00 HC84201441 CULT DNA/RNA AMP PCR RESISTANT GENE $389.00 HC84201433 CULT DNA/RNA AMP PCR YEAST ISO $389.00 HC84200401 CULT QT AEROBIC OTHER SOURCE $351.00 8541000101 "CULT SKIN SUBST, HUMAN-BOVINE 2 X 3 "" TOPICAL SHEE" "$9,540.00 " 9978000199 "CULT SKIN SUBST, HUMAN-BOVINE TOPICAL DISK" "$11,970.00 " HC89016620 CULTURE - CHLAMYDIA STAIN-AU $23.00 HC89005441 CULTURE - CHLAMYDIA STAIN-FT $30.00 HC84200708 CULTURE ACID FAST $395.00 HC89000186 CULTURE AFB DIR STAIN(PNL)-FT $13.00 HC89013130 CULTURE AFB OTHER(PNL)-FT $27.00 HC84200013 CULTURE ANAEROBIC $416.00 HC84200021 CULTURE BLOOD $486.00 HC84201375 CULTURE BLOOD TRANS REACT-MHL $486.00 HC89000970 CULTURE BORD PERTUSSIS(PNL)-U2 $35.00 HC89003909 CULTURE BORDETELLA-U2 $35.00 HC84201367 CULTURE CARBAPENEM RESIST ENTER $232.00 HC84200005 CULTURE CATH TIP $359.00 HC84200690 CULTURE CHLAMYDIA ANY SOURCE $391.00 HC89017792 CULTURE CHLAMYDIA(PNL)-AU $23.00 HC89013122 CULTURE CHLAMYDIA-AU $73.00 HC89005433 CULTURE CHLAMYDIA-FT $100.00 HC84201383 CULTURE CIPROFLOXACIN RESIST SCRN $232.00 HC89017784 CULTURE CMV VIR SHELL(PNL)-AU $33.00 HC89017776 CULTURE CMV(PNL)-AU $33.00 HC84201284 CULTURE CRE $232.00 HC84200120 CULTURE CSF $359.00 HC84200054 CULTURE DECUBITUS $359.00 HC84200302 CULTURE FUNGUS BLOOD $386.00 HC89016356 CULTURE FUNGUS BLOOD-QD $8.00 HC84200666 CULTURE FUNGUS HAIR/SKIN/NAIL $238.00 HC84200039 CULTURE FUNGUS OTHER SOURCE $366.00 HC84200237 CULTURE GC $232.00 HC84200500 CULTURE GROUP B STREPTOCOCCUS $232.00 HC89022479 CULTURE ID DEFIN/ADDL HSV(PNL)+-AU $13.00 HC89022503 CULTURE ID W/IMMUNOFLUOR' VZV(PNL)-AU $31.00 HC89013098 CULTURE LEGIONELLA-AU $39.00 HC84200195 CULTURE MRSA $232.00 HC84200211 CULTURE MRSA & VRE $232.00 HC84200716 CULTURE MYCOBACTERIAL ID $295.00 HC84200682 CULTURE MYCOPLASMA ANY SOURCE $309.00 HC89013114 CULTURE MYCOPLASMA-AU $39.00 HC89005425 CULTURE MYCOPLASMA-FT $99.00 HC84200229 CULTURE NASAL $359.00 HC84200658 CULTURE PERTUSSIS $232.00 HC89022495 CULTURE PRESUMP ID VARICELLA ZV(PNL)-AU $42.00 HC89022461 CULTURE PRESUMPTIVE ID HSV(PNL)-AU $16.00 HC89014633 CULTURE RAPID CYTOMEGALOVIRUS-AU $73.00 HC84200633 CULTURE RESPIRATORY $359.00 HC84200187 CULTURE SCREEN $359.00 HC84200591 CULTURE SPUTUM QUANT $351.00 HC84200146 CULTURE STOOL $374.00 HC84200385 CULTURE STOOL ADDL PATH $260.00 HC89016182 CULTURE STOOL ADDL PATH-QD $16.00 HC84200104 CULTURE THROAT $359.00 HC84201144 CULTURE THROAT-SCREENING $232.00 HC89016364 CULTURE TYPE AGGLUTIN EA-QD $12.00 HC84200310 CULTURE TYPE AGGLUTINATION EA $131.00 HC84200369 CULTURE URINE QUANTITATIVE $349.00 HC89014625 CULTURE VIRUS - AU $27.00 HC89022453 CULTURE VIRUS ID DEFIN/ADDL+-AU $45.00 HC89022438 CULTURE VIRUS NON-RESPIRATORY-AU $49.00 HC89022446 CULTURE VIRUS RESPIRATORY-AU $73.00 HC89015929 CULTURE VIRUS-QD $16.00 HC84200203 CULTURE VRE $232.00 HC84201029 CULTURE WHIRLPOOL $359.00 HC84200641 CULTURE WOUND $358.00 HC84200088 "CULTURE, BACTERIAL-OTHR SOURCE" $360.00 HC62220231 CUP UTERINE KOH $802.00 0409-4092-01 CUPRIC CHLORIDE 0.4 MG/ML IV SOLN $117.24 0409-4092-11 CUPRIC CHLORIDE 0.4 MG/ML IV SOLN $117.24 HC51003317 CURETTAGE ENDOCERVICAL (ECC) "$1,732.00 " HC62217252 CURETTE ADENOID $614.00 HC62202122 CURRETTE VACCUUM SUCTION $352.00 HC62202130 CURVED LIFT STRL $168.00 HC62225115 CUSHION WHEEL CHAIR $78.00 25767-735-45 CUSTODIOL HTK SOLUTION "$1,284.00 " 25767-735-49 CUSTODIOL HTK SOLUTION "$2,568.00 " HC62224399 CUTTER DISC SPINAL $585.00 HC62220546 CUTTER LAPAROSCOPIC S "$1,990.00 " HC62226220 CUTTER LEAD $163.00 HC62224100 CUTTER LINEAR ENDO G $325.00 HC62224118 CUTTER LINEAR ENDO M $780.00 HC62202874 CUTTER LINEAR ENDO O "$1,052.00 " HC62224126 CUTTER LINEAR ENDO P "$1,170.00 " HC62224407 CUTTER RPRSD $72.00 HC62227368 CUTTER SEALER BIPOLAR ULTRASONIC "$1,300.00 " HC62219241 CUTTER SUTURE INCL SURECUT Q "$1,300.00 " HC42000075 CV STRESS TEST PHARMACOLOGIC "$2,490.00 " HC42000067 CV STRESS TEST TREADMILL "$2,340.00 " HC89007801 CYANIDE-AU $54.00 1000670022 "CYANOCOBALAMIN (VITAMIN B-12) 1,000 MCG ORAL TAB" $1.00 1013565201 "CYANOCOBALAMIN (VITAMIN B-12) 1,000 MCG ORAL TAB" $1.00 5026885511 "CYANOCOBALAMIN (VITAMIN B-12) 1,000 MCG ORAL TAB" $1.25 5026885515 "CYANOCOBALAMIN (VITAMIN B-12) 1,000 MCG ORAL TAB" $1.25 7431201380 "CYANOCOBALAMIN (VITAMIN B-12) 1,000 MCG ORAL TAB" $1.00 7733393810 "CYANOCOBALAMIN (VITAMIN B-12) 1,000 MCG ORAL TAB" $1.27 7733393825 "CYANOCOBALAMIN (VITAMIN B-12) 1,000 MCG ORAL TAB" $1.27 0517-0031-25 "CYANOCOBALAMIN (VITAMIN B-12) 1,000 MCG/ML INJ SOLN" $41.94 63323-044-00 "CYANOCOBALAMIN (VITAMIN B-12) 1,000 MCG/ML INJ SOLN" $41.46 63323-044-01 "CYANOCOBALAMIN (VITAMIN B-12) 1,000 MCG/ML INJ SOLN" $41.46 69680-112-01 "CYANOCOBALAMIN (VITAMIN B-12) 1,000 MCG/ML INJ SOLN" $27.00 69680-112-25 "CYANOCOBALAMIN (VITAMIN B-12) 1,000 MCG/ML INJ SOLN" $19.32 70069-005-01 "CYANOCOBALAMIN (VITAMIN B-12) 1,000 MCG/ML INJ SOLN" $40.78 70069-005-10 "CYANOCOBALAMIN (VITAMIN B-12) 1,000 MCG/ML INJ SOLN" $21.36 5026885211 CYANOCOBALAMIN (VITAMIN B-12) 100 MCG ORAL TAB $1.00 5026885215 CYANOCOBALAMIN (VITAMIN B-12) 100 MCG ORAL TAB $1.00 8068107100 CYANOCOBALAMIN (VITAMIN B-12) 100 MCG ORAL TAB $1.00 7733393710 CYANOCOBALAMIN (VITAMIN B-12) 500 MCG ORAL TAB $1.00 7733393725 CYANOCOBALAMIN (VITAMIN B-12) 500 MCG ORAL TAB $1.00 HC89015085 CYCLIC CITRU PEPTIDE AB-AU $14.00 HC81701930 CYCLIC CITRULLINATED PEPTIDE $176.00 0378-0751-01 CYCLOBENZAPRINE 10 MG ORAL TAB $1.00 0378-0751-10 CYCLOBENZAPRINE 10 MG ORAL TAB $1.00 0591-5658-01 CYCLOBENZAPRINE 10 MG ORAL TAB $1.00 51079-644-01 CYCLOBENZAPRINE 10 MG ORAL TAB $1.00 51079-644-20 CYCLOBENZAPRINE 10 MG ORAL TAB $1.00 52817-332-00 CYCLOBENZAPRINE 10 MG ORAL TAB $1.00 63739-531-10 CYCLOBENZAPRINE 10 MG ORAL TAB $1.00 69097-846-07 CYCLOBENZAPRINE 10 MG ORAL TAB $1.00 50268-190-11 CYCLOBENZAPRINE 5 MG ORAL TAB $4.10 50268-190-15 CYCLOBENZAPRINE 5 MG ORAL TAB $4.10 68084-753-25 CYCLOBENZAPRINE 5 MG ORAL TAB $2.99 68084-753-95 CYCLOBENZAPRINE 5 MG ORAL TAB $2.99 0065-0396-02 CYCLOPENTOLATE 1 % OPHT DROP $159.66 17478-100-02 CYCLOPENTOLATE 1 % OPHT DROP $70.92 24208-735-01 CYCLOPENTOLATE 1 % OPHT DROP $72.60 61314-396-01 CYCLOPENTOLATE 1 % OPHT DROP $71.70 0065-0397-02 CYCLOPENTOLATE 2 % OPHT DROP $209.04 0065-0359-02 CYCLOPENTOLATE-PHENYLEPHRINE 0.2-1 % OPHT DROP $166.98 0065-0359-05 CYCLOPENTOLATE-PHENYLEPHRINE 0.2-1 % OPHT DROP $293.22 0781-3244-94 CYCLOPHOSPHAMIDE 1 GRAM IV SOLR "$3,955.50 " 10019-939-01 CYCLOPHOSPHAMIDE 1 GRAM IV SOLR "$3,415.32 " 10019-939-50 CYCLOPHOSPHAMIDE 1 GRAM IV SOLR "$3,415.32 " 10019-956-01 CYCLOPHOSPHAMIDE 1 GRAM IV SOLR "$4,395.00 " 10019-956-16 CYCLOPHOSPHAMIDE 1 GRAM IV SOLR "$4,395.00 " 99999-038-49 CYCLOPHOSPHAMIDE 10 MG/ML ORAL SOLUTION (COMPOUND) $43.95 0781-3255-94 CYCLOPHOSPHAMIDE 2 GRAM IV SOLR "$7,911.00 " 10019-957-01 CYCLOPHOSPHAMIDE 2 GRAM IV SOLR "$8,790.00 " 10019-957-11 CYCLOPHOSPHAMIDE 2 GRAM IV SOLR "$8,790.00 " 0054-0382-25 CYCLOPHOSPHAMIDE 25 MG ORAL CAP $44.93 54879-021-01 CYCLOPHOSPHAMIDE 25 MG ORAL CAP $30.00 0054-0383-25 CYCLOPHOSPHAMIDE 50 MG ORAL CAP $82.47 54879-022-01 CYCLOPHOSPHAMIDE 50 MG ORAL CAP $42.00 0781-3233-94 CYCLOPHOSPHAMIDE 500 MG IV SOLR "$1,977.78 " 10019-938-01 CYCLOPHOSPHAMIDE 500 MG IV SOLR "$1,710.84 " 10019-938-25 CYCLOPHOSPHAMIDE 500 MG IV SOLR "$1,710.84 " 10019-955-01 CYCLOPHOSPHAMIDE 500 MG IV SOLR "$2,197.50 " 10019-955-50 CYCLOPHOSPHAMIDE 500 MG IV SOLR "$2,197.50 " 0023-9163-30 CYCLOSPORINE 0.05 % OPHT DPET $58.56 0023-9163-60 CYCLOSPORINE 0.05 % OPHT DPET $58.56 0078-0241-15 CYCLOSPORINE 100 MG ORAL CAP $92.66 0078-0241-61 CYCLOSPORINE 100 MG ORAL CAP $92.76 60505-0134-0 CYCLOSPORINE 100 MG ORAL CAP $67.06 0078-0110-22 CYCLOSPORINE 100 MG/ML ORAL SOLN (MCH) "$4,499.10 " 0078-0240-15 CYCLOSPORINE 25 MG ORAL CAP $23.21 0078-0240-61 CYCLOSPORINE 25 MG ORAL CAP $23.40 60505-0133-0 CYCLOSPORINE 25 MG ORAL CAP $16.80 0078-0109-01 CYCLOSPORINE 250 MG/5 ML IV SOLN $361.14 0078-0109-61 CYCLOSPORINE 250 MG/5 ML IV SOLN $361.20 0574-0866-10 CYCLOSPORINE 250 MG/5 ML IV SOLN $234.63 0078-0248-15 CYCLOSPORINE MODIFIED 100 MG ORAL CAP $54.02 0078-0248-61 CYCLOSPORINE MODIFIED 100 MG ORAL CAP $54.12 0093-5742-19 CYCLOSPORINE MODIFIED 100 MG ORAL CAP $26.38 0093-5742-65 CYCLOSPORINE MODIFIED 100 MG ORAL CAP $26.38 60505-4632-3 CYCLOSPORINE MODIFIED 100 MG ORAL CAP $26.38 0078-0274-22 CYCLOSPORINE MODIFIED 100 MG/ML ORAL SOLN "$2,943.90 " 0172-7313-20 CYCLOSPORINE MODIFIED 100 MG/ML ORAL SOLN "$1,414.80 " 0074-3108-32 CYCLOSPORINE MODIFIED 25 MG ORAL CAP $10.51 0078-0246-15 CYCLOSPORINE MODIFIED 25 MG ORAL CAP $13.52 0078-0246-61 CYCLOSPORINE MODIFIED 25 MG ORAL CAP $13.62 0093-5740-19 CYCLOSPORINE MODIFIED 25 MG ORAL CAP $6.60 0093-5740-65 CYCLOSPORINE MODIFIED 25 MG ORAL CAP $6.60 HC89006472 CYCLOSPORINE-AU $22.00 HC89002034 CYCLOSPORINE-U2 $45.00 HC89017123 CYCLOSPORINE-U4 $75.00 99999-036-60 CYPROHEPTADINE 2 MG ORAL PARTIAL TAB (MCH) $1.00 39328-044-16 CYPROHEPTADINE 2 MG/5 ML ORAL SYRP $366.10 64980-504-48 CYPROHEPTADINE 2 MG/5 ML ORAL SYRP $320.69 66689-333-16 CYPROHEPTADINE 2 MG/5 ML ORAL SYRP $320.69 10135-638-01 CYPROHEPTADINE 4 MG ORAL TAB $1.62 24689-816-01 CYPROHEPTADINE 4 MG ORAL TAB $1.56 50742-190-01 CYPROHEPTADINE 4 MG ORAL TAB $1.00 51991-838-01 CYPROHEPTADINE 4 MG ORAL TAB $3.95 52817-210-10 CYPROHEPTADINE 4 MG ORAL TAB $1.56 70710-1110-1 CYPROHEPTADINE 4 MG ORAL TAB $2.66 HC89020507 "CYSTATIN C, SERUM-AU" $60.00 HC89021786 CYSTIC FIBROSIS 165 VARIANTS-AU $155.00 HC89021208 CYSTIC FIBROSIS RFLX TO SEQ-AU $868.00 HC89012538 CYSTICERCOSIS AB-AU $19.00 HC89012546 CYSTICERCOSIS AB-FT $109.00 HC89007199 CYSTINE QUANT URINE-AU $60.00 HC44000545 CYSTOGRAM "$1,494.00 " HC46500757 CYSTOGRAM COMPLEX "$2,082.00 " HC51000099 CYSTOGRAM COMPLEX $707.00 HC51002152 CYSTOGRAM SIMPLE $398.00 HC51002160 CYSTOGRAM W/ URETH PRFL STDY $881.00 HC51000107 CYSTOMETROGRAM W/VOID PRESSURE "$1,050.00 " HC51002178 CYSTOMETROGRAM W/VOID PRSSR& URTH PRFL "$1,182.00 " HC51002889 CYSTOSCOPY W/INSERT STENT URETER INDW "$2,962.00 " HC51002871 CYSTOSCOPY W/REM STNT/FB/CALC COMPLIC "$2,717.00 " HC51002863 CYSTOSCOPY W/REMV STENT/FB/CALC SIMPL "$2,408.00 " HC51002731 CYSTOSTOMY(I&D BLADDER)W/W-OUT DRAIN "$2,344.00 " HC51002830 CYSTOURETHROSCOPY W/BX(S) "$2,391.00 " HC51002822 CYSTOURETHROSCOPY W/CATH URETERAL "$2,282.00 " HC51002848 CYSTOURETHROSCOPY W/DIL BLADDER "$2,451.00 " HC51002855 CYSTOURETHROSCOPY W/DIL STRIC URETH "$2,418.00 " HC51002814 CYSTOURETHROSCOPY(SEPARATE PROC) "$2,080.00 " HC51002897 CYSTOURETHRSCPY W/TX URETER STRICT "$2,777.00 " HC51002905 CYSTOURETHRSCPY&/PYELOSCPY FLEX DX "$2,782.00 " HC51002913 CYSTOURETHRSCPY&/PYELOSCPY W/BX&/FULG "$3,863.00 " 61703-305-38 CYTARABINE (PF) 100 MG/5 ML (20 MG/ML) INJ SOLN $37.50 61703-305-58 CYTARABINE (PF) 100 MG/5 ML (20 MG/ML) INJ SOLN $37.50 67457-455-00 CYTARABINE (PF) 100 MG/5 ML (20 MG/ML) INJ SOLN $28.50 61703-319-22 CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) INJ SOLN $110.28 63323-120-20 CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) INJ SOLN $125.40 67457-452-20 CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) INJ SOLN $120.00 71288-109-20 CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) INJ SOLN $110.28 61703-303-46 CYTARABINE (PF) 20 MG/ML INJ SOLN $162.60 61703-304-36 CYTARABINE 20 MG/ML INJ SOLN $92.10 HC84600303 CYTO CONC TECHNIQUE DIST SRV $378.00 HC84600295 CYTO FLUID/BRUSH/WASH DIST SRV $271.00 HC84600212 CYTO PREP NON GYN S&I-DIST SVC $327.00 HC84600345 CYTO SEL CELL ENHANCE DIST SRV $601.00 HC84600204 CYTO SMEAR NON GYN S&I-DIS SVC $319.00 HC89019905 CYTOGENOMIC SNP MICROARRAY -AU $995.00 HC89020333 CYTOGENOMIC SNP MICROARRAY-FETAL-AU "$1,570.00 " HC84600535 CYTOLOGY CONC TECHNIQUE *OP $379.00 HC84600048 CYTOLOGY CONCENTRATE TECHNIQUE $379.00 HC84600170 CYTOLOGY EXTENDED STUDY>5SLIDE $316.00 HC84600022 CYTOLOGY FILTER ONLY $219.00 HC84600006 CYTOLOGY FLD/BRSH/WASH-DIST SV $271.00 HC84600014 CYTOLOGY FLUID/BRUSH/WASH $271.00 HC84600527 CYTOLOGY FLUID/BRUSH/WASH *OP $271.00 HC84600162 CYTOLOGY PREP NON GYN S&I $327.00 HC84600154 CYTOLOGY SMEAR NON GYN S&I $319.00 HC89013254 CYTOMEGALOVIRUS DNA QNT PCR-AU $55.00 HC89021562 CYTOMEGALOVIRUS DNA QUAL PCR-AU $98.00 HC84600543 CYTOPATH SELECT CELL ENHANC*OP $601.00 HC84600055 CYTOPATH SELECT CELL ENHANCE $600.00 HC84600188 CYTP DX EVAL FNA 1ST EVAL EA SITE $402.00 HC84600220 CYTP DX EVAL FNA EA ADDL SAME SITE $284.00 0264-7622-00 D10 %-0.45 % SODIUM CHLORIDE IV SOLP $36.00 0990-7941-03 D5 % AND 0.9 % SODIUM CHLORIDE IV SOLP $33.00 0990-7941-09 D5 % AND 0.9 % SODIUM CHLORIDE IV SOLP $30.00 0338-0085-03 D5 %-0.45 % SODIUM CHLORIDE IV SOLP $24.00 0338-0085-04 D5 %-0.45 % SODIUM CHLORIDE IV SOLP $30.00 0990-7926-02 D5 %-0.45 % SODIUM CHLORIDE IV SOLP $31.50 0990-7926-09 D5 %-0.45 % SODIUM CHLORIDE IV SOLP $30.00 0264-7510-20 D5W IV BOLUS $12.00 0338-0017-03 D5W IV BOLUS $21.00 0338-0017-38 D5W IV BOLUS $12.00 0597-0360-82 DABIGATRAN ETEXILATE 150 MG ORAL CAP $45.86 0597-0355-09 DABIGATRAN ETEXILATE 75 MG ORAL CAP $45.86 0597-0355-56 DABIGATRAN ETEXILATE 75 MG ORAL CAP $45.86 63323-127-10 DACARBAZINE 100 MG IV SOLR $56.70 0703-5075-01 DACARBAZINE 200 MG IV SOLR $98.46 0703-5075-03 DACARBAZINE 200 MG IV SOLR $98.49 61703-327-22 DACARBAZINE 200 MG IV SOLR $197.10 63323-128-20 DACARBAZINE 200 MG IV SOLR $72.00 HC44000552 DACRYOCYSTOGRAPHY $926.00 66993-489-83 DACTINOMYCIN 0.5 MG IV SOLN (MCH) "$9,109.32 " 39822-2100-1 DACTINOMYCIN 0.5 MG IV SOLR "$8,850.00 " 39822-2100-2 DACTINOMYCIN 0.5 MG IV SOLR "$8,850.00 " 55292-811-55 DACTINOMYCIN 0.5 MG IV SOLR "$12,265.50 " 67457-513-05 DACTINOMYCIN 0.5 MG IV SOLR "$8,748.42 " HC37000296 DAILY MNGMT BREAST MILK PROC/STORE/DIST $829.00 0069-0195-01 "DALTEPARIN (PORCINE) 2,500 ANTI-XA UNIT/0.2 ML SUBCUTANEOUS SYRG" $151.77 0069-0195-02 "DALTEPARIN (PORCINE) 2,500 ANTI-XA UNIT/0.2 ML SUBCUTANEOUS SYRG" $151.77 0069-0196-01 "DALTEPARIN (PORCINE) 5,000 ANTI-XA UNIT/0.2 ML SUBCUTANEOUS SYRG" $246.23 0069-0196-02 "DALTEPARIN (PORCINE) 5,000 ANTI-XA UNIT/0.2 ML SUBCUTANEOUS SYRG" $246.23 0069-0206-01 "DALTEPARIN (PORCINE) 7,500 ANTI-XA UNIT/0.3 ML SUBCUTANEOUS SYRG" $369.38 0555-0634-02 DANAZOL 100 MG ORAL CAP $22.85 0115-4433-01 DANTROLENE 100 MG ORAL CAP $9.85 0143-9297-01 DANTROLENE 20 MG IV SOLR $425.46 27505-003-67 DANTROLENE 20 MG IV SOLR $420.00 42023-123-06 DANTROLENE 20 MG IV SOLR $531.84 0115-4411-01 DANTROLENE 25 MG ORAL CAP $4.86 68084-300-11 DANTROLENE 25 MG ORAL CAP $9.77 68084-300-21 DANTROLENE 25 MG ORAL CAP $9.77 99999-036-38 DANTROLENE 5 MG/ML ORAL LIQUID $1.50 0115-4422-01 DANTROLENE 50 MG ORAL CAP $7.85 0310-6210-30 DAPAGLIFLOZIN 10 MG ORAL TAB $103.46 13925-505-30 DAPSONE 100 MG ORAL TAB $14.51 49938-101-30 DAPSONE 100 MG ORAL TAB $16.80 70954-136-20 DAPSONE 100 MG ORAL TAB $6.48 49938-102-30 DAPSONE 25 MG ORAL TAB $13.69 70954-135-10 DAPSONE 25 MG ORAL TAB $5.90 25021-179-15 DAPTOMYCIN 350 MG IV SOLR "$1,662.00 " 25021-179-16 DAPTOMYCIN 350 MG IV SOLR "$1,662.00 " 25021-179-66 DAPTOMYCIN 350 MG IV SOLR $321.42 70594-053-01 DAPTOMYCIN 350 MG IV SOLR $360.00 72572-100-01 DAPTOMYCIN 350 MG IV SOLR $294.00 63323-371-10 DAPTOMYCIN 500 MG IV SOLR "$2,672.88 " 63323-871-15 DAPTOMYCIN 500 MG IV SOLR "$2,672.88 " 67457-813-50 DAPTOMYCIN 500 MG IV SOLR $930.00 57894-502-05 DARATUMUMAB 20 MG/ML IV SOLN "$3,334.08 " 57894-502-20 DARATUMUMAB 20 MG/ML IV SOLN "$13,336.32 " 57894-503-01 "DARATUMUMAB-HYALURONIDASE-FIHJ 1,800 MG-30,000 UNIT/15 ML SUBCUTANEOUS SOLN" "$47,625.30 " 55513-002-01 DARBEPOETIN ALFA IN POLYSORBAT 25 MCG/ML INJ SOLN "$1,161.00 " 55513-111-01 DARBEPOETIN ALFA IN POLYSORBAT 300 MCG/0.6 ML INJ SYRG "$13,932.00 " 55513-021-01 DARBEPOETIN ALFA IN POLYSORBAT 40 MCG/0.4 ML INJ SYRG "$1,857.60 " 55513-021-04 DARBEPOETIN ALFA IN POLYSORBAT 40 MCG/0.4 ML INJ SYRG "$1,857.60 " 55513-023-01 DARBEPOETIN ALFA IN POLYSORBAT 60 MCG/0.3 ML INJ SYRG "$2,786.40 " 55513-023-04 DARBEPOETIN ALFA IN POLYSORBAT 60 MCG/0.3 ML INJ SYRG "$2,786.40 " 55513-004-04 DARBEPOETIN ALFA IN POLYSORBAT 60 MCG/ML INJ SOLN "$2,786.40 " 13668-202-30 DARIFENACIN 7.5 MG ORAL TB24 $19.66 59676-562-01 DARUNAVIR ETHANOLATE 600 MG ORAL TAB $176.57 59676-566-30 DARUNAVIR ETHANOLATE 800 MG ORAL TAB $353.15 HC89001366 DARVON-QD $60.00 0003-0852-22 DASATINIB 100 MG ORAL TAB "$2,901.60 " 0003-0527-11 DASATINIB 20 MG ORAL TAB $804.96 0003-0528-11 DASATINIB 50 MG ORAL TAB "$1,609.91 " 0003-0524-11 DASATINIB 70 MG ORAL TAB "$1,609.91 " 0143-9551-01 DAUNORUBICIN 5 MG/ML IV SOLN $804.84 0143-9551-10 DAUNORUBICIN 5 MG/ML IV SOLN $804.84 0703-5233-11 DAUNORUBICIN 5 MG/ML IV SOLN $804.86 0703-5233-13 DAUNORUBICIN 5 MG/ML IV SOLN $804.86 68727-745-01 DAUNORUBICIN-CYTARABINE LIPOS 44-100 MG IV SOLR "$50,811.84 " 68727-745-02 DAUNORUBICIN-CYTARABINE LIPOS 44-100 MG IV SOLR "$50,811.84 " HC21000344 DBRD SKIN MUSCL UP TO 20 SQCM "$3,119.00 " HC21000351 DBRD SKIN MUSL/BONE TO 20SQCM "$5,461.00 " HC21000708 DBRD SKIN&SUBQ EA ADD 20SQCM/< "$2,001.00 " HC21000716 DBRD SKN MUSCL EA ADD 20SQCM/< "$2,194.00 " HC21000724 DBRD SKN MUSL/BON EA ADD20CM/< "$4,573.00 " HC41500059 DBS CORTICAL MAP EA ADDL' HRS "$1,042.00 " HC41500067 DBS CORTICAL MAP INITIAL HR "$1,880.00 " HC81500100 D-DIMER QT ULTRA-SENS OR STD $372.00 HC81500126 D-DIMER QUAL OR SEMI-QT $292.00 HC81500514 D-DIMER ULTRA SENSITIVE $325.00 HC81701948 DEAMIDATED GLIADIN PEP IGA $249.00 HC81701955 DEAMIDATED GLIADIN PEP IGG $249.00 HC21000609 DEBRID OPN WOUND EA ADD 20CM/< $850.00 HC25001355 DEBRID OPN WOUND EA ADD 20CM/< $604.00 HC21000211 DEBRID SKIN EXT EA ADDL 10%BSA $807.00 HC21000336 DEBRID SKIN&SUBQ UP TO 20 SQCM "$2,616.00 " HC21000245 DEBRID/REMVL OPEN FX &BONE "$4,500.00 " HC21000237 DEBRID/REMVL OPEN FX MUSCLE "$2,345.00 " HC21000229 DEBRID/REMVL OPEN FX SKIN/SBQ "$2,331.00 " HC25002858 DEBRIDE ECZEM/INFCT SKIN UP TO 10% BSA "$1,146.00 " HC51010783 DEBRIDE MASTOIDECT CAVITY COMPLEX $919.00 HC21000252 DEBRIDE OF NAILS: 1-5 $461.00 HC21000260 DEBRIDE OF NAILS: 6 OR > $536.00 HC21000591 DEBRIDE OPN WND 1ST 20SQCM OR< "$1,352.00 " HC25001348 DEBRIDE OPN WND 1ST 20SQCM OR< $864.00 HC21000286 DEBRIDE P-THICK BURN 5-10% BSA "$1,343.00 " HC21000294 DEBRIDE P-THICK BURN LG>10%BSA "$1,510.00 " HC21000278 DEBRIDE P-THICK BURN SM<5%BSA "$1,043.00 " HC21000302 DEBRIDE SKIN EXT UP TO 10% BSA "$1,801.00 " HC25002890 DEBRIDE SKIN MUSCLE; FIRST 20SQCM OR LESS "$1,053.00 " HC25002908 DEBRIDE SKIN MUSL/BONE; FIRST 20SQCM OR LESS "$2,663.00 " HC25002882 DEBRIDE SKIN SUBQ; FIRST 20SQCM OR LESS "$1,023.00 " HC25002866 DEBRIDE/REMOVL OPEN FX SKIN/SBQ "$1,632.00 " HC25002874 DEBRIDE/REMOVL OPEN FX&/DISLOC SQ T/M/BONE "$3,175.00 " HC82202268 DECALCIFICATION DIST SVC $136.00 HC82200346 DECALCIFICATION+ $136.00 HC82202599 DECALCIFICATION+ *OP $136.00 16729-224-05 DECITABINE 50 MG IV SOLR "$2,370.00 " 25021-231-20 DECITABINE 50 MG IV SOLR "$7,260.00 " 55111-556-10 DECITABINE 50 MG IV SOLR "$5,700.00 " 62856-600-01 DECITABINE 50 MG IV SOLR "$10,266.00 " 69097-285-37 DECITABINE 50 MG IV SOLR "$3,900.00 " 72205-031-01 DECITABINE 50 MG IV SOLR "$2,250.00 " HC44503464 DECLOT IVAD BY THROMBOLYTIC LT "$1,908.00 " HC44503472 DECLOT IVAD BY THROMBOLYTIC RT "$1,908.00 " HC51000479 DECLOT IVAD W/THROMBOLYTC(TECH/HOSP) $389.00 HC25005851 DECLOT IVAD W/THROMBOLYTIC $611.00 HC51000057 DECLOT IVAD W/THROMBOLYTIC $389.00 HC46500765 DECLOTTING IVAD W/THROMBOLYTIC "$1,953.00 " HC44503449 DECLOTTING VASC ACCES/CATH LT "$1,869.00 " HC44503456 DECLOTTING VASC ACCES/CATH RT "$1,869.00 " HC62209309 DECOMPRESSION SYSTEM-IO-FLEX "$8,125.00 " 0078-0468-15 DEFERASIROX 125 MG ORAL TBDP $253.37 0078-0347-61 DEFEROXAMINE 2 GRAM INJ SOLR $756.18 0409-2337-25 DEFEROXAMINE 2 GRAM INJ SOLR $189.48 63323-599-30 DEFEROXAMINE 2 GRAM INJ SOLR $247.20 0078-0467-61 DEFEROXAMINE 500 MG INJ SOLR $204.30 0078-0467-91 DEFEROXAMINE 500 MG INJ SOLR $204.24 0409-2336-01 DEFEROXAMINE 500 MG INJ SOLR $56.46 0409-2336-10 DEFEROXAMINE 500 MG INJ SOLR $56.46 63323-597-10 DEFEROXAMINE 500 MG INJ SOLR $77.70 99999-033-46 DEFIBROTIDE 200 MG/2.5 ML IV SOLN (INVESTIGATIONAL) "$1,200.00 " 68727-800-01 DEFIBROTIDE 80 MG/ML IV SOLN "$6,490.80 " 68727-800-02 DEFIBROTIDE 80 MG/ML IV SOLN "$6,490.80 " HC62202148 DEFOGGER(FRED) $26.00 55566-8403-1 DEGARELIX 120 MG SUBCUTANEOUS SOLR "$4,572.54 " HC47201009 DELIV TX ELCTRN INTRAOP SNGL SESS "$4,713.00 " HC47200993 DELIV TX XRAY INTRAOP SNGL SESSION "$4,681.00 " HC25006198 DELIVERY OF PLACENTA "$2,500.00 " HC26000034 DELIVERY OF PLACENTA "$4,233.00 " HC26000042 DELIVERY VAGINAL "$7,321.00 " HC26000059 DELIVERY VAGINAL TWINS "$12,643.00 " HC89007249 DELTA OD 450-U2 $16.00 42806-143-01 DEMECLOCYCLINE 150 MG ORAL TAB $75.98 62584-159-01 DEMECLOCYCLINE 150 MG ORAL TAB $37.83 62584-159-11 DEMECLOCYCLINE 150 MG ORAL TAB $37.83 65162-554-10 DEMECLOCYCLINE 150 MG ORAL TAB $37.99 HC36000172 DEMO&/OR EVAL OF INH TX $571.00 HC51000198 DEMO&/OR EVAL OF INH TX $143.00 HC89012991 DENGUE FEVER AB-AU $19.03 HC89012983 DENGUE FEVER AB-FT $94.00 HC89015887 DENGUE FEVER AB-QD $18.00 HC89000558 DENGUE FEVER AB-SL $73.00 55513-730-01 DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLN "$14,113.50 " 55513-710-01 DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRG "$7,672.74 " HC89021919 DEOXYCORTICOSTERONE (DOC)-ES $155.00 HC89022610 DEOXYCORTICOSTERONE (DOC)-QN $215.00 HC89007850 DEOXYCORTISOL 11-AU $34.00 HC89007876 DEOXYCORTISOL 11-ES $170.00 HC89007652 DEOXYPYRIDINOLIN CROSSLINKS-AU $42.00 HC62202155 DERMABOND E $195.00 HC62220538 DERMABOND F $260.00 HC62224415 DERMABOND H $390.00 HC62202163 DERMACARRIER $91.00 HC11200177 DESENSITIZATION RAPID EA HR "$1,027.00 " HC51010734 DESENSITIZATION RAPID EA HR $390.00 45963-341-02 DESIPRAMINE 10 MG ORAL TAB $5.60 23155-579-01 DESIPRAMINE 25 MG ORAL TAB $6.35 45963-342-02 DESIPRAMINE 25 MG ORAL TAB $6.73 50742-113-01 DESIPRAMINE 25 MG ORAL TAB $1.00 45963-343-02 DESIPRAMINE 50 MG ORAL TAB $12.66 HC89002000 DESIPRAMINE; 1-2-AU $17.00 0591-2464-01 DESMOPRESSIN 0.1 MG ORAL TAB $22.84 10702-169-01 DESMOPRESSIN 0.1 MG ORAL TAB $2.67 16714-883-01 DESMOPRESSIN 0.1 MG ORAL TAB $7.23 50268-220-11 DESMOPRESSIN 0.1 MG ORAL TAB $11.50 50268-220-15 DESMOPRESSIN 0.1 MG ORAL TAB $11.50 68084-606-11 DESMOPRESSIN 0.1 MG ORAL TAB $11.39 68084-606-21 DESMOPRESSIN 0.1 MG ORAL TAB $11.39 68462-275-01 DESMOPRESSIN 0.1 MG ORAL TAB $4.40 69918-101-01 DESMOPRESSIN 0.1 MG ORAL TAB $6.29 99999-044-44 DESMOPRESSIN 0.5 MCG/ML INJ DILUTION $44.09 47335-788-91 DESMOPRESSIN 10 MCG/SPRAY (0.1 ML) NASL SPRP "$1,182.00 " 60505-0815-0 DESMOPRESSIN 10 MCG/SPRAY (0.1 ML) NASL SPRP $738.78 68382-384-01 DESMOPRESSIN 10 MCG/SPRAY (0.1 ML) NASL SPRP "$1,077.18 " 24208-342-05 DESMOPRESSIN 10 MCG/SPRAY (0.1 ML) NASL SPRY "$1,182.06 " 0703-5051-01 DESMOPRESSIN 4 MCG/ML INJ SOLN $357.12 0703-5051-03 DESMOPRESSIN 4 MCG/ML INJ SOLN $357.12 0703-5054-01 DESMOPRESSIN 4 MCG/ML INJ SOLN "$3,571.20 " 55566-2200-0 DESMOPRESSIN 4 MCG/ML INJ SOLN $486.84 55566-5030-1 DESMOPRESSIN 4 MCG/ML INJ SOLN $352.76 62756-529-40 DESMOPRESSIN 4 MCG/ML INJ SOLN "$3,565.20 " 69918-899-01 DESMOPRESSIN 4 MCG/ML INJ SOLN $352.76 69918-899-10 DESMOPRESSIN 4 MCG/ML INJ SOLN $352.76 69918-901-10 DESMOPRESSIN 4 MCG/ML INJ SOLN "$3,571.20 " 0168-0310-02 DESONIDE 0.05 % TOPICAL LOTN "$1,421.31 " HC46500773 DEST CUTANEOUS VASCULAR LESION "$1,165.00 " HC44503704 DEST SUPERIOR HYPOGASTR PLEXUS "$3,690.00 " HC23001142 DESTR C/T FAC JOINT +LVL W/IMG-B "$7,679.00 " HC23001241 DESTR C/T FAC JOINT +LVL W/IMG-L "$4,043.00 " HC23001258 DESTR C/T FAC JOINT +LVL W/IMG-R "$4,043.00 " HC23001225 DESTR C/T FAC JOINT SINGL W/IMG-L "$5,205.00 " HC23001134 DESTR C/T FAC JOINT SNGL W/IMG-B "$9,893.00 " HC23001233 DESTR C/T FAC JOINT SNGL W/IMG-R "$5,205.00 " HC23001167 DESTR L/S FAC JOINT ADDL W/IMG-B "$8,666.00 " HC23001282 DESTR L/S FAC JOINT ADDL W/IMG-L "$4,558.00 " HC23001290 DESTR L/S FAC JOINT ADDL W/IMG-R "$4,558.00 " HC23001266 DESTR L/S FAC JOINT SINGL W/IMG-L "$5,601.00 " HC23001159 DESTR L/S FAC JOINT SNGL W/IMG-B "$9,397.00 " HC23001274 DESTR L/S FAC JOINT SNGL W/IMG-R "$5,601.00 " HC23001951 DESTR NERVE GENICULAR W/NEUROLYT AGNT W/IMAGE "$3,429.00 " HC23001969 DESTR NERVE GENICULAR W/NEUROLYT AGNT W/IMAGE BI "$5,142.00 " HC23001977 DESTR NERVE GENICULAR W/NEUROLYT AGNT W/IMAGE LT "$3,429.00 " HC23001985 DESTR NERVE GENICULAR W/NEUROLYT AGNT W/IMAGE RT "$3,429.00 " HC51002996 DESTROY LESION(S) PENILE SIMPLE/CHEM $408.00 HC51003176 DESTROY LESION(S) VAGINAL EXTENSIVE "$3,537.00 " HC51003168 DESTROY LESION(S) VAGINAL SIMPLE "$2,826.00 " HC51003119 DESTROY LESION(S) VULVA EXTENSIVE "$3,863.00 " HC51003101 DESTROY LESION(S) VULVA SIMPLE "$2,777.00 " HC51060614 DESTROY MUSCLE(S) 1-4 1ST EXTREMITY "$1,181.00 " HC51060622 DESTROY MUSCLE(S) 1-4 EA ADD EXTREM $900.00 HC51060630 DESTROY MUSCLE(S) 5/+ 1ST EXTREMITY "$1,181.00 " HC51060648 DESTROY MUSCLE(S) 5/+ EA ADD EXTREM $900.00 HC51010056 DESTROY MUSCLE(S) FACIAL NERVE BI $998.00 HC51010064 DESTROY MUSCLE(S) FACIAL NERVE LT $625.00 HC51010072 DESTROY MUSCLE(S) FACIAL NERVE RT $625.00 HC51060580 DESTROY MUSCLE(S) LARYNX BI "$1,500.00 " HC51060598 DESTROY MUSCLE(S) LARYNX LT "$1,000.00 " HC51060606 DESTROY MUSCLE(S) LARYNX RT "$1,000.00 " HC51060556 DESTROY MUSCLE(S) NECK NO LARYNX BI "$1,305.00 " HC51060564 DESTROY MUSCLE(S) NECK NO LARYNX LT $686.00 HC51060572 DESTROY MUSCLE(S) NECK NO LARYNX RT $686.00 HC51060655 DESTROY MUSCLE(S) TRUNK 1-5 "$1,181.00 " HC51060663 DESTROY MUSCLE(S) TRUNK RT 6/+ $900.00 HC23000292 DESTRUCT CELIAC PLEXUS "$4,394.00 " HC23000300 DESTRUCT INTERCOSTAL NERVE "$3,928.00 " HC51010148 DESTRUCT OTHER PERIPH NERV/BRNCH BI "$1,865.00 " HC51010155 DESTRUCT OTHER PERIPH NERV/BRNCH LT $955.00 HC51010163 DESTRUCT OTHER PERIPH NERV/BRNCH RT $955.00 HC23000250 DESTRUCT OTHER PERIPH SNGL BI "$8,036.00 " HC23000268 DESTRUCT OTHER PERIPH SNGL LT "$4,017.00 " HC23000276 DESTRUCT OTHER PERIPH SNGL RT "$4,017.00 " HC21000369 DESTRUCT PREMALG LESION 1ST $450.00 HC21000377 DESTRUCT PREMALG LESIONS 2-14 $205.00 0054-0603-13 DESVENLAFAXINE SUCCINATE 25 MG ORAL TB24 $5.85 59762-1210-3 DESVENLAFAXINE SUCCINATE 25 MG ORAL TB24 $8.96 0008-1211-01 DESVENLAFAXINE SUCCINATE 50 MG ORAL TB24 $82.56 0008-1211-14 DESVENLAFAXINE SUCCINATE 50 MG ORAL TB24 $82.56 0008-1211-30 DESVENLAFAXINE SUCCINATE 50 MG ORAL TB24 $82.57 0054-0400-13 DESVENLAFAXINE SUCCINATE 50 MG ORAL TB24 $6.37 0054-0400-22 DESVENLAFAXINE SUCCINATE 50 MG ORAL TB24 $6.37 0591-3659-30 DESVENLAFAXINE SUCCINATE 50 MG ORAL TB24 $5.85 51991-311-90 DESVENLAFAXINE SUCCINATE 50 MG ORAL TB24 $4.53 HC62202171 DETECTOR CO2 (RESP) $469.00 HC62805619 DEVICE ABLAT COOL-TIP NONVASC F "$4,225.00 " HC62805627 DEVICE ABLAT COOL-TIP NONVASC H "$4,875.00 " HC62805635 DEVICE ABLAT COOL-TIP NONVASC I "$5,200.00 " HC62805643 DEVICE ABLAT COOL-TIP NONVASC AG "$6,500.00 " HC62805650 DEVICE ABLAT COOL-TIP NONVASC AN "$11,050.00 " HC62209176 DEVICE ABLATION GYN KIT "$3,704.00 " HC62200506 DEVICE BIOPSY $385.00 HC62220009 DEVICE BIOPSY BREAST M $780.00 HC62222310 DEVICE BIOPSY BREAST Q "$1,300.00 " HC62202189 DEVICE BLADDER MONITOR $307.00 HC62209697 DEVICE CAPSULE ENDOSCP DELIVER $488.00 HC62217310 DEVICE CHECK NEURO SURG SPINAL "$3,176.00 " HC62202197 DEVICE CIRCULATORY ENHANCER $335.00 HC62806542 DEVICE CLOS VASC(ANGIOSEAL/MYNX/PROGLIDE)L $650.00 HC62800560 DEVICE CLOSURE FASCIA $406.00 HC62808365 DEVICE CLOSURE LAA (WATCHMAN) "$55,250.00 " HC62210695 DEVICE CLOSURE NEUROVASCULAR "$6,338.00 " HC62228598 DEVICE CLOSURE SKIN(ZIPLINE) $358.00 HC62224936 DEVICE CLOSURE VASCULAR A $33.00 HC62222781 DEVICE CLOSURE VASCULAR J $520.00 HC62222799 DEVICE CLOSURE VASCULAR L $650.00 HC62800578 DEVICE CLOSURE VASCULAR Q "$1,300.00 " HC62803333 DEVICE CLOSURE VASCULAR PLUG U "$2,600.00 " HC62228804 DEVICE CLOSURE VASCULAR           M $800.00 HC62210661 DEVICE CLOT SEPARATOR NEURO AD "$9,100.00 " HC62202239 DEVICE COMPRESSION FEMORAL C $98.00 HC62202221 DEVICE COMPRESSION FEMORAL D $130.00 HC62211610 DEVICE COMPRESSION RADIAL $73.00 HC62807276 DEVICE CONTRACEPTION IUD PARAGARD $742.00 HC62223128 DEVICE COUPLER ANASTAMOSIS $880.00 HC62219258 DEVICE DELIVERY SUTURE INCL LARIAT "$16,088.00 " HC62210364 DEVICE ELECTROSURG ABLAT ENDOVASC "$8,125.00 " HC62210786 DEVICE ELECTROSURGICAL CUT-CAUTERY H $400.00 HC62223003 DEVICE ELECTROSURGICAL CUT-CAUTERY N $966.00 HC62210653 DEVICE EMBOLIC PROTECT NEURO "$6,484.00 " HC62805270 DEVICE EMBOLIZATION NEURO(PIPELINE) "$43,225.00 " HC62226931 DEVICE EMULSION SUBMUCOSAL INJ AMPOULE $264.00 HC62202205 DEVICE ERCP LOCKING $95.00 HC62228572 DEVICE EXCHANGE "$2,113.00 " HC62208921 DEVICE EXCHANGE CATH/WIRE $224.00 HC62202213 DEVICE EXPRESS CORE BX $246.00 HC62224282 DEVICE FIXATION SOFT TISSUE "$1,658.00 " HC62217385 DEVICE FIXATION TACKER(LAP) "$2,176.00 " HC62802988 DEVICE FLOW DIVERSION PIPELINE "$45,175.00 " HC62209705 DEVICE HEMOSTATIC CLIPPING $598.00 HC62202247 DEVICE HOLD OCCL LEVERAGE $228.00 HC62223177 DEVICE ILLUMINATION MAST "$1,661.00 " HC62220751 DEVICE INDEFLATOR $160.00 HC62222807 DEVICE INFLAT ENCORE B $117.00 HC62202254 DEVICE INFLAT ENCORE D $234.00 HC62208699 DEVICE INFLATE SINUS BALLOON $242.00 HC62219068 DEVICE INFLATION (CALIBER/PRESTO) $82.00 HC62227004 DEVICE INFLATN ACCESS ABD "$2,150.00 " HC62202262 DEVICE KYPHOPLASTY BONE FILLER $460.00 HC62225065 DEVICE LIGATOR B $325.00 HC62220520 DEVICE LIGATOR E $520.00 HC62219266 DEVICE LIGATOR G $650.00 HC62217419 DEVICE LIGATOR K "$1,170.00 " HC62217427 DEVICE LIGATOR M "$1,430.00 " HC62803192 DEVICE MECH' OCCLUDE(COIL/PLUG) "$7,947.00 " HC62808217 DEVICE NEUROVASC PULSERIDER H160002 "$40,625.00 " HC62214416 DEVICE PASSING NEEDLE ARTHR $455.00 HC62223185 DEVICE PEP OSCILLATING $146.00 HC62214044 DEVICE PRESS BONE (HENSLER) "$1,268.00 " HC62808167 DEVICE REPAIR SUTURE MENISCAL "$1,463.00 " HC62225446 DEVICE RESECTION MUCOSAL ENDO(EMR) "$1,057.00 " HC62205976 DEVICE RETRIEVAL C "$1,950.00 " HC62222088 DEVICE RETRIEVAL D "$2,275.00 " HC62218631 DEVICE RETRIEVAL F "$2,925.00 " HC62219274 DEVICE RETRIEVAL H "$3,575.00 " HC62218623 DEVICE RETRIEVAL I "$3,900.00 " HC62210679 DEVICE RETRIEVAL NEURO FB F "$9,750.00 " HC62209325 DEVICE RETRIEVAL SPIDER NET E $260.00 HC62219050 DEVICE RETRIEVAL VASC A "$1,300.00 " HC62228440 DEVICE REVASC/THROMBCT(EMBOTRAP) "$19,500.00 " HC62806716 DEVICE REVSC/THROMBCT(CAPTUR/SOLITAIR/TREVO)E "$24,830.00 " HC62209812 DEVICE STABIL'ZN IAB STATLOCK $57.00 HC62228697 DEVICE SUTURE CAPIO "$1,920.00 " HC62214655 DEVICE SUTURE ENDO C $130.00 HC62216064 DEVICE SUTURE ENDO E $390.00 HC62216072 DEVICE SUTURE ENDO F $520.00 HC62216098 DEVICE SUTURE ENDO H $780.00 HC62220033 DEVICE SUTURE ENDO I "$1,040.00 " HC62223359 DEVICE SUTURE ENDO R "$3,962.00 " HC62215405 DEVICE SUTURE ENDOSCOPIC K "$1,300.00 " HC62224571 DEVICE SUTURE ENDOSCOPIC O "$2,730.00 " HC62216056 DEVICE SUTURING ENDOSCOPIC D $260.00 HC62216080 DEVICE SUTURING ENDOSCOPIC G $650.00 HC62225800 DEVICE SUTURING ENDOSCPC OVERSTITCH O "$3,120.00 " HC62211834 DEVICE THROMBECT MECH NEURO D "$23,563.00 " HC62800586 DEVICE THROMBECTOMY/EMBOLECTOMY X "$3,575.00 " HC62227293 DEVICE TIF (ESOPHYX) "$9,019.00 " HC62220645 DEVICE TORQUE B $65.00 HC62207212 DEVICE TORQUE D $130.00 HC62215413 DEVICE TROCHANTER GALILEO $293.00 HC43500057 DEXA BONE DENS&VERTBRL FX ASSESS "$1,359.00 " HC43500008 DEXA BONE DENS-APPEND SKELETAL $831.00 HC43500016 DEXA BONE DENS-AXIAL SKELETAL "$1,115.00 " HC43500040 DEXA BONE DENS-AXIAL/APPEND COMB "$1,210.00 " HC43500024 DEXA BONE DENS-BODY $ "$1,106.00 " HC43500032 DEXA VERTEBRAL FX ASSESSMENT $842.00 0998-0615-05 DEXAMETHASONE 0.1 % OPHT DRPS $452.46 99999-005-33 DEXAMETHASONE 0.1 MG/ML INJ DILUTION (MCH) $1.00 0054-4179-25 DEXAMETHASONE 0.5 MG ORAL TAB $1.00 0054-8179-25 DEXAMETHASONE 0.5 MG ORAL TAB $1.00 0054-3177-57 DEXAMETHASONE 0.5 MG/5 ML ORAL SOLN $305.28 0054-3177-63 DEXAMETHASONE 0.5 MG/5 ML ORAL SOLN $500.00 99999-005-34 DEXAMETHASONE 0.5 MG/ML INJ DILUTION (MCH) $1.00 99999-000-15 DEXAMETHASONE 0.5 MG/ML NICU INJECTION $1.00 0054-4180-25 DEXAMETHASONE 0.75 MG ORAL TAB $1.24 0054-8180-25 DEXAMETHASONE 0.75 MG ORAL TAB $1.33 0054-4181-25 DEXAMETHASONE 1 MG ORAL TAB $1.49 0054-8174-25 DEXAMETHASONE 1 MG ORAL TAB $1.85 99999-005-35 DEXAMETHASONE 1 MG/ML INJ DILUTION (MCH) $1.56 0054-3176-44 DEXAMETHASONE 1 MG/ML ORAL DROP $143.10 0054-4182-25 DEXAMETHASONE 1.5 MG ORAL TAB $2.39 0054-8181-25 DEXAMETHASONE 1.5 MG ORAL TAB $2.74 0054-4183-25 DEXAMETHASONE 2 MG ORAL TAB $2.98 0054-8176-25 DEXAMETHASONE 2 MG ORAL TAB $3.71 0054-4184-25 DEXAMETHASONE 4 MG ORAL TAB $5.95 0054-8175-25 DEXAMETHASONE 4 MG ORAL TAB $6.02 48102-047-11 DEXAMETHASONE 4 MG ORAL TAB $6.02 48102-047-20 DEXAMETHASONE 4 MG ORAL TAB $6.02 55150-237-01 DEXAMETHASONE 4 MG/ML INJ SOLN (FOR ORAL USE) $4.68 63323-165-01 DEXAMETHASONE 4 MG/ML INJ SOLN (FOR ORAL USE) $15.78 63323-165-03 DEXAMETHASONE 4 MG/ML INJ SOLN (FOR ORAL USE) $37.86 63323-165-05 DEXAMETHASONE 4 MG/ML INJ SOLN (FOR ORAL USE) $37.86 99999-034-65 DEXAMETHASONE INTRAVITREAL INJECTION $1.00 63323-506-01 DEXAMETHASONE SODIUM PHOS (PF) 10 MG/ML INJ SOLN $37.56 70069-021-01 DEXAMETHASONE SODIUM PHOS (PF) 10 MG/ML INJ SOLN $31.44 70069-021-25 DEXAMETHASONE SODIUM PHOS (PF) 10 MG/ML INJ SOLN $31.44 76045-109-10 DEXAMETHASONE SODIUM PHOS (PF) 10 MG/ML INJ SYRG $34.68 24208-720-02 DEXAMETHASONE SODIUM PHOSPHATE 0.1 % OPHT DROP $323.40 0641-0367-21 DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJ SOLN $7.80 0641-0367-25 DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJ SOLN $7.80 72572-122-01 DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJ SOLN $7.44 72572-122-25 DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJ SOLN $7.44 0641-6145-01 DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJ SOLN $5.28 0641-6145-25 DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJ SOLN $5.28 0641-6146-01 DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJ SOLN $5.00 0641-6146-25 DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJ SOLN $5.00 55150-238-05 DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJ SOLN $6.24 63323-165-02 DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJ SOLN $15.78 63323-165-30 DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJ SOLN $203.76 67457-418-00 DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJ SOLN $11.70 67457-418-05 DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJ SOLN $11.70 67457-422-00 DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJ SOLN $11.70 67457-422-54 DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJ SOLN $11.70 67457-423-00 DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJ SOLN $4.66 67457-423-12 DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJ SOLN $4.66 72572-120-01 DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJ SOLN $5.40 72572-120-25 DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJ SOLN $5.40 76045-106-10 DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJ SYRG $9.42 42023-146-25 DEXMEDETOMIDINE 100 MCG/ML INJ SOLN (FOR INTRANASAL USE) $88.80 70860-605-41 DEXMEDETOMIDINE 100 MCG/ML INJ SOLN (FOR INTRANASAL USE) $32.52 0143-9532-01 DEXMEDETOMIDINE 100 MCG/ML IV SOLN $78.00 0143-9532-25 DEXMEDETOMIDINE 100 MCG/ML IV SOLN $78.00 0409-1638-02 DEXMEDETOMIDINE 100 MCG/ML IV SOLN $252.00 16729-239-30 DEXMEDETOMIDINE 100 MCG/ML IV SOLN $43.20 16729-239-93 DEXMEDETOMIDINE 100 MCG/ML IV SOLN $43.20 55150-209-02 DEXMEDETOMIDINE 100 MCG/ML IV SOLN $96.00 66794-230-02 DEXMEDETOMIDINE 100 MCG/ML IV SOLN $42.90 66794-230-42 DEXMEDETOMIDINE 100 MCG/ML IV SOLN $42.90 67457-251-00 DEXMEDETOMIDINE 100 MCG/ML IV SOLN $101.04 67457-251-02 DEXMEDETOMIDINE 100 MCG/ML IV SOLN $101.04 70860-605-03 DEXMEDETOMIDINE 100 MCG/ML IV SOLN $32.52 0338-9555-24 DEXMEDETOMIDINE IN 0.9 % NACL 200 MCG/50 ML (4 MCG/ML) IV SOLN $258.00 0409-1660-50 DEXMEDETOMIDINE IN 0.9 % NACL 200 MCG/50 ML (4 MCG/ML) IV SOLN $277.20 0409-1660-55 DEXMEDETOMIDINE IN 0.9 % NACL 200 MCG/50 ML (4 MCG/ML) IV SOLN $277.20 99999-043-96 DEXMEDETOMIDINE IN 0.9 % NACL 200 MCG/50 ML (4 MCG/ML) IV SOLN $52.80 0409-1660-10 DEXMEDETOMIDINE IN 0.9 % NACL 400 MCG/100 ML (4 MCG/ML) IV SOLN $504.00 99999-043-97 DEXMEDETOMIDINE IN 0.9 % NACL 400 MCG/100 ML (4 MCG/ML) IV SOLN $97.80 0409-1660-20 DEXMEDETOMIDINE IN 0.9 % NACL 80 MCG/20 ML (4 MCG/ML) IV SOLN $157.56 0409-1660-22 DEXMEDETOMIDINE IN 0.9 % NACL 80 MCG/20 ML (4 MCG/ML) IV SOLN $157.56 63323-671-02 DEXMEDETOMIDINE IN 0.9 % NACL 80 MCG/20 ML (4 MCG/ML) IV SOLN $156.00 63323-671-20 DEXMEDETOMIDINE IN 0.9 % NACL 80 MCG/20 ML (4 MCG/ML) IV SOLN $156.00 44567-602-24 DEXMEDETOMIDINE IN DEXTROSE 5% 200 MCG/50 ML (4 MCG/ML) IV SOLN $216.30 47781-578-07 DEXRAZOXANE HCL 500 MG IV SOLR "$2,394.00 " 72611-716-01 DEXRAZOXANE HCL 500 MG IV SOLR "$2,394.00 " 0409-7419-03 DEXTRAN 40 10 % IN 0.9 % NACL 10 % IV SOLP $165.00 0409-7418-03 DEXTRAN 40 10 % IN 5% DEXTROSE 10 % IV SOLP $159.00 0409-7418-13 DEXTRAN 40 10 % IN 5% DEXTROSE 10 % IV SOLP $159.00 0555-0952-02 DEXTROAMPHETAMINE 5 MG ORAL TAB $9.00 0115-1487-01 DEXTROAMPHETAMINE-AMPHETAMINE 10 MG ORAL CP24 $8.34 54092-383-01 DEXTROAMPHETAMINE-AMPHETAMINE 10 MG ORAL CP24 $42.74 0555-0972-02 DEXTROAMPHETAMINE-AMPHETAMINE 10 MG ORAL TAB $5.20 13107-070-01 DEXTROAMPHETAMINE-AMPHETAMINE 10 MG ORAL TAB $2.24 16714-804-01 DEXTROAMPHETAMINE-AMPHETAMINE 10 MG ORAL TAB $4.16 64720-132-10 DEXTROAMPHETAMINE-AMPHETAMINE 10 MG ORAL TAB $6.91 54092-387-01 DEXTROAMPHETAMINE-AMPHETAMINE 20 MG ORAL CP24 $42.74 0555-0973-02 DEXTROAMPHETAMINE-AMPHETAMINE 20 MG ORAL TAB $5.20 54092-391-01 DEXTROAMPHETAMINE-AMPHETAMINE 30 MG ORAL CP24 $42.74 0555-0790-02 DEXTROAMPHETAMINE-AMPHETAMINE 5 MG ORAL CP24 $29.43 0555-0971-02 DEXTROAMPHETAMINE-AMPHETAMINE 5 MG ORAL TAB $5.20 13107-068-01 DEXTROAMPHETAMINE-AMPHETAMINE 5 MG ORAL TAB $2.24 16714-948-01 DEXTROAMPHETAMINE-AMPHETAMINE 5 MG ORAL TAB $3.98 64720-130-10 DEXTROAMPHETAMINE-AMPHETAMINE 5 MG ORAL TAB $6.91 45802-433-21 DEXTROMETHORPHAN POLISTIREX 30 MG/5 ML ORAL SU12 $36.85 63824-175-63 DEXTROMETHORPHAN POLISTIREX 30 MG/5 ML ORAL SU12 $49.66 1093932933 DEXTROMETHORPHAN-GUAIFENESIN 10-100 MG/5 ML ORAL LIQD $12.74 1093948233 DEXTROMETHORPHAN-GUAIFENESIN 10-100 MG/5 ML ORAL LIQD $24.07 0904-6759-20 DEXTROMETHORPHAN-GUAIFENESIN 10-100 MG/5 ML ORAL LIQD $9.91 49348-861-34 DEXTROMETHORPHAN-GUAIFENESIN 10-100 MG/5 ML ORAL LIQD $12.74 49348-861-37 DEXTROMETHORPHAN-GUAIFENESIN 10-100 MG/5 ML ORAL LIQD $24.07 61787-062-04 DEXTROMETHORPHAN-GUAIFENESIN 10-100 MG/5 ML ORAL LIQD $25.49 99999-034-98 DEXTROMETHORPHAN-GUAIFENESIN 10-100 MG/5 ML ORAL LIQD $2.04 99999-035-02 DEXTROMETHORPHAN-GUAIFENESIN 10-100 MG/5 ML ORAL LIQD $1.08 1093932233 DEXTROMETHORPHAN-GUAIFENESIN 10-100 MG/5 ML ORAL SYRP $19.12 1093933233 DEXTROMETHORPHAN-GUAIFENESIN 10-100 MG/5 ML ORAL SYRP $16.99 0121-0638-05 DEXTROMETHORPHAN-GUAIFENESIN 10-100 MG/5 ML ORAL SYRP $12.48 0121-1276-00 DEXTROMETHORPHAN-GUAIFENESIN 10-100 MG/5 ML ORAL SYRP $13.86 0121-1276-10 DEXTROMETHORPHAN-GUAIFENESIN 10-100 MG/5 ML ORAL SYRP $13.86 49348-017-39 DEXTROMETHORPHAN-GUAIFENESIN 10-100 MG/5 ML ORAL SYRP $19.12 54838-209-40 DEXTROMETHORPHAN-GUAIFENESIN 10-100 MG/5 ML ORAL SYRP $25.49 54838-209-80 DEXTROMETHORPHAN-GUAIFENESIN 10-100 MG/5 ML ORAL SYRP $102.17 58657-505-08 DEXTROMETHORPHAN-GUAIFENESIN 10-100 MG/5 ML ORAL SYRP $17.06 99999-044-84 DEXTROMETHORPHAN-GUAIFENESIN 10-100 MG/5 ML ORAL SYRP $2.16 6382405640 DEXTROMETHORPHAN-GUAIFENESIN 30-600 MG ORAL TB12 $2.83 0536-1161-34 DEXTROMETHORPHAN-GUAIFENESIN 30-600 MG ORAL TB12 $3.16 0536-1161-37 DEXTROMETHORPHAN-GUAIFENESIN 30-600 MG ORAL TB12 $3.04 63824-056-32 DEXTROMETHORPHAN-GUAIFENESIN 30-600 MG ORAL TB12 $3.15 63824-056-34 DEXTROMETHORPHAN-GUAIFENESIN 30-600 MG ORAL TB12 $2.83 64597-301-60 DEXTROMETHORPHAN-QUINIDINE 20-10 MG ORAL CAP $125.04 0264-7520-20 DEXTROSE 10 % IN WATER (D10W) 10 % IV SOLP $13.50 0338-0023-02 DEXTROSE 10 % IN WATER (D10W) 10 % IV SOLP $28.50 0409-7930-09 DEXTROSE 10 % IN WATER (D10W) 10 % IV SOLP $30.00 0990-7930-02 DEXTROSE 10 % IN WATER (D10W) 10 % IV SOLP $31.50 0990-7930-09 DEXTROSE 10 % IN WATER (D10W) 10 % IV SOLP $30.00 99999-039-91 DEXTROSE 10% + AMINO ACIDS 3% + HEPARIN (FOR NICU BRIDGE) $28.50 99999-002-03 DEXTROSE 10% BOLUS $4.50 0990-7930-03 DEXTROSE 10% IN WATER (D10W) IV SOLN (MCH) $33.00 0409-1775-10 DEXTROSE 25% IN WATER (D25W) IV SYRG (MCH) $54.90 0409-8004-15 DEXTROSE 30 % IN WATER (D30W) IV SOLP $72.00 0409-7937-19 DEXTROSE 40 % IN WATER (D40W) 40 % IV SOLP $72.00 574006915 DEXTROSE 40 % ORAL GEL $18.90 574006930 DEXTROSE 40 % ORAL GEL $18.90 574007030 DEXTROSE 40 % ORAL GEL $18.90 99999-041-10 DEXTROSE 40 % ORAL GEL $1.00 0338-0551-18 DEXTROSE 5 % IN WATER (D5W) 5 % IV PGBK $30.00 0409-7100-02 DEXTROSE 5 % IN WATER (D5W) 5 % IV PGBK $19.50 0409-7100-66 DEXTROSE 5 % IN WATER (D5W) 5 % IV PGBK $14.10 0338-0017-02 DEXTROSE 5 % IN WATER (D5W) IV SOLP $21.00 0338-0017-31 DEXTROSE 5 % IN WATER (D5W) IV SOLP $12.00 0990-7922-02 DEXTROSE 5 % IN WATER (D5W) IV SOLP $31.50 0990-7922-03 DEXTROSE 5 % IN WATER (D5W) IV SOLP $33.00 0990-7922-09 DEXTROSE 5 % IN WATER (D5W) IV SOLP $30.00 0990-7922-25 DEXTROSE 5 % IN WATER (D5W) IV SOLP $31.50 0990-7922-61 DEXTROSE 5 % IN WATER (D5W) IV SOLP $31.50 0990-7923-13 DEXTROSE 5 % IN WATER (D5W) IV SOLP $13.50 0990-7923-23 DEXTROSE 5 % IN WATER (D5W) IV SOLP $13.20 0990-7923-37 DEXTROSE 5 % IN WATER (D5W) IV SOLP $12.60 63323-624-05 DEXTROSE 5 % IN WATER (D5W) IV SOLP $12.30 63323-624-50 DEXTROSE 5 % IN WATER (D5W) IV SOLP $12.30 63323-624-61 DEXTROSE 5 % IN WATER (D5W) IV SOLP $13.20 63323-624-74 DEXTROSE 5 % IN WATER (D5W) IV SOLP $18.00 0338-0125-04 DEXTROSE 5 %-LACTATED RINGERS IV SOLP $30.00 0990-7929-09 DEXTROSE 5 %-LACTATED RINGERS IV SOLP $30.00 0338-0077-04 DEXTROSE 5%-0.2 % SOD CHLORIDE IV SOLP $30.00 0990-7924-03 DEXTROSE 5%-0.2 % SOD CHLORIDE IV SOLP $33.00 0990-7924-09 DEXTROSE 5%-0.2 % SOD CHLORIDE IV SOLP $30.00 0409-6648-02 DEXTROSE 50 % IN WATER (D50W) IV SOLP $18.60 0409-6648-16 DEXTROSE 50 % IN WATER (D50W) IV SOLP $18.60 0409-7936-19 DEXTROSE 50 % IN WATER (D50W) IV SOLP $75.00 0409-4902-34 DEXTROSE 50 % IN WATER (D50W) IV SYRG $53.70 0409-4902-64 DEXTROSE 50 % IN WATER (D50W) IV SYRG $53.70 0409-7517-16 DEXTROSE 50 % IN WATER (D50W) IV SYRG $52.50 0409-7517-66 DEXTROSE 50 % IN WATER (D50W) IV SYRG $52.50 76329-3301-1 DEXTROSE 50 % IN WATER (D50W) IV SYRG $79.50 0338-0719-06 DEXTROSE 70 % IN WATER (D70W) IV SOLP $96.00 0990-7120-07 DEXTROSE 70 % IN WATER (D70W) IV SOLP $108.00 HC89022487 DFA W/REFLEX CULT VARICELLA ZV-AU $77.00 HC81101685 DHEA SULFATE $289.00 HC89007835 DHEA SULFATE-AU $8.00 HC89007843 DHEA SULFATE-ES $50.00 HC89000384 DHEA SULFATE-QD $12.00 HC89023022 DHEA SULFATE-QN $24.00 HC89007827 DHEA-AU $22.00 HC89013619 DHEA-ES $79.00 HC89000376 DHEA-QD $13.00 HC89022602 DHEA-QN $71.54 HC14500094 DIABETIC SELF MGMT TRN GRP 30M $202.00 HC14500102 DIABETIC SELF MGMT TRNG EA 30M $297.00 HC73000242 DIALYSIS CAPD CANCEL-MED NEC "$1,554.00 " HC73000002 DIALYSIS CAPD W/SNGL EVAL(IP) "$3,229.00 " HC73000259 DIALYSIS CCPD CANCEL-MED NEC "$1,603.00 " HC73000044 DIALYSIS CCPD W/SNGL EVAL(IP) "$3,368.00 " HC73000234 DIALYSIS CRRT CANCEL-MED NEC "$2,234.00 " HC73000085 DIALYSIS CRRT W/SNGL EVAL(IP) "$4,559.00 " HC73000267 DIALYSIS CVVH (CONT VENOVENOUS) QD "$4,690.00 " HC73000275 DIALYSIS URGENT ESRD(OP)CANCEL "$1,854.00 " HC73000184 DIALYSIS URGENT/NON-ROUTINE ESRD (OP) "$4,543.00 " 0270-0523-30 DIATRIZOATE AND IODIPAMIDE MEG 52.7-26.8 % INJ SOLN $322.74 0019-4816-04 DIATRIZOATE MEG-DIATRIZOAT SOD 66-10 % ORAL SOLN $99.00 0019-4816-05 DIATRIZOATE MEG-DIATRIZOAT SOD 66-10 % ORAL SOLN $189.36 0270-0445-35 DIATRIZOATE MEG-DIATRIZOAT SOD 66-10 % ORAL SOLN $138.42 0270-0445-40 DIATRIZOATE MEG-DIATRIZOAT SOD 66-10 % ORAL SOLN $398.88 99999-008-99 DIATRIZOATE MEG-DIATRIZOAT SOD 66-10 % ORAL SOLN $59.85 0270-0149-57 DIATRIZOATE MEGLUMINE 30 % URETHRAL SOLN $331.20 0270-0149-60 DIATRIZOATE MEGLUMINE 30 % URETHRAL SOLN $184.80 99999-000-17 DIAZEPAM 0.5 MG/ML (NICU) INJECTION $74.97 51079-286-01 DIAZEPAM 10 MG ORAL TAB $1.00 51079-286-20 DIAZEPAM 10 MG ORAL TAB $1.00 68682-655-20 DIAZEPAM 12.5-15-17.5-20 MG RECTAL KIT "$1,820.28 " 99999-000-16 DIAZEPAM 2 MG / 10 ML SYRINGE $10.23 0172-3925-60 DIAZEPAM 2 MG ORAL TAB $1.00 0378-0271-01 DIAZEPAM 2 MG ORAL TAB $1.00 51079-284-01 DIAZEPAM 2 MG ORAL TAB $1.00 51079-284-20 DIAZEPAM 2 MG ORAL TAB $1.00 66490-650-20 DIAZEPAM 2.5 MG RECTAL KIT $869.64 68682-650-20 DIAZEPAM 2.5 MG RECTAL KIT "$1,534.50 " 0140-0005-01 DIAZEPAM 5 MG ORAL TAB $31.73 0172-3926-60 DIAZEPAM 5 MG ORAL TAB $1.00 51079-285-01 DIAZEPAM 5 MG ORAL TAB $1.00 51079-285-20 DIAZEPAM 5 MG ORAL TAB $1.00 99999-009-08 DIAZEPAM 5 MG/5 ML (1 MG/ML) ORAL SOLN $6.96 68094-750-59 "DIAZEPAM 5 MG/5 ML (1 MG/ML, 5 ML) ORAL SOLN" $22.98 0409-3213-12 DIAZEPAM 5 MG/ML INJ SOLN $239.46 99999-040-65 DIAZEPAM 5 MG/ML INJ SOLN $40.00 0409-1273-03 DIAZEPAM 5 MG/ML INJ SYRG $164.10 0409-1273-32 DIAZEPAM 5 MG/ML INJ SYRG $164.10 69339-136-02 DIAZEPAM 5 MG/ML INJ SYRG $147.68 69339-136-32 DIAZEPAM 5 MG/ML INJ SYRG $147.68 69374-965-02 DIAZEPAM 5 MG/ML INJ SYRG $99.00 72572-140-01 DIAZEPAM 5 MG/ML INJ SYRG $111.84 72572-140-02 DIAZEPAM 5 MG/ML INJ SYRG $111.84 0187-0658-20 DIAZEPAM 5-7.5-10 MG RECTAL KIT "$1,011.39 " 68682-652-20 DIAZEPAM 5-7.5-10 MG RECTAL KIT $910.14 HC89006399 DIAZEPAM; 1-12-AU $30.00 0575-6200-30 DIAZOXIDE 50 MG/ML ORAL SUSP "$2,066.40 " 13517-100-30 DIAZOXIDE 50 MG/ML ORAL SUSP "$1,857.78 " 99999-037-97 DIAZOXIDE 50 MG/ML ORAL SUSP $227.59 0536-1211-95 DIBUCAINE 1 % TOPICAL OINT $29.40 45802-050-03 DIBUCAINE 1 % TOPICAL OINT $30.07 54162-011-01 DIBUCAINE 1 % TOPICAL OINT $37.13 HC89007892 DIBUCAINE NO +PSEUDOCHOLIN-AU $12.00 59762-0707-1 DICLOFENAC EPOLAMINE 1.3 % TRANSDERMAL PT12 $44.75 59762-0707-2 DICLOFENAC EPOLAMINE 1.3 % TRANSDERMAL PT12 $44.75 0067-8152-02 DICLOFENAC SODIUM 1 % TOPICAL GEL $48.00 16714-976-01 DICLOFENAC SODIUM 1 % TOPICAL GEL $253.80 63481-684-47 DICLOFENAC SODIUM 1 % TOPICAL GEL $324.00 65162-833-66 DICLOFENAC SODIUM 1 % TOPICAL GEL $263.40 69097-524-44 DICLOFENAC SODIUM 1 % TOPICAL GEL $263.40 76282-663-39 DICLOFENAC SODIUM 1 % TOPICAL GEL $21.00 0781-1785-01 DICLOFENAC SODIUM 25 MG ORAL TBEC $6.40 16571-203-10 DICLOFENAC SODIUM 25 MG ORAL TBEC $6.38 0228-2550-11 DICLOFENAC SODIUM 50 MG ORAL TBEC $1.90 16571-202-10 DICLOFENAC SODIUM 50 MG ORAL TBEC $1.47 16571-201-06 DICLOFENAC SODIUM 75 MG ORAL TBEC $1.70 0093-3123-01 DICLOXACILLIN 250 MG ORAL CAP $3.76 0781-2248-01 DICLOXACILLIN 250 MG ORAL CAP $1.80 0093-3125-01 DICLOXACILLIN 500 MG ORAL CAP $7.52 0378-1610-01 DICYCLOMINE 10 MG ORAL CAP $1.00 0527-0586-01 DICYCLOMINE 10 MG ORAL CAP $1.00 0591-0794-01 DICYCLOMINE 10 MG ORAL CAP $1.00 0591-0794-10 DICYCLOMINE 10 MG ORAL CAP $1.00 51079-118-01 DICYCLOMINE 10 MG ORAL CAP $2.99 51079-118-20 DICYCLOMINE 10 MG ORAL CAP $2.99 60687-369-01 DICYCLOMINE 10 MG ORAL CAP $3.29 60687-369-11 DICYCLOMINE 10 MG ORAL CAP $3.29 0603-1161-58 DICYCLOMINE 10 MG/5 ML ORAL SOLN $681.12 17478-015-02 DICYCLOMINE 10 MG/ML IM SOLN $234.00 58914-080-52 DICYCLOMINE 10 MG/ML IM SOLN $504.35 0378-1620-01 DICYCLOMINE 20 MG ORAL TAB $1.00 0527-1282-01 DICYCLOMINE 20 MG ORAL TAB $1.67 0904-6988-61 DICYCLOMINE 20 MG ORAL TAB $3.35 60687-380-01 DICYCLOMINE 20 MG ORAL TAB $2.72 60687-380-11 DICYCLOMINE 20 MG ORAL TAB $2.72 HC82200973 DIETERLE MODF STN/GR I W/I&R+ $475.00 HC36000685 DIFFUSING CAPACITY+ $951.00 HC36800738 DIFFUSING CAPACITY+ $957.00 HC51004125 DIFFUSING CAPACITY+ /M $220.00 HC89023352 DIGITOXIN QUANTITATIVE-AU $89.00 HC89006670 DIGITOXIN-AU $22.70 HC89000681 DIGITOXIN-QD $60.00 0904-5921-61 DIGOXIN 125 MCG (0.125 MG) ORAL TAB $8.09 16714-590-01 DIGOXIN 125 MCG (0.125 MG) ORAL TAB $7.11 42292-003-20 DIGOXIN 125 MCG (0.125 MG) ORAL TAB $8.09 59212-242-55 DIGOXIN 125 MCG (0.125 MG) ORAL TAB $81.60 59212-242-56 DIGOXIN 125 MCG (0.125 MG) ORAL TAB $81.60 68084-366-01 DIGOXIN 125 MCG (0.125 MG) ORAL TAB $8.70 68084-366-11 DIGOXIN 125 MCG (0.125 MG) ORAL TAB $8.70 0904-5922-61 DIGOXIN 250 MCG (0.25 MG) ORAL TAB $8.09 16714-591-01 DIGOXIN 250 MCG (0.25 MG) ORAL TAB $7.11 57664-441-88 DIGOXIN 250 MCG (0.25 MG) ORAL TAB $7.11 59212-249-55 DIGOXIN 250 MCG (0.25 MG) ORAL TAB $81.60 68084-680-01 DIGOXIN 250 MCG (0.25 MG) ORAL TAB $8.70 68084-680-11 DIGOXIN 250 MCG (0.25 MG) ORAL TAB $8.70 0641-1410-31 DIGOXIN 250 MCG/ML (0.25 MG/ML) INJ SOLN $33.00 0641-1410-35 DIGOXIN 250 MCG/ML (0.25 MG/ML) INJ SOLN $33.00 0641-6184-01 DIGOXIN 250 MCG/ML (0.25 MG/ML) INJ SOLN $33.00 0641-6184-25 DIGOXIN 250 MCG/ML (0.25 MG/ML) INJ SOLN $33.00 0781-3059-72 DIGOXIN 250 MCG/ML (0.25 MG/ML) INJ SOLN $35.88 0781-3059-95 DIGOXIN 250 MCG/ML (0.25 MG/ML) INJ SOLN $35.88 70515-260-10 DIGOXIN 250 MCG/ML (0.25 MG/ML) INJ SOLN $657.00 99999-002-43 DIGOXIN 50 MCG/ML (NICU) ORAL SYRINGE $14.00 0054-0057-46 DIGOXIN 50 MCG/ML ORAL SOLN (LOADING DOSE MCH) $839.88 99999-006-29 DIGOXIN 50 MCG/ML ORAL SOLN (MCH) $2.10 99999-006-30 DIGOXIN 50 MCG/ML ORAL SOLN (MCH) $4.20 99999-006-31 DIGOXIN 50 MCG/ML ORAL SOLN (MCH) $8.40 50633-120-11 DIGOXIN IMMUNE FAB 40 MG IV SOLR "$22,926.00 " 50633-121-11 DIGOXIN IMMUNE FAB 40 MG IV SOLR "$22,926.00 " HC81100505 DIGOXIN; TOTAL $384.00 0143-9273-01 DIHYDROERGOTAMINE 1 MG/ML INJ SOLN $897.00 0143-9273-10 DIHYDROERGOTAMINE 1 MG/ML INJ SOLN $897.00 0574-0850-05 DIHYDROERGOTAMINE 1 MG/ML INJ SOLN $788.10 0574-0850-10 DIHYDROERGOTAMINE 1 MG/ML INJ SOLN $748.70 HC89007900 DIHYDROTESTOSTERONE TANDUM SPECT-AU $20.00 HC89007926 DIHYDROXYVITAMIN D 1-25-AU $18.00 HC89001291 DIHYDROXYVITAMIN D 1-25-QD $35.00 HC44504660 DILAT BALLOON STRICTURE URETERAL LT "$5,259.00 " HC44504678 DILAT BALLOON STRICTURE URETERAL RT "$5,259.00 " HC51003358 DILAT CANAL CERV INSTRMNT(SEP PROC) "$2,487.00 " HC51002947 DILAT STRICTR URETHRL FLFRM MALE INT'L "$1,287.00 " HC51002954 DILAT STRICTR URETHRL FLFRM MALE SUBSQ $543.00 HC51002921 DILAT STRICTURE URETHRAL MALE INT'L $538.00 HC51002939 DILAT STRICTURE URETHRAL MALE SUBSQ $254.00 HC44504421 "DILATE DUCT(S)BIL /AMPULLA PERC(IMG,S&I);EA+" "$4,530.00 " HC51002962 DILATION URETHRAL FEMALE INITIAL $326.00 HC51002970 DILATION URETHRAL FEMALE SUBSEQUENT $217.00 HC62227012 DILATOR BALLOON ENDO PULM $975.00 HC62219282 DILATOR FASCIAL INCL URO $47.00 HC62219290 DILATOR RENAL AMPLATZ "$1,347.00 " HC62223540 DILATOR SET URETHRAL $653.00 HC62225073 DILATOR SET URETHRAL PEDIATRIC $260.00 HC62224589 DILATOR SET VASCULAR $650.00 HC62221650 DILATOR SPINE $499.00 HC62219670 DILATOR SPINE KOROS $722.00 HC62219688 DILATOR SPINE/NERVE NEUROVISION "$2,038.00 " HC62226873 DILATOR URETERAL $423.00 HC62224894 DILATOR VESSEL A $33.00 HC62222971 DILATOR/BOUGIE ESOPHAGEAL $335.00 99999-038-99 DILTIAZEM 12 MG/ML ORAL SUSPENSION $9.90 99999-042-19 DILTIAZEM 12 MG/ML ORAL SUSPENSION $237.60 10370-829-09 DILTIAZEM HCL 120 MG ORAL CP24 $4.65 10370-829-11 DILTIAZEM HCL 120 MG ORAL CP24 $4.78 42291-184-90 DILTIAZEM HCL 120 MG ORAL CP24 $1.00 47335-675-81 DILTIAZEM HCL 120 MG ORAL CP24 $4.64 60687-195-01 DILTIAZEM HCL 120 MG ORAL CP24 $1.98 60687-195-11 DILTIAZEM HCL 120 MG ORAL CP24 $1.98 62037-597-90 DILTIAZEM HCL 120 MG ORAL CP24 $4.65 0093-0321-01 DILTIAZEM HCL 120 MG ORAL TAB $2.60 10370-830-09 DILTIAZEM HCL 180 MG ORAL CP24 $5.61 42291-185-90 DILTIAZEM HCL 180 MG ORAL CP24 $1.00 60687-206-01 DILTIAZEM HCL 180 MG ORAL CP24 $2.34 60687-206-11 DILTIAZEM HCL 180 MG ORAL CP24 $2.34 62037-598-90 DILTIAZEM HCL 180 MG ORAL CP24 $5.61 10370-831-11 DILTIAZEM HCL 240 MG ORAL CP24 $8.20 47335-677-81 DILTIAZEM HCL 240 MG ORAL CP24 $7.96 60687-217-01 DILTIAZEM HCL 240 MG ORAL CP24 $3.67 60687-217-11 DILTIAZEM HCL 240 MG ORAL CP24 $3.67 62037-599-90 DILTIAZEM HCL 240 MG ORAL CP24 $7.96 63739-016-10 DILTIAZEM HCL 240 MG ORAL CP24 $3.04 68682-997-98 DILTIAZEM HCL 240 MG ORAL CP24 $7.96 0093-0318-01 DILTIAZEM HCL 30 MG ORAL TAB $1.00 0093-0318-05 DILTIAZEM HCL 30 MG ORAL TAB $1.00 0378-0023-01 DILTIAZEM HCL 30 MG ORAL TAB $1.00 51079-745-01 DILTIAZEM HCL 30 MG ORAL TAB $1.00 51079-745-20 DILTIAZEM HCL 30 MG ORAL TAB $1.00 60687-562-01 DILTIAZEM HCL 30 MG ORAL TAB $2.04 60687-562-11 DILTIAZEM HCL 30 MG ORAL TAB $2.04 63739-079-10 DILTIAZEM HCL 30 MG ORAL TAB $1.00 10370-832-11 DILTIAZEM HCL 300 MG ORAL CP24 $10.62 42291-187-90 DILTIAZEM HCL 300 MG ORAL CP24 $1.53 47335-678-81 DILTIAZEM HCL 300 MG ORAL CP24 $10.31 62037-600-90 DILTIAZEM HCL 300 MG ORAL CP24 $10.31 0409-1171-01 DILTIAZEM HCL 5 MG/ML IV SOLN $12.72 0409-1171-02 DILTIAZEM HCL 5 MG/ML IV SOLN $19.02 0641-6013-01 DILTIAZEM HCL 5 MG/ML IV SOLN $18.66 0641-6013-10 DILTIAZEM HCL 5 MG/ML IV SOLN $18.66 0641-6014-01 DILTIAZEM HCL 5 MG/ML IV SOLN $34.02 0641-6014-10 DILTIAZEM HCL 5 MG/ML IV SOLN $34.02 0641-6015-01 DILTIAZEM HCL 5 MG/ML IV SOLN $49.65 0641-6015-10 DILTIAZEM HCL 5 MG/ML IV SOLN $49.65 0641-9217-01 DILTIAZEM HCL 5 MG/ML IV SOLN $13.08 0641-9217-10 DILTIAZEM HCL 5 MG/ML IV SOLN $13.08 0641-9218-01 DILTIAZEM HCL 5 MG/ML IV SOLN $23.82 0641-9218-10 DILTIAZEM HCL 5 MG/ML IV SOLN $23.82 17478-937-05 DILTIAZEM HCL 5 MG/ML IV SOLN $16.86 17478-937-10 DILTIAZEM HCL 5 MG/ML IV SOLN $17.52 17478-937-25 DILTIAZEM HCL 5 MG/ML IV SOLN $65.55 55390-565-05 DILTIAZEM HCL 5 MG/ML IV SOLN $13.20 55390-565-10 DILTIAZEM HCL 5 MG/ML IV SOLN $26.46 55390-565-30 DILTIAZEM HCL 5 MG/ML IV SOLN $54.00 70860-301-05 DILTIAZEM HCL 5 MG/ML IV SOLN $19.50 70860-301-41 DILTIAZEM HCL 5 MG/ML IV SOLN $19.50 0378-6060-01 DILTIAZEM HCL 60 MG ORAL CP12 $15.23 51079-924-01 DILTIAZEM HCL 60 MG ORAL CP12 $19.87 51079-924-20 DILTIAZEM HCL 60 MG ORAL CP12 $19.87 0093-0319-01 DILTIAZEM HCL 60 MG ORAL TAB $1.41 0093-0319-05 DILTIAZEM HCL 60 MG ORAL TAB $1.39 0378-0045-01 DILTIAZEM HCL 60 MG ORAL TAB $1.41 0378-0045-05 DILTIAZEM HCL 60 MG ORAL TAB $1.39 51079-746-01 DILTIAZEM HCL 60 MG ORAL TAB $1.61 51079-746-20 DILTIAZEM HCL 60 MG ORAL TAB $1.61 0378-6090-01 DILTIAZEM HCL 90 MG ORAL CP12 $17.40 51079-925-01 DILTIAZEM HCL 90 MG ORAL CP12 $23.36 51079-925-20 DILTIAZEM HCL 90 MG ORAL CP12 $23.36 0093-0320-01 DILTIAZEM HCL 90 MG ORAL TAB $1.93 51079-747-01 DILTIAZEM HCL 90 MG ORAL TAB $2.20 51079-747-20 DILTIAZEM HCL 90 MG ORAL TAB $2.20 68682-008-10 DILTIAZEM HCL 90 MG ORAL TAB $10.71 0173-0857-01 DILUENT FOR EPOPROSTENOL (GLY) PH 11.7 - 12.3 IV SOLN $84.60 0173-0857-02 DILUENT FOR EPOPROSTENOL (GLY) PH 11.7 - 12.3 IV SOLN $84.60 17478-526-03 DIMERCAPROL 100 MG/ML IM SOLN "$1,015.63 " 8137003600 DIMETHICONE-COLLOIDAL OATMEAL 1.25 % TOPICAL LOTN $36.11 11523-1314-1 DIMETHICONE-ZNOX-VIT A-D-ALOE 1-10 % TOPICAL CREAM $12.24 51552-1053-4 DIMETHYL SULFOXIDE (BULK) 99.99 % MISC LIQD $108.60 99999-041-24 DIMETHYL SULFOXIDE (BULK) 99.99 % MISC LIQD $16.29 67457-177-50 DIMETHYL SULFOXIDE 50 % INTRAVESICAL SOLN "$3,711.60 " 99999-000-19 DINOPROSTONE (PROSTIN E2) 3 MG VAGINAL SUPPOSITORY "$1,815.93 " 55566-2800-0 DINOPROSTONE 10 MG VAGINAL INSR "$2,611.38 " 55566-2800-1 DINOPROSTONE 10 MG VAGINAL INSR "$2,611.38 " 0009-0827-03 DINOPROSTONE 20 MG VAGINAL SUPP "$13,249.02 " 66302-014-01 DINUTUXIMAB 3.5 MG/ML IV SOLN "$68,874.00 " 49281-286-10 "DIPH,PERTUS(ACEL),TET PED (PF) 15-10-5 LF-MCG-LF/0.5ML IM SUSP" $176.67 49281-286-58 "DIPH,PERTUS(ACEL),TET PED (PF) 15-10-5 LF-MCG-LF/0.5ML IM SUSP" $176.70 58160-810-01 "DIPH,PERTUS(ACEL),TET PED (PF) 25-58-10 LF-MCG-LF/0.5ML IM SUSP" $138.80 58160-810-11 "DIPH,PERTUS(ACEL),TET PED (PF) 25-58-10 LF-MCG-LF/0.5ML IM SUSP" $138.80 58160-810-43 "DIPH,PERTUS(ACEL),TET PED (PF) 25-58-10 LF-MCG-LF/0.5ML IM SYRG" $138.80 58160-810-52 "DIPH,PERTUS(ACEL),TET PED (PF) 25-58-10 LF-MCG-LF/0.5ML IM SYRG" $138.80 99999-006-71 DIPHENHYDRAMINE HCL 10 MG/ML INJ DILUTION (MCH) $16.50 0121-0489-00 DIPHENHYDRAMINE HCL 12.5 MG/5 ML ORAL ELIX $17.91 0121-0489-05 DIPHENHYDRAMINE HCL 12.5 MG/5 ML ORAL ELIX $17.91 0121-0978-00 DIPHENHYDRAMINE HCL 12.5 MG/5 ML ORAL ELIX $18.78 0121-0978-10 DIPHENHYDRAMINE HCL 12.5 MG/5 ML ORAL ELIX $18.78 8770164954 DIPHENHYDRAMINE HCL 12.5 MG/5 ML ORAL LIQ (MCH) $11.33 1093948933 DIPHENHYDRAMINE HCL 12.5 MG/5 ML ORAL LIQD $9.91 1093950233 DIPHENHYDRAMINE HCL 12.5 MG/5 ML ORAL LIQD $17.06 0904-6741-72 DIPHENHYDRAMINE HCL 12.5 MG/5 ML ORAL LIQD $13.38 49348-045-37 DIPHENHYDRAMINE HCL 12.5 MG/5 ML ORAL LIQD $17.06 50580-534-08 DIPHENHYDRAMINE HCL 12.5 MG/5 ML ORAL LIQD $41.06 57896-780-16 DIPHENHYDRAMINE HCL 12.5 MG/5 ML ORAL LIQD $17.03 58657-528-16 DIPHENHYDRAMINE HCL 12.5 MG/5 ML ORAL LIQD $70.95 0904-5306-60 DIPHENHYDRAMINE HCL 25 MG ORAL CAP $1.00 0904-5306-61 DIPHENHYDRAMINE HCL 25 MG ORAL CAP $1.00 0904-5306-80 DIPHENHYDRAMINE HCL 25 MG ORAL CAP $1.00 99999-006-72 DIPHENHYDRAMINE HCL 5 MG/ML INJ DILUTION (MCH) $9.90 0185-0649-01 DIPHENHYDRAMINE HCL 50 MG ORAL CAP $1.00 0904-2056-61 DIPHENHYDRAMINE HCL 50 MG ORAL CAP $1.00 0904-5307-60 DIPHENHYDRAMINE HCL 50 MG ORAL CAP $1.00 0641-0376-21 DIPHENHYDRAMINE HCL 50 MG/ML INJ SOLN $6.40 0641-0376-25 DIPHENHYDRAMINE HCL 50 MG/ML INJ SOLN $6.40 63323-664-00 DIPHENHYDRAMINE HCL 50 MG/ML INJ SOLN $16.50 63323-664-01 DIPHENHYDRAMINE HCL 50 MG/ML INJ SOLN $16.50 67457-124-10 DIPHENHYDRAMINE HCL 50 MG/ML INJ SOLN $69.00 72485-101-01 DIPHENHYDRAMINE HCL 50 MG/ML INJ SOLN $30.00 72485-101-25 DIPHENHYDRAMINE HCL 50 MG/ML INJ SOLN $30.00 HC89006688 DIPHENHYDRAMINE SERUM/PLASMA-AU $90.00 HC89003578 DIPHENHYDRAMINE URINE-AU $90.00 1254717162 DIPHENHYDRAMINE-ZINC ACETATE 1-0.1 % TOPICAL CREAM $19.02 0501-3200-01 DIPHENHYDRAMINE-ZINC ACETATE 1-0.1 % TOPICAL CREAM $18.68 1093919844 DIPHENHYDRAMINE-ZINC ACETATE 2-0.1 % TOPICAL CREAM $14.14 1254717167 DIPHENHYDRAMINE-ZINC ACETATE 2-0.1 % TOPICAL CREAM $20.38 0904-5354-31 DIPHENHYDRAMINE-ZINC ACETATE 2-0.1 % TOPICAL CREAM $10.58 45802-358-03 DIPHENHYDRAMINE-ZINC ACETATE 2-0.1 % TOPICAL CREAM $12.94 49348-854-72 DIPHENHYDRAMINE-ZINC ACETATE 2-0.1 % TOPICAL CREAM $14.14 0025-0061-31 DIPHENOXYLATE-ATROPINE 2.5-0.025 MG ORAL TAB $16.96 0378-0415-01 DIPHENOXYLATE-ATROPINE 2.5-0.025 MG ORAL TAB $4.20 0832-0590-11 DIPHENOXYLATE-ATROPINE 2.5-0.025 MG ORAL TAB $2.97 59762-1061-1 DIPHENOXYLATE-ATROPINE 2.5-0.025 MG ORAL TAB $2.46 62559-490-01 DIPHENOXYLATE-ATROPINE 2.5-0.025 MG ORAL TAB $3.00 0054-3194-46 DIPHENOXYLATE-ATROPINE 2.5-0.025 MG/5 ML ORAL LIQD $420.12 99999-009-09 DIPHENOXYLATE-ATROPINE 2.5-0.025 MG/5 ML ORAL LIQD $35.01 99999-039-72 DIPHENOXYLATE-ATROPINE 2.5-0.025 MG/5 ML ORAL LIQD $6.45 58160-842-43 "DIPHTH,PERTUS(ACELL),TETANUS 2.5-8-5 LF-MCG-LF/0.5ML IM SYRG" $240.65 58160-842-01 "DIPHTH,PERTUS(ACELL),TETANUS 2.5-8-5 LF-MCG-LF/0.5ML INJECTION (MHS)" $240.65 58160-842-11 "DIPHTH,PERTUS(ACELL),TETANUS 2.5-8-5 LF-MCG-LF/0.5ML INJECTION (MHS)" $240.65 58160-842-52 "DIPHTH,PERTUS(ACELL),TETANUS 2.5-8-5 LF-MCG-LF/0.5ML INJECTION (MHS)" $240.65 HC89011571 DIPHTHERIA AB TITER-AU $22.00 HC89011688 DIPHTHERIA AB-AU $16.16 64980-133-01 DIPYRIDAMOLE 25 MG ORAL TAB $7.10 64980-134-01 DIPYRIDAMOLE 50 MG ORAL TAB $11.44 64980-135-01 DIPYRIDAMOLE 75 MG ORAL TAB $15.31 HC62208509 DISC COMPRESSION $46.00 HC44000560 DISKOGRAPHY-CERVICAL/THORACIC "$5,772.00 " HC44000578 DISKOGRAPHY-LUMBAR "$5,351.00 " 99999-036-89 DISOPYRAMIDE PHOSPHATE 10 MG/ML ORAL SUSP (COMPOUND) $1.19 0093-3127-01 DISOPYRAMIDE PHOSPHATE 100 MG ORAL CAP $11.96 0025-2732-31 DISOPYRAMIDE PHOSPHATE 100 MG ORAL CPSR $24.06 0093-3129-01 DISOPYRAMIDE PHOSPHATE 150 MG ORAL CAP $13.48 0025-2742-31 DISOPYRAMIDE PHOSPHATE 150 MG ORAL CPSR $28.43 HC89006696 DISOPYRAMIDE-AU $20.00 HC89002828 DISOPYRAMIDE-QD $60.00 HC62222989 DISSECTOR BALLOON ENDOSCOPIC D "$1,300.00 " HC62223771 DISSECTOR BALLOON ENDOSCOPIC F "$1,950.00 " HC62202270 DISSECTOR CURVED SHORT $845.00 HC62227020 DISSECTOR NEURO $130.00 HC62300074 DISSECTOR ROBOTIC F $293.00 HC62300082 DISSECTOR ROBOTIC I $390.00 HC62300488 DISSECTOR ROBOTIC S $715.00 HC62300090 DISSECTOR ROBOTIC Z $943.00 HC62219936 DISSECTOR ULTRASONIC CORDLESS "$1,950.00 " 47781-607-30 DISULFIRAM 250 MG ORAL TAB $16.97 HC89007637 "DIURETIC SCREEN, URINE - AU" $126.00 55111-532-01 DIVALPROEX 125 MG ORAL CDRS $5.60 68084-313-01 DIVALPROEX 125 MG ORAL CDRS $5.03 68084-313-11 DIVALPROEX 125 MG ORAL CDRS $5.03 68382-106-01 DIVALPROEX 125 MG ORAL CDRS $3.38 0074-6212-13 DIVALPROEX 125 MG ORAL TBEC $10.66 0832-7122-11 DIVALPROEX 125 MG ORAL TBEC $1.00 29300-138-01 DIVALPROEX 125 MG ORAL TBEC $1.00 60687-211-11 DIVALPROEX 125 MG ORAL TBEC $4.47 60687-211-21 DIVALPROEX 125 MG ORAL TBEC $4.47 62756-796-88 DIVALPROEX 125 MG ORAL TBEC $1.00 0074-3826-11 DIVALPROEX 250 MG ORAL TB24 $20.12 0904-6363-45 DIVALPROEX 250 MG ORAL TB24 $9.13 0904-6363-61 DIVALPROEX 250 MG ORAL TB24 $7.76 16714-484-01 DIVALPROEX 250 MG ORAL TB24 $4.94 51079-766-01 DIVALPROEX 250 MG ORAL TB24 $8.83 51079-766-08 DIVALPROEX 250 MG ORAL TB24 $8.83 55111-533-01 DIVALPROEX 250 MG ORAL TB24 $2.58 68084-310-01 DIVALPROEX 250 MG ORAL TB24 $8.83 68084-310-11 DIVALPROEX 250 MG ORAL TB24 $8.83 0074-6214-13 DIVALPROEX 250 MG ORAL TBEC $20.93 0832-7123-01 DIVALPROEX 250 MG ORAL TBEC $1.31 0832-7123-11 DIVALPROEX 250 MG ORAL TBEC $1.00 0832-7123-89 DIVALPROEX 250 MG ORAL TBEC $1.32 62756-797-88 DIVALPROEX 250 MG ORAL TBEC $1.00 68084-776-01 DIVALPROEX 250 MG ORAL TBEC $1.35 68084-776-11 DIVALPROEX 250 MG ORAL TBEC $1.35 0074-7126-11 DIVALPROEX 500 MG ORAL TB24 $35.33 0074-7126-13 DIVALPROEX 500 MG ORAL TB24 $33.48 0378-0473-01 DIVALPROEX 500 MG ORAL TB24 $6.00 0904-6364-45 DIVALPROEX 500 MG ORAL TB24 $15.13 0904-6364-61 DIVALPROEX 500 MG ORAL TB24 $12.36 51079-767-01 DIVALPROEX 500 MG ORAL TB24 $14.91 51079-767-08 DIVALPROEX 500 MG ORAL TB24 $14.91 55111-534-01 DIVALPROEX 500 MG ORAL TB24 $4.28 65162-757-10 DIVALPROEX 500 MG ORAL TB24 $2.58 68084-415-01 DIVALPROEX 500 MG ORAL TB24 $13.12 68084-415-11 DIVALPROEX 500 MG ORAL TB24 $13.12 0832-7124-01 DIVALPROEX 500 MG ORAL TBEC $1.73 0832-7124-11 DIVALPROEX 500 MG ORAL TBEC $1.95 0832-7124-89 DIVALPROEX 500 MG ORAL TBEC $1.74 0904-6861-90 DIVALPROEX 500 MG ORAL TBEC $1.95 62756-798-88 DIVALPROEX 500 MG ORAL TBEC $1.51 68084-782-11 DIVALPROEX 500 MG ORAL TBEC $2.14 68084-782-61 DIVALPROEX 500 MG ORAL TBEC $2.14 HC62807177 DIVERTER FLOW NEUROVASC(PIPELINE FLX 16)D "$46,215.00 " HC62807185 DIVERTER FLOW NEUROVASC(PIPELINE FLX 35)F "$50,310.00 " HC62806641 DIVERTER FLOW NEUROVASC(PIPELINE LG)E "$48,734.00 " HC62806633 DIVERTER FLOW NEUROVASC(PIPELINE SM)C "$44,525.00 " HC46502399 DIVSN PLANTR FASCIA&MUSCLE(STEINDLER STRIP) "$8,656.00 " HC14500136 DM HEMOGLOBIN GLYCOSYLATED(A1C $171.00 HC51000032 DM HEMOGLOBIN GLYCOSYLATED(A1C $94.00 37361-10277 DM-BENZOCAINE-MENTHOL 5-6-10 MG ORAL LOZG $1.00 HC81700296 DNA DOUBLE STRAND AB IGG EIA $177.00 HC84201649 DNA/RNA ACINETOBACTER CALCOACETICUS-BAUMANNII CMPLX(PNL) $356.00 HC84201581 DNA/RNA C NEOFORMANS/GATTII PCR(PNL) $386.00 HC84201771 DNA/RNA CHLAMYDIA PNEUMONIAE (PNL) $223.00 HC84201458 DNA/RNA CMV PCR(PNL) $401.00 HC84201508 DNA/RNA E COLI K1 PCR(PNL) $386.00 HC84201656 DNA/RNA ENTEROBACTER CLOACAE CMPLX (PNL) $356.00 HC84201557 DNA/RNA ENTEROVIRUS PCR(PNL) $395.00 HC84201466 DNA/RNA HERPES SIMPLEX I PCR(PNL) $354.00 HC84201474 DNA/RNA HERPES SIMPLEX II PCR(PNL) $354.00 HC84201482 DNA/RNA HERPES VIRUS-6 PCR(PNL) $354.00 HC84201565 DNA/RNA HUMAN PARECHOVIRUS PCR(PNL) $395.00 HC84201516 DNA/RNA INFLUENZAE H PCR(PNL) $386.00 HC84201664 DNA/RNA KLEBSIELLA AEROGENES (PNL) $356.00 HC84201672 DNA/RNA KLEBSIELLA OXYTOCA (PNL) $356.00 HC84201680 DNA/RNA KLEBSIELLA PNEUMONIAE GROUP (PNL) $356.00 HC84201524 DNA/RNA L MONOCYTOGENES PCR(PNL) $386.00 HC84201789 DNA/RNA LEGIONELLA PNEUMOPHILA (PNL) $238.00 HC84201631 DNA/RNA MENINGITIS/ENCEPHALITIS PCR "$3,177.00 " HC84201698 DNA/RNA MORAXELLA CATARRHALIS (PNL) $356.00 HC84201797 DNA/RNA MYCOPLASMA PNEUMONIAE (PNL) $216.00 HC84201532 DNA/RNA N MENINGITIDIS PCR(PNL) $386.00 HC84201706 DNA/RNA PROTEUS SPP (PNL) $356.00 HC84201714 DNA/RNA PSEUDOMONAS AERUGINOSA (PNL) $356.00 HC84201540 DNA/RNA S AGALACTIAE PCR(PNL) $386.00 HC84201490 DNA/RNA S PNEUMONIAE GROUP B PCR(PNL) $398.00 HC84201722 DNA/RNA SERRATIA MARCESCENS (PNL) $356.00 HC84201730 DNA/RNA STAPHYLOCOCCUS AUREUS (PNL) $356.00 HC84201599 DNA/RNA STREP A AMP PROBE(XPERT XPRESS) $385.00 HC84201748 DNA/RNA STREPTOCOCCUS AGALACTIAE (PNL) $356.00 HC84201755 DNA/RNA STREPTOCOCCUS PNEUMONIAE (PNL) $356.00 HC84201763 DNA/RNA STREPTOCOCCUS PYOGENES (PNL) $356.00 HC84201573 DNA/RNA VARICELLA ZOSTER PCR(PNL) $386.00 HC89020200 DNASE INDIRECT IGG ADDL STAIN(PNL)-PR $120.00 0409-2344-01 DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) IV SOLN $35.40 0409-2344-02 DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) IV SOLN $33.24 0409-2344-62 DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) IV SOLN $33.24 0409-2344-88 DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) IV SOLN $33.00 99999-035-54 DOBUTAMINE IN D5W (CONC: 2000 MCG/ML) (LBM) $9.36 99999-039-02 DOBUTAMINE IN D5W (CONC: 2000 MCG/ML) (LBM) $15.60 0338-1075-02 "DOBUTAMINE IN D5W 500 MG/250 ML (2,000 MCG/ML) IV SOLP" $210.00 0409-2347-32 "DOBUTAMINE IN D5W 500 MG/250 ML (2,000 MCG/ML) IV SOLP" $75.00 16729-267-65 DOCETAXEL 160 MG/8 ML (20 MG/ML) IV SOLN "$2,610.00 " 0409-0201-02 DOCETAXEL 20 MG/2 ML (10 MG/ML) IV SOLN $412.50 0955-1020-01 DOCETAXEL 20 MG/ML (1 ML) IV SOLN $654.00 25021-245-01 DOCETAXEL 20 MG/ML (1 ML) IV SOLN $150.00 43598-258-11 DOCETAXEL 20 MG/ML (1 ML) IV SOLN $450.00 43598-611-11 DOCETAXEL 20 MG/ML (1 ML) IV SOLN $300.00 0955-1021-04 DOCETAXEL 80 MG/4 ML (20 MG/ML) IV SOLN "$2,610.00 " 16729-267-64 DOCETAXEL 80 MG/4 ML (20 MG/ML) IV SOLN "$1,800.00 " 25021-245-04 DOCETAXEL 80 MG/4 ML (20 MG/ML) IV SOLN $510.00 43598-610-40 DOCETAXEL 80 MG/4 ML (20 MG/ML) IV SOLN "$1,200.00 " 66758-050-02 DOCETAXEL 80 MG/8 ML (10 MG/ML) IV SOLN "$2,872.80 " 99999-033-49 DOCETAXEL IV SOLN (FOR DESENSITIZATION USE) (MHS) $117.19 766080155 DOCOSANOL 10 % TOPICAL CREAM $92.76 0135-0200-01 DOCOSANOL 10 % TOPICAL CREAM $92.76 0591-2981-35 DOCOSANOL 10 % TOPICAL CREAM $80.16 0536-1065-01 DOCUSATE CALCIUM 240 MG ORAL CAP $1.00 1093966644 DOCUSATE SODIUM 100 MG ORAL CAP $1.00 0904-6455-61 DOCUSATE SODIUM 100 MG ORAL CAP $1.00 0904-6457-60 DOCUSATE SODIUM 100 MG ORAL CAP $1.00 0904-6457-80 DOCUSATE SODIUM 100 MG ORAL CAP $1.00 10135-111-01 DOCUSATE SODIUM 100 MG ORAL CAP $1.00 49348-483-10 DOCUSATE SODIUM 100 MG ORAL CAP $1.00 60687-129-01 DOCUSATE SODIUM 100 MG ORAL CAP $1.00 60687-129-11 DOCUSATE SODIUM 100 MG ORAL CAP $1.00 63739-478-10 DOCUSATE SODIUM 100 MG ORAL CAP $1.00 67618-101-60 DOCUSATE SODIUM 100 MG ORAL CAP $1.51 0121-0544-10 DOCUSATE SODIUM 100 MG/10 ML ORAL LIQD $3.48 50383-771-10 DOCUSATE SODIUM 100 MG/10 ML ORAL LIQD $3.24 50383-771-11 DOCUSATE SODIUM 100 MG/10 ML ORAL LIQD $3.24 50383-771-16 DOCUSATE SODIUM 100 MG/10 ML ORAL LIQD $19.87 54162-195-16 DOCUSATE SODIUM 100 MG/10 ML ORAL LIQD $19.87 54838-116-80 DOCUSATE SODIUM 100 MG/10 ML ORAL LIQD $85.14 99999-037-78 DOCUSATE SODIUM 100 MG/10 ML ORAL LIQD $1.00 99999-037-79 DOCUSATE SODIUM 100 MG/10 ML ORAL LIQD $1.05 99999-006-32 DOCUSATE SODIUM 100 MG/10 ML ORAL LIQD (MCH) $1.00 99999-006-33 DOCUSATE SODIUM 100 MG/10 ML ORAL LIQD (MCH) $1.00 99999-006-34 DOCUSATE SODIUM 100 MG/10 ML ORAL LIQD (MCH) $1.44 7985495010 DOCUSATE SODIUM 250 MG ORAL CAP $1.00 0904-6999-60 DOCUSATE SODIUM 250 MG ORAL CAP $1.00 0904-6999-80 DOCUSATE SODIUM 250 MG ORAL CAP $1.00 48433-101-01 DOCUSATE SODIUM 250 MG ORAL CAP $1.22 50268-268-11 DOCUSATE SODIUM 250 MG ORAL CAP $1.56 50268-268-15 DOCUSATE SODIUM 250 MG ORAL CAP $1.56 57896-425-01 DOCUSATE SODIUM 250 MG ORAL CAP $1.00 6761811128 DOCUSATE SODIUM 50 MG ORAL CAP $1.47 0069-5800-43 DOFETILIDE 125 MCG ORAL CAP $62.36 0069-5800-61 DOFETILIDE 125 MCG ORAL CAP $26.13 16714-840-01 DOFETILIDE 125 MCG ORAL CAP $32.21 59762-0037-2 DOFETILIDE 125 MCG ORAL CAP $25.00 69452-131-17 DOFETILIDE 125 MCG ORAL CAP $9.60 0069-5810-43 DOFETILIDE 250 MCG ORAL CAP $62.36 16714-841-01 DOFETILIDE 250 MCG ORAL CAP $32.77 42291-412-60 DOFETILIDE 250 MCG ORAL CAP $1.86 59762-0038-2 DOFETILIDE 250 MCG ORAL CAP $25.00 0069-5820-43 DOFETILIDE 500 MCG ORAL CAP $62.36 0069-5820-61 DOFETILIDE 500 MCG ORAL CAP $33.04 16714-842-01 DOFETILIDE 500 MCG ORAL CAP $33.46 69452-133-17 DOFETILIDE 500 MCG ORAL CAP $9.60 49702-228-13 DOLUTEGRAVIR 50 MG ORAL TAB $365.29 HC51080257 DOME TRANSDUCR PRESSUR URODYN $23.00 0781-5275-06 DONEPEZIL 10 MG ORAL TAB $6.13 0904-6478-61 DONEPEZIL 10 MG ORAL TAB $1.00 13668-103-90 DONEPEZIL 10 MG ORAL TAB $1.00 31722-738-30 DONEPEZIL 10 MG ORAL TAB $1.00 43547-276-03 DONEPEZIL 10 MG ORAL TAB $1.00 43547-276-09 DONEPEZIL 10 MG ORAL TAB $1.00 60687-303-01 DONEPEZIL 10 MG ORAL TAB $1.00 60687-303-11 DONEPEZIL 10 MG ORAL TAB $1.00 0781-5274-06 DONEPEZIL 5 MG ORAL TAB $6.13 13668-102-30 DONEPEZIL 5 MG ORAL TAB $1.00 13668-102-90 DONEPEZIL 5 MG ORAL TAB $1.00 43547-275-03 DONEPEZIL 5 MG ORAL TAB $1.00 43547-275-09 DONEPEZIL 5 MG ORAL TAB $1.00 60687-292-01 DONEPEZIL 5 MG ORAL TAB $1.00 60687-292-11 DONEPEZIL 5 MG ORAL TAB $1.00 62856-245-30 DONEPEZIL 5 MG ORAL TAB $101.22 HC62202288 DONUT PILLOW INFANT/PREMIE $85.00 0409-5820-01 DOPAMINE 200 MG/5 ML (40 MG/ML) IV SOLN $17.46 0409-9104-20 DOPAMINE 400 MG/10 ML (40 MG/ML) IV SOLN $12.36 0517-1905-25 DOPAMINE 400 MG/5 ML (80 MG/ML) IV SOLN $19.62 0517-1305-25 DOPAMINE 800 MG/5 ML (160 MG/ML) IV SOLN $39.06 0338-1007-02 "DOPAMINE IN 5 % DEXTROSE 400 MG/250 ML (1,600 MCG/ML) IV SOLN" $73.50 0409-7809-11 "DOPAMINE IN 5 % DEXTROSE 400 MG/250 ML (1,600 MCG/ML) IV SOLN" $78.00 0409-7809-22 "DOPAMINE IN 5 % DEXTROSE 400 MG/250 ML (1,600 MCG/ML) IV SOLN" $78.00 0338-1009-02 "DOPAMINE IN 5 % DEXTROSE 800 MG/250 ML (3,200 MCG/ML) IV SOLN" $102.00 0409-7810-22 "DOPAMINE IN 5 % DEXTROSE 800 MG/250 ML (3,200 MCG/ML) IV SOLN" $115.50 0338-1007-03 "DOPAMINE IN 5 % DEXTROSE 800 MG/500 ML (1,600 MCG/ML) IV SOLN" $120.00 0409-7809-24 "DOPAMINE IN 5 % DEXTROSE 800 MG/500 ML (1,600 MCG/ML) IV SOLN" $108.00 99999-041-30 "DOPAMINE IN 5 % DEXTROSE DRIP (CONC: 3,200 MCG/ML) IV SOLN (NICU)" $10.20 50242-100-39 DORNASE ALFA 1 MG/ML INHALATION SOLN $689.52 50242-100-40 DORNASE ALFA 1 MG/ML INHALATION SOLN $689.52 24208-485-10 DORZOLAMIDE 2 % OPHT DROP $203.94 42571-141-26 DORZOLAMIDE 2 % OPHT DROP $203.94 50383-232-10 DORZOLAMIDE 2 % OPHT DROP $210.00 61314-019-10 DORZOLAMIDE 2 % OPHT DROP $203.94 17478-604-01 DORZOLAMIDE-TIMOLOL (PF) 2-0.5 % OPHT DPET $16.56 17478-604-30 DORZOLAMIDE-TIMOLOL (PF) 2-0.5 % OPHT DPET $16.56 65862-947-15 DORZOLAMIDE-TIMOLOL (PF) 2-0.5 % OPHT DPET $13.56 65862-947-60 DORZOLAMIDE-TIMOLOL (PF) 2-0.5 % OPHT DPET $13.56 17478-605-10 DORZOLAMIDE-TIMOLOL 22.3-6.8 MG/ML OPHT DROP "$1,257.66 " 24208-486-10 DORZOLAMIDE-TIMOLOL 22.3-6.8 MG/ML OPHT DROP $299.94 42571-147-26 DORZOLAMIDE-TIMOLOL 22.3-6.8 MG/ML OPHT DROP $300.00 50383-233-10 DORZOLAMIDE-TIMOLOL 22.3-6.8 MG/ML OPHT DROP $300.00 61314-030-02 DORZOLAMIDE-TIMOLOL 22.3-6.8 MG/ML OPHT DROP $300.00 70069-051-01 DORZOLAMIDE-TIMOLOL 22.3-6.8 MG/ML OPHT DROP $290.94 0641-6018-01 DOXAPRAM 20 MG/ML IV SOLN $290.52 0641-6018-06 DOXAPRAM 20 MG/ML IV SOLN $290.52 55390-035-01 DOXAPRAM 20 MG/ML IV SOLN $330.00 0904-5522-61 DOXAZOSIN 1 MG ORAL TAB $5.09 0093-2069-01 DOXAZOSIN 2 MG ORAL TAB $4.04 0904-5523-61 DOXAZOSIN 2 MG ORAL TAB $4.85 16729-414-01 DOXAZOSIN 2 MG ORAL TAB $2.55 51079-958-01 DOXAZOSIN 2 MG ORAL TAB $18.79 51079-958-20 DOXAZOSIN 2 MG ORAL TAB $18.79 60505-0094-0 DOXAZOSIN 2 MG ORAL TAB $2.55 68084-851-25 DOXAZOSIN 2 MG ORAL TAB $5.08 68084-851-95 DOXAZOSIN 2 MG ORAL TAB $5.08 0904-5524-61 DOXAZOSIN 4 MG ORAL TAB $5.13 42291-259-01 DOXAZOSIN 4 MG ORAL TAB $1.00 51079-959-01 DOXAZOSIN 4 MG ORAL TAB $19.72 51079-959-20 DOXAZOSIN 4 MG ORAL TAB $19.72 68084-862-95 DOXAZOSIN 4 MG ORAL TAB $5.17 0378-1049-01 DOXEPIN 10 MG ORAL CAP $2.81 51079-436-01 DOXEPIN 10 MG ORAL CAP $3.20 51079-436-20 DOXEPIN 10 MG ORAL CAP $3.20 69238-1166-9 DOXEPIN 10 MG ORAL CAP $2.81 60432-651-04 DOXEPIN 10 MG/ML ORAL CONC $215.94 0378-6410-01 DOXEPIN 100 MG ORAL CAP $8.87 51079-651-01 DOXEPIN 100 MG ORAL CAP $9.98 51079-651-20 DOXEPIN 100 MG ORAL CAP $9.98 0378-3125-01 DOXEPIN 25 MG ORAL CAP $3.70 51079-437-01 DOXEPIN 25 MG ORAL CAP $4.21 51079-437-20 DOXEPIN 25 MG ORAL CAP $4.21 HC89006498 DOXEPIN; 1-2 SRM/PLSM-AU $27.00 0069-3030-20 DOXORUBICIN 10 MG/5 ML IV SOLN $60.00 0143-9549-01 DOXORUBICIN 10 MG/5 ML IV SOLN $48.00 45963-733-55 DOXORUBICIN 10 MG/5 ML IV SOLN $60.00 0069-3034-20 DOXORUBICIN 2 MG/ML IV SOLN $386.40 0069-3031-20 DOXORUBICIN 20 MG/10 ML IV SOLN $120.00 0069-4031-01 DOXORUBICIN 20 MG/10 ML IV SOLN $120.00 67457-436-50 DOXORUBICIN 50 MG IV SOLR "$1,578.18 " 0069-4032-01 DOXORUBICIN 50 MG/25 ML IV SOLN $210.00 0143-9547-01 DOXORUBICIN 50 MG/25 ML IV SOLN $210.00 45963-733-68 DOXORUBICIN 50 MG/25 ML IV SOLN $210.00 62756-826-40 DOXORUBICIN 50 MG/25 ML IV SOLN $201.00 63323-883-30 DOXORUBICIN 50 MG/25 ML IV SOLN $199.95 0069-3032-20 DOXORUBICIN CHEMOTHERAPY EMBOLIZATION BEADS $145.20 43598-283-35 "DOXORUBICIN, PEG-LIPOSOMAL 2 MG/ML IV SUSP" "$5,814.00 " 43598-541-25 "DOXORUBICIN, PEG-LIPOSOMAL 2 MG/ML IV SUSP" "$14,535.30 " 43598-682-35 "DOXORUBICIN, PEG-LIPOSOMAL 2 MG/ML IV SUSP" "$5,814.00 " 43598-683-25 "DOXORUBICIN, PEG-LIPOSOMAL 2 MG/ML IV SUSP" "$14,535.30 " 47335-049-40 "DOXORUBICIN, PEG-LIPOSOMAL 2 MG/ML IV SUSP" "$5,814.00 " 47335-050-40 "DOXORUBICIN, PEG-LIPOSOMAL 2 MG/ML IV SUSP" "$14,535.30 " 0069-0971-93 DOXYCYCLINE CALCIUM 50 MG/5 ML ORAL SYRP "$3,013.96 " 0069-0971-95 DOXYCYCLINE CALCIUM 50 MG/5 ML ORAL SYRP "$3,013.96 " 63323-130-11 DOXYCYCLINE HYCLATE 100 MG IV SOLR $157.98 63323-130-17 DOXYCYCLINE HYCLATE 100 MG IV SOLR $126.00 67457-437-00 DOXYCYCLINE HYCLATE 100 MG IV SOLR $100.03 67457-437-10 DOXYCYCLINE HYCLATE 100 MG IV SOLR $100.03 63323-130-02 DOXYCYCLINE HYCLATE 100 MG IV SOLR (MCH) $157.98 63323-130-13 DOXYCYCLINE HYCLATE 100 MG IV SOLR (MCH) $126.00 0143-3142-05 DOXYCYCLINE HYCLATE 100 MG ORAL CAP $7.20 0143-3142-50 DOXYCYCLINE HYCLATE 100 MG ORAL CAP $7.20 47781-490-05 DOXYCYCLINE HYCLATE 100 MG ORAL CAP $7.39 47781-490-50 DOXYCYCLINE HYCLATE 100 MG ORAL CAP $7.39 53489-119-02 DOXYCYCLINE HYCLATE 100 MG ORAL CAP $7.39 53489-119-05 DOXYCYCLINE HYCLATE 100 MG ORAL CAP $7.39 67405-651-55 DOXYCYCLINE HYCLATE 100 MG ORAL CAP $5.17 69238-1100-5 DOXYCYCLINE HYCLATE 100 MG ORAL CAP $1.68 0143-2112-05 DOXYCYCLINE HYCLATE 100 MG ORAL TAB $7.20 0904-0430-04 DOXYCYCLINE HYCLATE 100 MG ORAL TAB $21.76 0904-0430-06 DOXYCYCLINE HYCLATE 100 MG ORAL TAB $13.11 24658-312-50 DOXYCYCLINE HYCLATE 100 MG ORAL TAB $1.00 42806-312-05 DOXYCYCLINE HYCLATE 100 MG ORAL TAB $1.00 42806-312-50 DOXYCYCLINE HYCLATE 100 MG ORAL TAB $1.00 47781-491-50 DOXYCYCLINE HYCLATE 100 MG ORAL TAB $7.39 53489-120-02 DOXYCYCLINE HYCLATE 100 MG ORAL TAB $7.39 53489-120-05 DOXYCYCLINE HYCLATE 100 MG ORAL TAB $7.39 62584-693-11 DOXYCYCLINE HYCLATE 100 MG ORAL TAB $23.00 62584-693-21 DOXYCYCLINE HYCLATE 100 MG ORAL TAB $23.00 63739-168-33 DOXYCYCLINE HYCLATE 100 MG ORAL TAB $14.25 67405-550-55 DOXYCYCLINE HYCLATE 100 MG ORAL TAB $7.39 49884-727-03 DOXYCYCLINE MONOHYDRATE 100 MG ORAL CAP $5.04 23155-135-25 DOXYCYCLINE MONOHYDRATE 100 MG ORAL TAB $5.04 68180-657-01 DOXYCYCLINE MONOHYDRATE 25 MG/5 ML ORAL SUSR $109.44 69097-228-43 DOXYCYCLINE MONOHYDRATE 25 MG/5 ML ORAL SUSR $128.88 49884-726-01 DOXYCYCLINE MONOHYDRATE 50 MG ORAL CAP $3.12 23155-133-01 DOXYCYCLINE MONOHYDRATE 50 MG ORAL TAB $3.12 1093985244 DOXYLAMINE SUCCINATE 25 MG ORAL TAB $1.00 4116700607 DOXYLAMINE SUCCINATE 25 MG ORAL TAB $1.70 4116700609 DOXYLAMINE SUCCINATE 25 MG ORAL TAB $1.24 7430000607 DOXYLAMINE SUCCINATE 25 MG ORAL TAB $1.70 41167-00606 DOXYLAMINE SUCCINATE 25 MG ORAL TAB $1.70 70677-0025-1 DOXYLAMINE SUCCINATE 25 MG ORAL TAB $1.00 70677-0068-1 DOXYLAMINE SUCCINATE 25 MG ORAL TAB $1.00 HC62202296 DRAIN $267.00 HC25004029 DRAIN ABSCESS FINGER COMPLEX "$1,516.00 " HC25004011 DRAIN ABSCESS FINGER SIMPLE $654.00 HC25005174 DRAIN ABSCESS LYMPH NODE/LYMPHADENITIS; SIMPLE "$1,668.00 " HC25005372 DRAIN ABSCESS WALL SCROTAL "$2,054.00 " HC51003077 DRAIN ABSCESS WALL SCROTAL "$1,956.00 " HC25005216 DRAIN ABSCESS/LESION MOUTH; SIMPLE "$1,325.00 " HC62202304 DRAIN ADAPTOR A $20.00 HC62217583 DRAIN ADAPTOR D $59.00 HC62202320 DRAIN BLAKE B $52.00 HC62219845 DRAIN BLAKE ROUND H $208.00 HC46502100 DRAIN CYSTS OVA UNI/BIL ABD APPR "$8,897.00 " HC62202338 DRAIN DEAVER $26.00 HC25005638 DRAIN EXTERNAL EAR LESION COMPLEX BIL "$3,032.00 " HC25005620 DRAIN EXTERNAL EAR LESION COMPLEX LT "$1,668.00 " HC25005612 DRAIN EXTERNAL EAR LESION COMPLEX RT "$1,668.00 " HC25005604 DRAIN EXTERNAL EAR LESION SIMPLE BIL "$1,668.00 " HC25005588 DRAIN EXTERNAL EAR LESION SIMPLE LT $909.00 HC25005596 DRAIN EXTERNAL EAR LESION SIMPLE RT $909.00 HC62202346 DRAIN JACKSON PRATT $39.00 HC25005257 DRAIN LESION DENTOALVEOLAR (GUM) $379.00 HC62202353 DRAIN PENROSE $20.00 HC62208236 DRAIN PLEURAL W/VAC BOTTLE "$2,223.00 " HC62202361 DRAIN SILICONE $98.00 HC62202379 DRAIN SUCTION ROUND OR FLAT $98.00 HC62202387 DRAIN WOUND $46.00 HC12200242 DRAW BLOOD VEN PICC/PERIPH CATH $445.00 HC51001956 DRAW BLOOD VEN PICC/PERIPH CATH $142.00 HC62202395 DRESSING ALLEVYN $164.00 HC62227400 DRESSING ANTIMIC MICRO-CURRENT A $33.00 HC62227418 DRESSING ANTIMIC MICRO-CURRENT B $65.00 HC62227426 DRESSING ANTIMIC MICRO-CURRENT C $98.00 HC62227434 DRESSING ANTIMIC MICRO-CURRENT D $130.00 HC62227442 DRESSING ANTIMIC MICRO-CURRENT E $195.00 HC62211651 DRESSING ANTIMIC PROTECTV DISC $13.00 HC62217500 DRESSING AQUACEL AG $117.00 HC62202403 DRESSING AQUACEL ROPE $85.00 HC62202411 DRESSING AQUAPHOR GUAZE $46.00 HC62202429 DRESSING BAND UNIV. FACIAL $326.00 HC62202437 DRESSING BIOBRANE $303.00 HC62202445 DRESSING BURN NET $33.00 HC62227863 DRESSING CLOT QUICK $572.00 HC62225594 DRESSING COLLAGEN W/ AG $273.00 HC62202452 DRESSING DUODERM $20.00 HC62213921 DRESSING DYNA-FLEX $36.00 HC62217526 DRESSING FILM IV (MEPITEL) $43.00 HC62202460 DRESSING FOAM (HYDROFERA) $59.00 HC62226535 DRESSING FOAM W/BRDR&ANTIMIC48SQ IN $130.00 HC62211594 DRESSING HYDROCOLLD WND FILLER $27.00 HC62211719 DRESSING HYDROGEL WND FILLER LG $355.00 HC62211602 DRESSING HYDROGEL WND FILLER SM $46.00 HC62202494 DRESSING INTERDRY AG PKG $190.00 HC62202502 DRESSING MICRODON $81.00 HC62214028 DRESSING NONADHERENT OWENS $38.00 HC62202510 DRESSING OPSITE $13.00 HC62202528 DRESSING OXYCEL $311.00 HC62210372 DRESSING PROFORE BANDAGE SYS $42.00 HC62202536 DRESSING RAYON $181.00 HC62211354 DRESSING SACRUM 18X18CM (MEPILEX) $25.00 HC62211362 DRESSING SACRUM 23X23CM (MEPILEX) $35.00 HC62211693 DRESSING SACRUM<324CM SQ(MEPILEX) $18.00 HC62217518 DRESSING SACRUM<324CM SQ(MEPITEL) $36.00 HC62211941 DRESSING SACRUM10X20CM(MEPILEX) $66.00 HC62209044 DRESSING SORBAVIEW $33.00 HC62221668 DRESSING SURGICEL C $98.00 HC62202551 DRESSING TEGADERM $13.00 HC62202478 DRESSING TEGADERM MOISTURE PERMEABLE $65.00 HC62213814 DRESSING THERABOND $26.00 HC62213772 DRESSING TUBE W/-W/O ELASTIC PER YD $35.00 HC62202569 DRESSING VASELINE $26.00 HC62202577 DRESSING VIASORB $77.00 HC62202585 DRESSING VIGILON $46.00 HC62202593 DRESSING VISCOPASTE ROLL $20.00 HC62202601 DRESSING WOUND $43.00 HC62225560 DRESSNG ENDOFRM TEMPLT 2X2 COLLAGEN $39.00 HC62225719 DRESSNG ENDOFRM TEMPLT 4X5 COLLAGEN $130.00 HC62202627 DRILL/DRILL BITS SINGLE USE A $33.00 HC62218672 DRILL/DRILL BITS SINGLE USE B $65.00 HC62218680 DRILL/DRILL BITS SINGLE USE C $98.00 HC62218698 DRILL/DRILL BITS SINGLE USE D $130.00 HC62218706 DRILL/DRILL BITS SINGLE USE E $163.00 HC62218714 DRILL/DRILL BITS SINGLE USE F $195.00 HC62218722 DRILL/DRILL BITS SINGLE USE G $228.00 HC62218730 DRILL/DRILL BITS SINGLE USE H $260.00 HC62218748 DRILL/DRILL BITS SINGLE USE I $293.00 HC62218755 DRILL/DRILL BITS SINGLE USE J $325.00 HC62218763 DRILL/DRILL BITS SINGLE USE K $390.00 HC62218771 DRILL/DRILL BITS SINGLE USE L $455.00 HC62218789 DRILL/DRILL BITS SINGLE USE M $520.00 HC62218797 DRILL/DRILL BITS SINGLE USE N $585.00 HC62218805 DRILL/DRILL BITS SINGLE USE O $650.00 HC62218813 DRILL/DRILL BITS SINGLE USE P $715.00 HC62218821 DRILL/DRILL BITS SINGLE USE Q $780.00 HC62218839 DRILL/DRILL BITS SINGLE USE R $845.00 HC62218847 DRILL/DRILL BITS SINGLE USE S $910.00 HC62218854 DRILL/DRILL BITS SINGLE USE T $975.00 HC62218862 DRILL/DRILL BITS SINGLE USE U "$1,040.00 " HC62218870 DRILL/DRILL BITS SINGLE USE V "$1,105.00 " HC62218888 DRILL/DRILL BITS SINGLE USE W "$1,170.00 " HC62218896 DRILL/DRILL BITS SINGLE USE X "$1,235.00 " HC62218904 DRILL/DRILL BITS SINGLE USE Y "$1,300.00 " HC62218912 DRILL/DRILL BITS SINGLE USE Z "$1,365.00 " HC62218920 DRILL/DRILL BITS SINGLE USE AA "$1,430.00 " HC62218938 DRILL/DRILL BITS SINGLE USE AB "$1,495.00 " HC62218946 DRILL/DRILL BITS SINGLE USE AC "$1,560.00 " HC62218953 DRILL/DRILL BITS SINGLE USE AD "$1,625.00 " HC62218961 DRILL/DRILL BITS SINGLE USE AE "$1,755.00 " HC62218979 DRILL/DRILL BITS SINGLE USE AF "$1,885.00 " HC62223557 DRILL/DRILL BITS SINGLE USE AG "$2,015.00 " HC62218987 DRILL/DRILL BITS SINGLE USE AH "$2,145.00 " HC62226097 DRILL/DRILL BITS SINGLE USE AI "$2,275.00 " HC62226105 DRILL/DRILL BITS SINGLE USE AJ "$2,405.00 " HC62223565 DRILL/DRILL BITS SINGLE USE AK "$2,600.00 " HC62226113 DRILL/DRILL BITS SINGLE USE AL "$2,925.00 " HC62226121 DRILL/DRILL BITS SINGLE USE AM "$3,250.00 " HC62227152 DRILL/DRILL BITS SINGLE USE AO "$3,900.00 " HC62226238 DRILL/DRILL BITS SINGLE USE AR "$4,875.00 " HC62208632 DRIVER CATH CAPSULE EGD $542.00 HC62300108 DRIVER NEEDLE ROBOTIC $748.00 HC62300454 DRIVER NEEDLE ROBOTIC I $390.00 HC62300504 DRIVER NEEDLE ROBOTIC O $910.00 0904-6745-61 DRONABINOL 2.5 MG ORAL CAP $28.34 17478-761-06 DRONABINOL 2.5 MG ORAL CAP $10.13 60687-375-01 DRONABINOL 2.5 MG ORAL CAP $30.91 0904-6746-04 DRONABINOL 5 MG ORAL CAP $57.85 17478-762-06 DRONABINOL 5 MG ORAL CAP $21.10 60687-386-11 DRONABINOL 5 MG ORAL CAP $58.84 60687-386-21 DRONABINOL 5 MG ORAL CAP $58.84 68084-175-11 DRONABINOL 5 MG ORAL CAP $58.84 68084-175-21 DRONABINOL 5 MG ORAL CAP $58.84 0024-4142-10 DRONEDARONE 400 MG ORAL TAB $65.84 0024-4142-60 DRONEDARONE 400 MG ORAL TAB $65.84 0517-9702-25 DROPERIDOL 2.5 MG/ML INJ SOLN $44.82 67386-820-19 DROXIDOPA 100 MG ORAL CAP $186.61 HC89005920 DRUG SCREEN NONFORENSIC SRM^DOS-AU $39.00 HC89021505 DRUG SCREEN NONFORENSIC URN^DOS-AU $39.00 HC89022024 DRUG SCRN 9 SERUM W-RFLX CONF(PNL)-AU $51.00 HC89021596 "DRUG SCRN, TOF PRESUMP-AU" $78.00 HC81101933 DRUG TEST PRESUMP DIR OPT INSTRMNT ASS'T/ DOS $285.00 HC81101925 DRUG TEST PRESUMP DIRECT OBSERV/ DOS $236.00 HC81101941 DRUG TEST PRESUMPTIVE CHEM ANALYZERS/ DOS $597.00 HC81101958 DRUG TST DEFNTV 1-7RX CLSS W/METBLTS/DAY $749.00 HC81101982 DRUG TST DEFNTV 22/>RX CLSS W/METBLTS/DAY "$1,254.00 " HC81101966 DRUG TST DEFNTV 8-14RX CLSS W/METBLTS/DAY $901.00 HC81101974 DRUG TST DEFNTV15-21RX CLSS W/METBLTS/DAY "$1,076.00 " HC89021612 "DRUGS OF ABUSE SCR STIM AMINES,URINE-AU" $17.00 HC89021646 DRUGS OF ABUSE SCRN MEC W-RFLX CONF(PNL)-AU $30.00 HC89005961 DRUGS OF ABUSE TEST-DTI 7A-AU $27.00 HC89004865 DRVVT RUSS VIPER VENOM 1:1MIX RFX-AU $13.00 HC89010789 DRVVT RUSS VIPER VENOM-AU $14.00 HC89004873 DRVVT RUSS VIPER VNM CONFIRM RFX-AU $23.00 HC89006159 DS AMPHETAMINE 1-2-AU $31.00 HC89021489 DS BARBITURATES CONFIRM-AU $59.00 HC89021604 DS BENZODIAZEPINES DETECT/PRESUMP-AU $17.00 HC89021497 DS COCAINE CONF-AU $34.25 HC62211917 DSG ABD ABTHERA OPEN "$1,196.00 " HC43000561 DUCTOGRAM MULTI DUCT(S) LT "$1,509.00 " HC43000579 DUCTOGRAM MULTI DUCT(S) RT "$1,509.00 " HC43000686 DUCTOGRAM SINGLE LT "$1,321.00 " HC43000694 DUCTOGRAM SINGLE RT "$1,321.00 " HC43000116 DUCTOGRAM/GALACTOGRAM MULTI "$1,509.00 " HC43000108 DUCTOGRAM/GALACTOGRAM SINGLE "$1,321.00 " 0002-3235-60 DULOXETINE 20 MG ORAL CPDR $45.78 0228-2890-06 DULOXETINE 20 MG ORAL CPDR $7.65 0904-6452-04 DULOXETINE 20 MG ORAL CPDR $8.74 0904-6452-61 DULOXETINE 20 MG ORAL CPDR $9.62 13668-109-60 DULOXETINE 20 MG ORAL CPDR $7.78 47335-381-86 DULOXETINE 20 MG ORAL CPDR $1.80 51991-746-90 DULOXETINE 20 MG ORAL CPDR $1.80 57237-017-60 DULOXETINE 20 MG ORAL CPDR $1.80 60505-2995-6 DULOXETINE 20 MG ORAL CPDR $2.94 68084-675-11 DULOXETINE 20 MG ORAL CPDR $10.60 68084-675-21 DULOXETINE 20 MG ORAL CPDR $10.60 0002-3240-30 DULOXETINE 30 MG ORAL CPDR $51.36 0002-3240-90 DULOXETINE 30 MG ORAL CPDR $51.36 0228-2891-03 DULOXETINE 30 MG ORAL CPDR $8.16 0904-6453-61 DULOXETINE 30 MG ORAL CPDR $8.62 13668-110-30 DULOXETINE 30 MG ORAL CPDR $8.72 31722-582-30 DULOXETINE 30 MG ORAL CPDR $2.95 47335-382-83 DULOXETINE 30 MG ORAL CPDR $1.80 50268-287-11 DULOXETINE 30 MG ORAL CPDR $7.36 50268-287-13 DULOXETINE 30 MG ORAL CPDR $7.36 57237-018-30 DULOXETINE 30 MG ORAL CPDR $2.00 57237-018-90 DULOXETINE 30 MG ORAL CPDR $1.87 57237-018-99 DULOXETINE 30 MG ORAL CPDR $1.85 60505-2996-3 DULOXETINE 30 MG ORAL CPDR $2.95 66993-663-30 DULOXETINE 30 MG ORAL CPDR $4.00 68084-683-01 DULOXETINE 30 MG ORAL CPDR $9.60 68084-683-11 DULOXETINE 30 MG ORAL CPDR $9.60 0002-3270-30 DULOXETINE 60 MG ORAL CPDR $51.36 0228-2892-03 DULOXETINE 60 MG ORAL CPDR $8.16 0904-6454-61 DULOXETINE 60 MG ORAL CPDR $8.62 13668-111-30 DULOXETINE 60 MG ORAL CPDR $8.72 47335-383-83 DULOXETINE 60 MG ORAL CPDR $1.80 57237-019-30 DULOXETINE 60 MG ORAL CPDR $2.00 57237-019-90 DULOXETINE 60 MG ORAL CPDR $1.87 60505-2997-3 DULOXETINE 60 MG ORAL CPDR $2.95 68084-692-01 DULOXETINE 60 MG ORAL CPDR $9.60 68084-692-11 DULOXETINE 60 MG ORAL CPDR $9.60 0024-5915-00 DUPILUMAB 300 MG/2 ML SUBCUTANEOUS PNIJ "$9,330.28 " 0024-5915-02 DUPILUMAB 300 MG/2 ML SUBCUTANEOUS PNIJ "$9,330.28 " 0024-5914-01 DUPILUMAB 300 MG/2 ML SUBCUTANEOUS SYRG "$9,330.28 " 0173-0712-04 DUTASTERIDE 0.5 MG ORAL CAP $39.62 0173-0712-15 DUTASTERIDE 0.5 MG ORAL CAP $39.63 42806-549-09 DUTASTERIDE 0.5 MG ORAL CAP $1.97 50268-282-11 DUTASTERIDE 0.5 MG ORAL CAP $5.71 50268-282-13 DUTASTERIDE 0.5 MG ORAL CAP $5.71 65162-750-03 DUTASTERIDE 0.5 MG ORAL CAP $7.00 65162-750-09 DUTASTERIDE 0.5 MG ORAL CAP $7.00 HC89000780 DYPHYLLINE-AU $94.00 HC29000502 E&M PREVENTIVE NEW 18-39 Y/O $428.00 HC29000510 E&M PREVENTIVE NEW 40-64 Y/O $428.00 HC84200526 E. COLI SHIGA-LIKE TOXIN ASSAY $155.00 HC62202635 EAR TUBES-DRAIN $65.00 HC51010791 EAR WICK (UNLISTED PROCEDURE) $114.00 HC81701757 "EBV AB TO EARLY (D) AG, IGG" $199.00 HC89012454 EBV AB TO EARLY AG (PNL)-AU $8.00 HC89012462 EBV AB TO EARLY AG-AU $10.00 HC89003446 EBV AB TO EARLY AG-QD $21.00 HC89012470 EBV AB TO NUCLEAR AG (PNL)-AU $8.00 HC81701740 "EBV AB TO NUCLEAR AG, IGG" $208.00 HC89003453 EBV AB TO NUCLEAR AG-QD $23.00 HC81701724 "EBV AB TO VIRAL CAPSID AG, IGG" $271.00 HC81701732 "EBV AB TO VIRAL CAPSID AG, IGM" $271.00 HC89012496 EBV AB-VIRAL CAPSID AG(PNL)-AU $8.00 HC89012504 EBV AB-VIRAL CAPSID AG-AU $16.00 HC89003461 EBV AB-VIRAL CAPSID AG-QD $25.00 HC89000046 EBV CAPSID AG AB (PNL)-FT $70.00 HC89000129 EBV NUCLEAR AG AB (PNL)-FT $70.00 47783-101-01 ECALLANTIDE 10 MG/ML (1 ML) SUBCUTANEOUS SOLN "$88,605.77 " HC42000893 ECG EXT HOLTER >48HRS-7DAYS; SCANNING ANYS W/REPORT "$1,199.00 " HC51061463 ECG EXT HOLTER >48HRS-7DAYS; SCANNING ANYS W/REPORT $165.00 HC42000919 ECG EXT HOLTER >7DAYS-15DAYS; SCANNING ANYS W/REPORT "$1,803.00 " HC51061489 ECG EXT HOLTER >7DAYS-15DAYS; SCANNING ANYS W/REPORT $240.00 HC42000331 ECG EXT HOLTER UP TO 48HRS; SCANNING ANYS & REPORT "$1,791.00 " HC51061430 ECG EXT HOLTER UP TO 48HRS; SCANNING ANYS & REPORT $232.00 HC42000901 ECG EXT HOLTER W/CONNECT >7DAYS-15DAYS; RECORDING "$1,228.00 " HC51061471 ECG EXT HOLTER W/CONNECT >7DAYS-15DAYS; RECORDING $165.00 HC42000315 ECG EXT HOLTER W/CONNECT UP TO 48HRS; RECORD "$1,372.00 " HC51001949 ECG EXT HOLTER W/CONNECT UP TO 48HRS; RECORD $232.00 HC42000885 ECG EXT HOLTER W/CONNECT>48HRS-7DAYS; RECORDING "$1,020.00 " HC51061455 ECG EXT HOLTER W/CONNECT>48HRS-7DAYS; RECORDING $125.00 HC42000646 ECG EXT PT ACTV EVENT MONITOR ATTEND 24HRS-30DAYS; TRANSMIT/ANYS "$2,851.00 " HC51061505 ECG EXT PT ACTV EVENT MONITOR ATTEND 24HRS-30DAYS; TRANSMIT/ANYS $235.00 HC42000018 ECG EXT PT ACTV EVENT MONITOR ATTEND 24HRS-30DAYS;HOOK&RECORD "$1,214.00 " HC51061497 ECG EXT PT ACTV EVENT MONITOR ATTEND 24HRS-30DAYS;HOOK&RECORD $130.00 HC42000828 ECG EXT TELEM MCT>24HRS-30DAYS TECH ATTEND TIME;CONNECT&TRANS "$2,939.00 " HC51061448 ECG EXT TELEM MCT>24HRS-30DAYS TECH ATTEND TIME;CONNECT&TRANS $350.00 HC42000109 ECG ROUTINE 12+ LEADS $635.00 HC51000164 ECG ROUTINE 12+ LEADS $116.00 HC51001618 ECG ROUTINE 12+ LEADS; TRACING ONLY $116.00 HC42000117 ECG ROUTINE 15 LEADS $668.00 HC51061158 ECG ROUTINE 15 LEADS $130.00 HC89012553 ECHINOCOCCUS AB-AU $15.00 HC42000729 ECHO 2D CMPLT W/O SPC&DOP W/WO CONTR "$3,486.00 " HC42000133 ECHO 2D CMPLT W/O SPEC&CLR DOP "$3,276.00 " HC51061653 ECHO 2D CMPLT W/O SPEC&CLR DOP $600.00 HC42000125 ECHO 2D CMPLT W/SPEC&CLR DOPLR "$5,590.00 " HC51061604 ECHO 2D CMPLT W/SPEC&CLR DOPLR "$1,450.00 " HC42000158 ECHO 2D DOP SPEC&CLR W/CON "$5,487.00 " HC42000141 ECHO 2D LMTD W/O SPEC&CLR /DOP "$2,121.00 " HC51061661 ECHO 2D LMTD W/O SPEC&CLR /DOP $475.00 HC42000737 ECHO 2D LMTD W/O SPEC&DOP W/WO CONTR "$2,758.00 " HC42000786 ECHO 2D RX STRESS; CONT EKG "$5,314.00 " HC42000778 ECHO 2D RX STRESS;CONT EKG W/WO CONTR "$5,520.00 " HC42000232 ECHO 2D STRESS PHARMOCOLOGIC "$4,435.00 " HC42000240 ECHO 2D STRESS TRDMLW/EKG W/CON "$4,694.00 " HC42000257 ECHO 2D STRESS TREADMILL "$4,357.00 " HC42000711 ECHO CNGNTL LTD OR F/U W/WO CONTR "$3,026.00 " HC42000703 ECHO CONGENITAL CMPLT W/ORWO FOL CONTR "$4,176.00 " HC42000083 ECHO CONGENITAL COMPLETE "$4,357.00 " HC51061588 ECHO CONGENITAL COMPLETE "$1,575.00 " HC42000091 ECHO CONGENITAL LTD OR F/U "$2,434.00 " HC51061596 ECHO CONGENITAL LTD OR F/U "$1,274.00 " HC42000182 ECHO DOPPLER COLOR FLOW "$1,747.00 " HC51061638 ECHO DOPPLER COLOR FLOW+ $400.00 HC42000166 ECHO DOPPLER COMPLETE "$1,966.00 " HC51061612 ECHO DOPPLER COMPLETE+ $450.00 HC42000174 ECHO DOPPLER F/U OR LTD* "$1,391.00 " HC51061620 ECHO DOPPLER F/U OR LTD+ $425.00 HC51061703 ECHO FETAL CARDIO 2D F/U OR REPEAT $625.00 HC42000190 ECHO FETAL CARDIOVASCULAR "$3,132.00 " HC51061695 ECHO FETAL CARDIOVASCULAR 2D $850.00 HC42000208 ECHO FETAL DOPPLER COMPLETE "$1,265.00 " HC51061711 ECHO FETAL DOPPLER COMPLETE $350.00 HC42000216 ECHO FETAL DOPPLER F/U OR REP "$1,053.00 " HC51061729 ECHO FETAL DOPPLER F/U OR REPEAT $300.00 HC42000224 ECHO FETAL F/U OR REPEAT "$1,689.00 " HC44200889 ECHO VELOCIMETRY FETAL UMBILIC $905.00 0046-1065-05 ECHOTHIOPHATE IODIDE 0.125 % OPHT DROP $532.02 HC89005557 ECHOVIRUS 11 AB-FT $26.00 HC89005565 ECHOVIRUS 30 AB-FT $26.00 HC89005524 ECHOVIRUS 4 AB-FT $26.00 HC89005532 ECHOVIRUS 7 AB-FT $26.00 HC89005540 ECHOVIRUS 9 AB-FT $26.00 HC89012439 ECHOVIRUS AB (PNL)- AU $90.00 HC89020994 ECHOVIRUS AB TYPE 11-AU $25.40 HC89021000 ECHOVIRUS AB TYPE 30-AU $25.40 HC89020960 ECHOVIRUS AB TYPE 6-AU $25.40 HC89020978 ECHOVIRUS AB TYPE 7-AU $25.40 HC89020986 ECHOVIRUS AB TYPE 9-AU $25.40 HC89001473 ECHOVIRUS AB-QD $15.00 HC89020226 ECM1 SNP (RS3737240)(PNL)-PR $14.40 HC38420113 ECMO DAILY MNGMT EA DAY VENO-ART "$11,389.15 " HC38420105 ECMO DAILY MNGMT EA DAY VENO-VENO "$11,711.02 " HC38420097 ECMO INITIATION VENO-ARTERIAL "$16,415.23 " HC38420089 ECMO INITIATION VENO-VENOUS "$14,855.42 " HC38420147 ECMO INSERT PERIPH CANNULA PERC W/FLUORO "$20,178.61 " HC38420139 ECMO REPSN OPEN A&/V PERC W/FLUOR=5Y "$11,067.28 " HC38420121 ECMO REPSN PERIF A&/V PERC W/FLUOR=5Y "$8,690.42 " HC38420238 ECMO/ECLS ECLS REPOS CENTRAL CNULA 6YRS & OLDER "$23,521.08 " HC38420162 ECMO/ECLS INSERT PERIPH CANNULA OPEN BIRTH-AGE 5 "$22,555.47 " HC38420154 ECMO/ECLS INSERT PERIPH CANNULA PERC BIRTH-AGE 5 "$20,178.61 " HC38420196 ECMO/ECLS INSJ OF CENTRAL CANNULA 6 YRS & OLDER "$39,614.44 " HC38420188 ECMO/ECLS INSJ OF CENTRAL CANNULA BIRTH-5 YRS "$39,614.44 " HC38420170 ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS&OLDER OPEN "$22,555.47 " HC38420295 ECMO/ECLS REMOVAL OF CENTRAL CANNULA 6 YRS & OLDER "$24,759.03 " HC38420287 ECMO/ECLS REMOVAL OF CENTRAL CANNULA BIRTH-5 YRS "$24,486.68 " HC38420279 ECMO/ECLS REMOVAL PRPH CANNULA OPEN 6 YRS & OLDER "$13,518.43 " HC38420220 ECMO/ECLS REPOS CENTRAL PERPH CANNULA BIRTH-5YRS "$22,283.12 " HC38420212 ECMO/ECLS REPOS PERPH CANNULA OPEN 6 YRS & OLDER "$11,067.28 " HC38420204 ECMO/ECLS REPOS PERPH CANNULA PRQ 6 YRS & OLDER "$8,690.42 " HC38420261 ECMO/ECLS RMVL OF PERPH CANNULA OPEN BIRTH-5 YRS "$12,924.21 " HC38420246 ECMO/ECLS RMVL OF PERPH CANNULA PERQ BIRTH-5 YRS "$8,690.42 " HC38420253 ECMO/ECLS RMVL OF PRPH CANNULA PRQ 6 YRS & OLDER "$11,141.56 " 45802-466-35 ECONAZOLE 1 % TOPICAL CREAM $150.21 51672-1303-2 ECONAZOLE 1 % TOPICAL CREAM $584.28 52565-022-15 ECONAZOLE 1 % TOPICAL CREAM $74.97 HC62208657 ECP TIGHTS $59.00 25682-001-01 ECULIZUMAB 300 MG/30 ML IV SOLN "$39,137.94 " HC25000001 ED LEVEL I-BRIEF $567.00 HC25000019 ED LEVEL II - LIMITED "$1,142.00 " HC25000027 ED LEVEL III - INTERMEDIATE "$1,879.00 " HC25000035 ED LEVEL IV - EXTENDED "$3,035.00 " HC25000043 ED LEVEL V - COMPREHENSIVE "$4,137.00 " HC25000050 ED LEVEL VI - CRITICAL "$5,644.00 " 65597-201-30 EDOXABAN 15 MG ORAL TAB $77.82 65597-202-30 EDOXABAN 30 MG ORAL TAB $77.82 65597-203-30 EDOXABAN 60 MG ORAL TAB $77.82 99999-038-21 EDTA 3% OPHT DROPS (COMPOUND) $60.00 99999-038-66 EDTA 3.75% OPTH DROPS (COMPOUND) $120.00 HC41500679 EEG ANALYSIS DIGITAL $643.00 HC41500109 EEG AWAKE AND DROWSY "$2,193.00 " HC41500117 EEG CEREBRAL SILENCE "$3,019.00 " HC41500125 EEG INTRAOP NON-INTRACRANIAL "$1,317.00 " HC41500141 EEG MONITORING 41-60MINUTES "$1,950.00 " HC41500133 EEG MONITORING 61-119MINUTES "$3,046.00 " HC41500703 EEG PHARMACOLOGICAL/PHYSICAL ACTIVATION "$4,034.00 " HC41500166 EEG ROUTINE(AWAKE&ASLEEP) "$2,730.00 " HC41500760 EEG SETUP W/VIDEO REC CONT MIN8 CHNNL "$1,068.00 " HC41500174 EEG SLEEP(ONLY) "$2,595.00 " HC41500794 EEG W/O VID MONITOR CONT 2-12HR "$2,986.00 " HC41500828 EEG W/O VID MONITOR CONT EA 12-26HR "$3,560.00 " HC41500786 EEG W/O VID MONITOR INTERMIT 2-12HR "$1,931.00 " HC41500810 EEG W/O VID MONITOR INTERMT EA 12-26HR "$2,547.00 " HC41500778 EEG W/O VID UNMONITOR 2-12 HR $889.00 HC41500802 EEG W/O VID UNMONITOR EA 12-26HR "$1,989.00 " HC41500851 EEG W/VIDEO MONITOR CONT 2-12 HR "$3,975.00 " HC41500885 EEG W/VIDEO MONITOR CONT EA 12-26HR "$7,069.00 " HC41500844 EEG W/VIDEO MONITOR INTERMT 2-12 HR "$4,072.00 " HC41500877 EEG W/VIDEO MONITOR INTERMT EA 12-26HR "$4,486.00 " HC41500836 EEG W/VIDEO UNMONITOR 2-12 HR "$1,844.00 " HC41500869 EEG W/VIDEO UNMONITOR EA 12-26 HR "$2,774.00 " 0056-0474-92 EFAVIRENZ 200 MG ORAL CAP $65.38 64980-407-09 EFAVIRENZ 200 MG ORAL CAP $56.48 0056-0510-30 EFAVIRENZ 600 MG ORAL TAB $196.12 0378-2233-93 EFAVIRENZ 600 MG ORAL TAB $178.87 15584-0101-1 EFAVIRENZ-EMTRICITABIN-TENOFOV 600-200-300 MG ORAL TAB $598.94 HC27000355 EGD COMPLETE DX W/ BRUSH/SPEC ~FO "$5,062.00 " HC27000363 EGD DIAGNOSTIC DISCONTINUED PROC "$1,496.00 " HC27001411 EGD HEAT ESO SPHINC/GASTRIC CARDIA~FO "$7,661.00 " HC27001890 EGD PARTIAL/COMPL EG FUNDOPLASTY "$17,282.00 " HC27001403 EGD W/ABLAT TUMR/POLYP/LESN(DIL&GIDEWR)~FO "$6,339.00 " HC27000397 EGD W/BALLOON DILATION <30MM ~FO "$5,830.00 " HC27000405 EGD W/BANDING ESOPH/GASTRIC ~FO "$5,904.00 " HC27000413 EGD W/BIOPSY(S) ~FO "$5,028.00 " HC27000421 EGD W/CONTOL BLEED ~FO "$5,988.00 " HC27001429 EGD W/DIL BALLN =30MM (FLUORO) ~FO "$5,471.00 " HC27000439 EGD W/DIL OVER GUIDEWIRE ~FO "$5,636.00 " HC27000447 EGD W/DILATION GASTRIC OUTLET ~FO "$5,896.00 " HC27001445 EGD W/EUS ESOPH/STOMCH/DUOD ~FO "$6,124.00 " HC27001833 EGD W/EUS ESOPH->DUOD/SURG ALT STOMCH JEJUN ~FO "$6,701.00 " HC27001817 EGD W/EUS FNA/BX ESOPH/STOMCH/DUOD~FO "$6,488.00 " HC27001825 EGD W/EUS FNA/BX ESOPH->DUOD/SURG ALT STOMCH JEJUN~FO "$6,014.00 " HC27000454 EGD W/FOREIGN BODY(S) REMOVAL ~FO "$5,819.00 " HC27000470 EGD W/INJ SUBMUCOSAL ~FO "$5,489.00 " HC27000488 EGD W/PEG PLACEMENT ~FO "$6,065.00 " HC27001379 EGD W/RESECT SUBMUCOSAL ~FO "$5,615.00 " HC27000496 EGD W/SCLEROTHERAPY ~FO "$5,615.00 " HC27001437 EGD W/STENT (DIL&GUIDEWIRE) "$7,778.00 " HC27000520 EGD W/TRANS DRAIN/STENT CYST(EUS) ~FO "$7,167.00 " HC27000512 EGD W/TRANSENDO TUBE/CATH PLC ~FO "$4,962.00 " HC27000462 EGD W/TUMR/LES REMOV HOT BX~FO "$5,143.00 " HC27000538 EGD W/TUMR/LES REMOV W/SNARE~FO "$5,056.00 " HC89020366 EGFR GENE COM VARIANTS-AU $443.00 HC83505826 EGFR GENE COM VARIANTS-NG $360.00 HC62202643 EJECTOR SALIVA FLEXIBLE $75.00 HC82200015 ELASTIC STAIN/GRP II+ $412.00 HC44002707 ELBOW - COMPLETE $898.00 HC44000594 ELBOW 2 VWS BILAT "$1,385.00 " HC44000602 ELBOW 2 VWS LT $702.00 HC44000610 ELBOW 2 VWS RT $702.00 HC44000628 ELBOW ARTHROGRAM BILAT "$2,923.00 " HC44000636 ELBOW ARTHROGRAM LT "$1,551.00 " HC44000644 ELBOW ARTHROGRAM RT "$1,551.00 " HC44000651 ELBOW COMP MIN 3 VWS BILAT "$1,801.00 " HC44000669 ELBOW COMP MIN 3 VWS LT $898.00 HC44000677 ELBOW COMP MIN 3 VWS RT $897.00 HC89023121 ELECTRO FRAC AND QUANT URINE-AU $16.00 HC41500182 ELECTROCORTICOGRAM IN SURGERY "$2,190.00 " HC62218144 ELECTRODE LAP D $130.00 HC62202650 ELECTRODE LAP E $195.00 HC62227038 ELECTRODE BIPOLAR ENDO "$2,275.00 " HC62227319 ELECTRODE BIPOLAR ENDO D "$1,625.00 " HC62222997 ELECTRODE BIPOLAR HYSTERO TWIZZEL "$1,343.00 " HC62202668 ELECTRODE DISP $65.00 HC62202676 ELECTRODE EEG (DISP) $65.00 HC62226550 ELECTRODE EEG/EMG DISP $455.00 HC62224704 ELECTRODE ENDOSCOPIC BALL TIP $543.00 HC62202684 ELECTRODE FETAL SCALP HELIX $98.00 HC62218615 ELECTRODE HOOK ARTHROSCOPIC $73.00 HC62223573 ELECTRODE HOOK LAPAROSCOPIC $148.00 HC62218128 ELECTRODE LEEP LOOPS C $39.00 HC62202692 ELECTRODE LEEP LOOPS N $260.00 HC62224209 ELECTRODE LOOP E $195.00 HC62227673 ELECTRODE LOOP CUTTING BIPOLAR "$1,105.00 " HC62227681 ELECTRODE MONOPOLAR BALL "$1,625.00 " HC62224712 ELECTRODE NEEDLE UROLOGICAL HF "$1,625.00 " HC62217740 ELECTRODE NEUROMONITORING SPINAL $887.00 HC62202700 ELECTRODE PACER TEMPORARY $975.00 HC62202718 ELECTRODE PACING/DEFIB TEMPORARY H $390.00 HC62228549 ELECTRODE PACING/DEFIB TEMPORARY K $585.00 HC62228556 ELECTRODE PACING/DEFIB TEMPORARY L $650.00 HC62228564 ELECTRODE PACING/DEFIB(ONESTEP) $260.00 HC62202726 ELECTRODE QUICK COMBO $116.00 HC62202734 ELECTRODE RESECTOSCOPE E $389.00 HC62223011 ELECTRODE RESECTOSCOPE K $910.00 HC62226147 ELECTRODE RESECTOSCOPE N "$1,300.00 " HC62222591 ELECTRODE ROLLER BALL B $65.00 HC62202742 ELECTRODE ROLLER BALL G $325.00 HC62222609 ELECTRODE ROLLER BALL H $390.00 HC62222617 ELECTRODE ROLLER BALL I $455.00 HC62222625 ELECTRODE ROLLER BALL L $650.00 HC62224134 ELECTRODE SEALING (E.G. LIGASURE) $455.00 HC62215421 ELECTRODE SURGICAL $98.00 HC62202759 ELECTRODE TUR LOOP $313.00 HC62212501 ELECTRODE UROLOGICAL/ELECTROSURGICL "$1,404.00 " HC62202767 ELECTRODE VAPORTRODE/VAPRTOME $673.00 HC51080265 ELECTRODE WIRED PRE-GELLED URO $20.00 HC62202783 ELECTRODES 4 CHANNEL NIM $424.00 HC81100430 ELECTROLYTE PANEL $265.00 0338-0221-04 ELECTROLYTE-A IV SOLP $78.00 0409-7965-09 ELECTROLYTE-M IN 5 % DEXTROSE IV SOLP $30.00 0409-7670-09 ELECTROLYTE-R (PH 7.4) IV SOLP $30.00 0990-7670-03 ELECTROLYTE-R (PH 7.4) IV SOLP $33.00 0990-7670-09 ELECTROLYTE-R (PH 7.4) IV SOLP $30.00 0264-7707-00 ELECTROLYTE-S (PH 7.4) IV SOLP $30.00 0264-7707-10 ELECTROLYTE-S (PH 7.4) IV SOLP $500.00 HC82202169 ELECTRON MICROSCOPY "$3,123.00 " HC83503854 ELECTRON MICROSCOPY PROF-CS $303.00 HC82202300 ELECTRON MICROSCOPY REDUCE SVC "$2,328.00 " HC83503847 ELECTRON MICROSCOPY-CS $771.13 HC89016372 ELECTRON MICROSCOPY-QD $2.00 0049-2340-45 ELETRIPTAN 40 MG ORAL TAB $391.98 HC62225537 ELEVATOR KNEE FOAM W/COVER $104.00 0078-0685-15 ELTROMBOPAG 25 MG ORAL TAB "$1,054.27 " 0078-0686-15 ELTROMBOPAG 50 MG ORAL TAB "$1,907.88 " 0078-0686-55 ELTROMBOPAG 50 MG ORAL TAB "$1,907.88 " 61874-100-60 ELUXADOLINE 100 MG ORAL TAB $131.74 HC62802947 EMBOLIC LIQUID ONYX PER VIAL(LOW VIS) "$10,027.00 " HC62202791 EMBOLIC PROTECT SYSTEM CAROTID "$6,371.00 " HC62210380 EMBOLIC PROTECT SYSTEM; VASC G "$3,250.00 " HC44504793 EMBOLIZATION DIALYSIS CIRCUIT VEIN(S)WS&I+ "$12,010.00 " HC62219324 EMBOLIZATION PROTECTIVE SYSTEM J "$4,225.00 " HC62202809 EMBOLIZATION PROTECTIVE SYSTEM Q "$6,500.00 " HC62227988 EMBOLIZATION PROTECTIVE SYSTEM (TCAR) X "$11,213.00 " HC44504645 EMBOLIZATION/OCCLUSION URETERAL LT "$5,570.00 " HC44504652 EMBOLIZATION/OCCLUSION URETERAL RT "$5,570.00 " HC62219332 EMBOLIZATN PROTECT SYSTEM(EZ) L "$4,875.00 " HC62219316 EMBOLIZATN PROTECT SYSTEM(SPIDER) H "$3,575.00 " HC44504033 EMBOLIZE ARTERIAL(ANY MALFORMTN)W/S&I "$35,580.00 " HC44504041 EMBOLIZE TUMOR/ORGAN/INFARCT W/S&I "$40,660.00 " HC44504025 EMBOLIZE VENOUS (ANY MALFORMTN)W/S&I "$30,143.00 " HC44504058 EMBOLIZE VES HEMORRG/LYMPH EXTRAVW/S&I "$40,384.00 " HC25000597 EMERGENCY DELIVERY VAGINAL "$3,626.00 " HC41500489 EMG 1 EXTREM W/PARASPINAL LTD+ $794.00 HC41500190 EMG 1 EXTREMITY $954.00 HC51010387 EMG 1 EXTREMITY $423.00 HC41500208 EMG 2 EXTREMITY "$1,401.00 " HC51010395 EMG 2 EXTREMITY $640.00 HC41500216 EMG 3 EXTREMITY "$1,747.00 " HC51010403 EMG 3 EXTREMITY $720.00 HC41500224 EMG 4 EXTREMITY "$2,123.00 " HC51010411 EMG 4 EXTREMITY "$1,061.00 " HC41500497 EMG EA EXTRM /PRSPNL;CMPL 5MUS+ $803.00 HC41500232 EMG FACIAL BILAT "$1,301.00 " HC41500539 EMG FACIAL UNILAT $745.00 HC41500240 EMG FACIAL UNILAT LT $745.00 HC41500257 EMG FACIAL UNILAT RT $745.00 HC41500729 EMG HEMIDIAPHRAGM "$1,099.00 " HC41500711 EMG LARYNX "$1,077.00 " HC41500745 EMG LMTD EXTRM 1 (NOT PARASP/CRANIAL/SPHINC) $454.00 HC51010437 EMG LTD NOT PARASP/CRANIAL/SPHINC $150.00 HC62202817 EMG NEEDLE $79.00 HC41500505 EMG NON-EXTREM (FACIAL) MUSC + $710.00 HC41500737 EMG THORACIC PARASPINAL(NO T1/T12) $606.00 HC51010429 EMG THORACIC PARASPINAL(NO T1/T12) $223.00 5898096012 EMOLLIENT COMBINATION NO.10 TOPICAL EMUL $130.41 5898096031 EMOLLIENT COMBINATION NO.10 TOPICAL EMUL $214.38 0597-0153-30 EMPAGLIFLOZIN 25 MG ORAL TAB $104.48 61958-0601-1 EMTRICITABINE 200 MG ORAL CAP $107.30 69097-642-02 EMTRICITABINE 200 MG ORAL CAP $92.70 61958-0701-1 EMTRICITABINE-TENOFOVIR (TDF) 200-300 MG ORAL TAB $368.45 61958-2101-1 EMTRICITAB-RILPIVIR-TENOFO ALA 200-25-25 MG ORAL TAB $589.42 52652-4001-1 ENALAPRIL MALEATE 1 MG/ML ORAL SOLN "$3,222.00 " 0904-5610-61 ENALAPRIL MALEATE 10 MG ORAL TAB $3.01 16714-444-01 ENALAPRIL MALEATE 10 MG ORAL TAB $3.07 51672-4039-1 ENALAPRIL MALEATE 10 MG ORAL TAB $2.98 64679-925-02 ENALAPRIL MALEATE 10 MG ORAL TAB $2.98 0904-5609-61 ENALAPRIL MALEATE 2.5 MG ORAL TAB $2.77 16714-442-01 ENALAPRIL MALEATE 2.5 MG ORAL TAB $2.35 64679-923-02 ENALAPRIL MALEATE 2.5 MG ORAL TAB $2.23 0904-5611-61 ENALAPRIL MALEATE 20 MG ORAL TAB $4.28 64679-926-02 ENALAPRIL MALEATE 20 MG ORAL TAB $4.23 0904-5502-61 ENALAPRIL MALEATE 5 MG ORAL TAB $2.86 16714-443-01 ENALAPRIL MALEATE 5 MG ORAL TAB $2.98 64679-924-02 ENALAPRIL MALEATE 5 MG ORAL TAB $2.83 64679-924-03 ENALAPRIL MALEATE 5 MG ORAL TAB $2.69 99999-010-37 ENALAPRILAT 1.25 MG/ML INJ (MCH) $16.80 99999-010-38 ENALAPRILAT 1.25 MG/ML INJ (MCH) $8.40 0143-9786-01 ENALAPRILAT 1.25 MG/ML IV SOLN $47.11 0143-9786-10 ENALAPRILAT 1.25 MG/ML IV SOLN $47.11 0143-9787-01 ENALAPRILAT 1.25 MG/ML IV SOLN $26.38 0143-9787-10 ENALAPRILAT 1.25 MG/ML IV SOLN $26.38 0409-2122-88 ENALAPRILAT 1.25 MG/ML IV SOLN $17.22 99999-005-42 ENALAPRILAT 20 MCG/ML INJ DILUTION (MCH) $1.00 HC89000871 ENCAINIDE-AU $422.00 HC89004444 ENCEPHALITIS CALIF AB (PNL)-AU $19.00 HC89012306 ENCEPHALITIS CALIF AB IGG-AU $19.00 HC89021257 ENCEPHALITIS CALIF AB IGM-AU $45.00 HC89003354 ENCEPHALITIS CALIF AB-QD $24.00 HC89012322 ENCEPHALITIS EASTERN AB IGG-AU $19.00 HC89021265 ENCEPHALITIS EASTERN AB IGM-AU $45.00 HC89003362 ENCEPHALITIS EASTERN AB-QD $26.00 HC89004451 ENCEPHALITIS EASTRN AB(PNL)-AU $19.00 HC89012355 ENCEPHALITIS ST LOUIS AB IGG-AU $19.00 HC89021273 ENCEPHALITIS ST LOUIS AB IGM-AU $45.00 HC89003370 ENCEPHALITIS ST LOUIS AB-QD $27.00 HC89004469 ENCEPHALITIS STLOUIS AB(PNL-AU $19.00 HC89012371 ENCEPHALITIS WESTERN AB IGG-AU $19.00 HC89021281 ENCEPHALITIS WESTERN AB IGM-AU $45.00 HC89003388 ENCEPHALITIS WESTERN AB-QD $26.00 HC89004477 ENCEPHALITIS WESTRN AB(PNL)-AU $19.00 HC62208822 END CAP $20.00 HC62202833 ENDO BALLOON PERITONEAL SYSTEM $982.00 HC44500759 ENDO BILI W/DILAT W/ STENT "$8,413.00 " HC44500767 ENDO BILI W/DILAT W/O STENT "$7,611.00 " HC62202866 ENDO INSTRUMENT $627.00 HC62202882 ENDO LOOP $259.00 HC62208749 ENDO LOOP MONO LINA GOLD "$1,138.00 " HC27001288 ENDO PANCREATOSCOPY DUCT(S) + "$5,830.00 " HC62202916 ENDO PUSHER $118.00 HC62202924 ENDO REDUCER $65.00 HC62202957 ENDO SCRUB SHEATH $215.00 HC27000553 ENDO SM INTEST POUCH (KOCK) W/BX(S) "$5,851.00 " HC27000546 ENDO SM INTST POUCH(KOCK)DX INCL COLLECT "$4,824.00 " HC62218300 ENDO STAPLER B $130.00 HC62218318 ENDO STAPLER C $195.00 HC62218326 ENDO STAPLER D $260.00 HC62218334 ENDO STAPLER E $325.00 HC62218342 ENDO STAPLER G $455.00 HC62218359 ENDO STAPLER H $520.00 HC62218367 ENDO STAPLER I $585.00 HC62218375 ENDO STAPLER J $650.00 HC62202965 ENDO STAPLER K $715.00 HC62218383 ENDO STAPLER L $780.00 HC62218391 ENDO STAPLER M $845.00 HC62218409 ENDO STAPLER N $910.00 HC62218417 ENDO STAPLER O $975.00 HC62218425 ENDO STAPLER P "$1,040.00 " HC62218433 ENDO STAPLER Q "$1,105.00 " HC62218441 ENDO STAPLER R "$1,170.00 " HC62218458 ENDO STAPLER S "$1,235.00 " HC62218466 ENDO STAPLER T "$1,300.00 " HC62216841 ENDO STAPLER V "$1,430.00 " HC62216858 ENDO STAPLER W "$1,495.00 " HC62216866 ENDO STAPLER X "$1,560.00 " HC62216874 ENDO STAPLER Y "$1,625.00 " HC62216882 ENDO STAPLER Z "$1,690.00 " HC62216890 ENDO STAPLER AA "$1,755.00 " HC62216908 ENDO STAPLER AB "$1,820.00 " HC62216916 ENDO STAPLER AC "$1,885.00 " HC62216924 ENDO STAPLER AD "$1,950.00 " HC62216932 ENDO STAPLER AE "$2,015.00 " HC62218482 ENDO STAPLER AI "$2,275.00 " HC62218490 ENDO STAPLER AJ "$2,340.00 " HC62218508 ENDO STAPLER AQ "$3,250.00 " HC62202973 ENDO STAPLER SKIN $686.00 HC62202981 ENDO STITCH/CATCH $715.00 HC62203013 ENDOCURIE RIBBON LONG $371.00 HC44700177 ENDOMYOCARDIAL BIOPSY "$6,181.00 " HC89005383 ENDOMYSIAL AB IGA SCRN-AU $16.00 HC89011472 ENDOMYSIAL AB IGA TITER-AU $17.00 HC89000012 ENDOMYSIAL FA AB SCRN-QD $24.00 HC62203021 ENDOSCOPIC SYSTEM "$2,150.00 " HC51010767 ENDOSCOPY NASAL DX UNI/BILAT $350.00 HC44504496 ENDOVASC INFUS CRANIAL(NON-THROMB)ADD TRRT+ "$5,633.00 " HC44504488 ENDOVASC INFUS CRANIAL(NON-THROMB)INIT'L TRRT "$13,682.00 " HC44502334 ENDOVENOUS ABLAT LASER WS&I; ADDL VEIN+ "$6,675.00 " HC44502318 ENDOVENOUS ABLAT LASER WS&I; INITIAL VEIN "$10,766.00 " HC44504702 ENDOVENOUS ABLAT MECHANOCHEM WS&I; ADDL VEIN+ "$3,722.00 " HC44504694 ENDOVENOUS ABLAT MECHANOCHEM WS&I; INITIAL VEIN "$7,731.00 " HC44503530 ENDOVENOUS ABLAT RADIO FREQ WS&I; ADDL VEIN+ "$6,937.00 " HC44503514 ENDOVENOUS ABLAT RADIO FREQ WS&I; INITIAL VEIN "$11,714.00 " HC44000685 ENEMA THERAPEUTIC CONTRAST/AIR "$2,083.00 " 0075-0623-00 ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRG $496.72 0548-5605-00 ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRG $90.00 0703-8580-21 ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRG $119.28 0703-8580-23 ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRG $119.28 0781-3500-05 ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRG $264.00 0781-3500-69 ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRG $264.00 0955-1010-10 ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRG $446.56 60505-0795-1 ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRG $90.00 60505-0795-4 ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRG $90.00 63323-586-21 ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRG $119.28 63323-586-96 ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRG $119.28 63323-605-01 ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRG $119.28 63323-605-04 ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRG $60.24 63323-605-84 ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRG $119.28 63323-605-94 ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRG $60.24 0075-2912-01 ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRG $596.26 0548-5606-00 ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRG $108.00 0703-8610-21 ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRG $143.10 0703-8610-23 ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRG $143.10 0781-3612-04 ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRG $316.80 0781-3612-68 ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRG $316.80 0955-1012-10 ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRG $536.04 63323-609-01 ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRG $143.10 63323-609-90 ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRG $143.10 0075-2915-01 ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRG $745.34 0548-5607-00 ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRG $135.00 0703-8510-21 ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRG $178.86 0703-8510-23 ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRG $178.86 0781-3655-69 ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRG $396.00 63323-537-01 ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRG $178.86 63323-537-84 ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRG $178.86 0075-0624-01 ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRG $148.85 0075-0624-30 ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRG $148.85 0548-5601-00 ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRG $27.00 0703-8530-21 ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRG $35.82 0703-8530-23 ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRG $35.82 0781-3133-01 ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRG $79.20 0781-3133-63 ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRG $79.20 0955-1003-10 ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRG $133.82 63323-533-01 ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRG $35.82 63323-533-13 ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRG $18.06 63323-533-83 ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRG $35.82 63323-533-93 ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRG $18.06 0075-0626-03 ENOXAPARIN 300 MG/3 ML SUBCUTANEOUS SOLN "$1,488.47 " 0548-5608-00 ENOXAPARIN 300 MG/3 ML SUBCUTANEOUS SOLN $192.01 0955-1016-01 ENOXAPARIN 300 MG/3 ML SUBCUTANEOUS SOLN "$1,338.17 " 63323-539-03 ENOXAPARIN 300 MG/3 ML SUBCUTANEOUS SOLN $422.51 0075-0620-40 ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRG $198.46 0548-5602-00 ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRG $36.00 0703-8540-21 ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRG $47.64 0703-8540-23 ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRG $47.64 0781-3224-02 ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRG $105.60 0781-3224-64 ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRG $105.60 0955-1004-01 ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRG $51.24 0955-1004-10 ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRG $51.24 16714-016-01 ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRG $84.35 16714-016-10 ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRG $84.35 60505-0792-0 ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRG $36.00 60505-0792-4 ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRG $36.00 63323-535-01 ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRG $47.64 63323-535-08 ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRG $24.06 63323-535-87 ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRG $47.64 63323-535-98 ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRG $24.06 0075-0621-60 ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRG $298.04 0548-5603-00 ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRG $54.00 0703-8560-21 ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRG $71.58 0703-8560-23 ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRG $71.58 0781-3356-03 ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRG $158.40 0781-3356-66 ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRG $158.40 0955-1006-01 ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRG $76.94 0955-1006-10 ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRG $76.94 63323-607-01 ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRG $71.58 63323-607-08 ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRG $36.12 63323-607-88 ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRG $71.58 63323-607-98 ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRG $36.12 0075-0622-80 ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRG $397.39 0548-5604-00 ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRG $72.00 0703-8680-21 ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRG $95.40 0703-8680-23 ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRG $95.40 0781-3428-04 ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRG $247.20 0781-3428-68 ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRG $247.20 0955-1008-01 ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRG $102.56 0955-1008-10 ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRG $102.56 16714-036-01 ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRG $229.31 16714-036-10 ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRG $229.31 60505-0794-0 ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRG $72.00 60505-0794-4 ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRG $72.00 63323-531-01 ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRG $95.40 63323-531-08 ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRG $48.18 63323-531-90 ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRG $95.40 63323-531-98 ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRG $48.18 63323-584-21 ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRG $95.40 63323-584-99 ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRG $95.40 0078-0327-05 ENTACAPONE 200 MG ORAL TAB $46.27 0378-9080-01 ENTACAPONE 200 MG ORAL TAB $18.98 0781-5578-01 ENTACAPONE 200 MG ORAL TAB $18.96 27241-049-10 ENTACAPONE 200 MG ORAL TAB $5.40 47335-007-88 ENTACAPONE 200 MG ORAL TAB $22.70 50268-295-11 ENTACAPONE 200 MG ORAL TAB $30.00 50268-295-15 ENTACAPONE 200 MG ORAL TAB $30.00 51079-273-01 ENTACAPONE 200 MG ORAL TAB $34.05 51079-273-03 ENTACAPONE 200 MG ORAL TAB $34.05 60687-188-11 ENTACAPONE 200 MG ORAL TAB $24.71 60687-188-21 ENTACAPONE 200 MG ORAL TAB $24.71 64679-781-02 ENTACAPONE 200 MG ORAL TAB $3.72 HC89019871 ENTAMOEBA ANTIGEN EIA -AU $22.23 HC84200492 ENTAMOEBA HISTO AG(DISPAR) $137.00 HC84201078 ENTAMOEBA HISTOL AG $137.00 HC89004105 ENTAMOEBA HISTOLYTICA AB - AU $16.00 99999-042-42 ENTECAVIR 0.5 MG ORAL PARTIAL TAB $19.60 0003-1611-12 ENTECAVIR 0.5 MG ORAL TAB $274.49 31722-833-30 ENTECAVIR 0.5 MG ORAL TAB $20.00 65862-841-30 ENTECAVIR 0.5 MG ORAL TAB $12.80 68382-920-06 ENTECAVIR 0.5 MG ORAL TAB $15.68 16714-718-01 ENTECAVIR 1 MG ORAL TAB $88.58 65862-842-30 ENTECAVIR 1 MG ORAL TAB $12.80 68382-921-06 ENTECAVIR 1 MG ORAL TAB $15.68 HC27000579 ENTEROSCOPY TO ILEUM "$6,173.00 " HC27000587 ENTEROSCOPY TO ILEUM W/BIOPSY "$6,175.00 " HC27000595 ENTEROSCOPY W/ PERC JEJUN TUBE "$6,411.00 " HC27000603 ENTEROSCOPY W/ABLATION "$6,884.00 " HC27000611 ENTEROSCOPY W/BIOPSY "$6,277.00 " HC27000629 ENTEROSCOPY W/BLEED CONTROL "$6,882.00 " HC27000637 ENTEROSCOPY W/CONVRT PEG>JEJUN "$6,022.00 " HC27000645 ENTEROSCOPY W/FRN BDY(S) REMOVAL "$5,853.00 " HC27000652 ENTEROSCOPY W/HOT BIOPSY "$5,378.00 " HC27000660 ENTEROSCOPY W/REMOV BY SNARE "$5,691.00 " HC27000678 ENTEROSCOPY(ILEUM) W/BLEED CON "$6,404.00 " HC27000561 ENTEROSCPY (NOT ILEUM)INCL COLLECTN "$6,134.00 " HC89014765 ENTEROVIRUS BY PCR -AU $110.00 HC89003529 ENTEROVIRUS BY PCR/BLOOD-AU $110.00 HC89016588 ENTEROVIRUS BY PCR-FT $165.00 HC81701625 ENTEROVIRUS RNA RT PCR $418.00 HC89023162 ENZYME ACTIVITY LYSOSOME-JU $800.00 HC89023154 ENZYME ACTIVITY NONRAD; DISACCHARIDASE-AU $80.00 HC89019764 ENZYME ACT-RBC(P TPMT ENZYME)-PR $88.00 HC84200336 ENZYME DET BETA LACTAMASE $92.00 HC89021323 EOSINOPHIL SPUTUM-AU $8.00 HC44700185 EP EVAL ICD LEADS AT IMPLANT "$7,448.00 " HC44700193 EP EVAL ICD LEADS/GEN AT IMPLA "$6,836.00 " HC44700201 EP EVAL T-ICD W/PROGRAMMING "$7,167.00 " HC44700219 EP FOLLOW UP POST THERAPY "$10,343.00 " 99999-036-30 EPHEDRINE 5 MG/ML 10ML SYRINGES (SLH) $83.37 0781-3269-71 EPHEDRINE SULFATE 50 MG/ML IV SOLN $283.74 0781-3269-95 EPHEDRINE SULFATE 50 MG/ML IV SOLN $283.74 42023-216-01 EPHEDRINE SULFATE 50 MG/ML IV SOLN $174.24 42023-216-25 EPHEDRINE SULFATE 50 MG/ML IV SOLN $174.24 17478-415-01 EPHEDRINE SULFATE 50 MG/ML IV SOLN (MHS) $283.74 17478-415-10 EPHEDRINE SULFATE 50 MG/ML IV SOLN (MHS) $283.74 76014-005-25 EPHEDRINE SULFATE 50 MG/ML IV SOLN (MHS) $166.74 76014-005-30 EPHEDRINE SULFATE 50 MG/ML IV SOLN (MHS) $166.74 HC89003586 EPHEDRINE; 1-2 URINE-AU $115.00 HC89002133 EPIDERMAL FA AB SCRN-QD $23.00 HC23000318 EPIDUROLYSIS PROCEDURE "$4,541.00 " 99999-035-64 EPIFIX SKIN GRAFT ( 14 MM ) $954.00 99999-035-65 EPIFIX SKIN GRAFT ( 2X3 CM ) "$3,813.00 " 99999-038-64 EPIFIX SKIN GRAFT ( 3X3.5 CM ) "$3,735.00 " 99999-035-66 EPIFIX SKIN GRAFT ( 4X4 CM ) "$10,170.00 " 99999-038-65 EPIFIX SKIN GRAFT ( 4X4.5 CM ) "$4,185.00 " 99999-035-67 EPIFIX SKIN GRAFT ( 5X6 CM ) "$13,950.00 " 99999-035-69 EPIFIX SKIN GRAFT ( 6X16 CM ) "$20,160.00 " 99999-035-68 EPIFIX SKIN GRAFT ( 7X7 CM ) "$15,450.00 " 0409-4921-20 EPINEPHRINE 0.1 MG/ML INJ SYRG $29.94 0409-4921-34 EPINEPHRINE 0.1 MG/ML INJ SYRG $29.94 76329-3316-1 EPINEPHRINE 0.1 MG/ML INJ SYRG $52.50 49502-101-01 EPINEPHRINE 0.15 MG/0.3 ML INJ ATIN $900.00 49502-101-02 EPINEPHRINE 0.15 MG/0.3 ML INJ ATIN $900.00 49502-501-01 EPINEPHRINE 0.15 MG/0.3 ML INJ ATIN "$1,825.83 " 49502-501-02 EPINEPHRINE 0.15 MG/0.3 ML INJ ATIN "$1,825.83 " 0115-1694-49 EPINEPHRINE 0.3 MG/0.3 ML INJ ATIN "$1,185.63 " 49502-102-01 EPINEPHRINE 0.3 MG/0.3 ML INJ ATIN $900.00 49502-102-02 EPINEPHRINE 0.3 MG/0.3 ML INJ ATIN $900.00 49502-500-02 EPINEPHRINE 0.3 MG/0.3 ML INJ ATIN "$1,825.83 " 0409-7241-61 EPINEPHRINE 1 MG/ML (1 ML) INJ SOLN $5.58 42023-159-01 EPINEPHRINE 1 MG/ML (1 ML) INJ SOLN $89.76 42023-159-25 EPINEPHRINE 1 MG/ML (1 ML) INJ SOLN $89.76 42023-168-01 EPINEPHRINE 1 MG/ML INJ SOLN "$1,503.36 " 76329-9060-0 EPINEPHRINE 1 MG/ML INJ SOLN "$1,350.00 " 99999-040-39 EPINEPHRINE 10 MCG/ML INJ DILUTION $10.50 54288-103-01 EPINEPHRINE HCL (PF) 1 MG/ML (1 ML) INJ SOLN $66.00 54288-103-10 EPINEPHRINE HCL (PF) 1 MG/ML (1 ML) INJ SOLN $66.00 42023-103-01 EPINEPHRINE HCL 1 MG/ML NASL SOLN "$1,503.36 " 0009-5091-01 EPIRUBICIN 50 MG/25 ML IV SOLN $276.00 45963-608-68 EPIRUBICIN 50 MG/25 ML IV SOLN $290.40 0185-5368-09 EPLERENONE 25 MG ORAL TAB $20.83 0185-5368-30 EPLERENONE 25 MG ORAL TAB $20.83 16729-293-10 EPLERENONE 25 MG ORAL TAB $8.39 51991-877-33 EPLERENONE 25 MG ORAL TAB $8.39 59762-1710-1 EPLERENONE 25 MG ORAL TAB $18.60 59762-1710-2 EPLERENONE 25 MG ORAL TAB $20.83 59762-1710-3 EPLERENONE 25 MG ORAL TAB $20.83 60687-451-11 EPLERENONE 25 MG ORAL TAB $25.00 60687-451-21 EPLERENONE 25 MG ORAL TAB $25.00 68084-948-25 EPLERENONE 25 MG ORAL TAB $18.28 68084-948-95 EPLERENONE 25 MG ORAL TAB $18.28 55513-144-01 "EPOETIN ALFA 10,000 UNIT/ML INJ SOLN" $994.80 55513-144-10 "EPOETIN ALFA 10,000 UNIT/ML INJ SOLN" $994.80 59676-310-00 "EPOETIN ALFA 10,000 UNIT/ML INJ SOLN" "$1,603.50 " 59676-310-01 "EPOETIN ALFA 10,000 UNIT/ML INJ SOLN" "$1,603.50 " 59676-310-02 "EPOETIN ALFA 10,000 UNIT/ML INJ SOLN" "$1,603.44 " 55513-126-01 "EPOETIN ALFA 2,000 UNIT/ML INJ SOLN" $198.96 55513-126-10 "EPOETIN ALFA 2,000 UNIT/ML INJ SOLN" $198.96 59676-302-00 "EPOETIN ALFA 2,000 UNIT/ML INJ SOLN" $320.76 59676-302-01 "EPOETIN ALFA 2,000 UNIT/ML INJ SOLN" $320.76 55513-478-01 "EPOETIN ALFA 20,000 UNIT/ML INJ SOLN" "$1,989.60 " 59676-320-00 "EPOETIN ALFA 20,000 UNIT/ML INJ SOLN" "$3,207.00 " 59676-320-04 "EPOETIN ALFA 20,000 UNIT/ML INJ SOLN" "$3,207.00 " 55513-267-01 "EPOETIN ALFA 3,000 UNIT/ML INJ SOLN" $298.44 55513-267-10 "EPOETIN ALFA 3,000 UNIT/ML INJ SOLN" $298.44 55513-148-01 "EPOETIN ALFA 4,000 UNIT/ML INJ SOLN" $397.92 55513-148-10 "EPOETIN ALFA 4,000 UNIT/ML INJ SOLN" $397.92 59676-340-00 "EPOETIN ALFA 40,000 UNIT/ML INJ SOLN" "$6,414.00 " 59676-340-01 "EPOETIN ALFA 40,000 UNIT/ML INJ SOLN" "$6,414.00 " 0069-1308-01 "EPOETIN ALFA-EPBX 10,000 UNIT/ML INJ SOLN" $661.80 0069-1308-10 "EPOETIN ALFA-EPBX 10,000 UNIT/ML INJ SOLN" $661.80 0069-1305-01 "EPOETIN ALFA-EPBX 2,000 UNIT/ML INJ SOLN" $132.36 0069-1305-10 "EPOETIN ALFA-EPBX 2,000 UNIT/ML INJ SOLN" $132.36 0069-1306-01 "EPOETIN ALFA-EPBX 3,000 UNIT/ML INJ SOLN" $198.54 0069-1306-10 "EPOETIN ALFA-EPBX 3,000 UNIT/ML INJ SOLN" $198.54 0069-1307-01 "EPOETIN ALFA-EPBX 4,000 UNIT/ML INJ SOLN" $264.72 0069-1307-10 "EPOETIN ALFA-EPBX 4,000 UNIT/ML INJ SOLN" $264.72 0069-1309-01 "EPOETIN ALFA-EPBX 40,000 UNIT/ML INJ SOLN" "$2,647.20 " 0069-1309-04 "EPOETIN ALFA-EPBX 40,000 UNIT/ML INJ SOLN" "$2,647.20 " 0173-0517-00 EPOPROSTENOL (GLYCINE) 0.5 MG IV SOLR $112.14 0173-0519-00 EPOPROSTENOL (GLYCINE) 1.5 MG IV SOLR $270.84 HC89000541 EPSTEIN BARR VIR DNA PCR-AU $65.00 HC89005466 EPSTEIN-BARR VIRUS QNT PCR-AU $75.00 0085-1136-01 EPTIFIBATIDE 0.75 MG/ML IV SOLN "$3,264.60 " 0085-1136-02 EPTIFIBATIDE 0.75 MG/ML IV SOLN "$3,264.60 " 0338-9558-10 EPTIFIBATIDE 0.75 MG/ML IV SOLN "$1,440.00 " 16729-259-38 EPTIFIBATIDE 0.75 MG/ML IV SOLN "$1,620.00 " 25021-408-51 EPTIFIBATIDE 0.75 MG/ML IV SOLN "$1,500.00 " 55150-218-99 EPTIFIBATIDE 0.75 MG/ML IV SOLN "$2,850.00 " 67457-631-10 EPTIFIBATIDE 0.75 MG/ML IV SOLN "$2,817.00 " 70121-1003-1 EPTIFIBATIDE 0.75 MG/ML IV SOLN "$1,800.00 " 0085-1177-01 EPTIFIBATIDE 2 MG/ML IV SOLN "$1,043.04 " 16729-260-03 EPTIFIBATIDE 2 MG/ML IV SOLN $540.00 25021-409-10 EPTIFIBATIDE 2 MG/ML IV SOLN $534.00 55150-219-10 EPTIFIBATIDE 2 MG/ML IV SOLN $900.00 55150-220-99 EPTIFIBATIDE 2 MG/ML IV SOLN "$7,800.00 " 67457-629-10 EPTIFIBATIDE 2 MG/ML IV SOLN $900.18 70121-1002-1 EPTIFIBATIDE 2 MG/ML IV SOLN $600.00 HC44500791 ERCP BILIARY DUCT SYSTEM "$2,895.00 " HC44500809 ERCP BILIARY&PANCREATIC SYSTEM "$3,081.00 " HC27000686 ERCP DIAGNOSTIC (W/SPEC) "$7,829.00 " HC27000694 ERCP DIAGNOSTIC DC'D PROC "$4,288.00 " HC44500817 ERCP PANCREATIC DUCT SYSTEM "$1,927.00 " HC27001346 ERCP W/ABLAT TUMR/POLYP/LESN GUIDEWIRE "$8,595.00 " HC27001353 ERCP W/BALLN DIL BILI/PANC DUCT/AMP EA "$8,236.00 " HC27000728 ERCP W/BIOPSY "$7,915.00 " HC27000744 ERCP W/LITHOTRIPSY "$8,474.00 " HC27000751 ERCP W/PRES MEAS SPHINC(ODDI) "$8,100.00 " HC27000777 ERCP W/SPHINCTER/PAPILLOTOMY "$8,099.00 " HC27001338 ERCP W/STENT PLACE BILI/PANC DUCT EA "$9,678.00 " HC27001320 ERCP W/STENT REMV&XCH BILI/PANC DUCT "$10,496.00 " HC27001361 ERCP W/STENT/FB REMOV BILI/PANC DUCT "$8,111.00 " HC27000793 ERCP W/STONE(S) REMOVAL "$8,142.00 " 57664-136-88 "ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) ORAL CAP" $3.60 64380-737-06 "ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) ORAL CAP" $2.18 69452-151-20 "ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) ORAL CAP" $2.18 6954323460 "ERGOCALCIFEROL (VITAMIN D2) 200 MCG/ML (8,000 UNIT/ML) ORAL DROP" $362.88 7583401060 "ERGOCALCIFEROL (VITAMIN D2) 200 MCG/ML (8,000 UNIT/ML) ORAL DROP" $176.76 99999-000-95 ERGOCALCIFEROL 800 UNIT / ML ORAL SOLN $1.35 HC42000281 ERGONOVINE PROVOCATION TEST "$1,095.00 " 62856-389-01 ERIBULIN 1 MG/2 ML (0.5 MG/ML) IV SOLN "$7,080.00 " 50242-063-01 ERLOTINIB 100 MG ORAL TAB "$1,494.40 " 50242-064-01 ERLOTINIB 150 MG ORAL TAB "$1,690.28 " 0006-3843-71 ERTAPENEM 1 GRAM INJ SOLR $771.96 42023-221-01 ERTAPENEM 1 GRAM INJ SOLR $702.42 42023-221-10 ERTAPENEM 1 GRAM INJ SOLR $702.42 44567-820-01 ERTAPENEM 1 GRAM INJ SOLR $832.80 44567-820-10 ERTAPENEM 1 GRAM INJ SOLR $832.80 55150-282-09 ERTAPENEM 1 GRAM INJ SOLR $600.00 55150-282-20 ERTAPENEM 1 GRAM INJ SOLR $600.00 99999-039-46 ERTAPENEM IV (FOR DESENSITIZATION USE) $1.00 99999-036-62 ERYTHROMYCIN 125 MG ORAL PARTIAL TABLET (MCH) $5.77 99999-001-26 ERYTHROMYCIN 25 MG / 5 ML (NICU) IV SYRINGE (5 MG/ML) $4.57 24338-102-13 ERYTHROMYCIN 250 MG ORAL TAB $69.62 52536-103-03 ERYTHROMYCIN 250 MG ORAL TAB $56.40 24338-122-03 ERYTHROMYCIN 250 MG ORAL TBEC $44.15 24338-122-13 ERYTHROMYCIN 250 MG ORAL TBEC $44.15 52536-180-03 ERYTHROMYCIN 250 MG ORAL TBEC $29.93 69238-1471-1 ERYTHROMYCIN 250 MG ORAL TBEC $40.27 24338-124-03 ERYTHROMYCIN 333 MG ORAL TBEC $55.59 24338-124-13 ERYTHROMYCIN 333 MG ORAL TBEC $55.59 0574-4024-11 ERYTHROMYCIN 5 MG/GRAM (0.5 %) OPHT OINT $43.48 0574-4024-35 ERYTHROMYCIN 5 MG/GRAM (0.5 %) OPHT OINT $89.82 0574-4024-39 ERYTHROMYCIN 5 MG/GRAM (0.5 %) OPHT OINT $89.82 0574-4024-50 ERYTHROMYCIN 5 MG/GRAM (0.5 %) OPHT OINT $43.48 17478-070-31 ERYTHROMYCIN 5 MG/GRAM (0.5 %) OPHT OINT $49.04 17478-070-35 ERYTHROMYCIN 5 MG/GRAM (0.5 %) OPHT OINT $89.52 24208-910-19 ERYTHROMYCIN 5 MG/GRAM (0.5 %) OPHT OINT $59.59 24208-910-55 ERYTHROMYCIN 5 MG/GRAM (0.5 %) OPHT OINT $91.20 99999-005-46 ERYTHROMYCIN 5 MG/ML INJ SOLN IN NS (MCH) $1.00 99999-005-47 ERYTHROMYCIN 5 MG/ML INJ SOLN IN NS (MCH) $1.00 99999-005-48 ERYTHROMYCIN 5 MG/ML INJ SOLN IN NS (MCH) $1.00 24338-104-13 ERYTHROMYCIN 500 MG ORAL TAB $104.96 24338-126-13 ERYTHROMYCIN 500 MG ORAL TBEC $68.44 99999-006-35 ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL SUSP (MCH) $8.53 99999-006-36 ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL SUSP (MCH) $21.32 99999-006-37 ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL SUSP (MCH) $42.63 99999-006-38 ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL SUSP (MCH) $85.26 99999-006-39 ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL SUSP (MCH) $170.52 0254-1020-47 ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL SUSR "$1,945.80 " 24338-132-13 ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL SUSR "$2,257.20 " 24338-134-02 ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL SUSR "$2,257.20 " 69238-1503-1 ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL SUSR "$1,945.80 " 99999-033-66 ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL SUSR $42.63 0409-6478-44 "ERYTHROMYCIN LACTOBIONATE 1,000 MG IV SOLR" $225.30 99998-000-57 ERYTHROMYCIN LACTOBIONATE 50 MG/ML IV SOLN (MCH) $9.09 0409-6476-44 ERYTHROMYCIN LACTOBIONATE 500 MG IV SOLR $499.69 0409-6482-01 ERYTHROMYCIN LACTOBIONATE 500 MG IV SOLR $488.38 0409-6482-11 ERYTHROMYCIN LACTOBIONATE 500 MG IV SOLR $488.38 45802-966-94 ERYTHROMYCIN WITH ETHANOL 2 % TOPICAL GEL $302.40 HC89007942 ERYTHROPOIETIN-AU $10.00 HC89002141 ERYTHROPOIETIN-QD $25.00 HC21000393 ESCHAROTOMY; FULL THICK BURN "$2,069.00 " 0456-2010-01 ESCITALOPRAM OXALATE 10 MG ORAL TAB $72.28 0904-6426-61 ESCITALOPRAM OXALATE 10 MG ORAL TAB $1.00 16729-169-01 ESCITALOPRAM OXALATE 10 MG ORAL TAB $1.00 43547-281-10 ESCITALOPRAM OXALATE 10 MG ORAL TAB $1.00 43547-281-11 ESCITALOPRAM OXALATE 10 MG ORAL TAB $1.00 65862-374-01 ESCITALOPRAM OXALATE 10 MG ORAL TAB $1.49 68084-617-01 ESCITALOPRAM OXALATE 10 MG ORAL TAB $1.43 68084-617-11 ESCITALOPRAM OXALATE 10 MG ORAL TAB $1.43 0456-2020-01 ESCITALOPRAM OXALATE 20 MG ORAL TAB $75.43 0904-6427-61 ESCITALOPRAM OXALATE 20 MG ORAL TAB $1.00 16729-170-01 ESCITALOPRAM OXALATE 20 MG ORAL TAB $1.00 43547-282-10 ESCITALOPRAM OXALATE 20 MG ORAL TAB $1.00 51079-544-01 ESCITALOPRAM OXALATE 20 MG ORAL TAB $1.85 65862-375-01 ESCITALOPRAM OXALATE 20 MG ORAL TAB $1.60 68084-618-11 ESCITALOPRAM OXALATE 20 MG ORAL TAB $1.90 65162-705-88 ESCITALOPRAM OXALATE 5 MG/5 ML ORAL SOLN $912.96 63402-204-30 ESLICARBAZEPINE 400 MG ORAL TAB $203.10 10019-120-01 ESMOLOL 100 MG/10 ML (10 MG/ML) IV SOLN $72.96 10019-120-39 ESMOLOL 100 MG/10 ML (10 MG/ML) IV SOLN $72.96 55150-194-10 ESMOLOL 100 MG/10 ML (10 MG/ML) IV SOLN $26.40 63323-652-10 ESMOLOL 100 MG/10 ML (10 MG/ML) IV SOLN $86.28 67457-182-00 ESMOLOL 100 MG/10 ML (10 MG/ML) IV SOLN $42.00 67457-182-10 ESMOLOL 100 MG/10 ML (10 MG/ML) IV SOLN $42.00 10019-075-87 "ESMOLOL IN NACL (ISO-OSM) 2,000 MG/100 ML IV SOLP" "$3,023.40 " 25021-309-82 "ESMOLOL IN NACL (ISO-OSM) 2,000 MG/100 ML IV SOLP" "$2,087.40 " 10019-055-61 "ESMOLOL IN NACL (ISO-OSM) 2,500 MG/250 ML (10 MG/ML) IV SOLP" "$2,806.50 " 25021-308-84 "ESMOLOL IN NACL (ISO-OSM) 2,500 MG/250 ML (10 MG/ML) IV SOLP" "$1,938.00 " 67457-657-25 "ESMOLOL IN NACL (ISO-OSM) 2,500 MG/250 ML (10 MG/ML) IV SOLP" "$1,938.00 " 0186-4040-01 ESOMEPRAZOLE MAGNESIUM 40 MG ORAL GRPS $54.20 HC27000801 ESOPH DILATION OVER GUIDE WIRE "$5,141.00 " HC27000819 ESOPH DILATION UNGUIDED "$4,383.00 " HC27000892 ESOPH GASTROESOPH REFLUX PH STDY-LONG "$3,819.00 " HC27000835 ESOPH MOTILITY/MANO' DISCONT'D "$1,289.00 " HC27001247 ESOPH MOTILTY STDY/STIM/PERF2D "$2,374.00 " HC27000884 ESOPH MOTILTY/MANO STDY/I&R;2D "$4,158.00 " HC27000843 ESOPH RFLUX PH STDY-LNG DISCTD "$1,260.00 " HC27000850 ESOPH RFLUX W/PH ELECTR DISCTD "$1,276.00 " HC44700227 ESOPHAG REC ATRIAL ELECTROGRAM "$5,486.00 " HC27000868 ESOPHAG REFLUX W/NASAL ELEC>1H "$4,646.00 " HC27001965 ESOPHAG REFLUX W/NASAL ELEC>1H DISCON'D "$1,275.00 " HC44700235 ESOPHAGEAL RECORDING W/PACING "$5,996.00 " HC27000900 ESOPHAGEAL REFLUX W/NASAL ELEC "$2,873.00 " HC27000918 ESOPHAGEAL REFLUX W/PH ELECTR "$5,968.00 " HC27001957 ESOPHAGUS BALLOON DISTENTION PROVOC STUDY "$3,775.00 " HC27001791 ESOPHSCPY DX- BRSH/WSH~FO DISCONT'D "$1,670.00 " HC27000926 ESOPHSCPY DX- BRUSH/WASH ~FO "$4,512.00 " HC27001452 ESOPHSCPY W/ABLAT TUMR/LESN(S(DILATE)~FO "$8,222.00 " HC27001460 ESOPHSCPY W/BALLN DIL=30MM (W-FLUOR) ~FO "$5,837.00 " HC27001569 ESOPHSCPY W/BALLOON DILATION <30MM ~FO "$5,570.00 " HC27001502 ESOPHSCPY W/BAND VARICES ~FO "$6,028.00 " HC27001577 ESOPHSCPY W/BIOPSY(S) ~FO "$4,988.00 " HC27001486 ESOPHSCPY W/CONTROL BLEED ~FO "$5,435.00 " HC27001551 ESOPHSCPY W/DIL OVER GUIDEWIRE ~FO "$5,769.00 " HC27001387 ESOPHSCPY W/DILAT ESOPH RETROGR ~FO "$6,276.00 " HC27001809 ESOPHSCPY W/EUS FNA/BX ~FO "$5,782.00 " HC27001510 ESOPHSCPY W/FRN BDY(S)REMOVAL ~FO "$5,434.00 " HC27001528 ESOPHSCPY W/INJ SCLERO VARICES ~FO "$5,027.00 " HC27001585 ESOPHSCPY W/INJ SUBMUCOSAL ~FO "$6,434.00 " HC27001536 ESOPHSCPY W/LES(S) REMOV HOT BX ~FO "$6,962.00 " HC27001544 ESOPHSCPY W/OPTICAL ENDOMICRO ~FO "$6,640.00 " HC27001395 ESOPHSCPY W/RESECT MUCOSAL ~FO "$5,313.00 " HC27001478 ESOPHSCPY W/STENT (DIL PRE-POST) ~FO "$8,200.00 " HC27001494 ESOPHSCPY W/TUMR/LES REMOV W/SNARE ~FO "$5,566.00 " HC11500006 EST PT LVL1-BRIEF $172.00 HC25006008 EST PT LVL1-BRIEF $183.00 HC11500014 EST PT LVL2-PROB FOCUS $210.00 HC25006016 EST PT LVL2-PROB FOCUS $235.00 HC11500022 EST PT LVL3-EXPANDED $237.00 HC25006024 EST PT LVL3-EXPANDED $314.00 HC11500030 EST PT LVL4-DETAILED $284.00 HC25006032 EST PT LVL4-DETAILED $381.00 HC11500048 EST PT LVL5-COMPREHENSIVE $349.00 HC25006040 EST PT LVL5-COMPREHENSIVE $444.00 61570-072-01 ESTERIFIED ESTROGENS 0.3 MG ORAL TAB $10.54 61570-073-01 ESTERIFIED ESTROGENS 0.625 MG ORAL TAB $14.97 HC81700098 ESTRADIOL $385.00 0378-3349-16 ESTRADIOL 0.025 MG/24 HR TRANSDERMAL PTWK $111.39 0378-3349-99 ESTRADIOL 0.025 MG/24 HR TRANSDERMAL PTWK $111.39 47781-204-04 ESTRADIOL 0.025 MG/24 HR TRANSDERMAL PTWK $99.47 47781-204-11 ESTRADIOL 0.025 MG/24 HR TRANSDERMAL PTWK $99.47 50419-454-04 ESTRADIOL 0.025 MG/24 HR TRANSDERMAL PTWK $207.60 0078-0343-42 ESTRADIOL 0.0375 MG/24 HR TRANSDERMAL PTTW $99.94 0078-0343-62 ESTRADIOL 0.0375 MG/24 HR TRANSDERMAL PTTW $99.84 65162-992-04 ESTRADIOL 0.0375 MG/24 HR TRANSDERMAL PTTW $54.38 65162-992-08 ESTRADIOL 0.0375 MG/24 HR TRANSDERMAL PTTW $54.38 0378-3360-16 ESTRADIOL 0.0375 MG/24 HR TRANSDERMAL PTWK $111.39 0378-3360-99 ESTRADIOL 0.0375 MG/24 HR TRANSDERMAL PTWK $111.39 0378-4642-16 ESTRADIOL 0.05 MG/24 HR TRANSDERMAL PTTW $54.41 0378-4642-26 ESTRADIOL 0.05 MG/24 HR TRANSDERMAL PTTW $54.41 0378-3350-16 ESTRADIOL 0.05 MG/24 HR TRANSDERMAL PTWK $111.39 0378-3350-99 ESTRADIOL 0.05 MG/24 HR TRANSDERMAL PTWK $111.39 47781-206-04 ESTRADIOL 0.05 MG/24 HR TRANSDERMAL PTWK $99.47 47781-206-11 ESTRADIOL 0.05 MG/24 HR TRANSDERMAL PTWK $99.47 50419-451-04 ESTRADIOL 0.05 MG/24 HR TRANSDERMAL PTWK $207.60 0078-0345-42 ESTRADIOL 0.075 MG/24 HR TRANSDERMAL PTTW $100.13 0078-0345-62 ESTRADIOL 0.075 MG/24 HR TRANSDERMAL PTTW $100.38 0378-4641-16 ESTRADIOL 0.075 MG/24 HR TRANSDERMAL PTTW $54.47 0378-4641-26 ESTRADIOL 0.075 MG/24 HR TRANSDERMAL PTTW $54.47 0378-3351-16 ESTRADIOL 0.075 MG/24 HR TRANSDERMAL PTWK $111.39 0378-3351-99 ESTRADIOL 0.075 MG/24 HR TRANSDERMAL PTWK $111.39 47781-208-04 ESTRADIOL 0.075 MG/24 HR TRANSDERMAL PTWK $99.47 47781-208-11 ESTRADIOL 0.075 MG/24 HR TRANSDERMAL PTWK $99.47 0023-5888-11 ESTRADIOL 0.1 MG/24 HR TRANSDERMAL PTTW $88.41 0078-0346-42 ESTRADIOL 0.1 MG/24 HR TRANSDERMAL PTTW $100.16 0078-0346-62 ESTRADIOL 0.1 MG/24 HR TRANSDERMAL PTTW $100.08 0378-4640-16 ESTRADIOL 0.1 MG/24 HR TRANSDERMAL PTTW $54.50 0378-4640-26 ESTRADIOL 0.1 MG/24 HR TRANSDERMAL PTTW $54.50 65162-997-04 ESTRADIOL 0.1 MG/24 HR TRANSDERMAL PTTW $54.50 65162-997-08 ESTRADIOL 0.1 MG/24 HR TRANSDERMAL PTTW $54.50 0378-3352-16 ESTRADIOL 0.1 MG/24 HR TRANSDERMAL PTWK $111.39 0378-3352-99 ESTRADIOL 0.1 MG/24 HR TRANSDERMAL PTWK $111.39 47781-209-04 ESTRADIOL 0.1 MG/24 HR TRANSDERMAL PTWK $99.47 47781-209-11 ESTRADIOL 0.1 MG/24 HR TRANSDERMAL PTWK $99.47 99999-041-74 ESTRADIOL 0.5 MG ORAL PARTIAL TAB $1.00 42806-087-01 ESTRADIOL 0.5 MG ORAL TAB $1.00 0378-1454-01 ESTRADIOL 1 MG ORAL TAB $1.00 0430-0721-24 ESTRADIOL 1 MG ORAL TAB $32.71 0555-0886-02 ESTRADIOL 1 MG ORAL TAB $1.84 0555-0886-04 ESTRADIOL 1 MG ORAL TAB $1.84 42806-088-01 ESTRADIOL 1 MG ORAL TAB $1.00 0009-0271-01 ESTRADIOL CYPIONATE 5 MG/ML IM OIL $691.14 42023-110-01 ESTRADIOL VALERATE 10 MG/ML IM OIL $796.38 0574-0870-05 ESTRADIOL VALERATE 20 MG/ML IM OIL $692.64 42023-111-01 ESTRADIOL VALERATE 20 MG/ML IM OIL "$1,122.42 " 99999-011-08 ESTRADIOL VALERATE 20 MG/ML IM OIL $179.59 99999-011-09 ESTRADIOL VALERATE 20 MG/ML IM OIL $224.48 HC89007959 ESTRADIOL-ES $68.00 68968-0514-8 ESTRADIOL-NORETHINDRONE ACET 0.05-0.14 MG/24 HR TRANSDERMAL PTTW $155.56 68968-0525-1 ESTRADIOL-NORETHINDRONE ACET 0.05-0.25 MG/24 HR TRANSDERMAL PTTW $155.56 68968-0525-8 ESTRADIOL-NORETHINDRONE ACET 0.05-0.25 MG/24 HR TRANSDERMAL PTTW $155.56 HC89016018 ESTRADIOL-QD $12.00 HC89023196 ESTRADIOL-QN $60.00 HC89007983 ESTRIOL-AU $15.00 HC89015382 ESTRIOL-QD $10.00 HC89015374 ESTROGEN TOTAL-QD $17.00 HC89007967 ESTROGENS FRACTIONATED-AU $20.00 HC89007975 ESTROGENS TOTAL-ES $49.00 HC89004857 "ESTROGENS, FRACTIONATED,TMS-AU" $25.00 15310-020-01 ESTROGENS-METHYLTESTOSTERONE 0.625-1.25 MG ORAL TAB $16.68 HC89004840 ESTRONE BY TMS-AU $31.00 HC89008007 ESTRONE-AU $38.00 63402-193-10 ESZOPICLONE 3 MG ORAL TAB $94.08 HC62203039 ET BAG COLOSTOMY $364.00 HC62203047 ET BARRIER DUODEEM $111.00 HC62203054 ET BARRIER WOUND CARE $146.00 HC62203062 ET BELT $74.00 HC62203070 ET CLAMP OSOTOMY/ HOLLISTER $29.00 HC62203088 ET DRESS STOMAHESIVE $157.00 HC62208640 ET PASTE STOMAHESIVE $120.00 HC62225214 ET PORT DRAIN FISTULA $65.00 HC62221023 ET POUCH A $33.00 HC62203104 ET POUCH B $65.00 HC62221031 ET POUCH C $98.00 HC62203112 ET POUCH/BAG UROSTOMY $241.00 HC62203120 ET POWDER STOMAHESIVE $59.00 HC62203138 ET SET COLO/ILEO $198.00 HC62203146 ET SET IRRIGATION $33.00 HC62203153 ET SKIN CARE KIT $137.00 HC62203161 ET SKIN SPRAY $137.00 HC62203179 ET TAPE HYPAFIX $125.00 HC62203187 ET WAFER $64.00 58406-425-34 ETANERCEPT 25 MG (1 ML) SUBCUTANEOUS SOLR "$4,167.71 " 58406-425-41 ETANERCEPT 25 MG (1 ML) SUBCUTANEOUS SOLR "$4,167.72 " 58406-055-01 ETANERCEPT 25 MG/0.5 ML SUBCUTANEOUS SOLN "$4,167.72 " 58406-055-04 ETANERCEPT 25 MG/0.5 ML SUBCUTANEOUS SOLN "$4,167.71 " 60923-284-10 ETEPLIRSEN 50 MG/ML IV SOLN "$48,000.00 " 60923-363-02 ETEPLIRSEN 50 MG/ML IV SOLN "$9,600.00 " 25010-210-27 ETHACRYNATE SODIUM 50 MG IV SOLR "$30,087.96 " 67457-297-50 ETHACRYNATE SODIUM 50 MG IV SOLR "$11,400.00 " 68682-012-27 ETHACRYNATE SODIUM 50 MG IV SOLR "$22,794.00 " 68682-012-50 ETHACRYNATE SODIUM 50 MG IV SOLR "$22,794.00 " 25010-215-15 ETHACRYNIC ACID 25 MG ORAL TAB $146.66 42799-405-01 ETHACRYNIC ACID 25 MG ORAL TAB $15.00 52817-367-90 ETHACRYNIC ACID 25 MG ORAL TAB $15.00 69238-1126-1 ETHACRYNIC ACID 25 MG ORAL TAB $59.87 54879-001-00 ETHAMBUTOL 100 MG ORAL TAB $2.88 54879-001-01 ETHAMBUTOL 100 MG ORAL TAB $2.28 68180-280-01 ETHAMBUTOL 100 MG ORAL TAB $2.75 42806-102-01 ETHAMBUTOL 400 MG ORAL TAB $7.60 54879-002-01 ETHAMBUTOL 400 MG ORAL TAB $3.60 68084-280-01 ETHAMBUTOL 400 MG ORAL TAB $9.28 68084-280-11 ETHAMBUTOL 400 MG ORAL TAB $9.28 68180-281-01 ETHAMBUTOL 400 MG ORAL TAB $7.63 68850-012-01 ETHAMBUTOL 400 MG ORAL TAB $4.68 68850-012-02 ETHAMBUTOL 400 MG ORAL TAB $4.68 17478-503-05 ETHANOL (ETHYL ALCOHOL) 98 % INJ SOLN "$2,680.53 " 67871-4790-6 ETHANOLAMINE OLEATE 5 % IV SOLN "$2,565.07 " 0008-4117-01 ETHIONAMIDE 250 MG ORAL TAB $33.13 HC81100919 ETHOSUXIMIDE $294.00 0071-0237-24 ETHOSUXIMIDE 250 MG ORAL CAP $22.19 23155-532-01 ETHOSUXIMIDE 250 MG ORAL CAP $7.20 61748-025-01 ETHOSUXIMIDE 250 MG ORAL CAP $10.71 59762-2350-6 ETHOSUXIMIDE 250 MG/5 ML ORAL SOLN $773.57 61748-024-16 ETHOSUXIMIDE 250 MG/5 ML ORAL SOLN "$1,126.69 " HC89006506 ETHOSUXIMIDE-AU $12.00 HC89008015 ETHYLENE GLYCOL-AU $36.00 HC89002166 ETHYLENE GLYCOL-QD $14.00 0378-3286-91 ETIDRONATE DISODIUM 200 MG ORAL TAB $20.74 51672-4017-1 ETODOLAC 300 MG ORAL CAP $7.76 60505-0040-1 ETODOLAC 300 MG ORAL CAP $7.76 62559-251-01 ETODOLAC 300 MG ORAL CAP $7.76 0093-0892-01 ETODOLAC 400 MG ORAL TAB $6.35 0185-0675-01 ETODOLAC 400 MG ORAL TAB $6.35 69238-1342-1 ETODOLAC 400 MG ORAL TAB $6.35 51672-4051-4 ETODOLAC 400 MG ORAL TB24 $14.20 68382-271-14 ETODOLAC 400 MG ORAL TB24 $14.20 0143-9310-01 ETOMIDATE 2 MG/ML IV SOLN $16.80 0143-9310-10 ETOMIDATE 2 MG/ML IV SOLN $16.80 0143-9506-01 ETOMIDATE 2 MG/ML IV SOLN $37.32 0143-9506-10 ETOMIDATE 2 MG/ML IV SOLN $37.32 0143-9507-01 ETOMIDATE 2 MG/ML IV SOLN $40.32 0409-6695-01 ETOMIDATE 2 MG/ML IV SOLN $33.36 0409-6695-09 ETOMIDATE 2 MG/ML IV SOLN $32.82 0409-6695-10 ETOMIDATE 2 MG/ML IV SOLN $32.82 0409-6695-11 ETOMIDATE 2 MG/ML IV SOLN $33.36 0409-8062-01 ETOMIDATE 2 MG/ML IV SOLN $102.06 0517-0780-01 ETOMIDATE 2 MG/ML IV SOLN $45.00 0517-0781-10 ETOMIDATE 2 MG/ML IV SOLN $60.00 55150-221-10 ETOMIDATE 2 MG/ML IV SOLN $33.00 55150-222-20 ETOMIDATE 2 MG/ML IV SOLN $38.16 55390-762-10 ETOMIDATE 2 MG/ML IV SOLN $66.30 67457-902-00 ETOMIDATE 2 MG/ML IV SOLN $58.86 67457-902-10 ETOMIDATE 2 MG/ML IV SOLN $58.86 72266-146-01 ETOMIDATE 2 MG/ML IV SOLN $58.86 72266-146-10 ETOMIDATE 2 MG/ML IV SOLN $58.86 0143-9507-10 ETOMIDATE 2 MG/ML IV SOLN (MCH) $40.32 0409-6695-02 ETOMIDATE 2 MG/ML IV SOLN (MCH) $38.40 0517-0781-01 ETOMIDATE 2 MG/ML IV SOLN (MCH) $60.00 0052-4330-01 ETONOGESTREL 68 MG SDRM IMPL "$5,608.92 " 99999-008-17 ETOPOSIDE 20 MG/ML INJ SOLN (FOR ORAL USE) (MCH) $13.49 0143-9510-01 ETOPOSIDE 20 MG/ML IV SOLN $56.22 16729-114-08 ETOPOSIDE 20 MG/ML IV SOLN $281.10 16729-114-31 ETOPOSIDE 20 MG/ML IV SOLN $56.22 16729-262-31 ETOPOSIDE 20 MG/ML IV SOLN $56.22 0703-5653-01 ETOPOSIDE 20 MG/ML IV SOLN (MCH) $56.22 0378-3266-94 ETOPOSIDE 50 MG ORAL CAP $451.97 61269-410-20 ETOPOSIDE PHOSPHATE 100 MG IV SOLR $845.64 59676-570-01 ETRAVIRINE 100 MG ORAL TAB $69.19 59676-571-01 ETRAVIRINE 200 MG ORAL TAB $138.38 HC44703569 EV REPAIR AORTOILIAC DEPLOY GRAFT ILIAC CATH UNILAT RUPT/NON-RUPT+ "$11,645.00 " HC44703361 EV REPAIR ILIAC GRFT ILIO-ILIAC AORTC BI DIST UNILAT NONRUPT "$31,116.00 " HC44703379 EV REPAIR ILIAC GRFT ILIO-ILIAC AORTIC BI DIST UNILAT ~RUPT "$45,618.00 " HC44703312 EV REPAIR INFRARENAL AORTA DEPLOY GRAFT A-A ~RUPT "$47,141.00 " HC44703304 EV REPAIR INFRARENAL AORTA DEPLOY GRAFT A-A NON-RUPT "$34,700.00 " HC44703353 EV REPAIR INFRARENAL AORTA&/ILIAC GRAFT AORTO-BI-ILIAC ~RUPT "$60,894.00 " HC44703346 EV REPAIR INFRARENAL AORTA&/ILIAC GRFT AORT-BI-ILIAC NONRUPT "$43,029.00 " HC44703338 EV REPAIR INFRARENAL AORTA&/ILIAC GRFT AORTO-UNI-ILIAC ~RUPT "$60,356.00 " HC44703320 EV REPAIR INFRARENAL AORTA&/ILIAC GRFT AORT-UNIILIAC NONRUPT "$40,483.00 " HC44703577 EV REPAIR NON-AORTOILIAC DEPLOY GRAFT ILIAC CATH UNILAT NON-RUPT "$32,311.00 " HC25000134 EVACUATE SUBUNGUAL HEMATOMA $525.00 HC62203195 EVACUATED IV BOTTLE $31.00 HC62203203 EVACUATED IV BOTTLE 150ML $31.00 HC62203211 EVACUATED IV BOTTLE 250ML $33.00 HC62203229 EVACUATED IV BOTTLE 500ML $33.00 HC62203237 EVACUATOR BLADDER $74.00 HC62221049 EVACUATOR BLADDER W/ADAPTER $65.00 HC62203245 EVACUATOR ELLIK $194.00 HC29000528 EVAL COMP PREVNTV MED NEW 18-39 $349.00 HC29000536 EVAL COMP PREVNTV MED NEW 40-64 $349.00 HC44702983 EVAL EP ICD/LEAD SUBQ "$5,816.00 " HC44003093 EVAL MED PHYSICS DOSE RADIATION EXPOSE W/REPORT $444.00 HC42000299 EVAL PCMKR TRANSTELEPH ^90D $427.00 0054-0470-21 EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.25 MG ORAL TAB $47.57 0078-0417-20 EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.25 MG ORAL TAB $55.64 0078-0417-61 EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.25 MG ORAL TAB $55.68 0054-0471-21 EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.5 MG ORAL TAB $95.14 0078-0414-20 EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.5 MG ORAL TAB $111.28 HC23001704 EXAM CSF PUMP (MISC PROC) "$1,232.00 " HC83505735 EXAM GROSS&MICRO INTERM LVL IV(PANEL)-U2 $80.00 HC46500864 EXCHANGE EXISTING DRAIN CATH "$3,761.00 " HC46502498 "EXCHANGE TUBE NEPHRO(NEPH/URET'GRM,S&I) BI" "$10,859.00 " HC51061067 "EXCHANGE TUBE NEPHRO(NEPH/URET'GRM,S&I) BI" "$3,676.00 " HC46502506 "EXCHANGE TUBE NEPHRO(NEPH/URET'GRM,S&I) LT" "$6,295.00 " HC51061075 "EXCHANGE TUBE NEPHRO(NEPH/URET'GRM,S&I) LT" "$2,626.00 " HC46502514 "EXCHANGE TUBE NEPHRO(NEPH/URET'GRM,S&I) RT" "$6,295.00 " HC51061083 "EXCHANGE TUBE NEPHRO(NEPH/URET'GRM,S&I) RT" "$2,626.00 " HC44504397 "EXCHNG CATH DRN BIL EXT->INT-EXT PERC(CHOLANG,S&I)" "$6,887.00 " HC51002384 EXCISE LESION <0.5CM HND-FT-SC-NCK-GN $315.00 HC51003796 EXCISE LESION <0.5CM TRNK/ARMS/LEGS $331.00 HC51002392 EXCISE LESION 0.6-1CM HND-FT-SC-NCK-GN $588.00 HC51003804 EXCISE LESION 0.6-1CM TRNK/ARMS/LEGS $504.00 HC51002400 EXCISE LESION 1.1-2CM HND-FT-SC-NCK-GN $686.00 HC51002418 EXCISE LESION 2.1-3CM HND-FT-SC-NCK-GN $804.00 HC51002426 EXCISE LESION 3.1-4CM HND-FT-SC-NCK-GN $959.00 HC25000142 EXCISE NAIL FOLD INGROWN $623.00 HC51002350 EXCISION GLAND BULBOURETHRAL $932.00 HC21000401 EXCISION OF NAIL/MATRIX PERM "$1,647.00 " HC25002916 EXCISION OF NAIL/MATRIX PERM "$1,048.00 " HC51002368 EXCISN/FULGURATN POLYP(S) URETHRAL "$1,469.00 " 0054-0080-13 EXEMESTANE 25 MG ORAL TAB $65.15 HC62220249 EXERCISER EXPIRATORY THER/MASK PEP $83.00 HC36800175 EXHALED NITRIC OXIDE MEASRMNT $680.00 HC84600568 EXM/SELEC ARCHVL TISS MOL ANAL $270.00 HC25000357 EXPLORE WOUND "$1,256.00 " HC12200309 EXTENDED RECOVERY PER HOUR $217.00 HC62225545 EXTENDER CATH DIALYSIS PERITONEAL $488.00 HC62226691 EXTENDER TAB SPINAL "$1,300.00 " HC28000156 EXTERNAL COUNTERPULSATION/TX "$1,207.00 " HC44701209 EXTRA PUMP TIME/.5 HR "$1,339.00 " HC62220074 EXTRACTOR KATZ SURGICAL $342.00 HC62225305 EXTRACTOR NAIL $910.00 HC62224423 EXTRACTOR TISSUE SPINAL $437.00 HC81700304 EXTRCTBL NUCLEAR AG AB TO ECH $241.00 HC44000701 EYE FOR FOREIGN BODY BILAT $989.00 HC44000719 EYE FOR FOREIGN BODY LT $502.00 HC44000727 EYE FOR FOREIGN BODY RT $502.00 HC62203252 EYE OCCLUDER $36.00 HC62203260 EYE PATCH $13.00 50428-2652-93 EYE PATCH MISC PADS $4.38 0591-3713-19 EZETIMIBE 10 MG ORAL TAB $2.71 0591-3713-30 EZETIMIBE 10 MG ORAL TAB $2.71 0781-5690-92 EZETIMIBE 10 MG ORAL TAB $12.55 0904-6664-04 EZETIMIBE 10 MG ORAL TAB $66.05 16729-433-15 EZETIMIBE 10 MG ORAL TAB $1.76 59651-052-90 EZETIMIBE 10 MG ORAL TAB $1.63 66582-414-31 EZETIMIBE 10 MG ORAL TAB $69.00 68382-773-05 EZETIMIBE 10 MG ORAL TAB $1.90 68382-773-06 EZETIMIBE 10 MG ORAL TAB $1.90 68382-773-16 EZETIMIBE 10 MG ORAL TAB $1.90 69238-1154-3 EZETIMIBE 10 MG ORAL TAB $4.00 HC44000735 FACIAL BONES COMP MIN 3 VWS "$1,195.00 " HC44000743 FACIAL BONES LTD < THAN 3 VWS $765.00 HC89000509 "F-ACTIN (SM) AB, IGG, RFLX-AU" $8.00 HC81500969 FACTOR 2 MUTATION BY PCR $446.00 HC81701773 FACTOR 2 MUTATION BY PCR $468.00 HC81500241 FACTOR 8 INHIB/TITR $400.00 HC81500340 FACTOR II PT SPECIFIC $424.00 HC89023394 FACTOR INHIBITOR ADAMTS13-AU $175.00 HC81500498 FACTOR INHIBITOR TEST $524.00 HC81500670 FACTOR IX ASSAY $507.00 HC89018295 FACTOR IX ASSAY -EC $163.00 HC89018303 FACTOR IX BETHESDA TITER(PNL) -EC $130.00 HC89021166 FACTOR IX INHIBITOR TEST(PNL) -EC $150.00 HC89018311 FACTOR V ASSAY -EC $163.00 HC81500357 FACTOR V LABILE $475.00 HC81500951 FACTOR V LEIDEN BY PCR $467.00 HC81701765 FACTOR V LEIDEN BY PCR $490.00 HC89019954 FACTOR V LEIDEN PCR-AU $72.00 HC89018329 FACTOR VII ASSAY-EC $145.00 HC81500365 FACTOR VII STABLE $460.00 HC89021174 FACTOR VIII ACTIVITY -EC $163.00 HC81500688 FACTOR VIII ASSAY $460.00 HC89018204 FACTOR VIII ASSAY -EC $125.00 HC89016745 FACTOR VIII ASSAY-AU $20.00 HC89015614 FACTOR VIII ASSAY-QD $20.00 HC89018287 FACTOR VIII BETHESDA TITER(PNL) -EC $102.00 HC89021158 FACTOR VIII INHIBITOR TEST(PNL) -EC $122.00 HC89018238 FACTOR VIII INHIBITOR-EC $40.00 HC89019277 FACTOR VIII INHIBITOR-OS $90.00 HC81500373 FACTOR VIII RELATED AG $530.00 HC81500381 FACTOR VIII VW $555.00 HC89010623 FACTOR VIII VW AG-AU $24.00 HC89018220 FACTOR VIII VW AG-EC $81.00 HC89015622 FACTOR VIII VW AG-QD $20.00 HC89019269 FACTOR VIII VW FACTOR AG-OS $90.00 HC81500399 FACTOR VIII VW MULTI $418.00 HC89005870 FACTOR VIII VW MULTI-AU $33.10 HC89010615 FACTOR VIII VW-AU $26.00 HC81500407 FACTOR X $468.00 HC89018337 FACTOR X ASSAY -EC $163.00 69853-0102-1 "FACTOR XA,INACTIVATED-ZHZO 200 MG IV SOLR" "$33,000.00 " HC89018345 FACTOR XI ASSAY -EC $163.00 HC81500415 FACTOR XI PTA $469.00 HC81500423 FACTOR XII $487.00 HC89018352 FACTOR XII ASSAY -EC $163.00 HC81500696 FACTOR XIII ASSAY $340.00 HC89021976 FACTOR XIII ASSAY -AU $125.00 HC89018360 FACTOR XIII ASSAY -EC $163.00 HC81500738 FACTOR XIII SCREEN $208.00 HC89091342 FAM ADENOM POLYPOSIS DEL/DUP-AU $320.00 HC89091359 FAM ADENOM POLYPOSIS SEQ-AU "$1,000.00 " 0093-8118-56 FAMCICLOVIR 250 MG ORAL TAB $9.65 16714-615-01 FAMCICLOVIR 250 MG ORAL TAB $7.92 31722-707-30 FAMCICLOVIR 250 MG ORAL TAB $3.19 60505-3246-3 FAMCICLOVIR 250 MG ORAL TAB $3.19 0093-8119-56 FAMCICLOVIR 500 MG ORAL TAB $19.38 16714-616-01 FAMCICLOVIR 500 MG ORAL TAB $16.25 60505-3247-3 FAMCICLOVIR 500 MG ORAL TAB $6.99 60687-103-25 FAMCICLOVIR 500 MG ORAL TAB $13.76 60687-103-95 FAMCICLOVIR 500 MG ORAL TAB $13.76 0641-6022-01 FAMOTIDINE (PF) 20 MG/2 ML IV SOLN $5.20 0641-6022-25 FAMOTIDINE (PF) 20 MG/2 ML IV SOLN $5.20 63323-739-11 FAMOTIDINE (PF) 20 MG/2 ML IV SOLN $5.40 63323-739-12 FAMOTIDINE (PF) 20 MG/2 ML IV SOLN $5.40 67457-433-00 FAMOTIDINE (PF) 20 MG/2 ML IV SOLN $5.34 67457-433-22 FAMOTIDINE (PF) 20 MG/2 ML IV SOLN $5.34 0338-5197-41 FAMOTIDINE (PF)-NACL (ISO-OS) 20 MG/50 ML IV PGBK $28.80 0641-6021-10 FAMOTIDINE 10 MG/ML IV SOLN $48.00 63323-738-06 FAMOTIDINE 10 MG/ML IV SOLN $54.00 63323-738-20 FAMOTIDINE 10 MG/ML IV SOLN $54.00 99999-043-19 FAMOTIDINE 2 MG/ML INJ DILUTION (MCH) $108.00 1093913844 FAMOTIDINE 20 MG ORAL TAB $1.00 0172-5728-60 FAMOTIDINE 20 MG ORAL TAB $1.00 0172-5728-70 FAMOTIDINE 20 MG ORAL TAB $1.00 0172-5728-80 FAMOTIDINE 20 MG ORAL TAB $1.00 0187-4420-10 FAMOTIDINE 20 MG ORAL TAB $68.15 0536-1298-01 FAMOTIDINE 20 MG ORAL TAB $1.00 0904-5780-51 FAMOTIDINE 20 MG ORAL TAB $1.00 49348-817-05 FAMOTIDINE 20 MG ORAL TAB $1.00 50268-303-11 FAMOTIDINE 20 MG ORAL TAB $1.00 50268-303-15 FAMOTIDINE 20 MG ORAL TAB $1.00 51079-966-01 FAMOTIDINE 20 MG ORAL TAB $1.00 51079-966-20 FAMOTIDINE 20 MG ORAL TAB $1.00 61442-121-01 FAMOTIDINE 20 MG ORAL TAB $1.00 61442-121-10 FAMOTIDINE 20 MG ORAL TAB $1.00 62332-001-31 FAMOTIDINE 20 MG ORAL TAB $1.00 62332-001-91 FAMOTIDINE 20 MG ORAL TAB $1.00 63739-645-10 FAMOTIDINE 20 MG ORAL TAB $1.00 65862-859-01 FAMOTIDINE 20 MG ORAL TAB $1.00 68001-397-00 FAMOTIDINE 20 MG ORAL TAB $1.00 68001-397-08 FAMOTIDINE 20 MG ORAL TAB $1.00 68180-150-01 FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSP $849.30 65597-406-01 FAM-TRASTUZUMAB DERUXTECN-NXKI 100 MG IV SOLR "$13,775.82 " HC46502381 "FASCIOTOMY, FOOT AND/OR TOE" "$9,409.00 " HC62227301 FASTENERS TIF(SEROSAFUSE CARTRIDGE) "$1,381.00 " HC62219993 FASTENERS/ANCHORS TUBE GI-SET OF 3 $354.00 0338-0819-09 FAT EMULSION 20 % IV (FOR LIPID RESCUE) $73.50 0338-0519-09 FAT EMULSION 20 % IV EMUL $247.50 0338-0519-13 FAT EMULSION 20 % IV EMUL $219.00 0338-0519-58 FAT EMULSION 20 % IV EMUL $161.40 63323-820-00 FAT EMUL-SOY-MCT-OLIV-FISH OIL 20 % IV EMUL $132.00 63323-820-01 FAT EMUL-SOY-MCT-OLIV-FISH OIL 20 % IV EMUL $132.00 63323-820-50 FAT EMUL-SOY-MCT-OLIV-FISH OIL 20 % IV EMUL $204.00 HC89004089 FAT FECAL QUAL-AU $14.00 HC84200989 FAT STAIN FECES QUAL $110.00 HC81100810 FAT STAIN URINE/FECES/SECRETNS $107.00 HC89019434 "FATTY ACID PROFILE, COMP -MA" $130.00 63323-205-00 FATTY ACID6-FISH OIL-GLY-P-LIP 10 % IV EMUL $432.00 63323-205-31 FATTY ACID6-FISH OIL-GLY-P-LIP 10 % IV EMUL $432.00 HC89008031 FATTY ACIDS FREE-AU $16.00 HC89008049 FATTY ACIDS FREE-QN $22.00 HC44000750 FB CHILD NOSE-RECTUM EXAM $692.00 HC25000159 FB REMOVAL EAR $343.00 HC25000365 FB REMOVAL EYE "$1,035.00 " HC25000167 FB REMOVAL NASAL $521.00 HC25000183 FB REMOVAL SQ COMPLEX "$3,284.00 " HC25000175 FB REMOVAL SQ SIMPLE "$1,737.00 " HC88600325 FBI COLLECTION SPECIMEN URINE $63.00 HC29000544 FBI EVAL RESPIRATOR QUESTIONNR $50.00 HC89015150 FEBRILE AGGLUTININS-AU $95.00 HC89010821 FEBRILE AGGLUTININS-FT $16.00 0378-3925-93 FEBUXOSTAT 40 MG ORAL TAB $56.96 27808-206-01 FEBUXOSTAT 40 MG ORAL TAB $7.00 62332-190-30 FEBUXOSTAT 40 MG ORAL TAB $59.41 64764-918-30 FEBUXOSTAT 40 MG ORAL TAB $66.01 0378-3926-93 FEBUXOSTAT 80 MG ORAL TAB $56.96 62332-191-30 FEBUXOSTAT 80 MG ORAL TAB $59.41 HC81100786 FECAL FAT QUAL $71.00 HC89008023 FECAL FAT QUANT-AU $100.00 64193-425-02 "FEIBA NF 1,750-3,250 UNIT IV SOLR" "$32,400.00 " 0037-0430-01 FELBAMATE 400 MG ORAL TAB $75.85 51525-0430-1 FELBAMATE 400 MG ORAL TAB $22.64 65162-734-03 FELBAMATE 400 MG ORAL TAB $25.06 65162-734-09 FELBAMATE 400 MG ORAL TAB $25.06 65162-735-09 FELBAMATE 600 MG ORAL TAB $28.72 51525-0442-8 FELBAMATE 600 MG/5 ML ORAL SUSP "$3,048.77 " 65162-686-88 FELBAMATE 600 MG/5 ML ORAL SUSP "$3,080.16 " 65162-686-90 FELBAMATE 600 MG/5 ML ORAL SUSP "$5,931.42 " 13668-132-01 FELODIPINE 2.5 MG ORAL TB24 $2.28 53489-368-01 FELODIPINE 2.5 MG ORAL TB24 $6.51 68462-233-01 FELODIPINE 2.5 MG ORAL TB24 $2.28 0603-3582-21 FELODIPINE 5 MG ORAL TB24 $3.36 53489-369-01 FELODIPINE 5 MG ORAL TB24 $6.51 68462-234-01 FELODIPINE 5 MG ORAL TB24 $2.28 HC62203286 FEMORAL CANAL BRUSH $124.00 HC44003002 FEMUR 1 VIEW LT $544.00 HC44003010 FEMUR 1 VIEW RT $544.00 HC44000768 FEMUR 2/> VIEWS BILAT "$1,951.00 " HC44000776 FEMUR 2/> VIEWS LT "$1,006.00 " HC44000784 FEMUR 2/> VIEWS RT "$1,006.00 " 0115-5522-10 FENOFIBRATE 160 MG ORAL TAB $3.97 42858-660-45 FENOFIBRATE 160 MG ORAL TAB $16.72 63304-901-90 FENOFIBRATE 160 MG ORAL TAB $3.97 68084-328-11 FENOFIBRATE 160 MG ORAL TAB $17.54 68084-328-21 FENOFIBRATE 160 MG ORAL TAB $17.54 0115-5511-10 FENOFIBRATE 54 MG ORAL TAB $1.84 50268-312-11 FENOFIBRATE 54 MG ORAL TAB $7.90 50268-312-15 FENOFIBRATE 54 MG ORAL TAB $7.90 68084-827-25 FENOFIBRATE 54 MG ORAL TAB $6.51 68084-827-95 FENOFIBRATE 54 MG ORAL TAB $6.51 65862-769-90 FENOFIBRATE NANOCRYSTALLIZED 145 MG ORAL TAB $5.59 69097-458-05 FENOFIBRATE NANOCRYSTALLIZED 145 MG ORAL TAB $13.00 0378-3065-77 FENOFIBRATE NANOCRYSTALLIZED 48 MG ORAL TAB $2.14 0409-9094-28 FENTANYL (PF) 50 MCG/ML INJ FOR INTRATHECAL PAIN PUMP REFILL (OCM) $18.36 63323-806-01 FENTANYL (PF) 50 MCG/ML INJ FOR INTRATHECAL PAIN PUMP REFILL (OCM) $13.26 63323-806-11 FENTANYL (PF) 50 MCG/ML INJ FOR INTRATHECAL PAIN PUMP REFILL (OCM) $13.26 70004-200-61 FENTANYL (PF) 50 MCG/ML INJ FOR INTRATHECAL PAIN PUMP REFILL (OCM) $126.36 72572-172-01 FENTANYL (PF) 50 MCG/ML INJ FOR INTRATHECAL PAIN PUMP REFILL (OCM) $129.60 0378-9124-16 FENTANYL 100 MCG/HR TRANSDERMAL PT72 $165.35 0378-9124-98 FENTANYL 100 MCG/HR TRANSDERMAL PT72 $165.35 0406-9000-76 FENTANYL 100 MCG/HR TRANSDERMAL PT72 $165.35 47781-428-11 FENTANYL 100 MCG/HR TRANSDERMAL PT72 $165.35 47781-428-47 FENTANYL 100 MCG/HR TRANSDERMAL PT72 $165.35 60505-7009-0 FENTANYL 100 MCG/HR TRANSDERMAL PT72 $116.40 60505-7009-2 FENTANYL 100 MCG/HR TRANSDERMAL PT72 $116.40 0378-9119-16 FENTANYL 12 MCG/HR TRANSDERMAL PT72 $97.45 0378-9119-98 FENTANYL 12 MCG/HR TRANSDERMAL PT72 $97.45 47781-423-11 FENTANYL 12 MCG/HR TRANSDERMAL PT72 $97.45 47781-423-47 FENTANYL 12 MCG/HR TRANSDERMAL PT72 $97.45 60505-7080-0 FENTANYL 12 MCG/HR TRANSDERMAL PT72 $97.44 60505-7080-2 FENTANYL 12 MCG/HR TRANSDERMAL PT72 $97.45 0378-9121-16 FENTANYL 25 MCG/HR TRANSDERMAL PT72 $42.78 0378-9121-98 FENTANYL 25 MCG/HR TRANSDERMAL PT72 $42.78 0406-9025-76 FENTANYL 25 MCG/HR TRANSDERMAL PT72 $42.78 47781-424-11 FENTANYL 25 MCG/HR TRANSDERMAL PT72 $42.78 47781-424-47 FENTANYL 25 MCG/HR TRANSDERMAL PT72 $42.78 60505-7006-0 FENTANYL 25 MCG/HR TRANSDERMAL PT72 $27.42 60505-7006-2 FENTANYL 25 MCG/HR TRANSDERMAL PT72 $27.41 60505-7011-0 FENTANYL 25 MCG/HR TRANSDERMAL PT72 $19.08 60505-7011-2 FENTANYL 25 MCG/HR TRANSDERMAL PT72 $19.08 60505-7081-0 FENTANYL 25 MCG/HR TRANSDERMAL PT72 $27.42 60505-7081-2 FENTANYL 25 MCG/HR TRANSDERMAL PT72 $27.41 99999-035-08 FENTANYL 25 MCG/ML IN NS 100 ML OPIOID NAIVE PCA $352.80 99999-040-04 FENTANYL 25 MCG/ML IN NS 50 ML OPIOID TOLERANT PCA $58.50 99999-034-74 FENTANYL 2500 MCG IN NS 100 ML $294.00 99999-044-72 FENTANYL 2500 MCG/50 ML (50 MCG/ML) DRIP (LBM) $150.00 99999-038-47 FENTANYL 5 MCG/ML NICU INJECTION $4.80 0378-9122-16 FENTANYL 50 MCG/HR TRANSDERMAL PT72 $76.00 0406-9050-76 FENTANYL 50 MCG/HR TRANSDERMAL PT72 $76.00 47781-426-11 FENTANYL 50 MCG/HR TRANSDERMAL PT72 $76.00 47781-426-47 FENTANYL 50 MCG/HR TRANSDERMAL PT72 $76.00 60505-7007-0 FENTANYL 50 MCG/HR TRANSDERMAL PT72 $58.80 60505-7007-2 FENTANYL 50 MCG/HR TRANSDERMAL PT72 $58.80 60505-7082-0 FENTANYL 50 MCG/HR TRANSDERMAL PT72 $58.80 60505-7082-2 FENTANYL 50 MCG/HR TRANSDERMAL PT72 $58.80 0409-9094-22 FENTANYL 50 MCG/ML INJ SOLN (FOR INTRANASAL USE) $7.56 0641-6027-01 FENTANYL 50 MCG/ML INJ SOLN (FOR INTRANASAL USE) $12.74 0641-6027-25 FENTANYL 50 MCG/ML INJ SOLN (FOR INTRANASAL USE) $12.74 17478-030-02 FENTANYL 50 MCG/ML INJ SOLN (FOR INTRANASAL USE) $11.76 17478-030-25 FENTANYL 50 MCG/ML INJ SOLN (FOR INTRANASAL USE) $12.06 63323-806-12 FENTANYL 50 MCG/ML INJ SOLN (FOR INTRANASAL USE) $12.06 0378-9123-16 FENTANYL 75 MCG/HR TRANSDERMAL PT72 $120.12 0378-9123-98 FENTANYL 75 MCG/HR TRANSDERMAL PT72 $120.12 0406-9075-76 FENTANYL 75 MCG/HR TRANSDERMAL PT72 $120.12 47781-427-11 FENTANYL 75 MCG/HR TRANSDERMAL PT72 $120.12 47781-427-47 FENTANYL 75 MCG/HR TRANSDERMAL PT72 $120.12 60505-7008-0 FENTANYL 75 MCG/HR TRANSDERMAL PT72 $74.22 60505-7008-2 FENTANYL 75 MCG/HR TRANSDERMAL PT72 $74.23 99999-005-66 FENTANYL CITRATE (PF) 5 MCG/ML INJ DILUTION (MCH) $4.38 99999-037-01 FENTANYL CITRATE (PF) 5 MCG/ML INJ DILUTION (MCH) $1.00 0409-9093-32 FENTANYL CITRATE (PF) 50 MCG/ML INJ SOLN $8.76 0409-9093-35 FENTANYL CITRATE (PF) 50 MCG/ML INJ SOLN $11.70 0409-9093-37 FENTANYL CITRATE (PF) 50 MCG/ML INJ SOLN $8.76 0409-9093-45 FENTANYL CITRATE (PF) 50 MCG/ML INJ SOLN $11.70 0409-9094-12 FENTANYL CITRATE (PF) 50 MCG/ML INJ SOLN $7.56 0409-9094-16 FENTANYL CITRATE (PF) 50 MCG/ML INJ SOLN $38.16 0409-9094-17 FENTANYL CITRATE (PF) 50 MCG/ML INJ SOLN $18.36 0409-9094-18 FENTANYL CITRATE (PF) 50 MCG/ML INJ SOLN $11.34 0409-9094-25 FENTANYL CITRATE (PF) 50 MCG/ML INJ SOLN $11.34 0409-9094-31 FENTANYL CITRATE (PF) 50 MCG/ML INJ SOLN $38.16 0409-9094-41 FENTANYL CITRATE (PF) 50 MCG/ML INJ SOLN $106.80 0409-9094-61 FENTANYL CITRATE (PF) 50 MCG/ML INJ SOLN $106.80 0641-6028-01 FENTANYL CITRATE (PF) 50 MCG/ML INJ SOLN $18.00 0641-6028-25 FENTANYL CITRATE (PF) 50 MCG/ML INJ SOLN $18.00 0641-6029-01 FENTANYL CITRATE (PF) 50 MCG/ML INJ SOLN $66.00 0641-6029-25 FENTANYL CITRATE (PF) 50 MCG/ML INJ SOLN $66.00 0641-6030-01 FENTANYL CITRATE (PF) 50 MCG/ML INJ SOLN $150.00 17478-030-05 FENTANYL CITRATE (PF) 50 MCG/ML INJ SOLN $14.61 17478-030-55 FENTANYL CITRATE (PF) 50 MCG/ML INJ SOLN $15.27 63323-806-02 FENTANYL CITRATE (PF) 50 MCG/ML INJ SOLN $12.06 63323-806-14 FENTANYL CITRATE (PF) 50 MCG/ML INJ SOLN $51.00 63323-806-20 FENTANYL CITRATE (PF) 50 MCG/ML INJ SOLN $51.00 63323-806-50 FENTANYL CITRATE (PF) 50 MCG/ML INJ SOLN $150.00 72572-170-01 FENTANYL CITRATE (PF) 50 MCG/ML INJ SOLN $10.44 72572-170-25 FENTANYL CITRATE (PF) 50 MCG/ML INJ SOLN $10.44 72572-171-01 FENTANYL CITRATE (PF) 50 MCG/ML INJ SOLN $16.62 72572-171-25 FENTANYL CITRATE (PF) 50 MCG/ML INJ SOLN $16.62 99999-036-04 FENTANYL CITRATE (PF) 50 MCG/ML INJ SOLN $2.88 63459-541-04 FENTANYL CITRATE 100 MCG BUCCAL TBEF $343.57 63459-541-28 FENTANYL CITRATE 100 MCG BUCCAL TBEF $343.57 0093-7865-19 FENTANYL CITRATE 200 MCG BUCCAL LPOP $73.11 0093-7865-65 FENTANYL CITRATE 200 MCG BUCCAL LPOP $73.11 0406-9202-30 FENTANYL CITRATE 200 MCG BUCCAL LPOP $73.11 63459-502-30 FENTANYL CITRATE 200 MCG BUCCAL LPOP $438.08 63459-542-04 FENTANYL CITRATE 200 MCG BUCCAL TBEF $434.08 63459-542-28 FENTANYL CITRATE 200 MCG BUCCAL TBEF $434.08 63459-508-30 FENTANYL CITRATE 800 MCG BUCCAL LPOP $804.32 99999-042-49 FENTANYL DRIP (CONC 50 MCG/ML) 100 ML OCM $330.00 99999-042-48 FENTANYL DRIP (CONC 50 MCG/ML) 50 ML OCM $165.00 99999-039-37 FENTANYL DRIP 1000 MCG IN NS 100 ML (OCM) $330.00 99999-034-87 FENTANYL-BUPIVACAINE 2 MCG/ML - 0.1% EPIDURAL PCA (L&D) $20.40 0000-3668-00 FENTANYL-BUPIVACAINE 2MCG/ML-0.125% IN NS (OB) $84.00 99999-001-63 FENTANYL-BUPIVACAINE 2MCG/ML-0.125% IN NS (OB) $96.00 99999-043-17 FENTANYL-NS 1 MCG/ML NICU INJECTION $219.00 0517-0650-01 FERRIC CARBOXYMALTOSE 50 IRON MG/ML IV SOLN "$6,638.85 " 10481-0112-8 FERRIC SUBSULFATE 0.2 TO 0.22 GRAM/ML TOPICAL SOLA $87.50 48783-112-08 FERRIC SUBSULFATE 0.2 TO 0.22 GRAM/ML TOPICAL SOLA $82.46 59365-6065-0 FERRIC SUBSULFATE 259 MG/G TOPICAL SOLN $74.26 59365-6065-1 FERRIC SUBSULFATE 259 MG/G TOPICAL SOLN $74.26 HC81700577 FERRITIN $329.00 3665226769 FERROUS FUMARATE-VITAMIN C 200 MG (65 MG IRON)-25 MG ORAL TBSR $1.00 904213761 FERROUS GLUCONATE 324 MG (37.5 MG IRON) ORAL TAB $1.00 574050801 FERROUS GLUCONATE 324 MG (38 MG IRON) ORAL TAB $1.00 574050810 FERROUS GLUCONATE 324 MG (38 MG IRON) ORAL TAB $1.00 1000673013 FERROUS SULFATE 140 MG (45 MG IRON) ORAL TBSR $1.00 8679001930 FERROUS SULFATE 142 MG (45 MG IRON) ORAL TBSR $1.43 3932805750 FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROP $52.50 5038362750 FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROP $25.50 5483801150 FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROP $16.50 121053005 FERROUS SULFATE 300 MG (60 MG IRON)/5 ML ORAL LIQD $20.37 536100901 FERROUS SULFATE 325 MG (65 MG IRON) ORAL TAB $1.00 904759060 FERROUS SULFATE 325 MG (65 MG IRON) ORAL TAB $1.00 904759080 FERROUS SULFATE 325 MG (65 MG IRON) ORAL TAB $1.00 904759161 FERROUS SULFATE 325 MG (65 MG IRON) ORAL TAB $1.00 5766407001 FERROUS SULFATE 325 MG (65 MG IRON) ORAL TAB $1.00 59338-775-01 FERUMOXYTOL 510 MG/17 ML (30 MG/ML) IV SOLN "$6,428.55 " HC25006131 FETAL CONTRACT/NIPPLE STIM $850.00 HC26000075 FETAL CONTRACT/NIPPLE STIM "$1,304.00 " HC25006149 FETAL CONTRACTION STRESS TEST $875.00 HC26000083 FETAL CONTRACTION STRESS TEST "$1,304.00 " HC81101107 FETAL FIBRONECTIN "$1,176.00 " HC81100828 FETAL LUNG MATURITY L/S $477.00 HC89021620 FETAL LUNG MATURITY L/S RATIO-AU $117.00 HC25006156 FETAL NON-STRESS TEST $650.00 HC26000091 FETAL NON-STRESS TEST "$1,043.00 " 1093941644 FEXOFENADINE 180 MG ORAL TAB $1.65 4898500049 FEXOFENADINE 180 MG ORAL TAB $2.64 0378-0782-93 FEXOFENADINE 180 MG ORAL TAB $7.61 0904-6711-46 FEXOFENADINE 180 MG ORAL TAB $2.64 49348-968-12 FEXOFENADINE 180 MG ORAL TAB $1.65 49348-968-56 FEXOFENADINE 180 MG ORAL TAB $1.55 51079-548-01 FEXOFENADINE 180 MG ORAL TAB $7.60 51079-548-20 FEXOFENADINE 180 MG ORAL TAB $7.60 70677-0008-2 FEXOFENADINE 180 MG ORAL TAB $2.44 4116742333 FEXOFENADINE 30 MG ORAL TBDL $4.53 41167-4233-3 FEXOFENADINE 30 MG ORAL TBDL $4.53 1093941444 FEXOFENADINE 60 MG ORAL TAB $2.76 1093983044 FEXOFENADINE 60 MG ORAL TAB $2.90 41167-4131-2 FEXOFENADINE 60 MG ORAL TAB $4.00 45802-425-78 FEXOFENADINE 60 MG ORAL TAB $3.45 51079-547-01 FEXOFENADINE 60 MG ORAL TAB $7.77 51079-547-20 FEXOFENADINE 60 MG ORAL TAB $7.77 58602-710-01 FEXOFENADINE 60 MG ORAL TAB $2.90 41167-4310-4 FEXOFENADINE-PSEUDOEPHEDRINE 60-120 MG ORAL TB12 $4.26 HC83000216 FFP THAWING EA UNIT $380.00 HC89500987 FFP THAWING; EA UNIT-SB $12.00 HC89019988 FHL2 PRF1 GENE MUTATION-CN "$3,984.00 " HC62218102 FIBER LASER D $520.00 HC62227269 FIBER LASER F $650.00 HC62227277 FIBER LASER G $780.00 HC62227285 FIBER LASER H $910.00 HC62203294 FIBER LASER K "$1,560.00 " HC62223136 FIBER LASER L "$2,275.00 " HC62223144 FIBER LASER M "$2,600.00 " HC62208665 FIBER LASER - GREEN LIGHT T "$4,225.00 " HC62225453 FIBER OPTIC ERCP $910.00 HC62807946 FIBRIN SEALANT D $195.00 HC62805981 FIBRIN SEALANT G $390.00 HC62805999 FIBRIN SEALANT H $520.00 HC62805742 FIBRIN SEALANT I $650.00 HC62219035 FIBRIN SEALANT J $780.00 HC62805759 FIBRIN SEALANT O "$1,625.00 " HC62203302 FIBRIN SEALANT P "$1,950.00 " HC62805767 FIBRIN SEALANT S "$2,925.00 " HC81500704 FIBRIN SPLIT PRODUCTS $302.00 HC89016216 FIBRIN SPLIT PRODUCTS-QD $4.00 HC81500134 FIBRINOGEN $299.00 HC89004121 FIBRINOGEN ANTIGEN-AU $39.00 HC89005342 FIBRINOGEN ANTIGEN-EC $130.00 HC89015671 FIBRINOGEN-QD $13.00 HC89023220 FIBRINOLYSIS COAG ADAMTS-13-AU $113.50 52015-080-01 FIDAXOMICIN 200 MG ORAL TAB "$1,217.76 " 55513-530-01 FILGRASTIM 300 MCG/ML INJ SOLN "$1,888.98 " 55513-530-10 FILGRASTIM 300 MCG/ML INJ SOLN "$1,889.00 " 55513-209-01 FILGRASTIM 480 MCG/0.8 ML INJ SYRG "$3,188.58 " 55513-209-91 FILGRASTIM 480 MCG/0.8 ML INJ SYRG "$3,188.58 " 0069-0293-01 FILGRASTIM-AAFI 300 MCG/ML INJ SOLN "$1,314.00 " 0069-0293-10 FILGRASTIM-AAFI 300 MCG/ML INJ SOLN "$1,314.00 " 61314-318-01 FILGRASTIM-SNDZ 300 MCG/0.5 ML INJ SYRG "$1,646.16 " 61314-318-10 FILGRASTIM-SNDZ 300 MCG/0.5 ML INJ SYRG "$1,646.18 " 61314-326-01 FILGRASTIM-SNDZ 480 MCG/0.8 ML INJ SYRG "$2,633.88 " 61314-326-10 FILGRASTIM-SNDZ 480 MCG/0.8 ML INJ SYRG "$2,633.88 " HC62203310 FILTER BACTERIA $72.00 HC62203328 FILTER BLOOD $64.00 HC62210232 FILTER CONT VENOVENOUS HEMO'EA "$1,294.00 " HC62220553 FILTER HARVESTER BONE/BONE MARROW $898.00 HC62203336 FILTER IV $52.00 HC62203344 FILTER MILIPORE $26.00 HC62203351 FILTER PALL $26.00 HC62203369 FILTER PULMONARY $99.00 HC62203377 FILTER RESPIRATORY $52.00 HC62804653 FILTER VENA CAVA A "$1,772.00 " HC62804042 FILTER VENA CAVA H "$4,558.00 " HC62804034 FILTER VENA CAVA (E.G. ALN) F "$3,660.00 " HC62803994 FILTER VENA CAVA (E.G.TRAPEASE) B "$2,373.00 " HC62806195 FILTER VENA CAVA (E.G.CELECT) I "$4,957.00 " HC62804026 FILTER VENA CAVA (E.G.ELITE) E "$3,380.00 " HC62801030 FILTER VENA CAVA (E.G.GUNTHER) G "$4,070.00 " HC62804000 FILTER VENA CAVA (E.G.OPTEASE) C "$2,509.00 " HC62804018 FILTER VENA CAVA(DENLI-ECLPS-MERIDN) D "$2,965.00 " HC83000117 "FILTER,BLOOD PRODUCT" $72.00 0006-0071-31 FINASTERIDE 1 MG ORAL TAB $20.70 47335-714-81 FINASTERIDE 1 MG ORAL TAB $9.51 65862-927-30 FINASTERIDE 1 MG ORAL TAB $1.60 99999-040-15 FINASTERIDE 2.5 MG ORAL PARTIAL TAB $1.00 0093-7355-05 FINASTERIDE 5 MG ORAL TAB $3.22 0093-7355-56 FINASTERIDE 5 MG ORAL TAB $3.60 0904-6830-06 FINASTERIDE 5 MG ORAL TAB $4.06 0904-6830-61 FINASTERIDE 5 MG ORAL TAB $6.18 16729-090-01 FINASTERIDE 5 MG ORAL TAB $1.00 16729-090-15 FINASTERIDE 5 MG ORAL TAB $1.00 60687-428-11 FINASTERIDE 5 MG ORAL TAB $5.40 60687-428-65 FINASTERIDE 5 MG ORAL TAB $4.80 65862-149-05 FINASTERIDE 5 MG ORAL TAB $2.40 65862-149-30 FINASTERIDE 5 MG ORAL TAB $2.40 65862-149-90 FINASTERIDE 5 MG ORAL TAB $2.40 67877-288-90 FINASTERIDE 5 MG ORAL TAB $1.00 HC44002756 FINGER(S) $616.00 HC44000792 FINGER(S) MIN 2 VWS-LT $616.00 HC44000800 FINGER(S) MIN 2 VWS-RT $616.00 HC44000818 FISTULA/SINUS ABSCESS STUDY "$1,915.00 " HC62220405 FIT TALAR LOCKING TRIAL "$1,690.00 " HC51003218 FIT&INSERT PESSARY/INTRAVAG SPPRT DEV $341.00 HC46500898 FIX G/COLON TUBE W/ DEVICE W/FLUORO "$2,937.00 " 0054-0011-20 FLECAINIDE 100 MG ORAL TAB $5.63 0054-0011-25 FLECAINIDE 100 MG ORAL TAB $5.63 50268-321-11 FLECAINIDE 100 MG ORAL TAB $8.41 50268-321-15 FLECAINIDE 100 MG ORAL TAB $8.41 65162-642-10 FLECAINIDE 100 MG ORAL TAB $5.63 65862-622-01 FLECAINIDE 100 MG ORAL TAB $5.63 0054-0011-21 FLECAINIDE 100 MG ORAL TAB (MCH) $5.63 99999-033-87 FLECAINIDE 20 MG/ML ORAL SUSP (COMPOUND) $1.13 0054-0010-20 FLECAINIDE 50 MG ORAL TAB $3.44 0054-0010-21 FLECAINIDE 50 MG ORAL TAB $3.44 0054-0010-25 FLECAINIDE 50 MG ORAL TAB $3.44 53746-641-01 FLECAINIDE 50 MG ORAL TAB $2.59 65162-641-10 FLECAINIDE 50 MG ORAL TAB $3.44 HC89006720 FLECAINIDE-AU $28.65 HC89003651 FLECAINIDE-QD $60.00 HC81101404 FLORESCENCE POLARIZATION $280.00 HC89022370 FLOW CYT LEUK/LYMPH 1ST MRKR{W-INT/87}-AU $79.00 HC89022388 FLOW CYT LEUK/LYMPH 1ST MRKR{W-INT/88}-AU $99.00 HC89022396 FLOW CYT LEUK/LYMPH 1ST MRKR{W-INT/89}-AU $114.00 HC89022404 FLOW CYT LEUK/LYMPH MRKRS ADD+-AU $15.00 HC81701419 FLOW CYT MKR (TDT) TC ADD+ $276.00 HC83506006 FLOW CYT MKR CD4/CD8 BAL 1ST (PNL)-NG $91.00 HC83506014 FLOW CYT MKR CD4/CD8 BAL EA ADD+ (PNL)-NG $13.00 HC83505412 FLOW CYT MKR TC 1ST (PNL) -NG $76.00 HC89016430 FLOW CYT MKR TC 1ST-AU $18.00 HC89018188 FLOW CYT MKR TC 1ST-ES $90.00 HC81700858 FLOW CYT MKR TC ADD + CD38 $276.00 HC81701401 FLOW CYT MKR TC ADD+ $276.00 HC81700833 FLOW CYT MKR TC ADD+ CD23 $276.00 HC81700569 FLOW CYT MKR TC ADD+ KAPPA $276.00 HC89016448 FLOW CYT MKR TC ADD+-AU $18.00 HC89018196 FLOW CYT MKR TC ADD+-ES $53.00 HC89016224 FLOW CYT MKR TC ADD+-QD $2.00 HC83504746 FLOW CYT MKR TC ADD+-US $14.00 HC81700981 FLOW CYT MKR TC CD45 $536.00 HC83505420 FLOW CYT MKR TC EACH ADD+ -NG $13.00 HC81701666 FLOW CYT TC; 1ST MARKER $536.00 HC81700874 FLOW CYTO CELL MKR TC ADD+ $276.00 HC81700866 FLOW CYTO MKR TC ADD + CALLA $276.00 HC89022339 FLOW CYTOMETRY 1ST MRKR{W-INT/87}-CC $123.00 HC89022347 FLOW CYTOMETRY 1ST MRKR{W-INT/88}-CC $148.00 HC89022354 FLOW CYTOMETRY 1ST MRKR{W-INT/89}-CC $188.00 HC89022362 FLOW CYTOMETRY MARKERS ADD+-CC $24.00 HC36800183 FLOW VOLUME LOOP $720.00 HC62203393 FLOWMETER $146.00 63323-145-07 FLOXURIDINE 0.5 GRAM INJ SOLR $714.00 49281-720-10 FLU VAC QV 2020(18YR UP)RC(PF) 180 MCG (45 MCG X 4)/0.5 ML IM SYRG $317.21 49281-720-88 FLU VAC QV 2020(18YR UP)RC(PF) 180 MCG (45 MCG X 4)/0.5 ML IM SYRG $317.22 19515-816-41 FLU VACC QS2020-21 6MOS UP(PF) 60 MCG (15 MCG X 4)/0.5 ML IM SYRG $99.31 19515-816-52 FLU VACC QS2020-21 6MOS UP(PF) 60 MCG (15 MCG X 4)/0.5 ML IM SYRG $99.31 69932-001-30 FLUCICLOVINE F18 10 MCI (370 MBQ) IV SOLN "$13,802.75 " 16714-695-01 FLUCONAZOLE 10 MG/ML ORAL SUSR $148.26 0049-3420-41 FLUCONAZOLE 100 MG ORAL TAB $226.10 0172-5411-60 FLUCONAZOLE 100 MG ORAL TAB $6.00 0904-6500-61 FLUCONAZOLE 100 MG ORAL TAB $8.50 16714-691-01 FLUCONAZOLE 100 MG ORAL TAB $6.65 16714-691-02 FLUCONAZOLE 100 MG ORAL TAB $7.30 57237-004-30 FLUCONAZOLE 100 MG ORAL TAB $6.00 67405-602-03 FLUCONAZOLE 100 MG ORAL TAB $6.00 68084-728-01 FLUCONAZOLE 100 MG ORAL TAB $11.23 68084-728-11 FLUCONAZOLE 100 MG ORAL TAB $11.23 68462-102-30 FLUCONAZOLE 100 MG ORAL TAB $6.00 0172-5413-60 FLUCONAZOLE 200 MG ORAL TAB $8.00 0904-6501-61 FLUCONAZOLE 200 MG ORAL TAB $12.23 16714-693-01 FLUCONAZOLE 200 MG ORAL TAB $11.03 16714-693-02 FLUCONAZOLE 200 MG ORAL TAB $15.98 50268-339-11 FLUCONAZOLE 200 MG ORAL TAB $14.99 50268-339-15 FLUCONAZOLE 200 MG ORAL TAB $14.99 68084-735-01 FLUCONAZOLE 200 MG ORAL TAB $16.16 68084-735-11 FLUCONAZOLE 200 MG ORAL TAB $16.16 16714-696-01 FLUCONAZOLE 40 MG/ML ORAL SUSR $342.30 0172-5410-46 FLUCONAZOLE 50 MG ORAL TAB $4.00 16714-694-01 FLUCONAZOLE 50 MG ORAL TAB $4.71 55111-143-01 FLUCONAZOLE 50 MG ORAL TAB $6.72 55111-143-30 FLUCONAZOLE 50 MG ORAL TAB $6.72 57237-003-30 FLUCONAZOLE 50 MG ORAL TAB $4.00 67405-601-03 FLUCONAZOLE 50 MG ORAL TAB $4.00 70710-1137-3 FLUCONAZOLE 50 MG ORAL TAB $2.80 99999-037-66 FLUCONAZOLE IN D5W 2 MG/ML INJECTION $58.20 99999-039-15 FLUCONAZOLE IN D5W 2 MG/ML INJECTION $58.20 99999-041-17 FLUCONAZOLE IN D5W 2 MG/ML INJECTION $42.00 0409-4688-23 FLUCONAZOLE IN NACL (ISO-OSM) 200 MG/100 ML IV PGBK $58.20 25021-184-66 FLUCONAZOLE IN NACL (ISO-OSM) 200 MG/100 ML IV PGBK $24.00 70655-002-10 FLUCONAZOLE IN NACL (ISO-OSM) 200 MG/100 ML IV PGBK $27.00 0409-4688-12 FLUCONAZOLE IN NACL (ISO-OSM) 400 MG/200 ML IV PGBK $42.00 0409-4688-16 FLUCONAZOLE IN NACL (ISO-OSM) 400 MG/200 ML IV PGBK $42.00 25021-184-87 FLUCONAZOLE IN NACL (ISO-OSM) 400 MG/200 ML IV PGBK $200.00 55390-228-01 FLUCONAZOLE IN NACL (ISO-OSM) 400 MG/200 ML IV PGBK $69.60 70655-088-06 FLUCONAZOLE IN NACL (ISO-OSM) 400 MG/200 ML IV PGBK $42.00 0409-4688-22 FLUCONAZOLE IN SALINE (2MG/ML CONC) INJECTION $44.40 25021-184-82 FLUCONAZOLE IN SALINE (2MG/ML CONC) INJECTION $54.00 70655-002-06 FLUCONAZOLE IN SALINE 200 MG/100 ML IV PGBK (MCH) $36.00 99998-000-44 FLUCONAZOLE IN SALINE 200 MG/100 ML IV PGBK (MCH) $28.17 25021-184-67 FLUCONAZOLE IN SALINE 400 MG/200 ML IV PGBK (MCH) $26.40 0054-0427-25 FLUCYTOSINE 250 MG ORAL CAP $393.93 42794-009-08 FLUCYTOSINE 250 MG ORAL CAP $180.00 99999-037-31 FLUCYTOSINE 50 MG/ML ORAL LIQUID $34.00 0054-0428-25 FLUCYTOSINE 500 MG ORAL CAP $762.26 0187-3555-10 FLUCYTOSINE 500 MG ORAL CAP $892.16 42494-340-01 FLUCYTOSINE 500 MG ORAL CAP $952.83 42794-010-08 FLUCYTOSINE 500 MG ORAL CAP $340.00 43386-770-01 FLUCYTOSINE 500 MG ORAL CAP $762.24 60687-363-25 FLUCYTOSINE 500 MG ORAL CAP $940.02 60687-363-95 FLUCYTOSINE 500 MG ORAL CAP $940.02 24201-237-01 FLUDARABINE 50 MG IV SOLR $660.00 45963-609-55 FLUDARABINE 50 MG IV SOLR $567.00 63323-196-06 FLUDARABINE 50 MG IV SOLR "$1,651.62 " 59923-604-02 FLUDARABINE 50 MG/2 ML IV SOLN $660.00 63323-192-02 FLUDARABINE 50 MG/2 ML IV SOLN "$1,631.28 " 45963-621-51 FLUDARABINE 50 MG/2 ML RECONSTITUTED IV SOLN (MCH) $652.50 99999-041-46 FLUDEOXYGLUCOSE F-18 20 MCI TO 200 MCI/ML IV SOLN $373.75 0115-7033-01 FLUDROCORTISONE 0.1 MG ORAL TAB $3.54 0115-7033-02 FLUDROCORTISONE 0.1 MG ORAL TAB $3.53 0555-0997-02 FLUDROCORTISONE 0.1 MG ORAL TAB $3.29 50268-330-11 FLUDROCORTISONE 0.1 MG ORAL TAB $4.93 50268-330-15 FLUDROCORTISONE 0.1 MG ORAL TAB $4.93 68084-288-01 FLUDROCORTISONE 0.1 MG ORAL TAB $5.06 68084-288-11 FLUDROCORTISONE 0.1 MG ORAL TAB $5.06 0069-0105-01 FLUMAZENIL 0.1 MG/ML IV SOLN $40.80 0143-9684-01 FLUMAZENIL 0.1 MG/ML IV SOLN $39.00 0143-9684-10 FLUMAZENIL 0.1 MG/ML IV SOLN $39.00 0143-9783-10 FLUMAZENIL 0.1 MG/ML IV SOLN $78.00 0143-9784-01 FLUMAZENIL 0.1 MG/ML IV SOLN $39.00 0143-9784-10 FLUMAZENIL 0.1 MG/ML IV SOLN $39.00 36000-148-01 FLUMAZENIL 0.1 MG/ML IV SOLN $39.00 36000-148-10 FLUMAZENIL 0.1 MG/ML IV SOLN $39.00 63323-424-05 FLUMAZENIL 0.1 MG/ML IV SOLN $40.68 63323-424-10 FLUMAZENIL 0.1 MG/ML IV SOLN CODE NEO $374.40 24208-344-25 FLUNISOLIDE 25 MCG (0.025 %) NASL SPRY $359.70 0093-0262-15 FLUOCINONIDE 0.05 % TOPICAL CREAM $218.61 0093-0262-30 FLUOCINONIDE 0.05 % TOPICAL CREAM $437.22 51672-1386-1 FLUOCINONIDE 0.05 % TOPICAL CREAM $218.61 51672-1386-2 FLUOCINONIDE 0.05 % TOPICAL CREAM $437.22 0093-0264-30 FLUOCINONIDE 0.05 % TOPICAL OINT $679.14 16714-502-01 FLUOCINONIDE 0.05 % TOPICAL OINT $333.45 51672-1264-1 FLUOCINONIDE 0.05 % TOPICAL OINT $110.97 51672-1264-2 FLUOCINONIDE 0.05 % TOPICAL OINT $155.52 52565-040-15 FLUOCINONIDE 0.05 % TOPICAL OINT $110.97 51672-1273-2 FLUOCINONIDE 0.05 % TOPICAL SOLN $276.36 52565-025-20 FLUOCINONIDE 0.05 % TOPICAL SOLN $244.56 0713-0664-31 FLUOCINONIDE-EMOLLIENT 0.05 % TOPICAL CREAM $330.30 17478-403-03 FLUORESCEIN 0.6 MG OPHT STRP $1.00 17238-900-11 FLUORESCEIN 1 MG OPHT STRP $1.00 17238-900-30 FLUORESCEIN 1 MG OPHT STRP $1.00 17238-900-99 FLUORESCEIN 1 MG OPHT STRP $1.00 17478-404-01 FLUORESCEIN 1 MG OPHT STRP $1.00 0065-0092-65 FLUORESCEIN 500 MG/5 ML (10 %) IV SOLN $289.32 17478-253-10 FLUORESCEIN 500 MG/5 ML (10 %) IV SOLN $228.12 99999-041-18 FLUORESCEIN-PROPARACAINE 0.25-0.5 % OPHT DROP $221.10 HC89014476 FLUORESCENT TREPONMAL ABCSF-AU $11.00 HC89014203 FLUORESCNT AB TITER EA AB-SL $70.00 60258-151-01 FLUORIDE (SODIUM) 1.1 % DENT GEL $42.00 HC89003768 FLUORIDE URINE (PNL)-AU $71.00 HC89008064 FLUORIDE-AU $108.00 HC44000842 FLUORO CV ACCESS CATH REPLACE/RMVL "$1,778.00 " HC44701688 FLUORO GUIDANCE UNLISTED PROCEDURE "$1,680.00 " HC44000826 FLUORO GUIDE NDL PLCMT "$1,878.00 " HC44000834 FLUORO GUIDE SPINE INJ(NONFRMN "$1,829.00 " HC89001085 FLUOROCYTOSINE-QD $60.00 60758-880-05 FLUOROMETHOLONE 0.1 % OPHT DRPS $426.30 HC44000867 FLUOROSCOPY < 1HR "$1,685.00 " 63323-117-20 FLUOROURACIL 1 GRAM/20 ML IV SOLN $36.00 68001-266-29 FLUOROURACIL 1 GRAM/20 ML IV SOLN $112.80 68001-266-31 FLUOROURACIL 1 GRAM/20 ML IV SOLN $112.80 51672-4118-6 FLUOROURACIL 5 % TOPICAL CREAM "$1,328.16 " 16729-276-03 FLUOROURACIL 500 MG/10 ML IV SOLN $76.50 16729-276-68 FLUOROURACIL 500 MG/10 ML IV SOLN $76.50 63323-117-00 FLUOROURACIL 500 MG/10 ML IV SOLN $18.00 63323-117-10 FLUOROURACIL 500 MG/10 ML IV SOLN $18.00 63323-117-19 FLUOROURACIL 500 MG/10 ML IV SOLN $15.00 0777-3104-02 FLUOXETINE 10 MG ORAL CAP $95.10 0904-5784-61 FLUOXETINE 10 MG ORAL CAP $1.00 50111-647-01 FLUOXETINE 10 MG ORAL CAP $1.00 65862-192-01 FLUOXETINE 10 MG ORAL CAP $1.00 0781-2822-10 FLUOXETINE 20 MG ORAL CAP $1.00 0904-5785-61 FLUOXETINE 20 MG ORAL CAP $1.00 65862-193-01 FLUOXETINE 20 MG ORAL CAP $1.00 65862-193-99 FLUOXETINE 20 MG ORAL CAP $1.00 68084-605-01 FLUOXETINE 20 MG ORAL CAP $1.00 68084-605-11 FLUOXETINE 20 MG ORAL CAP $1.00 0121-0721-04 FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLN $401.04 54838-523-40 FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLN $414.00 HC89013437 FLUOXETINE; 1-2-AU $32.00 63323-272-05 FLUPHENAZINE DECANOATE 25 MG/ML INJ SOLN $929.82 0527-1788-01 FLUPHENAZINE HCL 1 MG ORAL TAB $19.76 0527-1789-01 FLUPHENAZINE HCL 2.5 MG ORAL TAB $21.42 0121-0654-02 FLUPHENAZINE HCL 2.5 MG/5 ML ORAL ELIX $142.20 0527-1790-01 FLUPHENAZINE HCL 5 MG ORAL TAB $28.98 HC89006167 FLUPHENAZINE; 1-3-AU $18.00 0378-4415-01 FLURAZEPAM 15 MG ORAL CAP $2.99 69292-722-25 FLURBIPROFEN SODIUM 0.03 % OPHT DROP $216.00 0591-2466-18 FLUTAMIDE 125 MG ORAL CAP $9.30 0173-0859-10 FLUTICASONE FUROATE-VILANTEROL 100-25 MCG/DOSE INHALATION DSDV $36.18 0173-0859-14 FLUTICASONE FUROATE-VILANTEROL 100-25 MCG/DOSE INHALATION DSDV $29.87 0173-0719-20 FLUTICASONE PROPIONATE 110 MCG/ACTUATION INHALATION HFAA "$1,548.65 " 0173-0720-20 FLUTICASONE PROPIONATE 220 MCG/ACTUATION INHALATION HFAA "$2,405.45 " 0173-0718-20 FLUTICASONE PROPIONATE 44 MCG/ACTUATION INHALATION HFAA "$1,156.82 " 0054-3270-99 FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASL SPSN $66.05 50383-700-16 FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASL SPSN $78.24 60432-264-15 FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASL SPSN $66.05 60505-0829-1 FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASL SPSN $108.00 0173-0695-04 FLUTICASONE PROPION-SALMETEROL 100-50 MCG/DOSE INHALATION DSDV $910.39 0173-0716-22 FLUTICASONE PROPION-SALMETEROL 115-21 MCG/ACTUATION INHALATION HFAA "$1,274.83 " 99999-043-94 FLUTICASONE PROPION-SALMETEROL 115-21 MCG/ACTUATION INHALATION HFAA $21.25 0173-0717-22 FLUTICASONE PROPION-SALMETEROL 230-21 MCG/ACTUATION INHALATION HFAA "$1,890.67 " 0173-0696-04 FLUTICASONE PROPION-SALMETEROL 250-50 MCG/DOSE INHALATION DSDV $910.39 0173-0715-22 FLUTICASONE PROPION-SALMETEROL 45-21 MCG/ACTUATION INHALATION HFAA "$1,274.83 " 0173-0697-04 FLUTICASONE PROPION-SALMETEROL 500-50 MCG/DOSE INHALATION DSDV "$1,483.78 " 0173-0887-14 FLUTICASONE-UMECLIDIN-VILANTER 100-62.5-25 MCG INHALATION DSDV "$1,602.72 " 0078-0176-05 FLUVASTATIN 20 MG ORAL CAP $30.55 0078-0176-15 FLUVASTATIN 20 MG ORAL CAP $30.60 0093-7442-01 FLUVASTATIN 20 MG ORAL CAP $23.98 0093-7442-56 FLUVASTATIN 20 MG ORAL CAP $18.14 0378-8020-77 FLUVASTATIN 20 MG ORAL CAP $23.99 0378-8020-93 FLUVASTATIN 20 MG ORAL CAP $24.03 0078-0234-05 FLUVASTATIN 40 MG ORAL CAP $30.55 0078-0234-15 FLUVASTATIN 40 MG ORAL CAP $30.60 0093-7443-01 FLUVASTATIN 40 MG ORAL CAP $23.98 0078-0354-15 FLUVASTATIN 80 MG ORAL TB24 $64.60 51079-992-01 FLUVOXAMINE 50 MG ORAL TAB $3.01 51079-992-20 FLUVOXAMINE 50 MG ORAL TAB $3.01 60505-0165-1 FLUVOXAMINE 50 MG ORAL TAB $3.30 62559-159-01 FLUVOXAMINE 50 MG ORAL TAB $3.60 HC81701989 FLW CYT MKR CD10/CA TC ADD+ $276.00 HC81702037 FLW CYT MKR CD103 TC ADD+ $276.00 HC81700882 FLW CYT MKR CD11 TC ADD+ $276.00 HC81702029 FLW CYT MKR CD117 TC ADD+ $276.00 HC81701062 FLW CYT MKR CD11B TC ADD+ $276.00 HC81702045 FLW CYT MKR CD11C TC ADD+ $276.00 HC81702052 FLW CYT MKR CD138 TC ADD+ $276.00 HC81700890 FLW CYT MKR CD14 TC ADD+ $276.00 HC81702060 FLW CYT MKR CD16 TC ADD+ $276.00 HC81700908 FLW CYT MKR CD19 TC ADD+ $276.00 HC81700916 FLW CYT MKR CD2 TC ADD + $276.00 HC81700924 FLW CYT MKR CD20 TC ADD+ $276.00 HC81702078 FLW CYT MKR CD22 TC ADD+ $274.00 HC81702086 FLW CYT MKR CD235A TC ADD+ $276.00 HC81700932 FLW CYT MKR CD24 TC ADD+ $276.00 HC81702094 FLW CYT MKR CD25 TC ADD+ $276.00 HC81700940 FLW CYT MKR CD3 (LEU-4)TC ADD+ $276.00 HC81700957 FLW CYT MKR CD30 (KI-1)TC ADD+ $276.00 HC81700965 FLW CYT MKR CD33 TC ADD+ $276.00 HC81700973 FLW CYT MKR CD34 (HPCA-1)ADD+ $276.00 HC81702102 FLW CYT MKR CD4 TC ADD+ $276.00 HC81702110 FLW CYT MKR CD41 TC ADD+ $276.00 HC81700999 FLW CYT MKR CD5 TC ADD+ $276.00 HC81701005 FLW CYT MKR CD56 TC ADD+ $276.00 HC81702128 FLW CYT MKR CD57 TC ADD+ $276.00 HC81702136 FLW CYT MKR CD61 TC ADD+ $276.00 HC81702144 FLW CYT MKR CD64 TC ADD+ $276.00 HC81701013 FLW CYT MKR CD7 TC ADD+ $276.00 HC81702151 FLW CYT MKR CD79A TC ADD+ $276.00 HC81701021 FLW CYT MKR CD8 TC ADD+ $276.00 HC81702193 FLW CYT MKR HLA-DR TC ADD+ $276.00 HC81701039 FLW CYT MKR IGA TC ADD+ $276.00 HC81701047 FLW CYT MKR IGG TC ADD+ $276.00 HC81701054 FLW CYT MKR IGM TC ADD+ $276.00 HC81701070 FLW CYT MKR LAMBDA TC ADD+ $276.00 HC81702169 FLW CYT MKR MPO TC ADD+ $276.00 HC81702177 FLW CYT MKR TCRAB TC ADD+ $276.00 HC81702185 FLW CYT MKR TCRGD TC ADD+ $276.00 HC81701088 FLW CYT MKR VS. CD13 TC ADD+ $276.00 HC81701096 "FLW CYT MKR, CDI TC ADD+" $276.00 HC82201070 F-M ARGENTAFFIN STAIN/GRP II+ $412.00 HC82201088 F-M MELANIN STN BLEACH/GRPII+ $412.00 HC46502688 FNA ASP BX W/CT; EACH ADD'L LESION "$2,297.00 " HC46502670 FNA ASP BX W/CT; FIRST LESION "$3,142.00 " HC46502662 FNA ASP BX W/FLUORO; EACH ADD'L LESION "$1,769.00 " HC46502654 FNA ASP BX W/FLUORO; FIRST LESION "$2,688.00 " HC46502704 FNA ASP BX W/MR; EACH ADD'L LESION "$2,604.00 " HC46502696 FNA ASP BX W/MR; FIRST LESION "$3,445.00 " HC46500914 FNA ASP BX W/O GUIDE; EACH ADD'L LESION "$1,108.00 " HC51003903 FNA ASP BX W/O GUIDE; EACH ADD'L LESION $406.00 HC82202219 FNA ASP BX W/O GUIDE; EACH ADD'L LESION "$1,108.00 " HC46500906 FNA ASP BX W/O GUIDE; FIRST LESION "$1,231.00 " HC51002590 FNA ASP BX W/O GUIDE; FIRST LESION $578.00 HC82202524 FNA ASP BX W/O GUIDE; FIRST LESION "$1,231.00 " HC46502647 FNA ASP BX W/US; EACH ADD'L LESION "$1,654.00 " HC46502639 FNA ASP BX W/US; FIRST LESION "$2,426.00 " HC84600238 FNA INTERPR/REPORT-DIST SVC $517.00 HC84600196 FNA INTERPRETATION/REPORT $517.00 HC84600550 FNA INTERPRETATION/REPORT *OP $316.00 HC81101396 FOAM STABILITY $268.00 HC89008098 FOLATE RBC-AU $8.00 HC89001846 FOLATE RBC-QD $7.00 HC81700106 FOLIC ACID $305.00 11534-165-01 FOLIC ACID 1 MG ORAL TAB $1.00 11534-165-03 FOLIC ACID 1 MG ORAL TAB $1.00 62584-897-01 FOLIC ACID 1 MG ORAL TAB $1.00 62584-897-11 FOLIC ACID 1 MG ORAL TAB $1.00 65162-361-10 FOLIC ACID 1 MG ORAL TAB $1.00 65162-361-11 FOLIC ACID 1 MG ORAL TAB $1.00 5026834611 FOLIC ACID 400 MCG ORAL TAB $1.38 5026834615 FOLIC ACID 400 MCG ORAL TAB $1.38 5473814001 FOLIC ACID 400 MCG ORAL TAB $1.00 39822-1100-1 FOLIC ACID 5 MG/ML INJ SOLN $210.00 63323-184-10 FOLIC ACID 5 MG/ML INJ SOLN $270.72 63323-184-11 FOLIC ACID 5 MG/ML INJ SOLN $160.20 99999-000-24 FOLIC ACID 50MCG/ML SYR $15.38 HC89015390 FOLIC ACID-QD $13.00 6126932560 FOLIC ACID-VIT B6-VIT B12 0.8-10-115 MG-MG-MCG ORAL TAB $2.50 68308-325-67 FOLIC ACID-VIT B6-VIT B12 0.8-10-115 MG-MG-MCG ORAL TAB $1.00 7643935310 FOLIC ACID-VIT B6-VIT B12 2.2-25-1 MG ORAL TAB $1.96 5199138490 FOLIC ACID-VIT B6-VIT B12 2.5-25-2 MG ORAL TAB $4.63 0517-0710-01 FOMEPIZOLE 1 GRAM/ML IV SOLN "$10,389.66 " 0781-3182-84 FOMEPIZOLE 1 GRAM/ML IV SOLN "$6,428.45 " 67457-211-02 FOMEPIZOLE 1 GRAM/ML IV SOLN "$5,916.00 " 70710-1478-1 FOMEPIZOLE 1 GRAM/ML IV SOLN "$9,000.00 " 55111-681-02 FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SYRG $651.84 55111-681-10 FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SYRG $617.33 55111-681-11 FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SYRG $651.84 0781-3443-94 FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SYRG $242.34 0781-3443-95 FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SYRG $141.00 43598-607-10 FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SYRG $147.00 43598-607-11 FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SYRG $147.00 55111-678-02 FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SYRG $276.96 55111-678-10 FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SYRG $262.33 55111-678-11 FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SYRG $276.96 67457-582-00 FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SYRG $149.15 67457-582-10 FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SYRG $149.15 0781-3465-94 FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SYRG $570.36 0781-3465-95 FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SYRG $331.80 55111-680-02 FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SYRG $651.84 55111-680-10 FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SYRG $617.33 55111-680-11 FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SYRG $651.84 55150-232-00 FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SYRG $348.00 55150-232-10 FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SYRG $348.00 67457-584-00 FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SYRG $350.99 67457-584-06 FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SYRG $350.99 HC44000883 FOOT 2 VIEWS BILAT "$1,441.00 " HC44000891 FOOT 2 VIEWS LT $723.00 HC44000909 FOOT 2 VIEWS RT $723.00 HC44000917 FOOT COMP MIN 3 VWS BILAT "$1,818.00 " HC44000925 FOOT COMP MIN 3 VWS LT $910.00 HC44000933 FOOT COMP MIN 3 VWS RT $909.00 HC62203401 FORCEP BIOPSY F $358.00 HC62213996 FORCEP BIOPSY DISP A $49.00 HC62214002 FORCEP BIOPSY DISP B $98.00 HC62212535 FORCEP BIOPSY DISP C $163.00 HC62212543 FORCEP BIOPSY DISP D $228.00 HC62212550 FORCEP BIOPSY DISP H $488.00 HC62212568 FORCEP BIOPSY DISP I $553.00 HC62203419 FORCEP BIOPSY DISP J $582.00 HC62210190 FORCEP BIOPSY DISP/TRACKING E $358.00 HC62212287 FORCEP BIOPSY URETEROSCOP DISP "$1,053.00 " HC62209713 FORCEP HOT BIOPSY G $434.00 HC62203427 FORCEP JEWELER BIPOLAR F $260.00 HC62213699 FORCEP OPTHALMIC DISPOSABLE $507.00 HC62300447 FORCEP ROBOTIC F $260.00 HC62300272 FORCEP ROBOTIC H $390.00 HC62300280 FORCEP ROBOTIC J $520.00 HC62300298 FORCEP ROBOTIC K $585.00 HC62300116 FORCEP ROBOTIC L $677.00 HC62300306 FORCEP ROBOTIC M $780.00 HC62300314 FORCEP ROBOTIC N $910.00 HC62300470 FORCEP ROBOTIC N $910.00 HC62210778 FORCEPS BILIARY BX (SPYBITE) "$1,609.00 " HC62226766 FORCEPS BIOPSY MICRO(MORAY) "$1,788.00 " HC62222823 FORCEPS BIPOLAR B $65.00 HC62222831 FORCEPS BIPOLAR DISPOSABLE D $130.00 HC62215439 FORCEPS BIPOLAR DISPOSABLE K $585.00 HC62227525 FORCEPS BIPOLAR DISPOSABLE L $910.00 HC62215785 FORCEPS BIPOLAR DISPOSABLE M $780.00 HC62217435 FORCEPS BIPOLAR DISPOSABLE O "$1,040.00 " HC62215793 FORCEPS BIPOLAR DISPOSABLE P "$1,170.00 " HC62217443 FORCEPS BIPOLAR DISPOSABLE Q "$1,300.00 " HC62203435 FORCEPS GRASPING "$1,573.00 " HC62228754 FORCEPS(ALWAYS-ON TIP TRACKED®) "$1,843.00 " HC44000941 FOREARM BILAT "$1,369.00 " HC44000958 FOREARM LT $745.00 HC44000966 FOREARM RT $745.00 49702-207-18 FOSAMPRENAVIR 700 MG ORAL TAB $115.86 0006-3061-00 FOSAPREPITANT 150 MG IV SOLR "$2,007.78 " 0006-3061-01 FOSAPREPITANT 150 MG IV SOLR "$2,007.78 " 0006-3061-04 FOSAPREPITANT 150 MG IV SOLR "$2,007.78 " 0006-3061-05 FOSAPREPITANT 150 MG IV SOLR "$2,007.78 " 0143-9384-01 FOSAPREPITANT 150 MG IV SOLR $390.00 67457-889-10 FOSAPREPITANT 150 MG IV SOLR "$1,732.80 " 70860-780-10 FOSAPREPITANT 150 MG IV SOLR "$1,053.00 " 71839-104-01 FOSAPREPITANT 150 MG IV SOLR $630.00 76310-024-25 FOSCARNET 24 MG/ML IV SOLN "$2,836.50 " 0456-4300-01 FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACK $547.62 0456-4300-08 FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACK $547.62 70700-268-94 FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACK $481.92 70700-268-99 FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACK $481.92 43547-386-09 FOSINOPRIL 10 MG ORAL TAB $1.00 69097-856-05 FOSINOPRIL 10 MG ORAL TAB $2.05 0069-5471-01 FOSPHENYTOIN 100 MG PE/2 ML INJ SOLN $158.27 0069-5471-02 FOSPHENYTOIN 100 MG PE/2 ML INJ SOLN $158.27 0069-6001-02 FOSPHENYTOIN 100 MG PE/2 ML INJ SOLN $199.03 0069-6001-25 FOSPHENYTOIN 100 MG PE/2 ML INJ SOLN $199.03 0641-6136-01 FOSPHENYTOIN 100 MG PE/2 ML INJ SOLN $88.80 0641-6136-25 FOSPHENYTOIN 100 MG PE/2 ML INJ SOLN $88.80 63323-403-01 FOSPHENYTOIN 100 MG PE/2 ML INJ SOLN $28.80 63323-403-02 FOSPHENYTOIN 100 MG PE/2 ML INJ SOLN $28.80 67457-516-00 FOSPHENYTOIN 100 MG PE/2 ML INJ SOLN $90.00 67457-516-25 FOSPHENYTOIN 100 MG PE/2 ML INJ SOLN $90.00 0069-5474-01 FOSPHENYTOIN 500 MG PE/10 ML INJ SOLN $474.78 0069-5474-02 FOSPHENYTOIN 500 MG PE/10 ML INJ SOLN $474.78 0069-6001-10 FOSPHENYTOIN 500 MG PE/10 ML INJ SOLN $597.12 0069-6001-21 FOSPHENYTOIN 500 MG PE/10 ML INJ SOLN $597.12 0641-6137-10 FOSPHENYTOIN 500 MG PE/10 ML INJ SOLN $285.00 63323-403-04 FOSPHENYTOIN 500 MG PE/10 ML INJ SOLN $135.00 63323-403-10 FOSPHENYTOIN 500 MG PE/10 ML INJ SOLN $135.00 67457-517-00 FOSPHENYTOIN 500 MG PE/10 ML INJ SOLN $288.00 67457-517-01 FOSPHENYTOIN 500 MG PE/10 ML INJ SOLN $288.00 HC25000464 FRACTURE TX LONG BONE "$1,072.00 " HC25000480 FRACTURE TX NASAL $431.00 HC25000472 FRACTURE TX RIBS $617.00 HC25000456 FRACTURE TX FINGER/TOE $821.00 HC89019897 FRAGILE X (FMR1) DIAGNOSTIC-AU $460.00 HC89020010 FRAGILE X SCREEN REFLEX-AU $95.00 HC83000349 FREEZING & THAW BLD EA UNIT $393.00 HC83000323 FREEZING BLOOD EA UNIT $441.00 HC89500722 FREEZING BLOOD EA UNIT AUTO-SB $155.00 HC89500698 FREEZING BLOOD EA UNIT-SB $294.00 HC51003861 FRENULOTOMY PENIS "$2,119.00 " HC83000083 FRESH FROZEN PLASMA EA UNIT $454.00 HC89008239 FRUCTOSAMINE-AU $8.00 HC89013643 FRUCTOSAMINE-QD $5.00 HC81700122 FSH $347.00 HC89008247 FSH-ES $29.00 HC89015424 FSH-QD $6.00 HC81700023 FTA ABSORPTION $219.00 0310-0720-10 FULVESTRANT 250 MG/5 ML IM SYRG "$5,817.15 " 0781-3079-01 FULVESTRANT 250 MG/5 ML IM SYRG "$5,235.45 " 0781-3079-12 FULVESTRANT 250 MG/5 ML IM SYRG "$5,235.45 " 25021-462-74 FULVESTRANT 250 MG/5 ML IM SYRG "$5,817.15 " 43598-262-02 FULVESTRANT 250 MG/5 ML IM SYRG "$2,100.00 " 43598-262-11 FULVESTRANT 250 MG/5 ML IM SYRG "$2,100.00 " HC89019533 "FUNGITELL (1,3)BETA D-GLUC-AU" $70.00 HC89019459 "FUNGITELL ASSAY, DILUTION-BD" $110.00 HC89019442 FUNGITELL ASSAY-BD $162.00 HC89017339 FUNGUS AB OTHER-QD $84.00 HC89014617 FUNGUS ID-FT $53.00 HC89017479 FUNGUS SUSCEPTIBILITY-FT $249.00 HC62223680 FUNNEL GRAFT BONE BIOCARTLG $91.00 0409-6102-02 FUROSEMIDE 10 MG/ML INJ SOLN $24.72 0409-6102-04 FUROSEMIDE 10 MG/ML INJ SOLN $17.35 0409-6102-10 FUROSEMIDE 10 MG/ML INJ SOLN $34.50 0409-6102-18 FUROSEMIDE 10 MG/ML INJ SOLN $17.35 0409-6102-19 FUROSEMIDE 10 MG/ML INJ SOLN $24.72 0409-6102-20 FUROSEMIDE 10 MG/ML INJ SOLN $34.50 0409-6102-25 FUROSEMIDE 10 MG/ML INJ SOLN $20.22 0409-6102-26 FUROSEMIDE 10 MG/ML INJ SOLN $17.35 0409-6102-27 FUROSEMIDE 10 MG/ML INJ SOLN $29.58 0409-6102-35 FUROSEMIDE 10 MG/ML INJ SOLN $20.22 0409-6102-36 FUROSEMIDE 10 MG/ML INJ SOLN $17.35 0409-6102-37 FUROSEMIDE 10 MG/ML INJ SOLN $29.58 36000-282-25 FUROSEMIDE 10 MG/ML INJ SOLN $13.20 36000-283-25 FUROSEMIDE 10 MG/ML INJ SOLN $17.40 36000-284-25 FUROSEMIDE 10 MG/ML INJ SOLN $19.50 55150-322-25 FUROSEMIDE 10 MG/ML INJ SOLN $12.60 55150-324-01 FUROSEMIDE 10 MG/ML INJ SOLN $19.20 55150-324-25 FUROSEMIDE 10 MG/ML INJ SOLN $19.20 63323-280-02 FUROSEMIDE 10 MG/ML INJ SOLN $37.08 63323-280-03 FUROSEMIDE 10 MG/ML INJ SOLN $74.59 63323-280-04 FUROSEMIDE 10 MG/ML INJ SOLN $74.59 63323-280-10 FUROSEMIDE 10 MG/ML INJ SOLN CODE NEO $140.16 99999-002-44 FUROSEMIDE 10 MG/ML NICU ORAL SYRINGE $1.00 0054-3294-46 FUROSEMIDE 10 MG/ML ORAL SOLN $40.32 0054-3294-50 FUROSEMIDE 10 MG/ML ORAL SOLN (MCH) $78.48 99999-006-43 FUROSEMIDE 10 MG/ML ORAL SOLN (MCH) $1.00 99999-006-44 FUROSEMIDE 10 MG/ML ORAL SOLN (MCH) $1.04 99999-006-45 FUROSEMIDE 10 MG/ML ORAL SOLN (MCH) $2.60 99999-006-46 FUROSEMIDE 10 MG/ML ORAL SOLN (MCH) $5.19 0054-8297-25 FUROSEMIDE 20 MG ORAL TAB $1.00 0378-0208-10 FUROSEMIDE 20 MG ORAL TAB $1.00 30698-067-01 FUROSEMIDE 20 MG ORAL TAB $4.70 43547-401-10 FUROSEMIDE 20 MG ORAL TAB $1.00 43547-401-11 FUROSEMIDE 20 MG ORAL TAB $1.00 51079-072-01 FUROSEMIDE 20 MG ORAL TAB $1.00 51079-072-20 FUROSEMIDE 20 MG ORAL TAB $1.00 63304-624-01 FUROSEMIDE 20 MG ORAL TAB $1.00 63304-624-10 FUROSEMIDE 20 MG ORAL TAB $1.00 69315-116-01 FUROSEMIDE 20 MG ORAL TAB $1.00 0054-4299-25 FUROSEMIDE 40 MG ORAL TAB $1.00 0054-8299-25 FUROSEMIDE 40 MG ORAL TAB $1.00 0378-0216-01 FUROSEMIDE 40 MG ORAL TAB $1.00 0781-1966-01 FUROSEMIDE 40 MG ORAL TAB $1.00 30698-060-01 FUROSEMIDE 40 MG ORAL TAB $6.58 43547-402-10 FUROSEMIDE 40 MG ORAL TAB $1.00 43547-402-11 FUROSEMIDE 40 MG ORAL TAB $1.00 51079-073-01 FUROSEMIDE 40 MG ORAL TAB $1.00 51079-073-20 FUROSEMIDE 40 MG ORAL TAB $1.00 63304-625-01 FUROSEMIDE 40 MG ORAL TAB $1.00 63304-625-10 FUROSEMIDE 40 MG ORAL TAB $1.00 69315-117-01 FUROSEMIDE 40 MG ORAL TAB $1.00 0054-4301-29 FUROSEMIDE 80 MG ORAL TAB $1.00 0054-8301-25 FUROSEMIDE 80 MG ORAL TAB $2.34 0781-1446-01 FUROSEMIDE 80 MG ORAL TAB $1.00 43547-403-10 FUROSEMIDE 80 MG ORAL TAB $1.00 43547-403-50 FUROSEMIDE 80 MG ORAL TAB $1.00 51079-527-01 FUROSEMIDE 80 MG ORAL TAB $1.00 51079-527-20 FUROSEMIDE 80 MG ORAL TAB $1.00 63304-626-01 FUROSEMIDE 80 MG ORAL TAB $1.00 63304-626-05 FUROSEMIDE 80 MG ORAL TAB $1.00 HC62808134 G130136 KIT STENTS ENDOPRSTH ASC AORTA "$48,750.00 " HC62808175 G150087 KIT STENTS ENDOPRSTH DSC AORTA $1.01 HC62808324 G170044 GENERATOR VITARIA IDE $1.01 HC62808332 G170044 LEAD VITARIA $1.01 HC81101131 G6PD $178.00 HC81500258 G6-PD SCREEN $181.00 HC89015416 G6PD-QD $7.00 HC89006738 GABAPENTIN (SERUM)-AU $19.00 HC89002794 GABAPENTIN (SERUM)-QD $60.00 0071-0803-24 GABAPENTIN 100 MG ORAL CAP $14.05 0904-6665-61 GABAPENTIN 100 MG ORAL CAP $1.00 16714-503-01 GABAPENTIN 100 MG ORAL CAP $1.00 16714-503-02 GABAPENTIN 100 MG ORAL CAP $1.00 16714-661-01 GABAPENTIN 100 MG ORAL CAP $1.00 16714-661-02 GABAPENTIN 100 MG ORAL CAP $1.00 60687-580-01 GABAPENTIN 100 MG ORAL CAP $1.00 60687-580-11 GABAPENTIN 100 MG ORAL CAP $1.00 63739-591-10 GABAPENTIN 100 MG ORAL CAP $1.00 67877-222-01 GABAPENTIN 100 MG ORAL CAP $1.00 69097-813-07 GABAPENTIN 100 MG ORAL CAP $1.00 42192-608-16 GABAPENTIN 250 MG/5 ML ORAL SOLN $558.36 50383-311-47 GABAPENTIN 250 MG/5 ML ORAL SOLN $668.34 59762-5050-1 GABAPENTIN 250 MG/5 ML ORAL SOLN $420.18 65162-698-90 GABAPENTIN 250 MG/5 ML ORAL SOLN $666.93 0071-0805-24 GABAPENTIN 300 MG ORAL CAP $35.12 0071-0805-40 GABAPENTIN 300 MG ORAL CAP $34.87 0904-6666-61 GABAPENTIN 300 MG ORAL CAP $1.00 16714-662-01 GABAPENTIN 300 MG ORAL CAP $1.00 16714-662-02 GABAPENTIN 300 MG ORAL CAP $1.00 45963-556-50 GABAPENTIN 300 MG ORAL CAP $1.00 63739-236-10 GABAPENTIN 300 MG ORAL CAP $1.00 67877-223-05 GABAPENTIN 300 MG ORAL CAP $1.00 67877-223-10 GABAPENTIN 300 MG ORAL CAP $7.99 68084-762-01 GABAPENTIN 300 MG ORAL CAP $1.00 68084-762-11 GABAPENTIN 300 MG ORAL CAP $1.00 0904-6667-61 GABAPENTIN 400 MG ORAL CAP $1.23 16714-505-01 GABAPENTIN 400 MG ORAL CAP $1.00 16714-505-02 GABAPENTIN 400 MG ORAL CAP $1.00 16714-663-01 GABAPENTIN 400 MG ORAL CAP $1.00 16714-663-02 GABAPENTIN 400 MG ORAL CAP $1.00 45963-557-11 GABAPENTIN 400 MG ORAL CAP $1.00 59762-5028-1 GABAPENTIN 400 MG ORAL CAP $7.24 60505-0114-1 GABAPENTIN 400 MG ORAL CAP $1.32 63739-984-10 GABAPENTIN 400 MG ORAL CAP $1.00 68084-774-01 GABAPENTIN 400 MG ORAL CAP $1.00 68084-774-11 GABAPENTIN 400 MG ORAL CAP $1.00 0071-0513-24 GABAPENTIN 600 MG ORAL TAB $66.71 50228-177-05 GABAPENTIN 600 MG ORAL TAB $1.00 50268-351-11 GABAPENTIN 600 MG ORAL TAB $4.30 50268-351-15 GABAPENTIN 600 MG ORAL TAB $4.30 60505-2551-5 GABAPENTIN 600 MG ORAL TAB $3.89 63739-560-10 GABAPENTIN 600 MG ORAL TAB $3.97 68462-126-01 GABAPENTIN 600 MG ORAL TAB $1.00 68462-126-05 GABAPENTIN 600 MG ORAL TAB $1.00 16714-332-01 GABAPENTIN 800 MG ORAL TAB $1.75 50268-352-11 GABAPENTIN 800 MG ORAL TAB $7.25 50268-352-13 GABAPENTIN 800 MG ORAL TAB $7.25 60505-2552-1 GABAPENTIN 800 MG ORAL TAB $4.70 68462-127-01 GABAPENTIN 800 MG ORAL TAB $1.41 0270-5164-13 GADOBENATE DIMEGLUMINE 529 MG/ML (0.1MMOL/0.2ML) IV SOLN $348.96 0270-5164-14 GADOBENATE DIMEGLUMINE 529 MG/ML (0.1MMOL/0.2ML) IV SOLN $510.66 50419-325-02 GADOBUTROL 10 MMOL/10 ML (1 MMOL/ML) IV SOLN $498.00 50419-325-12 GADOBUTROL 10 MMOL/10 ML (1 MMOL/ML) IV SOLN $498.00 50419-325-07 GADOBUTROL 2 MMOL/2 ML (1 MMOL/ML) IV SOLN $99.60 50419-325-37 GADOBUTROL 2 MMOL/2 ML (1 MMOL/ML) IV SOLN $99.60 50419-325-01 GADOBUTROL 7.5 MMOL/7.5 ML (1 MMOL/ML) IV SOLN $373.50 50419-325-11 GADOBUTROL 7.5 MMOL/7.5 ML (1 MMOL/ML) IV SOLN $373.50 50419-325-22 GADOBUTROL 7.5 MMOL/7.5 ML (1 MMOL/ML) IV SYRG $403.52 50419-325-27 GADOBUTROL 7.5 MMOL/7.5 ML (1 MMOL/ML) IV SYRG $403.52 0407-0690-20 GADODIAMIDE 10 MMOL/20 ML (287 MG/ML) IV SOLN $617.64 0407-0690-15 GADODIAMIDE 7.5 MMOL/15 ML (287 MG/ML) IV SOLN $499.95 0407-0690-17 GADODIAMIDE 7.5 MMOL/15 ML (287 MG/ML) IV SYRG $511.29 50419-188-83 GADOPENTETATE DIMEGLUMINE 7.5 MMOL/15 ML (469.01 MG/ML) IV SOLN $756.00 0270-1111-03 GADOTERIDOL 279.3 MG/ML IV SOLN $630.60 0270-1111-16 GADOTERIDOL 279.3 MG/ML IV SYRG $364.56 50419-320-05 GADOXETATE 0.25 MMOL/ML (181.43 MG/ML) IV SOLN $851.76 HC89008106 GALACTOSE-1-PHOS URIDYL TR-AU $75.00 51079-852-01 GALANTAMINE 4 MG ORAL TAB $19.15 51079-852-03 GALANTAMINE 4 MG ORAL TAB $19.15 57237-049-60 GALANTAMINE 4 MG ORAL TAB $13.75 60505-2542-6 GALANTAMINE 4 MG ORAL TAB $13.75 65862-458-60 GALANTAMINE 4 MG ORAL TAB $3.95 68084-729-11 GALANTAMINE 4 MG ORAL TAB $21.00 10147-0891-3 GALANTAMINE 8 MG ORAL C24P $30.52 51079-853-01 GALANTAMINE 8 MG ORAL TAB $20.10 51079-853-03 GALANTAMINE 8 MG ORAL TAB $20.10 57237-050-60 GALANTAMINE 8 MG ORAL TAB $13.75 65862-459-60 GALANTAMINE 8 MG ORAL TAB $6.95 99988-000-04 GALLIUM-67 CITRATE 74 MBQ/ML (2 MCI/ML) IV SOLN $128.44 24208-535-35 GANCICLOVIR 0.15 % OPHT GEL "$2,234.04 " 99999003839 GANCICLOVIR 1 MG INTRAVITREAL INJ $1.00 25021-185-10 GANCICLOVIR SODIUM 50 MG/ML IV SOLN $360.00 25021-185-11 GANCICLOVIR SODIUM 50 MG/ML IV SOLN $360.00 63323-315-01 GANCICLOVIR SODIUM 500 MG IV SOLR $583.62 63323-315-10 GANCICLOVIR SODIUM 500 MG IV SOLR $583.62 HC89021026 GARDNERELLA VAGINALIS DNA-AU $21.00 HC36000669 GAS DILUT/WASHOUT LUNG VOL $898.00 HC36800712 GAS DILUT/WASHOUT LUNG VOL $898.00 HC62213723 GAS INTRAOCULAR A $276.00 HC62203443 GAS INTRAOCULAR D $970.00 HC27001262 GASTRIC INTUB ASP DX;MULT SPEC "$1,392.00 " HC27001254 GASTRIC INTUB ASP DX;SNGL SPEC "$1,142.00 " HC25000605 GASTRIC INTUB ASP THER' LAVAGE $720.00 HC27000959 GASTRIC INTUB ASP THER' LAVAGE $964.00 HC89008171 GASTRIN-AU $15.00 HC89003180 GASTRIN-QD $12.00 HC89013346 GC DNA PROBE-AU $11.00 HC89017032 GC/CHL DNA PROBE-AU $22.00 0009-0283-01 GELATIN ABSORBABLE IMPL FILM "$12,149.16 " 0009-0433-04 GELATIN ABSORBABLE MUCOUS MEMB POWD $454.33 9029703 GELATIN ABSORBABLE OPHT FILM "$1,342.68 " 0009-0353-01 "GELATIN SPONGE,ABSORB-PORCINE 100 CM TOPICAL SPGE" $249.44 6371301974 "GELATIN SPONGE,ABSORB-PORCINE 100 TOPICAL SPGE" $164.51 0009-0342-01 "GELATIN SPONGE,ABSORB-PORCINE 100 TOPICAL SPGE" $249.94 6371301972 "GELATIN SPONGE,ABSORB-PORCINE 12-7 MM TOPICAL SPGE" $33.70 0009-0315-08 "GELATIN SPONGE,ABSORB-PORCINE 12-7 MM TOPICAL SPGE" $51.57 0009-0396-05 "GELATIN SPONGE,ABSORB-PORCINE 4 TOPICAL SPGE" $80.42 6371301973 "GELATIN SPONGE,ABSORB-PORCINE 50 TOPICAL SPGE" $146.61 0009-0323-01 "GELATIN SPONGE,ABSORB-PORCINE 50 TOPICAL SPGE" $167.21 99999-039-35 GELFOAM+THROMBIN MIXTURE LBM "$1,111.18 " 25021-235-50 GEMCITABINE 1 GRAM IV SOLR $297.90 47335-154-40 GEMCITABINE 1 GRAM IV SOLR $840.00 63323-125-53 GEMCITABINE 1 GRAM IV SOLR $294.00 67457-462-01 GEMCITABINE 1 GRAM IV SOLR $450.00 0409-0181-01 GEMCITABINE 1000 MG/26.3 ML RECONSTITUTED IV SOLN (MCH) $267.79 0409-0185-01 GEMCITABINE 200 MG IV SOLR $55.14 25021-234-10 GEMCITABINE 200 MG IV SOLR $72.30 63323-102-13 GEMCITABINE 200 MG IV SOLR $72.00 67457-464-20 GEMCITABINE 200 MG IV SOLR $90.00 0071-0737-20 GEMFIBROZIL 600 MG ORAL TAB $40.34 16714-101-02 GEMFIBROZIL 600 MG ORAL TAB $1.00 16714-101-05 GEMFIBROZIL 600 MG ORAL TAB $1.00 24658-260-60 GEMFIBROZIL 600 MG ORAL TAB $1.00 50268-350-11 GEMFIBROZIL 600 MG ORAL TAB $2.05 50268-350-15 GEMFIBROZIL 600 MG ORAL TAB $2.05 60687-224-01 GEMFIBROZIL 600 MG ORAL TAB $1.30 60687-224-11 GEMFIBROZIL 600 MG ORAL TAB $1.30 0008-4510-01 GEMTUZUMAB OZOGAMICIN 4.5 MG (1 MG/ML INITIAL CONC) IV SOLR "$52,196.28 " HC81101917 GENERAL HEALTH PANEL (CHAMPUS) $987.00 HC62808530 GENERATOR PULSE NEUROSTIM(INSPIRE®) "$55,575.00 " HC13500012 GENETIC CNSL RISK REDCTN 15MIN $139.00 HC13500020 GENETIC CNSL RISK REDCTN 30MIN $278.00 HC13500038 GENETIC CNSL RISK REDCTN 45MIN $365.00 HC13500046 GENETIC CNSL RISK REDCTN 60MIN $431.00 HC13500053 GENETIC COUNSEL 15MIN CMRCL/C $207.00 HC13500061 GENETIC COUNSELING EA 30MIN/P $362.00 HC81701781 GENOTYPE DNA/RNA HEPATITIS C "$2,899.00 " HC82200163 GENTA STAIN/GROUP I W/INT&RPT+ $475.00 45802-056-35 GENTAMICIN 0.1 % TOPICAL CREAM $236.97 52565-085-15 GENTAMICIN 0.1 % TOPICAL CREAM $236.97 45802-046-11 GENTAMICIN 0.1 % TOPICAL OINT $473.94 45802-046-35 GENTAMICIN 0.1 % TOPICAL OINT $236.97 17478-284-35 GENTAMICIN 0.3 % (3 MG/GRAM) OPHT OINT $170.10 24208-580-60 GENTAMICIN 0.3 % OPHT DROP $214.26 60758-188-05 GENTAMICIN 0.3 % OPHT DROP $26.16 61314-633-05 GENTAMICIN 0.3 % OPHT DROP $93.00 99999-005-56 GENTAMICIN 2 MG/ML INJ SOLN IN D5W (MCH-NICU) $2.64 99999-005-57 GENTAMICIN 2 MG/ML INJ SOLN IN D5W (MCH-NICU) $3.96 99999-005-58 GENTAMICIN 2 MG/ML INJ SOLN IN D5W (MCH-NICU) $5.28 99999-005-60 GENTAMICIN 2 MG/ML INJ SOLN IN D5W (MCH-NICU) $1.32 99999-043-13 GENTAMICIN 2 MG/ML INJ SOLN IN D5W (MCH-NICU) $354.60 99999-034-35 GENTAMICIN 2 MG/ML INJECTION IN NS (OCM) $1.04 99999-002-16 GENTAMICIN 20 MG/0.5 ML OPHTHALMIC SYRINGE $3.48 63323-513-02 GENTAMICIN 20 MG/2 ML INJ SOLN $24.00 99999-004-74 GENTAMICIN 4 MG/ML INJECTION SYRINGE (MCH) $1.00 0409-1207-03 GENTAMICIN 40 MG/ML INJ SOLN $6.66 0409-1207-13 GENTAMICIN 40 MG/ML INJ SOLN $6.66 0409-1207-15 GENTAMICIN 40 MG/ML INJ SOLN $5.28 0409-1207-25 GENTAMICIN 40 MG/ML INJ SOLN $5.28 63323-010-02 GENTAMICIN 40 MG/ML INJ SOLN $19.38 63323-010-20 GENTAMICIN 40 MG/ML INJ SOLN $139.32 99999-005-49 GENTAMICIN 40 MG/ML INJ SOLN (MCH) $5.25 0338-0511-41 GENTAMICIN IN NACL (ISO-OSM) 100 MG/50 ML IV PGBK $21.30 0338-0503-48 GENTAMICIN IN NACL (ISO-OSM) 80 MG/100 ML IV PGBK $20.40 HC81100596 GENTAMICIN INIT $488.00 HC81100588 GENTAMICIN SUBS $468.00 63323-173-02 GENTAMICIN SULFATE (PED) (PF) 20 MG/2 ML INJ SOLN $23.64 0023-0066-04 GENTAMICIN-PREDNISOLONE 0.3-0.6 % OPHT OINT $916.57 0023-0106-05 GENTAMICIN-PREDNISOLONE 0.3-1 % OPHT DRPS $916.56 0395-1003-92 GENTIAN VIOLET 1 % TOPICAL SOLN $42.48 0395-1005-92 GENTIAN VIOLET 2 % TOPICAL SOLN $81.42 HC81100570 GGT $190.00 99999-039-60 GI COCKTAIL ORAL LIQUID (NO DONNATAL) (SLH) $1.00 99999-039-10 GI COCKTAIL WITHOUT DONNATAL ORAL LIQUID (SIMPLE) $4.89 HC27000991 GI TRACT CAPSULE ENDO IMAG ESOPH THRU ILEUM "$8,847.00 " HC27000983 GI TRACT CAPSULE ENDO IMAG ESOPHAGUS ONLY "$7,566.00 " HC27001924 GI TRACT CAPSULE PATENCY STUDY $531.00 HC84200922 GIARDIA $167.00 HC89014336 GIARDIA AB IFA-AU $71.00 HC89016232 GIARDIA AB IFA-QD $2.00 HC89013171 GIARDIA AG-AU $16.00 HC82201096 GIEMSA STAIN MAST CELL/GRP II+ $412.00 HC82200023 GIEMSA STAIN/GRP I W/INT&RPT+ $475.00 68546-317-30 GLATIRAMER 20 MG/ML SUBCUTANEOUS SYRG "$1,422.80 " 68546-325-12 GLATIRAMER 40 MG/ML SUBCUTANEOUS SYRG "$2,916.00 " HC89019558 GLIAD PEPTD AB IGA(PNL1155/6360)-PR $28.00 HC89019566 GLIAD PEPTD AB IGG(PNL1155/6360)-PR $28.00 HC89013650 GLIADIN AB IGA-AU $11.00 HC89017370 GLIADIN AB IGG-AU $11.00 HC89008528 GLIADIN IGA AND IGG ABS-AU $21.00 HC89000020 GLIADIN IGA AND IGG ABS-QD $42.00 HC62209457 GLIDESCOPE GVL 0-2 $62.00 HC62209465 GLIDESCOPE GVL 3-4 $47.00 0039-0221-10 GLIMEPIRIDE 1 MG ORAL TAB $7.97 55111-320-01 GLIMEPIRIDE 1 MG ORAL TAB $1.00 16729-002-01 GLIMEPIRIDE 2 MG ORAL TAB $1.00 51079-425-01 GLIMEPIRIDE 2 MG ORAL TAB $2.62 51079-425-20 GLIMEPIRIDE 2 MG ORAL TAB $2.62 55111-321-01 GLIMEPIRIDE 2 MG ORAL TAB $1.00 61442-116-01 GLIMEPIRIDE 2 MG ORAL TAB $1.00 68084-326-01 GLIMEPIRIDE 2 MG ORAL TAB $3.25 68084-326-11 GLIMEPIRIDE 2 MG ORAL TAB $3.25 0039-0223-10 GLIMEPIRIDE 4 MG ORAL TAB $24.37 68084-327-11 GLIMEPIRIDE 4 MG ORAL TAB $4.59 0049-4120-66 GLIPIZIDE 10 MG ORAL TAB $18.50 0781-1453-01 GLIPIZIDE 10 MG ORAL TAB $1.00 51079-811-01 GLIPIZIDE 10 MG ORAL TAB $3.79 51079-811-20 GLIPIZIDE 10 MG ORAL TAB $3.79 60505-0142-0 GLIPIZIDE 10 MG ORAL TAB $1.00 0591-0845-01 GLIPIZIDE 10 MG ORAL TR24 $3.44 16714-896-01 GLIPIZIDE 10 MG ORAL TR24 $2.32 59762-0542-1 GLIPIZIDE 10 MG ORAL TR24 $1.90 0591-0900-30 GLIPIZIDE 2.5 MG ORAL TR24 $1.73 16714-894-01 GLIPIZIDE 2.5 MG ORAL TR24 $1.34 59762-0540-1 GLIPIZIDE 2.5 MG ORAL TR24 $1.60 64980-279-03 GLIPIZIDE 2.5 MG ORAL TR24 $1.28 68084-295-11 GLIPIZIDE 2.5 MG ORAL TR24 $6.80 68084-295-21 GLIPIZIDE 2.5 MG ORAL TR24 $6.80 0781-1452-01 GLIPIZIDE 5 MG ORAL TAB $1.00 0781-1452-10 GLIPIZIDE 5 MG ORAL TAB $1.00 0904-6637-61 GLIPIZIDE 5 MG ORAL TAB $2.00 51079-810-01 GLIPIZIDE 5 MG ORAL TAB $1.90 51079-810-20 GLIPIZIDE 5 MG ORAL TAB $1.90 60505-0141-0 GLIPIZIDE 5 MG ORAL TAB $1.00 0591-0844-01 GLIPIZIDE 5 MG ORAL TR24 $1.74 10370-745-01 GLIPIZIDE 5 MG ORAL TR24 $1.74 59762-0541-1 GLIPIZIDE 5 MG ORAL TR24 $1.00 68084-111-01 GLIPIZIDE 5 MG ORAL TR24 $3.60 68084-111-11 GLIPIZIDE 5 MG ORAL TR24 $3.60 HC89011654 GLOMERULAR BASEMENT MEMB AB-AU $47.00 HC89002190 GLOMERULAR BASEMENT MEMB AB-QD $49.00 HC89017677 GLOMERULAR BSMT MEM EL(PNL)-AU $30.00 HC89011480 GLOMERULAR BSMT MEM IF-AU $50.00 HC62210513 GLOVE COMPRESSION OPEN FINGER $49.00 HC62210471 GLOVE NEOPRENE W/THUMB SPLINT $26.00 0597-0260-10 GLUCAGON (HUMAN RECOMBINANT) 1 MG INJ SOLR (MHS) "$1,029.60 " 63323-593-03 GLUCAGON (HUMAN RECOMBINANT) 1 MG INJ SOLR (MHS) "$1,023.00 " 63323-594-03 GLUCAGON (HUMAN RECOMBINANT) 1 MG INJ SOLR (MHS) $972.00 63323-596-03 GLUCAGON (HUMAN RECOMBINANT) 1 MG INJ SOLR (MHS) "$1,023.00 " 63323-596-06 GLUCAGON (HUMAN RECOMBINANT) 1 MG INJ SOLR (MHS) $972.00 63323-596-08 GLUCAGON (HUMAN RECOMBINANT) 1 MG INJ SOLR (MHS) $972.00 63323-596-11 GLUCAGON (HUMAN RECOMBINANT) 1 MG INJ SOLR (MHS) "$1,023.00 " 63323-596-13 GLUCAGON (HUMAN RECOMBINANT) 1 MG INJ SOLR (MHS) "$1,023.00 " 0597-0053-01 GLUCAGON (HUMAN RECOMBINANT) 1 MG/ML INJ SOLR "$1,029.60 " 0597-0053-45 GLUCAGON (HUMAN RECOMBINANT) 1 MG/ML INJ SOLR "$1,029.60 " 63323-596-16 GLUCAGON HCL 1 MG/ML INJ SOLR $972.00 HC89008189 GLUCAGON-AU $23.00 50633-210-11 "GLUCARPIDASE 1,000 UNIT IV SOLR" "$189,948.00 " 5445820021 GLUCOSAMINE SULFATE-MSM 500-400 MG ORAL CAP $1.00 5789685906 GLUCOSAMINE-CHONDROITIN 500-400 MG ORAL CAP $1.00 3839650363 GLUCOSE 4 GRAM ORAL CHEW $1.31 HC81101586 GLUCOSE BY DEVICE (POS) $102.00 HC51000024 GLUCOSE BY REAGENT STRIP $34.00 HC81101305 GLUCOSE BY REAGENT STRIP $114.00 HC81100125 GLUCOSE FLUID/URINE $207.00 HC81101123 GLUCOSE POST DOSE $177.00 HC51000503 GLUCOSE SERUM QUANT (POS) $40.00 HC81100216 GLUCOSE TOLERANCE 3 SPECIMENS $331.00 HC81100224 GLUCOSE TOLERANCE EA ADDL SPEC $120.00 HC81100117 "GLUCOSE; QUANTITATIVE, BLOOD (EXCEPT REAGENT STRIP)" $157.00 HC81101636 "GLUCOSE; QUANTITATIVE, BLOOD (EXCEPT REAGENT STRIP)" $157.00 HC89008577 GLUTAMIC ACID AB-AU $35.00 99999-039-05 GLUTARALDEHYDE 8% MISC SOLN $60.00 0093-8343-01 GLYBURIDE 2.5 MG ORAL TAB $1.00 23155-057-01 GLYBURIDE 2.5 MG ORAL TAB $1.00 51079-872-01 GLYBURIDE 2.5 MG ORAL TAB $1.54 0093-8344-01 GLYBURIDE 5 MG ORAL TAB $1.56 0093-8344-10 GLYBURIDE 5 MG ORAL TAB $1.45 0093-8344-98 GLYBURIDE 5 MG ORAL TAB $1.27 0093-8035-01 GLYBURIDE MICRONIZED 3 MG ORAL TAB $1.00 0132-0079-12 GLYCERIN (ADULT) RECTAL SUPP $1.00 0132-0079-24 GLYCERIN (ADULT) RECTAL SUPP $1.00 0395-1031-28 GLYCERIN (BULK) 100 % MISC LIQD $760.32 0132-0081-12 GLYCERIN (CHILD) RECTAL SUPP $1.00 0132-0190-12 GLYCERIN (LAXATIVE) 2.8 GRAM/2.7 ML RECTAL SOLN $27.48 99999-033-68 GLYCERIN 0.2 ML PEDIATRIC ENEMA SOLN $12.14 99999-038-09 GLYCERIN 100% INJ LBM $450.00 1093985844 GLYCERIN 99.5 % TOPICAL SOLN $36.11 0395-1031-16 GLYCERIN 99.5 % TOPICAL SOLN $127.71 0395-1031-96 GLYCERIN 99.5 % TOPICAL SOLN $42.48 299391702 "GLYCERIN-DIMETHICONE-PETRO, WH TOPICAL CREAM" $36.21 299391742 "GLYCERIN-DIMETHICONE-PETRO, WH TOPICAL CREAM" $22.95 50289-3250-1 GLYCERIN-WITCH HAZEL 12.5-50 % TOPICAL PADM $12.24 0517-4601-25 GLYCOPYRROLATE (ROBINUL) INHALATION SOLN (0.2MG/ML) $78.00 0143-9585-01 GLYCOPYRROLATE 0.2 MG/ML INJ SOLN $66.00 0143-9585-25 GLYCOPYRROLATE 0.2 MG/ML INJ SOLN $66.00 0143-9586-01 GLYCOPYRROLATE 0.2 MG/ML INJ SOLN $33.60 0143-9586-25 GLYCOPYRROLATE 0.2 MG/ML INJ SOLN $33.60 0143-9680-01 GLYCOPYRROLATE 0.2 MG/ML INJ SOLN $180.00 0143-9680-25 GLYCOPYRROLATE 0.2 MG/ML INJ SOLN $180.00 0143-9681-01 GLYCOPYRROLATE 0.2 MG/ML INJ SOLN $84.00 0143-9681-25 GLYCOPYRROLATE 0.2 MG/ML INJ SOLN $84.00 0143-9682-01 GLYCOPYRROLATE 0.2 MG/ML INJ SOLN $42.00 0143-9682-25 GLYCOPYRROLATE 0.2 MG/ML INJ SOLN $42.00 0781-3829-75 GLYCOPYRROLATE 0.2 MG/ML INJ SOLN $66.00 0781-3829-96 GLYCOPYRROLATE 0.2 MG/ML INJ SOLN $66.00 70069-011-01 GLYCOPYRROLATE 0.2 MG/ML INJ SOLN $16.08 70069-011-25 GLYCOPYRROLATE 0.2 MG/ML INJ SOLN $16.08 70069-013-01 GLYCOPYRROLATE 0.2 MG/ML INJ SOLN $65.76 70069-013-25 GLYCOPYRROLATE 0.2 MG/ML INJ SOLN $65.76 70121-1394-1 GLYCOPYRROLATE 0.2 MG/ML INJ SOLN $42.28 70121-1394-5 GLYCOPYRROLATE 0.2 MG/ML INJ SOLN $42.28 70121-1395-1 GLYCOPYRROLATE 0.2 MG/ML INJ SOLN $86.99 70121-1395-5 GLYCOPYRROLATE 0.2 MG/ML INJ SOLN $86.99 51754-6000-1 GLYCOPYRROLATE 0.2 MG/ML INJ SOLN (MHS) $22.80 51754-6000-4 GLYCOPYRROLATE 0.2 MG/ML INJ SOLN (MHS) $22.80 51754-6001-1 GLYCOPYRROLATE 0.2 MG/ML INJ SOLN (MHS) $39.60 51754-6001-4 GLYCOPYRROLATE 0.2 MG/ML INJ SOLN (MHS) $39.60 13107-014-01 GLYCOPYRROLATE 1 MG ORAL TAB $2.60 23155-606-01 GLYCOPYRROLATE 1 MG ORAL TAB $2.60 42291-303-90 GLYCOPYRROLATE 1 MG ORAL TAB $1.64 49884-065-01 GLYCOPYRROLATE 1 MG ORAL TAB $5.31 55111-648-01 GLYCOPYRROLATE 1 MG ORAL TAB $5.31 60687-458-01 GLYCOPYRROLATE 1 MG ORAL TAB $6.24 60687-458-11 GLYCOPYRROLATE 1 MG ORAL TAB $6.24 99998-000-76 GLYCOPYRROLATE 100 MCG/ML ORAL SUSP (COMPOUND) $1.00 99998-000-77 GLYCOPYRROLATE 100 MCG/ML ORAL SUSP (COMPOUND) $1.29 99998-000-78 GLYCOPYRROLATE 100 MCG/ML ORAL SUSP (COMPOUND) $2.58 23155-607-01 GLYCOPYRROLATE 2 MG ORAL TAB $4.67 49884-066-01 GLYCOPYRROLATE 2 MG ORAL TAB $8.87 55111-649-01 GLYCOPYRROLATE 2 MG ORAL TAB $8.87 64980-273-01 GLYCOPYRROLATE 2 MG ORAL TAB $4.67 69315-140-01 GLYCOPYRROLATE 2 MG ORAL TAB $8.82 99999-005-59 GLYCOPYRROLATE 50 MCG/ML INJ DILUTION (MCH) $17.42 HC89008718 GM1 AUTO AB-AT $268.00 HC89003503 GM1 AUTO AB-QD $49.00 HC62807466 GOLD SEED MARKER FIDUCIAL DELVRY SYS(DSF2201) "$1,625.00 " HC62802731 GOLD SEED MARKER FIDUCIAL EA A $33.00 HC62806476 GOLD SEED MARKER FIDUCIAL EA(ALPHAOMEGA)M $780.00 HC62806468 GOLD SEED MARKER FIDUCIAL EA(NASHLUND)H $455.00 57894-350-01 GOLIMUMAB 12.5 MG/ML IV SOLN "$11,445.72 " 70720-950-36 GOSERELIN 3.6 MG SUBCUTANEOUS IMPL "$3,811.50 " HC21000450 GRAFTING SNGL/MULT UP TO 2CM "$3,475.00 " HC84200047 GRAM STAIN $152.00 HC84201177 GRAM STAIN (MHL) $152.00 HC82200981 GRAMS STAIN-AP/GR I W/INT&RPT+ $475.00 63323-318-01 GRANISETRON (PF) 1 MG/ML (1 ML) IV SOLN $120.00 64679-661-01 GRANISETRON (PF) 1 MG/ML (1 ML) IV SOLN $149.10 67457-863-01 GRANISETRON (PF) 1 MG/ML (1 ML) IV SOLN $60.00 16714-221-01 GRANISETRON HCL 1 MG ORAL TAB $12.17 16714-221-32 GRANISETRON HCL 1 MG ORAL TAB $50.04 42043-390-21 GRANISETRON HCL 1 MG ORAL TAB $6.30 51991-735-20 GRANISETRON HCL 1 MG ORAL TAB $21.60 51991-735-99 GRANISETRON HCL 1 MG ORAL TAB $21.60 0143-9744-01 GRANISETRON HCL 1 MG/ML (1 ML) IV SOLN $54.00 0143-9744-10 GRANISETRON HCL 1 MG/ML (1 ML) IV SOLN $54.00 17478-546-02 GRANISETRON HCL 1 MG/ML (1 ML) IV SOLN $113.22 17478-546-05 GRANISETRON HCL 1 MG/ML IV SOLN $348.00 HC83000638 GRANULOCYT PHERESIS EA UNIT-OS "$4,803.00 " HC62222013 GRASPER ALLIGATOR ENDO L $650.00 HC62300249 GRASPER ANVIL ROBOTIC F $260.00 HC62228044 GRASPER ENDO $195.00 HC62300124 GRASPER ROBOTIC C $390.00 HC62300132 GRASPER ROBOTIC E $650.00 HC62300140 GRASPER ROBOTIC F $780.00 HC62225438 GRASPER TWIN ENDOSCOPIC "$1,950.00 " HC82201104 GRIMELIUS ARGYROPHL STN GRPII+ $412.00 HC82200999 GROCOTT SILVER STN/GR I W/I&R+ $475.00 HC89005037 GROUP B/E COLI K1 AG -AU $20.00 HC51061968 GROUP HEALTH EDUCATION $25.00 HC62209721 G-TUBE DECLOGGER $140.00 1093972744 GUAIFENESIN 100 MG/5 ML ORAL LIQD $14.16 6056906304 GUAIFENESIN 100 MG/5 ML ORAL LIQD $25.49 0121-1488-00 GUAIFENESIN 100 MG/5 ML ORAL LIQD $3.30 0121-1488-10 GUAIFENESIN 100 MG/5 ML ORAL LIQD $3.30 0121-1744-05 GUAIFENESIN 100 MG/5 ML ORAL LIQD $3.15 0121-1744-10 GUAIFENESIN 100 MG/5 ML ORAL LIQD $3.30 0536-1182-97 GUAIFENESIN 100 MG/5 ML ORAL LIQD $10.62 50383-063-05 GUAIFENESIN 100 MG/5 ML ORAL LIQD $2.70 50383-063-07 GUAIFENESIN 100 MG/5 ML ORAL LIQD $2.70 50383-063-10 GUAIFENESIN 100 MG/5 ML ORAL LIQD $2.94 50383-063-12 GUAIFENESIN 100 MG/5 ML ORAL LIQD $2.82 54838-117-40 GUAIFENESIN 100 MG/5 ML ORAL LIQD $15.58 58657-509-16 GUAIFENESIN 100 MG/5 ML ORAL LIQD $22.70 99999-040-99 GUAIFENESIN 100 MG/5 ML ORAL LIQD $1.00 1093991244 GUAIFENESIN 600 MG ORAL TA12 $1.48 6382400840 GUAIFENESIN 600 MG ORAL TA12 $2.57 0904-6718-39 GUAIFENESIN 600 MG ORAL TA12 $5.34 63824-008-15 GUAIFENESIN 600 MG ORAL TA12 $2.33 63824-008-34 GUAIFENESIN 600 MG ORAL TA12 $2.57 63824-008-50 GUAIFENESIN 600 MG ORAL TA12 $2.20 68084-572-01 GUAIFENESIN 600 MG ORAL TA12 $5.01 68084-572-11 GUAIFENESIN 600 MG ORAL TA12 $5.01 70677-0055-1 GUAIFENESIN 600 MG ORAL TA12 $1.48 0591-0444-01 GUANFACINE 1 MG ORAL TAB $1.22 65162-711-10 GUANFACINE 1 MG ORAL TAB $3.36 68084-748-25 GUANFACINE 1 MG ORAL TAB $9.38 68084-748-95 GUANFACINE 1 MG ORAL TAB $9.38 68094-019-59 GUANFACINE 1 MG ORAL TAB $8.58 68094-019-62 GUANFACINE 1 MG ORAL TAB $8.58 0228-2851-11 GUANFACINE 2 MG ORAL TB24 $4.40 HC47201108 GUIDANCE RADIAJ TX DLVR (TRACKING) "$2,903.00 " HC62225255 GUIDE BX NEEDLE PROSTATE $65.00 HC62227459 GUIDE COMPONENT KNEE CUSTOM PATIENT "$1,625.00 " HC62226709 GUIDE DRILL E $195.00 HC62225818 GUIDE DRILL H $390.00 HC62224944 GUIDE DRILL I $455.00 HC62225826 GUIDE DRILL I $455.00 HC62225834 GUIDE DRILL J $520.00 HC62225123 GUIDE DRILL K $585.00 HC62225842 GUIDE DRILL L $650.00 HC62225859 GUIDE DRILL M $780.00 HC62225867 GUIDE DRILL N $910.00 HC62225875 GUIDE DRILL O "$1,040.00 " HC62222385 GUIDE DRILL P "$1,170.00 " HC62222393 GUIDE DRILL Q "$1,300.00 " HC62225883 GUIDE DRILL R "$1,625.00 " HC62225891 GUIDE DRILL W "$3,250.00 " HC62226782 GUIDE DRILL W "$5,850.00 " HC62221676 GUIDE DRILL TRANSTIBIAL FEMORAL 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SUBSEQUNT 15MIN BASIC/C $489.00 HC24000127 HBO EA SUBSEQUNT 15MIN CMPLX/C $678.00 HC24000028 HBO FIRST 15MIN BASIC/C $492.00 HC24000135 HBO FIRST 15MIN COMPLEX/C $678.00 HC24000143 HBO FIRST 15MIN INTERMEDIATE/C $538.00 HC24000010 HBO TX EA 1/2 HR BASIC/M "$1,081.00 " HC24000093 HBO TX EA 1/2 HR COMPLEX/M "$1,494.00 " HC24000101 HBO TX EA 1/2 HR INTERMEDIAT/M "$1,260.00 " HC89011696 HBV SURFACE AB QUANT-SL $16.00 HC81700254 HCG QUAL $308.00 HC81700627 HCG QUAL URINE $192.00 HC51001964 HCG QUAL URINE (POS) $55.00 HC81700247 HCG QUANT $378.00 HC81701278 HCV RNA OR DNA AMP PROBE TECH $474.00 HC81100075 HDL CHOLESTEROL $185.00 HC47201157 HDR ELECTRONIC BRACHYTHERAPY INTERSTIT/INTRACAV "$3,963.00 " HC47201140 HDR ELECTRONIC BRACHYTHERAPY SKIN SURFACE "$1,131.00 " HC47201116 HDR RADIONUCLIDE INTRSTTL/INTRVIT BRACH 1 CHANNEL "$8,992.00 " HC47201132 HDR RADIONUCLIDE INTRSTTL/INTRVIT BRACH 12+ CHANN "$14,730.00 " HC47201124 HDR RADIONUCLIDE INTRSTTL/INTRVIT BRACH 2-12 CHANN "$12,105.00 " HC62220629 HEADGEAR CPAP AIRLIFE $52.00 HC62220637 HEADGEAR CPAP BONNET $36.00 HC62210174 HEADGEAR OPTILIFE $30.00 HC62227848 HEADREST PUPILLOMETER $98.00 HC89020358 HEAT SHOCK PROTEIN 70-AU $195.00 HC89003560 HEAVY METAL QN EA URINE;BERYLLIUM-AU $125.00 HC89021315 HEAVY METAL QN EA;IODINE SERUM-AU $165.00 HC89003099 HEAVY METAL(S) QUALITATIVE-QD $37.00 HC81500522 HEINZ BODIES DIRECT $128.00 HC89018956 HEINZ BODIES DIRECT-AU $42.00 HC89018964 HEINZ BODIES INDUCED-AU $77.00 HC89012512 HELICOBACTER PYLOR AB (PNL)-AU $9.00 HC84200930 HELICOBACTER PYLORI $203.00 HC89012520 HELICOBACTER PYLORI AB-AU $8.00 HC89015788 HELICOBACTER PYLORI AB-QD $25.00 HC89013189 HELICOBACTER PYLORI AG-AU $40.00 HC89016349 HELICOBACTER PYLORI AG-QD $29.00 HC81700411 HELICOBACTER PYLORI IGG AB $241.00 HC89020820 HELICOBACTER PYLORI IGM - AU $8.00 HC81500290 HEMATOCRIT $108.00 HC81500860 HEMATOCRIT (POS) $108.00 HC81500803 HEMATOCRIT SPUN $130.00 HC89019913 HEMOCHROMATOSIS MUTATION-AU $89.00 HC62203484 HEMOCONCENTATOR $260.00 HC73000200 HEMODIALYSIS CANCEL-MED NEC "$1,562.00 " HC73000127 HEMODIALYSIS W/SNGL EVAL(IP) "$3,417.00 " HC36800647 HEMOGLOBIN $104.00 HC81500308 HEMOGLOBIN $112.00 HC51000495 HEMOGLOBIN (POS - EG:HEMACUE) $24.00 HC81500829 "HEMOGLOBIN ELECT QUANT F,S" $274.00 HC81500811 HEMOGLOBIN ELECTRO-CONFIRM $273.00 HC81500712 HEMOGLOBIN ELECTROPHERESIS $273.00 HC81101156 HEMOGLOBIN GLYCATED (A1C) $239.00 HC81500977 HEMOGLOBIN GLYCATED (A1C) $223.00 HC89008346 HEMOGLOBIN GLYCATED (A1C)-AU $12.00 HC89008353 HEMOGLOBIN GLYCATED (A1C)-ES $19.00 HC89023360 HEMOGLOBIN GLYCATED (A1C)-U2 $25.00 HC81101859 "HEMOGLOBIN GLYCATED, A1C(DA)" $158.00 HC81500795 HEMOGLOBIN -HPLC $384.00 HC81101172 HEMOGLOBIN PLASMA $166.00 HC89008379 HEMOGLOBIN PLASMA-AU $19.00 HC89000749 HEMOGLOBIN PLASMA-QD $14.00 HC89500953 HEMOGLOBIN SICKLE TESTING-SB $46.00 HC81500548 HEMOLYSIN ACID $204.00 HC73000168 HEMOPERFUSION "$3,104.00 " HC73000176 HEMOPERFUSION DRY RUN "$1,567.00 " HC89012595 HEMOPHILUS INFLUENZA AB-FT $125.00 HC25005349 HEMORRHOIDECTOMY/BANDING "$1,560.00 " HC27001007 HEMORRHOIDECTOMY/BANDING "$3,578.00 " HC51003663 HEMORRHOIDECTOMY/BANDING "$1,305.00 " HC81500266 HEMOSIDERIN QUAL $130.00 HC89008387 HEMOSIDERIN QUAL URINE-AU $9.00 HC62805221 HEMOSTAT VITAGEL SURGICAL "$1,690.00 " HC62205588 HEMOSTATIC GEL/GELFOAM/PAD G $332.00 HC62805791 HEMOSTATIC GEL/GELFOAM/PAD H $358.00 HC62221783 HEMOSTATIC GEL/GELFOAM/PAD B $65.00 HC62212071 HEMOSTATIC GEL/GELFOAM/PAD D $130.00 HC62805775 HEMOSTATIC GEL/GELFOAM/PAD E $195.00 HC62805783 HEMOSTATIC GEL/GELFOAM/PAD F $260.00 HC62803606 HEMOSTATIC GEL/GELFOAM/PAD I $390.00 HC62805809 HEMOSTATIC GEL/GELFOAM/PAD J $455.00 HC62805817 HEMOSTATIC GEL/GELFOAM/PAD K $520.00 HC62805825 HEMOSTATIC GEL/GELFOAM/PAD L $650.00 HC62805833 HEMOSTATIC GEL/GELFOAM/PAD M $780.00 HC62805841 HEMOSTATIC GEL/GELFOAM/PAD N $910.00 HC62218185 HEMOSTATIC GEL/GELFOAM/PAD R "$1,625.00 " HC62806856 HEMOSTATIC GEL/GELFOAM/PAD Y "$3,900.00 " HC62202544 HEMOSTATIC GEL/SURGICEL G $325.00 HC81701138 HEP A ANTIBODY IGM $224.00 58160-811-43 HEP B-DP(A)T-POLIO VAC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRG $475.02 58160-811-52 HEP B-DP(A)T-POLIO VAC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRG $475.02 0069-0058-01 "HEPARIN (PORCINE) 1,000 UNIT/ML INJ SOLN" $19.92 0069-0058-02 "HEPARIN (PORCINE) 1,000 UNIT/ML INJ SOLN" $19.92 0069-0137-01 "HEPARIN (PORCINE) 1,000 UNIT/ML INJ SOLN" $45.90 0069-0137-03 "HEPARIN (PORCINE) 1,000 UNIT/ML INJ SOLN" $45.90 0409-2720-01 "HEPARIN (PORCINE) 1,000 UNIT/ML INJ SOLN" $10.97 0409-2720-02 "HEPARIN (PORCINE) 1,000 UNIT/ML INJ SOLN" $19.92 0409-2720-03 "HEPARIN (PORCINE) 1,000 UNIT/ML INJ SOLN" $45.90 0409-2720-30 "HEPARIN (PORCINE) 1,000 UNIT/ML INJ SOLN" $10.97 0409-2720-31 "HEPARIN (PORCINE) 1,000 UNIT/ML INJ SOLN" $19.92 0641-0391-12 "HEPARIN (PORCINE) 1,000 UNIT/ML INJ SOLN" $12.28 0641-0391-37 "HEPARIN (PORCINE) 1,000 UNIT/ML INJ SOLN" $12.28 25021-400-01 "HEPARIN (PORCINE) 1,000 UNIT/ML INJ SOLN" $14.40 25021-400-10 "HEPARIN (PORCINE) 1,000 UNIT/ML INJ SOLN" $21.60 25021-400-30 "HEPARIN (PORCINE) 1,000 UNIT/ML INJ SOLN" $40.86 63323-540-03 "HEPARIN (PORCINE) 1,000 UNIT/ML INJ SOLN" $23.22 63323-540-05 "HEPARIN (PORCINE) 1,000 UNIT/ML INJ SOLN" $43.62 63323-540-07 "HEPARIN (PORCINE) 1,000 UNIT/ML INJ SOLN" $16.08 63323-540-11 "HEPARIN (PORCINE) 1,000 UNIT/ML INJ SOLN" $43.62 63323-540-13 "HEPARIN (PORCINE) 1,000 UNIT/ML INJ SOLN" $23.22 63323-540-15 "HEPARIN (PORCINE) 1,000 UNIT/ML INJ SOLN" $43.62 63323-540-33 "HEPARIN (PORCINE) 1,000 UNIT/ML INJ SOLN" $42.84 63323-540-36 "HEPARIN (PORCINE) 1,000 UNIT/ML INJ SOLN" $42.84 63323-540-67 "HEPARIN (PORCINE) 1,000 UNIT/ML INJ SOLN" $16.08 63739-920-11 "HEPARIN (PORCINE) 1,000 UNIT/ML INJ SOLN" $15.06 63739-920-25 "HEPARIN (PORCINE) 1,000 UNIT/ML INJ SOLN" $15.06 63739-931-14 "HEPARIN (PORCINE) 1,000 UNIT/ML INJ SOLN" $22.44 63739-931-28 "HEPARIN (PORCINE) 1,000 UNIT/ML INJ SOLN" $22.44 63739-942-15 "HEPARIN (PORCINE) 1,000 UNIT/ML INJ SOLN" $42.84 63739-942-29 "HEPARIN (PORCINE) 1,000 UNIT/ML INJ SOLN" $42.84 67457-372-12 "HEPARIN (PORCINE) 1,000 UNIT/ML INJ SOLN" $16.56 67457-372-99 "HEPARIN (PORCINE) 1,000 UNIT/ML INJ SOLN" $16.56 67457-384-31 "HEPARIN (PORCINE) 1,000 UNIT/ML INJ SOLN" $46.98 67457-384-99 "HEPARIN (PORCINE) 1,000 UNIT/ML INJ SOLN" $46.98 67457-385-10 "HEPARIN (PORCINE) 1,000 UNIT/ML INJ SOLN" $24.84 67457-385-99 "HEPARIN (PORCINE) 1,000 UNIT/ML INJ SOLN" $24.84 67457-953-00 "HEPARIN (PORCINE) 1,000 UNIT/ML INJ SOLN" $21.60 67457-953-10 "HEPARIN (PORCINE) 1,000 UNIT/ML INJ SOLN" $21.60 72572-250-01 "HEPARIN (PORCINE) 1,000 UNIT/ML INJ SOLN" $8.22 72572-250-25 "HEPARIN (PORCINE) 1,000 UNIT/ML INJ SOLN" $8.22 0409-2721-01 "HEPARIN (PORCINE) 10,000 UNIT/ML INJ SOLN" $19.46 25021-403-01 "HEPARIN (PORCINE) 10,000 UNIT/ML INJ SOLN" $24.00 25021-403-04 "HEPARIN (PORCINE) 10,000 UNIT/ML INJ SOLN" $45.60 63739-964-11 "HEPARIN (PORCINE) 10,000 UNIT/ML INJ SOLN" $32.25 63739-964-25 "HEPARIN (PORCINE) 10,000 UNIT/ML INJ SOLN" $32.25 0069-0059-01 "HEPARIN (PORCINE) 5,000 UNIT/ML INJ SOLN" $68.88 0069-0059-03 "HEPARIN (PORCINE) 5,000 UNIT/ML INJ SOLN" $24.84 0069-0059-04 "HEPARIN (PORCINE) 5,000 UNIT/ML INJ SOLN" $24.84 0409-2723-01 "HEPARIN (PORCINE) 5,000 UNIT/ML INJ SOLN" $11.94 0409-2723-02 "HEPARIN (PORCINE) 5,000 UNIT/ML INJ SOLN" $68.88 0409-2723-30 "HEPARIN (PORCINE) 5,000 UNIT/ML INJ SOLN" $11.94 0409-2723-31 "HEPARIN (PORCINE) 5,000 UNIT/ML INJ SOLN" $68.88 0641-0400-12 "HEPARIN (PORCINE) 5,000 UNIT/ML INJ SOLN" $10.99 0641-0400-37 "HEPARIN (PORCINE) 5,000 UNIT/ML INJ SOLN" $10.99 25021-402-01 "HEPARIN (PORCINE) 5,000 UNIT/ML INJ SOLN" $15.60 63323-047-10 "HEPARIN (PORCINE) 5,000 UNIT/ML INJ SOLN" $104.34 63323-262-01 "HEPARIN (PORCINE) 5,000 UNIT/ML INJ SOLN" $24.96 63323-262-03 "HEPARIN (PORCINE) 5,000 UNIT/ML INJ SOLN" $24.96 63323-262-06 "HEPARIN (PORCINE) 5,000 UNIT/ML INJ SOLN" $24.96 63323-262-09 "HEPARIN (PORCINE) 5,000 UNIT/ML INJ SOLN" $12.00 63323-262-26 "HEPARIN (PORCINE) 5,000 UNIT/ML INJ SOLN" $12.00 63739-953-11 "HEPARIN (PORCINE) 5,000 UNIT/ML INJ SOLN" $20.22 63739-953-25 "HEPARIN (PORCINE) 5,000 UNIT/ML INJ SOLN" $20.22 67457-374-12 "HEPARIN (PORCINE) 5,000 UNIT/ML INJ SOLN" $17.94 67457-374-99 "HEPARIN (PORCINE) 5,000 UNIT/ML INJ SOLN" $17.94 67457-949-00 "HEPARIN (PORCINE) 5,000 UNIT/ML INJ SOLN" $15.60 67457-949-01 "HEPARIN (PORCINE) 5,000 UNIT/ML INJ SOLN" $15.60 72572-255-01 "HEPARIN (PORCINE) 5,000 UNIT/ML INJ SOLN" $8.22 72572-255-25 "HEPARIN (PORCINE) 5,000 UNIT/ML INJ SOLN" $8.22 0264-9587-20 "HEPARIN (PORCINE) IN 5 % DEX 25,000 UNIT/250 ML(100 UNIT/ML) IV SOLP" $84.00 0409-7793-52 "HEPARIN (PORCINE) IN 5 % DEX 25,000 UNIT/250 ML(100 UNIT/ML) IV SOLP" $57.00 0409-7793-62 "HEPARIN (PORCINE) IN 5 % DEX 25,000 UNIT/250 ML(100 UNIT/ML) IV SOLP" $57.00 63323-523-01 "HEPARIN (PORCINE) IN 5 % DEX 25,000 UNIT/250 ML(100 UNIT/ML) IV SOLP" $49.50 63323-523-74 "HEPARIN (PORCINE) IN 5 % DEX 25,000 UNIT/250 ML(100 UNIT/ML) IV SOLP" $49.50 99999-044-32 "HEPARIN (PORCINE) IN 5 % DEX 25,000 UNIT/250 ML(100 UNIT/ML) IV SOLP" $340.50 0264-9577-10 "HEPARIN (PORCINE) IN 5 % DEX 25,000 UNIT/500 ML (50 UNIT/ML) IV SOLP" $81.00 0409-7761-03 "HEPARIN (PORCINE) IN 5 % DEX 25,000 UNIT/500 ML (50 UNIT/ML) IV SOLP" $33.00 99999-036-08 "HEPARIN (PORCINE) IN 5 % DEX 25,000 UNIT/500 ML (50 UNIT/ML) IV SOLP" $180.00 0264-9872-10 "HEPARIN (PORCINE) IN NACL (PF) 1,000 UNIT/500 ML IV SOLP" $21.00 0409-7620-03 "HEPARIN (PORCINE) IN NACL (PF) 1,000 UNIT/500 ML IV SOLP" $33.00 0409-7620-13 "HEPARIN (PORCINE) IN NACL (PF) 1,000 UNIT/500 ML IV SOLP" $33.00 0409-7620-59 "HEPARIN (PORCINE) IN NACL (PF) 2,000 UNIT/1,000 ML IV SOLP" $42.00 HC89017040 HEPARIN AB DETECTION-AU $30.00 HC89004022 HEPARIN ANTI-XA -AU $85.00 HC81500555 HEPARIN ASSAY $388.00 6425322235 HEPARIN LOCK FLUSH (PORCINE) 10 UNIT/ML IV SOLN (MCH) $6.00 8290306414 HEPARIN LOCK FLUSH (PORCINE) 10 UNIT/ML IV SOLN (MCH) $2.82 8290306510 HEPARIN LOCK FLUSH (PORCINE) 10 UNIT/ML IV SOLN (MCH) $3.48 63323-545-01 HEPARIN LOCK FLUSH (PORCINE) 100 UNIT/ML IV SOLN $9.66 6380760055 HEPARIN LOCK FLUSH 100 UNIT/ML IV SOLN (MCH) $6.00 8290306514 HEPARIN LOCK FLUSH 100 UNIT/ML IV SOLN (MCH) $3.47 HC81500753 HEPARIN NEUTRALIZATION $241.00 HC81500902 HEPARIN PROTAMINE TOLERANCE $176.00 0409-7651-03 "HEPARIN(PORCINE) IN 0.45% NACL 25,000 UNIT/500 ML IV SOLP" $45.00 0409-7651-13 "HEPARIN(PORCINE) IN 0.45% NACL 25,000 UNIT/500 ML IV SOLP" $45.00 6425344422 "HEPARIN, PORCINE (PF) 1 UNIT/ML IV SYRG" $6.00 25021-401-02 "HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJ SOLN" $62.40 63323-276-02 "HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJ SOLN" $79.14 6380760051 "HEPARIN, PORCINE (PF) 100 UNIT/ML IV SYRG" $5.00 6425333323 "HEPARIN, PORCINE (PF) 100 UNIT/ML IV SYRG" $5.99 6425333333 "HEPARIN, PORCINE (PF) 100 UNIT/ML IV SYRG" $5.99 6425333335 "HEPARIN, PORCINE (PF) 100 UNIT/ML IV SYRG" $6.00 8290306424 "HEPARIN, PORCINE (PF) 100 UNIT/ML IV SYRG" $2.82 8290306513 "HEPARIN, PORCINE (PF) 100 UNIT/ML IV SYRG" $3.48 8290306515 "HEPARIN, PORCINE (PF) 100 UNIT/ML IV SYRG" $3.30 0409-1316-11 "HEPARIN, PORCINE (PF) 5,000 UNIT/0.5 ML INJ SOLN (MHS)" $19.80 0409-1316-32 "HEPARIN, PORCINE (PF) 5,000 UNIT/0.5 ML INJ SOLN (MHS)" $19.80 0641-6204-01 "HEPARIN, PORCINE (PF) 5,000 UNIT/0.5 ML INJ SOLN (MHS)" $36.00 63323-118-01 "HEPARIN, PORCINE (PF) 5,000 UNIT/0.5 ML INJ SOLN (MHS)" $34.20 63323-118-05 "HEPARIN, PORCINE (PF) 5,000 UNIT/0.5 ML INJ SOLN (MHS)" $34.20 63323-543-03 "HEPARIN, PORCINE (PF) 5,000 UNIT/0.5 ML INJ SOLN (MHS)" $34.02 63323-543-13 "HEPARIN, PORCINE (PF) 5,000 UNIT/0.5 ML INJ SOLN (MHS)" $34.02 0641-6204-10 "HEPARIN, PORCINE (PF) 5,000 UNIT/0.5 ML SUBCUTANEOUS SYRG" $18.00 HC89005334 HEPARIN-INDUCED PLATELET AB-EC $210.00 HC89002505 HEPARIN-INDUCED PLATELET AB-QD $88.00 HC81100372 HEPATIC FUNCTION PANEL $371.00 HC89013288 HEPATISIS C RNA BY PCR-AU $82.00 HC89015820 HEPATITIS A AB IGM-QD $21.00 HC81700460 HEPATITIS A ANTIBODY $233.00 HC89015812 HEPATITIS A ANTIBODY -QD $29.00 58160-826-01 "HEPATITIS A VIRUS VACCINE (PF) 1,440 ELISA UNIT/ML IM SUSP (MHS)" $425.24 58160-826-11 "HEPATITIS A VIRUS VACCINE (PF) 1,440 ELISA UNIT/ML IM SUSP (MHS)" $425.24 58160-826-43 "HEPATITIS A VIRUS VACCINE (PF) 1,440 ELISA UNIT/ML IM SUSP (MHS)" $425.24 58160-826-52 "HEPATITIS A VIRUS VACCINE (PF) 1,440 ELISA UNIT/ML IM SUSP (MHS)" $425.24 HC81700445 HEPATITIS B CORE AB IGM $230.00 HC89015804 HEPATITIS B CORE AB IGM-QD $26.00 HC81700437 "HEPATITIS B CORE AB, TOT" $228.00 HC89015796 HEPATITIS B CORE AB-QD $22.00 HC89013262 HEPATITIS B DNA BY PCR-AU $82.00 HC89014690 HEPATITIS B DNA BY PCR-QD $25.00 HC81701385 HEPATITIS B DNA ULTRA QNT PCR $545.00 HC89023519 HEPATITIS B DNA/RNA QUANT BY NAAT-AU $99.00 13533-636-03 HEPATITIS B IMMUNE GLOBULIN 110 UNIT/0.5 ML IM SYRG $530.70 13533-636-05 HEPATITIS B IMMUNE GLOBULIN 220 UNIT/ML (5 ML) IM SOLN "$4,801.38 " 13533-636-50 HEPATITIS B IMMUNE GLOBULIN 220 UNIT/ML (5 ML) IM SOLN "$4,801.38 " 59730-4203-1 "HEPATITIS B IMMUNE GLOBULIN GREATER THAN 1,560 UNIT/5 ML IM SOLN" "$4,054.38 " HC81700452 HEPATITIS B SURFACE AB $219.00 HC89016257 HEPATITIS B SURFACE AB-QD $18.00 HC89016695 HEPATITIS B SURFACE AB-QD $52.00 HC81700536 HEPATITIS B SURFACE AG $220.00 HC89015945 HEPATITIS B SURFACE AG (DS)-QD $30.00 HC81700783 HEPATITIS B SURFACE AG CONFIRM $191.00 58160-820-43 HEPATITIS B VIRUS VACC.REC(PF) 10 MCG/0.5 ML IM SYRG $144.71 58160-820-52 HEPATITIS B VIRUS VACC.REC(PF) 10 MCG/0.5 ML IM SYRG $144.71 58160-821-01 HEPATITIS B VIRUS VACC.REC(PF) 20 MCG/ML IM SUSP $366.66 58160-821-11 HEPATITIS B VIRUS VACC.REC(PF) 20 MCG/ML IM SUSP $366.66 58160-821-43 HEPATITIS B VIRUS VACC.REC(PF) 20 MCG/ML IM SYRG $366.66 58160-821-52 HEPATITIS B VIRUS VACC.REC(PF) 20 MCG/ML IM SYRG $366.66 HC89012728 HEPATITIS BE AB-AU $17.00 HC89003321 HEPATITIS BE AB-QD $18.00 HC89013205 HEPATITIS BE AG-AU $16.00 HC89003313 HEPATITIS BE AG-QD $18.00 HC81700510 HEPATITIS C AB $231.00 HC89016265 HEPATITIS C AB CONFIRM(DS)-QD $8.00 HC89013031 HEPATITIS C AB CONFIRM-AU $77.00 HC81701971 HEPATITIS C AB SCREENING $217.00 HC89014807 HEPATITIS C GENOTYPE PCR-AU $80.00 HC89014815 HEPATITIS C GENOTYPE PCR-QD $27.00 HC89013270 HEPATITIS C PCR QUAL-AU $66.00 HC89016125 HEPATITIS C PCR QUAL-QD $54.00 HC81700791 HEPATITIS C QT BY DNA OR RNA $552.00 HC89014708 HEPATITIS C RNA BY PCR-QD $25.00 HC81101834 HEPATITIS C VIRUS (DA) $212.00 HC89012611 HEPATITIS DELTA AB-AU $14.23 HC89002307 HEPATITIS DELTA AB-QD $21.00 HC89013213 HEPATITIS DELTA AG-AU $125.00 HC45201290 HEPATOBIL SYS IMAGW/RX(&QUANT) "$5,403.00 " HC45201282 HEPATOBILIARY SYSTEM IMAGING "$4,369.00 " HC89000178 HERPES 1 IGM AB (PNL)-FT $70.00 HC89000160 HERPES 1&2 IGM AB (PNL)-FT $70.00 HC89000103 HERPES 2 IGM AB (PNL)-FT $70.00 HC89012629 HERPES I&II SIMPLE AB (PNL)-AU $15.00 HC81701807 HERPES I/II AB IGG $210.00 HC81701815 HERPES I/II AB IGM $210.00 HC89000228 HERPES IGM SCREEN-QD $20.00 HC89012660 HERPES SIMPL II GLYCO (PNL)-AU $6.00 HC89000269 HERPES SIMPLEX I AB-QD $22.00 HC89012652 HERPES SIMPLEX I GLYCO AB-AU $14.00 HC89012637 HERPES SIMPLEX I&II AB-AU $13.00 HC89003859 HERPES SIMPLEX II AB-QD $23.00 HC89012678 HERPES SIMPLEX II GLYCO AB-AU $14.00 HC89012645 HERPES SMPLX I GLYC AB(PNL)-AU $6.00 HC89005227 HERPES VIRUS-6 DNA QUANT -FT $314.00 HC89017487 HERPESVIRUS 6 (HHV-6)AB IGG-AU $100.00 HC89005243 HERPESVIRUS 6 AB IGG- FT $81.00 HC89005250 HERPESVIRUS 6 AB IGM -FT $81.00 HC89005235 HERPESVIRUS 6 QUAL(RFX QNT)-FT $269.00 0264-1965-10 HETASTARCH 6 % IN 0.9 % NACL 6 % IV SOLN $102.00 0409-7248-03 HETASTARCH 6 % IN 0.9 % NACL 6 % IV SOLN $90.00 0409-7248-13 HETASTARCH 6 % IN 0.9 % NACL 6 % IV SOLN $90.00 0409-1555-54 HETASTARCH IN LACT ELECTROLYTE 6 % IV SOLN $390.00 HC89011597 HETEROPHILE AB SCREEN-AU $9.00 HC81700346 HETEROPHILE AB TITER $126.00 HC89004147 HEXA P'LIPID NEUTRALIZATION-AU $75.00 HC89017438 HEXAGONL PHOSLPD NEUTLZ RFX-AU $75.00 HC89008395 HEXOSAMINIDASE-AU $152.25 HC89008338 HGB CHROMATOGRAPHY-AU $15.00 HC89020846 HGB CHROMAT-SICKLE-AU $9.00 HC89008320 HGB ELECTROPHERESIS-AU $16.00 HC89003198 HGB ELECTROPHERESIS-QD $19.00 HC81101388 HGB O2 AFFINITY $246.00 HC36000800 "HGB,QUANT TRANSCUTANEOUS" $64.00 HC36800670 "HGB,QUANT TRANSCUTANEOUS" $64.00 HC36001022 "HGB,QUANT TRANSCUTANEOUS DAILY" $285.00 HC36800696 "HGB,QUANT TRANSCUTANEOUS DAILY" $285.00 HC36800217 HIGH ALTD SIM TEST W/O2TI-HAST "$1,689.00 " HC36800209 HIGH ALTITUDE SIM' TEST- HAST "$1,575.00 " HC44002913 HIP (W/PELVIS WHN PRFRMD) 1 VIEW LT $784.00 HC44002921 HIP (W/PELVIS WHN PRFRMD) 1 VIEW RT $784.00 HC44002939 HIP (W/PELVIS WHN PRFRMD) 2-3VWS LT "$1,073.00 " HC44002947 HIP (W/PELVIS WHN PRFRMD) 2-3VWS RT "$1,073.00 " HC44002954 HIP (W/PELVIS WHN PRFRMD) 4/>VWS LT "$1,281.00 " HC44002962 HIP (W/PELVIS WHN PRFRMD) 4/>VWS RT "$1,281.00 " HC44001030 HIP ARTHROGRAM BILAT "$3,294.00 " HC44001048 HIP ARTHROGRAM LT "$1,798.00 " HC44001055 HIP ARTHROGRAM RT "$1,798.00 " HC44002996 HIPS BILAT MIN5VWS(W/PELVS WHN PRFRMD) "$1,726.00 " HC44002970 HIPS BILAT2VWS(W/PELVIS WHN PRFRMD) "$1,119.00 " HC44002988 HIPS BILAT3-4VWS(W/PELVIS WHN PRFRMD) "$1,153.00 " HC89023444 "HISTAMINE, URINE-AU" $25.00 HC89008403 "HISTAMINE, WHOLE BLOOD-AU" $27.40 HC82201351 "HISTCHM ST ACID PTASE,FRO TS" $337.00 HC82201369 "HISTCHM ST ACRIDINE OR,FR TS" $337.00 HC82201286 "HISTCHM ST ALK PTASE,FRZ TIS" $798.00 HC82201294 "HISTCHM ST ATPSE PH4.3,FR TS" $798.00 HC82201302 "HISTCHM ST ATPSE PH4.6,FR TS" $798.00 HC82201310 "HISTCHM ST ATPSE PH9.4,FR TS" $798.00 HC82201377 "HISTCHM ST AZURE-II MB,FR TS" $337.00 HC82201385 "HISTCHM ST CYTCHRM OXDS,FR TS" $798.00 HC83505750 HISTCHM ST FROZ TIS BLK EA ADD(PANEL)+-U2 $44.00 HC82201328 "HISTCHM ST GOM TRICHRM,FR TS" $408.00 HC82201393 "HISTCHM ST MAD, FROZ TIS BLK" $337.00 HC82201401 "HISTCHM ST MYPHSPHFRC1,FRO TS" $337.00 HC82201419 "HISTCHM ST MYPHSPHFRC2,FRO TS" $337.00 HC82201336 "HISTCHM ST MYPHSPHRYLS,FR TS" $798.00 HC82201344 "HISTCHM ST NADH-TR,FROZ TISS" $798.00 HC82201427 "HISTCHM ST NNSPC ESTERS,FR TS" $337.00 HC82201476 "HISTOCHEM DETERMINATIVE,GRIII" $798.00 HC82201278 "HISTOCHM STAIN,FROZ TIS BLK" $337.00 HC82201443 "HISTOCHM STN OS-PPD,FROZ TIS" $337.00 HC82201435 "HISTOCHM STN SDH, FRZ TIS BLK" $798.00 HC89000459 HISTONE REACTIVE ANA-SL $23.00 HC89012686 HISTOPLASMA AB (PNL)-AU $10.70 HC89004949 HISTOPLASMA AB CF (PNL)-AU $11.03 HC89012694 HISTOPLASMA AB-AU $11.03 HC89000707 HISTOPLASMA AB-QD $17.00 HC89017172 HISTOPLASMA AG-AU $60.00 HC89501035 HISTORICAL ANTIGEN FEE-SB $46.00 HC81701179 HIV 1 AB $220.00 HC89021414 HIV 1 AB -AU $37.50 HC89015960 HIV 1 AB-QD $11.00 HC89012710 HIV 1&2 AB-AU $16.00 HC89016273 HIV 1&2 AB-QD $25.00 HC89021422 HIV 2 AB -AU $37.50 HC81702201 HIV 2 ANTIBODY $216.00 HC89015978 HIV AB WESTERN BLOT-QD $29.00 HC89016943 HIV GENE SEQ-VI $495.00 HC89019525 HIV GENO DRUG SPECIFIC SUS-VI $90.00 HC89016968 HIV GENOTYPE P'SENS GT(PNL)-VI $195.00 HC89016976 HIV PHENOTYP EACH ADDL(PNL)-VI $40.00 HC89016950 HIV PHENOTYP P'SENS GT(PNL)-VI $705.00 HC89016984 HIV PHENOTYPE 1ST 1-10(PNL)-VI $755.00 HC81701963 HIV TYPE 1 ANTIGEN (RAPID) $271.00 HC81701898 HIV TYPE 1 OR 2ANTIBODY(RAPID) $232.00 HC81700429 HIV-1 & HIV-2 AB SNGL ASSAY $234.00 HC81701997 "HIV-1 AG W/ HIV-1 & HIV-2 ABS, SINGLE RESULT" $309.00 HC89013304 HIV-1 DNA PCR QUAL-AU $114.00 HC89023279 HIV-1 DNA/RNA QUANT BY NAAT-AU $93.50 HC89013403 HIV-1 GENOTYPING-AU $275.00 HC89017297 HIV-1 P24 AG - FT $180.00 HC89013312 HIV-1 RNA QUANT BY PCR-AU $75.00 HC89014732 HIV-1 RNA QUANT BY PCR-QD $25.00 HC81700809 "HIV-1 RNA, QUANT" $978.00 HC89013320 HIV-1 ULTRA RNA QUANT PCR-AU $100.00 HC89018261 HIV-2 AB CONFIRM IMMUNOBLOT-AU $103.00 HC89012702 HIV-2 AB-AU $73.00 HC89019400 HLA AB DETECT 1ST MARKERS-AU $96.00 HC89019418 HLA AB DETECT MARKERS ADD+-AU $20.00 HC89019889 HLA AB DETECTION-AU $330.00 HC81700528 HLA B27 $293.00 HC89015895 HLA B27-QD $10.00 HC89022701 HLA CLASS I TYPING HIGH RES EACH LOCUS-U9 $350.00 HC89022685 HLA CLASS I TYPING LOW RES COMPLETE-U9 $350.00 HC89022719 HLA CLASS II TYPING HIGH RES EACH LOCUS-U9 $300.00 HC89022743 HLA CLASS II TYPING INTERMED RES 1 LOCUS-U9 $130.00 HC89022693 HLA CLASS II TYPING LOW RES HLA-DRB1/3/4/5&-DQB1-U9 $220.00 HC89014526 HLA DR MULT AG-U9 $338.00 HC89500748 "HLA TYPING A,B OR C -SB" $265.00 HC89000038 HLA TYPING-U2 $225.00 HC89013049 HLA-A AND B PHENOTYPE-AU $180.00 HC89016240 HLA-A AND B PHENOTYPE-QD $23.00 HC89020317 HLA-A GENOTYPE-AU $325.00 HC89020325 HLA-B GENOTYPE-AU $325.00 HC89091375 HLA-B*5701-ABACAVIR SENS EA-AU $100.00 HC89020044 HLA-DQA1(PNL 6260/6360)-PR $260.00 HC89020051 HLA-DQB1(PNL 6260/6360)-PR $260.00 HC62300439 HOLDER BLADE ROBOTIC (SNAP-FIT) $260.00 HC62203500 HOLDER IV/PICC $13.00 HC62224068 HOLDER PIN $241.00 HC62211123 HOLDER SUTURE OCOTOBASE $325.00 HC62203518 "HOLDER TUBE{ET,NG&TRACH}" $39.00 HC41000127 HOME SLEEP STUDY/T II MIN' 7CH "$1,246.00 " HC41000128 HOME SLEEP STUDY/T III MIN'4CH "$1,010.00 " HC41000129 HOME SLEEP STUDY/T IV MIN' 3CH $860.00 HC81101180 HOMOCYSTINE $341.00 HC89015440 HOMOCYSTINE-QD $14.00 HC89008411 HOMOVANILLIC ACID-AU $17.00 HC62224431 HOOK DISSECTING ENDO $455.00 HC62219373 HOOK MARKING ORTHO "$1,300.00 " HC62209085 HOOK PHLEBECTOMY $893.00 HC62300231 HOOK VALVE ROBOTIC $390.00 HC51000289 HOSP OP CAST ROOM VISIT (FACILITY FEE) $210.00 HC11500899 HOSPITAL OUTPATIENT CLINIC VISIT (FACILITY FEE) $238.00 HC51000396 HOSPITAL OUTPATIENT CLINIC VISIT (FACILITY FEE) $210.00 HC81701237 "HPV HI RISK(16,18,31,33,35,39,45,51,52,56,58,59,68)" $350.00 HC89013379 "HPV HI RISK(16,18,31,33,35,39,45,51,52,56,58,59,68)-AU" $47.00 HC89013361 "HPV LO RISK TYPES(6,11,42,43,44)-AU" $47.00 HC89019202 HPV TYPES 16&18(45) ONLY-AU $67.00 HC89017529 HSV 1 AG(PNL)-AU $25.00 HC84200856 HSV 1 FA ANTIGEN $204.00 HC89005268 HSV 1 QUANT PCR- FT $158.00 HC89016075 HSV 1-2 BY PCR-FT $165.00 HC89017511 HSV 2 AG(PNL)-AU $25.00 HC84200849 HSV 2 FA ANTIGEN $204.00 HC89005151 HSV 2 IGG INDEX&INTERP -FT $63.00 HC89005185 "HSV 2 IGM, IFA -FT" $45.00 HC89005276 HSV 2 QUANT PCR- FT $158.00 HC89021232 "HSV 6 (HHV6)(A&B), QNT PCR-AU" $150.00 HC89017578 HSV AB IGG(PNL)-AU $13.00 HC89014716 HSV BY PCR(CSF)-AU $55.00 HC89013296 HSV BY PCR-AU $55.00 HC89005144 HSV I IGG INDEX&INTERP -FT $63.00 HC89005177 "HSV I IGM, IFA - FT" $45.00 HC89005169 HSV I/2 IGM INDEX&INTERP- FT $63.00 HC89014724 HSV PCR QUANT-QD $13.00 HC89023477 HSV TYPE 1 &/OR 2AB IGG PNL)-AU $13.00 HC89023451 HSV TYPE 1 &/OR 2AB IGM PNL)-AU $9.50 HC81701823 "HSV TYPE 1 AB, IGG" $180.00 HC81701831 "HSV TYPE 2 AB, IGG" $253.00 HC89022172 HSV1&HSV2 SUBTYPES BY PCR -AU $170.00 HC81701161 HTLV I & II $178.00 HC89004410 "HTLV I/II AB, WESTERN BLOT-AU" $79.43 HC89012603 HTLV-I AB-AU $16.00 HC36000982 HTN ASSESSMENT W/ NITRIC OXIDE $827.00 HC36800225 HTN ASSESSMENT W/ NITRIC OXIDE $833.00 HC89016893 HTVL I/II W/ABS RFX TO WB-AU $12.35 HC89019731 HU AUTOANTIBODY TEST-AT $405.00 HC89002802 HU FA AB SCRN-QD $16.00 HC89008262 HUMAN GROWTH HORMONE-AU $14.00 HC89008270 HUMAN GROWTH HORMONE-ES $35.00 HC89000392 HUMAN GROWTH HORMONE-QD $10.00 HC84200518 HUMAN METAPNEUMOVIRUS (HMPV) $211.00 HC83505156 HUMAN PAPILLOMAVIRUS HI/LO- PI $48.00 5985700310 HUMAN REGENERATIVE TISSUE MTRX 1.5 X 2 CM TOPICAL SHEE "$2,640.00 " 5985700315 HUMAN REGENERATIVE TISSUE MTRX 14 MM TOPICAL SHEE "$1,485.00 " 5985700305 HUMAN REGENERATIVE TISSUE MTRX 2 X 3 CM TOPICAL SHEE "$3,300.00 " 63833-617-02 "HUMATE-P 1,000-2,400 UNIT IV SOLR" "$18,864.00 " 63833-627-01 "HUMATE-P 1,000-2,400 UNIT IV SOLR" "$18,864.00 " 63833-615-02 HUMATE-P 250-600 UNIT IV SOLR "$4,716.00 " 63833-616-02 "HUMATE-P 500-1,200 UNIT IV SOLR" "$9,432.00 " HC44001170 HUMERUS BILAT "$1,340.00 " HC44001188 HUMERUS LT $762.00 HC44001196 HUMERUS RT $762.00 HC62203526 HUMIDIFIERS $59.00 HC89008429 HVA URINE-CA $48.00 24208-002-02 HYALURONIDASE (OVINE) 200 UNIT/ML INJ SOLN $620.34 0944-2723-03 "HYALURONIDASE, HUMAN RECOMB. 1,600 UNIT/10 ML SUBCUTANEOUS SOLN" "$1,161.42 " 18657-117-01 "HYALURONIDASE, HUMAN RECOMB. 150 UNIT/ML INJ SOLN" $334.80 18657-117-02 "HYALURONIDASE, HUMAN RECOMB. 150 UNIT/ML INJ SOLN" $334.80 18657-117-04 "HYALURONIDASE, HUMAN RECOMB. 150 UNIT/ML INJ SOLN" $334.80 0944-2724-03 "HYALURONIDASE, HUMAN RECOMB. 2,400 UNIT/15 ML SUBCUTANEOUS SOLN" "$1,742.13 " 0944-2720-03 "HYALURONIDASE, HUMAN RECOMB. 200 UNIT/1.25 ML SUBCUTANEOUS SOLN" $145.18 0944-2721-03 "HYALURONIDASE, HUMAN RECOMB. 400 UNIT/2.5 ML SUBCUTANEOUS SOLN" $290.36 0944-2722-03 "HYALURONIDASE, HUMAN RECOMB. 800 UNIT/5 ML SUBCUTANEOUS SOLN" $580.71 99999-006-74 HYDRALAZINE 0.5 MG/ML INJ DILUTION (MCH) $1.80 99999-006-75 HYDRALAZINE 1 MG/ML INJ DILUTION (MCH) $3.60 0904-6440-61 HYDRALAZINE 10 MG ORAL TAB $1.00 50111-398-01 HYDRALAZINE 10 MG ORAL TAB $1.00 51079-074-01 HYDRALAZINE 10 MG ORAL TAB $1.37 51079-074-20 HYDRALAZINE 10 MG ORAL TAB $1.37 68084-447-01 HYDRALAZINE 10 MG ORAL TAB $1.00 68084-447-11 HYDRALAZINE 10 MG ORAL TAB $1.00 17478-934-01 HYDRALAZINE 20 MG/ML INJ SOLN $54.00 17478-934-15 HYDRALAZINE 20 MG/ML INJ SOLN $54.00 63323-614-00 HYDRALAZINE 20 MG/ML INJ SOLN $78.48 63323-614-01 HYDRALAZINE 20 MG/ML INJ SOLN $78.48 63323-614-21 HYDRALAZINE 20 MG/ML INJ SOLN $21.00 63323-614-55 HYDRALAZINE 20 MG/ML INJ SOLN $21.00 67457-291-00 HYDRALAZINE 20 MG/ML INJ SOLN $72.00 67457-291-01 HYDRALAZINE 20 MG/ML INJ SOLN $72.00 72572-265-01 HYDRALAZINE 20 MG/ML INJ SOLN $23.10 72572-265-25 HYDRALAZINE 20 MG/ML INJ SOLN $23.10 0904-6441-61 HYDRALAZINE 25 MG ORAL TAB $1.00 23155-002-10 HYDRALAZINE 25 MG ORAL TAB $1.00 50111-327-03 HYDRALAZINE 25 MG ORAL TAB $1.28 51079-075-01 HYDRALAZINE 25 MG ORAL TAB $1.32 51079-075-20 HYDRALAZINE 25 MG ORAL TAB $1.32 62584-733-01 HYDRALAZINE 25 MG ORAL TAB $1.44 62584-733-11 HYDRALAZINE 25 MG ORAL TAB $1.44 63739-327-10 HYDRALAZINE 25 MG ORAL TAB $1.00 99999-040-48 HYDRALAZINE 4 MG/ML ORAL LIQUID $1.00 0904-6442-61 HYDRALAZINE 50 MG ORAL TAB $1.00 50111-328-01 HYDRALAZINE 50 MG ORAL TAB $1.77 50111-328-03 HYDRALAZINE 50 MG ORAL TAB $1.68 51079-076-01 HYDRALAZINE 50 MG ORAL TAB $1.66 51079-076-20 HYDRALAZINE 50 MG ORAL TAB $1.66 62584-734-01 HYDRALAZINE 50 MG ORAL TAB $1.85 62584-734-11 HYDRALAZINE 50 MG ORAL TAB $1.85 63739-328-10 HYDRALAZINE 50 MG ORAL TAB $1.00 99999-000-93 HYDROCHLOROTHIAZIDE - SPIRONO 1MG/ML ORAL SOLN $1.00 99999-042-26 HYDROCHLOROTHIAZIDE - SPIRONO 1MG/ML ORAL SOLN $6.00 51079-776-01 HYDROCHLOROTHIAZIDE 12.5 MG ORAL CAP $1.00 51079-776-20 HYDROCHLOROTHIAZIDE 12.5 MG ORAL CAP $1.00 0228-2820-11 HYDROCHLOROTHIAZIDE 12.5 MG ORAL TAB $1.68 16729-182-01 HYDROCHLOROTHIAZIDE 12.5 MG ORAL TAB $1.00 23155-137-01 HYDROCHLOROTHIAZIDE 12.5 MG ORAL TAB $1.68 0172-2083-60 HYDROCHLOROTHIAZIDE 25 MG ORAL TAB $1.00 16729-183-01 HYDROCHLOROTHIAZIDE 25 MG ORAL TAB $1.00 16729-183-17 HYDROCHLOROTHIAZIDE 25 MG ORAL TAB $1.00 29300-128-10 HYDROCHLOROTHIAZIDE 25 MG ORAL TAB $1.00 43547-397-10 HYDROCHLOROTHIAZIDE 25 MG ORAL TAB $1.00 0172-2089-60 HYDROCHLOROTHIAZIDE 50 MG ORAL TAB $1.00 16729-184-01 HYDROCHLOROTHIAZIDE 50 MG ORAL TAB $1.00 0406-0125-01 HYDROCODONE-ACETAMINOPHEN 10-325 MG ORAL TAB $2.18 0406-0125-23 HYDROCODONE-ACETAMINOPHEN 10-325 MG ORAL TAB $2.96 0406-0125-62 HYDROCODONE-ACETAMINOPHEN 10-325 MG ORAL TAB $2.96 50268-402-11 HYDROCODONE-ACETAMINOPHEN 10-325 MG ORAL TAB $2.68 50268-402-15 HYDROCODONE-ACETAMINOPHEN 10-325 MG ORAL TAB $2.68 53746-110-01 HYDROCODONE-ACETAMINOPHEN 10-325 MG ORAL TAB $2.47 0406-0123-01 HYDROCODONE-ACETAMINOPHEN 5-325 MG ORAL TAB $1.96 0406-0123-05 HYDROCODONE-ACETAMINOPHEN 5-325 MG ORAL TAB $1.96 0406-0123-23 HYDROCODONE-ACETAMINOPHEN 5-325 MG ORAL TAB $2.64 0406-0123-62 HYDROCODONE-ACETAMINOPHEN 5-325 MG ORAL TAB $2.64 68084-895-01 HYDROCODONE-ACETAMINOPHEN 5-325 MG ORAL TAB $3.18 68084-895-09 HYDROCODONE-ACETAMINOPHEN 5-325 MG ORAL TAB $3.18 68084-895-11 HYDROCODONE-ACETAMINOPHEN 5-325 MG ORAL TAB $3.18 0406-0124-01 HYDROCODONE-ACETAMINOPHEN 7.5-325 MG ORAL TAB $2.18 0406-0124-23 HYDROCODONE-ACETAMINOPHEN 7.5-325 MG ORAL TAB $2.92 0406-0124-62 HYDROCODONE-ACETAMINOPHEN 7.5-325 MG ORAL TAB $2.92 0603-3891-21 HYDROCODONE-ACETAMINOPHEN 7.5-325 MG ORAL TAB $2.53 68084-863-01 HYDROCODONE-ACETAMINOPHEN 7.5-325 MG ORAL TAB $3.23 68084-863-11 HYDROCODONE-ACETAMINOPHEN 7.5-325 MG ORAL TAB $3.23 0121-1544-10 HYDROCODONE-ACETAMINOPHEN 7.5-325 MG/15 ML ORAL SOLN $49.08 0121-1544-40 HYDROCODONE-ACETAMINOPHEN 7.5-325 MG/15 ML ORAL SOLN $49.08 0121-4772-05 HYDROCODONE-ACETAMINOPHEN 7.5-325 MG/15 ML ORAL SOLN $44.07 0121-4772-40 HYDROCODONE-ACETAMINOPHEN 7.5-325 MG/15 ML ORAL SOLN $44.07 66689-004-01 HYDROCODONE-ACETAMINOPHEN 7.5-325 MG/15 ML ORAL SOLN $22.08 66689-004-50 HYDROCODONE-ACETAMINOPHEN 7.5-325 MG/15 ML ORAL SOLN $22.14 66689-005-01 HYDROCODONE-ACETAMINOPHEN 7.5-325 MG/15 ML ORAL SOLN $22.74 66689-005-50 HYDROCODONE-ACETAMINOPHEN 7.5-325 MG/15 ML ORAL SOLN $22.74 66689-023-01 HYDROCODONE-ACETAMINOPHEN 7.5-325 MG/15 ML ORAL SOLN $23.31 66689-023-50 HYDROCODONE-ACETAMINOPHEN 7.5-325 MG/15 ML ORAL SOLN $23.31 27808-086-01 HYDROCODONE-CHLORPHENIRAMINE 10-8 MG/5 ML ORAL SU12 $342.24 27808-086-02 HYDROCODONE-CHLORPHENIRAMINE 10-8 MG/5 ML ORAL SU12 "$1,367.92 " 49884-235-05 HYDROCODONE-CHLORPHENIRAMINE 10-8 MG/5 ML ORAL SU12 $19.50 62175-490-05 HYDROCODONE-CHLORPHENIRAMINE 10-8 MG/5 ML ORAL SU12 $10.20 62542-301-03 HYDROCODONE-CHLORPHENIRAMINE 10-8 MG/5 ML ORAL SU12 $200.76 62542-301-04 HYDROCODONE-CHLORPHENIRAMINE 10-8 MG/5 ML ORAL SU12 $346.21 62542-301-05 HYDROCODONE-CHLORPHENIRAMINE 10-8 MG/5 ML ORAL SU12 $17.34 62542-301-16 HYDROCODONE-CHLORPHENIRAMINE 10-8 MG/5 ML ORAL SU12 "$1,356.56 " 62542-301-17 HYDROCODONE-CHLORPHENIRAMINE 10-8 MG/5 ML ORAL SU12 "$1,356.56 " 99999-001-91 HYDROCODONE-CHLORPHENIRAMINE 10-8 MG/5 ML ORAL SU12 $14.88 99999-037-00 HYDROCODONE-CHLORPHENIRAMINE 10-8 MG/5 ML ORAL SU12 $14.46 99999-042-50 HYDROCODONE-CHLORPHENIRAMINE 10-8 MG/5 ML ORAL SU12 $14.34 0121-4811-05 HYDROCODONE-HOMATROPINE 5-1.5 MG/5 ML (5 ML) ORAL SYRP $45.78 99999-001-74 HYDROCODONE-HOMATROPINE 5-1.5 MG/5 ML ORAL SYRP $5.55 53746-145-01 HYDROCODONE-IBUPROFEN 7.5-200 MG ORAL TAB $5.10 51672-2010-2 HYDROCORTISONE 0.5 % TOPICAL CREAM $19.77 4116700391 HYDROCORTISONE 1 % TOPICAL CREAM $20.50 0168-0015-31 HYDROCORTISONE 1 % TOPICAL CREAM $36.06 0472-0321-26 HYDROCORTISONE 1 % TOPICAL CREAM $63.84 0472-0343-56 HYDROCORTISONE 1 % TOPICAL CREAM $7.90 45802-438-03 HYDROCORTISONE 1 % TOPICAL CREAM $12.60 0096-0732-04 HYDROCORTISONE 1 % TOPICAL LOTN $73.44 1093957233 HYDROCORTISONE 1 % TOPICAL OINT $12.78 0168-0020-31 HYDROCORTISONE 1 % TOPICAL OINT $36.06 0472-0345-56 HYDROCORTISONE 1 % TOPICAL OINT $7.90 45802-276-03 HYDROCORTISONE 1 % TOPICAL OINT $12.60 49348-522-72 HYDROCORTISONE 1 % TOPICAL OINT $12.78 0009-0031-01 HYDROCORTISONE 10 MG ORAL TAB $10.04 59762-0074-1 HYDROCORTISONE 10 MG ORAL TAB $1.72 72789-094-01 HYDROCORTISONE 10 MG ORAL TAB $2.95 99999-007-60 HYDROCORTISONE 10 MG/5 ML ORAL SUSP (COMPOUND) (MCH) $1.71 99999-007-61 HYDROCORTISONE 10 MG/5 ML ORAL SUSP (COMPOUND) (MCH) $3.42 62559-138-07 HYDROCORTISONE 100 MG/60 ML RECTAL ENEM $128.52 62559-138-11 HYDROCORTISONE 100 MG/60 ML RECTAL ENEM $128.52 0168-0080-31 HYDROCORTISONE 2.5 % TOPICAL CREAM $19.80 0472-0337-20 HYDROCORTISONE 2.5 % TOPICAL CREAM $29.52 0472-0337-30 HYDROCORTISONE 2.5 % TOPICAL CREAM $39.06 45802-004-03 HYDROCORTISONE 2.5 % TOPICAL CREAM $22.85 10631-407-01 HYDROCORTISONE 2.5 % TOPICAL CRPE $419.98 64980-301-30 HYDROCORTISONE 2.5 % TOPICAL CRPE $378.36 64980-324-30 HYDROCORTISONE 2.5 % TOPICAL CRPE $119.34 69315-312-28 HYDROCORTISONE 2.5 % TOPICAL CRPE $420.00 0168-0146-30 HYDROCORTISONE 2.5 % TOPICAL OINT $19.73 45802-014-02 HYDROCORTISONE 2.5 % TOPICAL OINT $15.60 59762-0075-1 HYDROCORTISONE 20 MG ORAL TAB $3.08 68084-930-25 HYDROCORTISONE 20 MG ORAL TAB $10.40 68084-930-95 HYDROCORTISONE 20 MG ORAL TAB $10.40 0009-0012-01 HYDROCORTISONE 5 MG ORAL TAB $5.94 59762-0073-1 HYDROCORTISONE 5 MG ORAL TAB $1.00 64380-970-25 HYDROCORTISONE 5 MG ORAL TAB $3.10 0713-0503-01 HYDROCORTISONE ACETATE 25 MG RECTAL SUPP $55.06 0713-0503-06 HYDROCORTISONE ACETATE 25 MG RECTAL SUPP $68.99 0713-0503-12 HYDROCORTISONE ACETATE 25 MG RECTAL SUPP $68.99 0713-0503-24 HYDROCORTISONE ACETATE 25 MG RECTAL SUPP $65.54 42494-301-00 HYDROCORTISONE ACETATE 25 MG RECTAL SUPP $136.00 42494-301-12 HYDROCORTISONE ACETATE 25 MG RECTAL SUPP $85.00 42494-301-24 HYDROCORTISONE ACETATE 25 MG RECTAL SUPP $123.75 42494-302-00 HYDROCORTISONE ACETATE 25 MG RECTAL SUPP $123.75 50268-411-11 HYDROCORTISONE ACETATE 25 MG RECTAL SUPP $35.60 50268-411-12 HYDROCORTISONE ACETATE 25 MG RECTAL SUPP $35.60 65649-411-24 HYDROCORTISONE ACETATE 25 MG RECTAL SUPP $314.60 0009-0005-01 "HYDROCORTISONE SOD SUCC (PF) 1,000 MG/8 ML INJ SOLR" $652.26 0009-0011-03 HYDROCORTISONE SOD SUCC (PF) 100 MG/2 ML INJ SOLR $88.14 0009-0011-04 HYDROCORTISONE SOD SUCC (PF) 100 MG/2 ML INJ SOLR $88.15 0009-0013-05 HYDROCORTISONE SOD SUCC (PF) 250 MG/2 ML INJ SOLR $171.18 0009-0013-06 HYDROCORTISONE SOD SUCC (PF) 250 MG/2 ML INJ SOLR $171.19 0009-0016-12 HYDROCORTISONE SOD SUCC (PF) 500 MG/4 ML INJ SOLR $326.16 99998-005-08 HYDROCORTISONE SOD SUCCINATE 1 MG/ML INJ DILUTION (MCH) $1.00 99999-006-77 HYDROCORTISONE SOD SUCCINATE 10 MG/ML INJ DILUTION (MCH) $2.91 0009-0825-01 HYDROCORTISONE SOD SUCCINATE 100 MG INJ SOLR $65.22 99999-005-67 HYDROCORTISONE SOD SUCCINATE 5 MG/ML INJ DILUTION (MCH) $1.45 51672-1290-1 HYDROCORTISONE VALERATE 0.2 % TOPICAL CREAM $429.75 0472-0339-56 HYDROCORTISONE-ALOE VERA 1 % TOPICAL CREAM $7.90 0904-7623-31 HYDROCORTISONE-ALOE VERA 1 % TOPICAL CREAM $8.57 51672-2013-2 HYDROCORTISONE-ALOE VERA 1 % TOPICAL CREAM $19.77 8137003658 HYDROCORTISONE-OATMEAL-ALOE-E 1 % TOPICAL CREAM $21.50 45802-144-64 HYDROCORTISONE-PRAMOXINE 1-1 % RECTAL CREAM $727.92 0037-6822-10 HYDROCORTISONE-PRAMOXINE 1-1 % RECTAL FOAM $942.42 49348-179-34 HYDROGEN PEROXIDE 3 % MISC SOLN $118.00 53329-980-04 HYDROGEN PEROXIDE 3 % MISC SOLN $3.54 76045-121-01 HYDROMORPHONE (PF) 0.2 MG/ML INJ SYRG $18.00 76045-121-11 HYDROMORPHONE (PF) 0.2 MG/ML INJ SYRG $18.00 0409-2634-01 HYDROMORPHONE (PF) 10 MG/ML INJ SOLN $25.13 0409-2634-05 HYDROMORPHONE (PF) 10 MG/ML INJ SOLN $66.96 0409-2634-25 HYDROMORPHONE (PF) 10 MG/ML INJ SOLN $66.96 0409-2634-50 HYDROMORPHONE (PF) 10 MG/ML INJ SOLN $724.20 0703-0018-01 HYDROMORPHONE (PF) 10 MG/ML INJ SOLN $621.00 0703-0113-01 HYDROMORPHONE (PF) 10 MG/ML INJ SOLN $58.78 0703-0113-03 HYDROMORPHONE (PF) 10 MG/ML INJ SOLN $58.78 17478-540-05 HYDROMORPHONE (PF) 10 MG/ML INJ SOLN $42.99 17478-540-50 HYDROMORPHONE (PF) 10 MG/ML INJ SOLN $612.00 63323-851-07 HYDROMORPHONE (PF) 10 MG/ML INJ SOLN $86.74 63323-851-15 HYDROMORPHONE (PF) 10 MG/ML INJ SOLN $86.74 63323-854-03 HYDROMORPHONE (PF) 4 MG/ML INJ SOLN $22.38 63323-854-10 HYDROMORPHONE (PF) 4 MG/ML INJ SOLN $22.38 99999-039-26 HYDROMORPHONE 0.1 MG/ML INJ DILUTION (MCH) $1.00 70004-300-69 HYDROMORPHONE 0.2 MG/ML IN NS 50 ML OPIOID NAIVE PCA (OCM) $99.00 0409-1283-04 HYDROMORPHONE 0.5 MG/0.5 ML INJ SOLN (MHS) $16.20 0409-1283-05 HYDROMORPHONE 0.5 MG/0.5 ML INJ SOLN (MHS) $16.20 76045-009-03 HYDROMORPHONE 0.5 MG/0.5 ML INJ SOLN (MHS) $21.60 76045-009-05 HYDROMORPHONE 0.5 MG/0.5 ML INJ SOLN (MHS) $21.60 76045-009-06 HYDROMORPHONE 0.5 MG/0.5 ML INJ SOLN (MHS) $24.90 76045-009-96 HYDROMORPHONE 0.5 MG/0.5 ML INJ SOLN (MHS) $24.90 99999-035-09 HYDROMORPHONE 1 MG/ML IN NS 100 ML OPIOID TOLERANT PCA $125.40 99999-044-01 HYDROMORPHONE 1 MG/ML IN NS 50 ML OPIOID NAIVE PCA (SLH) $565.20 99999-040-14 HYDROMORPHONE 1 MG/ML IN NS 50 ML OPIOID TOLERANT PCA $56.40 0409-1283-03 HYDROMORPHONE 1 MG/ML INJ SOLN (MHS) $15.36 0409-1283-31 HYDROMORPHONE 1 MG/ML INJ SOLN (MHS) $15.36 0409-2552-01 HYDROMORPHONE 1 MG/ML INJ SOLN (MHS) $10.57 63323-852-03 HYDROMORPHONE 1 MG/ML INJ SOLN (MHS) $21.60 63323-852-25 HYDROMORPHONE 1 MG/ML INJ SOLN (MHS) $21.60 76045-009-01 HYDROMORPHONE 1 MG/ML INJ SOLN (MHS) $24.90 76045-009-10 HYDROMORPHONE 1 MG/ML INJ SOLN (MHS) $21.60 76045-009-11 HYDROMORPHONE 1 MG/ML INJ SOLN (MHS) $24.90 99999-041-08 HYDROMORPHONE 1 MG/ML INJ SOLN (MHS) $1.45 0054-0386-63 HYDROMORPHONE 1 MG/ML ORAL LIQD "$1,362.24 " 99999-002-31 HYDROMORPHONE 100 MG IN D5W 100 ML DRIP $134.76 99999-002-33 HYDROMORPHONE 100MG IN NS 100ML DRIP $134.76 42858-301-25 HYDROMORPHONE 2 MG ORAL TAB $1.00 0409-1312-03 HYDROMORPHONE 2 MG/ML INJ SOLN (MHS) $16.44 0409-1312-30 HYDROMORPHONE 2 MG/ML INJ SOLN (MHS) $16.44 0409-3365-01 HYDROMORPHONE 2 MG/ML INJ SOLN (MHS) $9.36 0409-3459-07 HYDROMORPHONE 2 MG/ML INJ SOLN (MHS) $9.00 0641-6151-01 HYDROMORPHONE 2 MG/ML INJ SOLN (MHS) $18.00 0641-6151-25 HYDROMORPHONE 2 MG/ML INJ SOLN (MHS) $18.00 76045-010-00 HYDROMORPHONE 2 MG/ML INJ SOLN (MHS) $21.60 76045-010-01 HYDROMORPHONE 2 MG/ML INJ SOLN (MHS) $24.90 76045-010-10 HYDROMORPHONE 2 MG/ML INJ SOLN (MHS) $21.60 76045-010-11 HYDROMORPHONE 2 MG/ML INJ SOLN (MHS) $24.90 0409-3365-11 "HYDROMORPHONE 2 MG/ML INJ SOLN (PCA, PED NAIVE, COMPONENT)" $9.36 0641-0121-21 "HYDROMORPHONE 2 MG/ML INJ SOLN (PCA, PED NAIVE, COMPONENT)" $8.64 0641-0121-25 "HYDROMORPHONE 2 MG/ML INJ SOLN (PCA, PED NAIVE, COMPONENT)" $8.64 0641-2341-39 "HYDROMORPHONE 2 MG/ML INJ SOLN (PCA, PED NAIVE, COMPONENT)" $117.00 0641-2341-41 "HYDROMORPHONE 2 MG/ML INJ SOLN (PCA, PED NAIVE, COMPONENT)" $117.00 0574-7224-06 HYDROMORPHONE 3 MG RECTAL SUPP $58.88 0054-0264-24 HYDROMORPHONE 4 MG ORAL TAB $1.80 42858-302-25 HYDROMORPHONE 4 MG ORAL TAB $1.31 68084-472-01 HYDROMORPHONE 4 MG ORAL TAB $1.30 68084-472-11 HYDROMORPHONE 4 MG ORAL TAB $1.30 0409-1304-03 HYDROMORPHONE 4 MG/ML INJ SYRG $15.36 0409-1304-31 HYDROMORPHONE 4 MG/ML INJ SYRG $15.36 99999-033-04 HYDROMORPHONE 50MG IN NS 50 ML DRIP (OCM) $89.10 11704-370-01 HYDROXOCOBALAMIN 5 GRAM IV SOLR "$4,927.92 " 0378-0373-01 HYDROXYCHLOROQUINE 200 MG ORAL TAB $1.98 0781-5994-01 HYDROXYCHLOROQUINE 200 MG ORAL TAB $19.62 0904-7046-06 HYDROXYCHLOROQUINE 200 MG ORAL TAB $7.58 0904-7046-61 HYDROXYCHLOROQUINE 200 MG ORAL TAB $8.33 42292-011-01 HYDROXYCHLOROQUINE 200 MG ORAL TAB $17.45 42292-011-06 HYDROXYCHLOROQUINE 200 MG ORAL TAB $17.45 43598-721-01 HYDROXYCHLOROQUINE 200 MG ORAL TAB $3.11 57664-761-13 HYDROXYCHLOROQUINE 200 MG ORAL TAB $3.11 63304-296-01 HYDROXYCHLOROQUINE 200 MG ORAL TAB $3.27 63739-777-10 HYDROXYCHLOROQUINE 200 MG ORAL TAB $21.75 68382-096-05 HYDROXYCHLOROQUINE 200 MG ORAL TAB $6.52 16714-753-01 HYDROXYCHLOROQUINE 200 MG ORAL TAB FOR DISSOLVE (MCH) $7.54 57664-761-88 HYDROXYCHLOROQUINE 200 MG ORAL TAB FOR DISSOLVE (MCH) $3.27 68084-269-01 HYDROXYCHLOROQUINE 200 MG ORAL TAB FOR DISSOLVE (MCH) $11.70 68084-269-11 HYDROXYCHLOROQUINE 200 MG ORAL TAB FOR DISSOLVE (MCH) $11.70 68382-096-01 HYDROXYCHLOROQUINE 200 MG ORAL TAB FOR DISSOLVE (MCH) $6.87 99999-043-90 HYDROXYCHLOROQUINE 25 MG/ML ORAL LIQUID (COMPOUND) $1.18 HC89019038 HYDROXYPROLINE TOTAL URINE -AU $51.00 HC89008502 HYDROXYPROLINE TOTAL-AU $16.00 0003-6335-17 HYDROXYUREA (SICKLE CELL) 200 MG ORAL CAP $4.54 99999-033-02 HYDROXYUREA 100 MG/ML ORAL SOLUTION (COMPOUND) (MCH) $1.10 99999-040-21 HYDROXYUREA 40 MG/ML ORAL SUSPENSION (OCM) $108.00 99999-042-21 HYDROXYUREA 40 MG/ML ORAL SUSPENSION (OCM) $54.00 0003-0830-50 HYDROXYUREA 500 MG ORAL CAP $8.19 0555-0882-02 HYDROXYUREA 500 MG ORAL CAP $7.07 49884-724-01 HYDROXYUREA 500 MG ORAL CAP $3.36 68084-284-01 HYDROXYUREA 500 MG ORAL CAP $5.52 68084-284-11 HYDROXYUREA 500 MG ORAL CAP $5.52 10702-010-01 HYDROXYZINE HCL 10 MG ORAL TAB $1.00 16714-081-10 HYDROXYZINE HCL 10 MG ORAL TAB $1.00 63739-483-10 HYDROXYZINE HCL 10 MG ORAL TAB $1.37 68084-253-01 HYDROXYZINE HCL 10 MG ORAL TAB $1.62 68084-253-11 HYDROXYZINE HCL 10 MG ORAL TAB $1.62 60432-150-04 HYDROXYZINE HCL 10 MG/5 ML ORAL SOLN $95.58 60432-150-16 HYDROXYZINE HCL 10 MG/5 ML ORAL SOLN $192.98 0904-6617-61 HYDROXYZINE HCL 25 MG ORAL TAB $1.52 16714-082-10 HYDROXYZINE HCL 25 MG ORAL TAB $1.00 16714-082-11 HYDROXYZINE HCL 25 MG ORAL TAB $1.00 23155-106-01 HYDROXYZINE HCL 25 MG ORAL TAB $1.90 63739-486-10 HYDROXYZINE HCL 25 MG ORAL TAB $1.55 68084-254-01 HYDROXYZINE HCL 25 MG ORAL TAB $1.90 68084-254-11 HYDROXYZINE HCL 25 MG ORAL TAB $1.90 0517-4201-25 HYDROXYZINE HCL 25 MG/ML IM SOLN $116.16 99999-036-63 HYDROXYZINE HCL 5 MG ORAL PARTIAL TAB (MCH) $1.00 0904-6618-61 HYDROXYZINE HCL 50 MG ORAL TAB $2.05 16714-083-10 HYDROXYZINE HCL 50 MG ORAL TAB $1.00 68084-255-01 HYDROXYZINE HCL 50 MG ORAL TAB $2.28 68084-255-11 HYDROXYZINE HCL 50 MG ORAL TAB $2.28 0517-5601-25 HYDROXYZINE HCL 50 MG/ML IM SOLN $128.16 0517-5602-25 HYDROXYZINE HCL 50 MG/ML IM SOLN $203.58 0185-0674-01 HYDROXYZINE PAMOATE 25 MG ORAL CAP $1.00 68084-847-01 HYDROXYZINE PAMOATE 25 MG ORAL CAP $3.00 68084-847-11 HYDROXYZINE PAMOATE 25 MG ORAL CAP $3.00 0185-0615-01 HYDROXYZINE PAMOATE 50 MG ORAL CAP $1.00 HC89003594 HYDROXYZINE URINE-AU $113.00 99999-043-21 HYGROSCOPIC CERVICAL DILATOR ROD (DILAPAN-S) $59.40 5846800901 HYLAN G-F 20 16 MG/2 ML INTRAARTIC SYRG "$2,739.24 " 5846800902 HYLAN G-F 20 16 MG/2 ML INTRAARTIC SYRG "$2,739.24 " 42192-340-01 HYOSCYAMINE SULFATE 0.125 MG ORAL TAB $2.70 43199-013-01 HYOSCYAMINE SULFATE 0.125 MG ORAL TAB $4.03 42192-339-01 HYOSCYAMINE SULFATE 0.125 MG SL SUBL $2.70 64543-111-01 HYOSCYAMINE SULFATE 0.125 MG SL SUBL $6.42 54838-506-15 HYOSCYAMINE SULFATE 0.125 MG/ML ORAL DROP $116.91 43199-014-01 HYOSCYAMINE SULFATE 0.375 MG ORAL TB12 $7.68 51525-0115-1 HYOSCYAMINE SULFATE 0.375 MG ORAL TB12 $4.74 57629-203-10 HYOSCYAMINE SULFATE 0.375 MG ORAL TB12 $7.80 68220-115-10 HYOSCYAMINE SULFATE 0.375 MG ORAL TB12 $24.49 0037-9001-05 HYOSCYAMINE SULFATE 0.5 MG/ML INJ SOLN $357.68 54288-111-01 HYOSCYAMINE SULFATE 0.5 MG/ML INJ SOLN $396.00 54288-111-05 HYOSCYAMINE SULFATE 0.5 MG/ML INJ SOLN $396.00 HC89014237 HYPERSENSITIVITY PNEUMO I (PNL)-AU $6.00 HC47200142 HYPERTHERMIA EXTERNAL DEEP "$4,358.00 " HC47200134 HYPERTHERMIA EXTERNAL SUPERFCL "$3,182.00 " HC47200175 HYPERTHERMIA INTRACAVITARY "$3,033.00 " HC47200159 HYPERTHERMIA PROBE 1-5 APPS "$5,651.00 " HC47200167 HYPERTHERMIA PROBE 6+ APPS "$6,927.00 " 17238-610-15 HYPROMELLOSE 2.5 % OPHT DROP $38.97 17478-064-12 HYPROMELLOSE 2.5 % OPHT DROP $105.75 HC44001204 HYSTEROSALPINGOGRAM "$1,860.00 " HC25000373 I&D ABSCESS $742.00 HC25005398 I&D ABSCESS BARTHOLIN'S GLAND $526.00 HC21000476 I&D ABSCESS COMPLICATED MULT "$2,091.00 " HC51003838 I&D ABSCESS COMPLICATED MULT $565.00 HC25005281 I&D ABSCESS PERITONSILLAR BILAT $796.00 HC25005265 I&D ABSCESS PERITONSILLAR LT $585.00 HC25005273 I&D ABSCESS PERITONSILLAR RT $585.00 HC25005869 I&D ABSCESS RECTAL "$1,950.00 " HC51002657 I&D ABSCESS RECTAL "$1,791.00 " HC21000468 I&D ABSCESS SIMPLE SNGL "$1,617.00 " HC51003820 I&D ABSCESS SIMPLE SNGL $301.00 HC25005315 I&D ABSCESS SUBMUCSL RECTUM "$1,840.00 " HC25005380 I&D ABSCESS VULVA/PERINEUM $676.00 HC25004268 I&D ABSCESS/BURSA/HEMATOMA THIGH/KNEE DEEP BIL "$5,878.00 " HC25004243 I&D ABSCESS/BURSA/HEMATOMA THIGH/KNEE DEEP LT "$3,265.00 " HC25004250 I&D ABSCESS/BURSA/HEMATOMA THIGH/KNEE DEEP RT "$3,265.00 " HC25004383 I&D ABSCESS/HEMATOMA LEG/ANKLE DEEP BIL "$5,401.00 " HC25004367 I&D ABSCESS/HEMATOMA LEG/ANKLE DEEP LT "$2,997.00 " HC25004375 I&D ABSCESS/HEMATOMA LEG/ANKLE DEEP RT "$2,997.00 " HC25002817 I&D ABSCESS; COMPLICATED/MULT "$1,083.00 " HC25002809 I&D ABSCESS; SIMPLE/SINGLE $593.00 HC25000266 I&D HEMATOMA $623.00 HC21000385 I&D HEMATOMA OR FLUID COLL "$4,850.00 " HC51003846 I&D HEMATOMA OR FLUID COLL $653.00 HC25002841 I&D HEMATOMA/SEROMA/FLUID COLLECTION "$2,274.00 " HC25000944 I&D PERIANAL ABSCESS "$2,548.00 " HC21000500 I&D POLINIDAL CYST: COMPLICATE "$2,992.00 " HC21000484 I&D POLINIDAL CYST: SIMPLE "$1,256.00 " HC25002833 I&D POLINIDAL CYST; COMPLICATED "$1,756.00 " HC25002825 I&D POLINIDAL CYST; SIMPLE "$1,148.00 " HC21000492 I&D POST OP WOUND INF COMP' "$6,037.00 " HC25001397 I&D POSTOP WOUND $593.00 HC62808142 I:FECAL MICROBIOTA (FMP250) "$1,698.00 " HC89017156 "IA F-ACTIN ANTIBODY, IGG-AU" $6.00 HC38420030 IABP SERV/SUPPORT PER HR $159.00 HC84201409 IADNA-DNA/RNA PROBE TQ 12-25 GI PCR "$3,347.00 " 0004-0191-09 IBANDRONATE 3 MG/3 ML IV SYRG "$3,164.40 " 25021-822-73 IBANDRONATE 3 MG/3 ML IV SYRG "$1,499.99 " 25021-827-61 IBANDRONATE 3 MG/3 ML IV SYRG "$1,499.99 " 55150-191-83 IBANDRONATE 3 MG/3 ML IV SYRG "$1,440.00 " 67457-524-33 IBANDRONATE 3 MG/3 ML IV SYRG "$1,470.01 " 1093979633 IBUPROFEN 100 MG ORAL CHEW $1.00 49348-639-04 IBUPROFEN 100 MG ORAL CHEW $1.00 50580-932-01 IBUPROFEN 100 MG ORAL CHEW $1.34 1093990033 IBUPROFEN 100 MG/5 ML ORAL SUSP $44.64 0121-0917-05 IBUPROFEN 100 MG/5 ML ORAL SUSP $4.71 0121-1836-05 IBUPROFEN 100 MG/5 ML ORAL SUSP $4.38 0121-4774-05 IBUPROFEN 100 MG/5 ML ORAL SUSP $3.90 0904-5309-09 IBUPROFEN 100 MG/5 ML ORAL SUSP $34.56 45802-952-43 IBUPROFEN 100 MG/5 ML ORAL SUSP $150.41 49348-229-34 IBUPROFEN 100 MG/5 ML ORAL SUSP $24.48 66689-339-01 IBUPROFEN 100 MG/5 ML ORAL SUSP $5.52 66689-339-50 IBUPROFEN 100 MG/5 ML ORAL SUSP $5.52 68094-494-59 IBUPROFEN 100 MG/5 ML ORAL SUSP $4.38 68094-494-61 IBUPROFEN 100 MG/5 ML ORAL SUSP $4.35 68094-494-62 IBUPROFEN 100 MG/5 ML ORAL SUSP $4.35 68094-503-59 IBUPROFEN 100 MG/5 ML ORAL SUSP $7.26 68094-503-61 IBUPROFEN 100 MG/5 ML ORAL SUSP $7.26 68094-503-62 IBUPROFEN 100 MG/5 ML ORAL SUSP $7.32 99998-000-01 IBUPROFEN 100 MG/5 ML ORAL SUSP $1.59 99998-000-02 IBUPROFEN 100 MG/5 ML ORAL SUSP $14.64 99998-000-03 IBUPROFEN 100 MG/5 ML ORAL SUSP $18.30 99999-008-64 IBUPROFEN 100 MG/5 ML ORAL SUSP $10.98 99999-037-81 IBUPROFEN 100 MG/5 ML ORAL SUSP $4.32 1093935633 IBUPROFEN 200 MG ORAL TAB $1.00 0904-6747-59 IBUPROFEN 200 MG ORAL TAB $1.00 0904-6747-80 IBUPROFEN 200 MG ORAL TAB $1.00 0904-7912-59 IBUPROFEN 200 MG ORAL TAB $1.00 0904-7914-61 IBUPROFEN 200 MG ORAL TAB $1.00 57896-941-01 IBUPROFEN 200 MG ORAL TAB $1.00 0904-5853-61 IBUPROFEN 400 MG ORAL TAB $1.00 49483-602-01 IBUPROFEN 400 MG ORAL TAB $1.00 55111-682-05 IBUPROFEN 400 MG ORAL TAB $1.00 60687-446-01 IBUPROFEN 400 MG ORAL TAB $1.00 60687-446-11 IBUPROFEN 400 MG ORAL TAB $1.00 63739-672-10 IBUPROFEN 400 MG ORAL TAB $1.00 65162-464-10 IBUPROFEN 400 MG ORAL TAB $1.00 65162-464-50 IBUPROFEN 400 MG ORAL TAB $1.00 67877-319-01 IBUPROFEN 400 MG ORAL TAB $1.00 68084-658-01 IBUPROFEN 400 MG ORAL TAB $1.00 68084-658-11 IBUPROFEN 400 MG ORAL TAB $1.00 1093935233 IBUPROFEN 50 MG/1.25 ML ORAL DRPS $23.85 0904-5463-35 IBUPROFEN 50 MG/1.25 ML ORAL DRPS $31.59 50580-100-18 IBUPROFEN 50 MG/1.25 ML ORAL DRPS $26.82 0904-5854-61 IBUPROFEN 600 MG ORAL TAB $1.00 55111-683-05 IBUPROFEN 600 MG ORAL TAB $1.00 60687-457-01 IBUPROFEN 600 MG ORAL TAB $1.00 60687-457-11 IBUPROFEN 600 MG ORAL TAB $1.00 65162-465-10 IBUPROFEN 600 MG ORAL TAB $1.00 65162-465-50 IBUPROFEN 600 MG ORAL TAB $1.00 0904-5855-60 IBUPROFEN 800 MG ORAL TAB $1.00 0904-5855-61 IBUPROFEN 800 MG ORAL TAB $1.00 63739-691-01 IBUPROFEN 800 MG ORAL TAB $1.00 63739-691-10 IBUPROFEN 800 MG ORAL TAB $1.00 65162-466-10 IBUPROFEN 800 MG ORAL TAB $1.00 65162-466-50 IBUPROFEN 800 MG ORAL TAB $1.00 66220-287-08 IBUPROFEN 800 MG/8 ML (100 MG/ML) IV SOLR $104.11 HC89006746 IBUPROFEN; 1-2-AU $16.00 0009-3794-01 IBUTILIDE FUMARATE 0.1 MG/ML IV SOLN "$2,713.62 " 0009-3794-22 IBUTILIDE FUMARATE 0.1 MG/ML IV SOLN "$2,713.62 " 67457-366-10 IBUTILIDE FUMARATE 0.1 MG/ML IV SOLN "$1,789.80 " HC89020150 ICAM CHEMILUMINESCENT (PNL)-PR $28.00 0013-2576-91 IDARUBICIN 1 MG/ML IV SOLN $318.60 0013-2586-91 IDARUBICIN 1 MG/ML IV SOLN $637.08 0143-9217-01 IDARUBICIN 1 MG/ML IV SOLN $463.50 0143-9218-01 IDARUBICIN 1 MG/ML IV SOLN $803.28 0703-4155-11 IDARUBICIN 1 MG/ML IV SOLN $988.20 63323-194-20 IDARUBICIN 1 MG/ML IV SOLN "$1,378.20 " 0597-0197-05 IDARUCIZUMAB 2.5 GRAM/50 ML IV SOLN "$12,020.40 " HC82202078 IF STUDY DIRECT 1ST STAIN $488.00 HC83503813 IF STUDY DIRECT 1ST STAIN-CS $55.00 HC83503821 IF STUDY DIRECT PROF 1ST STAIN-CS $207.00 HC83504076 IF STUDY INDIRECT 1ST STAIN-CS $352.34 HC83505263 "IF, EACH ADD'L SINGLE AB STAIN-CS" $51.00 10019-925-01 IFOSFAMIDE 1 GRAM IV SOLR $220.44 10019-925-82 IFOSFAMIDE 1 GRAM IV SOLR $220.44 63323-142-10 IFOSFAMIDE 1 GRAM IV SOLR $348.30 0143-9531-01 IFOSFAMIDE 1 GRAM/20 ML IV SOLN $220.44 0338-3993-01 IFOSFAMIDE 3 GRAM IV SOLR $627.78 10019-926-02 IFOSFAMIDE 3 GRAM IV SOLR $645.24 10019-926-16 IFOSFAMIDE 3 GRAM IV SOLR $645.24 0143-9530-01 IFOSFAMIDE 3 GRAM/60 ML IV SOLN $645.12 HC89004204 IGA SER NEPHELOMETRY(PNL)-PR $20.00 HC89004535 IGA SER NEPHELOMETRY(PNL2)-PR $20.00 HC89008585 IGF BINDING PROTEIN-3-AU $18.00 HC89008593 IGF BINDING PROTEIN-3-ES $42.00 HC81701849 IGG SUBCLASS 1; EACH $303.00 HC81701856 IGG SUBCLASS 2; EACH $303.00 HC81701864 IGG SUBCLASS 3; EACH $303.00 HC81701872 IGG SUBCLASS 4; EACH $303.00 HC89008155 IGG SUBCLASS-AU $40.00 HC89002976 IGG SUBCLASS-QD $70.00 HC83504845 IHC EGFR QNT-NG $45.00 HC83504837 IHC MLH1 QNT-NG $45.00 HC83504852 IHC MSH2 QNT-NG $45.00 HC83505842 IHC/IP PER SPEC EA ADD AB STAIN+ - AP $40.00 HC82203795 IHC/IP PER SPEC EA ADD AB STAIN+ ACTH $448.00 HC82203415 IHC/IP PER SPEC EA ADD AB STAIN+ AFP $448.00 HC82204082 IHC/IP PER SPEC EA ADD AB STAIN+ ANTI-BCL-2 $448.00 HC82204090 IHC/IP PER SPEC EA ADD AB STAIN+ ANTI-CD3/HRP $448.00 HC82203514 IHC/IP PER SPEC EA ADD AB STAIN+ BCL-6 $448.00 HC83505610 IHC/IP PER SPEC EA ADD AB STAIN+ -CA $148.00 HC82203811 IHC/IP PER SPEC EA ADD AB STAIN+ CALCITON $448.00 HC82204314 IHC/IP PER SPEC EA ADD AB STAIN+ CALRETININ $448.00 HC82203522 IHC/IP PER SPEC EA ADD AB STAIN+ CAM5-2 $448.00 HC82204363 IHC/IP PER SPEC EA ADD AB STAIN+ CD10 $448.00 HC82204389 IHC/IP PER SPEC EA ADD AB STAIN+ CD117 $448.00 HC82203571 IHC/IP PER SPEC EA ADD AB STAIN+ CD-138 $448.00 HC82203530 IHC/IP PER SPEC EA ADD AB STAIN+ CD-1A $448.00 HC82203548 IHC/IP PER SPEC EA ADD AB STAIN+ CD-21 $448.00 HC82203555 IHC/IP PER SPEC EA ADD AB STAIN+ CD-23 $448.00 HC82203563 IHC/IP PER SPEC EA ADD AB STAIN+ CD-31 $448.00 HC82204322 IHC/IP PER SPEC EA ADD AB STAIN+ CD4 $448.00 HC82204330 IHC/IP PER SPEC EA ADD AB STAIN+ CD5 $448.00 HC82204371 IHC/IP PER SPEC EA ADD AB STAIN+ CD56 $448.00 HC82204108 IHC/IP PER SPEC EA ADD AB STAIN+ CD-68 $448.00 HC82204348 IHC/IP PER SPEC EA ADD AB STAIN+ CD7 $448.00 HC82204454 IHC/IP PER SPEC EA ADD AB STAIN+ CD-79A $448.00 HC82204355 IHC/IP PER SPEC EA ADD AB STAIN+ CD8 $448.00 HC82203589 IHC/IP PER SPEC EA ADD AB STAIN+ CDX-28 $448.00 HC82203365 IHC/IP PER SPEC EA ADD AB STAIN+ CEA $448.00 HC82203597 IHC/IP PER SPEC EA ADD AB STAIN+ CEA MONOCLON $448.00 HC82203399 IHC/IP PER SPEC EA ADD AB STAIN+ CHROMOGRAN $448.00 HC82203613 IHC/IP PER SPEC EA ADD AB STAIN+ CK-19 $448.00 HC82203605 IHC/IP PER SPEC EA ADD AB STAIN+ CK-5/6 $448.00 HC82204397 IHC/IP PER SPEC EA ADD AB STAIN+ CMV $448.00 HC82204603 IHC/IP PER SPEC EA ADD AB STAIN+ C-MYC $448.00 HC83505511 IHC/IP PER SPEC EA ADD AB STAIN+ -CS $40.00 HC82204116 IHC/IP PER SPEC EA ADD AB STAIN+ CYCLIN D1 $448.00 HC82203498 IHC/IP PER SPEC EA ADD AB STAIN+ CYTOCHM $448.00 HC82204124 IHC/IP PER SPEC EA ADD AB STAIN+ CYTOKERATIN-20 $448.00 HC82204132 IHC/IP PER SPEC EA ADD AB STAIN+ CYTOKERATIN-7 $448.00 HC82203837 IHC/IP PER SPEC EA ADD AB STAIN+ DESMIN $448.00 HC82203761 IHC/IP PER SPEC EA ADD AB STAIN+ DYSTROPH (C-TERM) $448.00 HC82203779 IHC/IP PER SPEC EA ADD AB STAIN+ DYSTROPH (N-TERM) $448.00 HC82203787 IHC/IP PER SPEC EA ADD AB STAIN+ DYSTROPH (ROD DOMAIN) $448.00 HC82203621 IHC/IP PER SPEC EA ADD AB STAIN+ E-CADHERIN $448.00 HC82204405 IHC/IP PER SPEC EA ADD AB STAIN+ EGFR $448.00 HC82203639 IHC/IP PER SPEC EA ADD AB STAIN+ EMA (MC5)(LIVER) $448.00 HC82203456 IHC/IP PER SPEC EA ADD AB STAIN+ EPI MEMBR $448.00 HC82203845 IHC/IP PER SPEC EA ADD AB STAIN+ ESTR RCPT $448.00 HC82204140 IHC/IP PER SPEC EA ADD AB STAIN+ EWINGS SARCOMA $448.00 HC82204157 IHC/IP PER SPEC EA ADD AB STAIN+ FACTOR 13-A $448.00 HC82203423 IHC/IP PER SPEC EA ADD AB STAIN+ FCTR 8 AG $448.00 HC82203852 IHC/IP PER SPEC EA ADD AB STAIN+ GASTRIN $448.00 HC82204587 IHC/IP PER SPEC EA ADD AB STAIN+ GATA-3 $448.00 HC82203431 IHC/IP PER SPEC EA ADD AB STAIN+ GFAP $448.00 HC82203860 IHC/IP PER SPEC EA ADD AB STAIN+ GLUCAGON $448.00 HC82204165 IHC/IP PER SPEC EA ADD AB STAIN+ GROWTH HORM $448.00 HC82204629 IHC/IP PER SPEC EA ADD AB STAIN+ H PYLORI $448.00 HC82203449 IHC/IP PER SPEC EA ADD AB STAIN+ HCG $448.00 HC82203647 IHC/IP PER SPEC EA ADD AB STAIN+ HEPPAR $448.00 HC82204298 IHC/IP PER SPEC EA ADD AB STAIN+ HER-2-NEU $448.00 HC82203878 IHC/IP PER SPEC EA ADD AB STAIN+ HERPES POLYV $448.00 HC82203357 IHC/IP PER SPEC EA ADD AB STAIN+ HMB-45 $448.00 HC82203829 IHC/IP PER SPEC EA ADD AB STAIN+ HPCA-1 $448.00 HC82204645 IHC/IP PER SPEC EA ADD AB STAIN+ HSV-1 $448.00 HC82204660 IHC/IP PER SPEC EA ADD AB STAIN+ HSV-2 $448.00 HC82203654 IHC/IP PER SPEC EA ADD AB STAIN+ IGD $448.00 HC82203662 IHC/IP PER SPEC EA ADD AB STAIN+ INHIBIN $448.00 HC82203670 IHC/IP PER SPEC EA ADD AB STAIN+ INI-1 $448.00 HC82203886 IHC/IP PER SPEC EA ADD AB STAIN+ INSULIN $448.00 HC82203894 IHC/IP PER SPEC EA ADD AB STAIN+ KAPPA $448.00 HC82203472 IHC/IP PER SPEC EA ADD AB STAIN+ KERATIN $448.00 HC82203688 IHC/IP PER SPEC EA ADD AB STAIN+ KERATIN (AE1/AE3) LN $448.00 HC82204173 IHC/IP PER SPEC EA ADD AB STAIN+ KERATIN 903 $448.00 HC82203696 IHC/IP PER SPEC EA ADD AB STAIN+ KERATIN HMWK $448.00 HC82203902 IHC/IP PER SPEC EA ADD AB STAIN+ KI-1 $448.00 HC82204199 IHC/IP PER SPEC EA ADD AB STAIN+ KI-67 $448.00 HC82203910 IHC/IP PER SPEC EA ADD AB STAIN+ KP-1 $448.00 HC82203928 IHC/IP PER SPEC EA ADD AB STAIN+ L26 AB $448.00 HC82203936 IHC/IP PER SPEC EA ADD AB STAIN+ LAMBDA $448.00 HC82203381 IHC/IP PER SPEC EA ADD AB STAIN+ LCA AP $448.00 HC82204207 IHC/IP PER SPEC EA ADD AB STAIN+ LEU M1 (CD15) $448.00 HC82203464 IHC/IP PER SPEC EA ADD AB STAIN+ LEU-22 $448.00 HC82203944 IHC/IP PER SPEC EA ADD AB STAIN+ LN 1 $448.00 HC82203951 IHC/IP PER SPEC EA ADD AB STAIN+ LN 2 $448.00 HC83505941 IHC/IP PER SPEC EA ADD AB STAIN+ -MA $193.70 HC82204413 IHC/IP PER SPEC EA ADD AB STAIN+ MELAN-A $448.00 HC82203803 IHC/IP PER SPEC EA ADD AB STAIN+ MONOCLNL BREAST $448.00 HC82204686 IHC/IP PER SPEC EA ADD AB STAIN+ MSH-2 $448.00 HC83505727 IHC/IP PER SPEC EA ADD AB STAIN+ MSH-2-NG $45.00 HC82204694 IHC/IP PER SPEC EA ADD AB STAIN+ MSH-6 $448.00 HC83505693 IHC/IP PER SPEC EA ADD AB STAIN+ MSH-6-NG $45.00 HC82203969 IHC/IP PER SPEC EA ADD AB STAIN+ MT-1 $448.00 HC82204215 IHC/IP PER SPEC EA ADD AB STAIN+ MT-1 $448.00 HC82203704 IHC/IP PER SPEC EA ADD AB STAIN+ MUM-1 $448.00 HC82203977 IHC/IP PER SPEC EA ADD AB STAIN+ MUSCLE $448.00 HC82204223 IHC/IP PER SPEC EA ADD AB STAIN+ MYELOPEROXIDASE $448.00 HC82203712 IHC/IP PER SPEC EA ADD AB STAIN+ MYOGENIN $448.00 HC82203985 IHC/IP PER SPEC EA ADD AB STAIN+ MYOGLOBIN $448.00 HC82203993 IHC/IP PER SPEC EA ADD AB STAIN+ NEURFLMNT $448.00 HC83505255 IHC/IP PER SPEC EA ADD AB STAIN+ -NG $45.00 HC82204009 IHC/IP PER SPEC EA ADD AB STAIN+ NSE $448.00 HC82204421 IHC/IP PER SPEC EA ADD AB STAIN+ P16 $448.00 HC82204231 IHC/IP PER SPEC EA ADD AB STAIN+ P-53 $448.00 HC82203720 IHC/IP PER SPEC EA ADD AB STAIN+ P63 $448.00 HC82204561 IHC/IP PER SPEC EA ADD AB STAIN+ PAX8 $448.00 HC82203738 IHC/IP PER SPEC EA ADD AB STAIN+ PGP 9.5 $448.00 HC83505248 IHC/IP PER SPEC EA ADD AB STAIN+ -PI $28.00 HC82204249 IHC/IP PER SPEC EA ADD AB STAIN+ PLAP $448.00 HC82204702 IHC/IP PER SPEC EA ADD AB STAIN+ PMS2 $448.00 HC83505701 IHC/IP PER SPEC EA ADD AB STAIN+ PMS2-NG $45.00 HC82204017 IHC/IP PER SPEC EA ADD AB STAIN+ PROGEST REC $448.00 HC82204256 IHC/IP PER SPEC EA ADD AB STAIN+ PROLACTIN $448.00 HC82204462 IHC/IP PER SPEC EA ADD AB STAIN+ PROS ACID PHOS $448.00 HC82203373 IHC/IP PER SPEC EA ADD AB STAIN+ PSA $448.00 HC82203340 IHC/IP PER SPEC EA ADD AB STAIN+ S100 $448.00 HC82204264 IHC/IP PER SPEC EA ADD AB STAIN+ SMMHC $448.00 HC82204025 IHC/IP PER SPEC EA ADD AB STAIN+ SMOOTH MUSC $448.00 HC82204033 IHC/IP PER SPEC EA ADD AB STAIN+ SOMATOSTN $448.00 HC82204546 IHC/IP PER SPEC EA ADD AB STAIN+ SOX10 $448.00 HC82203480 IHC/IP PER SPEC EA ADD AB STAIN+ SYNAPTOP $448.00 HC82204041 IHC/IP PER SPEC EA ADD AB STAIN+ T4 $448.00 HC82204272 IHC/IP PER SPEC EA ADD AB STAIN+ TERM DEOXZYTRANS $448.00 HC82203746 IHC/IP PER SPEC EA ADD AB STAIN+ TH $448.00 HC82204058 IHC/IP PER SPEC EA ADD AB STAIN+ THYROGLOBLN $448.00 HC82204439 IHC/IP PER SPEC EA ADD AB STAIN+ TTF-1 $448.00 HC82204306 IHC/IP PER SPEC EA ADD AB STAIN+ UBIQUITIN $448.00 HC82204066 IHC/IP PER SPEC EA ADD AB STAIN+ UCHL 1 $448.00 HC82204280 IHC/IP PER SPEC EA ADD AB STAIN+ UCHL-1 $448.00 HC82203407 IHC/IP PER SPEC EA ADD AB STAIN+ VIMENTIN $448.00 HC82203753 IHC/IP PER SPEC EA ADD AB STAIN+ WT-1 $448.00 HC82200528 IHC/IP PER SPEC INITIAL AB STAIN $515.00 HC83505834 IHC/IP PER SPEC INITIAL AB STAIN - AP $40.00 HC83502344 IHC/IP PER SPEC INITIAL AB STAIN (PNL 6&7)-HP $59.00 HC83504779 IHC/IP PER SPEC INITIAL AB STAIN (PNL X 4)-HP $88.00 HC83504787 IHC/IP PER SPEC INITIAL AB STAIN (PNL X 5)-HP $70.00 HC82201831 IHC/IP PER SPEC INITIAL AB STAIN ACTH $515.00 HC82200247 IHC/IP PER SPEC INITIAL AB STAIN AFP $515.00 HC82201849 IHC/IP PER SPEC INITIAL AB STAIN ANTI-BCL-2 $515.00 HC83504381 IHC/IP PER SPEC INITIAL AB STAIN ANTI-BCL-2 -BR $100.00 HC82202953 IHC/IP PER SPEC INITIAL AB STAIN BASAL CELL COCKTAIL $515.00 HC82202961 IHC/IP PER SPEC INITIAL AB STAIN BCL-6 $515.00 HC82201567 IHC/IP PER SPEC INITIAL AB STAIN BRST2 $515.00 HC82201575 IHC/IP PER SPEC INITIAL AB STAIN CALCITONIN $515.00 HC82202979 IHC/IP PER SPEC INITIAL AB STAIN CALRETIN $515.00 HC82202987 IHC/IP PER SPEC INITIAL AB STAIN CAM5-2 $515.00 HC82203043 IHC/IP PER SPEC INITIAL AB STAIN CD10 $515.00 HC82203092 IHC/IP PER SPEC INITIAL AB STAIN CD117 $515.00 HC82203100 IHC/IP PER SPEC INITIAL AB STAIN CD138 $515.00 HC82202995 IHC/IP PER SPEC INITIAL AB STAIN CD1A $515.00 HC82203050 IHC/IP PER SPEC INITIAL AB STAIN CD21 $515.00 HC82203068 IHC/IP PER SPEC INITIAL AB STAIN CD23 $515.00 HC82201856 IHC/IP PER SPEC INITIAL AB STAIN CD3 $515.00 HC82203076 IHC/IP PER SPEC INITIAL AB STAIN CD31 $515.00 HC82201583 IHC/IP PER SPEC INITIAL AB STAIN CD-34 $515.00 HC82203001 IHC/IP PER SPEC INITIAL AB STAIN CD4 $515.00 HC82203019 IHC/IP PER SPEC INITIAL AB STAIN CD5 $515.00 HC82203084 IHC/IP PER SPEC INITIAL AB STAIN CD56 $515.00 HC82201864 IHC/IP PER SPEC INITIAL AB STAIN CD-68 $515.00 HC82203027 IHC/IP PER SPEC INITIAL AB STAIN CD7 $515.00 HC82204447 IHC/IP PER SPEC INITIAL AB STAIN CD-79A $515.00 HC82203035 IHC/IP PER SPEC INITIAL AB STAIN CD8 $515.00 HC82203118 IHC/IP PER SPEC INITIAL AB STAIN CDX-2 $515.00 HC82200197 IHC/IP PER SPEC INITIAL AB STAIN CEA $515.00 HC82203126 IHC/IP PER SPEC INITIAL AB STAIN CEA MONOCLONAL $515.00 HC82200221 IHC/IP PER SPEC INITIAL AB STAIN CHROMOGRNIN $515.00 HC82203142 IHC/IP PER SPEC INITIAL AB STAIN CK-19 $515.00 HC82203134 IHC/IP PER SPEC INITIAL AB STAIN CK-5/6 $515.00 HC82203159 IHC/IP PER SPEC INITIAL AB STAIN CMV $515.00 HC82204595 IHC/IP PER SPEC INITIAL AB STAIN C-MYC $515.00 HC82201872 IHC/IP PER SPEC INITIAL AB STAIN CYCLIN D1 $515.00 HC82201880 IHC/IP PER SPEC INITIAL AB STAIN CYTO KERATIN-20 $515.00 HC82201898 IHC/IP PER SPEC INITIAL AB STAIN CYTO KERATIN-7 $515.00 HC82201591 IHC/IP PER SPEC INITIAL AB STAIN DESMIN $515.00 HC82201526 IHC/IP PER SPEC INITIAL AB STAIN DYSTROPH(C-TERMINUS) $515.00 HC82201534 IHC/IP PER SPEC INITIAL AB STAIN DYSTROPH(N-TERMINUS) $515.00 HC82201542 IHC/IP PER SPEC INITIAL AB STAIN DYSTROPH(ROD DOMAIN) $515.00 HC82203167 IHC/IP PER SPEC INITIAL AB STAIN E-CADHERIN $515.00 HC82203332 IHC/IP PER SPEC INITIAL AB STAIN EGFR $515.00 HC83504456 IHC/IP PER SPEC INITIAL AB STAIN -EM $80.00 HC82203175 IHC/IP PER SPEC INITIAL AB STAIN EMA (MC5)(LIVER) $515.00 HC82200288 IHC/IP PER SPEC INITIAL AB STAIN EPITH $515.00 HC82201609 IHC/IP PER SPEC INITIAL AB STAIN ESTROGN RECEPT $515.00 HC82201906 IHC/IP PER SPEC INITIAL AB STAIN EWINGS SARCOMA $515.00 HC82201914 IHC/IP PER SPEC INITIAL AB STAIN FACTOR 13-A $515.00 HC82200254 IHC/IP PER SPEC INITIAL AB STAIN FACTOR 8 $515.00 HC82201617 IHC/IP PER SPEC INITIAL AB STAIN GASTRIN $515.00 HC82204579 IHC/IP PER SPEC INITIAL AB STAIN GATA-3 $515.00 HC82200262 IHC/IP PER SPEC INITIAL AB STAIN GFAP $515.00 HC82201625 IHC/IP PER SPEC INITIAL AB STAIN GLUCAGON $515.00 HC82201922 IHC/IP PER SPEC INITIAL AB STAIN GROWTH HORMONE STN $515.00 HC82200270 IHC/IP PER SPEC INITIAL AB STAIN HCG $515.00 HC82203183 IHC/IP PER SPEC INITIAL AB STAIN HEPPAR $515.00 HC82202052 IHC/IP PER SPEC INITIAL AB STAIN HER-2-NEU $515.00 HC83503771 IHC/IP PER SPEC INITIAL AB STAIN HER-2-NEU -IM $124.00 HC83503789 IHC/IP PER SPEC INITIAL AB STAIN HER-2-NEU -US $154.00 HC82201633 IHC/IP PER SPEC INITIAL AB STAIN HERPES POLY $515.00 HC82200189 IHC/IP PER SPEC INITIAL AB STAIN HMB-45 $515.00 HC82204637 IHC/IP PER SPEC INITIAL AB STAIN HSV-1 $515.00 HC82204652 IHC/IP PER SPEC INITIAL AB STAIN HSV-2 $515.00 HC82203191 IHC/IP PER SPEC INITIAL AB STAIN IGD $515.00 HC82201559 IHC/IP PER SPEC INITIAL AB STAIN IHC/IP STAIN ACTH $515.00 HC83502351 IHC/IP PER SPEC INITIAL AB STAIN -IM $40.00 HC82203209 IHC/IP PER SPEC INITIAL AB STAIN INHIBIN $515.00 HC82203217 IHC/IP PER SPEC INITIAL AB STAIN INI-1 $515.00 HC82201641 IHC/IP PER SPEC INITIAL AB STAIN INSULIN $515.00 HC82201658 IHC/IP PER SPEC INITIAL AB STAIN KAPPA $515.00 HC82200304 IHC/IP PER SPEC INITIAL AB STAIN KERATIN $515.00 HC82203225 IHC/IP PER SPEC INITIAL AB STAIN KERATIN (AE1/AE1) LN $515.00 HC82201930 IHC/IP PER SPEC INITIAL AB STAIN KERATIN 903 $515.00 HC82203233 IHC/IP PER SPEC INITIAL AB STAIN KERATIN HMWK $515.00 HC82201666 IHC/IP PER SPEC INITIAL AB STAIN KI-1 $515.00 HC82201955 IHC/IP PER SPEC INITIAL AB STAIN KI-67 $515.00 HC82201674 IHC/IP PER SPEC INITIAL AB STAIN KP1 $515.00 HC82201682 IHC/IP PER SPEC INITIAL AB STAIN L26/CD 20 $515.00 HC82201690 IHC/IP PER SPEC INITIAL AB STAIN LAMBDA $515.00 HC82200213 IHC/IP PER SPEC INITIAL AB STAIN LCA/CD45 $515.00 HC82201963 IHC/IP PER SPEC INITIAL AB STAIN LEU MI (CD15) $515.00 HC82200296 IHC/IP PER SPEC INITIAL AB STAIN LEU-22/CD 43 $515.00 HC82201708 IHC/IP PER SPEC INITIAL AB STAIN LN1 $515.00 HC82201716 IHC/IP PER SPEC INITIAL AB STAIN LN2 $515.00 HC83502385 IHC/IP PER SPEC INITIAL AB STAIN -MA $193.70 HC82203241 IHC/IP PER SPEC INITIAL AB STAIN MELAN-A $515.00 HC82204678 IHC/IP PER SPEC INITIAL AB STAIN MLH-1 $515.00 HC83505719 IHC/IP PER SPEC INITIAL AB STAIN MLH-1-NG $45.00 HC82201724 IHC/IP PER SPEC INITIAL AB STAIN MT1 $515.00 HC82203258 IHC/IP PER SPEC INITIAL AB STAIN MUM-1 $515.00 HC82201732 IHC/IP PER SPEC INITIAL AB STAIN MUSCLE $515.00 HC82201989 IHC/IP PER SPEC INITIAL AB STAIN MYELOPEROXIDASE $515.00 HC82201740 IHC/IP PER SPEC INITIAL AB STAIN MYGLOBIN $515.00 HC82203266 IHC/IP PER SPEC INITIAL AB STAIN MYOGENIN $515.00 HC82201757 IHC/IP PER SPEC INITIAL AB STAIN NEUROFILAMENT $515.00 HC82201765 IHC/IP PER SPEC INITIAL AB STAIN NSE $515.00 HC82200437 IHC/IP PER SPEC INITIAL AB STAIN -OP $515.00 HC82203274 IHC/IP PER SPEC INITIAL AB STAIN P16 $515.00 HC82201997 IHC/IP PER SPEC INITIAL AB STAIN P-53 $515.00 HC82203282 IHC/IP PER SPEC INITIAL AB STAIN P63 $515.00 HC82204553 IHC/IP PER SPEC INITIAL AB STAIN PAX8 $515.00 HC82203290 IHC/IP PER SPEC INITIAL AB STAIN PGP 9.5 $515.00 HC82202003 IHC/IP PER SPEC INITIAL AB STAIN PLAP $515.00 HC83503656 IHC/IP PER SPEC INITIAL AB STAIN PLAP -IM $40.00 HC83503664 IHC/IP PER SPEC INITIAL AB STAIN PLAP -US $50.00 HC82201773 IHC/IP PER SPEC INITIAL AB STAIN PROGEST RECEPT $515.00 HC82202011 IHC/IP PER SPEC INITIAL AB STAIN PROLACTIN $515.00 HC83503672 IHC/IP PER SPEC INITIAL AB STAIN PROLACTIN -IM $40.00 HC83503680 IHC/IP PER SPEC INITIAL AB STAIN PROLACTIN -US $50.00 HC82200205 IHC/IP PER SPEC INITIAL AB STAIN PSA $515.00 HC82200171 IHC/IP PER SPEC INITIAL AB STAIN S100 $515.00 HC83503706 IHC/IP PER SPEC INITIAL AB STAIN SEND OUT -US $50.00 HC82202029 IHC/IP PER SPEC INITIAL AB STAIN SMMHC $515.00 HC83503714 IHC/IP PER SPEC INITIAL AB STAIN SMMHC -IM $89.00 HC83503722 IHC/IP PER SPEC INITIAL AB STAIN SMMHC -US $50.00 HC82201781 IHC/IP PER SPEC INITIAL AB STAIN SMOOTH MUSC $515.00 HC82201799 IHC/IP PER SPEC INITIAL AB STAIN SOMATOSATIN $515.00 HC82204538 IHC/IP PER SPEC INITIAL AB STAIN SOX10 $515.00 HC82200312 IHC/IP PER SPEC INITIAL AB STAIN SYNAPTOPH $515.00 HC82201807 IHC/IP PER SPEC INITIAL AB STAIN T4/CD 4 $515.00 HC82202037 IHC/IP PER SPEC INITIAL AB STAIN TERM DEOZY $515.00 HC83503730 IHC/IP PER SPEC INITIAL AB STAIN TERM DEOZY -IM $89.00 HC83503748 IHC/IP PER SPEC INITIAL AB STAIN TERM DEOZY -US $50.00 HC82203308 IHC/IP PER SPEC INITIAL AB STAIN TH $515.00 HC82201815 IHC/IP PER SPEC INITIAL AB STAIN THYROGLOBULIN $515.00 HC82203316 IHC/IP PER SPEC INITIAL AB STAIN TTF-1 $515.00 HC82202060 IHC/IP PER SPEC INITIAL AB STAIN UBIQUITIN STAIN $515.00 HC83503797 IHC/IP PER SPEC INITIAL AB STAIN UBIQUITIN STAIN -IM $40.00 HC83503805 IHC/IP PER SPEC INITIAL AB STAIN UBIQUITIN STAIN -US $50.00 HC82201823 IHC/IP PER SPEC INITIAL AB STAIN UCHL1 $515.00 HC83502369 IHC/IP PER SPEC INITIAL AB STAIN -US $180.00 HC82200239 IHC/IP PER SPEC INITIAL AB STAIN VIMENTIN $515.00 HC82203324 IHC/IP PER SPEC INITIAL AB STAIN WT-1 $515.00 HC25005430 IINJ ANES/STEROID NERVE/BRNCH PERIPH LT "$1,062.00 " HC27001601 ILEOSCOPY STOMA W/STENT(W/DILATE) "$6,833.00 " HC27001593 ILEOSCOPY THRU STOMA DILATN BALLOON "$6,104.00 " HC27001023 ILEOSCOPY THRU STOMA INCL COLLECTN "$5,788.00 " HC27001031 ILEOSCOPY THRU STOMA W/BIOPSY(S) "$6,097.00 " HC62227699 ILLUMINATOR STRIP RETRACTOR $650.00 43068-101-02 ILOPERIDONE 1 MG ORAL TAB $127.13 HC89017131 IM ASSAY TISSUE TG AB-AU $9.00 HC12200093 IM OR SQ INJECTION THERAPEUTIC $266.00 HC51000206 IM OR SQ INJECTION THERAPEUTIC $114.00 0078-0401-34 IMATINIB 100 MG ORAL TAB $561.83 16714-704-01 IMATINIB 100 MG ORAL TAB $262.85 47335-472-81 IMATINIB 100 MG ORAL TAB $19.67 60505-2900-9 IMATINIB 100 MG ORAL TAB $31.94 60687-192-11 IMATINIB 100 MG ORAL TAB $268.00 60687-192-21 IMATINIB 100 MG ORAL TAB $268.00 72485-202-90 IMATINIB 100 MG ORAL TAB $7.33 0078-0438-15 IMATINIB 400 MG ORAL TAB "$2,024.48 " 99999-038-54 IMATINIB 50 MG ORAL PARTIAL TAB $280.91 61755-025-00 IMDEVIMAB (REGN10987) 120 MG/ML IV SOLN $0.01 0006-3516-59 IMIPENEM-CILASTATIN 500 MG IV SOLR $195.91 63323-322-20 IMIPENEM-CILASTATIN 500 MG IV SOLR $117.60 63323-322-25 IMIPENEM-CILASTATIN 500 MG IV SOLR $150.00 63323-322-93 IMIPENEM-CILASTATIN 500 MG IV SOLR $75.00 99999-035-57 IMIPENEM-CILASTATIN IV (FOR DESENSITIZATION USE) $1.00 0781-1762-01 IMIPRAMINE HCL 10 MG ORAL TAB $1.55 49884-054-01 IMIPRAMINE HCL 10 MG ORAL TAB $1.00 53489-330-01 IMIPRAMINE HCL 10 MG ORAL TAB $1.00 0781-1764-01 IMIPRAMINE HCL 25 MG ORAL TAB $2.06 0781-1764-13 IMIPRAMINE HCL 25 MG ORAL TAB $2.69 49884-055-01 IMIPRAMINE HCL 25 MG ORAL TAB $1.44 53489-331-01 IMIPRAMINE HCL 25 MG ORAL TAB $1.42 0781-1766-01 IMIPRAMINE HCL 50 MG ORAL TAB $3.07 HC89006522 IMIPRAMINE; 1-2-AU $6.00 45802-368-00 IMIQUIMOD 5 % TOPICAL CRPK $167.50 45802-368-62 IMIQUIMOD 5 % TOPICAL CRPK $37.50 HC51010601 IMMNTX 1 STING INSECT /COMM $83.00 HC51010619 IMMNTX 2 STING INSECTS /COMM $123.00 HC51010627 IMMNTX 3 STING INSECTS /COMM $157.00 HC51010635 IMMNTX 4 STING INSECTS /COMM $190.00 HC51010643 IMMNTX 5 STING INSECTS /COMM $222.00 HC51080208 IMMOBILIZER KNEE $365.00 HC62203534 IMMOBILIZER SHOULDER $104.00 HC62225479 IMMOBILIZER SHOULDER PEDS $260.00 HC62203542 IMMOBILZER KNEE $46.00 0944-2717-10 IMMUN GLOB G(IGG)-GLY-IGA OV50 10 GRAM/100 ML (10 %) SUBCUTANEOUS SOLN "$11,614.20 " 0944-2715-25 IMMUN GLOB G(IGG)-GLY-IGA OV50 2.5 GRAM/25 ML (10 %) SUBCUTANEOUS SOLN "$2,903.55 " 0944-2718-20 IMMUN GLOB G(IGG)-GLY-IGA OV50 20 GRAM/200 ML (10 %) SUBCUTANEOUS SOLN "$23,228.40 " 0944-2719-30 IMMUN GLOB G(IGG)-GLY-IGA OV50 30 GRAM/300 ML (10 %) SUBCUTANEOUS SOLN "$34,842.60 " 0944-2716-05 IMMUN GLOB G(IGG)-GLY-IGA OV50 5 GRAM/50 ML (10 %) SUBCUTANEOUS SOLN "$5,807.10 " 44206-436-05 IMMUN GLOB G(IGG)-PRO-IGA 0-50 10 % IV SOLN "$4,260.00 " 44206-436-90 IMMUN GLOB G(IGG)-PRO-IGA 0-50 10 % IV SOLN "$4,260.00 " 44206-437-10 IMMUN GLOB G(IGG)-PRO-IGA 0-50 10 % IV SOLN "$8,520.00 " 44206-437-91 IMMUN GLOB G(IGG)-PRO-IGA 0-50 10 % IV SOLN "$8,520.00 " 44206-438-20 IMMUN GLOB G(IGG)-PRO-IGA 0-50 10 % IV SOLN "$17,040.00 " 44206-438-92 IMMUN GLOB G(IGG)-PRO-IGA 0-50 10 % IV SOLN "$17,040.00 " 44206-439-40 IMMUN GLOB G(IGG)-PRO-IGA 0-50 10 % IV SOLN "$34,080.00 " 44206-439-93 IMMUN GLOB G(IGG)-PRO-IGA 0-50 10 % IV SOLN "$34,080.00 " 0944-2658-04 IMMUN GLOB G-GLY-GLUC-IGA 0-50 10 GRAM IV SOLR "$11,275.20 " 0944-2659-08 IMMUN GLOB G-GLY-GLUC-IGA 0-50 10 GRAM IV SOLR "$11,275.20 " HC89011837 IMMUNE COMPLEX C1Q BIND-AU $147.00 HC89011845 IMMUNE COMPLEXES RAJI CELL-AU $148.00 HC89000442 IMMUNE COMPLEXES RAJI CELL-QD $29.00 13533-335-40 IMMUNE GLOB G (IGG)-GLYCINE 15-18 % RANGE IM SOLN $551.10 13533-635-04 IMMUNE GLOB G (IGG)-GLYCINE 15-18 % RANGE IM SOLN $551.10 13533-800-12 IMMUNE GLOBUL G-GLY-IGA AVG 46 1 GRAM/10 ML (10 %) INJ SOLN $780.72 13533-800-13 IMMUNE GLOBUL G-GLY-IGA AVG 46 1 GRAM/10 ML (10 %) INJ SOLN $780.72 13533-800-71 IMMUNE GLOBUL G-GLY-IGA AVG 46 10 GRAM/100 ML (10 %) INJ SOLN "$7,152.60 " 13533-800-72 IMMUNE GLOBUL G-GLY-IGA AVG 46 10 GRAM/100 ML (10 %) INJ SOLN "$7,152.60 " 13533-800-24 IMMUNE GLOBUL G-GLY-IGA AVG 46 20 GRAM/200 ML (10 %) INJ SOLN "$14,305.20 " 13533-800-40 IMMUNE GLOBUL G-GLY-IGA AVG 46 40 GRAM/400 ML (10 %) INJ SOLN "$28,610.40 " 13533-800-41 IMMUNE GLOBUL G-GLY-IGA AVG 46 40 GRAM/400 ML (10 %) INJ SOLN "$28,610.40 " 13533-800-20 IMMUNE GLOBUL G-GLY-IGA AVG 46 5 GRAM/50 ML (10 %) INJ SOLN "$3,576.00 " 13533-335-04 IMMUNE GLOBULIN (HUMAN) (IGG) IM INJ (MCH) $551.10 13533-335-12 IMMUNE GLOBULIN (HUMAN) (IGG) IM INJ (MCH) "$2,518.02 " 13533-335-13 IMMUNE GLOBULIN (HUMAN) (IGG) IM INJ (MCH) "$2,518.02 " HC12600011 IMMUNIZATION ADMIN ADD'L $170.00 HC51000149 IMMUNIZATION ADMIN ADD'L $46.00 HC12600003 IMMUNIZATION ADMIN SINGLE $201.00 HC51000131 IMMUNIZATION ADMIN SINGLE $110.00 HC89014229 IMMUNO ELEC GEL DIF EA(PNL)-AU $6.00 HC89011746 IMMUNO ELECT CSF-AT $19.00 HC89003289 IMMUNO ELECT CSF-QD $19.00 HC89023253 IMMUNO ELECT URINE (IFE)-AU $48.95 HC89016646 IMMUNO ELECT URINE-AU $37.00 HC89003214 IMMUNO ELECT URINE-QD $21.00 HC89003206 IMMUNO ELECT-QD $15.00 HC89018451 IMMUNOASSAY ANA QUANT (PNL)-PR $24.00 HC82202912 IMMUNOCYTOCHEMICAL STAIN $165.00 HC81701112 IMMUNOELECTROPHERESIS-SRM $298.00 HC81701492 IMMUNOFIX ELECT OTHER FLUIDS $353.00 HC81700767 IMMUNOFIX ELECTPH URINE $284.00 HC89011860 IMMUNOFIX ELECTROPHOR(PNL)-AU $10.00 HC89011852 IMMUNOFIX ELECTROPHORESIS-AU $15.00 HC89015739 IMMUNOFIXATION ELECT(URINE)-QD $30.00 HC81700353 IMMUNOFIXATION ELECTROPHORESIS $298.00 HC89018485 IMMUNOFLUOR' STUDY EA AB1ST STAIN(PNL)-PR $51.00 HC89008114 IMMUNOGLB IGA EA-AU $6.00 HC89008122 "IMMUNOGLB IGA,D,G,M EA-QD" $6.00 HC89020465 IMMUNOGLB IGG EA -AU $6.00 HC89020473 IMMUNOGLB IGM EA -AU $6.00 HC89000608 IMMUNOGLOB G INDEX(PNL)-AU $6.00 HC89018253 IMMUNOGLOB IGA AR-AU $7.00 HC89005375 IMMUNOGLOB IGA-AU $16.00 HC89002372 IMMUNOGLOBULIN D-QD $6.00 HC89017727 IMMUNOGLOBULIN G(PNL)-AU $9.00 HC81700593 IMMUNOGLOBULIN IGA $309.00 HC89008148 IMMUNOGLOBULIN IGD-AU $22.40 HC81700114 IMMUNOGLOBULIN IGE $385.00 HC89013627 IMMUNOGLOBULIN IGE-AU $9.00 HC89015408 IMMUNOGLOBULIN IGE-QD $21.00 HC81700601 IMMUNOGLOBULIN IGG $309.00 HC81700619 IMMUNOGLOBULIN IGM. $309.00 HC51010593 IMMUNOTHERAPY 2/> INJECTIONS /COMM $129.00 HC51010585 IMMUNOTHERAPY ONE INJECTION /COMM $88.00 HC51010569 IMMUNTX NOT INCL EXTRACT 1 INJ $65.00 HC51010577 IMMUNTX NOT INCL EXTRCT 2/+ INJ $70.00 HC51010726 IMMUNTX PREP-PROV 1/+AG BUG/ARTHPD $138.00 HC51010718 IMMUNTX PREP-PROV 1/+ANTIGNS $138.00 HC51010650 IMMUNTX PREP-PROV AG SNGL DOSE VL $75.00 HC51010668 IMMUNTX PREP-PROV AG1STING BUG VNM $52.00 HC51010676 IMMUNTX PREP-PROV AG2STING BUG VNM $145.00 HC51010684 IMMUNTX PREP-PROV AG3STING BUG VNM $144.00 HC51010692 IMMUNTX PREP-PROV AG4STING BUG VNM $144.00 HC51010700 IMMUNTX PREP-PROV AG5STING BUG VNM $144.00 HC44700243 IMPLANT CARDIAC RHYTHM MONITOR SQ & PROGRAMMING "$15,116.00 " HC51002608 IMPLANT PELLET(S) HORMONE SUBQ $252.00 HC23000326 IMPLNT/REV/REPOS TUN EPI CATH "$11,463.00 " HC47201090 "IMRT TX DELIVERY, GUIDE&TRACK CMPLX" "$10,284.00 " HC47201082 "IMRT TX DELIVERY,GUIDE&TRACK SIMPLE" "$7,651.00 " HC47200183 IMRT TX PLAN "$18,388.00 " HC44701548 INCISE FEMEROL; DELIVERY EVS PROTH "$15,433.00 " HC43000827 INCISION BREAST LESION-LT "$3,556.00 " HC43000819 INCISION BREAST LESION-RT "$3,556.00 " HC25000951 INCISION EXTERNAL HEMORRHOID "$1,297.00 " 0228-2597-11 INDAPAMIDE 1.25 MG ORAL TAB $1.91 0378-0069-01 INDAPAMIDE 1.25 MG ORAL TAB $1.75 62559-510-01 INDAPAMIDE 1.25 MG ORAL TAB $1.00 0228-2571-11 INDAPAMIDE 2.5 MG ORAL TAB $2.52 0378-0080-01 INDAPAMIDE 2.5 MG ORAL TAB $1.91 HC89015242 INDERAL - AU $19.00 HC89001184 INDERAL-QD $60.00 0517-0375-01 INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) INJ SOLN "$1,087.02 " 0517-0375-05 INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) INJ SOLN "$1,087.02 " 0517-0375-10 INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) INJ SOLN $43.20 17156-021-01 INDIUM IN-111 OXYQUINOLINE 1 MCI/ML (37 MBQ/ML)(1 ML) IV SOLN "$11,622.81 " 17238-424-06 INDOCYANINE GREEN 25 MG INJ SOLR $475.00 17238-424-25 INDOCYANINE GREEN 25 MG INJ SOLR $475.00 17478-701-02 INDOCYANINE GREEN 25 MG INJ SOLR $683.59 17478-701-25 INDOCYANINE GREEN 25 MG INJ SOLR $683.59 70100-424-01 INDOCYANINE GREEN 25 MG INJ SOLR $581.00 70100-424-02 INDOCYANINE GREEN 25 MG INJ SOLR $581.00 99999-033-14 INDOMETHACIN / NACL 0.9% (OCM) "$3,173.64 " 99999-002-47 INDOMETHACIN 0.5MG/1ML SYRINGE "$1,586.82 " 23155-010-01 INDOMETHACIN 25 MG ORAL CAP $1.00 31722-542-01 INDOMETHACIN 25 MG ORAL CAP $1.00 50268-430-11 INDOMETHACIN 25 MG ORAL CAP $2.15 50268-430-15 INDOMETHACIN 25 MG ORAL CAP $2.15 68462-406-01 INDOMETHACIN 25 MG ORAL CAP $1.21 68462-406-10 INDOMETHACIN 25 MG ORAL CAP $1.00 69344-101-01 INDOMETHACIN 25 MG/5 ML ORAL SUSP "$11,762.78 " 23155-011-01 INDOMETHACIN 50 MG ORAL CAP $1.34 23155-011-05 INDOMETHACIN 50 MG ORAL CAP $1.31 31722-543-01 INDOMETHACIN 50 MG ORAL CAP $1.34 68462-302-01 INDOMETHACIN 50 MG ORAL CAP $1.49 69344-102-33 INDOMETHACIN 50 MG RECTAL SUPP "$1,120.98 " 0185-0720-60 INDOMETHACIN 75 MG ORAL CPSR $14.42 10702-016-06 INDOMETHACIN 75 MG ORAL CPSR $1.78 31722-565-01 INDOMETHACIN 75 MG ORAL CPSR $7.50 31722-565-60 INDOMETHACIN 75 MG ORAL CPSR $7.50 65162-506-06 INDOMETHACIN 75 MG ORAL CPSR $8.84 0409-1113-01 INDOMETHACIN SODIUM 1 MG IV SOLR "$2,760.00 " 63323-659-03 INDOMETHACIN SODIUM 1 MG IV SOLR "$3,173.64 " 63323-659-09 INDOMETHACIN SODIUM 1 MG IV SOLR "$2,376.00 " 68382-470-01 INDOMETHACIN SODIUM 1 MG IV SOLR "$2,760.00 " HC44700250 INDUCTION OF ARRHYTHMIA "$6,324.00 " HC12200192 INF CNTR-ESTBD PT EVAL MINOR $303.00 HC12200200 INF CNTR-ESTB'D PT EVAL MOD/HI $465.00 HC12200218 INF CNTR-ESTBL'D PT EVAL BRIEF $207.00 HC12200226 INF CNTR-ESTBLD PT EVAL LOWMOD $354.00 HC12200234 INF CNTR-ESTBL'D PT EVAL-CMPLX $609.00 HC12200184 INF CNTR-NEW PT EVAL COMPLEX $630.00 HC12200176 INF CNTR-NEW PT EVAL HI/MOD $467.00 HC12200150 INF CNTR-NEW PT EVAL LOW/MOD $289.00 HC12200168 INF CNTR-NEW PT EVAL MODERATE $358.00 HC11500881 INFANT EXAM 20 MIN $224.00 HC41500281 INFANT HEARING SCREEN AEP BBS AUTO INITIAL IP "$1,134.00 " HC41500299 INFANT HEARING SCREEN AEP BBS AUTO INITIAL OP $791.00 HC41500307 INFANT HEARING SCREEN AEP BBS AUTO REPEAT OP $813.00 HC44001212 INFANT LOW EXT MIN 2VWS BILAT "$1,483.00 " HC44001220 INFANT LOW EXTREM MIN 2VWS LT $793.00 HC44001238 INFANT LOW EXTREM MIN 2VWS RT $793.00 HC44001246 INFANT UP EXTREM MIN 2VW BILAT "$1,406.00 " HC44001253 INFANT UP EXTREM MIN 2VWS LT $691.00 HC44001261 INFANT UP EXTREM MIN 2VWS RT $691.00 HC89005193 INFCT AGNT ADENO DNA PCR-FT $315.00 HC89005219 INFCT AGNT ADENO DNA(RFX QT-FT $269.00 HC89005086 INFECT AGNT-VARIC ZSTR PCR-FT $269.00 HC62222849 INFLATOR FOR BALLOON F $156.00 HC62209283 INFLATOR FOR BALLOON K $273.00 HC62216791 INFLATOR FOR BALLOON U $611.00 57894-030-01 INFLIXIMAB 100 MG IV SOLR "$7,006.92 " 0069-0809-01 INFLIXIMAB-DYYB 100 MG IV SOLR "$5,677.68 " HC89005631 INFLUENZA A ANTIBODY-FT $63.00 HC81101727 INFLUENZA A BY PCR $449.00 HC84201219 INFLUENZA A BY PCR $449.00 HC84200872 INFLUENZA A FA ANTIGEN $252.00 HC84200948 INFLUENZA A OR B EIA EACH $235.00 HC84201342 INFLUENZA A OR B EIA EACH (POS) $235.00 HC89014377 INFLUENZA A SEROLOGY-AU $11.00 HC89000236 INFLUENZA A SEROLOGY-QD $23.00 HC89005482 "INFLUENZA A&B ABS, IGG/IGM-AU" $10.35 HC84201169 INFLUENZA A&B BY PCR (RVP PNL) $975.00 HC84200427 INFLUENZA ANTIGEN DIRECT OPT $171.00 HC89005649 INFLUENZA B ANTIBODY-FT $63.00 HC81101735 INFLUENZA B BY PCR $449.00 HC84201227 INFLUENZA B BY PCR $449.00 HC84200864 INFLUENZA B FA ANTIGEN $252.00 HC89014385 INFLUENZA B SEROLOGY-AU $11.00 HC89000202 INFLUENZA B SEROLOGY-QD $34.00 HC84201151 INFLUENZA H1N1 BY PCR $304.00 HC62208848 INFUSION WIRE $260.00 HC36000214 INHAL W/GAS TX SUBSQ SAME DAY $445.00 HC25000969 INHALATION TREATMENT INITIAL $408.00 HC51004042 INHALATION TREATMENT INITIAL $225.00 HC25000977 INHALATION TX SUBSQ SAME DAY $397.00 HC36000206 INHALATION W/GAS TX INITIAL $483.00 HC81500910 INHIB CLOT PROTEIN S FREE (FUNC) $496.00 HC81500464 INHIB PROTEIN C ACTIVITY $435.00 HC89010664 INHIB PROTEIN C ACTIVITY-AU $24.00 HC89015655 INHIB PROTEIN C ACTIVITY-QD $27.00 HC81500456 INHIB PROTEIN C AG $286.00 HC89010680 INHIB PROTEIN S FREE (FUNC)-AU $16.00 HC89015663 INHIB PROTEIN S FREE (FUNC)-QD $30.00 HC81500472 INHIB PROTEIN S TOTAL $314.00 HC89010672 INHIB PROTEIN S TOTAL-AU $15.00 HC89015986 INHIBIN A-QD $12.00 HC12400115 INITIATE PROLONG CHEMO INFUSION PORTBL PUMP &F/U VISIT "$2,175.00 " HC12400057 INITIATE PROLONG CHEMO INFUSION VIA PUMP "$1,992.00 " HC12200259 INITIATE PROLONG THERA INFUSION VIA PUMP "$1,640.00 " HC23001506 INJ L/S F /IMAGE 3RD+& LVL BI "$4,642.00 " HC23001498 INJ L/S F /IMAGE 3RD+& LVL LT "$2,410.00 " HC23001480 INJ L/S F /IMAGE 3RD+& LVL RT "$2,410.00 " HC23001449 INJ L/S F W/IMAGE 1ST LVL BIL "$10,853.00 " HC23001431 INJ L/S F W/IMAGE 1ST LVL LT "$5,428.00 " HC23001423 INJ L/S F W/IMAGE 1ST LVL RT "$5,428.00 " HC23001472 INJ L/S F W/IMAGE 2ND LVL BIL "$5,085.00 " HC23001464 INJ L/S F W/IMAGE 2ND LVL LT "$2,476.00 " HC23001456 INJ L/S F W/IMAGE 2ND LVL RT "$2,476.00 " HC46000014 INJ AIR/CONTRAST PERITONEAL CAVITY "$3,414.00 " HC23000391 INJ ANES/STEROID BRACHIAL PLEXUS "$1,864.00 " HC23001639 INJ ANES/STEROID BRACHIAL PLEXUS BI "$3,718.00 " HC23001621 INJ ANES/STEROID BRACHIAL PLEXUS LT "$1,864.00 " HC23001613 INJ ANES/STEROID BRACHIAL PLEXUS RT "$1,864.00 " HC23001696 INJ ANES/STEROID ILIOINGNL/ILIOHYPOGAS BI "$2,934.00 " HC23001688 INJ ANES/STEROID ILIOINGNL/ILIOHYPOGAS LT "$1,497.00 " HC23000797 INJ ANES/STEROID ILIOINGNL/ILIOHYPOGAS NERVE "$1,497.00 " HC23001670 INJ ANES/STEROID ILIOINGNL/ILIOHYPOGAS RT "$1,497.00 " HC23000839 INJ ANES/STEROID INTERCOSTAL ADDL EA "$4,220.00 " HC23001662 INJ ANES/STEROID INTERCOSTAL ADDL EA BI "$6,705.00 " HC23001654 INJ ANES/STEROID INTERCOSTAL ADDL EA LT "$3,783.00 " HC23001647 INJ ANES/STEROID INTERCOSTAL ADDL EA RT "$3,783.00 " HC23000367 INJ ANES/STEROID NERVE AXILLARY BIL "$2,471.00 " HC23000375 INJ ANES/STEROID NERVE AXILLARY LT "$1,422.00 " HC23000383 INJ ANES/STEROID NERVE AXILLARY RT "$1,422.00 " HC23000649 INJ ANES/STEROID NERVE FEMORAL BIL "$3,051.00 " HC23000656 INJ ANES/STEROID NERVE FEMORAL LT "$1,548.00 " HC23000664 INJ ANES/STEROID NERVE FEMORAL RT "$1,548.00 " HC23001910 INJ ANES/STEROID NERVE GENICULAR IMAGE GUIDE "$1,912.00 " HC23001928 INJ ANES/STEROID NERVE GENICULAR IMAGE GUIDE BI "$2,986.00 " HC23001936 INJ ANES/STEROID NERVE GENICULAR IMAGE GUIDE LT "$1,912.00 " HC23001944 INJ ANES/STEROID NERVE GENICULAR IMAGE GUIDE RT "$1,912.00 " HC23000821 INJ ANES/STEROID NERVE INTERCOSTAL SINGL "$3,016.00 " HC23000334 INJ ANES/STEROID NERVE OCCIPITAL GREAT "$1,216.00 " HC23001571 INJ ANES/STEROID NERVE OCCIPITL GREAT BI "$2,451.00 " HC25005893 INJ ANES/STEROID NERVE OCCIPITL GREAT BI $727.00 HC23001563 INJ ANES/STEROID NERVE OCCIPITL GREAT LT "$1,216.00 " HC25005901 INJ ANES/STEROID NERVE OCCIPITL GREAT LT $492.00 HC23001555 INJ ANES/STEROID NERVE OCCIPITL GREAT RT "$1,216.00 " HC25005919 INJ ANES/STEROID NERVE OCCIPITL GREAT RT $492.00 HC23000946 INJ ANES/STEROID NERVE PUDENDAL BIL "$4,950.00 " HC23000953 INJ ANES/STEROID NERVE PUDENDAL LT "$2,605.00 " HC23000961 INJ ANES/STEROID NERVE PUDENDAL RT "$2,605.00 " HC23000425 INJ ANES/STEROID NERVE SCIATIC BIL "$3,761.00 " HC23000433 INJ ANES/STEROID NERVE SCIATIC LT "$2,048.00 " HC23000441 INJ ANES/STEROID NERVE SCIATIC RT "$2,048.00 " HC23001878 INJ ANES/STEROID NERVE SI JOINT INNRV W/IMAGE "$1,705.00 " HC23001886 INJ ANES/STEROID NERVE SI JOINT INNRV W/IMAGE BI "$2,805.00 " HC23001894 INJ ANES/STEROID NERVE SI JOINT INNRV W/IMAGE LT "$1,705.00 " HC23001902 INJ ANES/STEROID NERVE SI JOINT INNRV W/IMAGE RT "$1,705.00 " HC23000458 INJ ANES/STEROID NERVE SUPRASCAP BI "$2,795.00 " HC23000466 INJ ANES/STEROID NERVE SUPRASCAP LT "$1,490.00 " HC23000474 INJ ANES/STEROID NERVE SUPRASCAP RT "$1,490.00 " HC23001035 INJ ANES/STEROID NERVE TRIGEML BRNCH EA "$1,032.00 " HC23001530 INJ ANES/STEROID NERVE TRIGEML BRNCH EA BI "$2,057.00 " HC25005422 INJ ANES/STEROID NERVE TRIGEML BRNCH EA BI $939.00 HC23001522 INJ ANES/STEROID NERVE TRIGEML BRNCH EA LT "$1,032.00 " HC25005406 INJ ANES/STEROID NERVE TRIGEML BRNCH EA LT $568.00 HC23001514 INJ ANES/STEROID NERVE TRIGEML BRNCH EA RT "$1,032.00 " HC25005414 INJ ANES/STEROID NERVE TRIGEML BRNCH EA RT $568.00 HC23000482 INJ ANES/STEROID NERVE VAGUS "$1,694.00 " HC23000904 INJ ANES/STEROID NERVE/BRNCH PERIPH BIL "$3,311.00 " HC25005455 INJ ANES/STEROID NERVE/BRNCH PERIPH BIL "$2,274.00 " HC23000912 INJ ANES/STEROID NERVE/BRNCH PERIPH LT "$1,839.00 " HC23000920 INJ ANES/STEROID NERVE/BRNCH PERIPH RT "$1,839.00 " HC25005448 INJ ANES/STEROID NERVE/BRNCH PERIPH RT "$1,062.00 " HC46001277 "INJ ANTEGRAD COMP(NEPH/URET'GRM,S&I)NEW ACCESS BI" "$10,332.00 " HC46001285 "INJ ANTEGRAD COMP(NEPH/URET'GRM,S&I)NEW ACCESS LT" "$5,904.00 " HC46001293 "INJ ANTEGRAD COMP(NEPH/URET'GRM,S&I)NEW ACCESS RT" "$5,904.00 " HC46001301 "INJ ANTEGRAD NEPH/URET'GRM,S&I EXIST ACCESS BI" "$6,764.00 " HC51060978 "INJ ANTEGRAD NEPH/URET'GRM,S&I EXIST ACCESS BI" "$1,576.00 " HC46001319 "INJ ANTEGRAD NEPH/URET'GRM,S&I EXIST ACCESS LT" "$3,856.00 " HC51060986 "INJ ANTEGRAD NEPH/URET'GRM,S&I EXIST ACCESS LT" "$1,050.00 " HC46001327 "INJ ANTEGRAD NEPH/URET'GRM,S&I EXIST ACCESS RT" "$3,856.00 " HC51060994 "INJ ANTEGRAD NEPH/URET'GRM,S&I EXIST ACCESS RT" "$1,050.00 " HC44500882 INJ ART OCCLUS AVM SPINAL "$3,898.00 " HC46000030 INJ ARTHRO HIP W/ANESTH-LT "$1,975.00 " HC46000048 INJ ARTHRO HIP W/ANESTH-RT "$1,975.00 " HC46001111 INJ ARTHRO HIP W/ANESTH-SC BIL "$3,559.00 " HC46001095 INJ ARTHRO/CT/MRI SHOULDER-BIL "$3,000.00 " HC46000063 INJ ARTHRO/CT/MRI SHOULDER-LT "$1,708.00 " HC46000071 INJ ARTHRO/CT/MRI SHOULDER-RT "$1,708.00 " HC46000097 INJ ARTHROGRAM ANKLE-LT "$1,068.00 " HC46000105 INJ ARTHROGRAM ANKLE-RT "$1,068.00 " HC46001137 INJ ARTHROGRAM ANKLE-SC BIL "$2,128.00 " HC46000121 INJ ARTHROGRAM ELBOW-LT "$1,661.00 " HC46000139 INJ ARTHROGRAM ELBOW-RT "$1,661.00 " HC46001103 INJ ARTHROGRAM ELBOW-SC BIL "$2,991.00 " HC46000147 INJ ARTHROGRAM TMJ $792.00 HC46000162 INJ ARTHROGRAM WRIST-LT "$1,179.00 " HC46000170 INJ ARTHROGRAM WRIST-RT "$1,179.00 " HC23000516 INJ CELIAC PLEXUS "$4,251.00 " HC23001381 INJ CER/THOR F/IMAGE 2ND LVLBI "$4,500.00 " HC23001373 INJ CER/THOR F/IMAGE 2ND LVLLT "$2,431.00 " HC23001365 INJ CER/THOR F/IMAGE 2ND LVLRT "$2,431.00 " HC23001357 INJ CER/THOR F/IMAGE SNG LVLBI "$9,739.00 " HC23001340 INJ CER/THOR F/IMAGE SNG LVLLT "$5,095.00 " HC23001332 INJ CER/THOR F/IMAGE SNG LVLRT "$5,095.00 " HC23001415 INJ CER/THR F/IMAGE 3RD+&LVLBI "$2,962.00 " HC23001407 INJ CER/THR F/IMAGE 3RD+&LVLLT LT "$1,557.00 " HC23001399 INJ CER/THR F/IMAGE 3RD+&LVLRT RT "$1,557.00 " HC23000557 INJ CERVICAL PLEXUS BLOCK "$1,750.00 " HC23001605 INJ CERVICAL PLEXUS BLOCK BIL "$3,443.00 " HC23001597 INJ CERVICAL PLEXUS BLOCK LT "$1,750.00 " HC23001589 INJ CERVICAL PLEXUS BLOCK RT "$1,750.00 " HC44500890 INJ CHEMONUCLEOLYSIS "$5,497.00 " HC46001251 INJ CHOLANGIO PERC/S&I;EXIST ACCESS "$6,197.00 " HC46001269 INJ CHOLANGIO PERC/S&I;NEW ACCESS "$8,822.00 " HC46000212 INJ CONT-ASSESS CYST VIA CATH "$1,486.00 " HC46001335 INJ CONTRAST KNEE ARTHRO/CT/MRI "$1,386.00 " HC46000220 INJ CONTRAST-ASSESS PV SHUNT $946.00 HC46000238 INJ CORPORA CAVERNOSOGRAM "$2,118.00 " HC51003044 INJ CORPORA CAVERNOSOGRAM $603.00 HC46000253 INJ DISKOGRAM CS/TS EA LVL "$2,748.00 " HC46000261 INJ DISKOGRAM LUMBAR EA LVL "$4,160.00 " HC23001837 INJ DX/THER CERVICAL/THORACIC W/IMAG "$5,943.00 " HC23000979 INJ DX/THER CERVICAL/THORACIC W/O IMAG "$4,160.00 " HC23000987 INJ DX/THER LUMBAR/SACRAL W/O IMAG "$3,954.00 " HC46000287 INJ FOR CYSTOGRAM "$2,159.00 " HC51002145 INJ FOR CYSTOGRAM $483.00 HC46000311 INJ FOR DACRYCYSTOGRAPHY "$1,084.00 " HC46000378 INJ FOR RETRO URETHROCYSTO "$1,967.00 " HC46000386 INJ FOR SIALOGRAPHY "$1,367.00 " HC23000714 INJ FORAMN EPI C/T ADD+ W/S&I-L "$3,301.00 " HC23000722 INJ FORAMN EPI C/T ADD+ W/S&I-R "$3,301.00 " HC23000706 INJ FORAMN EPI C/T ADD+W/S&I-BI "$5,215.00 " HC23000680 INJ FORAMN EPI C/T INTL W/S&I-L "$5,300.00 " HC23000698 INJ FORAMN EPI C/T INTL W/S&I-R "$5,300.00 " HC23000672 INJ FORAMN EPI C/T INTLW/S&I-BI "$8,414.00 " HC23000763 INJ FORAMN EPI LMBR ADD+S&I-BI "$6,353.00 " HC23000771 INJ FORAMN EPI LMBR ADDLWS&I+L "$3,392.00 " HC23000789 INJ FORAMN EPI LMBR ADDLWS&I+R "$3,392.00 " HC23000730 INJ FORAMN EPI LMBR INTLW/S&I-B "$8,936.00 " HC23000748 INJ FORAMN EPI LMBR INTLW/S&I-L "$5,366.00 " HC23000755 INJ FORAMN EPI LMBR INTLW/S&I-R "$5,366.00 " HC46000402 INJ OF GT/COLON TUBE; PATENCY W/IMAG "$2,072.00 " HC23000938 INJ PARAVERT SYMPATH NERVE "$3,832.00 " HC46001046 INJ PERC EXT PSEUDOANEUR "$2,508.00 " HC44500908 INJ PERC EXT PSEUDOANEUR BILAT "$4,756.00 " HC44500916 INJ PERC EXT PSEUDOANEUR LT "$2,640.00 " HC44500924 INJ PERC EXT PSEUDOANEUR RT "$2,640.00 " HC44701456 INJ PRO CATH; LT VENT / ATRIUM "$6,812.00 " HC44701480 INJ PRO CATH; PULM ANGIO "$7,082.00 " HC44701464 INJ PRO CATH; RT VENT / ATRIUM "$6,628.00 " HC44701472 INJ PRO CATH; SUPRAVALVULAR "$6,825.00 " HC44701449 INJ PRO CATH;AORTOCORON GRAFTS "$8,030.00 " HC44701431 INJ PRO CATH;CORON CONGNTL HRT "$8,636.00 " HC46000428 INJ PROC SPLENOPORTOGRAM "$1,732.00 " HC46000683 "INJ PROC;TRACER, SENTINEL NODE" "$2,464.00 " HC46000394 "INJ PROCEDURE MYELOGRAPHY, LUMBAR" "$3,285.00 " HC51002343 INJ RETROGRADE URETHROCYSTO $496.00 HC27001056 INJ SCLEROTHERAPY HEMORRHOIDS "$3,357.00 " HC51003671 INJ SCLEROTHERAPY HEMORRHOIDS "$1,305.00 " HC44503712 INJ SCLEROTHERAPY LYMPHOCELE "$2,892.00 " HC44500932 INJ SCLEROTHERAPY MULT VEINS-LT "$1,667.00 " HC44500940 INJ SCLEROTHERAPY MULT VEINS-RT "$1,667.00 " HC44500957 INJ SCLEROTHERAPY SNGL VEIN-LT "$1,432.00 " HC44500965 INJ SCLEROTHERAPY SNGL VEIN-RT "$1,432.00 " HC23001308 INJ S-I JOINT ANESTH W/IMAG BI "$6,288.00 " HC23001175 INJ S-I JOINT ANESTH W/IMAG LT "$3,427.00 " HC23001183 INJ S-I JOINT ANESTH W/IMAG RT "$3,427.00 " HC23001845 INJ SINGLE LUMBAR/SACRAL W/IMAG "$4,383.00 " HC46000246 INJ SINUS TRACT; DIAGNOSTIC (SINOGRAM) "$2,423.00 " HC23000995 INJ STELLATE GANGLION "$4,387.00 " HC23001001 INJ SUPERIOR HYPOGASTRIC PLEXS "$5,572.00 " HC46000436 INJ VENOGRAM EXTREMITY- BILAT "$3,450.00 " HC46000444 INJ VENOGRAM EXTREMITY-LT "$1,849.00 " HC46000451 INJ VENOGRAM EXTREMITY-RT "$1,849.00 " HC23001852 INJ W/CATH PLCMT EPI CERV/THOR W/IMAG "$4,680.00 " HC23001068 INJ W/CATH PLCMT EPI CERV/THOR W/O IMAG "$3,927.00 " HC23001860 INJ W/CATH PLCMT EPI LUMBAR W/IMAG "$4,472.00 " HC23001076 INJ W/CATH PLCMT EPI LUMBAR W/O IMAG "$4,158.00 " HC46500930 "INJ W/FLUOR, EVAL CV ACCESS DEVICE" "$1,959.00 " HC25003377 INJ(S);SGL TNDN SHEATH/LIGMNT/APONEUR LT $531.00 HC25003385 INJ(S);SGL TNDN SHEATH/LIGMNT/APONEUR RT $531.00 HC25003393 INJ(S);SGL TNDN SHEATH/LIGMNT/APONEUR-BIL $955.00 HC23001027 INJ(S);SINGLE TENDON/SHEATH "$1,018.00 " HC51010262 INJ(S);SINGLE TENDON/SHEATH BI $545.00 HC51010288 INJ(S);SINGLE TENDON/SHEATH LT $340.00 HC51010270 INJ(S);SINGLE TENDON/SHEATH RT $340.00 HC51010296 INJ(S);SNGL TNDON ORIGN/INSER $389.00 HC23001019 INJ(S);SNGL TNDON ORIGN/INSERT "$1,051.00 " HC23001043 INJ(S);TRIGGER POINT 1-2MUSCLES "$1,369.00 " HC25001389 INJ(S);TRIGGER POINT 1-2MUSCLES $733.00 HC51010304 INJ(S);TRIGGER POINT 1-2MUSCLS $376.00 HC23001050 INJ(S);TRIGGER POINT 3/>MUSCLES "$1,478.00 " HC51010312 INJ(S);TRIGGER POINT 3/>MUSCLS $406.00 HC23001084 INJ/INF NEUROLYTIC AGNT SUBARACH "$3,023.00 " HC23001092 INJ/INF NEUROLYTIC CERV/THOR "$4,267.00 " HC23001100 INJ/INF NEUROLYTIC LUMB/SACRAL "$3,494.00 " HC51002780 INJECT ENDOSCOPIC MATERIAL IMPLANT "$3,064.00 " HC51003051 INJECT RX CORPORA CAVERNOSA $625.00 HC51002244 INJECT URETEROGRAGH VIA URETEROS $394.00 HC46502621 INJECT URETEROGRAPH VIA ILEAL CONDUIT "$2,170.00 " HC46502555 INJECT URETEROGRAPH VIA URETEROS/CATH "$1,482.00 " HC46000469 INJECTION HIP ARTHROGRAM BIL "$3,070.00 " HC46000477 INJECTION HIP ARTHROGRAM LT "$1,706.00 " HC46000485 INJECTION HIP ARTHROGRAM RT "$1,706.00 " HC83000422 INJECTION IM (RHOGAM) $330.00 HC46001244 INJECTION SINUS TRACT; THERAPEUTIC "$2,969.00 " HC62225552 INJECTOR GRAFT/STENT $813.00 HC62224449 INJECTOR GUN CEMENT "$1,662.00 " HC62202031 INJECTOR KIT DOUBLE $44.00 HC62202049 INJECTOR KIT SINGLE $85.00 HC62211214 INJECTOR UTERINE $257.00 HC62211222 INJECTOR UTERINE $257.00 HC62223789 INK INDIA SINGLE-DOSE C $98.00 0008-0100-01 INOTUZUMAB OZOGAMICIN 0.9 MG (0.25 MG/ML INITIAL) IV SOLR "$119,032.98 " HC46501292 INS NO TUN CV ACCESS CATH 5YRS+ "$5,154.00 " HC46500948 INS PICC LINE W/PORT<5YR "$9,648.00 " HC46500955 INS PICC LINE W/PORT>5YR "$9,648.00 " HC46500989 INS TUN CV ACCESS DEV W/PORT 5YRS+ "$12,523.00 " HC46501011 INS TUN CV ACS CATH W/O PORT 5YRS+ "$9,590.00 " HC46500963 INS TUN VEN ACS DEV 2 SITES "$10,491.00 " HC46500971 INS TUN VEN ACS DEV W/PORT<5YR "$12,651.00 " HC46500997 INS TUN VEN ACS DEV W/SQ PUMP "$11,484.00 " HC46501003 INS TUN VEN CATH W/O PORT<5 "$9,686.00 " HC46501029 INS VEN ACS DEV 2SITES W/PORT "$12,619.00 " HC44700334 INSERT ARTERIAL LINE LT "$1,162.00 " HC44700342 INSERT ARTERIAL LINE RT "$1,162.00 " HC46501797 INSERT CT(OPEN) W/DRAIN SYSTEM "$3,072.00 " HC25001074 INSERT CT(OPEN) W/DRAIN SYSTEM BIL "$3,766.00 " HC46501037 INSERT CT(OPEN) W/DRAIN SYSTEM BIL "$5,954.00 " HC25001082 INSERT CT(OPEN) W/DRAIN SYSTEM LT "$1,640.00 " HC46501045 INSERT CT(OPEN) W/DRAIN SYSTEM LT "$3,035.00 " HC25001090 INSERT CT(OPEN) W/DRAIN SYSTEM RT "$1,639.00 " HC46501052 INSERT CT(OPEN) W/DRAIN SYSTEM RT "$3,035.00 " HC51010940 INSERT DEVICE INTRAUTERINE IUD $600.00 HC51001980 INSERT DRUG DELIVERY IMPLANT $266.00 HC44703247 INSERT ELECTRODE DEFIBRILLATOR SUBQ "$21,816.00 " HC44701670 INSERT IMPLANTED MONITOR DEVIC "$8,098.00 " HC38420311 INSERT LEFT HEART VENT BY THORACIC INC ECMO/ECLS "$37,138.54 " HC44700359 INSERT LV LEAD AT INIT IMPLNT+ "$24,819.00 " HC46502605 INSERT MIDLINE CATH <3 YR AGE "$2,046.00 " HC46502613 INSERT MIDLINE CATH >3 YR AGE "$3,724.00 " HC25000191 INSERT NEEDLE INTRAOSSEOUS INF "$1,244.00 " HC44700367 INSERT PACER ATRIAL SNGL CHAMB "$26,324.00 " HC44700383 INSERT PACER DUAL CHAMBER "$33,565.00 " HC44700375 INSERT PACER VENT SNGL CHAMBER "$28,143.00 " HC44702942 INSERT PERC VAD INC S&I ARTERIAL ONLY; LEFT HEART "$16,712.34 " HC44703734 INSERT PERC VAD INC S&I TRANSSEPTL PUNC; LEFT HEART "$21,886.98 " HC46501060 INSERT PERITONEAL CATH TUNNELED FOR DIALYSIS; OPEN "$10,049.00 " HC46501078 INSERT PERITONEAL CATH TUNNELED W/IMAGING "$11,384.00 " HC46501086 INSERT PERITONEAL CATH TUNNELED W/PORT "$13,393.00 " HC25002742 INSERT PICC <5 YR AGE W/ IMAGING "$2,697.00 " HC46502787 INSERT PICC <5 YR AGE W/IMAGING "$6,960.00 " HC25001108 INSERT PICC <5 YR AGE W/O IMAGING "$2,251.00 " HC46501094 INSERT PICC <5 YR AGE W/O IMAGING "$5,637.00 " HC51000552 INSERT PICC <5 YR AGE W/O IMAGING "$1,202.00 " HC25002759 INSERT PICC >5 YR AGE W/ IMAGING "$4,176.00 " HC25001116 INSERT PICC >5 YR AGE W/O IMAGING "$3,867.00 " HC46501102 INSERT PICC >5 YR AGE W/O IMAGING "$4,993.00 " HC51000560 INSERT PICC >5 YR AGE W/O IMAGING "$1,196.00 " HC46502803 INSERT PICC>5 YR AGE W/IMAGING "$6,382.00 " HC44502631 INSERT PLEURAL CATH TUNNELD LT "$9,917.00 " HC44502623 INSERT PLEURAL CATH TUNNELD RT "$9,917.00 " HC51002988 INSERT STENT URETHRAL PROSTATIC TEMP "$2,228.00 " HC44700391 INSERT SWAN-GANZ CATHETER "$4,196.00 " HC44703635 INSERT VAD PERCUT INC S&I VENOUS ONLY RIGHT "$16,712.34 " HC46502829 INSERT/DRILL SUBDUR/VENTRIC CATH "$6,112.00 " HC44700409 INSERT/EXTRAC/RET/REPOS D TV LEADS "$21,657.00 " HC44700417 INSERT/EXTRAC/RET/REPOS S TV LEAD "$17,095.00 " HC44700425 INSERT/REPLAC TEMP PACER "$14,194.00 " HC25000209 INSERT/REPLAC TEMP PACER; SNGL "$8,256.00 " HC44703288 INSERT/REPLACE TRANSCATH PACER LEADLESS RV "$17,779.00 " HC44702975 INSERT/REPLC SYSTM ICD PERM&SUBQ LD "$36,604.00 " HC44700433 INSERT/REPLC SYSTM T-ICD DUAL W/LDS "$45,566.00 " HC44700441 INSERT/REPLC SYSTM T-ICD SNGL W/LD "$42,469.00 " HC62222427 INSERTER FUNNEL IMPLANT BREAST $338.00 HC62217989 INSERTER TIP SURGICAL G $325.00 HC62216783 INSERTER TIP SURGICAL H $390.00 HC62211529 INSERTER TIP SURGICAL L $650.00 HC25006172 INSERTION CERVICAL DILATOR $875.00 HC26000109 INSERTION CERVICAL DILATOR "$1,342.00 " HC44700458 INSERTION OF IABP PERCUTANEOUS "$11,983.37 " HC44501005 INSERTION-TIPS "$35,738.00 " HC25001124 INSRT BLADDER CATH-NON INDWELL $446.00 HC46501110 INSRT BLADDER CATH-NON INDWELL $487.00 HC51000065 INSRT BLADDER CATH-NON INDWELL $272.00 HC25001132 INSRT BLADDER CATH-TEMP FOLEY $505.00 HC46501128 INSRT BLADDER CATH-TEMP FOLEY $545.00 HC51000073 INSRT BLADDER CATH-TEMP FOLEY $320.00 HC25001140 INSRT BLADDER CATH-TEMP-COMPLX $624.00 HC46501136 INSRT BLADDER CATH-TEMP-COMPLX $689.00 HC51000081 INSRT BLADDER CATH-TEMP-COMPLX $425.00 HC44700490 INSRT ICD W/EXISTNG SNGL LEAD "$30,631.00 " HC44701613 INSRT ICD W/EXSTNG DUAL LEAD "$32,554.00 " HC44701621 INSRT ICD W/EXSTNG MULTI LEADS "$37,427.00 " HC44701571 INSRT PACER ONLY;EXST MULTI LD "$21,159.00 " HC44700474 INSRT PACER ONLY;W/EXIST DUAL LEAD "$20,046.00 " HC44700466 INSRT PACER ONLY;W/EXIST SNGL LEAD "$17,538.00 " HC44700482 INSRT/REPL TEMP DUAL PACER "$14,560.00 " HC44700508 INSRT/RPLC DUAL ICD GENERATOR "$30,631.00 " HC51002798 INSTILL BLADDER CHEMO $525.00 HC27001908 INSTILL FECAL MICROBIOTA (FMT) "$3,411.00 " HC44701233 INSTILL FIBRIN CT INIT' DAY LT "$2,611.00 " HC44701217 INSTILL FIBRIN CT INIT' DAY RT "$2,611.00 " HC44701241 INSTILL FIBRIN CT SUB' DAY LT "$2,313.00 " HC44701225 INSTILL FIBRIN CT SUB' DAY RT "$2,313.00 " HC62219761 INSTRUMENT KYPHO PAC BEVELED $533.00 HC62203559 INSTRUMENT SINGLE PATIENT USE $65.00 HC62210406 INSUFFLATOR LAPAROSCOPIC $38.00 HC89011886 INSULIN AB-AU $35.00 HC89001796 INSULIN AB-QD $13.00 0169-3685-12 INSULIN ASP PRT-INSULIN ASPART 100 UNIT/ML (70-30) SUBCUTANEOUS SOLN "$1,800.72 " 99999-035-30 INSULIN ASPART 100 UNIT/ML SUBCUTANEOUS SOLN (INSULIN PUMP) "$1,653.48 " 0169-7501-11 INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS SOLN "$1,736.16 " 0169-3687-12 INSULIN DETEMIR U-100 100 UNIT/ML SUBCUTANEOUS SOLN "$1,848.84 " 0088-2220-33 INSULIN GLARGINE 100 UNIT/ML SUBCUTANEOUS SOLN "$1,701.36 " 0088-5021-01 INSULIN GLARGINE 100 UNIT/ML SUBCUTANEOUS SOLN "$1,701.36 " 99999-035-28 INSULIN GLULISINE 100 UNIT/ML SUBCUTANEOUS SOLN (INSULIN PUMP) "$1,530.66 " 0088-2500-33 INSULIN GLULISINE U-100 100 UNIT/ML SUBCUTANEOUS SOLN "$1,703.70 " 0002-7510-01 INSULIN LISPRO 100 UNIT/ML SUBCUTANEOUS SOLN "$1,648.20 " 0002-7510-17 INSULIN LISPRO 100 UNIT/ML SUBCUTANEOUS SOLN $494.46 0024-5924-10 INSULIN LISPRO 100 UNIT/ML SUBCUTANEOUS SOLN $784.56 0024-5926-05 INSULIN LISPRO 100 UNIT/ML SUBCUTANEOUS SOLN $235.39 99999-035-29 INSULIN LISPRO 100 UNIT/ML SUBCUTANEOUS SOLN (INSULIN PUMP) $235.39 0002-7512-01 INSULIN LISPRO PROTAMIN-LISPRO 100 UNIT/ML (50-50) SUBCUTANEOUS SUSP "$1,708.20 " 0002-7511-01 INSULIN LISPRO PROTAMIN-LISPRO 100 UNIT/ML (75-25) SUBCUTANEOUS SUSP "$1,708.20 " 0002-8715-01 INSULIN NPH AND REGULAR HUMAN 100 UNIT/ML (70-30) SUBCUTANEOUS SUSP $892.20 0002-8715-17 INSULIN NPH AND REGULAR HUMAN 100 UNIT/ML (70-30) SUBCUTANEOUS SUSP $267.66 0169-1837-11 INSULIN NPH AND REGULAR HUMAN 100 UNIT/ML (70-30) SUBCUTANEOUS SUSP $826.20 0002-8315-01 INSULIN NPH ISOPH U-100 HUMAN 100 UNIT/ML SUBCUTANEOUS SUSP $892.20 0002-8315-17 INSULIN NPH ISOPH U-100 HUMAN 100 UNIT/ML SUBCUTANEOUS SUSP $267.66 0169-1834-11 INSULIN NPH ISOPH U-100 HUMAN 100 UNIT/ML SUBCUTANEOUS SUSP $826.20 0002-8824-01 INSULIN REGULAR HUM U-500 CONC 500 UNIT/ML (3 ML) SUBCUTANEOUS INPN "$1,722.60 " 0002-8824-27 INSULIN REGULAR HUM U-500 CONC 500 UNIT/ML (3 ML) SUBCUTANEOUS INPN "$1,722.60 " 99999-035-47 INSULIN REGULAR HUM U-500 CONC 500 UNIT/ML INJ SOLN (INSULIN ) "$11,484.00 " 99999-039-44 INSULIN REGULAR HUM U-500 CONC 500 UNIT/ML SUBCUTANEOUS SOLN "$1,540.49 " 99999-038-12 INSULIN REGULAR HUMAN 1 UNIT/ML INJ SOLN DILUTION $1.00 0002-8215-01 INSULIN REGULAR HUMAN 100 UNIT/ML INJ SOLN $892.20 0002-8215-17 INSULIN REGULAR HUMAN 100 UNIT/ML INJ SOLN $267.66 0169-1833-11 INSULIN REGULAR HUMAN 100 UNIT/ML INJ SOLN $826.20 HC81101545 INSULIN TOTAL $208.00 HC89013676 INSULIN TOTAL-AU $8.00 HC89008767 INSULIN TOTAL-ES $25.00 HC39001177 INTENSIVE OUTPT PSYCHIA PER DIEM "$1,160.00 " HC39000930 INTERACTIVE COMPLEXITY+ $218.00 HC51070332 INTERACTIVE COMPLEXITY+ $168.00 0085-4350-01 INTERFERON ALFA-2B 10 MILLION UNIT (1 ML) INJ SOLR "$1,843.80 " 44087-0044-3 INTERFERON BETA-1A (ALBUMIN) 44 MCG/0.5 ML SUBCUTANEOUS SYRG "$4,185.73 " 44087-0044-9 INTERFERON BETA-1A (ALBUMIN) 44 MCG/0.5 ML SUBCUTANEOUS SYRG "$4,185.73 " 0078-0569-61 INTERFERON BETA-1B 0.3 MG SUBCUTANEOUS SOLR "$2,673.06 " HC89023311 INTERLEUKIN 6-AU $65.00 HC44001279 INTERNAL AUDITORY CANAL $565.00 HC82200551 INTERPHASE IN-SITU HYBRI 25-99 "$1,053.00 " HC89018709 INTERPHS FISH HYBRI 100-300-AU $181.48 HC83500546 INTERPHS FISH HYBRI 100-300-US $65.00 HC42000364 INTERROGATE IMP' CVPHYS MONITOR 1 OR MORE DATA $444.00 HC42000380 INTERROGATE PACEMAKER SGL/DUAL/MULTI/LEADLESS $498.00 HC42000877 INTERROGATE CV PHYS MONITOR REMOTE 30 DAYS $183.00 HC42000349 INTERROGATE REMOTE ^90 D; SGL/DUAL/MULTI/LEADLESS/DEFIB $472.00 HC42000372 INTERROGATE SQ CARDIAC RHYTHM MONITOR $398.00 HC42000802 INTERROGATION S-ICD $498.00 HC42000356 INTERROGATION T-ICD $571.00 HC47200258 "INTERSTITIAL RADIATION, COMPLEX" "$6,884.00 " HC44700516 INTRA-ATRIAL PACING "$8,907.00 " HC44700524 INTRA-ATRIAL RECORDING "$8,311.00 " HC44700532 INTRACARDIAC ECHO + "$7,525.00 " HC44700540 INTRACARDIAC EP 3D MAPPING+ "$14,072.00 " HC47200225 INTRACAVITARY TREATMT COMPLEX "$4,461.00 " HC47200217 INTRACAVITARY TREATMT INTERMED "$3,822.00 " HC47200209 INTRACAVITARY TREATMT SIMPLE "$2,233.00 " HC44501013 INTRALUMIN OBST VEN DEV S&I "$3,440.00 " HC44001287 INTRALUMINAL DILATION O/STRICT "$1,856.00 " HC82200759 INTRAOP CNSLT CYT PREP INT'L $744.00 HC82200726 INTRAOP CNSLT CYT PRP-DIST ADL $342.00 HC82200734 INTRAOP CNSLT CYT PRP-DIST SRV $744.00 HC82200742 "INTRAOP CNSLT CYTOPREP, ADL" $342.00 HC12400107 INTRAPERITONEAL CHEMO THERAPY "$1,774.00 " HC51010916 INTRAPERITONEAL CHEMO THERAPY $664.00 HC44703510 INTRAPRCDRL CORONARY FFR ANGIO W/3D MAP+ "$7,350.00 " HC44700565 INTRAVASC DOPPLER ADDL VESSEL+ "$3,302.00 " HC44700557 INTRAVASC DOPPLER INIT VESSEL+ "$5,500.00 " HC44700573 INTRAVENTRICULAR PACING "$9,254.00 " HC89011894 INTRINSIC FACTOR AB-AU $20.00 HC89002364 INTRINSIC FACTOR AB-QD $22.00 HC46000493 INTRO CATH FALLOPIAN TUBE "$5,570.00 " HC46000501 INTRO CATH HYSTERO "$1,670.00 " HC46000543 INTRO CATH RT HEART/PUL ART "$3,482.00 " HC46000550 INTRO CATHETER AORTA "$8,354.00 " HC46000626 INTRO NDL/CATH EXT ART UE OR LE LT "$3,008.00 " HC46000634 INTRO NDL/CATH EXT ART UE OR LE RT "$3,008.00 " HC46001038 INTRO NDL/INTRACATH VEIN $508.00 HC46001020 INTRO NDL/INTRACATH VEIN BI "$1,013.00 " HC46000576 INTRO NDL/INTRACATH VEIN LT $508.00 HC46000584 INTRO NDL/INTRACATH VEIN RT $508.00 HC46000675 INTRO OF CATH SVC OR IVC "$3,505.00 " HC62220603 INTRO/SHEATH EP FIXED NON-PEEL B $195.00 HC62220561 INTRO/SHEATH EP FIXED NON-PEEL E $390.00 HC62220579 INTRO/SHEATH EP FIXED NON-PEEL H $585.00 HC62802368 INTRO/SHEATH EP FIXED NON-PEEL J $715.00 HC62224456 INTRO/SHEATH EP FIXED NON-PEEL P "$1,625.00 " HC62225057 INTRO/SHEATH EP FIXED NON-PEEL Q "$1,950.00 " HC62222633 INTRO/SHEATH EP FIXED NON-PEEL S "$2,600.00 " HC62802376 INTRO/SHEATH EP FIXED PEEL AK "$2,600.00 " HC62802384 INTRO/SHEATH EP FIXED PEEL AN "$3,575.00 " HC62802392 INTRO/SHEATH EP LASER F $455.00 HC62805668 INTRO/SHEATH EP LASER P "$1,950.00 " HC62805858 INTRO/SHEATH EP LASER AH "$9,100.00 " HC62805973 INTRO/SHEATH STEERABLE NON-PEEL C "$1,950.00 " HC62806674 INTRO/SHEATH STEERABLE NON-PEEL E "$2,600.00 " HC62219381 INTRO/SHEATH STEERABLE NON-PEEL F "$2,925.00 " HC62806013 INTRO/SHEATH STEERABLE NON-PEEL I "$3,900.00 " HC44001295 INTRODUCE TUBE GASTROINTESTINAL LONG "$1,786.00 " HC62802418 INTRODUCER BLADDER STIM $780.00 HC62802434 INTRODUCER COAXIAL $176.00 HC62802475 INTRODUCER DIALYSIS PEEL AWAY $719.00 HC62802442 INTRODUCER EP STEERBL NON-PEEL $676.00 HC62802459 INTRODUCER GUIDE $148.00 HC62802467 INTRODUCER KYPHOPLASTY OSTEO "$3,478.00 " HC62802509 INTRODUCER SUPRAPUB FOLEY CATH "$1,253.00 " HC62212378 INTRODUCER/SHEATH A $33.00 HC62203971 INTRODUCER/SHEATH D $130.00 HC62226246 INTRODUCER/SHEATH E $195.00 HC62226568 INTRODUCER/SHEATH F $260.00 HC62802400 INTRODUCER/SHEATH F $260.00 HC62802426 INTRODUCER/SHEATH H $390.00 HC62802350 INTRODUCER/SHEATH I $455.00 HC62206461 INTRODUCER/SHEATH J $520.00 HC62212394 INTRODUCER/SHEATH K $585.00 HC62212402 INTRODUCER/SHEATH L $650.00 HC62212410 INTRODUCER/SHEATH M $715.00 HC62802491 INTRODUCER/SHEATH N $780.00 HC62212428 INTRODUCER/SHEATH O $845.00 HC62212436 INTRODUCER/SHEATH P $910.00 HC62212444 INTRODUCER/SHEATH Q $975.00 HC62223227 INTRODUCER/SHEATH S "$1,105.00 " HC62212451 INTRODUCER/SHEATH T "$1,365.00 " HC62227129 INTRODUCER/SHEATH V "$1,950.00 " HC62223458 INTRODUCER/SHEATH W "$2,275.00 " HC62226675 INTRODUCER/SHEATH X "$2,600.00 " HC62212527 INTRODUCER/SHEATH Y "$3,210.00 " HC62802483 INTRODUCER/SHEATH(FLEXOR CHECK-FLO)E $195.00 HC62203963 INTRODUCER/SHEATH(FLEXOR TIBIAL) G $325.00 HC62223912 INTRODUCER/SHEATH(NEURON MAX) U "$1,625.00 " HC62222245 INTRODUCER/SHEATH(PINNACL 10CM/RO) C $98.00 HC62212386 INTRODUCER/SHEATH(PINNACL 25CM/VSI)B $65.00 HC25000985 INTUBATION "$1,084.00 " HC36000222 INTUBATION "$2,001.00 " 99999-041-54 IOBENGUANE SULFATE I-123 10 MCI/5 ML (370 MBQ/5 ML) IV SOLN "$10,660.00 " 48433-230-15 IODINE STRONG (LUGOLS) 5 % ORAL SOLN $172.54 HC65800005 IODINE-125 NONSTRND PER SOURCE $216.00 HC65800104 IODINE-125 STRANDED PER SOURCE $328.00 10481-0111-8 IODINE-POTASSIUM IODIDE 5-10 % TOPICAL SOLN $65.62 59365-6064-0 IODINE-POTASSIUM IODIDE 5-10 % TOPICAL SOLN $46.08 HC89001275 IODINE-QD $60.00 0395-1213-16 IODINE-SODIUM IODIDE 2 % TOPICAL TINC $175.96 0395-1213-91 IODINE-SODIUM IODIDE 2 % TOPICAL TINC $18.72 0869-3851-10 IODINE-SODIUM IODIDE 2 % TOPICAL TINC $5.22 0407-2222-17 IODIXANOL 270 MG IODINE/ML IV SOLN $571.80 0407-2223-01 IODIXANOL 320 MG IODINE/ML IV SOLN $308.70 0407-2223-02 IODIXANOL 320 MG IODINE/ML IV SOLN $616.80 0407-2223-04 IODIXANOL 320 MG IODINE/ML IV SOLN "$1,048.80 " 0407-2223-16 IODIXANOL 320 MG IODINE/ML IV SOLN $393.60 0407-2223-17 IODIXANOL 320 MG IODINE/ML IV SOLN $635.40 0407-2223-19 IODIXANOL 320 MG IODINE/ML IV SOLN $894.60 0407-2223-64 IODIXANOL 320 MG IODINE/ML IV SOLN $635.40 99988-000-27 IOFLUPANE I 123 5 MCI/2.5 ML (185 MBQ/2.5ML) IV SOLN "$8,021.00 " 0407-1411-20 IOHEXOL 180 MG IODINE/ML INTRATHECAL SOLN $268.44 0407-1412-08 IOHEXOL 240 MG IODINE/ML IV SOLN $235.20 0407-1412-20 IOHEXOL 240 MG IODINE/ML IV SOLN $276.12 0407-1412-30 IOHEXOL 240 MG IODINE/ML IV SOLN $235.20 0407-1412-33 IOHEXOL 240 MG IODINE/ML IV SOLN $453.60 0407-1412-50 IOHEXOL 240 MG IODINE/ML IV SOLN $228.30 0407-1413-08 IOHEXOL 300 MG IODINE/ML IV SOLN $278.10 0407-1413-10 IOHEXOL 300 MG IODINE/ML IV SOLN $241.20 0407-1413-26 IOHEXOL 300 MG IODINE/ML IV SOLN $278.10 0407-1413-51 IOHEXOL 300 MG IODINE/ML IV SOLN $270.00 0407-1413-59 IOHEXOL 300 MG IODINE/ML IV SOLN $249.84 0407-1413-61 IOHEXOL 300 MG IODINE/ML IV SOLN $278.10 0407-1413-63 IOHEXOL 300 MG IODINE/ML IV SOLN $544.80 0407-1413-65 IOHEXOL 300 MG IODINE/ML IV SOLN $794.70 0407-1413-66 IOHEXOL 300 MG IODINE/ML IV SOLN $987.60 0407-1413-86 IOHEXOL 300 MG IODINE/ML IV SOLN $278.10 0407-1413-90 IOHEXOL 300 MG IODINE/ML IV SOLN $771.30 0407-1414-03 IOHEXOL 350 MG IODINE/ML IV SOLN $811.80 0407-1414-08 IOHEXOL 350 MG IODINE/ML IV SOLN $303.00 0407-1414-82 IOHEXOL 350 MG IODINE/ML IV SOLN $303.00 0407-1414-84 IOHEXOL 350 MG IODINE/ML IV SOLN $605.40 0407-1414-86 IOHEXOL 350 MG IODINE/ML IV SOLN $835.20 0407-1414-89 IOHEXOL 350 MG IODINE/ML IV SOLN $303.00 0407-1414-90 IOHEXOL 350 MG IODINE/ML IV SOLN $453.15 0407-1414-91 IOHEXOL 350 MG IODINE/ML IV SOLN $605.40 0407-1414-93 IOHEXOL 350 MG IODINE/ML IV SOLN $835.20 0407-1414-94 IOHEXOL 350 MG IODINE/ML IV SOLN "$1,029.60 " 0407-1414-98 IOHEXOL 350 MG IODINE/ML IV SOLN "$2,454.00 " 0270-1314-30 IOPAMIDOL 41 % INJ SOLN $252.90 0270-1411-11 IOPAMIDOL 41 % INTRATHECAL SOLN $387.72 0270-1411-25 IOPAMIDOL 41 % INTRATHECAL SOLN $531.24 0270-1412-15 IOPAMIDOL 61 % INTRATHECAL SOLN $515.25 0270-1315-30 IOPAMIDOL 61 % IV SOLN $270.30 0270-1316-04 IOPAMIDOL 76 % IV SOLN $693.00 0270-1316-30 IOPAMIDOL 76 % IV SOLN $294.00 0270-1316-35 IOPAMIDOL 76 % IV SOLN $586.80 0270-1316-98 IOPAMIDOL 76 % IV SOLN "$1,221.00 " 0019-0862-07 IOTHALAMATE MEGLUMINE 17.2 % URETHRAL SOLN $144.00 0019-0862-50 IOTHALAMATE MEGLUMINE 17.2 % URETHRAL SOLN $144.00 0019-0952-11 IOTHALAMATE MEGLUMINE 30 % IV SOLN $139.50 0019-0952-53 IOTHALAMATE MEGLUMINE 30 % IV SOLN $139.50 0019-0953-09 IOTHALAMATE MEGLUMINE 60 % INJ SOLN $150.00 0019-0953-50 IOTHALAMATE MEGLUMINE 60 % INJ SOLN $150.00 0019-1323-02 IOVERSOL 320 MG IODINE/ML IV SOLN $157.56 0019-1323-06 IOVERSOL 320 MG IODINE/ML IV SOLN $312.00 0019-1323-16 IOVERSOL 320 MG IODINE/ML IV SOLN $751.50 67684-100-01 IOXILAN (OXILAN) 300 MG/ML $93.60 67684-100-04 IOXILAN (OXILAN) 300 MG/ML $374.40 67684-100-11 IOXILAN (OXILAN) 350 MG/ML $93.60 67684-100-14 IOXILAN (OXILAN) 350 MG/ML $374.40 HC82203506 IP/IHC AB BC COCKTAIL PER SPEC; EA MULTIPLEX $612.00 HC83505602 IP/IHC PER SPEC INITIAL AB STAIN -CA $148.00 HC83505529 IP/IHC PER SPEC INITIAL AB STAIN -CS $317.34 HC82204611 IP/IHC PER SPEC INITIAL AB STAIN H PYLORI $515.00 HC83504860 IP/IHC PER SPEC INITIAL AB STAIN -NG $45.00 HC82204470 IP/IHC PER SPEC INITIAL AB STAIN PROSTATIC ACID PHOS $515.00 0003-2328-22 IPILIMUMAB 200 MG/40 ML (5 MG/ML) IV SOLN "$180,033.36 " 0003-2327-11 IPILIMUMAB 50 MG/10 ML (5 MG/ML) IV SOLN "$45,008.46 " HC29000627 IPPE EXAM INITIAL PREVENTIVE $265.00 0487-9801-01 IPRATROPIUM BROMIDE 0.02 % INHALATION SOLN $1.26 0487-9801-30 IPRATROPIUM BROMIDE 0.02 % INHALATION SOLN $1.11 0487-9801-60 IPRATROPIUM BROMIDE 0.02 % INHALATION SOLN $1.11 76204-100-01 IPRATROPIUM BROMIDE 0.02 % INHALATION SOLN $1.26 0597-0087-17 IPRATROPIUM BROMIDE 17 MCG/ACTUATION INHALATION HFAA "$2,468.36 " 0054-0045-44 IPRATROPIUM BROMIDE 21 MCG (0.03 %) NASL SPRY $216.00 24208-398-30 IPRATROPIUM BROMIDE 21 MCG (0.03 %) NASL SPRY $219.06 60505-0826-1 IPRATROPIUM BROMIDE 21 MCG (0.03 %) NASL SPRY $216.00 0054-0046-41 IPRATROPIUM BROMIDE 42 MCG (0.06 %) NASL SPRY $216.00 24208-399-15 IPRATROPIUM BROMIDE 42 MCG (0.06 %) NASL SPRY $218.97 60505-0827-1 IPRATROPIUM BROMIDE 42 MCG (0.06 %) NASL SPRY $216.00 0487-0201-01 IPRATROPIUM-ALBUTEROL 0.5 MG-3 MG(2.5 MG BASE)/3 ML INHALATION NEBU $3.00 0487-0201-03 IPRATROPIUM-ALBUTEROL 0.5 MG-3 MG(2.5 MG BASE)/3 ML INHALATION NEBU $1.80 0487-0201-60 IPRATROPIUM-ALBUTEROL 0.5 MG-3 MG(2.5 MG BASE)/3 ML INHALATION NEBU $1.80 76204-600-01 IPRATROPIUM-ALBUTEROL 0.5 MG-3 MG(2.5 MG BASE)/3 ML INHALATION NEBU $3.91 0597-0024-02 IPRATROPIUM-ALBUTEROL 20-100 MCG/ACTUATION INHALATION MIST "$2,558.71 " HC36000735 IPV TREATMENT INITIAL $534.00 HC36000743 IPV TREATMENT SUBSQ SAME DAY $499.00 0024-5851-30 IRBESARTAN 150 MG ORAL TAB $39.74 0955-1041-90 IRBESARTAN 150 MG ORAL TAB $2.30 31722-730-30 IRBESARTAN 150 MG ORAL TAB $2.22 31722-730-90 IRBESARTAN 150 MG ORAL TAB $2.22 33342-048-07 IRBESARTAN 150 MG ORAL TAB $1.60 42658-122-04 IRBESARTAN 150 MG ORAL TAB $1.00 43547-278-03 IRBESARTAN 150 MG ORAL TAB $2.00 43547-278-09 IRBESARTAN 150 MG ORAL TAB $2.00 43547-375-09 IRBESARTAN 150 MG ORAL TAB $2.00 59746-448-30 IRBESARTAN 150 MG ORAL TAB $2.22 62332-042-30 IRBESARTAN 150 MG ORAL TAB $15.00 65862-638-90 IRBESARTAN 150 MG ORAL TAB $2.22 68180-411-09 IRBESARTAN 150 MG ORAL TAB $2.22 0009-7529-03 IRINOTECAN 100 MG/5 ML IV SOLN $223.98 0143-9583-01 IRINOTECAN 100 MG/5 ML IV SOLN $120.00 0143-9701-01 IRINOTECAN 100 MG/5 ML IV SOLN $183.96 25021-230-05 IRINOTECAN 100 MG/5 ML IV SOLN $183.96 61703-349-09 IRINOTECAN 100 MG/5 ML IV SOLN $119.22 63323-193-05 IRINOTECAN 100 MG/5 ML IV SOLN $204.00 0009-7529-05 IRINOTECAN 300 MG/15 ML IV SOLN $672.03 45963-614-51 IRINOTECAN 40 MG/2 ML IV SOLN $129.60 HC81100182 IRON $185.00 HC83504399 IRON ASSAY TISSUE-AU $155.00 0023-6082-01 IRON DEXTRAN 50 MG/ML INJ SOLN $175.26 0023-6082-10 IRON DEXTRAN 50 MG/ML INJ SOLN $175.27 HC89008783 IRON LIVER TISSUE-MA $70.00 HC82200494 IRON STAIN/B.M. SMEARS+ $412.00 HC82200031 IRON STAIN/GRP II+ $412.00 0517-2340-01 IRON SUCROSE 100 MG IRON/5 ML IV SOLN $330.00 0517-2340-10 IRON SUCROSE 100 MG IRON/5 ML IV SOLN $330.00 0517-2340-25 IRON SUCROSE 100 MG IRON/5 ML IV SOLN $288.00 HC89008775 IRON TOTAL URINE-AU $175.00 HC83000356 IRRADIATION EA UNIT $344.00 HC89500862 IRRADIATION EA UNIT-HC $35.00 HC89500714 IRRADIATION EA UNIT-SB $40.00 HC51003200 IRRIG &/APPLY OINTMENT VAGINAL $253.00 HC62203567 IRRIGATION SOL ACETIC ACID $33.00 HC62203575 IRRIGATION SOL H2O $33.00 HC62203583 IRRIGATION SOL LR $33.00 HC62203591 IRRIGATION SOL NS $33.00 HC62203609 IRRIGATION SOL SORBITOL $33.00 HC62203617 IRRIGATOR BLADDER $91.00 HC62203625 IRRIGATOR OPHTHALMIC $77.00 0469-0520-14 ISAVUCONAZONIUM SULFATE 186 MG ORAL CAP $555.39 0469-0420-99 ISAVUCONAZONIUM SULFATE 372 MG IV SOLR "$1,892.34 " HC89023501 ISLET AB ZINC TRANSPORTER 8-AU $205.00 HC89011902 ISLET AB-AU $20.00 HC89023493 ISLET AUTOANTIBODY ANTIGEN-2-AU $65.00 30698-032-01 ISOCARBOXAZID 10 MG ORAL TAB $29.74 10019-360-40 ISOFLURANE 99.9 % INHALATION LIQD $144.00 66794-017-10 ISOFLURANE 99.9 % INHALATION LIQD $90.00 66794-019-10 ISOFLURANE 99.9 % INHALATION LIQD $90.00 0555-0066-02 ISONIAZID 100 MG ORAL TAB $1.00 0781-3056-70 ISONIAZID 100 MG/ML INJ SOLN "$1,901.16 " 0555-0071-01 ISONIAZID 300 MG ORAL TAB $2.43 0555-0071-02 ISONIAZID 300 MG ORAL TAB $1.49 51079-083-01 ISONIAZID 300 MG ORAL TAB $6.18 51079-083-20 ISONIAZID 300 MG ORAL TAB $6.18 46287-009-01 ISONIAZID 50 MG/5 ML ORAL SOLN "$1,751.05 " 99999-007-74 ISONIAZID 50 MG/5 ML ORAL SOLN $1.00 99999-042-23 ISONIAZID 50 MG/5 ML ORAL SOLN $70.56 HC89020515 ISONIAZID -AU $102.00 HC89006753 ISONIAZID-NM $90.00 0574-0067-16 ISOPROPYL ALCOHOL 70 % MISC SOLN $14.19 0187-4330-05 ISOPROTERENOL HCL 0.2 MG/ML INJ SOLN "$10,740.66 " 0548-9501-00 ISOPROTERENOL HCL 0.2 MG/ML INJ SOLN "$5,490.00 " 0548-9502-00 ISOPROTERENOL HCL 0.2 MG/ML INJ SOLN "$6,492.00 " 14789-011-01 ISOPROTERENOL HCL 0.2 MG/ML INJ SOLN "$2,700.00 " 14789-011-07 ISOPROTERENOL HCL 0.2 MG/ML INJ SOLN "$2,700.00 " 14789-015-05 ISOPROTERENOL HCL 0.2 MG/ML INJ SOLN "$3,600.00 " 14789-015-07 ISOPROTERENOL HCL 0.2 MG/ML INJ SOLN "$3,600.00 " 69097-522-35 ISOPROTERENOL HCL 0.2 MG/ML INJ SOLN "$6,492.00 " 0143-1771-01 ISOSORBIDE DINITRATE 10 MG ORAL TAB $3.47 0781-1556-01 ISOSORBIDE DINITRATE 10 MG ORAL TAB $5.20 0781-1556-10 ISOSORBIDE DINITRATE 10 MG ORAL TAB $5.20 0781-1556-13 ISOSORBIDE DINITRATE 10 MG ORAL TAB $5.20 0904-6619-61 ISOSORBIDE DINITRATE 10 MG ORAL TAB $3.66 50268-448-11 ISOSORBIDE DINITRATE 10 MG ORAL TAB $4.90 50268-448-15 ISOSORBIDE DINITRATE 10 MG ORAL TAB $4.90 63739-569-10 ISOSORBIDE DINITRATE 10 MG ORAL TAB $4.40 68084-082-01 ISOSORBIDE DINITRATE 10 MG ORAL TAB $5.59 68084-082-11 ISOSORBIDE DINITRATE 10 MG ORAL TAB $5.59 0143-1772-01 ISOSORBIDE DINITRATE 20 MG ORAL TAB $3.82 0781-1695-01 ISOSORBIDE DINITRATE 20 MG ORAL TAB $5.72 0781-1695-10 ISOSORBIDE DINITRATE 20 MG ORAL TAB $5.72 0781-1695-13 ISOSORBIDE DINITRATE 20 MG ORAL TAB $5.72 0904-6620-61 ISOSORBIDE DINITRATE 20 MG ORAL TAB $4.28 63739-367-10 ISOSORBIDE DINITRATE 20 MG ORAL TAB $4.78 68084-083-01 ISOSORBIDE DINITRATE 20 MG ORAL TAB $6.07 68084-083-11 ISOSORBIDE DINITRATE 20 MG ORAL TAB $6.07 57664-600-88 ISOSORBIDE DINITRATE 40 MG ORAL TBSR $11.88 0143-1769-01 ISOSORBIDE DINITRATE 5 MG ORAL TAB $3.15 0781-1635-01 ISOSORBIDE DINITRATE 5 MG ORAL TAB $4.73 16714-007-01 ISOSORBIDE DINITRATE 5 MG ORAL TAB $4.21 50268-447-11 ISOSORBIDE DINITRATE 5 MG ORAL TAB $5.32 50268-447-15 ISOSORBIDE DINITRATE 5 MG ORAL TAB $5.32 0228-2631-11 ISOSORBIDE MONONITRATE 10 MG ORAL TAB $2.93 0228-2620-11 ISOSORBIDE MONONITRATE 20 MG ORAL TAB $3.05 62175-107-01 ISOSORBIDE MONONITRATE 20 MG ORAL TAB $1.98 0904-6449-61 ISOSORBIDE MONONITRATE 30 MG ORAL TB24 $2.28 13668-104-01 ISOSORBIDE MONONITRATE 30 MG ORAL TB24 $2.40 23155-519-01 ISOSORBIDE MONONITRATE 30 MG ORAL TB24 $1.26 50268-451-11 ISOSORBIDE MONONITRATE 30 MG ORAL TB24 $4.13 50268-451-15 ISOSORBIDE MONONITRATE 30 MG ORAL TB24 $4.13 62175-128-37 ISOSORBIDE MONONITRATE 30 MG ORAL TB24 $1.24 62175-128-41 ISOSORBIDE MONONITRATE 30 MG ORAL TB24 $1.00 68084-591-01 ISOSORBIDE MONONITRATE 30 MG ORAL TB24 $3.16 68084-591-11 ISOSORBIDE MONONITRATE 30 MG ORAL TB24 $3.16 0904-6450-61 ISOSORBIDE MONONITRATE 60 MG ORAL TB24 $2.48 13668-105-01 ISOSORBIDE MONONITRATE 60 MG ORAL TB24 $4.20 23155-178-01 ISOSORBIDE MONONITRATE 60 MG ORAL TB24 $2.40 50268-452-11 ISOSORBIDE MONONITRATE 60 MG ORAL TB24 $4.54 50268-452-15 ISOSORBIDE MONONITRATE 60 MG ORAL TB24 $4.54 62175-119-37 ISOSORBIDE MONONITRATE 60 MG ORAL TB24 $1.30 68084-592-01 ISOSORBIDE MONONITRATE 60 MG ORAL TB24 $4.18 68084-592-11 ISOSORBIDE MONONITRATE 60 MG ORAL TB24 $4.18 63261-250-21 ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLN "$3,774.00 " 67457-220-00 ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLN "$5,773.56 " 67457-220-05 ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLN "$5,773.56 " 0555-1054-56 ISOTRETINOIN 10 MG ORAL CAP $70.97 0555-1055-56 ISOTRETINOIN 20 MG ORAL CAP $84.16 0555-1056-86 ISOTRETINOIN 30 MG ORAL CAP $88.84 0555-1057-56 ISOTRETINOIN 40 MG ORAL CAP $97.78 99999-036-40 ISRADIPINE 1 MG/ML ORAL LIQUID (COMPOUND) $2.33 16252-539-01 ISRADIPINE 2.5 MG ORAL CAP $5.81 68462-807-01 ISRADIPINE 2.5 MG ORAL CAP $5.81 16252-540-01 ISRADIPINE 5 MG ORAL CAP $8.50 68462-808-01 ISRADIPINE 5 MG ORAL CAP $8.50 50458-295-15 ITRACONAZOLE 10 MG/ML ORAL SOLN "$2,056.50 " 65162-087-74 ITRACONAZOLE 10 MG/ML ORAL SOLN "$1,763.10 " 99996-001-49 ITRACONAZOLE 10 MG/ML ORAL SOLN $171.60 99996-001-46 ITRACONAZOLE 10 MG/ML ORAL SOLN (MCH) $42.90 99996-001-47 ITRACONAZOLE 10 MG/ML ORAL SOLN (MCH) $85.80 99996-001-48 ITRACONAZOLE 10 MG/ML ORAL SOLN (MCH) $128.70 0378-5100-93 ITRACONAZOLE 100 MG ORAL CAP $75.48 10147-1700-3 ITRACONAZOLE 100 MG ORAL CAP $44.53 10147-1700-7 ITRACONAZOLE 100 MG ORAL CAP $44.66 16714-743-02 ITRACONAZOLE 100 MG ORAL CAP $28.13 50458-290-01 ITRACONAZOLE 100 MG ORAL CAP $168.88 60687-299-25 ITRACONAZOLE 100 MG ORAL CAP $20.00 60687-299-95 ITRACONAZOLE 100 MG ORAL CAP $20.00 67877-454-30 ITRACONAZOLE 100 MG ORAL CAP $10.00 HC12200036 IV INF HYDRATION EA ADD'L HR $446.00 HC51000412 IV INF HYDRATION EA ADD'L HR $87.00 HC12200028 IV INF HYDRATION INITIAL HR $886.00 HC51000404 IV INF HYDRATION INITIAL HR $287.00 HC12200044 IV INF THER CONCURRENT/ ENCNTR $373.00 HC51000255 IV INF THER CONCURRENT/ ENCNTR $96.00 HC12200051 IV INF THER SEQ/NEW RX 1ST HR $574.00 HC51000248 IV INF THER SEQ/NEW RX 1ST HR $175.00 HC12200390 IV INFUSE MONOCLONAL TOCILIZUMAB >2YEARS DOSE 2ND "$1,460.00 " HC12200382 IV INFUSE MONOCLONAL TOCILIZUMAB >2YEARS INITIAL "$1,460.00 " HC12200325 IV INFUSE/SC MONOCLONAL CASIRIVIMAB/IMDEVIMAB (REGENERON) "$1,700.00 " HC51061422 IV INFUSE/SC MONOCLONAL CASIRIVIMAB/IMDEVIMAB (REGENERON) $850.00 HC12200341 IV INFUSE/SC MONOCLONAL CASIRIVIMAB/IMDEVIMAB (REGENERON) REPEAT "$1,460.00 " HC51062057 IV INFUSE/SC MONOCLONAL CASIRIVIMAB/IMDEVIMAB (REGENERON) REPEAT $730.00 HC12200333 IV INFUSION MONOCLONAL ABX BAMLANIVIMAB/ETESEVIMAB "$1,700.00 " HC51061737 IV INFUSION MONOCLONAL ABX BAMLANIVIMAB/ETESEVIMAB $850.00 HC12200317 IV INFUSION MONOCLONAL ABX BAMLANIVIMAB/XXXX "$1,045.00 " HC51061414 IV INFUSION MONOCLONAL ABX BAMLANIVIMAB/XXXX $523.00 HC12200002 IV INFUSION THERAPY 1ST HOUR "$1,075.00 " HC51000222 IV INFUSION THERAPY 1ST HOUR $363.00 HC12200010 IV INFUSION THERAPY EA ADDL HR $542.00 HC51000230 IV INFUSION THERAPY EA ADDL HR $108.00 HC12200069 IV PUSH SINGLE/INIT'L INJ $622.00 HC51000214 IV PUSH SINGLE/INIT'L INJ $257.00 99999-041-76 IVABRADINE 2.5 MG ORAL PARTIAL TAB $22.12 55513-800-60 IVABRADINE 5 MG ORAL TAB $46.41 HC12200101 IVAD IRRIGATION $403.00 HC51000420 IVAD IRRIGATION $116.00 0006-0032-20 IVERMECTIN 3 MG ORAL TAB $27.92 42799-806-01 IVERMECTIN 3 MG ORAL TAB $24.85 HC44001311 IVP DRIP OR BOLUS W/TOMO "$2,341.00 " HC44001329 IVP INFUSION DRIP OR BOLUS "$1,949.00 " HC44001337 IVP LIMITED "$1,934.00 " HC44001345 IVP ROUTINE "$2,501.00 " HC12200077 IVP SINGLE/EA NEW RX ADD'L INJ $458.00 HC51000263 IVP SINGLE/EA NEW RX ADD'L INJ $119.00 HC12200085 IVP SINGLE/REPEAT RX ADD'L INJ $266.00 HC51000271 IVP SINGLE/REPEAT RX ADD'L INJ $67.00 HC51080026 IVS TUBING $7.00 HC62207873 IVS TUBING $46.00 HC62207782 IVS TUBING BLOOD/FLUID WARMER $163.00 HC62207816 IVS TUBING BLOOD PUMP $124.00 HC62207881 IVS TUBING EXTENSION $7.00 HC62209754 IVS TUBING HBO ADAPTABLE $98.00 HC62207899 IVS TUBING HOT LINE $46.00 HC62207931 IVS TUBING PLUMSET $39.00 HC62228705 IVS TUBING PUMP RAPID INFUSER $475.00 HC62209010 IVS TUBING/CASSETTE PUMP $52.00 HC62211396 IVS-INTL PERIPH SUPPLIES/TUBINGS $38.00 HC44504470 IVUS VESSEL ADD'L NONCORON W/EXAM++ "$4,843.00 " HC44504462 IVUS VESSEL INIT'L NONCORON W/EXAM+ "$5,933.00 " HC44700615 IVUS/OCT CORONARY VES/GRFT EA ADL+ "$5,020.00 " HC44700607 IVUS/OCT CORONARY VESS/GRAFT INIT "$8,588.00 " HC44001352 JNT SURVEY SNGL VW 2 OR>JNTS "$1,136.00 " HC89011308 JO 1 AB-AU $20.00 HC89000095 JO 1 ENA AB-QD $14.00 HC82201120 JONES SILVER STAIN/GRP II+ $412.00 HC81701633 KAPPA FREE LIGHT CHAINS QT $216.00 HC89023246 KAPPA FREE LIGHT CHAINS QT URINE(IFE)-AU $14.00 HC89023139 KAPPA FREE LIGHT CHAINS QT URINE-AU $37.00 HC89018386 KAPPA FREE LIGHT CHAINS QT-AU $15.00 HC89004816 KAPPA LIGHT CHAINS-QD $90.00 HC89003990 "KARYOTYPING,ADD EA-GC" $192.00 HC83504027 "KARYOTYPING,ADD EA-GZ" $68.00 HC89015010 "KARYOTYPING,ADD EA-GZ" $20.00 HC83500561 "KARYOTYPING,ADD EA-IM" $49.00 63833-387-02 "KCENTRA 1,000 UNIT (800-1240 UNIT) IV SOLR" "$14,520.00 " 63833-397-01 "KCENTRA 1,000 UNIT (800-1240 UNIT) IV SOLR" "$14,520.00 " 63833-386-02 KCENTRA 500 UNIT (400-620 UNIT) IV SOLR "$7,260.00 " 42023-113-10 KETAMINE 10 MG/ML INJ SOLN $118.68 67457-181-00 KETAMINE 10 MG/ML INJ SOLN $115.80 67457-181-20 KETAMINE 10 MG/ML INJ SOLN $115.80 99999-036-85 KETAMINE 10 MG/ML INJ SOLN $17.82 99999-044-19 KETAMINE 10 MG/ML INJ SOLN $17.37 99999-044-20 KETAMINE 10 MG/ML INJ SOLN $5.79 0143-9509-01 KETAMINE 100 MG/ML INJ SOLN $69.57 0143-9509-10 KETAMINE 100 MG/ML INJ SOLN $69.57 0409-2051-05 KETAMINE 100 MG/ML INJ SOLN $49.14 0409-2051-15 KETAMINE 100 MG/ML INJ SOLN $49.14 42023-115-10 KETAMINE 100 MG/ML INJ SOLN $80.04 99999-033-71 KETAMINE 100 MG/ML INJ SOLN $9.83 99999-034-37 KETAMINE 5 MG/ML ORAL SOLUTION $2.70 67457-001-00 KETAMINE 50 MG/ML INJ SOLN $42.12 67457-001-10 KETAMINE 50 MG/ML INJ SOLN $42.12 99999-044-25 KETAMINE IN 0.9% NACL 10 MG/50 ML IV PGBK (OCM) $10.50 99999-044-24 KETAMINE IN 0.9% NACL 5 MG/50 ML IV PGBK (OCM) $9.90 69374-511-01 KETAMINE IN STERILE WATER 50 MG/ML INJ SYRG $27.00 0168-0099-15 KETOCONAZOLE 2 % TOPICAL CREAM $148.32 0168-0099-30 KETOCONAZOLE 2 % TOPICAL CREAM $250.20 51672-1298-1 KETOCONAZOLE 2 % TOPICAL CREAM $136.08 51672-1298-2 KETOCONAZOLE 2 % TOPICAL CREAM $228.24 45802-465-64 KETOCONAZOLE 2 % TOPICAL SHAM $132.48 51672-4026-1 KETOCONAZOLE 200 MG ORAL TAB $13.30 51672-4026-6 KETOCONAZOLE 200 MG ORAL TAB $12.96 64380-827-06 KETOCONAZOLE 200 MG ORAL TAB $6.31 0023-2181-05 KETOROLAC 0.5 % OPHT DROP "$1,573.86 " 17478-209-10 KETOROLAC 0.5 % OPHT DROP $192.12 17478-209-19 KETOROLAC 0.5 % OPHT DROP $87.71 60505-1003-1 KETOROLAC 0.5 % OPHT DROP $192.36 61314-126-05 KETOROLAC 0.5 % OPHT DROP $168.00 61314-126-10 KETOROLAC 0.5 % OPHT DROP $336.00 0093-0314-01 KETOROLAC 10 MG ORAL TAB $6.47 0378-1134-01 KETOROLAC 10 MG ORAL TAB $10.87 69543-388-10 KETOROLAC 10 MG ORAL TAB $6.47 0338-0069-10 KETOROLAC 15 MG/ML INJ SOLN $6.90 0409-3793-01 KETOROLAC 15 MG/ML INJ SOLN $15.90 0409-3793-19 KETOROLAC 15 MG/ML INJ SOLN $15.90 0641-6041-01 KETOROLAC 15 MG/ML INJ SOLN $8.90 0641-6041-25 KETOROLAC 15 MG/ML INJ SOLN $8.90 25021-700-01 KETOROLAC 15 MG/ML INJ SOLN $20.28 47781-583-68 KETOROLAC 15 MG/ML INJ SOLN $6.30 47781-583-93 KETOROLAC 15 MG/ML INJ SOLN $6.30 63323-161-01 KETOROLAC 15 MG/ML INJ SOLN $22.50 63323-161-12 KETOROLAC 15 MG/ML INJ SOLN $4.74 70860-700-01 KETOROLAC 15 MG/ML INJ SOLN $10.80 70860-700-02 KETOROLAC 15 MG/ML INJ SOLN $10.80 70860-700-41 KETOROLAC 15 MG/ML INJ SOLN $10.80 72611-719-01 KETOROLAC 15 MG/ML INJ SOLN $6.30 72611-719-25 KETOROLAC 15 MG/ML INJ SOLN $6.30 0338-0072-25 KETOROLAC 30 MG/ML (1 ML) INJ SOLN $10.50 0409-3795-01 KETOROLAC 30 MG/ML (1 ML) INJ SOLN $34.50 0409-3795-19 KETOROLAC 30 MG/ML (1 ML) INJ SOLN $34.50 0641-6042-25 KETOROLAC 30 MG/ML (1 ML) INJ SOLN $9.49 25021-701-01 KETOROLAC 30 MG/ML (1 ML) INJ SOLN $27.00 47781-584-68 KETOROLAC 30 MG/ML (1 ML) INJ SOLN $6.72 47781-584-93 KETOROLAC 30 MG/ML (1 ML) INJ SOLN $6.72 63323-162-00 KETOROLAC 30 MG/ML (1 ML) INJ SOLN $30.00 63323-162-01 KETOROLAC 30 MG/ML (1 ML) INJ SOLN $30.00 63323-162-12 KETOROLAC 30 MG/ML (1 ML) INJ SOLN $5.22 63323-162-23 KETOROLAC 30 MG/ML (1 ML) INJ SOLN $5.22 70860-701-03 KETOROLAC 30 MG/ML (1 ML) INJ SOLN $11.40 70860-701-41 KETOROLAC 30 MG/ML (1 ML) INJ SOLN $11.40 72611-722-01 KETOROLAC 30 MG/ML (1 ML) INJ SOLN $6.72 72611-722-25 KETOROLAC 30 MG/ML (1 ML) INJ SOLN $6.72 0409-3796-01 KETOROLAC 60 MG/2 ML IM SOLN $17.28 1093968444 KETOTIFEN FUMARATE 0.025 % (0.035 %) OPHT DROP $34.56 0065-4011-05 KETOTIFEN FUMARATE 0.025 % (0.035 %) OPHT DROP $58.50 17478-717-10 KETOTIFEN FUMARATE 0.025 % (0.035 %) OPHT DROP $54.84 24208-601-10 KETOTIFEN FUMARATE 0.025 % (0.035 %) OPHT DROP $51.78 49348-107-17 KETOTIFEN FUMARATE 0.025 % (0.035 %) OPHT DROP $34.56 HC84200153 KIRBY BAUER SENSITIVITY $213.00 HC62226915 KIT ABALATION (MAZE) "$65,000.00 " HC62219399 KIT ABLATION VEIN LASER "$1,515.00 " HC62220652 KIT ACCESSORY A $130.00 HC62220660 KIT ACCESSORY B $195.00 HC62220678 KIT ACCESSORY C $260.00 HC62220686 KIT ACCESSORY D $325.00 HC62203641 KIT ACCESSORY F $455.00 HC62226253 KIT ACCESSORY G $520.00 HC62220694 KIT ACCESSORY I $650.00 HC62223318 KIT ACCESSORY J $780.00 HC62223326 KIT ACCESSORY K $910.00 HC62226139 KIT ACCESSORY P "$1,560.00 " HC62203658 KIT ACCESSORY & LAPAROSCOPIC $211.00 HC62209655 KIT ACCESSORY IDD THERAPY $280.00 HC62209796 KIT ACCESSORY PACEMAKER $139.00 HC62220702 KIT ACCESSORY PROSTHESIS PENILE "$2,412.00 " HC62219407 KIT ACCESSORY STIMULATOR NERVE $195.00 HC62218557 KIT ACP AUTO COND PLASMA SERIES II $813.00 HC62203674 KIT ANEURYSM "$1,199.00 " HC62806948 KIT ANEURYSM ENCAPSULTNG NEUROVASC "$3,452.00 " HC62203682 KIT ANGIO TOUCH HAND CONTROL $676.00 HC62203690 KIT ANGIOGRAPHY $178.00 HC62203708 KIT ARTERIAL LINE $61.00 HC62220413 KIT ARTHROSCOPY DISPSBLS J $488.00 HC62224290 KIT ARTHROSCOPY DISPSBLS K $585.00 HC62203666 KIT ARTHROSCOPY DISPSBLS M $748.00 HC62224308 KIT ARTHROSCOPY DISPSBLS O "$1,040.00 " HC62214440 KIT ARTHROSCOPY DISPSBLS R "$1,463.00 " HC62221684 KIT ARTHROSCOPY DISPSBLS T "$1,528.00 " HC62227871 KIT ARTHROSCOPY DISPSBLS Y "$2,600.00 " HC62210570 KIT ASPIRATION THROMBO NEURO $650.00 HC62203716 KIT BIOPSY $65.00 HC62202056 KIT BIOPSY GUN $202.00 HC62211131 KIT BLOWER/MISTER CLEARVIEW $732.00 HC62203724 KIT BONE PREP $499.00 HC62203732 KIT BREAST PUMP ELECTRIC $77.00 HC62221056 KIT CANISTER BIOPSY CARTILAGE "$1,609.00 " HC62210919 KIT CARDIOPLEGIA CANNULA $358.00 HC62227707 KIT CASS KNEE 2 POD IASSIST "$4,680.00 " HC62210414 KIT CASS KNEE NAVITRAKER "$1,300.00 " HC62219415 KIT CATH ARTERIAL $42.00 HC62203740 KIT CATH CV $624.00 HC62806286 KIT CATH GASTROSTOMY PEG G $325.00 HC62806518 KIT CATH GASTROSTOMY PEG L $650.00 HC62213848 KIT CATH HEART RT $43.00 HC62803713 KIT CATH HEMO DIAL SHORT TERM V "$2,958.00 " HC62803648 KIT CATH HEMO/PERI DIALYS LG TRM N $910.00 HC62807599 KIT CATH HEMO/PERI DIALYS LG TRM S "$1,950.00 " HC62211750 KIT CATH IV PERIPH LONGTERM $156.00 HC62209788 KIT CATH LT HEART FLUSH DEVICE $140.00 HC62203757 KIT CATH RADIAL ARTERY $293.00 HC62209804 KIT CATH RT HEART FLUSH DEVICE $57.00 HC62203765 KIT CATH SUCTION $44.00 HC62804059 KIT CATH VENTRICULAR $501.00 HC62225248 KIT CAUTERY LEEP (REDIKIT) $585.00 HC62203773 KIT CELL SAVER $455.00 HC62221064 KIT CELL SAVER E $195.00 HC62221072 KIT CELL SAVER G $325.00 HC62221080 KIT CELL SAVER O "$1,040.00 " HC62217096 KIT CHEST TUBE INSERTION $260.00 HC62203781 KIT CHOLANGIOGRAM $374.00 HC62227509 "KIT COLON W-BTTNS,BX CAP,VALVE ENDO" $910.00 HC62227517 "KIT COLON W-SEAL ,HYDRA, ORCA VALVE" $358.00 HC62223730 KIT CONCENTRATOR PLATELETS F $260.00 HC62227376 KIT CONCENTRATOR PLATELETS J $585.00 HC62217542 KIT CONCENTRATOR PLATELETS M $780.00 HC62227392 KIT CONCENTRATOR PLATELETS O "$1,040.00 " HC62217484 KIT CONCENTRATOR PLATELETS R "$1,625.00 " HC62217492 KIT CONCENTRATOR PLATELETS X "$3,900.00 " HC62203799 KIT COOK TRIPLE LUMEN CATH $793.00 HC62203807 KIT CRANIOPLASTIC RESIN "$4,173.00 " HC62211958 KIT CRICOTHYROTOMY EMERGENCY H $390.00 HC62221098 KIT CRICOTHYROTOMY EMERGENCY J $520.00 HC62221106 KIT CRICOTHYROTOMY EMERGENCY R "$1,625.00 " HC62205232 KIT CUSA $943.00 HC62801279 KIT CVP (PASSPORT) $867.00 HC62802525 KIT CVP LINE $293.00 HC62203815 KIT CVP MANOMETER $176.00 HC62215447 KIT DECOMPRESSION SPINAL C "$1,950.00 " HC62215454 KIT DECOMPRESSION SPINAL D "$3,900.00 " HC62226576 KIT DELIVERY GRAFT "$2,275.00 " HC62217369 KIT DEVICE RETRIEVAL NEURO FB S "$23,400.00 " HC62203831 KIT DIALYSIS $313.00 HC62226261 KIT DILATOR SPINAL "$3,250.00 " HC62802533 KIT DILATORS RENAL $780.00 HC62203849 KIT DISSECTOR HYDRO PUMP "$1,646.00 " HC62202064 KIT DRAINAGE $494.00 HC62213830 KIT DRESSING $40.00 HC62226170 KIT DRESSING WOUND NEG PRESSURE A $130.00 HC62226188 KIT DRESSING WOUND NEG PRESSURE B $195.00 HC62202619 KIT DRESSING WOUND NEG PRESSURE D $325.00 HC62211685 KIT DRESSING WOUND NEG PRESSURE E $390.00 HC62225222 KIT DRESSING WOUND NEG PRESSURE J $780.00 HC62225750 KIT DRESSING WOUND NEG PRESSURE K $910.00 HC62225768 KIT DRESSING WOUND NEG PRESSURE N "$1,300.00 " HC62227947 KIT DRESSING WOUND NEG PRESSURE C $260.00 HC62203856 KIT EPIDURAL $109.00 HC62227145 KIT EXTRACT RESURFAC HIP "$2,600.00 " HC62203864 KIT EXTRACTION CUP $78.00 HC62218201 KIT FECAL MANAGEMENT G $325.00 HC62203872 KIT FECAL MANAGEMENT O "$1,040.00 " HC62203880 KIT FEMALE CATH $33.00 65174-270-30 KIT FOR OF PREP TC-99M-ALBUMIN 2.5 MG IV SOLR "$1,661.34 " 69488-001-40 KIT FOR PREP OF GA 68-DOTATATE 40 MCG IV SOLR "$10,500.00 " HC62217294 KIT HARVESTING BONE GRAFT N $910.00 HC62215462 KIT HARVESTING BONE GRAFT W "$3,250.00 " HC62208590 KIT HEART LASER CO2 "$9,133.00 " HC62203898 KIT HEMOFILTRATION $715.00 HC62223235 KIT HEMORRHOID SLIDE ONE "$1,699.00 " HC62203906 KIT HEMOSEEL(SEAL) "$2,535.00 " HC62224548 KIT HEYMAN CATH URETHRA OBSTRUCT $728.00 HC51080000 KIT HICKMAN/BROVIAC REPAIR $517.00 HC62203930 KIT HYSTEROSALPINGOGRAM $293.00 HC62203948 KIT INFLATION $293.00 HC62225578 KIT INSERTION IABP $520.00 HC62220470 KIT INSERTN PICC PEDS-NO CATH $43.00 HC62219662 KIT INSTRUMENTS ENDOBUTTON "$1,109.00 " HC62219977 KIT INSTRUMENTS UROLIFT "$1,138.00 " HC62210794 KIT INTRAOP PERFUSION (SPY) "$3,884.00 " HC62210422 KIT INTRASPINAL TRIAL $429.00 HC62203955 KIT INTRAUTERINE PRESSURE $129.00 HC62203989 KIT INTRODUCER NEPHR/BILI/GI $660.00 HC62212279 KIT INTRODUCER PERC MRI VISIBLE $792.00 HC62203997 KIT IV START W/TEGADERM $23.00 HC62807086 KIT KYPHOPAK 1ST FRACTURE C "$8,840.00 " HC62204003 KIT KYPHOPAK 1ST FRACTURE E "$11,099.00 " HC62204011 KIT KYPHOPAK ADD'L FRACTURE "$6,578.00 " HC62804471 KIT KYPHOPLASTY BALLOON AUGMENTATN "$3,738.00 " HC62204029 KIT LASER VEIN ABLATION "$2,049.00 " HC62806740 KIT LIQ EMBOL ANEURYSM(ONYX HD-500)H060003 "$24,359.00 " HC62209432 KIT LOCATABLE GUIDE (LARGE) "$3,234.00 " HC62204037 KIT MANIFOLD $325.00 HC62204045 KIT MANIFOLD SPECIALTY $556.00 HC62204052 KIT MICROINTRODUCER $118.00 HC62204060 KIT MICROPUNCTURE(SPECIALTY) $390.00 HC62204078 KIT MICROPUNCTURE(STANDARD) $130.00 HC62217476 KIT MIXER THROMBIN AUTOLOGUS $130.00 HC62803283 KIT MONITOR PRESSURE ICP "$2,751.00 " HC62220256 KIT MONITORING NERVE(S) SPINAL C "$1,950.00 " HC62220264 KIT MONITORING NERVE(S) SPINAL D "$2,275.00 " HC62220272 KIT MONITORING NERVE(S) SPINAL E "$2,600.00 " HC62216957 KIT MONITORING NERVE(S) SPINAL F "$2,925.00 " HC62220116 KIT MONITORING NERVE(S) SPINAL G "$3,250.00 " HC62218532 KIT MONITORING NERVE(S) SPINAL I "$3,900.00 " HC62218540 KIT MONITORING NERVE(S) SPINAL J "$4,225.00 " HC62219423 KIT MONITORING NERVE(S) SPINAL K "$4,875.00 " HC62220124 KIT MONITORING NERVE(S) SPINAL M "$5,525.00 " HC62228051 KIT NASAL PAP ADULT $130.00 HC62213350 KIT NEBULIZER AERONEB SOLO $139.00 HC62204086 KIT NEEDLE GUIDE (PICC) $195.00 HC62204094 KIT NEEDLE US VACUUM ASSIST $846.00 HC62204110 KIT ORAL SUCTION/CATH $72.00 HC62204128 KIT PERCUTANEOUS CATH $910.00 HC62205422 KIT PERFUSION C "$3,250.00 " HC62219795 KIT PERFUSION D "$3,575.00 " HC62211172 KIT PERFUSION - PEDS "$1,804.00 " HC62208277 KIT PERICARDIOCENTESIS $585.00 HC62204136 KIT PERITONEAL DRAINAGE ACCESS "$1,600.00 " HC62211206 KIT PERITONEAL LAVAGE $109.00 HC62204144 KIT PHACO $95.00 HC62802541 KIT PICC LINE M $845.00 HC62224845 KIT PLACEMENT SHUNT ELECTROMAGNETIC "$2,145.00 " HC62204151 KIT PNEUMOTHORAX $550.00 HC62211727 KIT POSITNR FLUIDZD FB+UTIL W-COVER $519.00 HC62204169 KIT POST OP CATARACT $189.00 45567-0455-1 KIT PREP OF TC-99M-MEBROFENIN 45 MG IV SOLR $450.00 45567-0060-1 KIT PREP OF TC-99M-SOD PYROPH 12 MG IV SOLR $159.90 65174-288-30 KIT PREP TC 99M-PENTETIC ACID 20 MG IV SOLR $848.94 17156-023-05 KIT PREP TC-99M-EXAMETAZIME 0.5 MG IV KIT "$8,735.82 " 65174-660-30 KIT PREP TC-99M-MEDRONATE SOD 25 MG IV SOLR $78.00 HC62221114 KIT PRESSURE MONITOR INTRACOMPRTMNT $222.00 HC62221122 KIT PRESSURE MONITOR/TRANSDUCER A $33.00 HC62207246 KIT PRESSURE MONITOR/TRANSDUCER B $65.00 HC62204177 KIT PRESSURE MONITOR/TRANSDUCER C $98.00 HC62204300 KIT PRESSURE MONITOR/TRANSDUCER E $195.00 HC62221148 KIT PRESSURE MONITOR/TRANSDUCER F $260.00 HC62210901 KIT PRESSURE MONITORING W/SWAN $131.00 HC62222351 KIT PROCEDURE HYSTEROSCOPIC "$1,170.00 " HC62225487 KIT PROCESSING MARROW BONE "$3,250.00 " HC62210158 KIT PROVOC ASTHMA METHACHOLINE $118.00 HC62204185 KIT PTCA CUSTOM NAMIC $397.00 HC62217138 KIT PTCA SYRINGE (CUSTOM) $49.00 HC62210430 KIT PUMP REFILL C $488.00 HC62212493 KIT PUMP REFILL SYNCHROMED $65.00 HC62802558 KIT QUINTON MAHURKAR CATH "$1,448.00 " HC62204193 KIT RADICAL PROSTATECTOMY $332.00 HC62213905 KIT REPAIR BAG PLEURAL DRAINAGE $40.00 HC62225362 KIT REPAIR BROVIAC/CV/HICKMAN C $423.00 HC62204201 KIT REPAIR BROVIAC/CV/HICKMAN D $488.00 HC62225370 KIT REPAIR BROVIAC/CV/HICKMAN E $553.00 HC62225388 KIT REPAIR BROVIAC/CV/HICKMAN F $618.00 HC62203922 KIT REPAIR BROVIAC/CV/HICKMAN G $683.00 HC62227814 KIT REPAIR BROVIAC/CV/HICKMAN H $748.00 HC62227889 KIT REPAIR BROVIAC/CV/HICKMAN I $813.00 HC62224803 KIT REPAIR CATH DIALYSIS PERITONEAL $208.00 HC62224464 KIT REPAIR LEAD PCMKR $325.00 HC62218169 KIT REPAIR PORT ACCESS LAP-BAND C "$1,950.00 " HC62218177 KIT REPAIR PORT ACCESS LAP-BAND D "$2,275.00 " HC62204219 KIT RESPIRATORY $241.00 HC62204227 KIT ROTALINK "$4,454.00 " HC62228622 KIT ROTAPRO "$4,363.00 " HC62217146 KIT ROTATOR LEAD PACER $65.00 HC62214663 KIT SEALANT FIBRIN $124.00 HC62204235 KIT SHOULDER SUSPENSION $189.00 HC62228788 KIT SPIN PERC®(ALWAYS-ON TIP TRACKED®) "$2,325.00 " HC62217005 KIT SPINAL ACCESS DISPOSBL D "$3,380.00 " HC62216502 KIT SPINAL ACCESS DISPOSBL E "$3,640.00 " HC62219449 KIT SPINAL ACCESS DISPOSBL F "$3,900.00 " HC62221692 KIT SPINAL ACCESS DISPOSBL M "$5,980.00 " HC62217013 KIT SPINAL ACCESS DISPOSBL AB "$9,620.00 " HC62214580 KIT SPINAL ACCESS DISPOSBL(MAXCESS) "$4,160.00 " HC62808340 KIT SPRAYER & POWDER HEMOSTATIC "$10,000.00 " HC62219456 KIT STARTER B-CPAP INFANT $228.00 HC62802830 KIT STENT BILIARY PLASTIC $712.00 HC62221155 KIT SUPRA PUBIC CATH B $65.00 HC62221163 KIT SUPRA PUBIC CATH D $130.00 HC62221171 KIT SUPRA PUBIC CATH G $325.00 HC62228457 KIT SUTURE WIRE LASSO "$1,300.00 " HC62221189 KIT TEMP MNGMNT-HEAD WRP-VEST-BLNKT "$1,058.00 " HC62204250 KIT TEST PYLORI HELICOBACTER $91.00 HC62204268 KIT TIPS "$1,625.00 " HC62209150 KIT TISSUE EXPANDER "$1,908.00 " HC51080018 KIT TPN/CVP DRESSING $65.00 HC62204276 KIT TPN/CVP DRESSING $98.00 HC62204284 KIT TRACH $255.00 HC62204292 KIT TRACH COLLAR $65.00 HC62221932 KIT TRACKING JOINT ORTHO ROBOTIC $735.00 HC62204318 KIT TRANSJUGULAR VENOUS ACCESS "$2,600.00 " HC62228366 KIT TRANSSEPTAL (WATCHMAN) "$2,763.00 " HC62204326 KIT TRIPLE LUMEN/IV CATH $793.00 HC62217237 KIT TUBE TRACH CUFFED O "$1,040.00 " HC62217559 KIT TUBE TRACH PEDS/NEO NO CUFF Q "$1,300.00 " HC62209267 KIT TUBING BREAST PUMP $91.00 HC62204334 KIT TWIST DRILL DISP "$1,438.00 " HC62204375 KIT VACUUM EXTRACTION $98.00 HC62211313 KIT VENT THORACIC (URESIL) $748.00 HC62211404 KIT VENTRICULOSTOMY ACCESS "$1,014.00 " HC62204342 KIT VERTEBROPLASTY DISP "$7,449.00 " HC62219696 KIT VITRECTOMY PROBE B $260.00 HC62219704 KIT VITRECTOMY PROBE C $390.00 HC62219712 KIT VITRECTOMY PROBE I "$1,170.00 " HC62205497 KIT VITRECTOMY PROBE J "$1,300.00 " HC62219720 KIT VITRECTOMY PROBE K "$1,625.00 " HC62219738 KIT VITRECTOMY PROBE M "$2,275.00 " HC62219746 KIT VITRECTOMY PROBE N "$2,600.00 " HC62219753 KIT VITRECTOMY PROBE Z "$6,500.00 " HC62213749 KIT VITREORETINAL PERFLUORON 5ML "$1,470.00 " HC62213756 KIT VITREORETINAL PERFLUORON 7ML "$2,131.00 " HC62221197 KIT W/ TRACH PERCUTANEOUS C $910.00 HC62221205 KIT W/ TRACH PERCUTANEOUS D "$1,040.00 " HC62221213 KIT W/ TRACH PERCUTANEOUS E "$1,170.00 " HC62204359 KIT W/ TRACH PERCUTANEOUS F "$1,300.00 " HC62204367 KIT WOUND VAC $137.00 HC62211859 KIT/SYS CATH MICRO'P'VASC INJ/COIL DEL "$1,300.00 " HC62221221 KIT/TRAY BIOPSY B $65.00 HC62204383 KIT/TRAY BIOPSY G $325.00 HC62226790 KIT/TRAY BX(ONCONTROL S/L NEEDLE) I $455.00 HC62204391 KIT/TRAY SUTURE REMOVAL $30.00 HC89014013 KLEIHAUER BETKE-AU $124.00 HC81500530 KLEIHAUER-BETKE $368.00 HC44002764 KNEE 1 OR 2 VIEWS $732.00 HC44001360 KNEE 1 VIEW BILAT "$1,373.00 " HC44001378 KNEE 1 VIEW LT $740.00 HC44001386 KNEE 1 VIEW RT $740.00 HC44001394 KNEE 2 VIEWS BILAT "$1,476.00 " HC44001402 KNEE 2 VIEWS LT $826.00 HC44001410 KNEE 2 VIEWS RT $826.00 HC44001428 KNEE 3 VIEWS BILAT "$1,885.00 " HC44001436 KNEE 3 VIEWS LT $959.00 HC44001444 KNEE 3 VIEWS RT $959.00 HC44001451 KNEE 4 OR MORE VWS BILAT "$2,296.00 " HC44001469 KNEE 4 OR MORE VWS LT "$1,146.00 " HC44001477 KNEE 4 OR MORE VWS RT "$1,146.00 " HC44002772 KNEE 4 VIEWS "$1,146.00 " HC44001485 KNEE ARTHROGRAM BILAT "$3,637.00 " HC44001493 KNEE ARTHROGRAM LT "$1,918.00 " HC44001501 KNEE ARTHROGRAM RT "$1,918.00 " HC44001519 KNEES BILATERAL AP STANDING $753.00 HC62220421 KNIFE ANNULOTOMY (MAXCESS) "$2,630.00 " HC62215470 KNIFE BAYONET A $488.00 HC62215488 KNIFE BAYONET G "$1,073.00 " HC62219944 KNIFE BAYONET K "$1,983.00 " HC62214424 KNIFE CANNULATED RETRACT $650.00 HC62204409 KNIFE COLD DISP $491.00 HC62204417 KNIFE MICROSURGICAL $237.00 HC62204425 KNIFE MYRINGOTOMY $79.00 HC62204441 KNIFE SURGICAL $33.00 HC62227046 KNIFE URETHROTOME $910.00 0026-3785-55 "KOGENATE FS 1,000 (+/-) UNIT IV SOLR" "$9,840.00 " 0026-3782-25 KOGENATE FS 250 (+/-) UNIT IV SOLR "$2,460.00 " 0026-3787-75 "KOGENATE FS 3,000 (+/-) UNIT IV SOLR" "$29,520.00 " HC84200096 KOH PREP $145.00 HC82201138 KOSSA CALCIUM STAIN/GRP II+ $412.00 HC89020382 KRAS GENE ANALYSIS-AU $164.00 HC83505644 KRAS MUT ANALSYS VARIANTS EXONS 2-NG $500.00 HC83505651 KRAS MUT ANALYSIS EXON 4-NG $369.00 HC26000158 L&D EVAL LEVEL I - BRIEF $496.00 HC26000166 L&D EVAL LEVEL II - LIMITED $988.00 HC26000174 L&D EVAL LEVEL III - INTERMED "$1,322.00 " HC26000182 L&D EVAL LEVEL IV - EXTENDED "$1,470.00 " HC26000190 L&D EVAL LEVEL V - COMPREHENSV "$2,033.00 " 99999-034-69 LABETALOL 10 MG/ML ORAL LIQUID (MCH) $1.00 0185-0010-01 LABETALOL 100 MG ORAL TAB $2.46 0591-0605-01 LABETALOL 100 MG ORAL TAB $2.46 0591-0605-05 LABETALOL 100 MG ORAL TAB $2.33 23155-723-01 LABETALOL 100 MG ORAL TAB $1.72 49884-122-01 LABETALOL 100 MG ORAL TAB $2.46 49884-122-05 LABETALOL 100 MG ORAL TAB $2.46 51079-928-01 LABETALOL 100 MG ORAL TAB $2.72 51079-928-20 LABETALOL 100 MG ORAL TAB $2.72 60687-439-01 LABETALOL 100 MG ORAL TAB $2.72 60687-439-11 LABETALOL 100 MG ORAL TAB $2.72 0409-2339-24 LABETALOL 20 MG/4 ML (5 MG/ML) IV SYRG $44.38 0409-2339-34 LABETALOL 20 MG/4 ML (5 MG/ML) IV SYRG $44.38 0185-0117-01 LABETALOL 200 MG ORAL TAB $3.49 0591-0606-01 LABETALOL 200 MG ORAL TAB $3.49 0591-0606-05 LABETALOL 200 MG ORAL TAB $3.32 0904-5929-61 LABETALOL 200 MG ORAL TAB $2.66 23155-724-01 LABETALOL 200 MG ORAL TAB $2.45 49884-123-01 LABETALOL 200 MG ORAL TAB $3.49 51079-929-20 LABETALOL 200 MG ORAL TAB $3.82 58657-603-01 LABETALOL 200 MG ORAL TAB $3.49 60687-450-01 LABETALOL 200 MG ORAL TAB $3.50 60687-450-11 LABETALOL 200 MG ORAL TAB $3.50 68001-382-00 LABETALOL 200 MG ORAL TAB $3.41 0185-0118-01 LABETALOL 300 MG ORAL TAB $4.65 0591-0607-01 LABETALOL 300 MG ORAL TAB $4.65 23155-725-01 LABETALOL 300 MG ORAL TAB $3.25 49884-124-01 LABETALOL 300 MG ORAL TAB $4.65 60687-461-01 LABETALOL 300 MG ORAL TAB $5.94 60687-461-11 LABETALOL 300 MG ORAL TAB $5.94 71930-037-12 LABETALOL 300 MG ORAL TAB $4.44 0143-9622-01 LABETALOL 5 MG/ML IV SOLN $42.00 0143-9623-01 LABETALOL 5 MG/ML IV SOLN $84.00 0409-2267-20 LABETALOL 5 MG/ML IV SOLN $20.40 0409-2267-54 LABETALOL 5 MG/ML IV SOLN $44.64 17478-420-20 LABETALOL 5 MG/ML IV SOLN $150.00 47781-586-29 LABETALOL 5 MG/ML IV SOLN $66.00 47781-586-56 LABETALOL 5 MG/ML IV SOLN $132.00 72266-102-01 LABETALOL 5 MG/ML IV SOLN $48.00 72266-103-01 LABETALOL 5 MG/ML IV SOLN $72.00 72572-350-01 LABETALOL 5 MG/ML IV SOLN $17.28 99999-009-62 LABETALOL 5 MG/ML IV SOLN $13.20 HC25000290 LAC REPAIR 12.6-20CM $574.00 HC21000740 LAC REPAIR 2.6-7 5CM $737.00 HC25000308 LAC REPAIR 2.6-7 5CM $435.00 HC25000282 LAC REPAIR 20.1-30CM(LARGE) $661.00 HC25000399 LAC REPAIR 30.0+CM $812.00 HC21000757 LAC REPAIR 7.6-12 5CM(MEDIUM) $933.00 HC25000316 LAC REPAIR 7.6-12 5CM(MEDIUM) $513.00 HC25003336 LAC REPAIR CMPLX E/N/E/L 1.1-2.5 CM "$1,202.00 " HC25003344 LAC REPAIR CMPLX E/N/E/L 2.6-7.5 CM "$1,301.00 " HC25003310 LAC REPAIR CMPLX F/C/C/M/N/AX/G/H/F 1.1-2.5CM "$1,148.00 " HC25003328 LAC REPAIR CMPLX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM "$1,225.00 " HC25003286 LAC REPAIR CMPLX S/A/L 1.1-2.5 CM "$1,212.00 " HC25003294 LAC REPAIR CMPLX S/A/L 2.6-7.5 CM "$1,338.00 " HC25003302 LAC REPAIR CMPLX S/A/L ADDL 5 CM/> $428.00 HC25003260 LAC REPAIR CMPLX TRUNK 1.1-2.5 CM "$1,192.00 " HC25003278 LAC REPAIR CMPLX TRUNK 2.6-7.5 CM "$1,231.00 " HC25003195 LAC REPAIR INTMD F/E/E/N/L&/MM 2.5CM/< $995.00 HC25003252 LAC REPAIR INTMD F/E/E/N/L/MM >30.0CM "$1,749.00 " HC25003237 LAC REPAIR INTMD F/E/E/N/L/MM 12.6-20CM "$1,377.00 " HC25003203 LAC REPAIR INTMD F/E/E/N/L/MM 2.6-5.0CM "$1,140.00 " HC25003245 LAC REPAIR INTMD F/E/E/N/L/MM 20.1-30.0CM "$1,530.00 " HC25003211 LAC REPAIR INTMD F/E/E/N/L/MM 5.1-7.5CM "$1,212.00 " HC25003229 LAC REPAIR INTMD F/E/E/N/L/MM 7.6-12.5CM "$1,301.00 " HC25003187 LAC REPAIR INTMD N/H/F/GEN >30.0CM "$2,425.00 " HC25003161 LAC REPAIR INTMD N/H/F/GEN 12.6-20 "$1,212.00 " HC25003138 LAC REPAIR INTMD N/H/F/GEN 2.5CM/< $957.00 HC25003146 LAC REPAIR INTMD N/H/F/GEN 2.6-7.5 "$1,117.00 " HC25003179 LAC REPAIR INTMD N/H/F/GEN 20.1-30 "$1,365.00 " HC25003153 LAC REPAIR INTMD N/H/F/GEN 7.6-12.5 "$1,175.00 " HC25003120 LAC REPAIR INTMD S/A/T/EXT >30.0CM "$3,032.00 " HC25003104 LAC REPAIR INTMD S/A/T/EXT 12.6-20CM "$1,156.00 " HC25003070 LAC REPAIR INTMD S/A/T/EXT 2.5 CM/< $980.00 HC25003088 LAC REPAIR INTMD S/A/T/EXT 2.6-7.5CM "$1,041.00 " HC25003112 LAC REPAIR INTMD S/A/T/EXT 20.1-30CM "$1,183.00 " HC25003096 LAC REPAIR INTMD S/A/T/EXT 7.6-12.5CM "$1,148.00 " HC25005240 LAC REPAIR MOUTH; >2.5 CM/COMPLEX "$1,062.00 " HC25005232 LAC REPAIR MOUTH; 2.5 CM OR LESS $606.00 HC25003047 LAC REPAIR SIMPLE F/E/E/N/L/M >30.0 CM $996.00 HC25003021 LAC REPAIR SIMPLE F/E/E/N/L/M 12.6-20.0 CM $773.00 HC25002999 LAC REPAIR SIMPLE F/E/E/N/L/M 2.6-5.0 CM $529.00 HC25003039 LAC REPAIR SIMPLE F/E/E/N/L/M 20.1-30.0 CM $955.00 HC25003005 LAC REPAIR SIMPLE F/E/E/N/L/M 5.1-7.5 CM $628.00 HC25003013 LAC REPAIR SIMPLE F/E/E/N/L/M 7.6-12.5 CM $667.00 HC25002981 LAC REPAIR SIMPLE F/E/E/N/L/M TO 2.5 CM $513.00 HC25002973 LAC REPAIR SIMPLE S/N/A/GEN/T/EXT >30.0CM $796.00 HC25002957 LAC REPAIR SIMPLE S/N/A/GEN/T/EXT 12.6-20.0CM $726.00 HC25002932 LAC REPAIR SIMPLE S/N/A/GEN/T/EXT 2.6-7.5CM $500.00 HC25002965 LAC REPAIR SIMPLE S/N/A/GEN/T/EXT 20.1-30.0CM $758.00 HC25002940 LAC REPAIR SIMPLE S/N/A/GEN/T/EXT 7.6-12.5CM $611.00 HC25002924 LAC REPAIR SIMPLE S/N/AX/GEN/T/EXT 2.5CM OR LESS $487.00 HC21000732 LAC REPAIR TO 2.5 CM(SMALL) $683.00 HC25000274 LAC REPAIR TO 2.5 CM(SMALL) $344.00 0131-5410-72 LACOSAMIDE 10 MG/ML ORAL SOLN "$2,210.40 " 99999-035-45 LACOSAMIDE 10 MG/ML ORAL SOLN $55.23 99999-035-46 LACOSAMIDE 10 MG/ML ORAL SOLN $110.46 0131-2478-35 LACOSAMIDE 100 MG ORAL TAB $89.03 0131-2478-60 LACOSAMIDE 100 MG ORAL TAB $97.94 0131-1810-67 LACOSAMIDE 200 MG/20 ML IV SOLN $467.40 99999-033-33 LACOSAMIDE 200 MG/20 ML IV SOLN $37.80 0131-2477-35 LACOSAMIDE 50 MG ORAL TAB $56.95 0131-2477-60 LACOSAMIDE 50 MG ORAL TAB $62.65 HC89020275 LACTASE (DISACCHARIDASE)-AU $38.00 904522452 "LACTASE 3,000 UNIT ORAL TAB" $1.00 45091012 "LACTASE 9,000 UNIT ORAL TAB" $1.46 0338-0117-02 LACTATED RINGERS IV SOLP $24.00 0338-0117-03 LACTATED RINGERS IV SOLP $24.00 0409-7953-03 LACTATED RINGERS IV SOLP $33.00 0990-7953-09 LACTATED RINGERS IV SOLP $30.00 HC11500469 LACTATION E&M BRIEF EST'D L:I $193.00 HC11500501 LACTATION E&M COMPRHNS EST'D L:V $379.00 HC11500550 LACTATION E&M COMPRHNS NEW:V $351.00 HC11500493 LACTATION E&M EXT'D EST'D L:IV $323.00 HC11500543 LACTATION E&M EXT'D NEW L:IV $309.00 HC11500535 LACTATION E&M INTRMD EST'L:III $226.00 HC11500485 LACTATION E&M INTRMD NEW L:III $259.00 HC11500527 LACTATION E&M LIMITD EST' L:II $206.00 HC11500477 LACTATION E&M LIMITD NEW L:II $219.00 HC81100455 LACTIC ACID $333.00 HC81101776 LACTIC ACID (POS) $333.00 HC89016851 LACTIC ACID-AU $8.00 HC89015457 LACTIC ACID-QD $14.00 HC89020069 LACTO TYPE (LCT)(CAT #6100-2013) -PR $236.80 8290236850 LACTOBACILLUS ACIDOPH-L.BULGAR 1 MILLION CELL ORAL CHEW $1.00 4229140305 LACTOBACILLUS ACIDOPH-L.BULGAR 1 MILLION CELL ORAL TAB $1.00 6498012950 LACTOBACILLUS ACIDOPH-L.BULGAR 1 MILLION CELL ORAL TAB $1.93 6498014612 LACTOBACILLUS ACIDOPH-L.BULGAR 100 MILLION CELL ORAL GRPK $9.75 6498014698 LACTOBACILLUS ACIDOPH-L.BULGAR 100 MILLION CELL ORAL GRPK $9.75 8290236712 LACTOBACILLUS ACIDOPH-L.BULGAR 100 MILLION CELL ORAL GRPK $5.15 7135101312 LACTOBACILLUS ACIDOPH-L.BULGAR 100 MILLION CELL ORAL PWPK $9.75 7135101399 LACTOBACILLUS ACIDOPH-L.BULGAR 100 MILLION CELL ORAL PWPK $9.75 26608-00118 LACTOBACILLUS ACIDOPH-L.CASEI-L.RHAMNOSUS 50 BILLION CELL ORAL CAP $9.59 26608-00150 LACTOBACILLUS ACIDOPH-L.CASEI-L.RHAMNOSUS 50 BILLION CELL ORAL CAP $8.34 26608-00154 LACTOBACILLUS ACIDOPH-L.CASEI-L.RHAMNOSUS 50 BILLION CELL ORAL CAP $8.34 26608-01210 LACTOBACILLUS ACIDOPH-L.CASEI-L.RHAMNOSUS 50 BILLION CELL ORAL LIQUID $18.10 26608-02125 LACTOBACILLUS ACIDOPH-L.CASEI-L.RHAMNOSUS 50 BILLION CELL ORAL LIQUID $18.10 HC84200484 "LACTOFERRIN/LEUK, FECAL; QUAL" $272.00 0121-0577-16 LACTULOSE 10 G/15 ML ORAL SOLN (MCH) $45.41 45963-439-65 LACTULOSE 10 G/15 ML ORAL SOLN (MCH) $85.14 50383-779-16 LACTULOSE 10 G/15 ML ORAL SOLN (MCH) $68.11 50383-795-16 LACTULOSE 10 G/15 ML ORAL SOLN (MCH) $68.11 60432-037-32 LACTULOSE 10 G/15 ML ORAL SOLN (MCH) $90.82 0121-0873-16 LACTULOSE 10 GRAM/15 ML ORAL SOLN $45.41 60432-038-16 LACTULOSE 10 GRAM/15 ML ORAL SOLN $42.57 0121-1154-00 LACTULOSE 20 GRAM/30 ML ORAL SOLN $4.14 0121-1154-30 LACTULOSE 20 GRAM/30 ML ORAL SOLN $4.14 50383-779-30 LACTULOSE 20 GRAM/30 ML ORAL SOLN $6.30 50383-779-33 LACTULOSE 20 GRAM/30 ML ORAL SOLN $5.94 66689-038-01 LACTULOSE 20 GRAM/30 ML ORAL SOLN $7.38 66689-038-50 LACTULOSE 20 GRAM/30 ML ORAL SOLN $7.38 99999-037-30 LACTULOSE 20 GRAM/30 ML ORAL SOLN $9.54 HC81701641 LAMBDA FREE LIGHT CHAINS QT $216.00 HC89023238 LAMBDA FREE LIGHT CHAINS QT URINE(IFE)-AU $14.00 HC89023147 LAMBDA FREE LIGHT CHAINS QT URINE-AU $37.00 HC89018394 LAMBDA FREE LIGHT CHAINS QT-AU $15.00 HC81500746 LAMELLAR BODY DENSITY $298.00 HC89023212 LAMELLAR BODY DENSITY FETAL LUNG-U2 $45.00 99999-034-83 LAMINARIA JAPONICA (DILATERIA) EXTRA THICK $75.78 99999-034-80 LAMINARIA JAPONICA (DILATERIA) MEDIUM $75.78 99999-034-81 LAMINARIA JAPONICA (DILATERIA) THICK $75.78 99999-034-82 LAMINARIA JAPONICA (DILATERIA) THIN $75.78 49702-205-48 LAMIVUDINE 10 MG/ML ORAL SOLN $665.28 54838-566-70 LAMIVUDINE 10 MG/ML ORAL SOLN (MCH) $498.24 57237-274-24 LAMIVUDINE 10 MG/ML ORAL SOLN (MCH) $479.52 0173-0662-00 LAMIVUDINE 100 MG ORAL TAB $97.57 60505-3250-6 LAMIVUDINE 100 MG ORAL TAB $70.30 0904-6583-04 LAMIVUDINE 150 MG ORAL TAB $46.19 49702-203-18 LAMIVUDINE 150 MG ORAL TAB $41.57 60505-3251-6 LAMIVUDINE 150 MG ORAL TAB $22.50 64380-710-03 LAMIVUDINE 150 MG ORAL TAB $7.50 65862-597-60 LAMIVUDINE-ZIDOVUDINE 150-300 MG ORAL TAB $37.27 0173-0642-55 LAMOTRIGINE 100 MG ORAL TAB $90.16 0904-7008-61 LAMOTRIGINE 100 MG ORAL TAB $1.00 16714-701-01 LAMOTRIGINE 100 MG ORAL TAB $1.00 51079-499-01 LAMOTRIGINE 100 MG ORAL TAB $1.00 51079-499-20 LAMOTRIGINE 100 MG ORAL TAB $1.00 51672-4131-1 LAMOTRIGINE 100 MG ORAL TAB $1.00 63739-179-10 LAMOTRIGINE 100 MG ORAL TAB $1.00 68084-319-01 LAMOTRIGINE 100 MG ORAL TAB $1.00 68084-319-11 LAMOTRIGINE 100 MG ORAL TAB $1.00 51672-4133-4 LAMOTRIGINE 200 MG ORAL TAB $1.00 0173-0633-02 LAMOTRIGINE 25 MG ORAL TAB $78.93 59746-245-01 LAMOTRIGINE 25 MG ORAL TAB $1.00 63739-670-10 LAMOTRIGINE 25 MG ORAL TAB $1.24 68084-318-01 LAMOTRIGINE 25 MG ORAL TAB $1.00 68084-318-11 LAMOTRIGINE 25 MG ORAL TAB $1.00 68382-006-01 LAMOTRIGINE 25 MG ORAL TAB $1.21 62332-096-31 LAMOTRIGINE 25 MG ORAL TCHD $2.65 68462-229-01 LAMOTRIGINE 25 MG ORAL TCHD $2.65 68462-228-01 LAMOTRIGINE 5 MG ORAL TCHD $2.48 HC89006761 LAMOTRIGINE-AU $10.00 HC89005797 LAMOTRIGINE-QD $60.00 7214000022 LANOLIN ALCOHOL-MO-W.PET-CERES TOPICAL CREAM $32.54 9277160002 LANOLIN ALCOHOL-MO-W.PET-CERES TOPICAL CREAM $22.37 10356-090-04 LANOLIN ALCOHOL-MO-W.PET-CERES TOPICAL CREAM $32.54 2045187121 LANOLIN TOPICAL CREAM $11.99 7214011019 LANOLIN-MINERAL OIL TOPICAL LOTN $33.00 0378-6981-32 LANSOPRAZOLE 15 MG ORAL TBLD $54.14 0378-6981-88 LANSOPRAZOLE 15 MG ORAL TBLD $54.14 64764-543-11 LANSOPRAZOLE 15 MG ORAL TBLD $83.02 64764-543-30 LANSOPRAZOLE 15 MG ORAL TBLD $83.02 68382-771-30 LANSOPRAZOLE 15 MG ORAL TBLD $54.14 68382-771-77 LANSOPRAZOLE 15 MG ORAL TBLD $54.14 51079-121-01 LANSOPRAZOLE 30 MG ORAL CPDR $14.11 51079-121-08 LANSOPRAZOLE 30 MG ORAL CPDR $14.11 0093-3009-19 LANSOPRAZOLE 30 MG ORAL TBLD $71.73 0093-3009-93 LANSOPRAZOLE 30 MG ORAL TBLD $71.73 0378-6982-32 LANSOPRAZOLE 30 MG ORAL TBLD $54.14 0378-6982-85 LANSOPRAZOLE 30 MG ORAL TBLD $54.14 0378-6982-88 LANSOPRAZOLE 30 MG ORAL TBLD $54.14 64764-544-11 LANSOPRAZOLE 30 MG ORAL TBLD $83.02 64764-544-30 LANSOPRAZOLE 30 MG ORAL TBLD $83.02 68382-772-30 LANSOPRAZOLE 30 MG ORAL TBLD $54.14 68382-772-77 LANSOPRAZOLE 30 MG ORAL TBLD $54.14 99999-044-56 LANSOPRAZOLE 3MG/ML ORAL SOLUTION (MCH) $85.20 54092-254-10 "LANTHANUM 1,000 MG ORAL CHEW" $72.04 54092-254-90 "LANTHANUM 1,000 MG ORAL CHEW" $72.04 66993-424-75 "LANTHANUM 1,000 MG ORAL CHEW" $64.76 66993-424-85 "LANTHANUM 1,000 MG ORAL CHEW" $64.76 54092-252-45 LANTHANUM 500 MG ORAL CHEW $72.04 54092-252-90 LANTHANUM 500 MG ORAL CHEW $72.04 66993-422-47 LANTHANUM 500 MG ORAL CHEW $64.76 66993-422-85 LANTHANUM 500 MG ORAL CHEW $64.76 68180-819-42 LANTHANUM 500 MG ORAL CHEW $62.24 68180-819-52 LANTHANUM 500 MG ORAL CHEW $62.24 58468-0070-1 LARONIDASE 2.9 MG/5 ML IV SOLN "$5,438.40 " HC33001173 LARYNGOSC W/STROBOSCOPY "$1,392.00 " HC62209036 LARYNGOSCOPE BLADE DISP INFANT $33.00 HC62212469 LARYNGOSCOPE BLADE W-HANDLE DISP $51.00 HC62212477 LARYNGOSCOPE HANDLE ONLY DISP $72.00 HC25005828 LARYNGOSCOPY DIAGNOSTIC $600.00 HC46502522 LARYNGOSCOPY DIAGNOSTIC "$1,238.00 " HC51010775 LARYNGOSCOPY DIAGNOSTIC $425.00 HC25000423 LARYNGOSCOPY FIBEROP W/FB REM "$1,198.00 " HC25000415 LARYNGOSCOPY FIBEROPTIC DX $883.00 HC25005166 LARYNGOSCOPY W/REMOVE FB $494.00 0013-8303-04 LATANOPROST 0.005 % OPHT DROP "$1,282.62 " 0517-0830-01 LATANOPROST 0.005 % OPHT DROP $72.00 17478-625-12 LATANOPROST 0.005 % OPHT DROP $93.30 24208-463-25 LATANOPROST 0.005 % OPHT DROP $108.00 59762-0333-2 LATANOPROST 0.005 % OPHT DROP $62.34 61314-547-01 LATANOPROST 0.005 % OPHT DROP $64.20 61314-547-03 LATANOPROST 0.005 % OPHT DROP $80.40 70069-421-01 LATANOPROST 0.005 % OPHT DROP $43.62 70069-421-03 LATANOPROST 0.005 % OPHT DROP $43.62 HC89021224 "LCM AB, IGM-AU" $18.00 HC89014393 LCM AB-AU $19.95 HC89008825 LD-AU $11.00 HC81100646 LDH $232.00 HC89008833 LDH ISOENZYMES(PNL)-AU $16.00 HC89003016 LDH ISOENZYMES-QD $10.00 HC89008817 LDH-AU $11.00 HC81101594 LDL CHOLEST DIRECT $208.00 HC81100109 LDL CHOLESTEROL DIRECT $211.00 HC89008890 LDL SUBCLASS-AU $48.00 HC81101198 LEAD $160.00 HC62218474 LEAD DELIVERY SYSTEM J "$2,600.00 " HC62808548 LEAD SENSING RESPIRATORY(INSPIRE®) "$10,969.00 " HC89008841 LEAD URINE-AU $10.31 HC89002539 LEAD URINE-QD $38.00 HC89017610 LEAD(PNL)-AU $7.00 HC89002182 LEAD-QD $38.00 99999-033-94 LEECH $52.20 10702-277-03 LEFLUNOMIDE 10 MG ORAL TAB $4.00 23155-043-03 LEFLUNOMIDE 10 MG ORAL TAB $16.00 60505-2502-1 LEFLUNOMIDE 10 MG ORAL TAB $16.00 62332-061-30 LEFLUNOMIDE 10 MG ORAL TAB $30.00 70748-129-06 LEFLUNOMIDE 10 MG ORAL TAB $16.00 HC44701324 "LEFT HEART CATH; LT VENT,W/S&I" "$26,440.00 " HC89012744 LEGIONELLA AB-AU $12.03 HC89014674 LEGIONELLA AG DFA-AU $37.00 HC89000491 LEGIONELLA AG DFA-U2 $16.00 HC84200617 LEGIONELLA AG URINE $251.00 HC89008601 LEGIONELLA AG URINE-AU $16.00 HC89014682 LEGIONELLA AG URINE-AU $15.00 HC89002554 LEGIONELLA AG URINE-QD $22.00 HC89015952 LEGIONELLA AG URINE-QD $22.00 HC89000632 LEGIONNELLA SCREEN-QD $21.00 HC89012751 LEISHMANIASIS AB -AU $39.00 59572-405-00 LENALIDOMIDE 5 MG ORAL CAP "$4,578.05 " HC62204474 LENS VITRECTOMY FLAT $111.00 HC89017214 LEPTIN ELISA-AU $60.00 HC89008619 LEPTIN-QN $75.00 HC89012769 LEPTOSPIRA AB-AU $29.00 HC89012777 LEPTOSPIRA AB-FT $87.00 HC89001507 LEPTOSPIRA AB-QD $16.00 0078-0249-15 LETROZOLE 2.5 MG ORAL TAB $140.42 0093-7620-56 LETROZOLE 2.5 MG ORAL TAB $2.20 16729-034-10 LETROZOLE 2.5 MG ORAL TAB $3.00 42291-374-90 LETROZOLE 2.5 MG ORAL TAB $2.01 50268-476-11 LETROZOLE 2.5 MG ORAL TAB $5.06 50268-476-15 LETROZOLE 2.5 MG ORAL TAB $5.06 51991-759-33 LETROZOLE 2.5 MG ORAL TAB $1.80 62756-511-83 LETROZOLE 2.5 MG ORAL TAB $1.50 HC89008874 LEUCINE AMINOPEPTIDASE-AU $27.00 0054-4497-10 LEUCOVORIN CALCIUM 10 MG ORAL TAB $33.23 99999-008-27 LEUCOVORIN CALCIUM 10 MG/ML INJ SOLN (FOR ORAL USE) (MCH) $120.00 25021-814-30 LEUCOVORIN CALCIUM 100 MG INJ SOLN (MCH) $120.00 0143-9554-01 LEUCOVORIN CALCIUM 100 MG INJ SOLR $96.00 0703-5140-01 LEUCOVORIN CALCIUM 100 MG INJ SOLR $120.00 67457-528-10 LEUCOVORIN CALCIUM 100 MG INJ SOLR $120.00 25021-815-30 LEUCOVORIN CALCIUM 200 MG INJ SOLN (MCH) $240.00 63323-710-50 LEUCOVORIN CALCIUM 200 MG INJ SOLN (MCH) $126.36 63323-710-59 LEUCOVORIN CALCIUM 200 MG INJ SOLR $126.36 0054-4499-11 LEUCOVORIN CALCIUM 25 MG ORAL TAB $67.79 0555-0485-27 LEUCOVORIN CALCIUM 25 MG ORAL TAB $53.65 51079-582-01 LEUCOVORIN CALCIUM 25 MG ORAL TAB $66.00 51079-582-05 LEUCOVORIN CALCIUM 25 MG ORAL TAB $66.00 60687-227-11 LEUCOVORIN CALCIUM 25 MG ORAL TAB $64.24 60687-227-94 LEUCOVORIN CALCIUM 25 MG ORAL TAB $64.24 0703-5145-01 LEUCOVORIN CALCIUM 350 MG INJ SOLR $113.70 0703-5145-91 LEUCOVORIN CALCIUM 350 MG INJ SOLR $119.39 0054-4496-13 LEUCOVORIN CALCIUM 5 MG ORAL TAB $6.70 0054-8496-19 LEUCOVORIN CALCIUM 5 MG ORAL TAB $9.45 0555-0484-01 LEUCOVORIN CALCIUM 5 MG ORAL TAB $7.00 0555-0484-02 LEUCOVORIN CALCIUM 5 MG ORAL TAB $7.20 51079-581-01 LEUCOVORIN CALCIUM 5 MG ORAL TAB $15.72 51079-581-06 LEUCOVORIN CALCIUM 5 MG ORAL TAB $15.72 25021-813-10 LEUCOVORIN CALCIUM 50 MG INJ SOLN (MCH) $60.00 0143-9555-01 LEUCOVORIN CALCIUM 50 MG INJ SOLR $60.00 HC81500217 "LEUKEMIA CELLS, SPINAL FL" $376.00 HC81500563 LEUKOCYTE ALK PHOS W/ COUNT $233.00 HC89010722 LEUKOCYTE ALKALINE PHOS-AU $60.00 HC89015689 LEUKOCYTE ALKALINE PHOS-QD $26.00 0074-3663-03 LEUPROLIDE (3 MONTH) 11.25 MG IM SYKT "$25,139.04 " 0074-3346-03 LEUPROLIDE (3 MONTH) 22.5 MG IM SYKT "$29,956.74 " 62935-221-04 LEUPROLIDE (3 MONTH) 22.5 MG SUBCUTANEOUS SYRG "$8,130.42 " 62935-223-05 LEUPROLIDE (3 MONTH) 22.5 MG SUBCUTANEOUS SYRG "$8,130.42 " 62935-453-45 LEUPROLIDE (6 MONTH) 45 MG SUBCUTANEOUS SYRG "$16,260.78 " 62935-454-44 LEUPROLIDE (6 MONTH) 45 MG SUBCUTANEOUS SYRG "$16,260.78 " 0781-3006-42 LEUPROLIDE 1 MG/0.2 ML SUBCUTANEOUS SOLN (MCH) "$8,870.40 " 0781-4003-32 LEUPROLIDE 1 MG/0.2 ML SUBCUTANEOUS SOLN (MCH) "$4,276.80 " 47335-936-40 LEUPROLIDE 1 MG/0.2 ML SUBCUTANEOUS SOLN (MCH) "$4,234.02 " 0074-3641-03 LEUPROLIDE 3.75 MG IM SYKT "$8,379.60 " 62935-753-75 LEUPROLIDE 7.5 MG (1 MONTH) SUBCUTANEOUS SYRG "$2,710.14 " 0074-3642-03 LEUPROLIDE 7.5 MG IM SYKT "$9,985.62 " 43598-410-05 LEVALBUTEROL HCL 0.63 MG/3 ML INHALATION NEBU $30.91 43598-410-25 LEVALBUTEROL HCL 0.63 MG/3 ML INHALATION NEBU $30.91 66993-022-27 LEVALBUTEROL HCL 0.63 MG/3 ML INHALATION NEBU $16.76 76204-800-01 LEVALBUTEROL HCL 0.63 MG/3 ML INHALATION NEBU $9.59 76204-800-11 LEVALBUTEROL HCL 0.63 MG/3 ML INHALATION NEBU $9.59 0378-6993-31 LEVALBUTEROL HCL 1.25 MG/0.5 ML INHALATION NEBU $32.15 0378-6993-93 LEVALBUTEROL HCL 1.25 MG/0.5 ML INHALATION NEBU $32.15 17478-171-01 LEVALBUTEROL HCL 1.25 MG/0.5 ML INHALATION NEBU $40.99 17478-171-30 LEVALBUTEROL HCL 1.25 MG/0.5 ML INHALATION NEBU $40.99 43598-409-05 LEVALBUTEROL HCL 1.25 MG/3 ML INHALATION NEBU $30.91 43598-409-25 LEVALBUTEROL HCL 1.25 MG/3 ML INHALATION NEBU $30.91 66993-023-27 LEVALBUTEROL HCL 1.25 MG/3 ML INHALATION NEBU $16.76 66993-023-35 LEVALBUTEROL HCL 1.25 MG/3 ML INHALATION NEBU $16.76 76204-900-01 LEVALBUTEROL HCL 1.25 MG/3 ML INHALATION NEBU $9.59 76204-900-11 LEVALBUTEROL HCL 1.25 MG/3 ML INHALATION NEBU $9.59 0591-2927-54 LEVALBUTEROL TARTRATE 45 MCG/ACTUATION INHALATION HFAA $353.79 HC82202698 LEVEL/RECUTS (CLIENT) $87.00 HC89021984 LEVETIRACETAM (KEPPRA) -AU $33.00 16714-358-01 LEVETIRACETAM 100 MG/ML ORAL SOLN $286.64 50474-001-48 LEVETIRACETAM 100 MG/ML ORAL SOLN "$4,435.79 " 99999-008-71 LEVETIRACETAM 100 MG/ML ORAL SOLN $27.45 0904-6051-61 LEVETIRACETAM 250 MG ORAL TAB $1.00 16714-354-01 LEVETIRACETAM 250 MG ORAL TAB $1.48 51079-820-20 LEVETIRACETAM 250 MG ORAL TAB $3.35 63739-795-10 LEVETIRACETAM 250 MG ORAL TAB $1.00 68084-859-01 LEVETIRACETAM 250 MG ORAL TAB $2.08 68084-859-11 LEVETIRACETAM 250 MG ORAL TAB $2.08 0378-5615-05 LEVETIRACETAM 500 MG ORAL TAB $2.83 0378-5615-78 LEVETIRACETAM 500 MG ORAL TAB $2.98 0904-6052-61 LEVETIRACETAM 500 MG ORAL TAB $1.25 16714-355-01 LEVETIRACETAM 500 MG ORAL TAB $2.87 16714-355-02 LEVETIRACETAM 500 MG ORAL TAB $2.18 31722-537-12 LEVETIRACETAM 500 MG ORAL TAB $1.97 50474-595-40 LEVETIRACETAM 500 MG ORAL TAB $48.62 51079-821-01 LEVETIRACETAM 500 MG ORAL TAB $3.49 51079-821-20 LEVETIRACETAM 500 MG ORAL TAB $3.49 63739-411-10 LEVETIRACETAM 500 MG ORAL TAB $1.00 68084-870-01 LEVETIRACETAM 500 MG ORAL TAB $2.36 68084-870-11 LEVETIRACETAM 500 MG ORAL TAB $2.36 0121-4799-05 LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLN $34.50 50268-470-11 LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLN $25.44 50268-470-13 LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLN $25.44 60687-249-40 LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLN $34.80 60687-249-67 LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLN $34.80 66689-028-01 LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLN $39.54 66689-028-50 LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLN $39.54 0143-9673-01 LEVETIRACETAM 500 MG/5 ML IV SOLN $63.00 0143-9673-25 LEVETIRACETAM 500 MG/5 ML IV SOLN $44.10 0409-1886-02 LEVETIRACETAM 500 MG/5 ML IV SOLN $22.98 0409-1886-22 LEVETIRACETAM 500 MG/5 ML IV SOLN $22.98 25021-780-05 LEVETIRACETAM 500 MG/5 ML IV SOLN $48.00 50474-002-63 LEVETIRACETAM 500 MG/5 ML IV SOLN $327.75 62756-513-40 LEVETIRACETAM 500 MG/5 ML IV SOLN $199.32 62756-513-44 LEVETIRACETAM 500 MG/5 ML IV SOLN $199.32 63323-400-05 LEVETIRACETAM 500 MG/5 ML IV SOLN $47.34 67457-790-00 LEVETIRACETAM 500 MG/5 ML IV SOLN $63.00 67457-790-05 LEVETIRACETAM 500 MG/5 ML IV SOLN $63.00 0904-6053-61 LEVETIRACETAM 750 MG ORAL TAB $1.70 51079-822-01 LEVETIRACETAM 750 MG ORAL TAB $4.54 51079-822-20 LEVETIRACETAM 750 MG ORAL TAB $4.54 63739-787-10 LEVETIRACETAM 750 MG ORAL TAB $1.71 68084-882-01 LEVETIRACETAM 750 MG ORAL TAB $3.42 68084-882-11 LEVETIRACETAM 750 MG ORAL TAB $3.42 68180-114-16 LEVETIRACETAM 750 MG ORAL TAB $2.67 50383-171-04 LEVOCARNITINE (WITH SUGAR) 100 MG/ML ORAL SOLN (MCH) $222.31 54482-145-08 LEVOCARNITINE (WITH SUGAR) 100 MG/ML ORAL SOLN (MCH) $209.57 64980-503-12 LEVOCARNITINE (WITH SUGAR) 100 MG/ML ORAL SOLN (MCH) $222.31 54482-147-01 LEVOCARNITINE 200 MG/ML IV SOLN $198.72 50383-172-90 LEVOCARNITINE 330 MG ORAL TAB $5.27 54482-144-07 LEVOCARNITINE 330 MG ORAL TAB $6.23 99999-044-38 LEVOCARNITINE 50 MG/ML IV SOLN $397.44 50383-286-04 LEVOFLOXACIN 25 MG/ML ORAL LIQUID $670.20 50383-286-08 LEVOFLOXACIN 25 MG/ML ORAL LIQUID "$1,340.40 " 99999-033-72 LEVOFLOXACIN 25 MG/ML ORAL LIQUID $47.82 0904-6351-61 LEVOFLOXACIN 250 MG ORAL TAB $1.32 31722-721-50 LEVOFLOXACIN 250 MG ORAL TAB $2.02 65862-536-50 LEVOFLOXACIN 250 MG ORAL TAB $2.28 50383-286-16 LEVOFLOXACIN 250 MG/10 ML ORAL SOLN "$3,182.40 " 99999-041-36 LEVOFLOXACIN 5 MG/ML INJECTION (MHS) $36.60 0904-6352-61 LEVOFLOXACIN 500 MG ORAL TAB $1.46 13668-083-50 LEVOFLOXACIN 500 MG ORAL TAB $3.60 55111-280-50 LEVOFLOXACIN 500 MG ORAL TAB $2.32 65862-537-50 LEVOFLOXACIN 500 MG ORAL TAB $2.64 68084-482-01 LEVOFLOXACIN 500 MG ORAL TAB $3.46 68084-482-11 LEVOFLOXACIN 500 MG ORAL TAB $3.46 68180-241-08 LEVOFLOXACIN 500 MG ORAL TAB $2.32 0781-5792-20 LEVOFLOXACIN 750 MG ORAL TAB $7.58 0904-6353-61 LEVOFLOXACIN 750 MG ORAL TAB $2.63 31722-723-20 LEVOFLOXACIN 750 MG ORAL TAB $4.33 55111-281-30 LEVOFLOXACIN 750 MG ORAL TAB $8.67 65862-538-20 LEVOFLOXACIN 750 MG ORAL TAB $4.80 0143-9722-01 LEVOFLOXACIN IN D5W 250 MG/50 ML IV PGBK $36.00 0143-9722-24 LEVOFLOXACIN IN D5W 250 MG/50 ML IV PGBK $36.00 0781-3341-09 LEVOFLOXACIN IN D5W 250 MG/50 ML IV PGBK $43.20 0781-3341-52 LEVOFLOXACIN IN D5W 250 MG/50 ML IV PGBK $43.20 25021-132-81 LEVOFLOXACIN IN D5W 250 MG/50 ML IV PGBK $42.00 36000-046-24 LEVOFLOXACIN IN D5W 250 MG/50 ML IV PGBK $25.50 44567-435-24 LEVOFLOXACIN IN D5W 250 MG/50 ML IV PGBK $43.20 63323-355-50 LEVOFLOXACIN IN D5W 250 MG/50 ML IV PGBK $43.20 0143-9721-01 LEVOFLOXACIN IN D5W 500 MG/100 ML IV PGBK $36.60 0143-9721-24 LEVOFLOXACIN IN D5W 500 MG/100 ML IV PGBK $100.00 0409-0528-23 LEVOFLOXACIN IN D5W 500 MG/100 ML IV PGBK $34.80 0409-0528-25 LEVOFLOXACIN IN D5W 500 MG/100 ML IV PGBK $34.80 25021-132-82 LEVOFLOXACIN IN D5W 500 MG/100 ML IV PGBK $66.00 36000-047-24 LEVOFLOXACIN IN D5W 500 MG/100 ML IV PGBK $37.20 55150-244-47 LEVOFLOXACIN IN D5W 500 MG/100 ML IV PGBK $100.00 63323-355-65 LEVOFLOXACIN IN D5W 500 MG/100 ML IV PGBK $75.00 0143-9317-01 LEVOFLOXACIN IN D5W 750 MG/150 ML IV PGBK $13.50 0143-9720-01 LEVOFLOXACIN IN D5W 750 MG/150 ML IV PGBK $37.80 0143-9720-24 LEVOFLOXACIN IN D5W 750 MG/150 ML IV PGBK $37.80 0409-0528-31 LEVOFLOXACIN IN D5W 750 MG/150 ML IV PGBK $35.10 25021-132-83 LEVOFLOXACIN IN D5W 750 MG/150 ML IV PGBK $65.70 36000-048-24 LEVOFLOXACIN IN D5W 750 MG/150 ML IV PGBK $41.40 55150-245-52 LEVOFLOXACIN IN D5W 750 MG/150 ML IV PGBK $41.40 63323-355-60 LEVOFLOXACIN IN D5W 750 MG/150 ML IV PGBK $78.30 525113990 LEVOMEFOLATE-ALGAL OIL 7.5-90.314 MG ORAL CAP $35.55 0456-2220-30 LEVOMILNACIPRAN 20 MG ORAL CS24 $82.49 51285-146-19 LEVONORGESTREL 1.5 MG ORAL TAB $195.00 68180-852-11 LEVONORGESTREL 1.5 MG ORAL TAB $175.50 50419-423-01 LEVONORGESTREL 20 MCG/24 HOURS (6 YRS) 52 MG INTRAUTERINE IUD "$5,721.06 " 0023-5858-01 LEVONORGESTREL 20.1 MCG/24 HRS (6 YRS) 52 MG INTRAUTERINE IUD "$4,721.22 " 42023-201-01 LEVOTHYROXINE 100 MCG IV SOLR $633.48 63323-649-07 LEVOTHYROXINE 100 MCG IV SOLR $633.48 63323-649-16 LEVOTHYROXINE 100 MCG IV SOLR $633.48 70860-451-10 LEVOTHYROXINE 100 MCG IV SOLR $567.00 0074-6624-11 LEVOTHYROXINE 100 MCG ORAL TAB $7.79 0074-6624-90 LEVOTHYROXINE 100 MCG ORAL TAB $7.79 0378-1809-77 LEVOTHYROXINE 100 MCG ORAL TAB $2.81 0781-5184-92 LEVOTHYROXINE 100 MCG ORAL TAB $2.81 51079-442-01 LEVOTHYROXINE 100 MCG ORAL TAB $3.38 51079-442-20 LEVOTHYROXINE 100 MCG ORAL TAB $3.38 60687-497-01 LEVOTHYROXINE 100 MCG ORAL TAB $3.61 60687-497-11 LEVOTHYROXINE 100 MCG ORAL TAB $3.61 68180-969-01 LEVOTHYROXINE 100 MCG ORAL TAB $2.81 0074-9296-19 LEVOTHYROXINE 112 MCG ORAL TAB $7.79 0074-9296-90 LEVOTHYROXINE 112 MCG ORAL TAB $7.79 0378-1811-77 LEVOTHYROXINE 112 MCG ORAL TAB $3.25 0781-5185-92 LEVOTHYROXINE 112 MCG ORAL TAB $3.25 42292-039-01 LEVOTHYROXINE 112 MCG ORAL TAB $3.53 42292-039-20 LEVOTHYROXINE 112 MCG ORAL TAB $3.53 60687-508-01 LEVOTHYROXINE 112 MCG ORAL TAB $4.09 60687-508-11 LEVOTHYROXINE 112 MCG ORAL TAB $4.09 72305-112-30 LEVOTHYROXINE 112 MCG ORAL TAB $3.25 0074-7068-11 LEVOTHYROXINE 125 MCG ORAL TAB $7.79 0074-7068-90 LEVOTHYROXINE 125 MCG ORAL TAB $7.79 0378-1813-77 LEVOTHYROXINE 125 MCG ORAL TAB $3.29 0781-5186-92 LEVOTHYROXINE 125 MCG ORAL TAB $3.29 51079-443-01 LEVOTHYROXINE 125 MCG ORAL TAB $3.98 51079-443-20 LEVOTHYROXINE 125 MCG ORAL TAB $3.98 69238-1836-1 LEVOTHYROXINE 125 MCG ORAL TAB $2.02 0074-3727-90 LEVOTHYROXINE 137 MCG ORAL TAB $7.79 0378-1823-77 LEVOTHYROXINE 137 MCG ORAL TAB $3.34 0074-7069-11 LEVOTHYROXINE 150 MCG ORAL TAB $7.79 0074-7069-90 LEVOTHYROXINE 150 MCG ORAL TAB $7.79 0378-1815-77 LEVOTHYROXINE 150 MCG ORAL TAB $3.39 51079-445-01 LEVOTHYROXINE 150 MCG ORAL TAB $4.09 51079-445-20 LEVOTHYROXINE 150 MCG ORAL TAB $4.09 60687-530-01 LEVOTHYROXINE 150 MCG ORAL TAB $4.37 60687-530-11 LEVOTHYROXINE 150 MCG ORAL TAB $4.37 72305-150-30 LEVOTHYROXINE 150 MCG ORAL TAB $3.39 0074-7070-90 LEVOTHYROXINE 175 MCG ORAL TAB $7.78 0378-1817-77 LEVOTHYROXINE 175 MCG ORAL TAB $4.03 0527-1350-01 LEVOTHYROXINE 175 MCG ORAL TAB $4.03 63323-885-10 LEVOTHYROXINE 20 MCG/ML IV SOLN $665.16 0074-7148-90 LEVOTHYROXINE 200 MCG ORAL TAB $7.79 0378-1819-77 LEVOTHYROXINE 200 MCG ORAL TAB $4.04 0074-4341-90 LEVOTHYROXINE 25 MCG ORAL TAB $7.79 0378-1800-77 LEVOTHYROXINE 25 MCG ORAL TAB $2.18 0781-5180-92 LEVOTHYROXINE 25 MCG ORAL TAB $2.18 51079-444-01 LEVOTHYROXINE 25 MCG ORAL TAB $2.63 51079-444-20 LEVOTHYROXINE 25 MCG ORAL TAB $2.63 60687-453-01 LEVOTHYROXINE 25 MCG ORAL TAB $2.80 60687-453-11 LEVOTHYROXINE 25 MCG ORAL TAB $2.80 99999-006-56 LEVOTHYROXINE 25 MCG/ML ORAL SUSP (COMPOUND) $1.81 99999-039-81 LEVOTHYROXINE 25 MCG/ML ORAL SUSP (COMPOUND) $109.08 0074-4552-11 LEVOTHYROXINE 50 MCG ORAL TAB $7.79 0074-4552-19 LEVOTHYROXINE 50 MCG ORAL TAB $7.79 0074-4552-90 LEVOTHYROXINE 50 MCG ORAL TAB $7.79 0378-1803-77 LEVOTHYROXINE 50 MCG ORAL TAB $2.48 0781-5181-92 LEVOTHYROXINE 50 MCG ORAL TAB $2.48 47781-643-90 LEVOTHYROXINE 50 MCG ORAL TAB $2.48 51079-440-01 LEVOTHYROXINE 50 MCG ORAL TAB $2.99 51079-440-20 LEVOTHYROXINE 50 MCG ORAL TAB $2.99 60687-464-01 LEVOTHYROXINE 50 MCG ORAL TAB $2.83 60687-464-11 LEVOTHYROXINE 50 MCG ORAL TAB $2.83 68180-966-09 LEVOTHYROXINE 50 MCG ORAL TAB $2.48 63323-648-10 LEVOTHYROXINE 500 MCG IV SOLR "$3,167.46 " 0074-5182-11 LEVOTHYROXINE 75 MCG ORAL TAB $7.79 0074-5182-19 LEVOTHYROXINE 75 MCG ORAL TAB $7.79 0074-5182-90 LEVOTHYROXINE 75 MCG ORAL TAB $7.79 0378-1805-77 LEVOTHYROXINE 75 MCG ORAL TAB $2.74 0527-3282-46 LEVOTHYROXINE 75 MCG ORAL TAB $2.15 0781-5182-92 LEVOTHYROXINE 75 MCG ORAL TAB $2.74 47781-646-90 LEVOTHYROXINE 75 MCG ORAL TAB $2.74 51079-441-01 LEVOTHYROXINE 75 MCG ORAL TAB $3.30 51079-441-20 LEVOTHYROXINE 75 MCG ORAL TAB $3.30 60687-475-01 LEVOTHYROXINE 75 MCG ORAL TAB $3.52 60687-475-11 LEVOTHYROXINE 75 MCG ORAL TAB $3.52 0074-6594-90 LEVOTHYROXINE 88 MCG ORAL TAB $7.79 0378-1807-77 LEVOTHYROXINE 88 MCG ORAL TAB $2.79 42292-038-01 LEVOTHYROXINE 88 MCG ORAL TAB $3.04 42292-038-20 LEVOTHYROXINE 88 MCG ORAL TAB $3.04 HC81700130 LH (LUTEINIZING HORMONE) $319.00 HC89008254 LH(LUTEINIZ HORMONE)-ES $33.00 HC89015432 LH(LUTEINIZ HORMONE)-QD $23.00 HC89006415 LIBRIUM; 1-12-AU $21.00 HC81100927 LIDOCAINE $297.00 0409-4712-01 LIDOCAINE (PF) IN D7.5W 50 MG/ML (5 %) INTRATHECAL SOLN $54.74 0143-9595-01 LIDOCAINE (PF) 10 MG/ML (1 %) INJ SOLN $14.76 0143-9595-25 LIDOCAINE (PF) 10 MG/ML (1 %) INJ SOLN $14.76 0409-4713-02 LIDOCAINE (PF) 10 MG/ML (1 %) INJ SOLN $9.18 0409-4713-12 LIDOCAINE (PF) 10 MG/ML (1 %) INJ SOLN $9.18 0409-4713-25 LIDOCAINE (PF) 10 MG/ML (1 %) INJ SOLN $6.90 0409-4713-32 LIDOCAINE (PF) 10 MG/ML (1 %) INJ SOLN $6.90 0409-4713-42 LIDOCAINE (PF) 10 MG/ML (1 %) INJ SOLN $6.90 55150-159-74 LIDOCAINE (PF) 10 MG/ML (1 %) INJ SOLN $8.88 55150-161-02 LIDOCAINE (PF) 10 MG/ML (1 %) INJ SOLN $13.32 55150-162-05 LIDOCAINE (PF) 10 MG/ML (1 %) INJ SOLN $17.76 55150-163-30 LIDOCAINE (PF) 10 MG/ML (1 %) INJ SOLN $19.08 63323-492-04 LIDOCAINE (PF) 10 MG/ML (1 %) INJ SOLN $12.24 63323-492-07 LIDOCAINE (PF) 10 MG/ML (1 %) INJ SOLN $61.56 63323-492-09 LIDOCAINE (PF) 10 MG/ML (1 %) INJ SOLN $20.34 63323-492-27 LIDOCAINE (PF) 10 MG/ML (1 %) INJ SOLN $12.24 63323-492-31 LIDOCAINE (PF) 10 MG/ML (1 %) INJ SOLN $56.88 63323-492-37 LIDOCAINE (PF) 10 MG/ML (1 %) INJ SOLN $61.56 63323-492-57 LIDOCAINE (PF) 10 MG/ML (1 %) INJ SOLN $20.34 72572-370-01 LIDOCAINE (PF) 10 MG/ML (1 %) INJ SOLN $7.44 72572-370-25 LIDOCAINE (PF) 10 MG/ML (1 %) INJ SOLN $7.44 0409-4279-02 LIDOCAINE (PF) 10 MG/ML (1 %) INJ SOLN (FOR STERILE PROC) $17.64 0409-4279-16 LIDOCAINE (PF) 10 MG/ML (1 %) INJ SOLN (FOR STERILE PROC) $17.64 0409-4776-01 LIDOCAINE (PF) 15 MG/ML (1.5 %) INJ SOLN $54.60 0143-9594-01 LIDOCAINE (PF) 20 MG/ML (2 %) INJ SOLN $13.26 0143-9594-25 LIDOCAINE (PF) 20 MG/ML (2 %) INJ SOLN $13.26 0409-2066-05 LIDOCAINE (PF) 20 MG/ML (2 %) INJ SOLN $14.70 0409-2066-10 LIDOCAINE (PF) 20 MG/ML (2 %) INJ SOLN $14.70 0409-4282-01 LIDOCAINE (PF) 20 MG/ML (2 %) INJ SOLN $11.46 0409-4282-02 LIDOCAINE (PF) 20 MG/ML (2 %) INJ SOLN $22.86 0409-4282-11 LIDOCAINE (PF) 20 MG/ML (2 %) INJ SOLN $11.46 0409-4282-12 LIDOCAINE (PF) 20 MG/ML (2 %) INJ SOLN $22.86 0409-4282-25 LIDOCAINE (PF) 20 MG/ML (2 %) INJ SOLN $10.92 55150-165-05 LIDOCAINE (PF) 20 MG/ML (2 %) INJ SOLN $15.96 63323-495-04 LIDOCAINE (PF) 20 MG/ML (2 %) INJ SOLN $18.72 63323-495-07 LIDOCAINE (PF) 20 MG/ML (2 %) INJ SOLN $18.72 63323-496-97 LIDOCAINE (PF) 20 MG/ML (2 %) INJ SOLN $36.18 72572-372-01 LIDOCAINE (PF) 20 MG/ML (2 %) INJ SOLN $6.78 72572-372-25 LIDOCAINE (PF) 20 MG/ML (2 %) INJ SOLN $6.78 63323-208-05 LIDOCAINE (PF) 20 MG/ML (2 %) IV SOLN $16.38 0409-4283-01 LIDOCAINE (PF) 40 MG/ML (4 %) INJ SOLN $25.98 0409-4283-11 LIDOCAINE (PF) 40 MG/ML (4 %) INJ SOLN $25.98 0409-4283-25 LIDOCAINE (PF) 40 MG/ML (4 %) INJ SOLN $25.98 0409-4278-01 LIDOCAINE (PF) 5 MG/ML (0.5 %) INJ SOLN $23.10 0409-4278-16 LIDOCAINE (PF) 5 MG/ML (0.5 %) INJ SOLN $23.10 63323-491-01 LIDOCAINE (PF) 5 MG/ML (0.5 %) INJ SOLN $75.60 63323-491-57 LIDOCAINE (PF) 5 MG/ML (0.5 %) INJ SOLN $75.60 0409-4904-34 LIDOCAINE (PF) 50 MG/5 ML (1 %) IV SYRG $58.95 0409-9137-05 LIDOCAINE (PF) 50 MG/5 ML (1 %) IV SYRG $41.73 63323-201-02 LIDOCAINE 1% (10 MG/ML) FOR RT USE $15.60 99999-033-23 LIDOCAINE 1%/NA BICARB 10:1 INJ $3.60 99999-034-73 LIDOCAINE 1%/NA BICARB 10:1 INJ $30.00 99999-039-89 LIDOCAINE 1%/NA BICARB 10:1 INJ $6.72 0496-0882-05 LIDOCAINE 4 % TOPICAL CREAM $42.00 0496-0882-06 LIDOCAINE 4 % TOPICAL CREAM $42.00 0496-0882-30 LIDOCAINE 4 % TOPICAL CREAM $270.18 24357-701-05 LIDOCAINE 4 % TOPICAL CREAM $30.00 24357-701-15 LIDOCAINE 4 % TOPICAL CREAM $96.03 39328-024-05 LIDOCAINE 4 % TOPICAL CREAM $58.80 39328-024-15 LIDOCAINE 4 % TOPICAL CREAM $180.00 39328-024-55 LIDOCAINE 4 % TOPICAL CREAM $58.80 47781-570-36 LIDOCAINE 4 % TOPICAL CREAM $27.00 52565-122-07 LIDOCAINE 4 % TOPICAL CREAM $27.00 0168-0204-37 LIDOCAINE 5 % TOPICAL OINT "$1,440.00 " 16714-878-01 LIDOCAINE 5 % TOPICAL OINT $387.43 16714-878-02 LIDOCAINE 5 % TOPICAL OINT $550.50 50383-933-35 LIDOCAINE 5 % TOPICAL OINT $119.72 51672-3020-2 LIDOCAINE 5 % TOPICAL OINT $672.30 52565-008-14 LIDOCAINE 5 % TOPICAL OINT $62.94 65162-918-38 LIDOCAINE 5 % TOPICAL OINT $468.66 67877-473-79 LIDOCAINE 5 % TOPICAL OINT $72.09 69680-120-35 LIDOCAINE 5 % TOPICAL OINT $310.24 0378-9055-16 LIDOCAINE 5 % TOPICAL PTMD $49.32 0378-9055-93 LIDOCAINE 5 % TOPICAL PTMD $49.32 0591-2679-11 LIDOCAINE 5 % TOPICAL PTMD $44.93 0591-2679-30 LIDOCAINE 5 % TOPICAL PTMD $44.93 0591-3525-11 LIDOCAINE 5 % TOPICAL PTMD $44.93 0591-3525-30 LIDOCAINE 5 % TOPICAL PTMD $44.93 0603-1880-10 LIDOCAINE 5 % TOPICAL PTMD $44.93 0603-1880-16 LIDOCAINE 5 % TOPICAL PTMD $44.93 42858-118-30 LIDOCAINE 5 % TOPICAL PTMD $18.84 63481-687-01 LIDOCAINE 5 % TOPICAL PTMD $119.81 63481-687-06 LIDOCAINE 5 % TOPICAL PTMD $119.81 49452-4050-2 LIDOCAINE HCL (BULK) 100 % MISC POWD "$2,742.00 " 0143-9577-01 LIDOCAINE HCL 10 MG/ML (1 %) INJ SOLN $16.80 0143-9577-10 LIDOCAINE HCL 10 MG/ML (1 %) INJ SOLN $16.80 0409-4276-01 LIDOCAINE HCL 10 MG/ML (1 %) INJ SOLN $8.52 0409-4276-02 LIDOCAINE HCL 10 MG/ML (1 %) INJ SOLN $16.80 0409-4276-16 LIDOCAINE HCL 10 MG/ML (1 %) INJ SOLN $8.52 0409-4276-17 LIDOCAINE HCL 10 MG/ML (1 %) INJ SOLN $16.80 55150-252-20 LIDOCAINE HCL 10 MG/ML (1 %) INJ SOLN $21.36 55150-253-50 LIDOCAINE HCL 10 MG/ML (1 %) INJ SOLN $36.00 63323-485-01 LIDOCAINE HCL 10 MG/ML (1 %) INJ SOLN $17.76 63323-485-03 LIDOCAINE HCL 10 MG/ML (1 %) INJ SOLN $29.70 63323-485-27 LIDOCAINE HCL 10 MG/ML (1 %) INJ SOLN $17.76 63323-485-57 LIDOCAINE HCL 10 MG/ML (1 %) INJ SOLN $29.70 99999-040-08 LIDOCAINE HCL 10 MG/ML (1 %) INJ SOLN $1.00 0409-1323-05 LIDOCAINE HCL 100 MG/5 ML IV SYRG $19.38 0409-4903-11 LIDOCAINE HCL 100 MG/5 ML IV SYRG $20.22 0409-4903-34 LIDOCAINE HCL 100 MG/5 ML IV SYRG $20.22 76329-3390-1 LIDOCAINE HCL 100 MG/5 ML IV SYRG $34.50 17478-711-10 LIDOCAINE HCL 2 % MUCOUS MEMB JELL $42.00 17478-711-30 LIDOCAINE HCL 2 % MUCOUS MEMB JELL $458.46 17478-711-31 LIDOCAINE HCL 2 % MUCOUS MEMB JELL $42.00 50383-781-30 LIDOCAINE HCL 2 % MUCOUS MEMB JELL $62.46 25021-673-76 LIDOCAINE HCL 2 % MUCOUS MEMB JELP $35.71 25021-673-77 LIDOCAINE HCL 2 % MUCOUS MEMB JELP $38.08 0054-3500-49 LIDOCAINE HCL 2 % MUCOUS MEMB SOLN $66.00 0603-1393-15 LIDOCAINE HCL 2 % MUCOUS MEMB SOLN $20.16 50383-775-04 LIDOCAINE HCL 2 % MUCOUS MEMB SOLN $66.00 50383-775-15 LIDOCAINE HCL 2 % MUCOUS MEMB SOLN $5.40 50383-775-17 LIDOCAINE HCL 2 % MUCOUS MEMB SOLN $5.40 52959-251-00 LIDOCAINE HCL 2 % MUCOUS MEMB SOLN $53.40 99999-007-63 LIDOCAINE HCL 2 % MUCOUS MEMB SOLN $3.30 0143-9575-01 LIDOCAINE HCL 20 MG/ML (2 %) INJ SOLN $22.20 0143-9575-10 LIDOCAINE HCL 20 MG/ML (2 %) INJ SOLN $22.20 0409-4277-01 LIDOCAINE HCL 20 MG/ML (2 %) INJ SOLN $12.60 0409-4277-02 LIDOCAINE HCL 20 MG/ML (2 %) INJ SOLN $22.20 0409-4277-16 LIDOCAINE HCL 20 MG/ML (2 %) INJ SOLN $12.60 0409-4277-17 LIDOCAINE HCL 20 MG/ML (2 %) INJ SOLN $22.20 55150-254-10 LIDOCAINE HCL 20 MG/ML (2 %) INJ SOLN $21.96 55150-255-20 LIDOCAINE HCL 20 MG/ML (2 %) INJ SOLN $24.24 63323-202-02 LIDOCAINE HCL 20 MG/ML (2 %) INJ SOLN $15.60 63323-486-02 LIDOCAINE HCL 20 MG/ML (2 %) INJ SOLN $20.04 63323-486-17 LIDOCAINE HCL 20 MG/ML (2 %) INJ SOLN $18.00 63323-486-27 LIDOCAINE HCL 20 MG/ML (2 %) INJ SOLN $20.04 63323-486-57 LIDOCAINE HCL 20 MG/ML (2 %) INJ SOLN $37.20 0054-3505-47 LIDOCAINE HCL 4 % (40 MG/ML) MUCOUS MEMB SOLN $240.00 52565-009-50 LIDOCAINE HCL 4 % (40 MG/ML) MUCOUS MEMB SOLN $323.10 60432-465-50 LIDOCAINE HCL 4 % (40 MG/ML) MUCOUS MEMB SOLN $192.00 60432-465-51 LIDOCAINE HCL 4 % (40 MG/ML) MUCOUS MEMB SOLN $192.00 63739-997-64 LIDOCAINE HCL 4 % (40 MG/ML) MUCOUS MEMB SOLN $232.20 0409-4698-01 LIDOCAINE HCL 4 % LATR SOLN $32.47 76329-6300-5 LIDOCAINE HCL 4 % LATR SOLN $150.00 0409-4275-01 LIDOCAINE HCL 5 MG/ML (0.5 %) INJ SOLN $24.90 63323-484-57 LIDOCAINE HCL 5 MG/ML (0.5 %) INJ SOLN $33.30 0264-9594-10 LIDOCAINE IN 5 % DEXTROSE (PF) 4 MG/ML (0.4 %) IV SOLP $36.00 0264-9598-20 LIDOCAINE IN 5 % DEXTROSE (PF) 8 MG/ML (0.8 %) IV SOLP $42.00 0338-0411-02 LIDOCAINE IN 5 % DEXTROSE (PF) 8 MG/ML (0.8 %) IV SOLP $45.00 HC89006530 LIDOCAINE-AU $16.00 0409-1209-01 "LIDOCAINE-EPINEPHRINE (MPF) 1.5 %-1:200,000 INJ SOLN (MHS)" $29.16 0409-1209-10 "LIDOCAINE-EPINEPHRINE (MPF) 1.5 %-1:200,000 INJ SOLN (MHS)" $29.16 0409-3181-01 "LIDOCAINE-EPINEPHRINE (MPF) 1.5 %-1:200,000 INJ SOLN (MHS)" $49.68 0409-3181-11 "LIDOCAINE-EPINEPHRINE (MPF) 1.5 %-1:200,000 INJ SOLN (MHS)" $49.68 63323-488-07 "LIDOCAINE-EPINEPHRINE (MPF) 1.5 %-1:200,000 INJ SOLN (MHS)" $81.54 63323-488-17 "LIDOCAINE-EPINEPHRINE (MPF) 1.5 %-1:200,000 INJ SOLN (MHS)" $49.98 63323-488-31 "LIDOCAINE-EPINEPHRINE (MPF) 1.5 %-1:200,000 INJ SOLN (MHS)" $68.76 63323-488-37 "LIDOCAINE-EPINEPHRINE (MPF) 1.5 %-1:200,000 INJ SOLN (MHS)" $81.54 0409-3183-01 "LIDOCAINE-EPINEPHRINE (MPF) 2 %-1:200,000 INJ SOLN (MHS)" $27.12 0409-3183-11 "LIDOCAINE-EPINEPHRINE (MPF) 2 %-1:200,000 INJ SOLN (MHS)" $27.12 63323-489-02 "LIDOCAINE-EPINEPHRINE (MPF) 2 %-1:200,000 INJ SOLN (MHS)" $94.32 63323-489-17 "LIDOCAINE-EPINEPHRINE (MPF) 2 %-1:200,000 INJ SOLN (MHS)" $53.58 63323-489-27 "LIDOCAINE-EPINEPHRINE (MPF) 2 %-1:200,000 INJ SOLN (MHS)" $94.32 63323-487-07 "LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJ SOLN" $61.74 63323-487-17 "LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJ SOLN" $44.28 63323-487-31 "LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJ SOLN" $61.02 63323-487-37 "LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJ SOLN" $61.74 0409-3177-01 "LIDOCAINE-EPINEPHRINE 0.5 %-1:200,000 INJ SOLN" $20.70 0409-3177-16 "LIDOCAINE-EPINEPHRINE 0.5 %-1:200,000 INJ SOLN" $20.70 63323-481-01 "LIDOCAINE-EPINEPHRINE 0.5 %-1:200,000 INJ SOLN" $36.60 63323-481-57 "LIDOCAINE-EPINEPHRINE 0.5 %-1:200,000 INJ SOLN" $36.60 0409-3178-01 "LIDOCAINE-EPINEPHRINE 1 %-1:100,000 INJ SOLN" $12.72 0409-3178-02 "LIDOCAINE-EPINEPHRINE 1 %-1:100,000 INJ SOLN" $30.42 0409-3178-03 "LIDOCAINE-EPINEPHRINE 1 %-1:100,000 INJ SOLN" $21.30 0409-3178-16 "LIDOCAINE-EPINEPHRINE 1 %-1:100,000 INJ SOLN" $12.72 0409-3178-17 "LIDOCAINE-EPINEPHRINE 1 %-1:100,000 INJ SOLN" $30.42 0409-3178-18 "LIDOCAINE-EPINEPHRINE 1 %-1:100,000 INJ SOLN" $21.30 63323-482-03 "LIDOCAINE-EPINEPHRINE 1 %-1:100,000 INJ SOLN" $22.56 63323-482-05 "LIDOCAINE-EPINEPHRINE 1 %-1:100,000 INJ SOLN" $51.90 63323-482-17 "LIDOCAINE-EPINEPHRINE 1 %-1:100,000 INJ SOLN" $17.94 63323-482-27 "LIDOCAINE-EPINEPHRINE 1 %-1:100,000 INJ SOLN" $22.56 63323-482-57 "LIDOCAINE-EPINEPHRINE 1 %-1:100,000 INJ SOLN" $51.90 99999-044-61 "LIDOCAINE-EPINEPHRINE 1%-1:100,000 BUFFERED WITH SODIUM BICARB 10:1 INJ (OCM)" $7.92 0409-3182-01 "LIDOCAINE-EPINEPHRINE 2 %-1:100,000 INJ SOLN" $18.00 0409-3182-02 "LIDOCAINE-EPINEPHRINE 2 %-1:100,000 INJ SOLN" $28.08 0409-3182-03 "LIDOCAINE-EPINEPHRINE 2 %-1:100,000 INJ SOLN" $26.70 0409-3182-11 "LIDOCAINE-EPINEPHRINE 2 %-1:100,000 INJ SOLN" $18.00 0409-3182-31 "LIDOCAINE-EPINEPHRINE 2 %-1:100,000 INJ SOLN" $26.70 63323-483-03 "LIDOCAINE-EPINEPHRINE 2 %-1:100,000 INJ SOLN" $22.80 63323-483-27 "LIDOCAINE-EPINEPHRINE 2 %-1:100,000 INJ SOLN" $22.80 63323-483-57 "LIDOCAINE-EPINEPHRINE 2 %-1:100,000 INJ SOLN" $42.60 51552-1345-1 "LIDOCAINE-EPI-TETRACAINE(BULK) 4 %-1:1,000 -0.5 % TOPICAL SOLN" $218.40 0115-1468-45 LIDOCAINE-PRILOCAINE 2.5-2.5 % TOPICAL CREAM $207.36 0115-1468-53 LIDOCAINE-PRILOCAINE 2.5-2.5 % TOPICAL CREAM $36.18 0115-1468-60 LIDOCAINE-PRILOCAINE 2.5-2.5 % TOPICAL CREAM $36.18 0168-0357-05 LIDOCAINE-PRILOCAINE 2.5-2.5 % TOPICAL CREAM $49.59 0168-0357-55 LIDOCAINE-PRILOCAINE 2.5-2.5 % TOPICAL CREAM $49.59 0591-2070-26 LIDOCAINE-PRILOCAINE 2.5-2.5 % TOPICAL CREAM $42.51 0591-2070-72 LIDOCAINE-PRILOCAINE 2.5-2.5 % TOPICAL CREAM $42.51 50383-667-30 LIDOCAINE-PRILOCAINE 2.5-2.5 % TOPICAL CREAM $207.36 52565-007-30 LIDOCAINE-PRILOCAINE 2.5-2.5 % TOPICAL CREAM $90.54 0496-0882-07 LIDOCAINE-TRANSPARENT DRESSING 4 % TOPICAL KIT $240.36 24357-701-07 LIDOCAINE-TRANSPARENT DRESSING 4 % TOPICAL KIT $165.00 47781-570-89 LIDOCAINE-TRANSPARENT DRESSING 4 % TOPICAL KIT $150.00 HC89003891 LIDOCAINE-U2 $38.00 HC44700623 LIGATION /BANDING A/V FISTULA "$12,740.00 " HC44503639 LIGATION INFERIOR VENA CAVA "$23,413.00 " HC62204490 LIGHT FLEXIBLE DISP $78.00 HC89014823 LIMULUS LYSSATE ASSAY-AU $90.00 0456-1201-30 LINACLOTIDE 145 MCG ORAL CAP $89.00 0456-1202-30 LINACLOTIDE 290 MCG ORAL CAP $89.00 0597-0140-30 LINAGLIPTIN 5 MG ORAL TAB $92.47 0597-0140-61 LINAGLIPTIN 5 MG ORAL TAB $92.47 0597-0140-90 LINAGLIPTIN 5 MG ORAL TAB $92.47 HC62204508 LINE PRESSURE MONITOR $111.00 HC62204516 LINE PRESSURE TRANSDUCER $111.00 HC62204524 LINER SUCTION CANNISTER $13.00 0009-5136-01 LINEZOLID 100 MG/5 ML ORAL SUSR "$4,031.10 " 99996-001-45 LINEZOLID 100 MG/5 ML ORAL SUSR $975.84 0054-0319-50 LINEZOLID 100 MG/5 ML ORAL SUSR (MCH) "$4,031.10 " 59762-1308-1 LINEZOLID 100 MG/5 ML ORAL SUSR (MCH) "$3,935.70 " 99996-001-42 LINEZOLID 100 MG/5 ML ORAL SUSR (MCH) $243.96 99996-001-43 LINEZOLID 100 MG/5 ML ORAL SUSR (MCH) $487.92 99996-001-44 LINEZOLID 100 MG/5 ML ORAL SUSR (MCH) $731.88 0009-5138-02 LINEZOLID 600 MG ORAL TAB "$1,601.96 " 0904-6553-04 LINEZOLID 600 MG ORAL TAB $37.14 31722-749-20 LINEZOLID 600 MG ORAL TAB $35.25 59762-1307-2 LINEZOLID 600 MG ORAL TAB $57.78 65162-777-02 LINEZOLID 600 MG ORAL TAB $73.63 67877-419-33 LINEZOLID 600 MG ORAL TAB $21.00 67877-419-84 LINEZOLID 600 MG ORAL TAB $21.00 0703-9060-33 LINEZOLID 600 MG/300 ML IV SOLP (MCH) $374.40 0009-5137-01 LINEZOLID IN DEXTROSE 5% 200 MG/100 ML IV PGBK $342.00 0009-4992-01 LINEZOLID IN DEXTROSE 5% 600 MG/300 ML IV PGBK $284.40 0009-4992-02 LINEZOLID IN DEXTROSE 5% 600 MG/300 ML IV PGBK $284.40 0009-5140-01 LINEZOLID IN DEXTROSE 5% 600 MG/300 ML IV PGBK $284.40 0009-5140-04 LINEZOLID IN DEXTROSE 5% 600 MG/300 ML IV PGBK $284.40 0703-9060-31 LINEZOLID IN DEXTROSE 5% 600 MG/300 ML IV PGBK $739.80 0781-3433-46 LINEZOLID IN DEXTROSE 5% 600 MG/300 ML IV PGBK $369.00 0781-3433-95 LINEZOLID IN DEXTROSE 5% 600 MG/300 ML IV PGBK $369.00 55150-242-51 LINEZOLID IN DEXTROSE 5% 600 MG/300 ML IV PGBK $270.00 57664-683-31 LINEZOLID IN DEXTROSE 5% 600 MG/300 ML IV PGBK $374.40 63323-713-13 LINEZOLID IN DEXTROSE 5% 600 MG/300 ML IV PGBK $300.60 67457-843-00 LINEZOLID IN DEXTROSE 5% 600 MG/300 ML IV PGBK $414.00 67457-843-30 LINEZOLID IN DEXTROSE 5% 600 MG/300 ML IV PGBK $414.00 39822-0151-1 LIOTHYRONINE 10 MCG/ML IV SOLN "$2,310.00 " 42794-019-02 LIOTHYRONINE 25 MCG ORAL TAB $5.00 42794-019-12 LIOTHYRONINE 25 MCG ORAL TAB $5.28 51862-321-01 LIOTHYRONINE 25 MCG ORAL TAB $8.34 59762-1207-1 LIOTHYRONINE 25 MCG ORAL TAB $5.28 42794-018-12 LIOTHYRONINE 5 MCG ORAL TAB $4.08 51862-320-01 LIOTHYRONINE 5 MCG ORAL TAB $6.35 59762-1206-1 LIOTHYRONINE 5 MCG ORAL TAB $4.08 60793-115-01 LIOTHYRONINE 5 MCG ORAL TAB $11.50 62756-589-88 LIOTHYRONINE 5 MCG ORAL TAB $3.80 HC81100653 LIPASE $318.00 HC89022933 "LIPASE, BODY FLUID-AU" $10.00 HC89013684 LIPASE-AU $26.00 0023-6110-01 "LIPASE-PROTEASE-AMYLASE 10,000-32,000 -42,000 UNIT ORAL CPDR" $21.11 58914-112-10 "LIPASE-PROTEASE-AMYLASE 10,440-39,150- 39,150 UNIT ORAL TAB" $17.63 0032-1212-01 "LIPASE-PROTEASE-AMYLASE 12,000-38,000 -60,000 UNIT ORAL CPDR" $20.04 0032-1212-07 "LIPASE-PROTEASE-AMYLASE 12,000-38,000 -60,000 UNIT ORAL CPDR" $20.04 0023-6111-01 "LIPASE-PROTEASE-AMYLASE 15,000-47,000 -63,000 UNIT ORAL CPDR" $30.49 62541-404-10 "LIPASE-PROTEASE-AMYLASE 16,800-56,800- 98,400 UNIT ORAL CPDR" $28.93 0023-6112-01 "LIPASE-PROTEASE-AMYLASE 20,000-63,000- 84,000 UNIT ORAL CPDR" $41.41 0032-1224-01 "LIPASE-PROTEASE-AMYLASE 24,000-76,000 -120,000 UNIT ORAL CPDR" $39.73 0032-1224-07 "LIPASE-PROTEASE-AMYLASE 24,000-76,000 -120,000 UNIT ORAL CPDR" $39.08 59767-024-01 "LIPASE-PROTEASE-AMYLASE 24,000-86,250- 90,750 UNIT ORAL CPDR" $43.74 0032-1203-70 "LIPASE-PROTEASE-AMYLASE 3,000-9,500- 15,000 UNIT ORAL CPDR" $8.47 0023-6115-01 "LIPASE-PROTEASE-AMYLASE 5,000-17,000- 24,000 UNIT ORAL CPDR" $10.68 0032-1206-01 "LIPASE-PROTEASE-AMYLASE 6,000-19,000 -30,000 UNIT ORAL CPDR" $10.03 0032-1206-07 "LIPASE-PROTEASE-AMYLASE 6,000-19,000 -30,000 UNIT ORAL CPDR" $10.03 HC89009872 LIPID ASSOC SIALIC ACID-AU $19.00 HC81100083 LIPID PANEL $351.00 HC81101867 LIPID PANEL (DA) $251.00 HC81101354 LIPID PANEL SUBSEQUENT $340.00 HC81101479 LIPOPROTEIN A $177.00 HC89016992 LIPOPROTEIN A-AU $7.00 HC89013494 LIPOPROTEIN A-QD $20.00 HC89008882 LIPOPROTEIN ELECTROPHORESIS-AU $46.23 HC89016281 LIPOPROTEIN ELECTROPHORESIS-QD $125.00 HC89001200 LIPOPROTEIN-ASSOC PHS(PLAC)-AU $125.00 59417-102-10 LISDEXAMFETAMINE 20 MG ORAL CAP $63.80 59417-103-10 LISDEXAMFETAMINE 30 MG ORAL CAP $63.80 0591-0407-01 LISINOPRIL 10 MG ORAL TAB $1.00 0904-6798-61 LISINOPRIL 10 MG ORAL TAB $1.00 43547-353-10 LISINOPRIL 10 MG ORAL TAB $1.00 43547-416-10 LISINOPRIL 10 MG ORAL TAB $1.00 60687-325-01 LISINOPRIL 10 MG ORAL TAB $1.00 60687-325-11 LISINOPRIL 10 MG ORAL TAB $1.00 68180-980-01 LISINOPRIL 10 MG ORAL TAB $1.00 68180-980-03 LISINOPRIL 10 MG ORAL TAB $1.00 43547-351-10 LISINOPRIL 2.5 MG ORAL TAB $1.00 68180-512-01 LISINOPRIL 2.5 MG ORAL TAB $1.00 0591-0408-01 LISINOPRIL 20 MG ORAL TAB $1.00 0904-6799-61 LISINOPRIL 20 MG ORAL TAB $1.00 43547-354-10 LISINOPRIL 20 MG ORAL TAB $1.00 43547-354-11 LISINOPRIL 20 MG ORAL TAB $1.00 43547-417-11 LISINOPRIL 20 MG ORAL TAB $1.00 60687-333-01 LISINOPRIL 20 MG ORAL TAB $1.00 60687-333-11 LISINOPRIL 20 MG ORAL TAB $1.00 68180-981-01 LISINOPRIL 20 MG ORAL TAB $1.00 68180-981-03 LISINOPRIL 20 MG ORAL TAB $1.00 0185-0640-01 LISINOPRIL 40 MG ORAL TAB $1.00 43547-356-10 LISINOPRIL 40 MG ORAL TAB $1.00 68084-199-01 LISINOPRIL 40 MG ORAL TAB $1.00 68084-199-11 LISINOPRIL 40 MG ORAL TAB $1.00 68180-517-01 LISINOPRIL 40 MG ORAL TAB $1.00 0904-6797-61 LISINOPRIL 5 MG ORAL TAB $1.00 43547-352-10 LISINOPRIL 5 MG ORAL TAB $1.00 43547-415-10 LISINOPRIL 5 MG ORAL TAB $1.00 68084-196-11 LISINOPRIL 5 MG ORAL TAB $1.00 68180-513-01 LISINOPRIL 5 MG ORAL TAB $1.00 HC62204532 LITE PIPE $276.00 HC81100190 LITHIUM $238.00 0054-2526-25 LITHIUM CARBONATE 150 MG ORAL CAP $1.00 0054-8526-25 LITHIUM CARBONATE 150 MG ORAL CAP $1.00 68462-220-01 LITHIUM CARBONATE 150 MG ORAL CAP $1.00 0054-8527-25 LITHIUM CARBONATE 300 MG ORAL CAP $1.00 0054-8528-25 LITHIUM CARBONATE 300 MG ORAL TAB $1.24 62756-430-88 LITHIUM CARBONATE 300 MG ORAL TAB $1.00 0054-0021-25 LITHIUM CARBONATE 300 MG ORAL TBSR $2.00 51079-180-01 LITHIUM CARBONATE 300 MG ORAL TBSR $2.11 51079-180-20 LITHIUM CARBONATE 300 MG ORAL TBSR $2.11 68084-640-11 LITHIUM CARBONATE 300 MG ORAL TBSR $2.19 68462-223-01 LITHIUM CARBONATE 300 MG ORAL TBSR $1.23 0054-0020-25 LITHIUM CARBONATE 450 MG ORAL TBSR $2.58 51079-142-01 LITHIUM CARBONATE 450 MG ORAL TBSR $3.36 51079-142-20 LITHIUM CARBONATE 450 MG ORAL TBSR $3.36 68462-224-01 LITHIUM CARBONATE 450 MG ORAL TBSR $1.63 99999-037-16 LITHIUM CITRATE 8 MEQ/5 ML (5 ML) ORAL SOLN $9.00 HC31001902 LOCOMOTOR TRAINING $311.00 HC31001910 LOCOMOTOR TRAINING/W $756.00 58181-3040-5 LOMUSTINE 10 MG ORAL CAP $545.82 58181-3041-5 LOMUSTINE 40 MG ORAL CAP (MCH) "$2,183.34 " HC62228002 LOOP PLASMA "$1,625.00 " HC62210489 LOOP THUMB ROLYAN $26.00 HC62204540 LOOPS CYSTO $385.00 HC62204557 LOOPS VASCULAR $20.00 45013404 LOPERAMIDE 1 MG/7.5 ML ORAL LIQD $25.92 1093991144 LOPERAMIDE 1 MG/7.5 ML ORAL LIQD $120.00 0904-6836-20 LOPERAMIDE 1 MG/7.5 ML ORAL LIQD $21.60 50580-134-04 LOPERAMIDE 1 MG/7.5 ML ORAL LIQD $25.92 70677-0054-1 LOPERAMIDE 1 MG/7.5 ML ORAL LIQD $17.28 99999-041-70 LOPERAMIDE 1 MG/7.5 ML ORAL LIQD $2.61 0093-0311-01 LOPERAMIDE 2 MG ORAL CAP $2.20 0093-0311-05 LOPERAMIDE 2 MG ORAL CAP $2.20 51079-690-01 LOPERAMIDE 2 MG ORAL CAP $4.37 51079-690-20 LOPERAMIDE 2 MG ORAL CAP $4.37 60687-229-01 LOPERAMIDE 2 MG ORAL CAP $4.03 60687-229-11 LOPERAMIDE 2 MG ORAL CAP $4.03 49348-529-08 LOPERAMIDE 2 MG ORAL TAB $1.00 0074-6799-22 LOPINAVIR-RITONAVIR 200-50 MG ORAL TAB $51.21 0074-3956-46 LOPINAVIR-RITONAVIR 400-100 MG/5 ML ORAL SOLN "$3,072.00 " 99996-001-38 LOPINAVIR-RITONAVIR 400-100 MG/5 ML ORAL SOLN $96.00 1093914144 LORATADINE 10 MG ORAL TAB $1.00 1093914344 LORATADINE 10 MG ORAL TAB $1.00 1093971244 LORATADINE 10 MG ORAL TAB $1.00 0781-5077-01 LORATADINE 10 MG ORAL TAB $1.50 0904-6852-61 LORATADINE 10 MG ORAL TAB $1.43 16714-898-02 LORATADINE 10 MG ORAL TAB $1.00 45802-650-65 LORATADINE 10 MG ORAL TAB $1.00 45802-650-78 LORATADINE 10 MG ORAL TAB $1.00 45802-650-87 LORATADINE 10 MG ORAL TAB $1.00 49348-112-13 LORATADINE 10 MG ORAL TAB $1.00 49348-818-13 LORATADINE 10 MG ORAL TAB $1.00 49348-818-44 LORATADINE 10 MG ORAL TAB $1.00 49348-818-56 LORATADINE 10 MG ORAL TAB $1.00 51079-246-01 LORATADINE 10 MG ORAL TAB $2.48 51079-246-20 LORATADINE 10 MG ORAL TAB $2.48 68084-248-01 LORATADINE 10 MG ORAL TAB $1.74 68084-248-11 LORATADINE 10 MG ORAL TAB $1.74 1093934844 LORATADINE 10 MG ORAL TBDL $1.68 4110080604 LORATADINE 10 MG ORAL TBDL $3.73 1093979233 LORATADINE 5 MG/5 ML ORAL SOLN $29.52 8770141268 LORATADINE 5 MG/5 ML ORAL SOLN $30.96 49348-636-34 LORATADINE 5 MG/5 ML ORAL SOLN $29.52 54838-558-40 LORATADINE 5 MG/5 ML ORAL SOLN $31.68 0904-5833-48 LORATADINE-PSEUDOEPHEDRINE 10-240 MG ORAL TB24 $4.16 49348-543-01 LORATADINE-PSEUDOEPHEDRINE 10-240 MG ORAL TB24 $4.91 51660-724-11 LORATADINE-PSEUDOEPHEDRINE 10-240 MG ORAL TB24 $2.76 51660-724-15 LORATADINE-PSEUDOEPHEDRINE 10-240 MG ORAL TB24 $2.87 4110080217 LORATADINE-PSEUDOEPHEDRINE 5-120 MG ORAL TB12 $4.79 11523-7162-2 LORATADINE-PSEUDOEPHEDRINE 5-120 MG ORAL TB12 $4.79 99999-006-78 LORAZEPAM 0.1 MG/1 ML INJ DILUTION (MCH) $1.00 99999-006-79 LORAZEPAM 0.5 MG / ML INJ DILUTION (MCH) $3.93 99999-001-08 LORAZEPAM 0.5 MG / ML INJ SOLN $21.60 0591-0240-01 LORAZEPAM 0.5 MG ORAL TAB $1.00 0904-6007-61 LORAZEPAM 0.5 MG ORAL TAB $1.00 13107-083-05 LORAZEPAM 0.5 MG ORAL TAB $1.00 51079-417-20 LORAZEPAM 0.5 MG ORAL TAB $1.00 69315-904-01 LORAZEPAM 0.5 MG ORAL TAB $1.00 0591-0241-01 LORAZEPAM 1 MG ORAL TAB $1.00 0591-0241-05 LORAZEPAM 1 MG ORAL TAB $1.00 0904-6008-60 LORAZEPAM 1 MG ORAL TAB $1.00 0904-6008-61 LORAZEPAM 1 MG ORAL TAB $1.00 51079-386-20 LORAZEPAM 1 MG ORAL TAB $1.00 60687-355-01 LORAZEPAM 1 MG ORAL TAB $1.00 60687-355-11 LORAZEPAM 1 MG ORAL TAB $1.00 69315-905-01 LORAZEPAM 1 MG ORAL TAB $1.00 69315-905-10 LORAZEPAM 1 MG ORAL TAB $1.00 99999-044-39 LORAZEPAM 100 MG/100 ML DRIP (OCM) $321.60 99999-001-95 LORAZEPAM 100MG IN D5W 100ML IV DRIP $203.40 99999-001-07 LORAZEPAM 2 MG / ML SOLN (ORAL) $17.55 51079-387-01 LORAZEPAM 2 MG ORAL TAB $1.39 0409-6778-02 LORAZEPAM 2 MG/ML INJ SOLN $10.08 0409-6778-11 LORAZEPAM 2 MG/ML INJ SOLN $10.08 0409-6780-02 LORAZEPAM 2 MG/ML INJ SOLN $44.76 0641-6044-25 LORAZEPAM 2 MG/ML INJ SOLN $6.43 0641-6046-01 LORAZEPAM 2 MG/ML INJ SOLN $52.86 0641-6046-10 LORAZEPAM 2 MG/ML INJ SOLN $52.86 17478-040-01 LORAZEPAM 2 MG/ML INJ SOLN $19.50 99999-034-86 LORAZEPAM 2 MG/ML INJ SOLN $3.30 99999-037-95 LORAZEPAM 2 MG/ML INJ SOLN $4.48 0641-6044-01 LORAZEPAM 2 MG/ML INJ SOLN CODE NEO $5.85 0641-6048-01 LORAZEPAM 2 MG/ML INJ SOLN CODE NEO $4.50 0641-6048-25 LORAZEPAM 2 MG/ML INJ SOLN CODE NEO $4.50 0641-6001-01 LORAZEPAM 2 MG/ML INJ SOLN CODE PEDS $11.41 0641-6001-25 LORAZEPAM 2 MG/ML INJ SOLN CODE PEDS $11.41 0409-1985-30 LORAZEPAM 2 MG/ML INJ SYRG $17.53 0054-3532-44 LORAZEPAM 2 MG/ML ORAL CONC $189.36 0121-0770-01 LORAZEPAM 2 MG/ML ORAL CONC $180.18 99999-038-86 LORAZEPAM 2 MG/ML ORAL CONC $7.12 99999-035-43 LORAZEPAM 200MG IN D5W 100ML IV DRIP $406.80 0641-6045-01 LORAZEPAM 4 MG/ML INJ SOLN $14.04 0641-6045-25 LORAZEPAM 4 MG/ML INJ SOLN $14.04 HC89006423 LORAZEPAM; 1-12-AU $34.00 0006-0960-31 LOSARTAN 100 MG ORAL TAB $30.36 0904-6389-61 LOSARTAN 100 MG ORAL TAB $4.50 13668-115-30 LOSARTAN 100 MG ORAL TAB $1.56 31722-702-10 LOSARTAN 100 MG ORAL TAB $1.54 31722-702-30 LOSARTAN 100 MG ORAL TAB $1.55 31722-702-90 LOSARTAN 100 MG ORAL TAB $1.54 63739-698-10 LOSARTAN 100 MG ORAL TAB $4.13 65862-203-30 LOSARTAN 100 MG ORAL TAB $1.00 65862-203-90 LOSARTAN 100 MG ORAL TAB $1.00 68084-348-01 LOSARTAN 100 MG ORAL TAB $4.16 68084-348-11 LOSARTAN 100 MG ORAL TAB $4.16 68382-137-16 LOSARTAN 100 MG ORAL TAB $1.54 99999-041-86 LOSARTAN 2.5 MG/ML ORAL SUSP $1.00 0006-0951-54 LOSARTAN 25 MG ORAL TAB $16.62 0781-5700-10 LOSARTAN 25 MG ORAL TAB $1.00 0781-5700-92 LOSARTAN 25 MG ORAL TAB $1.00 13668-113-10 LOSARTAN 25 MG ORAL TAB $1.00 13668-113-90 LOSARTAN 25 MG ORAL TAB $1.00 31722-700-10 LOSARTAN 25 MG ORAL TAB $1.00 31722-700-90 LOSARTAN 25 MG ORAL TAB $1.00 43547-360-09 LOSARTAN 25 MG ORAL TAB $1.00 63739-673-10 LOSARTAN 25 MG ORAL TAB $2.99 65862-201-90 LOSARTAN 25 MG ORAL TAB $1.00 68084-346-01 LOSARTAN 25 MG ORAL TAB $3.08 68084-346-11 LOSARTAN 25 MG ORAL TAB $3.08 68180-376-09 LOSARTAN 25 MG ORAL TAB $1.00 68382-135-16 LOSARTAN 25 MG ORAL TAB $1.00 0006-0952-31 LOSARTAN 50 MG ORAL TAB $22.26 0904-7048-61 LOSARTAN 50 MG ORAL TAB $4.05 13668-409-10 LOSARTAN 50 MG ORAL TAB $1.00 13668-409-90 LOSARTAN 50 MG ORAL TAB $1.00 31722-701-10 LOSARTAN 50 MG ORAL TAB $1.00 31722-701-30 LOSARTAN 50 MG ORAL TAB $1.00 31722-701-90 LOSARTAN 50 MG ORAL TAB $1.00 43547-361-09 LOSARTAN 50 MG ORAL TAB $1.00 50268-505-11 LOSARTAN 50 MG ORAL TAB $2.03 50268-505-15 LOSARTAN 50 MG ORAL TAB $2.03 63739-686-10 LOSARTAN 50 MG ORAL TAB $3.15 65862-202-30 LOSARTAN 50 MG ORAL TAB $1.00 65862-202-90 LOSARTAN 50 MG ORAL TAB $1.00 65862-202-99 LOSARTAN 50 MG ORAL TAB $1.00 68084-347-01 LOSARTAN 50 MG ORAL TAB $3.63 68084-347-11 LOSARTAN 50 MG ORAL TAB $3.63 68382-136-16 LOSARTAN 50 MG ORAL TAB $1.00 61442-141-01 LOVASTATIN 10 MG ORAL TAB $1.49 68180-467-01 LOVASTATIN 10 MG ORAL TAB $1.31 68180-467-07 LOVASTATIN 10 MG ORAL TAB $1.25 0185-0072-01 LOVASTATIN 20 MG ORAL TAB $1.00 0185-0072-10 LOVASTATIN 20 MG ORAL TAB $1.00 68084-559-11 LOVASTATIN 20 MG ORAL TAB $1.00 68180-468-01 LOVASTATIN 20 MG ORAL TAB $1.28 0185-0074-01 LOVASTATIN 40 MG ORAL TAB $1.00 0185-0074-60 LOVASTATIN 40 MG ORAL TAB $1.00 68180-469-01 LOVASTATIN 40 MG ORAL TAB $2.06 HC89001333 LOXAPINE & METABOLITE-AU $222.00 0527-1395-01 LOXAPINE SUCCINATE 10 MG ORAL CAP $4.31 0591-0371-01 LOXAPINE SUCCINATE 25 MG ORAL CAP $6.56 51079-902-01 LOXAPINE SUCCINATE 25 MG ORAL CAP $5.93 64764-240-60 LUBIPROSTONE 24 MCG ORAL CAP $37.11 64764-080-60 LUBIPROSTONE 8 MCG ORAL CAP $37.11 HC62204565 LUER LOCK W/INJ CAP $108.00 HC46502837 LUMBAR PUNCTR DX WITH FLUORO/CT [NOT W/MRI OR US] "$3,418.00 " HC46501169 LUMBAR PUNCTURE DX [NOT W/ CT OR FLUORO ] "$3,202.00 " HC51010874 LUMBAR PUNCTURE DX [NOT W/ CT OR FLUORO ] $742.00 HC25000654 LUMBAR PUNCTURE DX [NOT W/ CT OR FLUORO] "$1,349.00 " HC44001527 LUMBAR SPINE 1 VIEW $722.00 HC44001535 LUMBAR SPINE 2 OR 3 VWS $923.00 HC44001543 LUMBAR SPINE BEND ONLY;2/3 VWS "$1,093.00 " HC44001568 LUMBAR SPINE SERIES MIN 4VWS "$1,416.00 " HC44001550 LUMBAR SPINE W/BEND MIN 6 VWS "$1,622.00 " 63402-304-01 LURASIDONE 40 MG ORAL TAB $256.68 63402-304-10 LURASIDONE 40 MG ORAL TAB $256.68 63402-304-30 LURASIDONE 40 MG ORAL TAB $256.68 1184513665 LUTEIN 6 MG ORAL CAP $1.00 HC82201146 LUXOL FAST BLUE STAIN GRP II+ $412.00 HC38420048 LVAD/RVAD SERVICE/HR $404.00 HC89017347 LYME AB IGG & IGM BY WB-AU $42.00 HC89017362 "LYME AB, IGG BY WB-AU" $15.00 HC89017354 "LYME AB, IGM BY WB -AU" $15.00 HC89012140 LYME DISEASE AB CONFIRM-AU $16.00 HC89012157 LYME DISEASE AB-AU $8.00 HC89002257 LYME DISEASE AB-QD $18.00 HC89011936 LYMPH ABS CD4/CD8 CNT(PNL)-AU $23.00 HC89015747 LYMPH ABS CD4/CD8 CNT(PNL)-QD $29.00 HC89011928 LYMPH T-CELL TOT CNT (PNL)-AU $23.00 0009-7224-01 "LYMPHOCYTE,ANTI-THYMO IMM GLOB 50 MG/ML IV SOLN" "$13,741.89 " 0009-7224-02 "LYMPHOCYTE,ANTI-THYMO IMM GLOB 50 MG/ML IV SOLN" "$13,741.89 " 99999-007-88 "LYMPHOCYTE,ANTI-THYMO IMM GLOB 50000 MCG/ML INJ SOLN FOR TEST DOSE (MCH)" $218.62 HC25005885 LYSIS & STRETCHING ADHESIONS PREPUTIAL $568.00 HC51002301 LYSIS & STRETCHING ADHESIONS PREPUTIAL $292.00 HC51003788 LYSIS ADHESIONS POST-CIRCUMCISION "$1,413.00 " HC51002319 LYSIS OF LABIAL ADHESIONS $816.00 HC89014161 LYSOSOMAL SCREEN-CA $368.00 HC89011803 LYSOZYME MURAMIDASE (GID)-AU $16.00 HC84201391 M TUBERCULOSIS DNA AMP PROBE $414.00 HC36800233 M V V (MAX VOL VENT) $533.00 HC84201334 M. PNEUMONIAE BY PCR (RVP PNL) $432.00 HC62808308 M: ADAPTER SHOULDER "$1,073.00 " HC62807714 M: ANCHOR LEAD NEUROSTIM "$1,138.00 " HC62808233 M: BEARING TIBIAL "$4,063.00 " HC62807722 M: BODY VERTEBRAL REPLACEMENT "$20,930.00 " HC62808373 M: BONE GRAFT MATRIX(FIBERGRAFT BG) "$11,375.00 " HC62808027 M: CAGE ACETABULAR "$13,056.00 " HC62800875 M: CATH VENTRICULAR NEURO "$7,800.00 " HC62807615 M: CENTRALIZER HIP $577.00 HC62808225 M: CENTRALIZER KNEE $195.00 HC62807607 M: CLIP JOINT SMALL "$3,120.00 " HC62807631 M: COLLAR STEM HIP "$16,900.00 " HC62807904 M: CONNECTOR JOINT NAIL TO NAIL $845.00 HC84200575 M: CULTURE MISC $359.00 HC62807730 M: DISC INVERVERTEBRAL ARTIFICIAL "$8,450.00 " HC25001330 M: ED MISC PROCEDURE "$1,159.00 " HC62807748 M: GENRTR NRSTM HI FREQU RE-CHRG&CHRGR "$56,635.00 " HC62807755 M: GRAFT REPAIR NERVE "$7,639.00 " HC62807771 M: HIP FEM MODULAR COMPONENT "$20,498.00 " HC62808316 M: HIP FEM MODULAR COMPONENT ADAPTER "$3,250.00 " HC62807649 M: IMPLANT TARSI SINUS "$11,590.00 " HC62807623 M: INSERT HIP "$3,250.00 " HC62807813 M: LINER SHOULDER "$2,646.00 " HC62807888 M: MATRIX VIAFLOW WOUND FLOWABLE 2ML "$10,566.00 " HC46501946 M: MISC PROCEDURE "$1,157.00 " HC62226030 M: MODEL CUSTOM CRANIOMAXILLOFACIAL "$10,400.00 " HC62807789 M: PIN CABLE "$2,022.00 " HC62807797 M: PLUG PORT NEUROSTIMULATOR $494.00 HC62807656 M: PROSTHESIS LARYNGEAL $650.00 HC62807763 M: RING ACETABULAR HIP "$1,014.00 " HC65800039 M: SEED(S) GOLD BRACHYTHERAPY $618.00 HC62807805 M: SPACER HUMERAL SHOULDER "$4,168.00 " HC62807664 M: STAPLE BONE $520.00 HC62807672 M: STEM ANKLE TIBIAL "$1,658.00 " HC62807896 M: STEM ELBOW "$5,850.00 " HC62807680 M: STEM INTERPHALANGEAL "$3,900.00 " HC62204649 M: SYSTEM NERVE RESPONSE "$6,490.00 " HC62204656 M: SYSTEM NEURO STEALTH "$13,023.00 " HC27001783 "M: UNLISTED PROCEDURE, COLON" "$4,228.00 " HC27001189 "M: UNLISTED PROCEDURE, ESOPH" "$2,130.00 " HC27001205 M:GI LAB MISC PROCEDURE "$1,342.00 " HC62805130 M:IMPLANT UROLIFT TIE-BACK (EACH) "$2,519.00 " 99999-038-55 MAALOX/BENADRYL 1:1 $3.48 99999-038-57 MAALOX/BENADRYL 1:1 $1.00 71090-002-02 MACIMORELIN 0.5 MG/ML ORAL SOLR "$27,000.00 " HC89021216 MAG AUTOANTIBODY-AT $285.00 99999-037-34 MAGIC MOUTHWASH ORAL LIQUID (SIMPLE) $38.88 99999-039-38 MAGIC MOUTHWASH ORAL LIQUID (SIMPLE) $1.62 99999-039-61 MAGIC MOUTHWASH ORAL LIQUID (SLH) $1.50 HC81100661 MAGNESIUM $212.00 99999-044-67 MAGNESIUM 1 MEQ / ML INJ SOLN $14.40 187526701 MAGNESIUM CARBONATE 54 MG/5 ML ORAL LIQD $1.00 67457-134-50 MAGNESIUM CHLORIDE 200 MG/ML (20 %) INJ SOLN $91.80 6858500575 MAGNESIUM CHLORIDE 64 MG ORAL TBEC $1.00 5789663506 MAGNESIUM CHLORIDE 70 MG ORAL TBEC $1.00 0904-6787-44 MAGNESIUM CITRATE ORAL SOLN $10.66 6025817201 MAGNESIUM GLUCONATE 27 MG MAGNESIUM (500 MG) ORAL TAB $1.00 0054-3567-10 "MAGNESIUM HYDROXIDE 2,400 MG/10 ML ORAL SUSP" $5.76 0121-0527-10 "MAGNESIUM HYDROXIDE 2,400 MG/10 ML ORAL SUSP" $17.34 0121-0431-30 MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSP $11.70 0536-2470-85 MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSP $14.19 3676542001 MAGNESIUM L-LACTATE 84 MG ORAL TBSR $1.68 3676542019 MAGNESIUM L-LACTATE 84 MG ORAL TBSR $1.68 5901642019 MAGNESIUM L-LACTATE 84 MG ORAL TBSR $1.68 4329255738 MAGNESIUM OXIDE 250 MG MAGNESIUM ORAL TAB $1.00 1000670028 MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) ORAL TAB $1.00 5789663412 MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) ORAL TAB $1.00 6498033901 MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) ORAL TAB $1.00 6498033990 MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) ORAL TAB $1.00 0603-0209-22 MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) ORAL TAB $1.00 HC89021448 MAGNESIUM RBC - AU $54.00 70677-0038-2 MAGNESIUM SULFATE (LAXATIVE) 495 MG/5 GRAM ORAL GRAN $152.38 99999-044-66 MAGNESIUM SULFATE 0.5 MEQ/ML INJ SOLN $14.40 99999-010-51 MAGNESIUM SULFATE 20 G IN D5W 250 ML IV (LBM) $636.00 99999-010-52 MAGNESIUM SULFATE 4 G IN D5W 100 ML IV (LBM) $186.00 51754-1000-1 MAGNESIUM SULFATE 4 MEQ/ML (50 %) INJ SOLN $13.20 51754-1000-4 MAGNESIUM SULFATE 4 MEQ/ML (50 %) INJ SOLN $13.20 63323-064-01 MAGNESIUM SULFATE 4 MEQ/ML (50 %) INJ SOLN $9.48 63323-064-03 MAGNESIUM SULFATE 4 MEQ/ML (50 %) INJ SOLN $9.48 63323-064-04 MAGNESIUM SULFATE 4 MEQ/ML (50 %) INJ SOLN $10.38 63323-064-10 MAGNESIUM SULFATE 4 MEQ/ML (50 %) INJ SOLN $10.38 63323-064-11 MAGNESIUM SULFATE 4 MEQ/ML (50 %) INJ SOLN $10.38 63323-064-21 MAGNESIUM SULFATE 4 MEQ/ML (50 %) INJ SOLN $7.20 63323-064-23 MAGNESIUM SULFATE 4 MEQ/ML (50 %) INJ SOLN $7.20 63323-642-20 MAGNESIUM SULFATE 4 MEQ/ML (50 %) INJ SOLN $43.20 63323-642-50 MAGNESIUM SULFATE 4 MEQ/ML (50 %) INJ SOLN $111.00 0409-1754-10 MAGNESIUM SULFATE 4 MEQ/ML INJ SYRG $108.66 99999-006-57 MAGNESIUM SULFATE 4 MEQ/ML ORAL LIQUID (MCH) $14.22 63323-064-02 MAGNESIUM SULFATE 50% (500 MG/ML) INJ SOLN (MCH) $9.48 0409-6727-23 MAGNESIUM SULFATE IN D5W 1 GRAM/100 ML IV PGBK $44.40 63323-108-01 MAGNESIUM SULFATE IN D5W 1 GRAM/100 ML IV PGBK $48.60 99999-035-16 MAGNESIUM SULFATE IN D5W 6 GRAM/100ML IV SOLUTION $56.40 99999-042-78 MAGNESIUM SULFATE IN NS 20 GRAM/500 ML IV (4%) SOLP (SLH) $60.00 0409-6729-24 MAGNESIUM SULFATE IN WATER 2 GRAM/50 ML (4 %) IV PGBK $87.60 44567-420-00 MAGNESIUM SULFATE IN WATER 2 GRAM/50 ML (4 %) IV PGBK $100.50 44567-420-24 MAGNESIUM SULFATE IN WATER 2 GRAM/50 ML (4 %) IV PGBK $100.50 63323-106-02 MAGNESIUM SULFATE IN WATER 2 GRAM/50 ML (4 %) IV PGBK $96.30 63323-106-05 MAGNESIUM SULFATE IN WATER 2 GRAM/50 ML (4 %) IV PGBK $96.30 99999-036-88 MAGNESIUM SULFATE IN WATER 2 GRAM/50 ML (4 %) IV PGBK $23.40 0409-6729-03 MAGNESIUM SULFATE IN WATER 20 GRAM/500 ML (4 %) IV SOLP $33.00 63323-106-15 MAGNESIUM SULFATE IN WATER 20 GRAM/500 ML (4 %) IV SOLP $36.00 0338-1715-40 MAGNESIUM SULFATE IN WATER 4 GRAM/100 ML (4 %) IV PGBK $37.20 0409-6729-23 MAGNESIUM SULFATE IN WATER 4 GRAM/100 ML (4 %) IV PGBK $43.20 44567-421-00 MAGNESIUM SULFATE IN WATER 4 GRAM/100 ML (4 %) IV PGBK $54.00 44567-421-24 MAGNESIUM SULFATE IN WATER 4 GRAM/100 ML (4 %) IV PGBK $54.00 63323-106-00 MAGNESIUM SULFATE IN WATER 4 GRAM/100 ML (4 %) IV PGBK $48.00 63323-106-01 MAGNESIUM SULFATE IN WATER 4 GRAM/100 ML (4 %) IV PGBK $48.00 HC89005508 MAGNESIUM URINE 24 HR-AU $10.00 HC62204664 MAGNET DEVICE $208.00 HC89020259 MAJOR BREAKPOINT (BCR/ABL1)-AU $75.00 HC62204672 MALLET $127.00 HC89020283 MALTASE (DISACCHARIDASE)-AU $38.00 HC43000140 MAMMO DUCTO/GALACTO INJ-BI "$3,084.00 " HC43000157 MAMMO DUCTO/GALACTO INJ-LT "$1,616.00 " HC43000165 MAMMO DUCTO/GALACTO INJ-RT "$1,616.00 " HC43001155 MAMMO DX LTD/FOCUS EXM UNILT W/CAD LT $734.00 HC43001163 MAMMO DX LTD/FOCUS EXM UNILT W/CAD RT $734.00 HC43001130 MAMMO DX LTD/FOCUS EXM W/CAD BIL $905.00 HC43001171 MAMMO DX UNILAT W/CAD LT $905.00 HC43001189 MAMMO DX UNILAT W/CAD RT $905.00 HC43001122 MAMMO DX W/CAD BILAT "$1,231.00 " HC43001197 MAMMO DX W/SPC VWS UNILT W/CAD LT $995.00 HC43001205 MAMMO DX W/SPC VWS UNILT W/CAD RT $995.00 HC43001148 MAMMO DX W/SPC VWS W/CAD BIL "$1,286.00 " HC43001080 MAMMO SCREEN W/CAD BILAT "$1,147.00 " HC43001098 MAMMO SCREEN W/IMP W/CAD BIL "$1,252.00 " HC43001106 MAMMO SCREENING W/CAD LEFT $745.00 HC43001114 MAMMO SCREENING W/CAD RIGHT $745.00 HC47201017 MANAGE RAD TREATMENT INTRAOP "$2,049.00 " HC44001576 MANDIBLE < 4 VIEWS $709.00 HC44001584 MANDIBLE COMPLETE MIN 4 VWS "$1,145.00 " 0409-4091-01 MANGANESE CHLORIDE 0.1 MG/ML IV SOLN $137.82 0517-6410-25 MANGANESE SULFATE 0.1 MG/ML IV SOLN $147.78 HC89008924 MANGANESE-AU $16.03 HC62223193 MANIFOLD 3 VALVE CARDIAC $91.00 HC62209333 MANIFOLD INCL 4 PORT NEPTUNE $52.00 HC62209341 MANIFOLD SINGLE PORT NEPTUNE $16.00 HC36000164 MANIP CHEST (INFANT) SUBSEQ $493.00 HC36000131 MANIP CHEST WALL INIT DEMO/EVAL $600.00 HC36000156 MANIP CHEST WALL SUBSEQUENT $493.00 HC36000149 MANIP CHEST(INFANT) INIT DEMO/EVAL $600.00 HC25000431 MANIPULATION MAJOR JOINT "$1,102.00 " HC25000449 MANIPULATION MINOR JOINT $947.00 HC62221577 MANIPULATOR UTERINE C $98.00 HC62223987 MANIPULATOR UTERINE D $130.00 HC62222948 MANIPULATOR UTERINE E $195.00 HC62208061 MANIPULATOR UTERINE G $325.00 0264-7578-10 MANNITOL 20 % 20 % IV SOLP $105.00 0990-7715-03 MANNITOL 20 % 20 % IV SOLP $114.00 0990-7715-13 MANNITOL 20 % 20 % IV SOLP $114.00 0409-4031-01 MANNITOL 25 % 25 % IV SOLN $13.20 0409-4031-16 MANNITOL 25 % 25 % IV SOLN $13.20 63323-024-25 MANNITOL 25 % 25 % IV SOLN $26.70 HC62222302 MANOMETER INSPIRATORY $38.00 HC51002723 MANOMETRIC STDY VIA NEPHRO $845.00 HC46501185 MANOMETRIC STDY VIA NEPHRO BI "$3,544.00 " HC46501193 MANOMETRIC STDY VIA NEPHRO LT "$1,861.00 " HC46501201 MANOMETRIC STDY VIA NEPHRO RT "$1,861.00 " HC81500316 MANUAL CELL COUNT RED/LEUK/PLT $172.00 HC44700664 MAP TACHYCARDIA SITES NON 3D+ "$12,254.00 " 49702-223-18 MARAVIROC 150 MG ORAL TAB $155.62 HC62212246 MARKER DEVICE BIOPSY $220.00 HC62228010 MARKER GRAFT RADIOPAQUE $33.00 HC62206446 MARKER SHADOWFORM/VISICOIL $499.00 HC62217567 MARKER SPHERE PASSIVE REFLECTIVE $62.00 HC62806690 MARKER TISSUE 3D "$3,250.00 " HC62204680 MASK BIPAP $177.00 HC62220611 MASK CPAP $78.00 HC51080075 MASK OXYGEN $8.00 HC62204698 MASK OXYGEN $39.00 HC62204706 MASK TRACH $59.00 HC62209275 MASK/SHADES BILI' LIGHTS $33.00 HC82201153 MASSON TRICHROME STAIN/GRP II+ $412.00 HC44001592 MASTOIDS < 3 VIEWS PER SIDE $682.00 HC44001600 MASTOIDS MIN 3 VIEWS $986.00 HC62204714 MATTRESS ALTERNATING PRESSURE $104.00 HC62209051 MATTRESS WAFFLE OVERLAY $85.00 HC82201161 MAY GRUNWALD GIEMS STN GRP II+ $412.00 HC51010015 MD DEV PT REPORT; COMPREHENSIVE $262.00 HC51010007 MD DEV PT REPORT; INTERMEDIATE $147.00 HC51010031 MD GROUP TEACH/COUNS SESSION $159.00 HC51010049 MD PT/FAMILY CONFERENCE 30MIN $177.00 HC51010023 MD TEAM CONFERENCE PER CASE $185.00 HC89014450 MEASLES (RUBEOLA)(PNL) IGG-AU $9.00 HC89014443 MEASLES (RUBEOLA)(PNL) IGM-AU $13.70 0006-4681-00 "MEASLES,MUMPS,RUBELLA VACC(PF) 1,000-12,500 TCID50/0.5 ML SUBCUTANEOUS SOLR" $458.57 0006-4681-01 "MEASLES,MUMPS,RUBELLA VACC(PF) 1,000-12,500 TCID50/0.5 ML SUBCUTANEOUS SOLR" $458.57 HC51010460 MEASURE NO2 EXHALED $81.00 HC84200997 "MEAT FIBERS, FECES" $85.00 HC89004287 "MEAT FIBERS, FECES-AU" $16.00 HC51002285 MEATOTOMY (INFANT) $482.00 HC51002277 MEATOTOMY (NON-INFANT) $531.00 HC46501219 MECH REMOV PERICATH OBSTR MAT CV "$7,939.00 " HC44501203 MECH REMOV PERICTH CEN VEN S&I "$3,637.00 " 0904-6516-61 MECLIZINE 12.5 MG ORAL TAB $2.63 50268-522-11 MECLIZINE 12.5 MG ORAL TAB $3.59 50268-522-15 MECLIZINE 12.5 MG ORAL TAB $3.59 51079-423-01 MECLIZINE 12.5 MG ORAL TAB $3.43 51079-423-20 MECLIZINE 12.5 MG ORAL TAB $3.43 65162-441-10 MECLIZINE 12.5 MG ORAL TAB $1.55 68084-490-01 MECLIZINE 12.5 MG ORAL TAB $2.96 68084-490-11 MECLIZINE 12.5 MG ORAL TAB $2.96 0904-6517-61 MECLIZINE 25 MG ORAL TAB $2.77 50268-523-11 MECLIZINE 25 MG ORAL TAB $4.07 50268-523-15 MECLIZINE 25 MG ORAL TAB $4.07 51079-511-01 MECLIZINE 25 MG ORAL TAB $4.10 51079-511-20 MECLIZINE 25 MG ORAL TAB $4.10 65162-442-10 MECLIZINE 25 MG ORAL TAB $1.92 68084-491-01 MECLIZINE 25 MG ORAL TAB $3.56 68084-491-11 MECLIZINE 25 MG ORAL TAB $3.56 0378-3000-01 MECLOFENAMATE 100 MG ORAL CAP $37.14 4167936513 MEDIUM CHAIN TRIGLYCERIDES 7.7 KCAL/ML ORAL OIL $340.56 99998-000-70 MEDIUM CHAIN TRIGLYCERIDES 7.7 KCAL/ML ORAL OIL $5.67 99998-000-71 MEDIUM CHAIN TRIGLYCERIDES 7.7 KCAL/ML ORAL OIL $11.34 99999-041-97 MEDROXYPROGESTERONE 1.25 MG ORAL PARTIAL TAB $1.00 0555-0779-02 MEDROXYPROGESTERONE 10 MG ORAL TAB $1.59 59762-3742-2 MEDROXYPROGESTERONE 10 MG ORAL TAB $1.59 60687-105-11 MEDROXYPROGESTERONE 10 MG ORAL TAB $8.38 60687-105-21 MEDROXYPROGESTERONE 10 MG ORAL TAB $8.38 0009-0746-30 MEDROXYPROGESTERONE 150 MG/ML IM SUSP "$1,252.50 " 0009-0746-35 MEDROXYPROGESTERONE 150 MG/ML IM SUSP "$1,252.45 " 0548-5400-00 MEDROXYPROGESTERONE 150 MG/ML IM SUSP $270.00 0548-5400-25 MEDROXYPROGESTERONE 150 MG/ML IM SUSP $270.00 0703-6801-01 MEDROXYPROGESTERONE 150 MG/ML IM SUSP $489.24 59762-4537-1 MEDROXYPROGESTERONE 150 MG/ML IM SUSP $489.24 0009-7376-11 MEDROXYPROGESTERONE 150 MG/ML IM SYRG "$1,198.68 " 0548-5701-00 MEDROXYPROGESTERONE 150 MG/ML IM SYRG $330.00 0555-0872-02 MEDROXYPROGESTERONE 2.5 MG ORAL TAB $1.00 59762-0055-1 MEDROXYPROGESTERONE 2.5 MG ORAL TAB $1.00 0555-0873-02 MEDROXYPROGESTERONE 5 MG ORAL TAB $1.28 51991-839-33 MEFENAMIC ACID 250 MG ORAL CAP $40.00 0555-0171-78 MEFLOQUINE 250 MG ORAL TAB $43.98 0555-0171-88 MEFLOQUINE 250 MG ORAL TAB $43.98 99999-037-96 MEGESTROL 20 MG ORAL PARTIAL TAB $1.50 49884-289-01 MEGESTROL 20 MG ORAL TAB $1.00 51079-434-20 MEGESTROL 20 MG ORAL TAB $2.26 0904-3571-61 MEGESTROL 40 MG ORAL TAB $1.40 63739-165-10 MEGESTROL 40 MG ORAL TAB $3.00 99999-044-12 MEGESTROL 40 MG/ML ORAL SUSPENSION $6.36 99999-044-13 MEGESTROL 40 MG/ML ORAL SUSPENSION $12.72 0121-4776-10 MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSP $21.42 0121-4776-40 MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSP $22.62 63739-549-51 MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSP $18.18 66689-020-01 MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSP $21.24 66689-020-50 MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSP $21.24 68094-250-59 MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSP $21.12 68094-250-62 MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSP $21.12 99999-042-96 MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSP $10.62 49884-907-38 MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSP $216.00 49884-907-61 MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSP $432.00 50383-859-24 MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSP $216.00 60432-126-08 MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSP $305.28 60432-126-16 MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSP $360.00 99999-036-05 MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSP $17.91 99999-036-06 MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSP $53.73 99999-042-45 MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSP $10.74 99999-043-01 MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSP $5.37 HC82201179 MELANIN BLEACHING/GRP II+ $412.00 1000673051 MELATONIN 1 MG ORAL TAB $1.00 4009310609 MELATONIN 1 MG ORAL TAB $1.00 7431202832 MELATONIN 1 MG ORAL TAB $1.00 8068104100 MELATONIN 1 MG ORAL TAB $1.00 2055503600 MELATONIN 3 MG ORAL TAB $1.00 2055503601 MELATONIN 3 MG ORAL TAB $1.00 5026852411 MELATONIN 3 MG ORAL TAB $1.45 5026852415 MELATONIN 3 MG ORAL TAB $1.45 5445821360 MELATONIN 3 MG ORAL TAB $1.00 5789686406 MELATONIN 3 MG ORAL TAB $1.00 6809411059 MELATONIN 3 MG ORAL TAB $1.34 6809411061 MELATONIN 3 MG ORAL TAB $1.34 7733351610 MELATONIN 3 MG ORAL TAB $1.55 7733351625 MELATONIN 3 MG ORAL TAB $1.55 40093-10305 MELATONIN 5 MG ORAL TBDL $1.00 0597-0029-01 MELOXICAM 7.5 MG ORAL TAB $53.67 50268-525-11 MELOXICAM 7.5 MG ORAL TAB $1.00 50268-525-15 MELOXICAM 7.5 MG ORAL TAB $1.00 61442-126-01 MELOXICAM 7.5 MG ORAL TAB $1.00 63739-701-10 MELOXICAM 7.5 MG ORAL TAB $1.00 65862-097-01 MELOXICAM 7.5 MG ORAL TAB $1.00 68180-501-01 MELOXICAM 7.5 MG ORAL TAB $1.00 68382-050-01 MELOXICAM 7.5 MG ORAL TAB $1.00 67457-195-01 MELPHALAN HCL 50 MG IV SOLR "$3,000.00 " 0456-3210-60 MEMANTINE 10 MG ORAL TAB $44.48 0456-3210-63 MEMANTINE 10 MG ORAL TAB $44.47 47335-322-86 MEMANTINE 10 MG ORAL TAB $1.22 60687-184-11 MEMANTINE 10 MG ORAL TAB $4.00 60687-184-57 MEMANTINE 10 MG ORAL TAB $4.00 0456-3205-11 MEMANTINE 5 MG ORAL TAB $44.46 0456-3205-60 MEMANTINE 5 MG ORAL TAB $44.48 0456-3205-63 MEMANTINE 5 MG ORAL TAB $44.47 0904-6505-06 MEMANTINE 5 MG ORAL TAB $2.45 0904-6505-61 MEMANTINE 5 MG ORAL TAB $2.59 29300-171-16 MEMANTINE 5 MG ORAL TAB $2.20 33342-297-09 MEMANTINE 5 MG ORAL TAB $2.15 47335-321-86 MEMANTINE 5 MG ORAL TAB $1.22 53746-173-60 MEMANTINE 5 MG ORAL TAB $3.47 55111-596-60 MEMANTINE 5 MG ORAL TAB $2.50 60687-173-11 MEMANTINE 5 MG ORAL TAB $4.00 60687-173-57 MEMANTINE 5 MG ORAL TAB $4.00 68180-229-07 MEMANTINE 5 MG ORAL TAB $2.20 58160-958-01 "MENING A CONJ VACC,1 OF 2 (PF) 10 MCG /0.5 ML (FINAL) IM SOLR" $803.40 58160-955-09 "MENING VAC A,C,Y,W135 DIP (PF) 10-5 MCG/0.5 ML IM KIT" $803.40 49281-589-05 "MENING VAC A,C,Y,W135 DIP (PF) 4 MCG/0.5 ML IM SOLN" $765.80 49281-589-58 "MENING VAC A,C,Y,W135 DIP (PF) 4 MCG/0.5 ML IM SOLN" $765.78 58160-976-02 "MENINGOCOCCAL B VACCINE,4-COMP 50-50-50-25 MCG/0.5 ML IM SYRG" "$1,071.00 " 58160-976-20 "MENINGOCOCCAL B VACCINE,4-COMP 50-50-50-25 MCG/0.5 ML IM SYRG" "$1,071.00 " 58160-959-01 "MENINGOCOCCAL VACCINE COMPONENTS A & C,Y,W-135 SHELL" $784.50 4687600025 MENTHOL-ZINC OXIDE 0.44-20.6 % TOPICAL OINT $23.86 4687600030 MENTHOL-ZINC OXIDE 0.44-20.6 % TOPICAL OINT $23.86 0799-0001-02 MENTHOL-ZINC OXIDE 0.44-20.6 % TOPICAL OINT $23.86 0799-0001-04 MENTHOL-ZINC OXIDE 0.44-20.6 % TOPICAL OINT $29.83 64980-322-12 MENTHOL-ZINC OXIDE 0.44-20.6 % TOPICAL OINT $21.02 0641-6054-01 MEPERIDINE (PF) 100 MG/ML INJ SOLN $17.38 0641-6054-25 MEPERIDINE (PF) 100 MG/ML INJ SOLN $17.38 0409-1180-69 MEPERIDINE (PF) 100 MG/ML INJ SYRG $37.81 0641-6052-01 MEPERIDINE (PF) 25 MG/ML INJ SOLN $15.22 0641-6052-25 MEPERIDINE (PF) 25 MG/ML INJ SOLN $15.22 0409-1176-03 MEPERIDINE (PF) 25 MG/ML INJ SYRG $35.70 0409-1176-30 MEPERIDINE (PF) 25 MG/ML INJ SYRG $35.70 0641-6053-01 MEPERIDINE (PF) 50 MG/ML INJ SOLN $15.85 0641-6053-25 MEPERIDINE (PF) 50 MG/ML INJ SOLN $15.85 0409-1178-30 MEPERIDINE (PF) 50 MG/ML INJ SYRG $36.90 0409-1179-30 MEPERIDINE (PF) 75 MG/ML INJ SYRG $37.81 0409-6030-04 MEPERIDINE 10 MG/ML INJ CRTG $50.04 0054-3545-63 MEPERIDINE 50 MG/5 ML ORAL SOLN $507.00 HC89009435 MEPERIDINE ANLG; 1-2 SRM/PLSM-AU $83.00 HC89003610 MEPERIDINE ANLG; 1-2 URINE-AU $103.00 0409-1036-30 MEPIVACAINE (PF) 10 MG/ML (1 %) INJ SOLN $32.04 63323-260-01 MEPIVACAINE (PF) 10 MG/ML (1 %) INJ SOLN $44.64 63323-260-37 MEPIVACAINE (PF) 10 MG/ML (1 %) INJ SOLN $44.64 0409-1041-30 MEPIVACAINE (PF) 15 MG/ML (1.5 %) INJ SOLN $33.30 63323-293-01 MEPIVACAINE (PF) 15 MG/ML (1.5 %) INJ SOLN $60.66 63323-293-37 MEPIVACAINE (PF) 15 MG/ML (1.5 %) INJ SOLN $60.66 0409-1067-20 MEPIVACAINE (PF) 20 MG/ML (2 %) INJ SOLN $30.00 63323-294-01 MEPIVACAINE (PF) 20 MG/ML (2 %) INJ SOLN $49.68 63323-294-27 MEPIVACAINE (PF) 20 MG/ML (2 %) INJ SOLN $49.68 0173-0881-01 MEPOLIZUMAB 100 MG SUBCUTANEOUS SOLR "$18,127.26 " HC89008965 MEPROBAMATE; 1-2-AU $18.00 99999-036-47 MERCAPTOPURINE 12.5 MG ORAL PARTIAL TAB $4.28 62484-0020-1 MERCAPTOPURINE 20 MG/ML ORAL SUSP "$7,798.20 " 62484-0020-2 MERCAPTOPURINE 20 MG/ML ORAL SUSP "$7,798.20 " 99999-036-48 MERCAPTOPURINE 25 MG ORAL PARTIAL TAB $8.56 99999-039-92 MERCAPTOPURINE 25 MG ORAL PARTIAL TAB $9.51 0054-4581-11 MERCAPTOPURINE 50 MG ORAL TAB $19.02 0054-4581-27 MERCAPTOPURINE 50 MG ORAL TAB $17.12 69076-913-02 MERCAPTOPURINE 50 MG ORAL TAB $19.02 0378-3547-52 MERCAPTOPURINE 50 MG ORAL TAB (MCH) $19.02 HC89008981 MERCURY BLOOD-AU $9.50 HC89017628 MERCURY URINE (PNL)-AU $11.00 HC89003339 MERCURY-QD $15.00 0781-3098-94 MEROPENEM 1 GRAM IV SOLR $157.20 0781-3098-95 MEROPENEM 1 GRAM IV SOLR $157.20 0781-3098-96 MEROPENEM 1 GRAM IV SOLR $157.20 55150-208-30 MEROPENEM 1 GRAM IV SOLR $174.00 63323-508-30 MEROPENEM 1 GRAM IV SOLR $120.00 63323-508-31 MEROPENEM 1 GRAM IV SOLR $72.00 72572-416-01 MEROPENEM 1 GRAM IV SOLR $42.66 72572-416-10 MEROPENEM 1 GRAM IV SOLR $42.66 99999-040-18 MEROPENEM 20 MG/ML INJ SOLN $3.50 99999-042-27 MEROPENEM 20 MG/ML INJ SOLN $15.00 0409-1390-21 MEROPENEM 500 MG IV SOLR $87.00 0409-1390-51 MEROPENEM 500 MG IV SOLR $87.00 63323-507-21 MEROPENEM 500 MG IV SOLR $36.00 70121-1454-7 MEROPENEM 500 MG IV SOLR $36.00 63323-507-20 MEROPENEM 500 MG IV SOLR (MCH) $60.00 99999-035-59 MEROPENEM IV (FOR DESENSITIZATION USE) $1.00 70842-120-01 MEROPENEM-VABORBACTAM 2 GRAM IV SOLR $990.00 70842-120-06 MEROPENEM-VABORBACTAM 2 GRAM IV SOLR "$1,069.20 " 58914-501-56 "MESALAMINE 1,000 MG RECTAL SUPP" $232.36 69918-560-30 "MESALAMINE 1,000 MG RECTAL SUPP" $92.94 0378-7401-78 MESALAMINE 1.2 GRAM ORAL TBEC $13.34 0591-2245-22 MESALAMINE 1.2 GRAM ORAL TBEC $41.62 16714-830-01 MESALAMINE 1.2 GRAM ORAL TBEC $48.91 54092-189-81 MESALAMINE 250 MG ORAL CPSR $18.22 0037-0066-06 MESALAMINE 4 GRAM/60 ML RECTAL ENEM "$17,830.80 " 45802-098-46 MESALAMINE 4 GRAM/60 ML RECTAL ENEM $80.28 45802-098-51 MESALAMINE 4 GRAM/60 ML RECTAL ENEM $80.28 62559-420-07 MESALAMINE 4 GRAM/60 ML RECTAL ENEM $79.56 62559-420-11 MESALAMINE 4 GRAM/60 ML RECTAL ENEM $79.56 0023-5853-18 MESALAMINE 400 MG ORAL CDTI $23.28 59762-0117-1 MESALAMINE 400 MG ORAL CDTI $13.97 54092-191-12 MESALAMINE 500 MG ORAL CPSR $36.43 0037-0066-03 MESALAMINE WITH CLEANSING WIPE 4 GRAM/60 ML RECTAL ENKT $323.33 99999-008-29 MESNA 100 MG/ML INJ SOLN (FOR ORAL USE)(MCH) $79.56 10019-953-01 MESNA 100 MG/ML IV SOLN $198.00 10019-953-62 MESNA 100 MG/ML IV SOLN $198.00 25021-201-10 MESNA 100 MG/ML IV SOLN $120.00 25021-201-11 MESNA 100 MG/ML IV SOLN $120.00 63323-733-10 MESNA 100 MG/ML IV SOLN $397.80 63323-733-11 MESNA 100 MG/ML IV SOLN $397.80 70860-209-10 MESNA 100 MG/ML IV SOLN $123.00 HC89008999 METANEPHRINE-AU $22.00 HC89002026 METANEPHRINE-QD $17.00 HC89021042 "METANEPHRINES, PLASMA(FREE)-AU" $20.00 0527-1435-01 METAXALONE 800 MG ORAL TAB $9.00 0591-2341-01 METAXALONE 800 MG ORAL TAB $12.04 55111-650-01 METAXALONE 800 MG ORAL TAB $9.00 60793-136-01 METAXALONE 800 MG ORAL TAB $61.00 68084-135-11 METAXALONE 800 MG ORAL TAB $33.60 68084-135-21 METAXALONE 800 MG ORAL TAB $33.60 HC62204722 METERED DOSE INHALER $52.00 0904-6691-61 "METFORMIN 1,000 MG ORAL TAB" $1.00 23155-104-01 "METFORMIN 1,000 MG ORAL TAB" $1.00 23155-104-05 "METFORMIN 1,000 MG ORAL TAB" $1.00 23155-104-10 "METFORMIN 1,000 MG ORAL TAB" $1.00 51079-174-01 "METFORMIN 1,000 MG ORAL TAB" $1.31 51079-174-20 "METFORMIN 1,000 MG ORAL TAB" $1.31 57664-474-51 "METFORMIN 1,000 MG ORAL TAB" $1.00 60687-162-11 "METFORMIN 1,000 MG ORAL TAB" $1.00 65862-010-01 "METFORMIN 1,000 MG ORAL TAB" $1.00 0087-6060-05 METFORMIN 500 MG ORAL TAB $5.92 0378-7185-05 METFORMIN 500 MG ORAL TAB $1.00 0904-6689-61 METFORMIN 500 MG ORAL TAB $1.00 23155-102-01 METFORMIN 500 MG ORAL TAB $1.00 23155-102-10 METFORMIN 500 MG ORAL TAB $1.00 51079-172-01 METFORMIN 500 MG ORAL TAB $1.00 51079-172-20 METFORMIN 500 MG ORAL TAB $1.00 57664-397-51 METFORMIN 500 MG ORAL TAB $1.00 57664-397-53 METFORMIN 500 MG ORAL TAB $1.00 57664-397-58 METFORMIN 500 MG ORAL TAB $1.00 60687-155-01 METFORMIN 500 MG ORAL TAB $1.00 60687-155-11 METFORMIN 500 MG ORAL TAB $1.00 65862-008-01 METFORMIN 500 MG ORAL TAB $1.00 65862-008-05 METFORMIN 500 MG ORAL TAB $1.00 67877-561-01 METFORMIN 500 MG ORAL TAB $1.00 62756-142-01 METFORMIN 500 MG ORAL TB24 $1.00 62756-142-02 METFORMIN 500 MG ORAL TB24 $1.00 67877-159-01 METFORMIN 500 MG ORAL TB24 $1.00 70010-491-01 METFORMIN 500 MG ORAL TB24 $1.00 70010-491-05 METFORMIN 500 MG ORAL TB24 $1.00 51224-107-50 METFORMIN 750 MG ORAL TB24 $1.32 62756-143-01 METFORMIN 750 MG ORAL TB24 $1.00 0087-6070-05 METFORMIN 850 MG ORAL TAB $10.07 23155-103-01 METFORMIN 850 MG ORAL TAB $1.00 57664-435-51 METFORMIN 850 MG ORAL TAB $1.00 60687-143-01 METFORMIN 850 MG ORAL TAB $1.30 60687-143-11 METFORMIN 850 MG ORAL TAB $1.30 65862-009-01 METFORMIN 850 MG ORAL TAB $1.00 64281-100-00 METHACHOLINE CHLORIDE 100 MG INHALATION SOLR $450.00 64281-100-06 METHACHOLINE CHLORIDE 100 MG INHALATION SOLR $450.00 HC89009005 METHADONE &METABOLITE QUANT SERUM-AU $73.00 HC89006191 METHADONE &METABOLITE QUANT URINE-AU $36.00 99999-010-88 METHADONE 1 MG/ML INJ SOLN DILUTION (MCH) $10.80 0054-4571-25 METHADONE 10 MG ORAL TAB $2.12 0054-8554-24 METHADONE 10 MG ORAL TAB $2.10 0406-5771-23 METHADONE 10 MG ORAL TAB $1.98 0406-5771-62 METHADONE 10 MG ORAL TAB $2.10 0904-6530-61 METHADONE 10 MG ORAL TAB $1.52 67877-116-01 METHADONE 10 MG ORAL TAB $1.00 68084-738-01 METHADONE 10 MG ORAL TAB $1.82 68084-738-11 METHADONE 10 MG ORAL TAB $1.82 0054-3556-63 METHADONE 10 MG/5 ML ORAL SOLN $333.00 99999-012-95 METHADONE 10 MG/5 ML ORAL SOLN $4.14 17478-380-20 METHADONE 10 MG/ML INJ SOLN "$2,160.00 " 67457-217-20 METHADONE 10 MG/ML INJ SOLN "$2,333.88 " 99999-004-80 METHADONE 10 MG/ML INJ SOLN $116.70 99999-040-78 METHADONE 10 MG/ML INJ SOLN $108.00 0054-0391-68 METHADONE 10 MG/ML ORAL CONC $306.00 0054-4570-25 METHADONE 5 MG ORAL TAB $1.28 0054-8553-24 METHADONE 5 MG ORAL TAB $1.85 0406-5755-23 METHADONE 5 MG ORAL TAB $1.74 0406-5755-62 METHADONE 5 MG ORAL TAB $1.85 0054-3555-63 METHADONE 5 MG/5 ML ORAL SOLN $192.00 66689-711-16 METHADONE 5 MG/5 ML ORAL SOLN $630.00 99999-006-59 METHADONE 5 MG/5 ML ORAL SOLN $1.00 99999-006-60 METHADONE 5 MG/5 ML ORAL SOLN $2.82 99999-006-61 METHADONE 5 MG/5 ML ORAL SOLN $5.64 99999-010-90 METHADONE 5 MG/5 ML ORAL SOLN $28.20 99999-011-10 METHADONE 5 MG/5 ML ORAL SOLN $16.92 99999-037-02 METHADONE 5 MG/5 ML ORAL SOLN $1.00 99999-044-86 METHADONE 5 MG/5 ML ORAL SOLN $6.30 HC89021703 METHADONE MEC(PNL)-AU $98.38 HC89022099 METHADONE&METABOLITE SERUM QNT(PNL)-AU $61.13 HC89022107 "METHAMPHETAMINES(MDA,MDEA,MDMA)SERUM QNTS(PNL)-AU" $33.00 HC89001341 METHAQUALONE DEF 1-7CLS-AU $148.00 0574-0791-01 METHAZOLAMIDE 50 MG ORAL TAB $36.78 0781-1071-01 METHAZOLAMIDE 50 MG ORAL TAB $36.78 HC81101164 METHEMOBLOBIN QT $388.00 HC89008361 METHEMOBLOBIN-AU $39.00 HC36800613 "METHEMOGLOBIN,QUANT" $117.00 47781-577-01 METHENAMINE HIPPURATE 1 GRAM ORAL TAB $10.46 64720-139-10 METHENAMINE HIPPURATE 1 GRAM ORAL TAB $10.46 65862-782-01 METHENAMINE HIPPURATE 1 GRAM ORAL TAB $10.46 13925-107-01 METHENAMINE MANDELATE 1 GRAM ORAL TAB $11.85 42799-106-01 METHENAMINE MANDELATE 1 GRAM ORAL TAB $8.33 HC36000792 "METHGB,QUANT TRANSCUTANEUS/DAY" $296.00 HC36800688 "METHGB,QUANT TRANSCUTANEUS/DAY" $296.00 0185-0210-01 METHIMAZOLE 10 MG ORAL TAB $2.90 49884-641-01 METHIMAZOLE 10 MG ORAL TAB $2.48 51293-821-01 METHIMAZOLE 10 MG ORAL TAB $2.49 60687-370-01 METHIMAZOLE 10 MG ORAL TAB $3.87 60687-370-11 METHIMAZOLE 10 MG ORAL TAB $3.87 68084-276-01 METHIMAZOLE 10 MG ORAL TAB $2.73 68084-276-11 METHIMAZOLE 10 MG ORAL TAB $2.73 99999-041-98 METHIMAZOLE 2.5 MG ORAL PARTIAL TAB $1.00 0185-0205-01 METHIMAZOLE 5 MG ORAL TAB $1.67 23155-070-01 METHIMAZOLE 5 MG ORAL TAB $1.69 49884-640-01 METHIMAZOLE 5 MG ORAL TAB $1.44 51293-820-01 METHIMAZOLE 5 MG ORAL TAB $1.43 60687-357-01 METHIMAZOLE 5 MG ORAL TAB $3.00 60687-357-11 METHIMAZOLE 5 MG ORAL TAB $3.00 0641-6103-01 METHOCARBAMOL 100 MG/ML INJ SOLN $168.00 0641-6103-25 METHOCARBAMOL 100 MG/ML INJ SOLN $168.00 0641-6217-01 METHOCARBAMOL 100 MG/ML INJ SOLN $48.00 63323-778-10 METHOCARBAMOL 100 MG/ML INJ SOLN $60.00 63323-778-21 METHOCARBAMOL 100 MG/ML INJ SOLN $60.00 67457-273-00 METHOCARBAMOL 100 MG/ML INJ SOLN $342.54 67457-273-10 METHOCARBAMOL 100 MG/ML INJ SOLN $342.54 0143-1290-05 METHOCARBAMOL 500 MG ORAL TAB $1.00 0904-7057-61 METHOCARBAMOL 500 MG ORAL TAB $1.58 31722-533-01 METHOCARBAMOL 500 MG ORAL TAB $1.00 60687-559-01 METHOCARBAMOL 500 MG ORAL TAB $1.50 60687-559-11 METHOCARBAMOL 500 MG ORAL TAB $1.50 69584-611-50 METHOCARBAMOL 500 MG ORAL TAB $1.00 70010-754-01 METHOCARBAMOL 500 MG ORAL TAB $1.00 70010-754-05 METHOCARBAMOL 500 MG ORAL TAB $1.00 76385-123-01 METHOCARBAMOL 500 MG ORAL TAB $1.00 76385-123-50 METHOCARBAMOL 500 MG ORAL TAB $1.00 43547-226-10 METHOCARBAMOL 750 MG ORAL TAB $1.00 70010-770-01 METHOCARBAMOL 750 MG ORAL TAB $1.00 70010-770-05 METHOCARBAMOL 750 MG ORAL TAB $1.00 76385-124-01 METHOCARBAMOL 750 MG ORAL TAB $1.00 HC89001432 METHOCARBAMOL-AU $98.00 42023-105-01 METHOHEXITAL 500 MG INJ SOLR $425.46 HC81100976 METHOTREXATE $536.00 52652-2001-6 METHOTREXATE 2.5 MG/ML ORAL SOLN "$5,976.00 " 0703-3671-01 METHOTREXATE 25 MG/ML INJECTION (ECTOPIC PREGNANCY) $62.10 0703-3678-01 METHOTREXATE 25 MG/ML INJECTION (ECTOPIC PREGNANCY) $199.44 61703-408-41 METHOTREXATE 25 MG/ML INJECTION (ECTOPIC PREGNANCY) $217.20 0143-9519-01 METHOTREXATE 25 MG/ML INJECTION (RHEUMATOLOGY) $20.16 0143-9519-10 METHOTREXATE 25 MG/ML INJECTION (RHEUMATOLOGY) $20.16 63323-122-50 METHOTREXATE SODIUM (PF) 1 GRAM INJ SOLR $381.60 0703-3675-01 METHOTREXATE SODIUM (PF) 25 MG/ML INJ SOLN $54.18 16729-277-30 METHOTREXATE SODIUM (PF) 25 MG/ML INJ SOLN $23.52 16729-277-35 METHOTREXATE SODIUM (PF) 25 MG/ML INJ SOLN $205.92 67457-480-40 METHOTREXATE SODIUM (PF) 25 MG/ML INJ SOLN $240.00 99999-036-52 METHOTREXATE SODIUM 0.625 MG ORAL PARTIAL TAB $4.16 99999-036-53 METHOTREXATE SODIUM 1.25 MG ORAL PARTIAL TAB $8.31 0054-4550-25 METHOTREXATE SODIUM 2.5 MG ORAL TAB $10.60 0054-8550-25 METHOTREXATE SODIUM 2.5 MG ORAL TAB $18.28 0378-0014-01 METHOTREXATE SODIUM 2.5 MG ORAL TAB $14.13 42291-594-01 METHOTREXATE SODIUM 2.5 MG ORAL TAB $5.71 47335-235-83 METHOTREXATE SODIUM 2.5 MG ORAL TAB $7.42 51079-670-01 METHOTREXATE SODIUM 2.5 MG ORAL TAB $16.62 51079-670-05 METHOTREXATE SODIUM 2.5 MG ORAL TAB $16.62 61703-350-10 METHOTREXATE SODIUM 25 MG/ML INJ SOLN $42.96 61703-350-38 METHOTREXATE SODIUM 25 MG/ML INJ SOLN $42.96 HC89006811 METHOTREXATE-AU $16.00 HC89002042 METHOTREXATE-QD $60.00 HC89017222 METHOTREXATE-U2 $55.00 0071-0525-24 METHSUXIMIDE 300 MG ORAL CAP $25.58 HC89009039 METHSUXIMIDE; 1-3-AU $16.00 HC82201187 METHYL GREEN PYRON STN/GRP II+ $412.00 HC89009427 METHYL MALONIC ACID (B12)-AU $15.00 HC89017305 METHYL MALONIC ACID-QD $55.00 4116706003 METHYL SALICYLATE-MENTHOL 15-10 % TOPICAL CREAM $12.75 41167-0600-3 METHYL SALICYLATE-MENTHOL 15-10 % TOPICAL CREAM $12.75 45802-174-53 METHYL SALICYLATE-MENTHOL 15-10 % TOPICAL CREAM $17.34 49348-541-10 METHYLCELLULOSE (LAXATIVE) 500 MG ORAL TAB $1.00 5155202109 METHYLCELLULOSE 4000CPS (BULK) 30 % MISC POWD $60.00 16729-030-01 METHYLDOPA 250 MG ORAL TAB $1.00 51079-200-01 METHYLDOPA 250 MG ORAL TAB $1.00 51079-200-20 METHYLDOPA 250 MG ORAL TAB $1.00 16729-031-01 METHYLDOPA 500 MG ORAL TAB $1.26 51079-201-01 METHYLDOPA 500 MG ORAL TAB $1.79 51079-201-20 METHYLDOPA 500 MG ORAL TAB $1.79 0517-8905-10 METHYLDOPATE 250 MG/5 ML IV SOLN $240.00 17478-504-10 METHYLENE BLUE (ANTIDOTE) 1 % (10 MG/ML) IV SOLN "$1,073.88 " 0517-0374-01 METHYLENE BLUE (ANTIDOTE) 5 MG/ML (0.5 %) IV SOLN "$1,427.82 " 0517-0374-05 METHYLENE BLUE (ANTIDOTE) 5 MG/ML (0.5 %) IV SOLN "$1,427.82 " 0093-3655-28 METHYLERGONOVINE 0.2 MG ORAL TAB $119.15 27437-050-56 METHYLERGONOVINE 0.2 MG ORAL TAB $373.28 27437-050-57 METHYLERGONOVINE 0.2 MG ORAL TAB $373.50 43386-140-28 METHYLERGONOVINE 0.2 MG ORAL TAB $322.52 60687-410-11 METHYLERGONOVINE 0.2 MG ORAL TAB $330.00 60687-410-94 METHYLERGONOVINE 0.2 MG ORAL TAB $330.00 69238-1605-2 METHYLERGONOVINE 0.2 MG ORAL TAB $120.00 69238-1605-8 METHYLERGONOVINE 0.2 MG ORAL TAB $120.00 0517-0740-01 METHYLERGONOVINE 0.2 MG/ML (1 ML) INJ SOLN $162.72 0517-0740-20 METHYLERGONOVINE 0.2 MG/ML (1 ML) INJ SOLN $162.72 51991-144-17 METHYLERGONOVINE 0.2 MG/ML (1 ML) INJ SOLN $118.56 51991-144-99 METHYLERGONOVINE 0.2 MG/ML (1 ML) INJ SOLN $118.56 65649-551-02 METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SOLN $748.02 65649-551-03 METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SYRG $747.99 65649-551-07 METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SYRG $748.02 65649-150-90 METHYLNALTREXONE 150 MG ORAL TAB $124.67 0115-1801-01 METHYLPHENIDATE HCL 10 MG ORAL TAB $1.00 68084-823-11 METHYLPHENIDATE HCL 10 MG ORAL TAB $8.88 68084-823-21 METHYLPHENIDATE HCL 10 MG ORAL TAB $8.88 0115-1802-01 METHYLPHENIDATE HCL 20 MG ORAL TAB $1.00 0406-1146-01 METHYLPHENIDATE HCL 20 MG ORAL TAB $5.52 0406-0127-01 METHYLPHENIDATE HCL 27 MG ORAL TR24 $24.00 0115-1800-01 METHYLPHENIDATE HCL 5 MG ORAL TAB $1.00 0406-1142-01 METHYLPHENIDATE HCL 5 MG ORAL TAB $2.70 16714-821-01 METHYLPHENIDATE HCL 5 MG ORAL TAB $1.93 57664-228-88 METHYLPHENIDATE HCL 5 MG ORAL TAB $1.00 68084-805-11 METHYLPHENIDATE HCL 5 MG ORAL TAB $8.69 68084-805-21 METHYLPHENIDATE HCL 5 MG ORAL TAB $8.69 59746-003-14 METHYLPREDNISOLONE 16 MG ORAL TAB $14.91 59762-0050-1 METHYLPREDNISOLONE 16 MG ORAL TAB $16.99 72647-331-04 METHYLPREDNISOLONE 4 MG ORAL DSPK $1.28 0603-4593-21 METHYLPREDNISOLONE 4 MG ORAL TAB $6.86 0781-5022-01 METHYLPREDNISOLONE 4 MG ORAL TAB $6.86 42806-400-01 METHYLPREDNISOLONE 4 MG ORAL TAB $1.32 59746-001-06 METHYLPREDNISOLONE 4 MG ORAL TAB $1.93 68084-149-01 METHYLPREDNISOLONE 4 MG ORAL TAB $10.03 68084-149-11 METHYLPREDNISOLONE 4 MG ORAL TAB $10.03 68382-916-01 METHYLPREDNISOLONE 4 MG ORAL TAB $2.47 0009-0022-01 METHYLPREDNISOLONE 8 MG ORAL TAB $10.56 59746-002-04 METHYLPREDNISOLONE 8 MG ORAL TAB $9.65 59762-0049-1 METHYLPREDNISOLONE 8 MG ORAL TAB $9.65 0009-3073-01 METHYLPREDNISOLONE ACETATE 40 MG/ML INJ SUSP $63.42 0009-3073-03 METHYLPREDNISOLONE ACETATE 40 MG/ML INJ SUSP $63.43 0009-3073-22 METHYLPREDNISOLONE ACETATE 40 MG/ML INJ SUSP $63.42 0009-3073-23 METHYLPREDNISOLONE ACETATE 40 MG/ML INJ SUSP $63.43 0703-0031-01 METHYLPREDNISOLONE ACETATE 40 MG/ML INJ SUSP $52.20 0703-0031-04 METHYLPREDNISOLONE ACETATE 40 MG/ML INJ SUSP $52.20 0009-3475-01 METHYLPREDNISOLONE ACETATE 80 MG/ML INJ SUSP $110.04 0009-3475-03 METHYLPREDNISOLONE ACETATE 80 MG/ML INJ SUSP $110.05 0009-3475-22 METHYLPREDNISOLONE ACETATE 80 MG/ML INJ SUSP $110.04 0009-3475-23 METHYLPREDNISOLONE ACETATE 80 MG/ML INJ SUSP $110.60 0703-0051-01 METHYLPREDNISOLONE ACETATE 80 MG/ML INJ SUSP $85.80 0703-0051-04 METHYLPREDNISOLONE ACETATE 80 MG/ML INJ SUSP $85.80 0009-0018-20 "METHYLPREDNISOLONE SOD SUC(PF) 1,000 MG/8 ML IV SOLR" $340.80 0009-0047-22 METHYLPREDNISOLONE SOD SUC(PF) 125 MG/2 ML INJ SOLR $58.13 0009-0047-25 METHYLPREDNISOLONE SOD SUC(PF) 125 MG/2 ML INJ SOLR $58.13 0009-0047-26 METHYLPREDNISOLONE SOD SUC(PF) 125 MG/2 ML INJ SOLR $58.13 0009-0047-27 METHYLPREDNISOLONE SOD SUC(PF) 125 MG/2 ML INJ SOLR $58.13 0009-0039-28 METHYLPREDNISOLONE SOD SUC(PF) 40 MG/ML INJ SOLR $36.10 0009-0039-30 METHYLPREDNISOLONE SOD SUC(PF) 40 MG/ML INJ SOLR $36.10 0009-0039-32 METHYLPREDNISOLONE SOD SUC(PF) 40 MG/ML INJ SOLR $36.10 0009-0039-33 METHYLPREDNISOLONE SOD SUC(PF) 40 MG/ML INJ SOLR $36.10 0009-0003-02 METHYLPREDNISOLONE SOD SUC(PF) 500 MG/4 ML IV SOLR $234.30 0009-0698-01 "METHYLPREDNISOLONE SODIUM SUCC 1,000 MG IV SOLR" $251.34 0143-9851-01 "METHYLPREDNISOLONE SODIUM SUCC 1,000 MG IV SOLR" $251.34 63323-265-30 "METHYLPREDNISOLONE SODIUM SUCC 1,000 MG IV SOLR" $205.32 99999-006-84 METHYLPREDNISOLONE SODIUM SUCC 10 MG/ML INJ DILUTION (MCH) $5.43 99999-006-85 METHYLPREDNISOLONE SODIUM SUCC 5 MG/ML INJ DILUTION (MCH) $2.71 0009-0758-01 METHYLPREDNISOLONE SODIUM SUCC 500 MG IV SOLR $138.72 0143-9850-01 METHYLPREDNISOLONE SODIUM SUCC 500 MG IV SOLR $138.72 HC89001457 METHYPRYLON-AU $95.00 61314-447-05 METIPRANOLOL 0.3 % OPHT DROP $124.98 99999-000-40 METOCLOPRAMIDE 0.5 MG / ML SYRINGE $1.00 99999-044-68 METOCLOPRAMIDE 0.5 MG / ML SYRINGE $16.43 99999-000-97 METOCLOPRAMIDE 1 MG/ML (NICU) ORAL SOLN $3.24 99999-005-63 METOCLOPRAMIDE 1 MG/ML INJ DILUTION (MCH) $1.00 0093-2203-01 METOCLOPRAMIDE 10 MG ORAL TAB (MCH) $1.00 66689-031-01 METOCLOPRAMIDE 5 MG/5 ML ORAL SOLN (MCH) $32.40 99998-005-01 METOCLOPRAMIDE 5 MG/5 ML ORAL SOLN (MCH) $1.00 99999-006-62 METOCLOPRAMIDE 5 MG/5 ML ORAL SOLN (MCH) $1.00 99999-006-63 METOCLOPRAMIDE 5 MG/5 ML ORAL SOLN (MCH) $1.11 99999-006-66 METOCLOPRAMIDE 5 MG/5 ML ORAL SOLN (MCH) $2.22 99999-006-67 METOCLOPRAMIDE 5 MG/5 ML ORAL SOLN (MCH) $4.44 0093-2203-05 METOCLOPRAMIDE HCL 10 MG ORAL TAB $1.00 0093-2203-10 METOCLOPRAMIDE HCL 10 MG ORAL TAB $1.00 49884-689-01 METOCLOPRAMIDE HCL 10 MG ORAL TAB $1.00 51079-888-01 METOCLOPRAMIDE HCL 10 MG ORAL TAB $4.79 51079-888-20 METOCLOPRAMIDE HCL 10 MG ORAL TAB $4.79 68084-676-01 METOCLOPRAMIDE HCL 10 MG ORAL TAB $2.40 68084-676-11 METOCLOPRAMIDE HCL 10 MG ORAL TAB $2.40 0093-2204-01 METOCLOPRAMIDE HCL 5 MG ORAL TAB $1.00 0093-2204-05 METOCLOPRAMIDE HCL 5 MG ORAL TAB $1.00 51079-886-01 METOCLOPRAMIDE HCL 5 MG ORAL TAB $4.52 51079-886-20 METOCLOPRAMIDE HCL 5 MG ORAL TAB $4.52 0121-0576-16 METOCLOPRAMIDE HCL 5 MG/5 ML ORAL SOLN $175.96 0121-1576-10 METOCLOPRAMIDE HCL 5 MG/5 ML ORAL SOLN $11.10 62559-190-16 METOCLOPRAMIDE HCL 5 MG/5 ML ORAL SOLN $210.01 0409-3414-01 METOCLOPRAMIDE HCL 5 MG/ML INJ SOLN $6.66 0409-3414-18 METOCLOPRAMIDE HCL 5 MG/ML INJ SOLN $6.66 0703-4502-01 METOCLOPRAMIDE HCL 5 MG/ML INJ SOLN $20.11 0703-4502-04 METOCLOPRAMIDE HCL 5 MG/ML INJ SOLN $20.11 0703-4502-81 METOCLOPRAMIDE HCL 5 MG/ML INJ SOLN $5.40 0703-4502-84 METOCLOPRAMIDE HCL 5 MG/ML INJ SOLN $16.37 23155-240-31 METOCLOPRAMIDE HCL 5 MG/ML INJ SOLN $13.20 0185-5050-01 METOLAZONE 2.5 MG ORAL TAB $9.95 0378-6172-01 METOLAZONE 2.5 MG ORAL TAB $10.82 0527-2215-37 METOLAZONE 2.5 MG ORAL TAB $8.95 51079-023-01 METOLAZONE 2.5 MG ORAL TAB $16.43 51079-023-20 METOLAZONE 2.5 MG ORAL TAB $16.43 0185-0055-01 METOLAZONE 5 MG ORAL TAB $11.31 0185-0055-10 METOLAZONE 5 MG ORAL TAB $5.69 0378-6173-01 METOLAZONE 5 MG ORAL TAB $12.30 0527-2216-37 METOLAZONE 5 MG ORAL TAB $10.21 51079-024-01 METOLAZONE 5 MG ORAL TAB $18.67 51079-024-20 METOLAZONE 5 MG ORAL TAB $18.67 0904-6322-06 METOPROLOL SUCCINATE 25 MG ORAL TB24 $3.28 0904-6322-61 METOPROLOL SUCCINATE 25 MG ORAL TB24 $5.25 16714-852-01 METOPROLOL SUCCINATE 25 MG ORAL TB24 $3.92 16714-852-02 METOPROLOL SUCCINATE 25 MG ORAL TB24 $3.13 50268-540-11 METOPROLOL SUCCINATE 25 MG ORAL TB24 $3.83 50268-540-15 METOPROLOL SUCCINATE 25 MG ORAL TB24 $3.83 50742-615-01 METOPROLOL SUCCINATE 25 MG ORAL TB24 $1.50 51079-169-01 METOPROLOL SUCCINATE 25 MG ORAL TB24 $5.25 51079-169-20 METOPROLOL SUCCINATE 25 MG ORAL TB24 $5.25 55111-466-01 METOPROLOL SUCCINATE 25 MG ORAL TB24 $2.92 0904-6323-61 METOPROLOL SUCCINATE 50 MG ORAL TB24 $6.29 16714-853-01 METOPROLOL SUCCINATE 50 MG ORAL TB24 $3.94 50268-541-11 METOPROLOL SUCCINATE 50 MG ORAL TB24 $4.28 50268-541-15 METOPROLOL SUCCINATE 50 MG ORAL TB24 $4.28 50742-616-01 METOPROLOL SUCCINATE 50 MG ORAL TB24 $1.50 51079-170-01 METOPROLOL SUCCINATE 50 MG ORAL TB24 $5.25 51079-170-20 METOPROLOL SUCCINATE 50 MG ORAL TB24 $5.25 55111-467-01 METOPROLOL SUCCINATE 50 MG ORAL TB24 $2.92 55111-467-05 METOPROLOL SUCCINATE 50 MG ORAL TB24 $2.92 0378-0047-01 METOPROLOL TARTRATE 100 MG ORAL TAB $1.00 51079-802-01 METOPROLOL TARTRATE 100 MG ORAL TAB $1.00 57664-167-52 METOPROLOL TARTRATE 100 MG ORAL TAB $1.00 57664-167-58 METOPROLOL TARTRATE 100 MG ORAL TAB $1.00 62584-267-01 METOPROLOL TARTRATE 100 MG ORAL TAB $1.00 62584-267-11 METOPROLOL TARTRATE 100 MG ORAL TAB $1.00 0378-0018-01 METOPROLOL TARTRATE 25 MG ORAL TAB $1.00 0378-0018-05 METOPROLOL TARTRATE 25 MG ORAL TAB $1.00 51079-255-01 METOPROLOL TARTRATE 25 MG ORAL TAB $1.00 51079-255-20 METOPROLOL TARTRATE 25 MG ORAL TAB $1.00 57664-506-52 METOPROLOL TARTRATE 25 MG ORAL TAB $1.00 57664-506-58 METOPROLOL TARTRATE 25 MG ORAL TAB $1.00 62584-265-01 METOPROLOL TARTRATE 25 MG ORAL TAB $1.00 62584-265-11 METOPROLOL TARTRATE 25 MG ORAL TAB $1.00 65862-062-01 METOPROLOL TARTRATE 25 MG ORAL TAB $1.00 65862-062-99 METOPROLOL TARTRATE 25 MG ORAL TAB $1.00 0078-0400-61 METOPROLOL TARTRATE 5 MG/5 ML IV SOLN $116.40 0143-9660-01 METOPROLOL TARTRATE 5 MG/5 ML IV SOLN $16.17 0143-9660-10 METOPROLOL TARTRATE 5 MG/5 ML IV SOLN $16.17 0143-9873-01 METOPROLOL TARTRATE 5 MG/5 ML IV SOLN $16.17 0143-9873-25 METOPROLOL TARTRATE 5 MG/5 ML IV SOLN $16.17 0409-1778-05 METOPROLOL TARTRATE 5 MG/5 ML IV SOLN $6.30 0409-1778-15 METOPROLOL TARTRATE 5 MG/5 ML IV SOLN $6.30 0781-3071-75 METOPROLOL TARTRATE 5 MG/5 ML IV SOLN $19.32 36000-033-10 METOPROLOL TARTRATE 5 MG/5 ML IV SOLN $9.00 47781-587-17 METOPROLOL TARTRATE 5 MG/5 ML IV SOLN $5.88 47781-587-20 METOPROLOL TARTRATE 5 MG/5 ML IV SOLN $5.88 55390-073-10 METOPROLOL TARTRATE 5 MG/5 ML IV SOLN $12.00 63323-660-05 METOPROLOL TARTRATE 5 MG/5 ML IV SOLN $7.20 70860-300-05 METOPROLOL TARTRATE 5 MG/5 ML IV SOLN $10.80 70860-300-41 METOPROLOL TARTRATE 5 MG/5 ML IV SOLN $10.80 72266-122-01 METOPROLOL TARTRATE 5 MG/5 ML IV SOLN $7.80 72266-122-25 METOPROLOL TARTRATE 5 MG/5 ML IV SOLN $7.80 72611-740-01 METOPROLOL TARTRATE 5 MG/5 ML IV SOLN $5.88 72611-740-10 METOPROLOL TARTRATE 5 MG/5 ML IV SOLN $5.88 0378-0032-01 METOPROLOL TARTRATE 50 MG ORAL TAB $1.00 0378-0032-10 METOPROLOL TARTRATE 50 MG ORAL TAB $1.00 51079-801-01 METOPROLOL TARTRATE 50 MG ORAL TAB $1.00 51079-801-20 METOPROLOL TARTRATE 50 MG ORAL TAB $1.00 57237-101-01 METOPROLOL TARTRATE 50 MG ORAL TAB $1.00 57664-166-52 METOPROLOL TARTRATE 50 MG ORAL TAB $1.00 57664-477-52 METOPROLOL TARTRATE 50 MG ORAL TAB $1.00 62584-266-01 METOPROLOL TARTRATE 50 MG ORAL TAB $1.00 62584-266-11 METOPROLOL TARTRATE 50 MG ORAL TAB $1.00 65862-063-01 METOPROLOL TARTRATE 50 MG ORAL TAB $1.00 65862-063-99 METOPROLOL TARTRATE 50 MG ORAL TAB $1.00 0168-0323-46 METRONIDAZOLE 0.75 % TOPICAL CREAM $910.71 0115-1474-46 METRONIDAZOLE 0.75 % TOPICAL GEL $819.99 0168-0275-45 METRONIDAZOLE 0.75 % TOPICAL GEL $819.99 0713-0637-37 METRONIDAZOLE 0.75 % TOPICAL GEL $588.06 51672-4116-6 METRONIDAZOLE 0.75 % TOPICAL GEL $826.47 66993-962-45 METRONIDAZOLE 0.75 % TOPICAL GEL $827.28 0245-0860-70 METRONIDAZOLE 0.75 % VAGINAL GEL $733.74 0781-7077-87 METRONIDAZOLE 0.75 % VAGINAL GEL $733.74 45802-139-70 METRONIDAZOLE 0.75 % VAGINAL GEL $763.98 68682-455-70 METRONIDAZOLE 0.75 % VAGINAL GEL $799.68 0781-7080-35 METRONIDAZOLE 1 % TOPICAL GEL "$1,330.92 " 0904-1453-61 METRONIDAZOLE 250 MG ORAL TAB $2.42 50111-333-01 METRONIDAZOLE 250 MG ORAL TAB $1.82 60687-526-01 METRONIDAZOLE 250 MG ORAL TAB $2.46 60687-526-11 METRONIDAZOLE 250 MG ORAL TAB $2.46 99999-037-65 METRONIDAZOLE 5 MG/ML INJECTION (MHS) $10.80 99999-038-10 METRONIDAZOLE 5 MG/ML INJECTION (MHS) $21.00 29300-227-01 METRONIDAZOLE 500 MG ORAL TAB $3.06 29300-227-46 METRONIDAZOLE 500 MG ORAL TAB $3.06 42292-001-01 METRONIDAZOLE 500 MG ORAL TAB $3.97 42292-001-20 METRONIDAZOLE 500 MG ORAL TAB $3.97 50111-334-01 METRONIDAZOLE 500 MG ORAL TAB $3.06 50111-334-02 METRONIDAZOLE 500 MG ORAL TAB $2.90 60687-550-01 METRONIDAZOLE 500 MG ORAL TAB $4.50 60687-550-11 METRONIDAZOLE 500 MG ORAL TAB $4.50 75834-108-05 METRONIDAZOLE 500 MG ORAL TAB $1.00 99996-001-31 METRONIDAZOLE 500 MG/10 ML ORAL LIQUID (MCH) $1.00 99996-001-32 METRONIDAZOLE 500 MG/10 ML ORAL LIQUID (MCH) $2.07 99996-001-33 METRONIDAZOLE 500 MG/10 ML ORAL LIQUID (MCH) $1.04 99999-006-65 METRONIDAZOLE 500 MG/10 ML ORAL LIQUID (MCH) $4.14 99999-008-76 METRONIDAZOLE 500MG/10ML ORAL LIQ $4.14 0264-5535-32 METRONIDAZOLE IN NACL (ISO-OS) 500 MG/100 ML IV PGBK $12.60 0338-1055-48 METRONIDAZOLE IN NACL (ISO-OS) 500 MG/100 ML IV PGBK $13.80 0338-9541-24 METRONIDAZOLE IN NACL (ISO-OS) 500 MG/100 ML IV PGBK $6.00 0409-7811-24 METRONIDAZOLE IN NACL (ISO-OS) 500 MG/100 ML IV PGBK $10.80 0409-7811-37 METRONIDAZOLE IN NACL (ISO-OS) 500 MG/100 ML IV PGBK $9.00 25021-131-82 METRONIDAZOLE IN NACL (ISO-OS) 500 MG/100 ML IV PGBK $13.80 36000-001-24 METRONIDAZOLE IN NACL (ISO-OS) 500 MG/100 ML IV PGBK $30.00 99999-035-40 METRONIDAZOLE IN NACL (ISO-OS) 500 MG/100 ML IV PGBK $6.60 99999-006-86 METRONIDAZOLE IN NACL (ISO-OS) 500 MG/100 ML IV PGBK (MCH) $2.82 99999-006-87 METRONIDAZOLE IN NACL (ISO-OS) 500 MG/100 ML IV PGBK (MCH) $5.64 99999-006-88 METRONIDAZOLE IN NACL (ISO-OS) 500 MG/100 ML IV PGBK (MCH) $11.28 99999-040-01 METRONIDAZOLE IN NACL (ISO-OS) 500 MG/100 ML IV PGBK (MCH) $1.00 0093-8739-01 MEXILETINE 150 MG ORAL CAP $7.76 62559-820-01 MEXILETINE 150 MG ORAL CAP $7.61 0093-8740-01 MEXILETINE 200 MG ORAL CAP $9.44 62559-821-01 MEXILETINE 200 MG ORAL CAP $9.08 0093-8741-01 MEXILETINE 250 MG ORAL CAP $11.05 62559-822-01 MEXILETINE 250 MG ORAL CAP $10.49 HC89006829 MEXILETINE-AU $29.00 HC89002232 MEXILETINE-QD $60.00 77777-000-27 MHS 998-19 N-803 INVESTIGATIONAL INJ $1.00 HC45201233 MIBI PLANAR MULT STUDY W/WM&EF "$7,274.00 " HC45201225 MIBI PLANAR SNG STUDY W/WM &EF "$6,092.00 " HC45201217 MIBI SPECT MULTI STUDY W/WM&EF "$9,552.00 " HC45201209 MIBI SPECT SNG STUDY W/WM & EF "$6,970.00 " HC84200328 MIC ANTIBIOTIC GRADIENT STRIP $107.00 HC84200161 MIC SENSITIVITY $317.00 0469-3211-10 MICAFUNGIN 100 MG IV SOLR "$1,122.00 " 0469-3211-99 MICAFUNGIN 100 MG IV SOLR "$1,122.00 " 63323-729-01 MICAFUNGIN 100 MG IV SOLR "$1,122.00 " 63323-729-10 MICAFUNGIN 100 MG IV SOLR "$1,122.00 " 0469-3250-10 MICAFUNGIN 50 MG IV SOLR $561.00 0469-3250-50 MICAFUNGIN 50 MG IV SOLR $561.00 1093904633 MICONAZOLE NITRATE 100 MG VAGINAL SUPP $5.26 0472-1736-07 MICONAZOLE NITRATE 100 MG VAGINAL SUPP $7.00 0472-0735-56 MICONAZOLE NITRATE 2 % TOPICAL CREAM $14.28 1093938033 MICONAZOLE NITRATE 2 % VAGINAL CREAM $45.00 0472-0730-41 MICONAZOLE NITRATE 2 % VAGINAL CREAM $35.64 0904-7734-45 MICONAZOLE NITRATE 2 % VAGINAL CREAM $30.24 49348-530-77 MICONAZOLE NITRATE 2 % VAGINAL CREAM $40.50 49348-872-77 MICONAZOLE NITRATE 2 % VAGINAL CREAM $40.50 51672-2035-6 MICONAZOLE NITRATE 2 % VAGINAL CREAM $48.33 0472-1738-03 MICONAZOLE NITRATE 200 MG VAGINAL SUPP $87.62 HC89017883 "MICRODISSECTION, MANUAL-NG" $258.00 HC89018535 MICRODISSECTION; MANUAL-AU $5.00 63713-019-85 MICROFIBRIL. COLLAGEN HEMOSTAT 1 GRAM TOPICAL MISC "$1,616.87 " 53276-1010-08 MICROFIBRIL. COLLAGEN HEMOSTAT 35 X 35 MM TOPICAL SHEE $630.00 53276-1010-09 MICROFIBRIL. COLLAGEN HEMOSTAT 70 X 35 MM TOPICAL SHEE "$1,140.00 " 53276-1010-02 MICROFIBRIL. COLLAGEN HEMOSTAT TOPICAL POWD "$1,140.00 " 80174-100-03 MICROFIBRIL. COLLAGEN HEMOSTAT TOPICAL POWD $177.96 HC51010809 MICROSCOPY BINOCULAR EAR $106.00 0409-2308-02 MIDAZOLAM (PF) 5 MG/ML INJ SOLN $7.30 0409-2308-22 MIDAZOLAM (PF) 5 MG/ML INJ SOLN $7.30 0409-2308-50 MIDAZOLAM (PF) 5 MG/ML INJ SOLN $6.64 99999-000-41 MIDAZOLAM 0.5 MG/ML NICU INJECTION $1.00 63323-411-12 MIDAZOLAM 1 MG/ML INJ SOLN $6.84 63323-411-15 MIDAZOLAM 1 MG/ML INJ SOLN $6.84 63323-411-18 MIDAZOLAM 1 MG/ML INJ SOLN $17.04 70860-600-02 MIDAZOLAM 1 MG/ML INJ SOLN $5.28 70860-600-41 MIDAZOLAM 1 MG/ML INJ SOLN $5.28 0641-6057-25 MIDAZOLAM 1 MG/ML INJ SOLN CODE NEO $3.90 68094-764-59 MIDAZOLAM 10 MG/5 ML (2 MG/ML) ORAL SYRP $36.66 68094-764-62 MIDAZOLAM 10 MG/5 ML (2 MG/ML) ORAL SYRP $36.66 99999-001-86 MIDAZOLAM 100 MG IN NS 100 ML DRIP $96.60 69374-314-10 MIDAZOLAM 100MG IN NS 100ML DRIP (MHS) $132.00 99999-033-06 MIDAZOLAM 100MG IN NS 100ML DRIP (MHS) $225.00 99999-045-08 MIDAZOLAM 100MG IN NS 100ML DRIP (MHS) $82.80 0409-2305-05 MIDAZOLAM 1MG/ML INJECTABLE SOLUTION (MHS) $6.12 0409-2305-16 MIDAZOLAM 1MG/ML INJECTABLE SOLUTION (MHS) $5.52 0409-2305-17 MIDAZOLAM 1MG/ML INJECTABLE SOLUTION (MHS) $5.52 0641-6056-01 MIDAZOLAM 1MG/ML INJECTABLE SOLUTION (MHS) $13.20 0641-6056-10 MIDAZOLAM 1MG/ML INJECTABLE SOLUTION (MHS) $13.20 0641-6057-01 MIDAZOLAM 1MG/ML INJECTABLE SOLUTION (MHS) $3.90 0641-6057-10 MIDAZOLAM 1MG/ML INJECTABLE SOLUTION (MHS) $3.90 0641-6059-01 MIDAZOLAM 1MG/ML INJECTABLE SOLUTION (MHS) $8.34 0641-6059-10 MIDAZOLAM 1MG/ML INJECTABLE SOLUTION (MHS) $8.34 23155-600-31 MIDAZOLAM 1MG/ML INJECTABLE SOLUTION (MHS) $3.31 23155-600-41 MIDAZOLAM 1MG/ML INJECTABLE SOLUTION (MHS) $3.31 47781-588-46 MIDAZOLAM 1MG/ML INJECTABLE SOLUTION (MHS) $3.84 47781-588-68 MIDAZOLAM 1MG/ML INJECTABLE SOLUTION (MHS) $3.84 63323-411-25 MIDAZOLAM 1MG/ML INJECTABLE SOLUTION (MHS) $17.04 72572-430-01 MIDAZOLAM 1MG/ML INJECTABLE SOLUTION (MHS) $4.08 72572-430-25 MIDAZOLAM 1MG/ML INJECTABLE SOLUTION (MHS) $4.08 0054-3566-99 MIDAZOLAM 2 MG/ML ORAL SYRP $780.22 99999-002-48 MIDAZOLAM 2 MG/ML ORAL SYRP $63.24 99999-040-09 MIDAZOLAM 2 MG/ML ORAL SYRP $33.06 68094-762-59 MIDAZOLAM 2 MG/ML ORAL SYRP (MHS) $31.62 23155-601-31 MIDAZOLAM 5 MG/ML INJ SOLN $18.87 23155-601-41 MIDAZOLAM 5 MG/ML INJ SOLN $18.87 0409-2596-05 MIDAZOLAM 5 MG/ML INJ SOLN (FOR INTRANASAL USE) $44.46 0409-2308-01 MIDAZOLAM 5MG/ML INJECTABLE SOLUTION (MHS) $6.24 0409-2308-21 MIDAZOLAM 5MG/ML INJECTABLE SOLUTION (MHS) $6.24 0409-2596-03 MIDAZOLAM 5MG/ML INJECTABLE SOLUTION (MHS) $26.40 0409-2596-13 MIDAZOLAM 5MG/ML INJECTABLE SOLUTION (MHS) $26.40 0409-2596-15 MIDAZOLAM 5MG/ML INJECTABLE SOLUTION (MHS) $44.64 0641-6060-01 MIDAZOLAM 5MG/ML INJECTABLE SOLUTION (MHS) $41.40 0641-6060-10 MIDAZOLAM 5MG/ML INJECTABLE SOLUTION (MHS) $41.40 0641-6061-01 MIDAZOLAM 5MG/ML INJECTABLE SOLUTION (MHS) $7.20 0641-6061-25 MIDAZOLAM 5MG/ML INJECTABLE SOLUTION (MHS) $7.20 0641-6063-01 MIDAZOLAM 5MG/ML INJECTABLE SOLUTION (MHS) $7.50 0641-6063-10 MIDAZOLAM 5MG/ML INJECTABLE SOLUTION (MHS) $7.50 17478-524-10 MIDAZOLAM 5MG/ML INJECTABLE SOLUTION (MHS) $69.24 23155-601-32 MIDAZOLAM 5MG/ML INJECTABLE SOLUTION (MHS) $34.56 23155-601-42 MIDAZOLAM 5MG/ML INJECTABLE SOLUTION (MHS) $34.56 47781-589-22 MIDAZOLAM 5MG/ML INJECTABLE SOLUTION (MHS) $35.40 47781-589-91 MIDAZOLAM 5MG/ML INJECTABLE SOLUTION (MHS) $35.40 63323-412-02 MIDAZOLAM 5MG/ML INJECTABLE SOLUTION (MHS) $33.84 63323-412-10 MIDAZOLAM 5MG/ML INJECTABLE SOLUTION (MHS) $166.32 63323-412-13 MIDAZOLAM 5MG/ML INJECTABLE SOLUTION (MHS) $166.32 70860-601-10 MIDAZOLAM 5MG/ML INJECTABLE SOLUTION (MHS) $36.00 70860-601-42 MIDAZOLAM 5MG/ML INJECTABLE SOLUTION (MHS) $36.00 72611-749-01 MIDAZOLAM 5MG/ML INJECTABLE SOLUTION (MHS) $35.40 72611-749-10 MIDAZOLAM 5MG/ML INJECTABLE SOLUTION (MHS) $35.40 99999-044-78 MIDAZOLAM IN D5W 100 MG/100 ML (1 MG/ML) DRIP (LBM) $82.80 99999-044-93 MIDAZOLAM IN D5W 200 MG/200 ML (1 MG/ML) DRIP (LBM) $165.60 0115-4233-01 MIDODRINE 10 MG ORAL TAB $22.42 0185-0149-01 MIDODRINE 10 MG ORAL TAB $12.53 0245-0213-11 MIDODRINE 10 MG ORAL TAB $7.52 0378-1903-01 MIDODRINE 10 MG ORAL TAB $19.59 0904-6819-07 MIDODRINE 10 MG ORAL TAB $6.44 42291-562-90 MIDODRINE 10 MG ORAL TAB $1.75 52817-325-10 MIDODRINE 10 MG ORAL TAB $3.60 60505-1325-1 MIDODRINE 10 MG ORAL TAB $7.52 60687-409-25 MIDODRINE 10 MG ORAL TAB $8.45 60687-409-95 MIDODRINE 10 MG ORAL TAB $8.45 0185-0040-01 MIDODRINE 2.5 MG ORAL TAB $4.47 0245-0211-11 MIDODRINE 2.5 MG ORAL TAB $3.13 0378-1901-01 MIDODRINE 2.5 MG ORAL TAB $4.87 42291-560-90 MIDODRINE 2.5 MG ORAL TAB $1.00 60505-1320-1 MIDODRINE 2.5 MG ORAL TAB $3.13 0245-0212-01 MIDODRINE 5 MG ORAL TAB $18.08 0245-0212-11 MIDODRINE 5 MG ORAL TAB $4.40 0245-0212-89 MIDODRINE 5 MG ORAL TAB $16.38 0378-1902-01 MIDODRINE 5 MG ORAL TAB $9.79 51079-453-01 MIDODRINE 5 MG ORAL TAB $6.84 51079-453-20 MIDODRINE 5 MG ORAL TAB $6.84 60505-1321-1 MIDODRINE 5 MG ORAL TAB $4.40 0078-0698-02 MIDOSTAURIN 25 MG ORAL CAP $960.90 57664-685-88 MIGLITOL 50 MG ORAL TAB $11.36 0456-1512-60 MILNACIPRAN 12.5 MG ORAL TAB $40.10 0456-1525-60 MILNACIPRAN 25 MG ORAL TAB $40.10 0456-1550-60 MILNACIPRAN 50 MG ORAL TAB $40.10 0143-9709-01 MILRINONE 1 MG/ML IV SOLN $55.08 0143-9709-10 MILRINONE 1 MG/ML IV SOLN $55.08 0143-9710-01 MILRINONE 1 MG/ML IV SOLN $37.50 0143-9710-10 MILRINONE 1 MG/ML IV SOLN $37.50 0409-0212-01 MILRINONE 1 MG/ML IV SOLN $40.68 0409-0212-02 MILRINONE 1 MG/ML IV SOLN $67.08 0409-0212-10 MILRINONE 1 MG/ML IV SOLN $40.68 0409-0212-11 MILRINONE 1 MG/ML IV SOLN $67.08 55390-020-10 MILRINONE 1 MG/ML IV SOLN $126.00 63323-617-10 MILRINONE 1 MG/ML IV SOLN $240.00 63323-617-20 MILRINONE 1 MG/ML IV SOLN $474.00 0143-9719-01 MILRINONE IN 5 % DEXTROSE 20 MG/100 ML (200 MCG/ML) IV PGBK $91.20 0143-9719-10 MILRINONE IN 5 % DEXTROSE 20 MG/100 ML (200 MCG/ML) IV PGBK $91.20 0409-2776-23 MILRINONE IN 5 % DEXTROSE 20 MG/100 ML (200 MCG/ML) IV PGBK $94.80 1093974444 MINERAL OIL ORAL OIL $25.54 0574-0618-30 MINERAL OIL ORAL OIL $1.98 0869-0831-30 MINERAL OIL ORAL OIL $6.00 48433-202-30 MINERAL OIL ORAL OIL $4.86 54162-190-16 MINERAL OIL ORAL OIL $31.15 54162-190-30 MINERAL OIL ORAL OIL $7.02 99999-036-31 MINERAL OIL ORAL OIL $1.98 0132-0301-40 MINERAL OIL RECTAL ENEM $10.37 49348-185-20 MINERAL OIL RECTAL ENEM $7.18 49348-880-20 MINERAL OIL RECTAL ENEM $7.98 6332325402 "MINERAL OIL, LIGHT STERILE MISC OIL" $72.30 6332325410 "MINERAL OIL, LIGHT STERILE MISC OIL" $83.52 70842-160-01 MINOCYCLINE 100 MG IV SOLR $972.78 70842-160-10 MINOCYCLINE 100 MG IV SOLR "$1,161.07 " 0591-5695-50 MINOCYCLINE 100 MG ORAL CAP $3.34 13668-484-50 MINOCYCLINE 100 MG ORAL CAP $4.07 60687-336-11 MINOCYCLINE 100 MG ORAL CAP $6.60 60687-336-65 MINOCYCLINE 100 MG ORAL CAP $6.60 65862-211-50 MINOCYCLINE 100 MG ORAL CAP $3.34 0591-5694-01 MINOCYCLINE 50 MG ORAL CAP $1.59 0591-5694-60 MINOCYCLINE 50 MG ORAL CAP $1.59 HC89020267 MINOR BREAKPOINT (BCR/ABL1)-AU $75.00 0591-5643-01 MINOXIDIL 10 MG ORAL TAB $2.78 49884-257-01 MINOXIDIL 10 MG ORAL TAB $2.76 53489-387-01 MINOXIDIL 10 MG ORAL TAB $2.79 68084-205-01 MINOXIDIL 10 MG ORAL TAB $3.85 68084-205-11 MINOXIDIL 10 MG ORAL TAB $3.85 0591-5642-01 MINOXIDIL 2.5 MG ORAL TAB $1.27 0591-5642-05 MINOXIDIL 2.5 MG ORAL TAB $1.21 49884-256-01 MINOXIDIL 2.5 MG ORAL TAB $1.26 53489-386-01 MINOXIDIL 2.5 MG ORAL TAB $1.27 68084-204-01 MINOXIDIL 2.5 MG ORAL TAB $3.13 68084-204-11 MINOXIDIL 2.5 MG ORAL TAB $3.13 99999-036-65 MINOXIDIL 5 MG ORAL PARTIAL TAB (MCH) $6.35 0469-2601-30 MIRABEGRON 25 MG ORAL TB24 $81.01 0093-7206-56 MIRTAZAPINE 15 MG ORAL TAB $1.78 0378-3515-01 MIRTAZAPINE 15 MG ORAL TAB $1.21 0378-3515-93 MIRTAZAPINE 15 MG ORAL TAB $1.78 0904-6519-61 MIRTAZAPINE 15 MG ORAL TAB $1.00 13107-031-34 MIRTAZAPINE 15 MG ORAL TAB $1.78 16714-707-01 MIRTAZAPINE 15 MG ORAL TAB $1.78 51079-086-01 MIRTAZAPINE 15 MG ORAL TAB $1.00 51079-086-20 MIRTAZAPINE 15 MG ORAL TAB $1.00 57237-008-30 MIRTAZAPINE 15 MG ORAL TAB $1.78 60505-0247-1 MIRTAZAPINE 15 MG ORAL TAB $1.78 63739-098-10 MIRTAZAPINE 15 MG ORAL TAB $1.00 68084-119-01 MIRTAZAPINE 15 MG ORAL TAB $1.93 68084-119-11 MIRTAZAPINE 15 MG ORAL TAB $1.93 65862-021-06 MIRTAZAPINE 15 MG ORAL TBDL $10.60 HC82202649 MISC PATHOLOGY-SOF(CLIENT BILL $97.00 HC44501211 MISC VASCULAR SURGICAL PROC "$9,235.00 " 99999-041-78 MISOPROSTOL 100 MCG ORAL PARTIAL TAB $4.80 0025-1451-34 MISOPROSTOL 100 MCG ORAL TAB $23.83 43386-160-06 MISOPROSTOL 100 MCG ORAL TAB $3.97 43386-160-12 MISOPROSTOL 100 MCG ORAL TAB $3.98 59762-5007-1 MISOPROSTOL 100 MCG ORAL TAB $3.98 0025-1461-31 MISOPROSTOL 200 MCG ORAL TAB $33.08 0025-1461-60 MISOPROSTOL 200 MCG ORAL TAB $33.08 43386-161-01 MISOPROSTOL 200 MCG ORAL TAB $5.79 43386-161-06 MISOPROSTOL 200 MCG ORAL TAB $5.79 59762-5008-1 MISOPROSTOL 200 MCG ORAL TAB $5.80 59762-5008-2 MISOPROSTOL 200 MCG ORAL TAB $5.80 99999-035-23 MISOPROSTOL 25 MCG ORAL PARTIAL TAB $2.68 99999-042-01 MISOPROSTOL 50 MCG ORAL PARTIAL TAB (USING 100 MCG TAB) $1.99 99999-041-77 MISOPROSTOL 50 MCG ORAL PARTIAL TAB (USING 200 MCG TABLET) $2.40 HC89002968 MITOCHONDRIAL FA AB SCRN-QD $27.00 HC89017024 MITOCHONDRIAL M2 AB IGG-AU $7.00 99999-008-34 MITOMYCIN 0.5 MG/ML RECONSITUTED IV SOLN (MHS) "$1,459.62 " 16729-108-11 MITOMYCIN 20 MG IV SOLR "$3,791.88 " 16729-247-11 MITOMYCIN 20 MG IV SOLR "$3,791.88 " 55390-252-01 MITOMYCIN 20 MG IV SOLR $846.00 16729-116-38 MITOMYCIN 40 MG IV SOLR "$7,583.76 " 16729-248-38 MITOMYCIN 40 MG IV SOLR "$7,583.76 " 55390-253-01 MITOMYCIN 40 MG IV SOLR "$1,500.00 " 16729-115-05 MITOMYCIN 5 MG IV SOLR "$1,459.62 " 55390-251-01 MITOMYCIN 5 MG IV SOLR $336.00 99999-036-81 MITOTANE 125 MG ORAL PARTIAL TAB $8.15 99999-036-82 MITOTANE 250 MG ORAL PARTIAL TAB $16.30 0015-3080-60 MITOTANE 500 MG ORAL TAB $28.80 0703-4680-01 MITOXANTRONE 2 MG/ML IV CONC "$1,623.53 " 0703-4685-01 MITOXANTRONE 2 MG/ML IV CONC "$1,020.00 " 61703-343-18 MITOXANTRONE 2 MG/ML IV CONC "$1,020.00 " 61703-343-65 MITOXANTRONE 2 MG/ML IV CONC "$1,326.00 " 63323-132-10 MITOXANTRONE 2 MG/ML IV CONC "$2,445.96 " 63323-132-12 MITOXANTRONE 2 MG/ML IV CONC "$3,379.50 " HC37000031 MNT INITIAL ASSESS INDIV EA 15MIN 1ST REF $163.00 HC51002103 MNT INITIAL ASSESSMENT INDIV EA 15MIN 1ST REF $88.00 HC51040129 MNT RE ASSESS INDIV EA 15MIN 2ND REF (DX) $82.00 HC37000304 MNT RE ASSESS INDIV EA 15MIN 2ND REF (DX) $130.00 HC37000015 MNT REASSESMENT EA 15 MIN $143.00 HC37000049 MNT REASSESS EA INDIV 15MIN 1ST REF $143.00 HC51002111 MNT REASSESSMENT EA INDIV 15MIN 1ST REF $86.00 HC51002129 MNT THERAPY 2>/GROUP EA 30 MIN 1ST REF $52.00 HC37000023 MNT THERAPY GROUP EA 30 MIN 1ST REF $141.00 HC37000312 MNT THERAPY GROUP EA 30 MIN 2ND REF(DX) $100.00 HC51040137 MNT THERAPY GROUP EA 30 MIN 2ND REF(DX) $50.00 HC25001264 MOD CS BY MD ADD'L 15 MIN $201.00 HC77400026 MOD CS BY MD ADD'L 15 MIN $225.00 HC25001579 MOD CS DIFF PHYS/QHP <5 YR INIT'L 15MIN $255.00 HC77400240 MOD CS DIFF PHYS/QHP <5 YR INIT'L 15MIN $297.00 HC25001587 MOD CS DIFF PHYS/QHP 5/>YR INIT'L 15MIN $260.00 HC77400257 MOD CS DIFF PHYS/QHP 5/>YR INIT'L 15MIN $286.00 HC77400216 MOD CS GI ENDO SVCS>5YRS INIT'L 15MIN $250.00 HC77400224 MOD CS SAME PHYS/QHP <5 YR INIT'L 15MIN $273.00 HC25001561 MOD CS SAME PHYS/QHP 5/>YR INIT'L 15MIN $241.00 HC77400232 MOD CS SAME PHYS/QHP 5/>YR INIT'L 15MIN $260.00 HC25001553 MOD CS SAME PHYS/QHP<5YR INIT'L 15MIN $240.00 0904-6791-04 MODAFINIL 100 MG ORAL TAB $55.94 60505-2526-3 MODAFINIL 100 MG ORAL TAB $9.54 63459-101-30 MODAFINIL 100 MG ORAL TAB $237.00 65862-601-30 MODAFINIL 100 MG ORAL TAB $3.60 68084-621-11 MODAFINIL 100 MG ORAL TAB $66.00 68084-621-21 MODAFINIL 100 MG ORAL TAB $66.00 4467710020 MODIFIED LANOLIN 100 % TOPICAL CREAM $36.00 4467710202 MODIFIED LANOLIN 100 % TOPICAL CREAM $12.01 44677-10302 MODIFIED LANOLIN 100 % TOPICAL CREAM $11.97 HC62204755 MODULE OB CUSTOM DISP PACK $163.00 0093-5150-01 MOEXIPRIL 15 MG ORAL TAB $5.68 68462-208-01 MOEXIPRIL 15 MG ORAL TAB $5.68 68462-209-01 MOEXIPRIL 7.5 MG ORAL TAB $5.42 HC84200674 MOLD ID EA ORG $192.00 HC62226733 MOLD/FORM CEMENT "$1,625.00 " HC62228069 MOLD/FORM CEMENT ADAPTER FEMORAL $845.00 HC62228077 MOLD/FORM CEMENT SPACER FEMORAL "$5,200.00 " HC62228085 MOLD/FORM CEMENT STEM HIP "$4,225.00 " HC62220462 MOLD/FORM CEMENT TIBIAL KNEE "$2,600.00 " HC62224993 MOLDS/FORMS CEMENT FEM&TIB KNEE "$8,938.00 " HC89018691 MOLECUL CYTO DNA PROBE FISH-AU $85.40 HC83500470 MOLECUL CYTO DNA PROBE FISH-GZ $490.00 HC83500462 MOLECUL CYTO DNA PROBE FISH-US $65.00 HC82200544 MOLECULAR CYTO DNA PROBE $711.00 HC89020374 MOLECULAR PATH PROC LVL 4-AU $164.00 10599-003-01 "MOMETASONE 1,350 MCG SINU IMPL" "$7,994.28 " 0781-6355-87 MOMETASONE 50 MCG/ACTUATION NASL SPRY $720.02 60505-0830-1 MOMETASONE 50 MCG/ACTUATION NASL SPRY $720.02 65162-891-29 MOMETASONE 50 MCG/ACTUATION NASL SPRY $720.02 HC51061950 MONITOR AMB GLUCOSE ASSESS 72+ HRS $200.00 HC62808449 MONITOR CARDIAC ECG "$14,625.00 " HC41500638 MONITOR NEURO INTRAOP CONT ATTEND 1:1 EA 15MIN+ $240.00 HC41500646 MONITOR NEURO INTRAOP CONT REMOTE >1 PT PER HR $390.00 HC41500653 MONITOR NEURO INTRAOP CONT REMOTE PER PT 15MIN+ $206.00 HC81700007 MONOSPOT TEST $178.00 0904-6808-06 MONTELUKAST 10 MG ORAL TAB $1.99 0904-6808-61 MONTELUKAST 10 MG ORAL TAB $1.98 31722-726-30 MONTELUKAST 10 MG ORAL TAB $1.40 31722-726-90 MONTELUKAST 10 MG ORAL TAB $1.00 50268-575-11 MONTELUKAST 10 MG ORAL TAB $2.50 50268-575-15 MONTELUKAST 10 MG ORAL TAB $2.50 55111-725-30 MONTELUKAST 10 MG ORAL TAB $2.55 55111-725-90 MONTELUKAST 10 MG ORAL TAB $2.55 65862-574-90 MONTELUKAST 10 MG ORAL TAB $1.33 68084-875-01 MONTELUKAST 10 MG ORAL TAB $3.00 68084-875-11 MONTELUKAST 10 MG ORAL TAB $3.00 42291-622-30 MONTELUKAST 4 MG ORAL CHEW $1.27 42291-622-90 MONTELUKAST 4 MG ORAL CHEW $1.21 50268-573-11 MONTELUKAST 4 MG ORAL CHEW $6.28 50268-573-15 MONTELUKAST 4 MG ORAL CHEW $6.28 55111-593-30 MONTELUKAST 4 MG ORAL CHEW $5.00 55111-593-90 MONTELUKAST 4 MG ORAL CHEW $5.00 57237-212-30 MONTELUKAST 4 MG ORAL CHEW $2.13 0781-5555-92 MONTELUKAST 5 MG ORAL CHEW $4.50 50268-574-11 MONTELUKAST 5 MG ORAL CHEW $5.64 50268-574-15 MONTELUKAST 5 MG ORAL CHEW $5.64 55111-594-30 MONTELUKAST 5 MG ORAL CHEW $5.50 55111-594-90 MONTELUKAST 5 MG ORAL CHEW $5.50 HC62204763 MORCELLATOR "$2,084.00 " HC62204771 MORGAN LENS $75.00 HC83505875 MORPH STDY CAT FISH EA MULTI PROBE HER2-NG $270.00 HC83504795 MORPH STDY CAT ISH QNT HER2-NG $231.00 HC83504803 MORPH STDY CAT ISH QNT/SPEC INTL SNGL PROBE CEP17-NG $231.00 HC83504910 MORPH STDY CAT ISH/SPEC INTL SNGL PROBE HER2-NG $241.00 HC84600287 MORPH STDY IHC QT MANUAL PER SPEC EA AB $676.00 HC84600329 MORPH STDY IHC/ESTROG RCPTR PER SPEC EA AB $676.00 HC84600311 MORPH STDY IHC/HER-2/NEU PER SPEC EA AB $676.00 HC84600337 MORPH STDY IHC/PROG RCPTR PER SPEC EA AB $676.00 HC82202458 MORPH STDY ISH CAT QNT/SPEC INTL SNGL PROBE CEP17 "$1,507.00 " HC82202441 MORPH STDY ISH CAT QNT/SPEC INTL SNGL PROBE HER2 "$1,507.00 " HC81701476 MORPH STDY ISH MNL PER SPEC INTL SNGL PROBE "$1,169.00 " HC82200536 MORPH STDY ISH PER SPEC INTL SNGL PROBE $742.00 HC83504829 MORPH STDY MAN ISH QNT HER2-NG $201.00 HC83504811 MORPH STDY MAN ISH QNTCEP17-NG $201.00 HC82202417 MORPH STDY TMR IHC CAT EGFR PER SPEC EA ADDL AB $918.00 HC82202375 MORPH STDY TMR IHC CAT ER PER SPEC EA ADDL AB $918.00 HC82202409 MORPH STDY TMR IHC CAT HER2 PER SPEC EA ADDL AB $918.00 HC82202391 MORPH STDY TMR IHC CAT KI67 PER SPEC EA ADDL AB $918.00 HC82202425 MORPH STDY TMR IHC CAT NOS PER SPEC EA ADDL AB $918.00 HC82202433 MORPH STDY TMR IHC CAT PER SPEC EA ADDL AB $918.00 HC82202383 MORPH STDY TMR IHC CAT PR PER SPEC EA ADDL AB $918.00 HC83505982 MORPH STDY TMR IHC-AP $150.00 HC83504928 MORPH STUDY MAN ISH HER2-NG $169.00 HC82202466 MORPH STUDY MAN ISH QNT 9P21 "$1,157.00 " HC82202474 MORPH STUDY MAN ISH QNT CEP 3 "$1,157.00 " HC82202482 MORPH STUDY MAN ISH QNT CEP 7 "$1,157.00 " HC82202490 MORPH STUDY MAN ISH QNT CEP17 "$1,157.00 " HC82202508 MORPH STUDY MAN ISH QNT HER2 "$1,157.00 " 99999-033-12 MORPHINE (DURAMORPH) 10MG/100ML NS (CONC: 0.1 MG/ML) $99.00 99999-044-22 MORPHINE (PF) 0.2 MG/ML INJ SOLN $12.00 0409-3814-11 MORPHINE (PF) 0.5 MG/ML INJ SOLN $40.20 0409-3814-12 MORPHINE (PF) 0.5 MG/ML INJ SOLN $40.20 0641-6020-01 MORPHINE (PF) 0.5 MG/ML INJ SOLN $173.76 0641-6020-10 MORPHINE (PF) 0.5 MG/ML INJ SOLN $173.76 99999-041-64 MORPHINE (PF) 0.5 MG/ML INJ SOLN $17.22 99998-005-09 MORPHINE (PF) 0.5 MG/ML INJ SOLN (MCH) $10.22 99999-042-32 MORPHINE (PF) 0.5 MG/ML INJ SOLN (MCH) $3.67 0409-3815-11 MORPHINE (PF) 1 MG/ML INJ SOLN $44.40 0409-3815-12 MORPHINE (PF) 1 MG/ML INJ SOLN $44.40 0641-6019-01 MORPHINE (PF) 1 MG/ML INJ SOLN $173.76 0641-6019-10 MORPHINE (PF) 1 MG/ML INJ SOLN $173.76 99999-040-98 MORPHINE (PF) 1 MG/ML INJ SOLN $8.11 66794-160-02 MORPHINE (PF) 10 MG/ML INJ SOLN "$1,189.68 " 0641-6040-01 MORPHINE (PF) 25 MG/ML INJ SOLN "$2,121.96 " 99999-038-25 MORPHINE 0.2 MG/ML (NICU) ORAL SYRINGE $1.63 99999-041-20 MORPHINE 0.4 MG/ML ORAL SOLN DILUTION (MCH) $1.00 99999-035-10 MORPHINE 1 MG/ML IN NS 100 ML OPIOID NAIVE PCA $15.00 70004-100-69 MORPHINE 1 MG/ML IN NS 50 ML OPIOID NAIVE PCA (OCM) $107.40 99999-041-05 MORPHINE 1 MG/ML INJ SOLN (COMPOUNDED) $1.00 0054-0237-05 MORPHINE 10 MG/5 ML ORAL SOLN $6.24 0054-0237-49 MORPHINE 10 MG/5 ML ORAL SOLN $54.60 0054-0237-63 MORPHINE 10 MG/5 ML ORAL SOLN $138.00 68094-001-59 MORPHINE 10 MG/5 ML ORAL SOLN $8.16 68094-001-62 MORPHINE 10 MG/5 ML ORAL SOLN $8.16 99999-007-66 MORPHINE 10 MG/5 ML ORAL SOLN $1.00 99999-007-67 MORPHINE 10 MG/5 ML ORAL SOLN $1.38 99999-037-04 MORPHINE 10 MG/5 ML ORAL SOLN $2.31 99999-038-72 MORPHINE 10 MG/5 ML ORAL SOLN $2.73 99999-039-98 MORPHINE 10 MG/5 ML ORAL SOLN $1.00 0409-1893-01 MORPHINE 10 MG/ML INJ SOLN (MHS) $11.28 0409-1893-03 MORPHINE 10 MG/ML INJ SOLN (MHS) $11.28 0641-6070-01 MORPHINE 10 MG/ML INJ SOLN (MHS) $6.06 0641-6070-25 MORPHINE 10 MG/ML INJ SOLN (MHS) $6.06 63323-451-00 MORPHINE 10 MG/ML INJ SOLN (MHS) $18.30 63323-451-01 MORPHINE 10 MG/ML INJ SOLN (MHS) $18.30 0641-6127-25 MORPHINE 10 MG/ML IV SOLN $13.91 0641-6127-01 "MORPHINE 10 MG/ML IV SOLN (PCA, PED NAIVE, COMPONENT)" $13.91 71286-2040-6 MORPHINE 100 MG IN NS 100 ML (OCM) $100.00 99999-033-08 MORPHINE 100 MG IN NS 100 ML (OCM) $28.20 99999-035-19 MORPHINE 100 MG IN NS 100 ML DRIP $15.00 0406-8390-01 MORPHINE 100 MG ORAL TBSR $22.08 0406-8390-23 MORPHINE 100 MG ORAL TBSR $27.60 0406-8390-62 MORPHINE 100 MG ORAL TBSR $27.60 0054-0235-24 MORPHINE 15 MG ORAL TAB $4.55 0054-0235-25 MORPHINE 15 MG ORAL TAB $2.59 0406-8315-23 MORPHINE 15 MG ORAL TBSR $5.04 0406-8315-62 MORPHINE 15 MG ORAL TBSR $5.03 0904-6557-61 MORPHINE 15 MG ORAL TBSR $6.86 68084-403-11 MORPHINE 15 MG ORAL TBSR $3.88 99999-041-11 MORPHINE 2 MG/ML INJ SOLN (COMPOUNDED) $1.00 0409-1890-03 MORPHINE 2 MG/ML INJ SOLN (MHS) $12.34 63323-452-00 MORPHINE 2 MG/ML INJ SOLN (MHS) $17.22 63323-452-01 MORPHINE 2 MG/ML INJ SOLN (MHS) $17.22 76045-004-01 MORPHINE 2 MG/ML INJ SOLN (MHS) $17.22 76045-004-10 MORPHINE 2 MG/ML INJ SOLN (MHS) $7.18 76045-004-11 MORPHINE 2 MG/ML INJ SOLN (MHS) $17.22 99999-041-32 MORPHINE 2 MG/ML INJ SOLN (MHS) $4.20 0409-1890-01 MORPHINE 2 MG/ML IV SYRG $12.34 0409-1135-02 MORPHINE 25 MG/ML IV SOLN $46.26 99999-040-22 MORPHINE 250 MG IN NS 250 ML (OCM) $42.00 0406-8330-01 MORPHINE 30 MG ORAL TBSR $7.64 0406-8330-23 MORPHINE 30 MG ORAL TBSR $9.54 0406-8330-62 MORPHINE 30 MG ORAL TBSR $9.55 0904-6558-61 MORPHINE 30 MG ORAL TBSR $7.51 0409-1891-01 MORPHINE 4 MG/ML INJ SOLN (MHS) $11.28 0409-1891-03 MORPHINE 4 MG/ML INJ SOLN (MHS) $11.28 0641-6125-01 MORPHINE 4 MG/ML INJ SOLN (MHS) $13.63 0641-6125-25 MORPHINE 4 MG/ML INJ SOLN (MHS) $13.63 63323-454-00 MORPHINE 4 MG/ML INJ SOLN (MHS) $17.22 63323-454-01 MORPHINE 4 MG/ML INJ SOLN (MHS) $17.22 76045-005-01 MORPHINE 4 MG/ML INJ SOLN (MHS) $17.22 76045-005-10 MORPHINE 4 MG/ML INJ SOLN (MHS) $17.22 76045-005-11 MORPHINE 4 MG/ML INJ SOLN (MHS) $17.22 99999-040-13 MORPHINE 5 MG/ML IN NS 50 ML OPIOID TOLERANT PCA $42.30 63323-455-00 MORPHINE 5 MG/ML INJ SOLN $17.22 63323-455-01 MORPHINE 5 MG/ML INJ SOLN $17.22 76045-006-10 MORPHINE 5 MG/ML INJ SYRG $17.22 0409-1134-03 MORPHINE 50 MG/ML IV SOLN $76.08 0409-1134-05 MORPHINE 50 MG/ML IV SOLN $161.40 0406-8380-23 MORPHINE 60 MG ORAL TBSR $18.60 0406-8380-62 MORPHINE 60 MG ORAL TBSR $18.64 0409-1892-03 MORPHINE 8 MG/ML INJ SOLN (MHS) $11.28 0409-1892-01 MORPHINE 8 MG/ML IV SYRG $11.28 0054-0404-01 MORPHINE CONCENTRATE 20 MG/ML ORAL SOLN (MHS) $5.04 0054-0404-44 MORPHINE CONCENTRATE 20 MG/ML ORAL SOLN (MHS) $103.14 0054-0404-50 MORPHINE CONCENTRATE 20 MG/ML ORAL SOLN (MHS) $412.56 0054-0517-44 MORPHINE CONCENTRATE 20 MG/ML ORAL SOLN (MHS) $103.14 0054-0517-50 MORPHINE CONCENTRATE 20 MG/ML ORAL SOLN (MHS) $412.56 27808-082-01 MORPHINE CONCENTRATE 20 MG/ML ORAL SOLN (MHS) $68.94 99999-002-38 MORPHINE CONCENTRATE 20 MG/ML ORAL SOLN (MHS) $5.04 99999-043-04 MORPHINE CONCENTRATE 20 MG/ML ORAL SOLN (MHS) $3.44 HC82202185 MORPHOMETRIC STUDY NERVE $744.00 HC82202177 MORPHOMETRIC STUDY SKEL MUSC $880.00 HC83504084 MORPHOMETRIC STUDY TUMOR-PI $50.00 0641-6039-01 MORPINE (PF) 10 MG/ML INJ FOR INTRATHECAL PAIN PUMP REFILL (OCM) "$1,248.00 " HC47201025 MOTION RESPIRATORY MGNT SIMULATION+ "$4,132.00 " HC62204789 MOUTH PIECE SGL USE $17.00 HC51080042 MOUTHPIECE PNEUMOTACH PREVENT $30.00 73380-4700-1 MOXETUMOMAB PASUDOTOX-TDFK 1 MG IV SOLR "$13,242.00 " 0065-4013-03 MOXIFLOXACIN 0.5 % OPHT DROP "$1,044.72 " 0781-7135-93 MOXIFLOXACIN 0.5 % OPHT DROP $836.77 65862-840-03 MOXIFLOXACIN 0.5 % OPHT DROP $200.83 55111-112-30 MOXIFLOXACIN 400 MG ORAL TAB $17.65 67457-323-25 MOXIFLOXACIN-SOD.CHLORIDE(ISO) 400 MG/250 ML IV PGBK $264.00 HC45400009 MR ABDOMEN W&W/O CONTRAST "$11,292.00 " HC45400017 MR ABDOMEN W/ CONTRAST "$8,140.00 " HC45400025 MR ABDOMEN W/O CONTRAST "$7,075.00 " HC45401536 MR ABDOMEN(MRCP)W&W/O CONTRAST "$11,292.00 " HC45400033 MR ABDOMEN(MRCP)W/O CONTRAST "$7,075.00 " HC45400041 MR BONE MARROW BLOOD SUPPLY "$6,736.00 " HC45400058 MR BRAIN W&W/O CONTRAST "$10,714.00 " HC45400066 MR BRAIN W/CONTRAST "$7,389.00 " HC45400074 MR BRAIN W/O CONTRAST "$6,407.00 " HC45400926 MR BREAST CAD+ $961.00 HC45401031 MR BREAST W/O CONTRAST LT "$5,459.00 " HC45401015 MR BREAST W/O CONTRAST LTD LT "$2,459.00 " HC45401007 MR BREAST W/O CONTRAST LTD RT "$2,459.00 " HC45401023 MR BREAST W/O CONTRAST RT "$5,459.00 " HC45401577 MR BREAST W/O& W/ CONTR & CAD LT [COMM&MCAL] "$6,434.00 " HC45401585 MR BREAST W/O& W/ CONTR & CAD RT [COMM&MCAL] "$6,434.00 " HC45401056 MR BREAST W/O& W/ CONTRAST LT "$6,482.00 " HC45401049 MR BREAST W/O& W/ CONTRAST RT "$6,482.00 " HC45401072 MR BREAST W/O&W CONTRAST LTD LT "$2,801.00 " HC45401064 MR BREAST W/O&W CONTRAST LTD RT "$2,801.00 " HC45401106 MR BREASTS W/O CONTRAST (BILAT) "$6,702.00 " HC45401114 MR BREASTS W/O CONTRAST LTD (BILAT) "$3,804.00 " HC45401593 MR BREASTS W/O&W CONTR & CAD (BILAT) [COMM&MCAL] "$10,045.00 " HC45401122 MR BREASTS W/O&W CONTRAST (BILAT) "$8,308.00 " HC45401130 MR BREASTS W/O&W CONTRST LTD (BILAT) "$4,261.00 " HC45401312 MR CARDIAC VELOCITY FLOW MAP + "$1,706.00 " HC45400082 MR CHEST W&W/O CONTRAST "$12,053.00 " HC45400090 MR CHEST W/CONTRAST "$7,291.00 " HC45400108 MR CHEST W/O CONTRAST "$6,400.00 " HC45400116 MR C-SPINE W&W/O CONTRAST "$10,906.00 " HC45400124 MR C-SPINE W/CONTRAST "$7,170.00 " HC45400132 MR C-SPINE W/O CONTRAST "$6,241.00 " HC45401569 MR ELASTOGRAPHY "$2,795.00 " HC45400157 MR GUIDANCE ABLATION PARENCHYMAL TISSUE "$4,668.00 " HC45400140 MR IMAG GUIDE NEEDLE PLACEMENT "$4,595.00 " HC45400223 MR LO EXT(NON JNT)W&W/O CON BI "$18,618.00 " HC45400231 MR LO EXT(NON JNT)W&W/O CON LT "$10,041.00 " HC45400249 MR LO EXT(NON JNT)W&W/O CON RT "$10,041.00 " HC45400256 MR LOW EXT(JNT) W/O CONT BIL "$12,566.00 " HC45400264 MR LOW EXT(JNT) W/O CONT LT "$6,135.00 " HC45400272 MR LOW EXT(JNT) W/O CONT RT "$6,135.00 " HC45400314 MR LOW EXT(JNT)W&W/O CONT BIL "$17,074.00 " HC45400322 MR LOW EXT(JNT)W&W/O CONT LT "$9,858.00 " HC45400330 MR LOW EXT(JNT)W&W/O CONT RT "$9,858.00 " HC45400280 MR LOW EXT(JNT)W/CONT BIL "$13,648.00 " HC45400298 MR LOW EXT(JNT)W/CONT LT "$7,183.00 " HC45400306 MR LOW EXT(JNT)W/CONT RT "$7,183.00 " HC45400199 MR LOW EXT(NON JNT)W/CONT BIL "$13,129.00 " HC45400207 MR LOW EXT(NON JNT)W/CONT LT "$7,183.00 " HC45400215 MR LOW EXT(NON JNT)W/CONT RT "$7,183.00 " HC45400165 MR LOW EXT(NON JNT)W/O CONT BIL "$12,113.00 " HC45400173 MR LOW EXT(NON JNT)W/O CONT LT "$6,243.00 " HC45400181 MR LOW EXT(NON JNT)W/O CONT RT "$6,243.00 " HC45400348 MR L-SPINE W&W/O CONTRAST "$12,235.00 " HC45400355 MR L-SPINE W/CONTRAST "$8,365.00 " HC45400363 MR L-SPINE W/O CONTRAST "$7,488.00 " HC45400371 MR ORBIT/FACE&OR NECK W&WO CON "$11,127.00 " HC45400389 MR ORBIT/FACE&OR NECK W/CONTR "$7,237.00 " HC45400397 MR ORBIT/FACE&OR NECK W/O CONT "$6,126.00 " HC45400405 MR PELVIS W&W/O CONTRAST "$11,309.00 " HC45400413 MR PELVIS W/CONTRAST "$7,348.00 " HC45400421 MR PELVIS W/O CONTRAST "$6,606.00 " HC45400439 MR SPECTROSCOPY "$6,501.00 " HC45400462 MR TMJ(S) "$6,337.00 " HC45400470 MR T-SPINE W&W/O CONTRAST "$12,146.00 " HC45400488 MR T-SPINE W/CONTRAST "$8,207.00 " HC45400496 MR T-SPINE W/O CONTRAST "$7,200.00 " HC45400629 MR UP EXT (JNT) W/CONT BIL "$14,050.00 " HC45400637 MR UP EXT (JNT) W/CONT LT "$7,393.00 " HC45400645 MR UP EXT (JNT) W/CONT RT "$7,393.00 " HC45400918 MR UP EXT JNT W&W/O CONT BILAT "$20,727.00 " HC45400595 MR UP EXT(JNT) W/O CONT BIL "$11,319.00 " HC45400603 MR UP EXT(JNT) W/O CONT LT "$6,076.00 " HC45400611 MR UP EXT(JNT) W/O CONT RT "$6,076.00 " HC45400561 MR UP EXT(NON JNT) W&W/O BIL "$19,391.00 " HC45400579 MR UP EXT(NON JNT) W&W/O LT "$10,205.00 " HC45400587 MR UP EXT(NON JNT) W&W/O RT "$10,205.00 " HC45400504 MR UP EXT(NON JNT) W/O CONT BIL "$12,560.00 " HC45400512 MR UP EXT(NON JNT) W/O CONT LT "$6,047.00 " HC45400520 MR UP EXT(NON JNT) W/O CONT RT "$6,047.00 " HC45400538 MR UP EXT(NON JNT)W/CONT BIL "$13,646.00 " HC45400546 MR UP EXT(NON JNT)W/CONT LT "$7,184.00 " HC45400553 MR UP EXT(NON JNT)W/CONT RT "$7,184.00 " HC45400900 MR UPPER EXT JNT W&W/O CONT LT "$10,904.00 " HC45400892 MR UPPER EXT JNT W&W/O CONT RT "$10,904.00 " HC45401262 MRA ABDOMEN W&W/O CONTRAST "$7,470.00 " HC45401270 MRA ABDOMEN W/CONT "$6,284.00 " HC45401288 MRA ABDOMEN W/O CONT "$5,502.00 " HC45400652 MRA CHEST W&W/O CONTRAST "$8,214.00 " HC45400660 MRA CHEST W/CONTRAST "$6,447.00 " HC45400678 MRA CHEST W/O CONTRAST "$5,877.00 " HC45400686 MRA HEAD W&W/O CONTRAST "$9,475.00 " HC45400694 MRA HEAD W/CONTRAST "$6,731.00 " HC45400702 MRA HEAD W/O CONTRAST "$6,003.00 " HC45401254 MRA LOW EXT W&W/O CONT BILAT "$12,685.00 " HC45401247 MRA LOW EXT W&W/O CONT LT "$7,353.00 " HC45401239 MRA LOW EXT W&W/O CONT RT "$7,353.00 " HC45401197 MRA LOW EXT W/CONT BILAT "$10,739.00 " HC45401189 MRA LOW EXT W/CONT LT "$5,373.00 " HC45401171 MRA LOW EXT W/CONT RT "$5,373.00 " HC45401213 MRA LOW EXT W/O CONT LT "$5,949.00 " HC45401221 MRA LOW EXT W/O CONT BILAT "$9,591.00 " HC45401205 MRA LOW EXT W/O CONT RT "$5,968.00 " HC45400710 MRA NECK W&W/O CONTRAST "$9,719.00 " HC45400728 MRA NECK W/ CONTRAST "$7,488.00 " HC45400736 MRA NECK W/O CONTRAST "$6,003.00 " HC45400744 MRA PELVIS W/ CONTRAST "$5,730.00 " HC45400751 MRA PELVIS W/O & W/ CONTRAST "$7,188.00 " HC45400769 MRA PELVIS W/O CONTRAST "$5,331.00 " HC45401320 MRA SPINE W/ CONTRAST "$8,532.00 " HC45401338 MRA SPINE W/O & W/ CONTRAST "$9,447.00 " HC45401346 MRA SPINE W/O CONTRAST "$6,812.00 " HC45401411 MRA UPPER EXT W/CONT LT "$4,968.00 " HC45401387 MRA UPPER EXT W/CONT RT "$4,968.00 " HC45401429 MRA UPPER EXT W/O CONT LT "$4,579.00 " HC45401395 MRA UPPER EXT W/O CONT RT "$4,579.00 " HC45401437 MRA UPPER EXT W/O&W/CONT LT "$5,429.00 " HC45401403 MRA UPPER EXT W/O&W/CONT RT "$5,429.00 " HC45400827 MRI CARDIAC FOR MORPH W/CON "$9,099.00 " HC45400835 MRI CARDIAC MORPH W/O CONT "$6,797.00 " HC45400843 MRI CARDIAC MORPH W/STRESS W/O "$8,954.00 " HC45400884 MRI CARDIAC W/STRESS IMG W/CON "$11,331.00 " HC45401544 MRI FETAL INCL PLACENTA PLVC IF PRF; SINGLE 1ST GESTATION "$4,875.00 " HC45401551 MRI FETAL PLACENTAL PLVC IF PRF; EA ADDL+ "$3,412.00 " HC45401601 MRI GUIDED US STEREOTACT ABLAT INTRACRAN LESION "$40,500.00 " HC81701708 MRSA BY PCR $503.00 HC84201870 MRSA BY PCR $503.00 HC89004808 "MTB COMPLEX DNA, PCR-FT" $269.00 HC35500214 MT-BEHAV TX FAM W/O PT 1ST 30MIN $110.00 HC35500222 MT-BEHAV TX FAM W/O PT ADD 15 $55.00 HC35500149 MT-BEHAVIOR ASSESS/RE-ASSESS $251.00 HC35500198 MT-BEHAVIOR TX FAMW/PT 1ST 30MIN $110.00 HC35500206 MT-BEHAVIOR TX FAMW/PT ADD 15MIN $55.00 HC35500172 MT-BEHAVIOR TX GROUP 1ST 30 MIN $88.00 HC35500180 MT-BEHAVIOR TX GROUP ADDL 15 MIN $42.00 HC35500156 MT-BEHAVIOR TX INDIV 1ST 30 MIN $251.00 HC35500164 MT-BEHAVIOR TX INDIV ADDL 15 MIN $124.00 HC35500248 MT-DEV COGNITIVE SKILLS ADDL 15MIN $172.00 HC35500230 MT-DEV COGNITIVE SKILLS INITL 15MIN $179.00 HC35500040 MT-FUNCTIONAL ACTIVITY 15 MIN $200.00 HC89019939 MTHFR MUTATION DETECTION-AU $60.00 HC35500065 MT-SENSORY INTEGRATION 15 MIN $185.00 HC81500779 MUCIN CLOT BODY FLUID $198.00 HC82200064 MUCIN MUCICARMINE STN/GRP II+ $412.00 HC81701559 MULTI ORGANIZ DNA BY AMP PROBE $798.00 HC84201623 MULTI ORGANIZ DNA BY AMP PROBE $798.00 6817600011 "MULTIVIT WITH MIN #53-FA-K-Q10 200 MCG-1,000 MCG-10 MG ORAL CAP" $2.85 904053060 MULTIVITAMIN WITH FOLIC ACID 400 MCG ORAL TAB $1.00 904053061 MULTIVITAMIN WITH FOLIC ACID 400 MCG ORAL TAB $1.00 904053913 MULTIVITAMIN WITH FOLIC ACID 400 MCG ORAL TAB $1.00 904053961 MULTIVITAMIN WITH FOLIC ACID 400 MCG ORAL TAB $1.00 904053980 MULTIVITAMIN WITH FOLIC ACID 400 MCG ORAL TAB $1.00 904026252 "MULTIVITAMIN, STRESS FORMULA ORAL TAB" $1.00 904504260 "MULTIVITAMIN,TX-MINERALS ORAL TAB" $1.00 5445174 MULTIVITAMIN-IRON-FOLIC ACID 18-400 MG-MCG ORAL TAB $1.00 536344238 MULTIVITAMIN-IRON-FOLIC ACID 18-400 MG-MCG ORAL TAB $1.00 904264113 MULTIVITAMIN-IRON-FOLIC ACID 18-400 MG-MCG ORAL TAB $1.00 904264172 MULTIVITAMIN-IRON-FOLIC ACID 18-400 MG-MCG ORAL TAB $1.00 0005-4177-58 MULTIVITAMIN-MINERALS-LUTEIN ORAL TAB $1.00 1650007406 MULTIVIT-IRON-FA-CALCIUM-MINS 18 MG IRON-400 MCG-500 MG CA ORAL TAB $1.00 904549213 MULTIVIT-IRON-FA-CALCIUM-MINS 9 MG IRON-400 MCG ORAL TAB $1.00 904549261 MULTIVIT-IRON-FA-CALCIUM-MINS 9 MG IRON-400 MCG ORAL TAB $1.00 904549280 MULTIVIT-IRON-FA-CALCIUM-MINS 9 MG IRON-400 MCG ORAL TAB $1.00 5417990 MULTIVIT-MIN-FA-LYCOPEN-LUTEIN 0.4-300-250 MG-MCG-MCG ORAL TAB $1.00 904548652 MULTIVIT-MIN-FA-LYCOPEN-LUTEIN 0.4-300-250 MG-MCG-MCG ORAL TAB $1.00 5434462 MULTIVIT-MIN-FERROUS GLUCONATE 9 MG IRON/15 ML ORAL LIQD $2.43 6961800858 MULTIVIT-MIN-FERROUS GLUCONATE 9 MG IRON/15 ML ORAL LIQD $21.24 99999-040-66 MULTIVIT-MIN-FERROUS GLUCONATE 9 MG IRON/15 ML ORAL LIQD $2.43 HC81701393 MUMPS AB IGG $176.00 HC89012785 MUMPS AB-AU $10.00 HC89000244 MUMPS AB-QD $11.00 HC89003511 MUMPS IGM-AU $13.00 0093-1010-42 MUPIROCIN 2 % TOPICAL OINT $192.32 0168-0352-22 MUPIROCIN 2 % TOPICAL OINT $193.51 45802-112-22 MUPIROCIN 2 % TOPICAL OINT $53.99 51672-1312-0 MUPIROCIN 2 % TOPICAL OINT $119.99 51672-1312-1 MUPIROCIN 2 % TOPICAL OINT $81.81 68462-180-22 MUPIROCIN 2 % TOPICAL OINT $53.99 51672-1370-2 MUPIROCIN CALCIUM 2 % TOPICAL CREAM "$1,994.76 " 68462-564-35 MUPIROCIN CALCIUM 2 % TOPICAL CREAM "$1,994.76 " HC89010730 MURAMIDASE-AU $16.50 HC79200036 "MUSCLE TEST, FOUR LIMBS" "$1,682.00 " HC79200002 "MUSCLE TEST, ONE LIMB" $727.00 HC79200028 "MUSCLE TEST, THREE LIMBS" "$1,307.00 " HC79200010 "MUSCLE TEST, TWO LIMBS" "$1,113.00 " 5891401460 MV. MIN CMB#51-FA-K-Q10 100-350-5 MCG-MCG-MG ORAL CHEW $2.99 54643-5649-1 "MVI, ADULT NO.4 WITH VIT K 3,300 UNIT- 150 MCG/10 ML IV SOLN" $60.72 54643-5650-2 "MVI, ADULT NO.4 WITH VIT K 3,300 UNIT- 150 MCG/10 ML IV SOLN" "$2,572.80 " 54643-9007-1 "MVI, ADULT NO.4 WITH VIT K 3,300 UNIT- 150 MCG/10 ML IV SOLN" $60.66 54643-9015-2 "MVI, ADULT NO.4 WITH VIT K 3,300 UNIT- 150 MCG/10 ML IV SOLN" "$2,572.80 " 54643-9007-8 "MVI, ADULT NO.4, VIT K, 1 OF 2 3,300 UNIT- 150 MCG/5 ML IV SOLN" $30.33 54643-9015-8 "MVI, ADULT NO.4, VIT K, 1 OF 2 3,300 UNIT- 150 MCG/5 ML IV SOLN" "$1,286.40 " 54643-9007-9 "MVI, ADULT NO.4, VIT K, 2 OF 2 600 MCG-60 MCG- 5 MCG/5 ML IV SOLN" $30.33 54643-9015-9 "MVI, ADULT NO.4, VIT K, 2 OF 2 600 MCG-60 MCG- 5 MCG/5 ML IV SOLN" "$1,286.40 " 54643-5646-1 "MVI, PEDI NO.1 WITH VIT K 80 MG-400 UNIT- 200 MCG/5 ML IV SOLN" $94.86 54643-5647-0 "MVI, PEDI NO.1 WITH VIT K 80 MG-400 UNIT- 200 MCG/5 ML IV SOLN" "$4,852.20 " 61703-421-53 "MVI, PEDI NO.2 WITH VIT K 80-400-200 MG-UNIT-MCG IV SOLR" $75.60 54643-9023-8 "MVI,PEDI NO.1,COMPONENT 1 OF 2 400 UNIT-200 MCG/4 ML IV SOLN" $75.89 54643-9023-9 "MVI,PEDI NO.1,COMPONENT 2 OF 2 140-20-1 MCG/ML IV SOLN" $18.97 HC89008627 MYASTHENIA GRAVIS EVAL-SL $171.00 0004-0298-09 MYCOPHENOLATE MOFETIL (HCL) 500 MG IV SOLR $647.87 42023-172-04 MYCOPHENOLATE MOFETIL (HCL) 500 MG IV SOLR $435.00 0004-0261-29 MYCOPHENOLATE MOFETIL 200 MG/ML ORAL SUSR "$8,284.80 " 66689-307-08 MYCOPHENOLATE MOFETIL 200 MG/ML ORAL SUSR "$6,960.00 " 67877-230-22 MYCOPHENOLATE MOFETIL 200 MG/ML ORAL SUSR "$6,960.00 " 0004-0259-01 MYCOPHENOLATE MOFETIL 250 MG ORAL CAP $53.98 0054-0163-25 MYCOPHENOLATE MOFETIL 250 MG ORAL CAP $3.28 0093-7334-01 MYCOPHENOLATE MOFETIL 250 MG ORAL CAP $3.86 16729-094-01 MYCOPHENOLATE MOFETIL 250 MG ORAL CAP $2.39 51079-721-01 MYCOPHENOLATE MOFETIL 250 MG ORAL CAP $2.73 51079-721-20 MYCOPHENOLATE MOFETIL 250 MG ORAL CAP $2.73 60687-494-01 MYCOPHENOLATE MOFETIL 250 MG ORAL CAP $3.75 60687-494-11 MYCOPHENOLATE MOFETIL 250 MG ORAL CAP $3.75 67877-266-01 MYCOPHENOLATE MOFETIL 250 MG ORAL CAP $2.16 0054-0166-25 MYCOPHENOLATE MOFETIL 500 MG ORAL TAB $6.60 16729-019-01 MYCOPHENOLATE MOFETIL 500 MG ORAL TAB $4.35 51079-379-01 MYCOPHENOLATE MOFETIL 500 MG ORAL TAB $5.98 51079-379-20 MYCOPHENOLATE MOFETIL 500 MG ORAL TAB $5.98 60687-438-01 MYCOPHENOLATE MOFETIL 500 MG ORAL TAB $6.60 60687-438-11 MYCOPHENOLATE MOFETIL 500 MG ORAL TAB $6.60 67877-225-01 MYCOPHENOLATE MOFETIL 500 MG ORAL TAB $2.94 0078-0385-66 MYCOPHENOLATE SODIUM 180 MG ORAL TBEC $34.25 51079-508-01 MYCOPHENOLATE SODIUM 180 MG ORAL TBEC $24.31 51079-508-20 MYCOPHENOLATE SODIUM 180 MG ORAL TBEC $24.31 60505-2965-7 MYCOPHENOLATE SODIUM 180 MG ORAL TBEC $13.16 68084-907-11 MYCOPHENOLATE SODIUM 180 MG ORAL TBEC $22.35 68084-907-21 MYCOPHENOLATE SODIUM 180 MG ORAL TBEC $22.35 16729-189-29 MYCOPHENOLATE SODIUM 360 MG ORAL TBEC $18.51 HC89015093 MYCOPHENOLIC ACID-AU $24.00 HC89017495 MYCOPLASMA PNEUMONA AB(PNL)-AU $7.00 HC89012793 MYCOPLASMA PNEUMONIAE AB-AU $7.00 HC89000731 MYCOPLASMA PNEUMONIAE AB-QD $27.00 HC89009047 MYELIN BASIC PROTEIN CSF-AU $29.00 HC89013692 MYELIN BASIC PROTEIN CSF-QD $15.00 HC89017719 MYELIN BASIC PROTEIN(PNL)-AU $30.00 HC82201195 MYELIN STAIN GRP II+ $412.00 HC44001618 MYELOGRAM CERVICAL "$3,033.00 " HC44001642 MYELOGRAM ENTIRE SPINE CANAL "$3,836.00 " HC44001626 MYELOGRAM LUMBOSACRAL "$3,149.00 " HC44001634 MYELOGRAM THORACIC "$3,090.00 " HC44002863 MYELOGRAPHY INJ W/S&I; =/>2SPINALREGIONS "$7,116.00 " HC44002830 MYELOGRAPHY INJ W/S&I; CERVICAL "$6,183.00 " HC44002855 MYELOGRAPHY INJ W/S&I; LUMBOSAC "$6,442.00 " HC44002848 MYELOGRAPHY INJ W/S&I; THORACIC "$6,319.00 " HC89005490 MYELOPEROXIDASE AB (MPO)-AU $13.03 HC81700759 MYOCARDIAL AB $172.00 HC89001572 MYOCARDIAL FA AB SCRN-QD $24.00 HC42000836 MYOCARDIAL STRAIN QUANT ASSESS + "$1,193.00 " HC51061679 MYOCARDIAL STRAIN QUANT ASSESS+ $200.00 HC81100869 MYOGLOBIN $321.00 HC89013700 MYOGLOBIN URINE-AU $12.00 HC89002547 MYOGLOBIN URINE-QD $16.00 HC89005409 MYOGLOBIN-UCI $39.00 HC23001712 N BLOCK INJ PLANTAR DIGIT (MOTONS) BIL "$2,359.00 " HC23001720 N BLOCK INJ PLANTAR DIGIT (MOTONS) LT "$1,283.00 " HC23001738 N BLOCK INJ PLANTAR DIGIT (MOTONS) RT "$1,283.00 " HC89005029 N MENINGITIOIS GROUP A/Y -AU $20.00 HC89005011 N MENINGITIOIS GROUP C/W -AU $20.00 HC89005730 N. MENINGITIDIS GRP A/Y-FT $84.00 HC89005722 N. MENINGITIDIS GRP C/W135-FT $84.00 HC89020408 N.GONORRHEA DNA AMP PROBE-PI $39.00 0005-0100-01 "N.MENINGITIDIS B,LIPID FHBP RC 120 MCG/0.5 ML IM SYRG" $894.85 0005-0100-05 "N.MENINGITIDIS B,LIPID FHBP RC 120 MCG/0.5 ML IM SYRG" $894.85 50228-465-01 NABUMETONE 500 MG ORAL TAB $1.00 60687-374-01 NABUMETONE 500 MG ORAL TAB $7.09 60687-374-11 NABUMETONE 500 MG ORAL TAB $7.09 76282-257-01 NABUMETONE 500 MG ORAL TAB $3.90 0378-0028-01 NADOLOL 20 MG ORAL TAB $16.30 51079-812-01 NADOLOL 20 MG ORAL TAB $30.95 51079-812-20 NADOLOL 20 MG ORAL TAB $30.95 60687-302-25 NADOLOL 20 MG ORAL TAB $17.51 60687-302-95 NADOLOL 20 MG ORAL TAB $17.51 69097-867-07 NADOLOL 20 MG ORAL TAB $3.49 51079-813-01 NADOLOL 40 MG ORAL TAB $36.13 51079-813-20 NADOLOL 40 MG ORAL TAB $36.13 59762-0811-1 NADOLOL 40 MG ORAL TAB $14.44 69238-1124-9 NADOLOL 40 MG ORAL TAB $10.30 76282-348-01 NADOLOL 40 MG ORAL TAB $1.00 76385-134-01 NADOLOL 40 MG ORAL TAB $5.82 63323-327-10 NAFCILLIN 1 G INJ SOLR (MCH) $89.33 0703-9095-01 NAFCILLIN 1 GRAM INJ SOLR $69.90 0781-3124-85 NAFCILLIN 1 GRAM INJ SOLR $70.07 0781-3124-95 NAFCILLIN 1 GRAM INJ SOLR $70.07 25021-139-10 NAFCILLIN 1 GRAM INJ SOLR $67.50 44567-221-10 NAFCILLIN 1 GRAM INJ SOLR $66.00 55150-122-15 NAFCILLIN 1 GRAM INJ SOLR $70.20 70860-116-26 NAFCILLIN 1 GRAM INJ SOLR $69.00 70860-116-41 NAFCILLIN 1 GRAM INJ SOLR $69.00 0781-3126-95 NAFCILLIN 10 GRAM INJ SOLR $666.13 25021-141-99 NAFCILLIN 10 GRAM INJ SOLR $660.00 44567-223-01 NAFCILLIN 10 GRAM INJ SOLR $870.00 55150-124-99 NAFCILLIN 10 GRAM INJ SOLR $669.00 63323-330-60 NAFCILLIN 10 GRAM INJ SOLR $849.30 0409-3714-10 NAFCILLIN 2 GRAM INJ SOLR $132.00 0781-3125-85 NAFCILLIN 2 GRAM INJ SOLR $135.95 0781-3125-95 NAFCILLIN 2 GRAM INJ SOLR $135.95 25021-140-10 NAFCILLIN 2 GRAM INJ SOLR $135.00 44567-222-10 NAFCILLIN 2 GRAM INJ SOLR $132.00 55150-123-15 NAFCILLIN 2 GRAM INJ SOLR $136.20 55150-123-16 NAFCILLIN 2 GRAM INJ SOLR $136.20 63323-328-20 NAFCILLIN 2 GRAM INJ SOLR $173.34 99999-000-43 NAFCILLIN 40 MG / ML SYRINGE $27.60 99999-006-91 NAFCILLIN 50 MG/ML INJ DILUTION $3.90 99999-010-64 NAFCILLIN 50 MG/ML INJ DILUTION $39.00 99999-010-65 NAFCILLIN 50 MG/ML INJ DILUTION $58.50 99999-010-66 NAFCILLIN 50 MG/ML INJ DILUTION $78.00 99999-010-67 NAFCILLIN 50 MG/ML INJ DILUTION $156.00 99999-035-60 NAFCILLIN IV (FOR DESENSITIZATION USE) $1.00 0409-1463-01 NALBUPHINE 10 MG/ML INJ SOLN $21.73 0409-1463-49 NALBUPHINE 10 MG/ML INJ SOLN $21.54 0409-1463-71 NALBUPHINE 10 MG/ML INJ SOLN $21.73 0409-1464-01 NALBUPHINE 10 MG/ML INJ SOLN $210.78 99999-037-45 NALBUPHINE 10 MG/ML INJ SOLN $17.60 57841-1300-1 NALOXEGOL 12.5 MG ORAL TAB $71.08 57841-1301-1 NALOXEGOL 25 MG ORAL TAB $73.20 57841-1301-3 NALOXEGOL 25 MG ORAL TAB $71.08 0409-1215-01 NALOXONE 0.4 MG/ML INJ SOLN $94.98 0409-1215-21 NALOXONE 0.4 MG/ML INJ SOLN $94.98 0409-1219-01 NALOXONE 0.4 MG/ML INJ SOLN $712.44 0641-6132-25 NALOXONE 0.4 MG/ML INJ SOLN $60.00 17478-041-01 NALOXONE 0.4 MG/ML INJ SOLN $78.57 17478-042-10 NALOXONE 0.4 MG/ML INJ SOLN $562.80 55150-327-01 NALOXONE 0.4 MG/ML INJ SOLN $69.00 55150-327-10 NALOXONE 0.4 MG/ML INJ SOLN $69.00 67457-292-00 NALOXONE 0.4 MG/ML INJ SOLN $60.00 67457-292-02 NALOXONE 0.4 MG/ML INJ SOLN $60.00 67457-299-00 NALOXONE 0.4 MG/ML INJ SOLN $558.00 67457-299-10 NALOXONE 0.4 MG/ML INJ SOLN $558.00 70069-071-01 NALOXONE 0.4 MG/ML INJ SOLN $89.85 70069-071-10 NALOXONE 0.4 MG/ML INJ SOLN $89.85 0641-6132-01 NALOXONE 0.4 MG/ML INJ SOLN (MCH) $60.00 76329-3369-1 NALOXONE 1 MG/ML INJ SYRG $198.00 51224-206-30 NALTREXONE 50 MG ORAL TAB $5.19 HC89006589 NAPA-U2 $25.00 0065-0085-15 NAPHAZOLINE-PHENIRAMINE 0.025-0.3 % OPHT DROP $45.09 1011902090 NAPHAZOLINE-PHENIRAMINE 0.02675-0.315 % OPHT DROP $28.98 68134-201-16 NAPROXEN 125 MG/5 ML ORAL SUSP (MCH) "$2,817.00 " 50268-594-11 NAPROXEN 250 MG ORAL TAB $1.55 50268-594-15 NAPROXEN 250 MG ORAL TAB $1.55 65162-188-10 NAPROXEN 250 MG ORAL TAB $1.00 50268-595-11 NAPROXEN 375 MG ORAL TAB $1.62 50268-595-15 NAPROXEN 375 MG ORAL TAB $1.62 65162-189-10 NAPROXEN 375 MG ORAL TAB $1.00 60687-491-01 NAPROXEN 500 MG ORAL TAB $1.31 60687-491-11 NAPROXEN 500 MG ORAL TAB $1.31 63739-403-10 NAPROXEN 500 MG ORAL TAB $1.28 65162-190-50 NAPROXEN 500 MG ORAL TAB $1.00 65862-522-01 NAPROXEN 500 MG ORAL TAB $1.00 68462-190-01 NAPROXEN 500 MG ORAL TAB $1.00 68462-190-05 NAPROXEN 500 MG ORAL TAB $1.00 2586610505 NAPROXEN SODIUM 220 MG ORAL TAB $1.00 45802-490-71 NAPROXEN SODIUM 220 MG ORAL TAB $1.00 53746-193-01 NAPROXEN SODIUM 275 MG ORAL TAB $10.99 68462-178-01 NAPROXEN SODIUM 275 MG ORAL TAB $4.61 43598-495-01 NAPROXEN SODIUM 550 MG ORAL TAB $4.50 50228-433-01 NAPROXEN SODIUM 550 MG ORAL TAB $4.50 53746-194-01 NAPROXEN SODIUM 550 MG ORAL TAB $17.11 65862-516-01 NAPROXEN SODIUM 550 MG ORAL TAB $4.50 68462-179-01 NAPROXEN SODIUM 550 MG ORAL TAB $7.19 HC89006837 NAPROXEN-AU $106.00 HC44001659 NASAL BONES $898.00 HC25000407 NASAL EPISTAXIS $718.00 HC81500019 NASAL SMEAR FOR EOS $131.00 HC62204821 NASAL TAMPON $159.00 HC51010445 NASOPHARYNGOSCOPY $457.00 64406-008-01 NATALIZUMAB 300 MG/15 ML IV SOLN "$41,111.19 " 0078-0352-05 NATEGLINIDE 120 MG ORAL TAB $22.43 68084-459-11 NATEGLINIDE 120 MG ORAL TAB $11.94 68084-459-21 NATEGLINIDE 120 MG ORAL TAB $11.94 0591-3354-01 NATEGLINIDE 60 MG ORAL TAB $7.09 49884-984-01 NATEGLINIDE 60 MG ORAL TAB $7.09 55111-328-90 NATEGLINIDE 60 MG ORAL TAB $2.75 68084-458-11 NATEGLINIDE 60 MG ORAL TAB $11.34 68084-458-21 NATEGLINIDE 60 MG ORAL TAB $11.34 75834-205-01 NATEGLINIDE 60 MG ORAL TAB $2.75 HC89016778 NBS 17 OH PROGESTERONE-GE $18.00 HC89004758 NBS BIOTINIDASE-GE $18.00 HC88600101 NBS HANDLE COLLECTION CARD-GE $1.00 HC89003834 NBS HGB CHROMATOGRAPHY-GE $18.00 HC89004766 NBS IMMUNO TRYPSINOGEN(IRT)-GE $18.00 HC89016760 NBS MS/MS AMINO ACID W/PKU-GE $21.00 HC89003792 NBS PHENYLALANINE SCREEN-GE $12.00 HC89016711 NBS TANDEM MASS SPEC MS/MS-GE $18.00 HC89022727 NBS TESTS PANEL NEWBORN METABLC SCRNING-GE $176.25 HC89003818 NBS TRANSFERASE-GE $18.00 HC89003826 NBS TSH-GE $18.00 HC89003800 NBS TYROSINE SCREEN-GE $11.00 HC82201500 "N-CHLORO EST STAIN, GRP III" $798.00 0456-1410-30 NEBIVOLOL 10 MG ORAL TAB $30.08 0456-1410-90 NEBIVOLOL 10 MG ORAL TAB $30.08 0456-1402-30 NEBIVOLOL 2.5 MG ORAL TAB $30.08 0456-1405-11 NEBIVOLOL 5 MG ORAL TAB $30.66 0456-1405-30 NEBIVOLOL 5 MG ORAL TAB $30.08 0456-1405-63 NEBIVOLOL 5 MG ORAL TAB $30.65 0456-1405-90 NEBIVOLOL 5 MG ORAL TAB $30.08 HC51080083 NEBULIZER $13.00 HC62204839 NEBULIZER (GENERIC) $121.00 HC62211453 NEBULIZER W/ RESERVOIR $17.00 HC44001667 "NECK, SOFT TISSUE" $674.00 HC44001675 "NECK, SOFT TISSUE (REDUCED SVC)" $455.00 HC62228762 NEEDLE 19G HISTO(ALWAYS-ON TIP TRACKED®) "$1,843.00 " HC62228770 NEEDLE 22G SPIN FLEX®(ALWAYS-ON TIP TRACKED®) "$2,764.00 " HC62219472 NEEDLE ACCESS FISTULA DIALYSIS $309.00 HC62211552 NEEDLE ACCESS SPINAL INSULATED $894.00 HC62225040 NEEDLE ASPIRAT(EUS SLIMLIN 19GA) Q "$1,300.00 " HC62225032 NEEDLE ASPIRAT(EUS SLIMLIN22/25GA)L $650.00 HC62204847 NEEDLE ASPIRATION H $403.00 HC62204854 NEEDLE ASPIRATION TRANS-BRONCH $514.00 HC62215801 NEEDLE BIOPSY A $13.00 HC62215819 NEEDLE BIOPSY B $39.00 HC62215827 NEEDLE BIOPSY C $65.00 HC62215835 NEEDLE BIOPSY D $91.00 HC62215843 NEEDLE BIOPSY E $117.00 HC62204862 NEEDLE BIOPSY F $143.00 HC62215850 NEEDLE BIOPSY G $169.00 HC62215868 NEEDLE BIOPSY H $195.00 HC62215876 NEEDLE BIOPSY I $221.00 HC62215884 NEEDLE BIOPSY J $247.00 HC62215892 NEEDLE BIOPSY K $273.00 HC62216304 NEEDLE BIOPSY BONE F $260.00 HC62216312 NEEDLE BIOPSY BONE I $455.00 HC62204870 NEEDLE BIOPSY BONE L $650.00 HC62226279 NEEDLE BIOPSY BONE M $780.00 HC62224480 NEEDLE BIOPSY BONE O "$1,040.00 " HC62204888 NEEDLE BIOPSY BONE VERTEBROPLASTY K $585.00 HC62212576 NEEDLE BIOPSY EBUS $372.00 HC62225131 NEEDLE BIOPSY EUS F $260.00 HC62225511 NEEDLE BIOPSY EUS O "$1,040.00 " HC62224472 NEEDLE BIOPSY NASHOLD Q "$1,235.00 " HC62208053 NEEDLE BIOPSY THYROID $140.00 HC62210208 NEEDLE BIOPSY TRACKING $260.00 HC62220710 NEEDLE BIOPSY/ASPIRATION C $98.00 HC62202072 NEEDLE BIOPSY/ASPIRATION E $164.00 HC62216379 NEEDLE BONE MARROW D $358.00 HC62217781 NEEDLE BONE MARROW G $455.00 HC62204896 NEEDLE BONE MARROW H $488.00 HC62217799 NEEDLE BONE MARROW K $585.00 HC62226287 NEEDLE BONE MARROW O "$1,040.00 " HC62223698 NEEDLE BONE MARROW Q "$1,300.00 " HC62200639 NEEDLE BONE MARROW ADD'L $101.00 HC62808613 NEEDLE BRACHYTHERAPY METAL CLICK $315.00 HC62801493 NEEDLE BRACHYTHERAPY TANDEM CLICK $348.00 HC62222187 NEEDLE BX HIP TAPERED COBALT/FNA(SHARKCORE) "$1,625.00 " HC62202080 NEEDLE BX SPECIALTY $241.00 HC62211321 NEEDLE CATH CENTESIS/CV $61.00 HC62202098 NEEDLE CHIBA $46.00 HC62227384 NEEDLE DELIVERY BIOCARTILAGE $195.00 HC62220587 NEEDLE DELIVERY CEMENT $164.00 HC62202106 NEEDLE DEVICE $83.00 HC62204904 NEEDLE DOPPLER $358.00 HC62221239 NEEDLE ENDOSCOPIC A $33.00 HC62221247 NEEDLE ENDOSCOPIC B $65.00 HC62223151 NEEDLE ENDOSCOPIC C $98.00 HC62221254 NEEDLE ENDOSCOPIC D $130.00 HC62220298 NEEDLE ENDOSCOPIC E $195.00 HC62202890 NEEDLE ENDOSCOPIC F $260.00 HC62224274 NEEDLE ENDOSCOPIC G $325.00 HC62211875 NEEDLE ENDOSCOPIC J $520.00 HC62208467 NEEDLE GUIDE ENDOCAVITY $166.00 HC62204912 NEEDLE GUIDE STEREOTACTIC BX $98.00 HC62802640 NEEDLE HDR BREAST IMPLANT $49.00 HC51080034 NEEDLE HUBER/PORT-A-CATH $20.00 HC62204938 NEEDLE HUBER/PORT-A-CATH $53.00 HC62204946 NEEDLE INFUSAID $62.00 HC62214432 NEEDLE INJ FENESTRATED $130.00 HC62226295 NEEDLE INSERTION NEUROSTIM $520.00 HC62216817 NEEDLE INSUFFLATION $108.00 HC62216320 NEEDLE INTRODUCER E $325.00 HC62216338 NEEDLE INTRODUCER I $455.00 HC62216346 NEEDLE INTRODUCER J $488.00 HC62216353 NEEDLE INTRODUCER N $618.00 HC62216361 NEEDLE INTRODUCER O $650.00 HC62213715 NEEDLE MICROTIP/TIP PHACOEMULS $200.00 HC62213855 NEEDLE NERVE/REGION BLOCK $51.00 HC62208954 NEEDLE PERCUTANEOUS $178.00 HC62209184 NEEDLE PERCUTANEOUS $170.00 HC62224852 NEEDLE PROBE VASCULAR SMART $390.00 HC62204961 NEEDLE RETROBULBAR $337.00 HC62204979 NEEDLE SCALP VEIN $33.00 HC62204987 NEEDLE SCLEROTHERAPY $95.00 HC62204995 NEEDLE SPECIALTY $320.00 HC62221262 NEEDLE SPINAL A $33.00 HC62223920 NEEDLE SPINAL B $65.00 HC62205000 NEEDLE SPINAL C $98.00 HC62226303 NEEDLE SPINAL G $325.00 HC62205018 NEEDLE STEREOTACTIC BX "$1,723.00 " HC62213822 NEEDLE SURG OPTHALMIC $70.00 HC62205026 NEEDLE SUTURE GRICE $174.00 HC62228481 NEEDLE TARGETING E $195.00 HC62216981 NEEDLE TARGETING G $325.00 HC62216999 NEEDLE TARGETING H $390.00 HC62214093 NEEDLE TARGETING(STREAMLINE) Q "$1,235.00 " HC62802665 NEEDLE TEMPLAT ENDOCURR $588.00 HC62202114 NEEDLE THORAC/PARACENTESIS $73.00 HC62205034 NEEDLE TRANSSEPTAL $715.00 HC62228374 NEEDLE TRANSSEPTAL NRG (WATCHMAN) "$1,609.00 " HC62214085 NEEDLE TROCAR TARGET(STREAMLINE) M $722.00 HC62221700 NEEDLE WIRE LOCALIZATION A $33.00 HC62221718 NEEDLE WIRE LOCALIZATION B $65.00 HC62221643 NEEDLE WIRE LOCALIZATION E $101.00 HC62205042 NEEDLE WIRE LOCALIZATION F $260.00 HC62217211 NEEDLES 5/PACK ENDOSCOPIC W $634.00 0093-1024-06 NEFAZODONE 100 MG ORAL TAB $7.48 HC89011050 NEISSERIA GONORRHOEAE AB-AU $57.00 HC89017313 NEISSERIA GONORRHOEAE AB-QD $43.00 HC89020853 NEISSERIA GONORRHOEAE CF-AU $57.00 0078-0683-61 NELARABINE 250 MG/50 ML IV SOLN "$4,412.10 " 63010-010-30 NELFINAVIR 250 MG ORAL TAB $24.28 63010-027-70 NELFINAVIR 625 MG ORAL TAB $60.70 0093-1177-01 NEOMYCIN 500 MG ORAL TAB $6.11 39822-0310-5 NEOMYCIN 500 MG ORAL TAB $8.14 39822-0310-7 NEOMYCIN 500 MG ORAL TAB $8.14 50383-565-10 NEOMYCIN 500 MG ORAL TAB $6.11 51991-738-01 NEOMYCIN 500 MG ORAL TAB $4.23 45802-143-70 "NEOMYCIN-BACITRACNZN-POLYMYXNB 3.5-400-5,000 MG-UNIT-UNIT TOPICAL OIPK" $1.00 54162-080-09 "NEOMYCIN-BACITRACNZN-POLYMYXNB 3.5-400-5,000 MG-UNIT-UNIT TOPICAL OIPK" $1.00 57896-113-09 "NEOMYCIN-BACITRACNZN-POLYMYXNB 3.5-400-5,000 MG-UNIT-UNIT TOPICAL OIPK" $1.00 57896-113-14 "NEOMYCIN-BACITRACNZN-POLYMYXNB 3.5-400-5,000 MG-UNIT-UNIT TOPICAL OIPK" $1.00 81073088 "NEOMYCIN-BACITRACNZN-POLYMYXNB 3.5MG-400 UNIT- 5,000 UNIT/GRAM TOPICAL OINT" $20.36 0472-0179-34 "NEOMYCIN-BACITRACNZN-POLYMYXNB 3.5MG-400 UNIT- 5,000 UNIT/GRAM TOPICAL OINT" $20.79 45802-143-01 "NEOMYCIN-BACITRACNZN-POLYMYXNB 3.5MG-400 UNIT- 5,000 UNIT/GRAM TOPICAL OINT" $12.01 45802-143-03 "NEOMYCIN-BACITRACNZN-POLYMYXNB 3.5MG-400 UNIT- 5,000 UNIT/GRAM TOPICAL OINT" $17.14 51672-2120-2 "NEOMYCIN-BACITRACNZN-POLYMYXNB 3.5MG-400 UNIT- 5,000 UNIT/GRAM TOPICAL OINT" $39.19 0591-2190-45 "NEOMYCIN-POLYMYXIN B GU 40 MG-200,000 UNIT/ML IRR SOLN" $76.51 0591-2190-54 "NEOMYCIN-POLYMYXIN B GU 40 MG-200,000 UNIT/ML IRR SOLN" $76.51 39822-1201-1 "NEOMYCIN-POLYMYXIN B GU 40 MG-200,000 UNIT/ML IRR SOLN" $65.55 39822-1201-2 "NEOMYCIN-POLYMYXIN B GU 40 MG-200,000 UNIT/ML IRR SOLN" $65.55 39822-1201-5 "NEOMYCIN-POLYMYXIN B GU 40 MG-200,000 UNIT/ML IRR SOLN" $61.66 0574-4160-35 "NEOMYCIN-POLYMYXIN B-DEXAMETH 3.5 MG/G-10,000 UNIT/G-0.1 % OPHT OINT" $75.79 24208-795-35 "NEOMYCIN-POLYMYXIN B-DEXAMETH 3.5 MG/G-10,000 UNIT/G-0.1 % OPHT OINT" $95.34 61314-631-36 "NEOMYCIN-POLYMYXIN B-DEXAMETH 3.5 MG/G-10,000 UNIT/G-0.1 % OPHT OINT" $108.00 0998-0630-06 "NEOMYCIN-POLYMYXIN B-DEXAMETH 3.5MG/ML-10,000 UNIT/ML-0.1 % OPHT DRPS" $678.18 24208-830-60 "NEOMYCIN-POLYMYXIN B-DEXAMETH 3.5MG/ML-10,000 UNIT/ML-0.1 % OPHT DRPS" $95.34 61314-630-06 "NEOMYCIN-POLYMYXIN B-DEXAMETH 3.5MG/ML-10,000 UNIT/ML-0.1 % OPHT DRPS" $108.00 61570-032-75 "NEOMYCIN-POLYMYXIN-HC 3.5-10,000-0.5 MG/G-UNIT/G-% TOPICAL CREAM" $697.28 24208-635-62 "NEOMYCIN-POLYMYXIN-HC 3.5-10,000-1 MG/ML-UNIT/ML-% OTIC DRPS" $503.40 61314-645-11 "NEOMYCIN-POLYMYXIN-HC 3.5-10,000-1 MG/ML-UNIT/ML-% OTIC DRPS" $503.40 24208-631-10 "NEOMYCIN-POLYMYXIN-HC 3.5-10,000-1 MG/ML-UNIT/ML-% OTIC SOLN" $503.40 61570-031-50 NEOMY-POLYMYXINB-BACITRACIN-HC 1 % TOPICAL OINT $953.64 63323-415-10 NEOSTIGMINE METHYLSULFATE 1 MG/ML INJ SOLN (MCH) $378.00 76014-003-33 NEOSTIGMINE METHYLSULFATE 1 MG/ML INJ SOLN (MCH) $110.16 0641-6149-01 NEOSTIGMINE METHYLSULFATE 1 MG/ML IV SOLN $120.00 0641-6149-10 NEOSTIGMINE METHYLSULFATE 1 MG/ML IV SOLN $120.00 76014-003-10 NEOSTIGMINE METHYLSULFATE 1 MG/ML IV SOLN $110.16 76014-903-33 NEOSTIGMINE METHYLSULFATE 1 MG/ML IV SOLN $110.16 99999-039-11 NEOSTIGMINE METHYLSULFATE 1 MG/ML IV SOLN $113.87 99999-040-40 NEOSTIGMINE METHYLSULFATE 1 MG/ML IV SOLN $113.87 HC89016406 NEPHELOMETRY EA ANALYT UR-AU $33.00 HC62205059 NERVE LOCATOR DISP $160.00 HC82202193 NERVE TEASING "$1,493.00 " HC89022958 "NET ABSORBANCE, BILIRUBIN CSF(PANEL)-AU" $32.00 HC89022966 "NET ABSORBANCE, OXYHEMOGLOBIN, CSF(PANEL)-AU" $32.00 70727-497-25 NETARSUDIL 0.02 % OPHT DROP "$1,632.42 " HC39001235 NEUROBEHAVIORAL STATUS EXAM CLIN ASSESS INTERP & REPORT; EA ADDL HR+ $477.00 HC51070548 NEUROBEHAVIORAL STATUS EXAM CLIN ASSESS INTERP & REPORT; EA ADDL HR+ $265.00 HC46502852 NEUROENDOSCOPY PLACE CATH/DRAIN INTRACRANIAL "$4,598.00 " HC41500356 NEUROMUSC REPEAT STIM EA NERVE "$1,027.00 " HC89011639 NEURON SPECIFIC ENOLASE-AU $32.00 HC89013668 NEURONAL CELL AB-AU $75.00 HC39000203 NEUROPSYCH STATUS EXAM/HR $716.00 HC51070068 NEUROPSYCH STATUS EXAM/HR $487.00 HC39001276 NEUROPSYCH TEST EVAL INTRG INTERP CLIN DES FEEDBACK; EA ADDL HR+ $507.00 HC51070589 NEUROPSYCH TEST EVAL INTRG INTERP CLIN DES FEEDBACK; EA ADDL HR+ $260.00 HC39001268 NEUROPSYCH TESTING EVAL INTRG INTERP CLIN DES TX FEEDBACK; 1ST HOUR $516.00 HC51070571 NEUROPSYCH TESTING EVAL INTRG INTERP CLIN DES TX FEEDBACK; 1ST HOUR $400.00 HC89011324 NEUTROPHIL CYTOPLAS IFA AB-AU $16.00 HC89019285 NEUTROPHIL OXIDATIVE BURST-AU $160.00 HC89004030 NEUTROPHIL-ASSOC ANTIBODIES -AU $71.43 0597-0046-60 NEVIRAPINE 200 MG ORAL TAB $90.60 31722-505-60 NEVIRAPINE 200 MG ORAL TAB $1.00 51991-331-06 NEVIRAPINE 200 MG ORAL TAB $1.00 65862-027-60 NEVIRAPINE 200 MG ORAL TAB $4.00 0597-0047-24 NEVIRAPINE 50 MG/5 ML ORAL SUSP "$1,177.92 " 65862-057-24 NEVIRAPINE 50 MG/5 ML ORAL SUSP (MCH) $908.64 HC11500063 NEW PT LVL2-PROB FOCUS $219.00 HC25005968 NEW PT LVL2-PROB FOCUS $272.00 HC11500071 NEW PT LVL3-EXPANDED $386.00 HC25005976 NEW PT LVL3-EXPANDED $371.00 HC11500089 NEW PT LVL4-DETAILED $462.00 HC25005984 NEW PT LVL4-DETAILED $444.00 HC11500097 NEW PT LVL5-COMPREHENSIVE $566.00 HC25005992 NEW PT LVL5-COMPREHENSIVE $575.00 HC88600028 NEWBORN SCREEN DRAW FEE (GE) $8.00 HC62210224 NG CLOG ZAPPER KIT $126.00 HC62211289 NG CLOG ZAPPER KIT $70.00 HC81701542 N-GONORRHEA BY DNA AMP PROBE $350.00 HC84201615 N-GONORRHEA BY DNA AMP PROBE $350.00 HC81700551 N-GONORRHEA BY DNA PROBE $254.00 HC89013353 N-GONORRHEA DNA AMP PROBE-AU $15.00 1000670020 NIACIN 250 MG ORAL CPSR $1.00 7431205800 NIACIN 250 MG ORAL CPSR $1.00 1093943533 NIACIN 250 MG ORAL TBSR $1.00 7126925010 NIACIN 250 MG ORAL TBSR $1.00 71279-250-10 NIACIN 250 MG ORAL TBSR $1.00 7985420125 NIACIN 50 MG ORAL TAB $1.00 904227260 NIACIN 500 MG ORAL TAB $1.00 0074-3265-90 NIACIN 500 MG ORAL TB24 $31.01 10135-612-90 NIACIN 500 MG ORAL TB24 $6.01 59651-018-90 NIACIN 500 MG ORAL TB24 $2.14 65162-321-09 NIACIN 500 MG ORAL TB24 $9.60 68084-756-35 NIACIN 500 MG ORAL TB24 $27.53 68084-756-95 NIACIN 500 MG ORAL TB24 $27.53 1000670009 NIACIN 500 MG ORAL TBSR $1.00 5026858311 NIACIN 500 MG ORAL TBSR $2.36 5026858315 NIACIN 500 MG ORAL TBSR $2.36 7126950010 NIACIN 500 MG ORAL TBSR $1.00 0074-3274-90 NIACIN 750 MG ORAL TB24 $44.23 68180-222-01 NIACIN 750 MG ORAL TB24 $29.01 0378-1020-05 NICARDIPINE 20 MG ORAL CAP $10.46 0378-1020-77 NICARDIPINE 20 MG ORAL CAP $10.70 24658-750-90 NICARDIPINE 20 MG ORAL CAP $7.80 42806-501-09 NICARDIPINE 20 MG ORAL CAP $74.37 0143-9593-01 NICARDIPINE 25 MG/10 ML IV SOLN $120.84 0143-9593-10 NICARDIPINE 25 MG/10 ML IV SOLN $120.84 0143-9689-01 NICARDIPINE 25 MG/10 ML IV SOLN $153.12 0143-9689-10 NICARDIPINE 25 MG/10 ML IV SOLN $153.12 41616-882-44 NICARDIPINE 25 MG/10 ML IV SOLN $168.00 67457-224-00 NICARDIPINE 25 MG/10 ML IV SOLN $210.00 67457-224-10 NICARDIPINE 25 MG/10 ML IV SOLN $210.00 72572-470-01 NICARDIPINE 25 MG/10 ML IV SOLN $114.84 72572-470-10 NICARDIPINE 25 MG/10 ML IV SOLN $114.84 0378-1430-05 NICARDIPINE 30 MG ORAL CAP $14.97 0378-1430-77 NICARDIPINE 30 MG ORAL CAP $15.32 42806-502-09 NICARDIPINE 30 MG ORAL CAP $106.52 10122-314-01 "NICARDIPINE IN DEXTROSE,ISO-OS 20 MG/200 ML (0.1 MG/ML) IV PGBK" $609.60 10122-314-10 "NICARDIPINE IN DEXTROSE,ISO-OS 20 MG/200 ML (0.1 MG/ML) IV PGBK" $609.60 0143-9633-01 NICARDIPINE IN NACL (ISO-OS) 40 MG/200 ML (0.2 MG/ML) IV PGBK "$1,220.40 " 0143-9633-10 NICARDIPINE IN NACL (ISO-OS) 40 MG/200 ML (0.2 MG/ML) IV PGBK "$1,220.40 " 10122-325-01 NICARDIPINE IN NACL (ISO-OS) 40 MG/200 ML (0.2 MG/ML) IV PGBK "$1,220.40 " 10122-325-10 NICARDIPINE IN NACL (ISO-OS) 40 MG/200 ML (0.2 MG/ML) IV PGBK "$1,220.40 " 43066-016-10 NICARDIPINE IN NACL (ISO-OS) 40 MG/200 ML (0.2 MG/ML) IV PGBK "$1,220.40 " 99999-044-48 NICARDIPINE IN NS 50 MG/250 ML (0.2 MG/ML) IV SOLN (MHS) $306.00 766784508 NICOTINE (POLACRILEX) 2 MG BUCCAL GUM $2.30 1093969133 NICOTINE (POLACRILEX) 2 MG BUCCAL GUM $1.00 0135-0157-07 NICOTINE (POLACRILEX) 2 MG BUCCAL GUM $2.30 0536-1362-23 NICOTINE (POLACRILEX) 2 MG BUCCAL GUM $1.27 49348-573-08 NICOTINE (POLACRILEX) 2 MG BUCCAL GUM $1.00 1093970733 NICOTINE 14 MG/24 HR TRANSDERMAL PT24 $10.67 1093986244 NICOTINE 14 MG/24 HR TRANSDERMAL PT24 $8.54 4898500150 NICOTINE 14 MG/24 HR TRANSDERMAL PT24 $10.67 0536-5895-88 NICOTINE 14 MG/24 HR TRANSDERMAL PT24 $10.28 43598-447-71 NICOTINE 14 MG/24 HR TRANSDERMAL PT24 $10.28 43598-447-74 NICOTINE 14 MG/24 HR TRANSDERMAL PT24 $10.67 60505-7062-0 NICOTINE 14 MG/24 HR TRANSDERMAL PT24 $10.28 1093970633 NICOTINE 21 MG/24 HR TRANSDERMAL PT24 $10.67 4898500153 NICOTINE 21 MG/24 HR TRANSDERMAL PT24 $9.62 0536-5896-88 NICOTINE 21 MG/24 HR TRANSDERMAL PT24 $10.28 60505-7063-0 NICOTINE 21 MG/24 HR TRANSDERMAL PT24 $10.28 1093970833 NICOTINE 7 MG/24 HR TRANSDERMAL PT24 $10.67 0536-1106-88 NICOTINE 7 MG/24 HR TRANSDERMAL PT24 $10.28 0536-5894-88 NICOTINE 7 MG/24 HR TRANSDERMAL PT24 $10.28 43598-446-71 NICOTINE 7 MG/24 HR TRANSDERMAL PT24 $10.28 43598-446-74 NICOTINE 7 MG/24 HR TRANSDERMAL PT24 $10.67 60505-7061-0 NICOTINE 7 MG/24 HR TRANSDERMAL PT24 $10.28 0069-2600-66 NIFEDIPINE 10 MG ORAL CAP $16.48 0228-2497-10 NIFEDIPINE 10 MG ORAL CAP $5.13 23155-194-01 NIFEDIPINE 10 MG ORAL CAP $2.31 43386-440-24 NIFEDIPINE 10 MG ORAL CAP $4.31 59762-1004-1 NIFEDIPINE 10 MG ORAL CAP $4.31 60687-425-01 NIFEDIPINE 10 MG ORAL CAP $6.90 60687-425-11 NIFEDIPINE 10 MG ORAL CAP $6.90 68084-022-01 NIFEDIPINE 10 MG ORAL CAP $6.90 68084-022-11 NIFEDIPINE 10 MG ORAL CAP $6.90 69315-211-01 NIFEDIPINE 10 MG ORAL CAP $5.13 0228-2530-10 NIFEDIPINE 20 MG ORAL CAP $11.05 23155-195-01 NIFEDIPINE 20 MG ORAL CAP $11.05 50268-601-11 NIFEDIPINE 20 MG ORAL CAP $18.35 50268-601-15 NIFEDIPINE 20 MG ORAL CAP $18.35 50268-597-11 NIFEDIPINE 30 MG ORAL TR24 $6.89 50268-597-15 NIFEDIPINE 30 MG ORAL TR24 $6.89 50742-260-01 NIFEDIPINE 30 MG ORAL TR24 $2.70 62175-260-37 NIFEDIPINE 30 MG ORAL TR24 $6.42 68084-597-01 NIFEDIPINE 30 MG ORAL TR24 $8.94 68084-597-11 NIFEDIPINE 30 MG ORAL TR24 $8.94 24979-010-01 NIFEDIPINE 60 MG ORAL TR24 $9.14 50268-598-11 NIFEDIPINE 60 MG ORAL TR24 $11.78 50268-598-15 NIFEDIPINE 60 MG ORAL TR24 $11.78 50742-261-01 NIFEDIPINE 60 MG ORAL TR24 $3.30 62175-261-37 NIFEDIPINE 60 MG ORAL TR24 $11.11 68084-598-01 NIFEDIPINE 60 MG ORAL TR24 $14.84 68084-598-11 NIFEDIPINE 60 MG ORAL TR24 $14.84 0069-2670-66 NIFEDIPINE 90 MG ORAL TR24 $74.24 50268-599-11 NIFEDIPINE 90 MG ORAL TR24 $13.51 50268-599-15 NIFEDIPINE 90 MG ORAL TR24 $13.51 62175-262-37 NIFEDIPINE 90 MG ORAL TR24 $12.82 68084-603-11 NIFEDIPINE 90 MG ORAL TR24 $18.73 68084-603-21 NIFEDIPINE 90 MG ORAL TR24 $18.73 23155-512-00 NIMODIPINE 30 MG ORAL CAP $46.50 23155-512-11 NIMODIPINE 30 MG ORAL CAP $46.50 23155-512-30 NIMODIPINE 30 MG ORAL CAP $45.00 57664-135-65 NIMODIPINE 30 MG ORAL CAP $30.00 62559-210-52 NIMODIPINE 30 MG ORAL CAP $81.38 63739-797-33 NIMODIPINE 30 MG ORAL CAP $17.24 68084-912-33 NIMODIPINE 30 MG ORAL CAP $12.66 69452-209-07 NIMODIPINE 30 MG ORAL CAP $17.24 24338-230-05 NIMODIPINE 30 MG/5 ML ORAL SYRG $245.22 24338-230-12 NIMODIPINE 30 MG/5 ML ORAL SYRG $245.22 24338-260-10 NIMODIPINE 60 MG/10 ML ORAL SYRG $490.44 24338-260-12 NIMODIPINE 60 MG/10 ML ORAL SYRG $490.44 66993-473-02 NISOLDIPINE 17 MG ORAL TB24 $38.49 0378-2222-01 NISOLDIPINE 20 MG ORAL TB24 $78.97 0378-2096-01 NISOLDIPINE 8.5 MG ORAL TB24 $27.64 66993-472-02 NISOLDIPINE 8.5 MG ORAL TB24 $30.71 67546-212-21 NITAZOXANIDE 100 MG/5 ML ORAL SUSR "$3,132.00 " 67546-111-12 NITAZOXANIDE 500 MG ORAL TAB $807.80 67546-111-14 NITAZOXANIDE 500 MG ORAL TAB $869.50 43386-450-11 NITROFURANTOIN 25 MG/5 ML ORAL SUSP "$2,848.32 " 65162-689-88 NITROFURANTOIN 25 MG/5 ML ORAL SUSP "$2,921.46 " 70199-006-32 NITROFURANTOIN 25 MG/5 ML ORAL SUSP "$16,800.12 " 70408-239-32 NITROFURANTOIN 25 MG/5 ML ORAL SUSP "$14,353.92 " 0115-1645-01 NITROFURANTOIN MACROCRYSTAL 100 MG ORAL CAP $9.97 47781-308-01 NITROFURANTOIN MACROCRYSTAL 100 MG ORAL CAP $14.09 47781-307-01 NITROFURANTOIN MACROCRYSTAL 50 MG ORAL CAP $8.30 68382-559-01 NITROFURANTOIN MACROCRYSTAL 50 MG ORAL CAP $6.03 0185-0122-01 NITROFURANTOIN MONOHYD/M-CRYST 100 MG ORAL CAP $15.40 16714-439-01 NITROFURANTOIN MONOHYD/M-CRYST 100 MG ORAL CAP $12.40 47781-303-01 NITROFURANTOIN MONOHYD/M-CRYST 100 MG ORAL CAP $9.38 51079-348-01 NITROFURANTOIN MONOHYD/M-CRYST 100 MG ORAL CAP $23.14 51079-348-20 NITROFURANTOIN MONOHYD/M-CRYST 100 MG ORAL CAP $23.14 52427-285-01 NITROFURANTOIN MONOHYD/M-CRYST 100 MG ORAL CAP $35.69 68084-446-01 NITROFURANTOIN MONOHYD/M-CRYST 100 MG ORAL CAP $17.65 68084-446-11 NITROFURANTOIN MONOHYD/M-CRYST 100 MG ORAL CAP $17.65 HC89001895 NITROGEN TOTAL URINE-QD $5.00 HC89003628 NITROGEN URINE-AU $213.00 0378-9102-16 NITROGLYCERIN 0.1 MG/HR TRANSDERMAL PT24 $3.67 0378-9102-93 NITROGLYCERIN 0.1 MG/HR TRANSDERMAL PT24 $3.67 47781-296-03 NITROGLYCERIN 0.1 MG/HR TRANSDERMAL PT24 $5.29 0378-9104-16 NITROGLYCERIN 0.2 MG/HR TRANSDERMAL PT24 $4.24 0378-9104-93 NITROGLYCERIN 0.2 MG/HR TRANSDERMAL PT24 $4.24 47781-297-03 NITROGLYCERIN 0.2 MG/HR TRANSDERMAL PT24 $4.24 68382-309-01 NITROGLYCERIN 0.2 MG/HR TRANSDERMAL PT24 $4.24 68382-309-30 NITROGLYCERIN 0.2 MG/HR TRANSDERMAL PT24 $4.24 50742-515-01 NITROGLYCERIN 0.3 MG/HR TRANSDERMAL PT24 $188.41 50742-515-30 NITROGLYCERIN 0.3 MG/HR TRANSDERMAL PT24 $188.41 58914-301-80 NITROGLYCERIN 0.4 % (W/W) RECTAL OINT "$3,844.44 " 0071-0418-13 NITROGLYCERIN 0.4 MG SL SUBL $7.85 43598-436-01 NITROGLYCERIN 0.4 MG SL SUBL $2.33 43598-436-11 NITROGLYCERIN 0.4 MG SL SUBL $5.08 43598-436-35 NITROGLYCERIN 0.4 MG SL SUBL $5.08 59762-3304-3 NITROGLYCERIN 0.4 MG SL SUBL $4.93 68462-639-25 NITROGLYCERIN 0.4 MG SL SUBL $4.93 68462-639-45 NITROGLYCERIN 0.4 MG SL SUBL $4.93 0378-9112-16 NITROGLYCERIN 0.4 MG/HR TRANSDERMAL PT24 $4.90 0378-9112-93 NITROGLYCERIN 0.4 MG/HR TRANSDERMAL PT24 $4.90 47781-298-03 NITROGLYCERIN 0.4 MG/HR TRANSDERMAL PT24 $4.90 0378-9116-16 NITROGLYCERIN 0.6 MG/HR TRANSDERMAL PT24 $6.22 0378-9116-93 NITROGLYCERIN 0.6 MG/HR TRANSDERMAL PT24 $6.22 47781-299-03 NITROGLYCERIN 0.6 MG/HR TRANSDERMAL PT24 $5.66 99207-173-15 NITROGLYCERIN 0.6 MG/HR TRANSDERMAL PT24 $122.95 99999-000-44 NITROGLYCERIN 100 MCG / ML INJECTION $33.60 99999-036-27 NITROGLYCERIN 100 MCG / ML INJECTION $33.60 99999-044-54 NITROGLYCERIN 100 MCG / ML INJECTION $4.20 0281-0326-08 NITROGLYCERIN 2 % TRANSDERMAL OINT $13.22 0281-0326-30 NITROGLYCERIN 2 % TRANSDERMAL OINT $204.48 0281-0326-60 NITROGLYCERIN 2 % TRANSDERMAL OINT $408.96 0904-0643-60 NITROGLYCERIN 2.5 MG ORAL CPSR $1.78 49483-221-10 NITROGLYCERIN 2.5 MG ORAL CPSR $2.97 99999-039-69 NITROGLYCERIN 200 MCG/ML INJECTION IR (OCM) $105.00 28595-120-49 NITROGLYCERIN 400 MCG/SPRAY TL SPRY "$1,122.38 " 45802-210-01 NITROGLYCERIN 400 MCG/SPRAY TL SPRY "$1,122.38 " 99999-002-30 NITROGLYCERIN 400 MCG/SPRAY TL SPRY $22.78 0517-4810-25 NITROGLYCERIN 50 MG/10 ML (5 MG/ML) IV SOLN $85.62 49483-222-10 NITROGLYCERIN 6.5 MG ORAL CPSR $3.42 49483-223-10 NITROGLYCERIN 9 MG ORAL CPSR $4.02 0338-1047-02 NITROGLYCERIN IN 5 % DEXTROSE 25 MG/250 ML (100 MCG/ML) IV SOLN $105.00 0338-1049-02 NITROGLYCERIN IN 5 % DEXTROSE 50 MG/250 ML (200 MCG/ML) IV SOLN $115.50 0409-1482-02 NITROGLYCERIN IN 5 % DEXTROSE 50 MG/250 ML (200 MCG/ML) IV SOLN $37.50 99999-034-57 NITROGLYCERIN IN 5 % DEXTROSE 50 MG/250 ML (200 MCG/ML) IV SOLN $45.00 0003-3774-12 NIVOLUMAB 100 MG/10 ML IV SOLN "$16,451.10 " 0003-3734-13 NIVOLUMAB 240 MG/24 ML IV SOLN "$39,482.64 " 0003-3772-11 NIVOLUMAB 40 MG/4 ML IV SOLN "$6,580.44 " HC81701468 NK CELL TOTAL COUNT $405.00 HC89021141 NK CELLS TOTAL COUNT(PNL) -CN $129.00 HC89021133 NK FUNCTION ASSAY(PNL) -CN $430.00 HC89020234 NKX2-3 SNP (RS10883365)(PL)-PR $14.40 HC45200037 NM ADRENAL IMAGING "$5,221.00 " HC45200045 NM BONE MARROW LTD AREA "$2,567.00 " HC45200052 NM BONE MARROW MULTI AREA "$3,419.00 " HC45200060 NM BONE MARROW WHOLE BODY "$3,688.00 " HC45200094 NM BONE SCAN 3 PHASE "$4,944.00 " HC45200078 NM BONE SCAN LTD AREA "$3,326.00 " HC45200086 NM BONE SCAN MULTI AREA "$3,880.00 " HC45200110 NM BONE SCAN WHOLE BODY "$4,669.00 " HC45200128 NM BRAIN IMAG 41DAY "$4,815.00 " HC45200300 NM GASTRIC EMPTYING "$4,495.00 " HC45201357 NM GASTRIC EMPTYING SMALL BOWEL "$3,667.00 " HC45200318 NM GASTRIC MUCOSA IMAGING "$2,750.00 " HC45200326 NM GASTRIC REFLUX STUDY "$3,090.00 " HC45200334 NM GASTROINTEST PROTEIN LOSS "$2,402.00 " HC45200342 NM GASTROINTESTINAL BLOOD LOSS "$4,617.00 " 99988-000-38 NM I-123 SODIUM IODIDE DIAGNOSTIC CAPSULE (COMPOUNDED) $991.25 99988-000-32 NM I-131 SODIUM IODIDE DIAGNOSTIC CAPSULE $225.29 99999-041-44 NM I-131 SODIUM IODIDE THERAPEUTIC CAPSULE $461.28 99988-000-44 NM IN-111 LABELED AUTOLOGOUS WBC PER STUDY "$4,062.50 " 99988-000-23 NM IN-111 PENTETREOTIDE (OCTREOSCAN) "$14,950.00 " HC45200375 NM INTRACAV RADIOAC COLLOID TX "$2,768.00 " HC45200383 NM INTRAVASCULAR RAD TX "$2,922.00 " HC45200433 NM KIDNEY FLW/FUNC MULTI STUDY "$4,863.00 " HC45200417 NM KIDNEY IMAG FLOW/FUNCTION "$4,650.00 " HC45200425 NM KIDNEY IMAG FLW/FUNC W/PHAR "$4,316.00 " HC45200391 NM KIDNEY IMAGING MORPHOLOGY "$2,866.00 " HC45200409 NM KIDNEY IMAGING W/VASC FLOW "$3,426.00 " HC45200482 NM LIVER IMAGING STATIC ONLY "$2,989.00 " HC45200490 NM LIVER IMAGING W/VASC FLOW "$3,188.00 " HC45200508 NM LIVER/SPLEEN IMAGING STATIC "$3,629.00 " HC45200516 NM LIVER/SPLEEN W/VASC FLOW "$3,406.00 " HC45200532 NM LYMPH GLAND/NODES IMAGING "$4,878.00 " HC45200540 NM MECKEL'S/BOWEL IMAGING "$4,302.00 " HC45201415 NM MYOCARDIAL SYMPATHETIC INNERV IMAGE "$3,014.00 " HC45201340 NM PARATHYRD SCN W/SPECT & CT "$4,942.00 " HC45201332 NM PARATHYRD SCN W/SPECT W-W/O SUBTR "$4,662.00 " HC45200649 NM PARATHYROID PLANAR IMAG+SUBTR "$3,383.00 " HC45200656 NM PERITON VEN SHUNT PATENCY "$3,105.00 " HC45200664 NM PLASMA VOL MULTI SAMPLE "$2,592.00 " HC45200722 NM RADIONUCLIDE VOIDING CYSTO "$3,270.00 " HC45201407 NM RADIOPHARM QUANTIFICATION MSRMNT SINGLE AREA+ $375.00 HC45200730 NM RED CELL SURVIVAL "$3,158.00 " HC45200748 NM RED CELL VOL SNGL SAMPLE "$2,730.00 " HC45200755 NM SALIVARY GLAND W/SER IMAG "$2,832.00 " HC45200797 NM SHUNT EVALUATION "$3,583.00 " 99988-000-42 NM SIR-SPHERES Y-90 RESIN MICROSPHERES "$96,000.00 " HC45200805 NM SPLEEN SCAN IMAGING ONLY "$2,562.00 " 99999-041-51 NM TC-99M (DPTA) PENTETATE RENAL MHS $867.04 99988-001-25 NM TC-99M (DTPA) PENTETATE 26-40 MCI (AEROSOL) $351.00 99999-041-52 NM TC-99M (DTPA) PENTETATE AEROSOL MHS $902.14 99988-000-25 NM TC-99M (DTPA) PENTETATE UP TO 25 MCI (RENAL) $351.00 99988-001-02 NM TC-99M DISOFENIN DX URINE -AU $10.00 HC89021711 "OPIATES, 1 OR MORE MEC(PNL)-AU" $32.50 42799-217-01 OPIUM TINCTURE 10 MG/ML (MORPHINE) ORAL TINC "$3,705.67 " 62559-153-04 OPIUM TINCTURE 10 MG/ML (MORPHINE) ORAL TINC "$2,700.31 " 99999-033-73 OPIUM TINCTURE 10 MG/ML (MORPHINE) ORAL TINC $31.40 99999-036-17 OPIUM TINCTURE 10 MG/ML (MORPHINE) ORAL TINC $31.40 HC51020279 OPSC NP EST PT LVL I; BRIEF $210.00 HC51020287 OPSC NP EST PT LVL II; LIMITED $235.00 HC51020295 OPSC NP EST PT LVL III;INTERMED $275.00 HC51020303 OPSC NP EST PT LVL IV;EXTENDED $325.00 HC51020311 OPSC NP EST PT LVL V; COMPLEX $400.00 HC51020337 OPSC NP NEW PT LVL II; LIMITED $215.00 HC51020345 OPSC NP NEW PT LVL III;INTERMED $325.00 HC51020352 OPSC NP NEW PT LVL IV;EXTENDED $400.00 HC51020360 OPSC NP NEW PT LVL V; COMPLEX $500.00 HC44001683 OPTIC FORAMINA $452.00 HC74200361 OR TIME ADD'L 15MIN CASE CX LEVEL 1 "$1,158.00 " HC74200379 OR TIME ADD'L 15MIN CASE CX LEVEL 2 "$1,487.00 " HC74200387 OR TIME ADD'L 15MIN CASE CX LEVEL 3 "$1,731.00 " HC74200395 OR TIME ADD'L 15MIN CASE CX LEVEL 4 "$1,919.00 " HC74200403 OR TIME ADD'L 15MIN CASE CX LEVEL 5 "$2,141.00 " HC74200411 OR TIME ADD'L 15MIN CASE CX LEVEL 6 "$2,370.00 " HC74200064 OR TIME ADD'L 15MIN LEVEL 1 "$2,486.00 " HC74200072 OR TIME ADD'L 15MIN LEVEL 2 "$3,016.00 " HC74200080 OR TIME ADD'L 15MIN LEVEL 3 "$3,590.00 " HC74200098 OR TIME ADD'L 15MIN LEVEL 4 "$4,167.00 " HC74200106 OR TIME ADD'L 15MIN LEVEL 5 "$4,591.00 " HC74200114 OR TIME ADD'L 15MIN LEVEL 6 "$5,219.00 " HC74200007 OR TIME INITIAL HR LEVEL 1 "$9,939.00 " HC74200015 OR TIME INITIAL HR LEVEL 2 "$12,067.00 " HC74200023 OR TIME INITIAL HR LEVEL 3 "$14,356.00 " HC74200031 OR TIME INITIAL HR LEVEL 4 "$16,668.00 " HC74200049 OR TIME INITIAL HR LEVEL 5 "$18,362.00 " HC74200056 OR TIME INITIAL HR LEVEL 6 "$20,875.00 " HC74200122 OR TIME INIT'L HR CASE CX LEVEL 1 "$4,654.00 " HC74200130 OR TIME INIT'L HR CASE CX LEVEL 2 "$5,976.00 " HC74200148 OR TIME INIT'L HR CASE CX LEVEL 3 "$6,958.00 " HC74200155 OR TIME INIT'L HR CASE CX LEVEL 4 "$7,714.00 " HC74200163 OR TIME INIT'L HR CASE CX LEVEL 5 "$8,606.00 " HC74200171 OR TIME INIT'L HR CASE CX LEVEL 6 "$9,484.00 " HC41500752 ORBICULARIS OCULI (BLINK) REFLEX $531.00 HC44001691 ORBITS COMPLETE MIN 4 VWS "$1,068.00 " HC89013858 ORGANIC ACID SNGL QUANT UR-AU $182.00 HC89016117 ORGANIC ACIDS TOT QUAL-MA $55.00 HC89009385 ORGANIC ACIDS TOT QUANT UR-AU $100.00 HC89009401 ORGANIC ACIDS TOT QUANT UR-QD $242.00 HC89009351 ORGANIC ACIDS TOTAL QUANT-AU $124.00 HC89022511 OROTIC ACID QUANT URINE -AU $100.25 0185-0022-01 ORPHENADRINE CITRATE 100 MG ORAL TBSR $5.62 17478-538-02 ORPHENADRINE CITRATE 30 MG/ML INJ SOLN $95.16 HC62228119 ORTH ELBOW ADJUST POSITION LOCK PREFAB CUSTOM "$1,434.00 " HC62228127 ORTH EWHO RIGID W/O JOINTS CUSTOM "$2,418.00 " HC62228135 ORTH EWHO W/NONTORSION JOINT(S) CUSTOM "$2,779.00 " HC62228424 ORTH FINGER NONTORSION JOINT CUSTOM $633.00 HC62228275 ORTH FO PIP/DIP W/ JOINT/SPRING PREFAB OTS $189.00 HC62228283 ORTH FO PIP/DIP W/O JOINT/SPRING PREFAB OTS $101.00 HC62228291 ORTH FO W/O JOINTS CUSTOM $611.00 HC62228184 ORTH HFO FLEX GLOVE W/ELSTC FNGR CNTRL PREFAB OTS $374.00 HC62228226 ORTH HFO METACARPAL FRACTURE PREFAB CUSTOM $303.00 HC62228259 ORTH HFO W/NONTORSION JOINT(S) CUSTOM $920.00 HC62228192 ORTH HFO W/O JOINTS CUSTOM $777.00 HC62228267 ORTH HFO W/O JOINTS PREFAB OTS $257.00 HC62228234 ORTH HO METACARPAL FRACTURE PREFAB OTS $303.00 HC62228242 ORTH HO W/O JOINTS CUSTOM $777.00 HC62228150 ORTH WHFO DYNAMIC FLEX HINGE CABLE DRIVEN CUSTOM "$5,759.00 " HC62228168 ORTH WHFO EXT POWERED ELECTRIC CUSTOM "$11,528.00 " HC62228416 ORTH WHFO W/NONTORSION JOINT(S) CUSTOM "$1,303.00 " HC62228143 "ORTH WHFO, RIGID W/O JOINTS CUSTOM" "$1,304.00 " HC62228218 ORTH WHO NONTORSION JOINT(S) PREFAB OTS "$1,525.00 " HC62228200 ORTH WHO W/NONTORSION JOINT(S) PREFAB CUSTOM "$1,525.00 " HC62228176 ORTH WHO W/NONTORSION JOINTS CUSTOM "$2,844.00 " HC44001709 ORTHOPANTOGRAM $679.00 HC62219498 ORTHOSIS ANKLE GAUNTLET PRFB $66.00 HC62219506 ORTHOSIS ANKLE/FT PRFB CUSTMZD C $130.00 HC62219514 ORTHOSIS ANKLE/FT PRFB CUSTMZD D $195.00 HC62223516 ORTHOSIS HUMERAL FRACTURE "$1,170.00 " HC62217955 ORTHOSIS SHOULDER FIGURE 8 PREFAB $239.00 HC62219480 ORTHOTIC AF PREFAB W/FIT& ADJUST $120.00 HC62223490 ORTHOTIC ANKLE FOOT TIBIAL FX RT "$1,669.00 " HC62217161 ORTHOTIC ANKLE RIGID PNEUM/GEL PRFB $33.00 HC62206776 ORTHOTIC FX WRIST PREFAB $177.00 HC62223508 ORTHOTIC HAND SPREADING PREFAB $79.00 HC62217179 ORTHOTIC KNEE ELASTIC W/JOINTS PRFB $46.00 HC62220306 ORTHOTIC KNEE ELSTC W/JNT PRFB CSTM $66.00 HC62223482 ORTHOTIC KNEE W/JNTS PRFB CUSTM A $130.00 HC62219084 ORTHOTIC KNEE W/JNTS PRFB CUSTM C $455.00 HC62220314 ORTHOTIC KNEE W/JNTS PRFB CUSTM O "$1,625.00 " HC62210554 ORTHOTIC LIMB UPPER /WRIST $65.00 HC62223466 ORTHOTIC LMBR1-5SAG PNL ANT/POST CSTM "$1,281.00 " HC62220322 ORTHOTIC TLSO 4MOD SACRO-SCAP PRE "$4,066.00 " HC62217195 ORTHOTIC WHFO 1+JOINT(S) PREFAB $161.00 HC62225164 ORTHOTIC WHFO D-RING A $33.00 HC62225172 ORTHOTIC WHFO D-RING B $65.00 HC62206719 ORTHOTIC WHFO D-RING C $98.00 HC62219860 ORTHOTIC WHFO NEO/INFANT PREFAB A $33.00 HC62210281 ORTHOTIC WHFO NO JOINT CONTOUR E $195.00 HC62210539 ORTHOTIC WHFO NO JOINT RESTING G $325.00 HC62210521 ORTHOTIC WHFO RESTING ADAPTABL B $65.00 HC62224720 ORTHOTIC WHO W/O JOINTS SPICA $111.00 HC51080190 ORTHSS HIPABDCTN CONTROL PAVLIK $520.00 HC62206693 ORTHTC ANKLE CONTROL STIRRUP $72.00 HC62210547 ORTHTC HAND FUNCTIONL POSITION D $130.00 HC51080182 ORTHTC WRIST-HAND NONMOLD PREFAB $244.00 HC44002814 OS CALSIS $622.00 HC41500398 OSCILLAT TRACKING TEST W/REC $495.00 HC36001097 OSCILLATE CHEST WALL MECH EA SESSION $579.00 0004-0802-85 OSELTAMIVIR 30 MG ORAL CAP $83.60 16714-817-01 OSELTAMIVIR 30 MG ORAL CAP $53.99 31722-630-31 OSELTAMIVIR 30 MG ORAL CAP $47.73 33342-256-66 OSELTAMIVIR 30 MG ORAL CAP $44.40 42291-666-10 OSELTAMIVIR 30 MG ORAL CAP $46.90 47781-468-13 OSELTAMIVIR 30 MG ORAL CAP $56.15 64380-797-01 OSELTAMIVIR 30 MG ORAL CAP $47.73 69238-1264-1 OSELTAMIVIR 30 MG ORAL CAP $47.73 72205-042-11 OSELTAMIVIR 30 MG ORAL CAP $9.90 0004-0801-85 OSELTAMIVIR 45 MG ORAL CAP $83.60 16714-818-01 OSELTAMIVIR 45 MG ORAL CAP $52.27 0004-0822-05 OSELTAMIVIR 6 MG/ML ORAL SUSR $911.16 47781-384-26 OSELTAMIVIR 6 MG/ML ORAL SUSR $601.56 68180-678-01 OSELTAMIVIR 6 MG/ML ORAL SUSR $601.56 69238-1273-6 OSELTAMIVIR 6 MG/ML ORAL SUSR $601.56 0004-0800-85 OSELTAMIVIR 75 MG ORAL CAP $91.13 16714-819-01 OSELTAMIVIR 75 MG ORAL CAP $57.38 31722-632-31 OSELTAMIVIR 75 MG ORAL CAP $52.03 42291-664-10 OSELTAMIVIR 75 MG ORAL CAP $47.89 47781-470-13 OSELTAMIVIR 75 MG ORAL CAP $61.21 64380-799-01 OSELTAMIVIR 75 MG ORAL CAP $52.03 69238-1266-1 OSELTAMIVIR 75 MG ORAL CAP $52.03 HC81100679 OSMOLALITY $241.00 HC81100067 OSMOLALITY URINE $258.00 HC81500589 OSMOTIC FRAG INCUBATED $320.00 HC89010755 OSMOTIC FRAGILITY UNINCUBAT-AU $72.73 HC81500571 OSMOTIC FRAGILITY UNINCUBATED $187.00 HC22000079 OST EST PT EVAL LVL 3-(15MIN) $397.00 HC22000053 OST EST PT EVAL LVL1-(5MIN) $210.00 HC22000061 OST EST PT EVAL LVL2-(10MIN) $252.00 HC22000087 OST EST PT EVAL LVL4-(25MIN) $440.00 HC22000095 OST EST PT EVAL LVL5-(40 MIN) $642.00 HC22000012 OST NEW PT EVAL LVL2-(20MIN) $227.00 HC22000020 OST NEW PT EVAL LVL3-(30MIN) $364.00 HC22000038 OST NEW PT EVAL LVL4- (45MIN) $540.00 HC22000046 OST NEW PT EVAL LVL5-(60MIN) $793.00 HC89004097 OSTEOCALCIN-AU $16.00 HC51061141 OSTEOTOMY TIBIA "$10,635.00 " 6845510690 OSTOMY ADHESIVE MISC PSTE $46.27 6845510826 OSTOMY SUPPLIES TOPICAL POWD $36.34 8380007906 OSTOMY SUPPLIES TOPICAL POWD $46.36 HC32001919 OT - RANGE OF MOTION MEASUREMENTS $138.00 HC32001885 OT - STRAPPING; ELBOW OR WRIST $368.00 HC32001893 OT - STRAPPING; HAND OR FINGER $369.00 HC32001877 OT - STRAPPING; SHOULDER $372.00 HC51060341 OT CONSULT TELEPHONE PER 15MIN $47.00 HC51060473 OT CONSULT TELEPHONE PER 15MIN $48.00 HC32000002 OT-ADL 15MIN $238.00 HC32001109 OT-ADL 30MIN/CW $312.00 HC32001117 OT-ADL ADD 15MIN/CW $157.00 HC32001695 OT-APP SPLINT SHORTARM;DYNAMIC $640.00 HC32001638 OT-APPLICATION CAST FINGER $385.00 HC32001620 OT-APPLICATION CAST GAUNTLET $565.00 HC32001604 OT-APPLICATION CAST LONG ARM $701.00 HC32001612 OT-APPLICATION CAST SHORT ARM $637.00 HC32001646 OT-APPLICATION SPLINT LONG ARM $667.00 HC32001653 OT-APPLICATION SPLINT SHORTARM $614.00 HC32001661 OT-APPLIC'SPLINT FINGER STATIC $497.00 HC32001679 OT-APPLY SPLINT FINGER DYNAMIC $543.00 HC32010258 OT-AQUATIC THERAPY 15MIN $239.00 HC32001703 OT-AQUATIC THERAPY 15MIN/M $246.00 HC32000028 OT-ASSESS ASSIST TECH 15MIN/CM $173.00 HC32001752 OT-ASSISTV TECH ASSESS' 30MN/C $293.00 HC32000036 OT-CASE CONFERENCE 30MIN $271.00 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OT-DEVEL TEST ADMIN ASSESS COG INSTR; 1ST HR $369.00 HC32001471 OT-DEVEL TEST PER STANDARD INSTRUMENT(SCREENING) $248.00 HC51060184 OT-DEVEL TEST PER STANDARD INSTRUMENT(SCREENING) $235.00 HC32001588 OT-DRIVING TRAINING 60MIN/W $351.00 HC32001729 OT-DYSPHAG/SWAL TX ADD'L 15MIN/C $180.00 HC32000465 OT-DYSPHAGIA EVAL 75 MIN/MC "$1,438.00 " HC32001786 OT-DYSPHAGIA SCREENING/IP $125.00 HC32001760 OT-DYSPHAGIA/SWALLOW TX 75MIN/M "$1,000.00 " HC51060200 OT-DYSPHAGIA/SWALLOW TX/M $234.00 HC32000861 OT-ELEC STIM/TENS ATT ADD15/CW $178.00 HC32010134 OT-ELEC STIM/TENS ATTD 15MIN $199.00 HC32000101 OT-ELEC STIM/TENS ATTD15MIN/MW $202.00 HC32000853 OT-ELEC STIM/TENS ATTD30MIN/CW $318.00 HC32001182 OT-ELEC STIM/TENS/MCW $276.00 HC32001810 OT-ENDOSCOP EVAL SWALLOW/LARYN "$1,225.00 " HC32001802 OT-ENDOSCOPIC EVAL LARYNGEAL "$1,169.00 " HC32001794 OT-ENDOSCOPIC EVAL SWALLOW "$1,486.00 " HC32001570 OT-EVAL DRIVING REHAB/W "$1,822.00 " HC32001711 OT-EVAL HIGH COMPLEXITY 45MF2F 120MIN "$1,383.00 " 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COMPLEXITY 30MF2F 60MIN $840.00 HC32003329 OT-EVAL MOD COMPLEXITY 30MF2F 90MIN "$1,147.00 " HC32010084 OT-EVAL MOD COMPLEXITY 45MIN F2F [15MIN] $241.00 HC32010118 OT-EVAL SWALLOW CINE/FLUORO [15MIN] $276.00 HC32010357 OT-EVAL SWALLOW CINE/FLUORO 120MIN "$2,125.00 " HC32010365 OT-EVAL SWALLOW CINE/FLUORO 150MIN "$2,500.00 " HC32010373 OT-EVAL SWALLOW CINE/FLUORO 180MIN "$2,875.00 " HC32001836 OT-EVAL SWALLOW CINE/FLUORO 30MIN $809.00 HC32001844 OT-EVAL SWALLOW CINE/FLUORO 45MIN "$1,059.00 " HC32000119 OT-EVAL SWALLOW CINE/FLUORO 60MIN "$1,337.00 " HC32000127 OT-EVAL SWALLOW CINE/FLUORO 90MIN "$1,764.00 " HC51060093 OT-EVAL+REPORT EA ADD 15 MIN/C $89.00 HC51060085 OT-EVAL+REPORT INITIAL 30 MIN/C $200.00 HC32001067 OT-FUNC ACTIVITY 30MIN/CW $354.00 HC32001075 OT-FUNC ACTIVITY ADDL 15MIN/CW $177.00 HC32000135 OT-FUNCTIONAL ACTIVITY 15MIN $247.00 HC32010043 OT-FUNCTIONAL ACTIVITY 15MIN $233.00 HC32000150 OT-GAIT TRAINING 15MIN/M $240.00 HC32001232 OT-GAIT TRAINING 30MIN/CW $354.00 HC32001240 OT-GAIT TRAINING ADD 15MIN/CW $177.00 HC32000218 OT-HOT/COLD PACKS /CMW $132.00 HC32000226 OT-HUBBARD TANK 15MIN/M $236.00 HC32000234 OT-INFRARED/CMW $166.00 HC32000838 OT-INITIAL EVAL ADD 15MIN/CW $211.00 HC32001513 OT-INTERDISCIPLINARY TEAM W/MD $271.00 HC32000887 OT-IONTOPHORESIS ADDL 15/CW $164.00 HC32000309 OT-IONTOPHORESIS 15MIN/MW $223.00 HC32000879 OT-IONTOPHORESIS 30MIN/CW $318.00 HC32001018 OT-MANUAL THER JOINT MOB/W $229.00 HC32000994 OT-MANUAL THER MYOFASC REL/W $229.00 HC32001000 OT-MANUAL THER S0FT TIS MOB/W $237.00 HC32010167 OT-MANUAL THERAPY 15MIN $225.00 HC32000317 OT-MANUAL THERAPY 15MIN/M $236.00 HC32000978 OT-MANUAL THERAPY 30 MIN/CW $330.00 HC32000986 OT-MANUAL THERAPY ADDL 15MIN/CW $169.00 HC32000325 OT-MASSAGE 15MIN/M $208.00 HC32000952 OT-MASSAGE 30MIN/CW $303.00 HC32000960 OT-MASSAGE ADDL 15MIN/CW $159.00 HC32010035 OT-NEUROMUSC RE-ED 15MIN $231.00 HC32000333 OT-NEUROMUSC RE-ED 15MIN/M $235.00 HC32000937 OT-NEUROMUSC RE-ED 30MIN/CW $365.00 HC32000945 OT-NEUROMUSC RE-ED ADD15MIN/CW $183.00 HC32010332 OT-ONLINE ASSESS & MANAGMNT EST PT 11-20MIN $157.00 HC32010340 OT-ONLINE ASSESS & MANAGMNT EST PT 21+MIN $209.00 HC32010324 OT-ONLINE ASSESS & MANAGMNT EST PT 5-10MIN $105.00 HC51060952 OT-ORTHOTIC FIT/TRNG 30MIN/C $245.00 HC32001026 OT-ORTHOTIC FIT/TRNG 30MIN/CW $355.00 HC51060960 OT-ORTHOTIC FIT/TRNG ADD15M/C $119.00 HC32001034 OT-ORTHOTIC FIT/TRNG ADD15M/CW $178.00 HC32010159 OT-ORTHOTIC MGMT & TRNG INITIAL ENC 15MIN $270.00 HC32000358 OT-ORTHOTIC MGMT & TRNG INITIAL ENC 15MIN/M $270.00 HC51060929 OT-ORTHOTIC MGMT & TRNG INITIAL ENC 15MIN/M $164.00 HC32010183 OT-ORTHOTIC/PROSTH MGMT/TRAIN SUBSQ 15MIN $218.00 HC32000341 OT-ORTHOTIC/PROSTH MGMT/TRAIN SUBSQ 15MIN/M $228.00 HC51060945 OT-ORTHOTIC/PROSTH MGMT/TRAIN SUBSQ 15MIN/M $169.00 HC32000366 OT-PARAFFIN BATH /CMW $159.00 HC32000143 OT-PHYS PERFORM TEST 15 MIN/MW $203.00 HC32010274 OT-PROSTHETIC MGMT & TRNG INITIAL ENC 15MIN $213.00 HC32000374 OT-PROSTHETIC MGMT & TRNG INITIAL ENC 15MIN/M $214.00 HC51060937 OT-PROSTHETIC MGMT & TRNG INITIAL ENC 15MIN/M $159.00 HC32001042 OT-PROSTHETIC TRNG 30MIN/CW $322.00 HC32001059 OT-PROSTHETIC TRNG ADD15MIN/CW $166.00 HC32000846 OT-RE-EVAL ADDL 15MIN/CW $186.00 HC32010100 OT-RE-EVAL EST POC [15MIN] $225.00 HC32000382 OT-RE-EVAL EST POC 15MIN $279.00 HC32000390 OT-RE-EVAL EST POC 30MIN $484.00 HC32000408 OT-RE-EVAL EST POC 45MIN $700.00 HC32000416 OT-RE-EVAL EST POC 60MIN $930.00 HC32001273 OT-RE-EVAL EST POC 75MIN "$1,043.00 " HC32001281 OT-RE-EVAL EST POC 90MIN "$1,233.00 " HC32001505 OT-REMOVE/BIVAL CAST FULL LIMB $600.00 HC32001497 OT-REMOVE/BIVAL CAST SHRT LIMB $551.00 HC32010019 OT-SELF/HOME MGMT/ADL 15MIN $233.00 HC32010241 OT-SENSORY INTEGRT TECH 15MIN $209.00 HC32001216 OT-SENSRY INTEGR TECH 30MIN/CW $336.00 HC32001224 OT-SENSRY INTEGR TECH ADD15/CW $172.00 HC32000424 OT-SENSRY INTEGRT TECH 15MIN $204.00 HC51060689 OT-SWALLOWING EVAL $203.00 HC32010068 OT-SWALLOWING EVAL [15MIN] $253.00 HC32000481 OT-SWALLOWING EVAL 120MIN "$1,726.00 " HC32001828 OT-SWALLOWING EVAL 15MIN $491.00 HC32000432 OT-SWALLOWING EVAL 30MIN $829.00 HC32000440 OT-SWALLOWING EVAL 45MIN "$1,049.00 " HC32000457 OT-SWALLOWING EVAL 60MIN "$1,349.00 " HC32000473 OT-SWALLOWING EVAL 90MIN "$1,555.00 " HC32010027 OT-SWALLOWING THERAPY [15MIN] $251.00 HC32000499 OT-SWALLOWING THERAPY 15 MIN $356.00 HC32000507 OT-SWALLOWING THERAPY 30 MIN $537.00 HC32000515 OT-SWALLOWING THERAPY 45 MIN $805.00 HC32000523 OT-SWALLOWING THERAPY 60 MIN "$1,039.00 " HC32000531 OT-SWALLOWING THERAPY 90 MIN "$1,327.00 " HC51060101 OT-TEAM CASE CONFERENCE EA 15MIN/C $48.00 HC32001323 OT-TEAM CONF W/MD >30MIN(NO PT) $271.00 HC32001331 OT-TEAM CONF W/NONMD>30MIN(NO PT) $261.00 HC32001414 OT-TEAM CONF W/PT &3D 30MINOR> $289.00 HC32010050 OT-THER EXER 15MIN $234.00 HC32000549 OT-THER EXER 15MIN/M $241.00 HC32000911 OT-THER EXER 30MIN/CW $386.00 HC32010126 OT-THER PROC GROUP [15MIN] $89.00 HC32000556 OT-THER PROC GRP ADD 15MIN/CW $98.00 HC32001539 OT-THER PROC GRP 120MIN/MC $409.00 HC32001299 OT-THER PROC GRP 1ST 30MIN/MW $193.00 HC32001356 OT-THER PROC GRP 30MIN/CMW $193.00 HC32001364 OT-THER PROC GRP 45MIN/M $241.00 HC32001307 OT-THER PROC GRP 45MIN/MC $233.00 HC32001372 OT-THER PROC GRP 60MIN/M $389.00 HC32001315 OT-THER PROC GRP 60MIN/MC $389.00 HC32001521 OT-THER PROC GRP 90MIN/MC $431.00 HC32000564 OT-TRACTION/MECHANICAL/CMW $204.00 HC32000929 OT-TREATMENT ADD 15 MIN/CW $196.00 HC32001380 OT-TRTMNT(ANY) INIT'L 30MIN $355.00 HC32000903 OT-ULTRASOUND ADD 15MIN/CW $157.00 HC32010316 OT-ULTRASOUND 15MIN $182.00 HC32000572 OT-ULTRASOUND 15MIN/MW $190.00 HC32000895 OT-ULTRASOUND 30MIN/CW $303.00 HC32001448 OT-WD SEL DEBRID<20CM 15MIN+/C $192.00 HC32000663 OT-WHEELCHAIR MGT 15MIN $217.00 HC32010142 OT-WHEELCHAIR MGT 15MIN $215.00 HC32001125 OT-WHEELCHAIR MGT 30MIN/C $349.00 HC32001133 OT-WHEELCHAIR MGT ADD15MIN/C $173.00 HC32000671 OT-WHIRLPOOL-EXTREMITY/CMW $332.00 HC32001687 OT-WINDOWING CAST $427.00 HC32000705 OT-WORK HARDENING ADD 1HR/CMW+ $387.00 HC32000697 OT-WORK HARDENING INIT 2HR/CMW $711.00 HC32000713 OT-WOUND NON-SEL DEB 15MIN/MW $201.00 HC32000721 OT-WOUND NON-SEL DEB 30MIN/CMW $382.00 HC32000739 OT-WOUND NON-SEL DEB 45MIN/MW $571.00 HC32000747 OT-WOUND NON-SEL DEB 60MIN/MW $742.00 HC32000754 OT-WOUND VAC 15MIN<50 SQ CM/M $191.00 HC32001455 OT-WOUND VAC 15MIN<50 SQ CM+/C $171.00 HC32000796 OT-WOUND VAC 15MIN>50 SQ CM/M $205.00 HC32001463 OT-WOUND VAC 15MIN>50 SQ CM+/C $182.00 HC32000762 OT-WOUND VAC 30MIN<50 SQ CM/CM $339.00 HC32000804 OT-WOUND VAC 30MIN>50 SQ CM/CM $370.00 HC32000770 OT-WOUND VAC 45MIN<50 SQ CM/M $393.00 HC32000812 OT-WOUND VAC 45MIN>50 SQ CM/M $472.00 HC32000820 OT-WOUND VAC 60>50 SQ CM/M $631.00 HC32000788 OT-WOUND VAC 60MIN<50 SQ CM/M $513.00 HC84200757 OVA/PARASITE-CONC PREP W/SMEAR $171.00 HC62222344 OVERTUBE ENDOSCOPIC A $650.00 HC62227491 OVERTUBE ENDOSCOPIC B $975.00 HC62220132 OVERTUBE ENDOSCOPIC C "$1,300.00 " HC62220140 OVERTUBE ENDOSCOPIC D "$1,625.00 " HC62209689 OVERTUBE ESOPHAGEAL $504.00 HC62225396 OVERTUBE LIGATNG HEMOSTATC ENDO $325.00 0781-3099-85 OXACILLIN 1 GRAM INJ SOLR $70.07 0781-3099-95 OXACILLIN 1 GRAM INJ SOLR $70.07 25021-146-10 OXACILLIN 1 GRAM INJ SOLR $67.50 0781-3101-80 OXACILLIN 2 GRAM INJ SOLR $135.95 0781-3101-95 OXACILLIN 2 GRAM INJ SOLR $135.95 25021-162-24 OXACILLIN 2 GRAM INJ SOLR $135.00 99999-035-61 OXACILLIN IV (FOR DESENSITIZATION USE) $1.00 HC89009443 OXALATE URINE-AU $21.00 HC89000806 OXALATE URINE-QD $14.00 47335-178-40 OXALIPLATIN 100 MG IV SOLR "$3,180.00 " 0781-3317-80 OXALIPLATIN 100 MG/20 ML IV SOLN $600.00 0781-9317-80 OXALIPLATIN 100 MG/20 ML IV SOLN $600.00 16729-332-05 OXALIPLATIN 100 MG/20 ML IV SOLN $600.00 25021-233-20 OXALIPLATIN 100 MG/20 ML IV SOLN $600.00 61703-363-22 OXALIPLATIN 100 MG/20 ML IV SOLN $521.04 0703-3985-01 OXALIPLATIN 5 MG/ML IV SOLN (MCH) $300.00 25021-233-10 OXALIPLATIN 5 MG/ML IV SOLN (MCH) $300.00 0781-3315-70 OXALIPLATIN 50 MG/10 ML (5 MG/ML) IV SOLN $300.00 0781-9315-70 OXALIPLATIN 50 MG/10 ML (5 MG/ML) IV SOLN $300.00 61703-363-18 OXALIPLATIN 50 MG/10 ML (5 MG/ML) IV SOLN $260.52 99999-033-48 OXALIPLATIN IV SOLN (FOR DESENSITIZATION USE) (MHS) $1.50 49884-301-01 OXANDROLONE 2.5 MG ORAL TAB $25.95 54396-111-11 OXANDROLONE 2.5 MG ORAL TAB $39.25 0228-2067-10 OXAZEPAM 10 MG ORAL CAP $5.76 0781-2809-01 OXAZEPAM 10 MG ORAL CAP $3.49 62584-812-01 OXAZEPAM 10 MG ORAL CAP $11.93 62584-812-11 OXAZEPAM 10 MG ORAL CAP $11.93 62756-183-88 OXCARBAZEPINE 150 MG ORAL TAB $1.80 68084-845-01 OXCARBAZEPINE 150 MG ORAL TAB $3.23 68084-845-11 OXCARBAZEPINE 150 MG ORAL TAB $3.23 62756-184-88 OXCARBAZEPINE 300 MG ORAL TAB $3.30 68084-853-01 OXCARBAZEPINE 300 MG ORAL TAB $5.30 68084-853-11 OXCARBAZEPINE 300 MG ORAL TAB $5.30 0054-0199-59 OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSP $993.00 0078-0357-52 OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSP "$2,412.00 " 65162-649-78 OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSP $993.00 0781-6270-43 OXCARBAZEPINE 300 MG/5 ML ORAL SUSP (MCH) $993.00 99999-042-30 OXCARBAZEPINE 75 MG ORAL PARTIAL TAB $1.00 HC89006845 OXCARBAZEPINE METABOLITE-AU $20.00 HC89006852 OXCARBAZEPINE METABOLITE-QD $60.00 HC62211370 OXISENSOR ADULT OR PEDS $33.00 99999-009-24 OXYBUTYNIN CHLORIDE 1 MG/1 ML ORAL LIQUID $3.30 10135-610-01 OXYBUTYNIN CHLORIDE 10 MG ORAL TR24 $4.77 16729-318-01 OXYBUTYNIN CHLORIDE 10 MG ORAL TR24 $3.00 50268-628-11 OXYBUTYNIN CHLORIDE 10 MG ORAL TR24 $18.35 50268-628-15 OXYBUTYNIN CHLORIDE 10 MG ORAL TR24 $18.35 51079-723-01 OXYBUTYNIN CHLORIDE 10 MG ORAL TR24 $16.37 51079-723-20 OXYBUTYNIN CHLORIDE 10 MG ORAL TR24 $16.37 62175-271-37 OXYBUTYNIN CHLORIDE 10 MG ORAL TR24 $4.45 65162-372-10 OXYBUTYNIN CHLORIDE 10 MG ORAL TR24 $4.45 68084-610-11 OXYBUTYNIN CHLORIDE 10 MG ORAL TR24 $16.22 68084-610-21 OXYBUTYNIN CHLORIDE 10 MG ORAL TR24 $16.22 68382-256-01 OXYBUTYNIN CHLORIDE 10 MG ORAL TR24 $3.21 68382-256-05 OXYBUTYNIN CHLORIDE 10 MG ORAL TR24 $3.20 0603-4975-21 OXYBUTYNIN CHLORIDE 5 MG ORAL TAB $2.92 0832-0038-00 OXYBUTYNIN CHLORIDE 5 MG ORAL TAB $1.00 0832-0038-01 OXYBUTYNIN CHLORIDE 5 MG ORAL TAB $2.77 0832-0038-89 OXYBUTYNIN CHLORIDE 5 MG ORAL TAB $3.60 0904-2821-61 OXYBUTYNIN CHLORIDE 5 MG ORAL TAB $3.60 10702-201-01 OXYBUTYNIN CHLORIDE 5 MG ORAL TAB $1.00 50111-456-01 OXYBUTYNIN CHLORIDE 5 MG ORAL TAB $2.62 68084-400-01 OXYBUTYNIN CHLORIDE 5 MG ORAL TAB $2.74 68084-400-11 OXYBUTYNIN CHLORIDE 5 MG ORAL TAB $2.74 0904-6570-06 OXYBUTYNIN CHLORIDE 5 MG ORAL TR24 $16.79 0904-6570-61 OXYBUTYNIN CHLORIDE 5 MG ORAL TR24 $13.74 50268-627-11 OXYBUTYNIN CHLORIDE 5 MG ORAL TR24 $15.80 50268-627-15 OXYBUTYNIN CHLORIDE 5 MG ORAL TR24 $15.80 51079-722-01 OXYBUTYNIN CHLORIDE 5 MG ORAL TR24 $16.37 51079-722-20 OXYBUTYNIN CHLORIDE 5 MG ORAL TR24 $16.37 62175-270-37 OXYBUTYNIN CHLORIDE 5 MG ORAL TR24 $4.44 63739-548-33 OXYBUTYNIN CHLORIDE 5 MG ORAL TR24 $17.39 65162-371-10 OXYBUTYNIN CHLORIDE 5 MG ORAL TR24 $4.44 68382-255-01 OXYBUTYNIN CHLORIDE 5 MG ORAL TR24 $3.20 54838-510-80 OXYBUTYNIN CHLORIDE 5 MG/5 ML ORAL SYRP $102.17 60432-092-16 OXYBUTYNIN CHLORIDE 5 MG/5 ML ORAL SYRP $119.20 59011-410-20 OXYCODONE 10 MG ORAL TR12 $26.03 0406-8515-01 OXYCODONE 15 MG ORAL TAB $2.96 0406-8515-23 OXYCODONE 15 MG ORAL TAB $5.94 0406-8515-62 OXYCODONE 15 MG ORAL TAB $5.94 42858-003-01 OXYCODONE 15 MG ORAL TAB $1.42 59011-415-10 OXYCODONE 15 MG ORAL TR12 $37.33 59011-415-20 OXYCODONE 15 MG ORAL TR12 $38.29 59011-420-20 OXYCODONE 20 MG ORAL TR12 $48.50 59011-440-20 OXYCODONE 40 MG ORAL TR12 $83.03 0406-0552-01 OXYCODONE 5 MG ORAL TAB $1.95 0406-0552-23 OXYCODONE 5 MG ORAL TAB $2.70 0406-0552-62 OXYCODONE 5 MG ORAL TAB $2.73 0904-6966-61 OXYCODONE 5 MG ORAL TAB $1.97 42858-001-10 OXYCODONE 5 MG ORAL TAB $2.70 57664-223-88 OXYCODONE 5 MG ORAL TAB $1.53 0054-0390-63 OXYCODONE 5 MG/5 ML ORAL SOLN $684.00 50383-961-34 OXYCODONE 5 MG/5 ML ORAL SOLN $372.00 99999-041-29 OXYCODONE 5 MG/5 ML ORAL SOLN $1.86 HC89019756 OXYCODONE CONFIRM URINE -AU $10.00 HC89021752 OXYCODONE MEC(PNL)-AU $32.50 HC89022123 OXYCODONE SERUM QNT(PNL) -AU $28.00 0406-0523-01 OXYCODONE-ACETAMINOPHEN 10-325 MG ORAL TAB $2.96 0406-0523-23 OXYCODONE-ACETAMINOPHEN 10-325 MG ORAL TAB $11.34 0406-0523-62 OXYCODONE-ACETAMINOPHEN 10-325 MG ORAL TAB $11.36 0904-6439-61 OXYCODONE-ACETAMINOPHEN 10-325 MG ORAL TAB $8.28 13107-046-01 OXYCODONE-ACETAMINOPHEN 10-325 MG ORAL TAB $1.21 42858-104-01 OXYCODONE-ACETAMINOPHEN 10-325 MG ORAL TAB $1.80 42858-104-50 OXYCODONE-ACETAMINOPHEN 10-325 MG ORAL TAB $1.26 50268-646-11 OXYCODONE-ACETAMINOPHEN 10-325 MG ORAL TAB $7.54 50268-646-15 OXYCODONE-ACETAMINOPHEN 10-325 MG ORAL TAB $7.54 53746-204-01 OXYCODONE-ACETAMINOPHEN 10-325 MG ORAL TAB $3.00 60951-712-70 OXYCODONE-ACETAMINOPHEN 10-325 MG ORAL TAB $8.54 68084-710-01 OXYCODONE-ACETAMINOPHEN 10-325 MG ORAL TAB $10.31 68084-710-11 OXYCODONE-ACETAMINOPHEN 10-325 MG ORAL TAB $10.31 68308-480-47 OXYCODONE-ACETAMINOPHEN 10-325 MG ORAL TAB $10.80 0406-0512-01 OXYCODONE-ACETAMINOPHEN 5-325 MG ORAL TAB $1.00 0406-0512-23 OXYCODONE-ACETAMINOPHEN 5-325 MG ORAL TAB $2.46 0406-0512-62 OXYCODONE-ACETAMINOPHEN 5-325 MG ORAL TAB $2.44 0904-6437-61 OXYCODONE-ACETAMINOPHEN 5-325 MG ORAL TAB $1.78 60951-602-70 OXYCODONE-ACETAMINOPHEN 5-325 MG ORAL TAB $1.50 68084-355-01 OXYCODONE-ACETAMINOPHEN 5-325 MG ORAL TAB $2.35 68084-355-11 OXYCODONE-ACETAMINOPHEN 5-325 MG ORAL TAB $2.35 0406-0522-01 OXYCODONE-ACETAMINOPHEN 7.5-325 MG ORAL TAB $2.96 0406-0522-23 OXYCODONE-ACETAMINOPHEN 7.5-325 MG ORAL TAB $9.60 0406-0522-62 OXYCODONE-ACETAMINOPHEN 7.5-325 MG ORAL TAB $9.62 0904-6438-61 OXYCODONE-ACETAMINOPHEN 7.5-325 MG ORAL TAB $7.01 13107-045-01 OXYCODONE-ACETAMINOPHEN 7.5-325 MG ORAL TAB $1.00 68084-699-01 OXYCODONE-ACETAMINOPHEN 7.5-325 MG ORAL TAB $8.54 68084-699-11 OXYCODONE-ACETAMINOPHEN 7.5-325 MG ORAL TAB $8.54 68308-475-47 OXYCODONE-ACETAMINOPHEN 7.5-325 MG ORAL TAB $9.14 HC62210257 OXYGENATOR ECMO "$4,281.00 " HC62220785 OXYGENATOR ECMO PEDS "$6,452.00 " HC62211149 OXYGENATOR PEDIATRIC C "$2,048.00 " HC62222096 OXYGENATOR PEDIATRIC I "$3,900.00 " 1093941433 OXYMETAZOLINE 0.05 % NASL SPRY $10.26 2390001252 OXYMETAZOLINE 0.05 % NASL SPRY $30.15 0904-6761-30 OXYMETAZOLINE 0.05 % NASL SPRY $9.54 0904-7006-35 OXYMETAZOLINE 0.05 % NASL SPRY $15.00 11523-1159-1 OXYMETAZOLINE 0.05 % NASL SPRY $33.84 37000-803-01 OXYMETAZOLINE 0.05 % NASL SPRY $30.15 49348-028-27 OXYMETAZOLINE 0.05 % NASL SPRY $11.16 42023-116-02 OXYTOCIN 10 UNIT/ML INJ SOLN $63.60 42023-116-25 OXYTOCIN 10 UNIT/ML INJ SOLN $21.60 63323-012-02 OXYTOCIN 10 UNIT/ML INJ SOLN $300.00 63323-012-03 OXYTOCIN 10 UNIT/ML INJ SOLN $18.00 63323-012-06 OXYTOCIN 10 UNIT/ML INJ SOLN $100.00 63323-012-10 OXYTOCIN 10 UNIT/ML INJ SOLN $46.80 63323-012-11 OXYTOCIN 10 UNIT/ML INJ SOLN $18.00 63323-012-30 OXYTOCIN 10 UNIT/ML INJ SOLN $151.20 71285-6044-1 OXYTOCIN IN 0.9 % SOD CHLORIDE 30 UNIT/500 ML IV SOLN $48.00 72196-6044-1 OXYTOCIN IN 0.9 % SOD CHLORIDE 30 UNIT/500 ML IV SOLN $60.00 99999-044-29 OXYTOCIN IN 0.9 % SOD CHLORIDE 30 UNIT/500 ML IV SOLN $48.00 99999-044-30 OXYTOCIN IN 0.9 % SOD CHLORIDE 30 UNIT/500 ML IV SOLN $60.00 99999-044-31 OXYTOCIN IN 0.9 % SOD CHLORIDE 30 UNIT/500 ML IV SOLN $48.00 HC25005646 PACING TRANSCUTANEOUS TEMPORARY $967.00 HC62205117 PACK ACL $306.00 HC62205133 PACK ANGIO $585.00 HC62205125 PACK ANGIO COMBO $553.00 HC62205141 PACK ARTHROSCOPY $81.00 HC62205158 PACK ARTHROSCOPY ACCESSORY $130.00 HC62205166 PACK BASIC $272.00 HC62205174 PACK CARDIAC ACCESSORY "$1,164.00 " HC62205182 PACK CAROTID $81.00 HC62205190 PACK CAT SCAN PROCEDURE $29.00 HC62211487 PACK CATARACT CUSTOM "$1,112.00 " HC62213707 PACK CATARACT CUSTOM W/O BSS $174.00 HC62205208 PACK CELL SAVER $998.00 HC62211107 PACK CELL SAVER TUBING $211.00 HC62205216 PACK CRANIOTOMY $170.00 HC62205224 PACK C-SECTION $101.00 HC62205240 PACK CYSTOSCOPY $81.00 HC62205257 PACK ENDOSCOPY $130.00 HC62205265 PACK EYE $202.00 HC62205273 PACK FACET INJECTION $116.00 HC62205281 PACK GEN/GYN $117.00 HC62205299 PACK HIP TOTAL $251.00 HC62205307 PACK KNEE TOTAL $205.00 HC62208483 PACK KYPHOPLASTY $86.00 HC62205315 PACK LAMINECTOMY $192.00 HC62205323 PACK LAP CHOLE $152.00 HC62213327 PACK LAP GASTRIC BY-PASS "$10,117.00 " HC62205331 PACK LAPAROSCOPIC $147.00 HC62205349 PACK LAPAROTOMY $137.00 HC62205356 PACK LEFT HEART $618.00 HC62205364 PACK LITHOTOMY $65.00 HC62210935 PACK LVAD/RVAD $975.00 HC62205372 PACK MAJOR $68.00 HC62205380 PACK MINOR $55.00 HC62213863 PACK MINOR ACCESSORY $35.00 HC62205398 PACK NEURO "$1,171.00 " HC62204102 PACK OPEN HEART $195.00 HC62205406 PACK ORTHO ACCESSARY $98.00 HC62205414 PACK ORTHO MAJOR $893.00 HC62210984 PACK PERFUSION - ADULT "$2,974.00 " HC62211156 PACK SUCTION SUPPLEMENT $147.00 HC62205430 PACK TOTAL JOINT $230.00 HC62210265 PACK TUBING ECMO "$1,058.00 " HC62205448 PACK UNIVERSAL $130.00 HC62205455 PACK UROLOGY CYSTO MAJOR $130.00 HC62205463 PACK UROLOGY CYSTO MINOR $117.00 HC62205471 PACK VAGINAL DELIVERY $98.00 HC62205489 PACK VASCULAR $792.00 HC62213731 PACK VITRECTOMY W/O BSS $168.00 HC62205505 PACKING IODOFROM $117.00 HC62223797 PACKING NASAL A $33.00 HC62223805 PACKING NASAL B $65.00 HC62204797 PACKING NASAL C $98.00 HC62223813 PACKING NASAL E $195.00 HC62205513 PACKING NUGAUZE $29.00 HC62205521 PACKING VAGINAL $104.00 HC62204805 PACKING/BALLOON NASAL F $260.00 0703-3217-01 PACLITAXEL 6 MG/ML IV CONC $396.00 44567-506-01 PACLITAXEL 6 MG/ML IV CONC $594.00 47781-595-07 PACLITAXEL 6 MG/ML IV CONC $330.00 61703-342-22 PACLITAXEL 6 MG/ML IV CONC $156.57 61703-342-50 PACLITAXEL 6 MG/ML IV CONC $387.00 63323-763-50 PACLITAXEL 6 MG/ML IV CONC $775.80 63323-763-52 PACLITAXEL 6 MG/ML IV CONC $775.80 70860-200-05 PACLITAXEL 6 MG/ML IV CONC $81.00 70860-200-17 PACLITAXEL 6 MG/ML IV CONC $236.97 70860-200-50 PACLITAXEL 6 MG/ML IV CONC $708.00 99999-033-43 PACLITAXEL IV SOLN (FOR DESENSITIZATION USE) (MHS) $4.08 68817-134-50 PACLITAXEL-PROTEIN BOUND 100 MG IV SUSR "$8,681.46 " HC78600012 PACU I 15MIN (SUBSEQUENT) $622.00 HC78600004 PACU I 1ST HOUR (INITIAL) "$2,483.00 " HC78600046 PACU II 15MIN (SUBSEQUENT) $382.00 HC78600053 PACU II 1ST HOUR (INITIAL) "$1,527.00 " HC62205539 PAD ACRYLON $196.00 HC62217187 PAD BOOT $252.00 HC62205547 PAD BREAST $20.00 HC62212352 PAD COLLAR REPLACEMENT $68.00 HC62205554 PAD CPM $139.00 HC62228671 PAD DEFIBRILLATION/ECG $57.00 HC62205562 PAD DEFIBRILLATION/ECG D $104.00 HC62208491 PAD EXTERNAL CLOSURE $209.00 HC62205570 PAD GROUNDING $65.00 HC62222856 PAD GROUNDING A $33.00 HC62205596 PAD INCONTINENT/AIR THERAPY $126.00 HC62200035 PAD MAMMOGRAPHY $9.00 HC62205604 PAD SPECIALTY/HYPER/OTHERMIA $176.00 HC62211826 PAD STOMA TRACHEOSTOMY $52.00 HC62211628 PAD TEMP MNGMNT SYSTEM/BOX "$1,079.00 " HC62205612 PAD/PROTECTOR HEEL ELBOW $52.00 HC62208756 PADS BREAST HYDROGEL $29.00 HC62208970 PADS DEFIBRILLATOR HANDS FREE $148.00 HC62205620 PADS WITCH HAZEL (TUCKS) $13.00 HC62222864 PAIN PUMP W/ SYSTEM K $585.00 HC62222872 PAIN PUMP W/ SYSTEM M $780.00 HC62205638 PAIN PUMP W/ SYSTEM Q "$1,300.00 " HC62222880 PAIN PUMP W/ SYSTEM S "$1,950.00 " HC21000518 PAIRING BENIGN LESION: 1 $408.00 HC21000534 PAIRING BENIGN LESIONS: >4 $862.00 HC21000526 PAIRING BENIGN LESIONS: 2-4 $606.00 HC89020291 PALATINASE (DISACCHARIDASE)-AU $38.00 10147-0952-3 PALIPERIDONE 3 MG ORAL TR24 $152.64 50458-550-01 PALIPERIDONE 3 MG ORAL TR24 $240.43 50458-551-01 PALIPERIDONE 6 MG ORAL TR24 $240.43 60574-4113-1 PALIVIZUMAB 100 MG/ML IM SOLN "$17,824.08 " 60574-4114-1 PALIVIZUMAB 50 MG/0.5 ML IM SOLN "$9,439.32 " HC65800013 PALLADIUM-103 NONSTRND PER SOURCE $358.00 HC65800112 PALLADIUM-103 STRANDED PER SOURCE $390.00 0781-3312-75 PALONOSETRON 0.25 MG/5 ML IV SOLN "$1,630.80 " 25021-783-05 PALONOSETRON 0.25 MG/5 ML IV SOLN $600.00 55111-694-07 PALONOSETRON 0.25 MG/5 ML IV SOLN $600.00 60505-6193-1 PALONOSETRON 0.25 MG/5 ML IV SOLN $840.00 62856-797-01 PALONOSETRON 0.25 MG/5 ML IV SOLN "$1,200.00 " 63323-673-05 PALONOSETRON 0.25 MG/5 ML IV SOLN "$1,058.40 " 67457-317-25 PALONOSETRON 0.25 MG/5 ML IV SOLN $150.00 69639-103-01 PALONOSETRON 0.25 MG/5 ML IV SOLN $300.00 59923-601-10 PAMIDRONATE 30 MG IV SOLR $112.74 61703-324-18 PAMIDRONATE 30 MG/10 ML (3 MG/ML) IV SOLN $82.86 63323-734-10 PAMIDRONATE 30 MG/10 ML (3 MG/ML) IV SOLN $211.50 67457-430-10 PAMIDRONATE 30 MG/10 ML (3 MG/ML) IV SOLN $162.00 61703-325-18 PAMIDRONATE 60 MG/10 ML (6 MG/ML) IV SOLN $168.24 59923-603-10 PAMIDRONATE 90 MG IV SOLR $338.22 61703-326-18 PAMIDRONATE 90 MG/10 ML (9 MG/ML) IV SOLN $215.10 63323-735-10 PAMIDRONATE 90 MG/10 ML (9 MG/ML) IV SOLN $633.60 67457-446-10 PAMIDRONATE 90 MG/10 ML (9 MG/ML) IV SOLN $561.36 HC89021349 PAN-ASPERGILLUS-VC $132.00 HC89004618 PANCA IGG (PNL)-PR $32.00 HC89020192 PANCA INDIRECT IGG 1ST STAIN(PN)-PR $120.00 HC89020945 PANCREATIC ELASTERASE FEC-AU $70.00 HC89008643 PANCREATIC POLYPEPTIDE-AU $87.13 0409-4646-01 PANCURONIUM 1 MG/ML IV SOLN $31.14 55513-954-01 PANITUMUMAB 20 MG/ML IV SOLN (MCH) "$7,697.94 " 99999-012-98 PANTOPRAZOLE 2 MG/ML ORAL LIQUID $1.00 13668-096-90 PANTOPRAZOLE 20 MG ORAL TBEC $1.00 31722-712-90 PANTOPRAZOLE 20 MG ORAL TBEC $1.00 50268-636-11 PANTOPRAZOLE 20 MG ORAL TBEC $1.67 50268-636-15 PANTOPRAZOLE 20 MG ORAL TBEC $1.67 65162-636-09 PANTOPRAZOLE 20 MG ORAL TBEC $1.00 65862-559-90 PANTOPRAZOLE 20 MG ORAL TBEC $1.00 68084-643-01 PANTOPRAZOLE 20 MG ORAL TBEC $1.48 68084-643-11 PANTOPRAZOLE 20 MG ORAL TBEC $1.48 0008-0923-51 PANTOPRAZOLE 40 MG IV SOLR $30.00 0008-0923-55 PANTOPRAZOLE 40 MG IV SOLR $30.00 0008-0923-60 PANTOPRAZOLE 40 MG IV SOLR $30.00 0008-0941-01 PANTOPRAZOLE 40 MG IV SOLR $30.00 0008-0941-03 PANTOPRAZOLE 40 MG IV SOLR $30.00 0143-9284-01 PANTOPRAZOLE 40 MG IV SOLR $39.00 0143-9284-10 PANTOPRAZOLE 40 MG IV SOLR $39.00 0143-9300-01 PANTOPRAZOLE 40 MG IV SOLR $20.40 0143-9300-10 PANTOPRAZOLE 40 MG IV SOLR $20.40 0781-3232-94 PANTOPRAZOLE 40 MG IV SOLR $29.40 0781-3232-95 PANTOPRAZOLE 40 MG IV SOLR $29.40 55150-202-00 PANTOPRAZOLE 40 MG IV SOLR $30.00 55150-202-10 PANTOPRAZOLE 40 MG IV SOLR $30.00 62756-129-40 PANTOPRAZOLE 40 MG IV SOLR $60.00 62756-129-44 PANTOPRAZOLE 40 MG IV SOLR $30.00 72572-550-01 PANTOPRAZOLE 40 MG IV SOLR $16.80 72572-550-10 PANTOPRAZOLE 40 MG IV SOLR $16.80 0008-0841-81 PANTOPRAZOLE 40 MG ORAL TBEC $94.91 0378-6689-10 PANTOPRAZOLE 40 MG ORAL TBEC $1.00 0378-6689-77 PANTOPRAZOLE 40 MG ORAL TBEC $1.00 0904-6474-61 PANTOPRAZOLE 40 MG ORAL TBEC $1.80 31722-713-90 PANTOPRAZOLE 40 MG ORAL TBEC $1.00 35573-428-51 PANTOPRAZOLE 40 MG ORAL TBEC $2.26 35573-428-80 PANTOPRAZOLE 40 MG ORAL TBEC $2.26 50268-639-11 PANTOPRAZOLE 40 MG ORAL TBEC $1.31 50268-639-15 PANTOPRAZOLE 40 MG ORAL TBEC $1.31 51079-051-01 PANTOPRAZOLE 40 MG ORAL TBEC $1.71 51079-051-20 PANTOPRAZOLE 40 MG ORAL TBEC $1.71 55111-333-90 PANTOPRAZOLE 40 MG ORAL TBEC $1.36 62175-181-46 PANTOPRAZOLE 40 MG ORAL TBEC $1.00 62175-617-43 PANTOPRAZOLE 40 MG ORAL TBEC $1.00 63739-564-10 PANTOPRAZOLE 40 MG ORAL TBEC $1.72 65162-637-09 PANTOPRAZOLE 40 MG ORAL TBEC $1.00 65862-560-90 PANTOPRAZOLE 40 MG ORAL TBEC $1.00 66993-068-51 PANTOPRAZOLE 40 MG ORAL TBEC $2.26 66993-068-80 PANTOPRAZOLE 40 MG ORAL TBEC $2.26 68084-813-09 PANTOPRAZOLE 40 MG ORAL TBEC $1.00 68084-813-11 PANTOPRAZOLE 40 MG ORAL TBEC $1.00 HC84600147 PAP BETHESDA MAN & RE-SCREEN $145.00 HC84600139 PAP BETHESDA MANUAL SCREEN $127.00 HC84600121 PAP DEFIN HORMONAL EVAL+ $94.00 HC84600113 PAP SLIDES MAN& RE-SCREEN $133.00 HC84600105 PAP SLIDES MANUAL SCREEN $125.00 HC84600071 PAP SMEAR PATH INTERP+ $165.00 HC83500157 PAP SMEAR PATH INTERP+ -PI $30.00 HC84600063 PAP SMEAR SCREEN (MCR) $71.00 HC84600576 PAP THIN LAYER MNL SCRN DX $216.00 HC84600097 PAP THIN LAYER PREP MAN&RE SCN $228.00 HC84600089 PAP THIN LAYER PREP MANL SCRN $216.00 0517-4002-25 PAPAVERINE 30 MG/ML INJ SOLN $248.46 299392116 "PARAB-CETYL,STEA ALC-P.GLY-SLS TOPICAL CLSR" $56.76 HC25001512 PARACENTESIS ABD W/ IMAGING "$1,609.00 " HC46502092 PARACENTESIS ABD W/IMAGING GUIDE "$4,323.00 " HC51002707 PARACENTESIS ABD W/IMAGING GUIDE "$1,223.00 " HC25000639 PARACENTESIS ABD W/O IMAGING "$1,308.00 " HC46501227 PARACENTESIS ABD W/O IMAGING GUIDE "$3,076.00 " HC51002699 PARACENTESIS ABD W/O IMAGING GUIDE "$1,043.00 " HC25005927 PARACENTESIS EYE W/REMOVAL AQUEOUS BIL "$3,032.00 " HC25005935 PARACENTESIS EYE W/REMOVAL AQUEOUS LT "$1,705.00 " HC25005943 PARACENTESIS EYE W/REMOVAL AQUEOUS RT "$1,705.00 " HC89017768 PARAINFLUENZA AB(PNL)-AU $13.00 HC89001515 PARAINFLUENZA AB-QD $19.00 HC84200880 PARAINFLUENZA EA TYPE $202.00 HC84200740 PARASITE ID $111.00 HC89017412 PARASITE IDENTIFICATION(O&P)AU $31.00 HC89016307 PARASITE IDENTIFICATION(O&P)QD $2.00 HC81101206 PARATHYROID HORMONE $534.00 HC89009450 PARATHYROID HORMONE INTACT-AU $18.00 HC89005359 PARATHYROID HORMONE RELPEP-AU $75.00 HC81101347 PARATHYROID HORMONE SUBSEQUENT $534.00 HC89000889 PARATHYROID HORMONE TERM-QD $181.00 HC89009526 PARATHYROID HORMONE TERM-QN $55.00 HC89019251 "PARECHOVIRUS RNA, RT-PCR-FT" $269.00 0409-4162-03 PARENT. AMINO ACID 8.5 % NO.3 8.5 % IV SOLP $75.00 0409-4164-03 PARENTERAL AMINO ACID 10% NO.1 10 % IV SOLP $81.00 0409-4164-05 PARENTERAL AMINO ACID 10% NO.1 10 % IV SOLP $120.00 0409-4191-05 PARENTERAL AMINO ACID 10% NO.2 10 % IV SOLP $132.00 0264-9010-55 PARENTERAL AMINO ACID 10% NO.4 10 % IV SOLP $96.00 0338-0644-06 PARENTERAL AMINO ACID 10% NO.6 10 % IV SOLP $300.00 0264-3200-55 PARENTERAL AMINO ACID 15% NO.1 15 % IV SOLP $174.00 0264-4500-00 PARENTERAL AMINO ACID 15% NO.1 15 % IV SOLP $222.00 0409-7171-17 PARENTERAL AMINO ACID 15% NO.2 15 % IV SOLP $252.00 49483-687-03 PARICALCITOL 1 MCG ORAL CAP $6.00 55111-663-30 PARICALCITOL 1 MCG ORAL CAP $40.63 65862-936-30 PARICALCITOL 1 MCG ORAL CAP $8.90 68382-330-06 PARICALCITOL 1 MCG ORAL CAP $53.24 0074-4637-01 PARICALCITOL 2 MCG/ML IV SOLN $36.36 67457-379-12 PARICALCITOL 2 MCG/ML IV SOLN $24.00 67457-379-25 PARICALCITOL 2 MCG/ML IV SOLN $24.00 HC89001937 PARIETAL FA AB SCRN-QD $22.00 23155-038-01 PAROMOMYCIN 250 MG ORAL CAP $24.30 0378-7001-10 PAROXETINE HCL 10 MG ORAL TAB $1.00 0378-7001-93 PAROXETINE HCL 10 MG ORAL TAB $1.00 0904-5676-61 PAROXETINE HCL 10 MG ORAL TAB $4.80 13107-154-30 PAROXETINE HCL 10 MG ORAL TAB $1.37 43547-347-03 PAROXETINE HCL 10 MG ORAL TAB $1.00 43547-347-09 PAROXETINE HCL 10 MG ORAL TAB $1.00 50268-640-11 PAROXETINE HCL 10 MG ORAL TAB $3.99 50268-640-15 PAROXETINE HCL 10 MG ORAL TAB $3.99 63739-888-10 PAROXETINE HCL 10 MG ORAL TAB $3.64 68084-044-01 PAROXETINE HCL 10 MG ORAL TAB $5.10 68084-044-11 PAROXETINE HCL 10 MG ORAL TAB $5.10 60505-0402-5 PAROXETINE HCL 10 MG/5 ML ORAL SUSP "$2,203.50 " 0904-5677-61 PAROXETINE HCL 20 MG ORAL TAB $1.50 13107-155-30 PAROXETINE HCL 20 MG ORAL TAB $1.43 60505-0083-2 PAROXETINE HCL 20 MG ORAL TAB $1.00 63739-963-10 PAROXETINE HCL 20 MG ORAL TAB $1.33 68084-045-01 PAROXETINE HCL 20 MG ORAL TAB $1.94 68084-045-11 PAROXETINE HCL 20 MG ORAL TAB $1.94 HC39001169 PARTIAL HOSPITALIZATION SERV "$2,285.00 " HC89010797 PARTIAL THROMBOPLASTIN-AU $11.00 HC81701120 PARTICLE AGGLUT TITER EACH AB $229.00 HC84201052 PARTICLE AGGLUTIN EA AB(PNL) $216.00 HC84200351 PARTICLE AGGLUTINATION EA AB $222.00 HC62807227 PARTICLES EMBOLIZ (CONTOUR) G $325.00 HC62808522 PARTICLES EMBOLIZ (EMBOCUBES) $33.00 HC62807292 PARTICLES EMBOLIZ (EMBOSPHERE 400)J $520.00 HC62801543 PARTICLES EMBOLIZ (EMBOSPHERE) M $910.00 HC62802905 PARTICLES EMBOLIZATION Q "$1,300.00 " HC89002661 PARVOVIRUS AB-QD $16.00 HC89012819 PARVOVIRUS B19 AB (PNL)-AU $14.19 HC89012801 PARVOVIRUS B19 AB-AU $15.00 HC89004956 PARVOVIRUS B19 BY PCR -AU $75.00 HC89005680 PARVOVIRUS B19 DNA QNT PCR-FT $269.00 HC89005094 PARVOVIRUS B19 DNA QUAL PCR-FT $269.00 HC82201203 PAS STAIN W/DIGESTION GRP II+ $412.00 HC82200080 PAS STAIN/GROUP I W/ INT&RPT+ $475.00 HC82201211 PAS STAIN/GRP II+ $412.00 HC82201450 "PAS W/DIGESTON,FROZ TIS BLK" $408.00 HC62219522 PASSER SURGICAL INCL PERITONEAL I $462.00 HC62227970 PASSER SUTURE "$2,275.00 " HC62217278 PASSER SUTURE B $72.00 HC62219530 PASSER SUTURE E $202.00 HC62224498 PASSER SUTURE J $520.00 HC62217286 PASSER SUTURE M $787.00 HC62228465 PASSER SUTURE N $910.00 HC62217914 PASSER SUTURE ORTHOPAEDIC AA "$2,925.00 " HC62223938 PATCH 3D REFERENCE EP "$1,300.00 " HC62228093 PATCH WIRELESS MONITOR MATERNAL-FETAL $163.00 HC83001255 PATHOGEN(S) TEST PLATELETS $104.00 HC83504316 PATHOLOGY CONSULT - WD $340.00 HC89021182 PCA3 PROSTATE CA BIOMARKER-AU $305.00 HC83505685 PD-L1 IHC QNT-NG $150.00 HC89021067 PEANUT ALLERGEN F13 (PNL)-AU $50.00 HC89021075 PEANUT COMP ANTGNC EPI ARA H1(PNL)-AU $50.00 HC89021083 PEANUT COMP ANTGNC EPI ARA H2(PNL)-AU $50.00 HC89021091 PEANUT COMP ANTGNC EPI ARA H3(PNL)-AU $50.00 HC89021109 PEANUT COMP ANTGNC EPI ARA H4(PNL)-AU $50.00 HC89021117 PEANUT COMP ANTGNC EPI ARA H5(PNL)-AU $50.00 4494610368 "PED MVIT A,C,D3 NO.21-FLUORIDE 0.5 MG FLUORIDE (1.1 MG)/ML ORAL DROP" $1.00 5891421460 PEDI MULTIVIT 40-PHYTONADIONE 400 MCG/ML ORAL DROP $125.28 87040501 PEDI MV NO.189-FERROUS SULFATE 11 MG IRON/ML ORAL DROP $42.90 87040203 PEDIATRIC MULTIVITAMIN NO.192 250 MCG-50 MG- 10 MCG/ML ORAL DROP $42.90 1650007814 PEDIATRIC MULTIVITAMIN ORAL CHEW $1.00 1650008619 PEDIATRIC MULTIVITAMIN ORAL CHEW $1.00 1650008806 PEDIATRIC MULTIVIT-IRON-MIN ORAL CHEW $1.00 HC11500816 PEDS ESTAB PT ASSES BRIEF(5') $175.00 HC11500857 PEDS ESTAB PT ASSESS COMP(40') $619.00 HC11500840 PEDS ESTAB PT ASSESS EXT(25') $394.00 HC11500824 PEDS ESTAB PT ASSESS LTD(10') $262.00 HC11500832 PEDS ESTAB PT ASSESS MOD(15') $359.00 52268-100-01 PEG 3350-ELECTROLYTES 236-22.74-6.74 -5.86 GRAM ORAL SOLR $120.00 52268-101-01 PEG 3350-ELECTROLYTES 236-22.74-6.74 -5.86 GRAM ORAL SOLR $120.00 1093962144 PEG 400-HYPROMELLOSE-GLYCERIN 1-0.2-0.2 % OPHT DROP $11.61 7430001067 PEG 400-HYPROMELLOSE-GLYCERIN 1-0.2-0.2 % OPHT DROP $29.07 49348-095-29 PEG 400-HYPROMELLOSE-GLYCERIN 1-0.2-0.2 % OPHT DROP $11.61 57896-181-05 PEG 400-HYPROMELLOSE-GLYCERIN 1-0.2-0.2 % OPHT DROP $8.37 57896-184-05 PEG 400-HYPROMELLOSE-GLYCERIN 1-0.2-0.2 % OPHT DROP $8.37 HC62801600 PEG REPLACEMENT $213.00 0093-3560-19 PEG3350-SOD SUL-NACL-KCL-ASB-C 100-7.5-2.691 GRAM ORAL PWPK $580.80 0093-3560-26 PEG3350-SOD SUL-NACL-KCL-ASB-C 100-7.5-2.691 GRAM ORAL PWPK $580.80 65649-201-75 PEG3350-SOD SUL-NACL-KCL-ASB-C 100-7.5-2.691 GRAM ORAL PWPK $672.18 68682-201-75 PEG3350-SOD SUL-NACL-KCL-ASB-C 100-7.5-2.691 GRAM ORAL PWPK $604.32 0944-3810-01 PEGASPARGASE 750 UNIT/ML INJ SOLN "$111,608.28 " 72694-954-01 PEGASPARGASE 750 UNIT/ML INJ SOLN "$111,608.28 " 55513-192-01 PEGFILGRASTIM 6 MG/0.6 ML SUBCUTANEOUS SYIN "$37,386.36 " 55513-190-01 PEGFILGRASTIM 6 MG/0.6 ML SUBCUTANEOUS SYRG "$37,386.36 " 70114-101-01 PEGFILGRASTIM-CBQV 6 MG/0.6 ML SUBCUTANEOUS SYRG "$25,050.00 " HC44001717 PELVIS 1 OR 2 VWS $795.00 HC44001725 PELVIS COMP MIN 3 VWS "$1,004.00 " 0006-3026-01 PEMBROLIZUMAB 25 MG/ML IV SOLN "$29,172.24 " 0006-3026-02 PEMBROLIZUMAB 25 MG/ML IV SOLN "$29,172.24 " 0002-7640-01 PEMETREXED 100 MG IV SOLR "$4,372.98 " 0002-7623-01 PEMETREXED 500 MG IV SOLR "$21,864.90 " HC62205646 PEN SKIN MARKER $39.00 0037-4401-01 PENICILLAMINE 250 MG ORAL TAB $371.65 60793-600-02 "PENICILLIN G BENZATHIN,PROCAIN 1,200,000 UNIT/ 2 ML(600K/600K) IM SYRG" $823.40 60793-600-10 "PENICILLIN G BENZATHIN,PROCAIN 1,200,000 UNIT/ 2 ML(600K/600K) IM SYRG" $823.40 60793-701-02 "PENICILLIN G BENZATHINE 1,200,000 UNIT/2 ML IM SYRG" "$1,032.95 " 60793-701-10 "PENICILLIN G BENZATHINE 1,200,000 UNIT/2 ML IM SYRG" "$1,032.95 " 60793-702-04 "PENICILLIN G BENZATHINE 2,400,000 UNIT/4 ML IM SYRG" "$2,116.68 " 60793-702-10 "PENICILLIN G BENZATHINE 2,400,000 UNIT/4 ML IM SYRG" "$2,116.68 " 60793-700-01 "PENICILLIN G BENZATHINE 600,000 UNIT/ML IM SYRG" $596.41 60793-700-10 "PENICILLIN G BENZATHINE 600,000 UNIT/ML IM SYRG" $596.41 0338-1021-41 PENICILLIN G POT IN DEXTROSE 1 MILLION UNIT/50 ML IV PGBK $59.70 0338-1023-41 PENICILLIN G POT IN DEXTROSE 2 MILLION UNIT/50 ML IV PGBK $62.10 0338-1025-41 PENICILLIN G POT IN DEXTROSE 3 MILLION UNIT/50 ML IV PGBK $64.50 99999-000-45 PENICILLIN G POTASSIUM 100000 UNITS / ML $10.20 0049-0530-28 PENICILLIN G POTASSIUM 20 MILLION UNIT INJ SOLR $309.86 63323-324-62 PENICILLIN G POTASSIUM 20 MILLION UNIT INJ SOLR $690.00 0049-0520-22 PENICILLIN G POTASSIUM 5 MILLION UNIT INJ SOLR $75.95 0049-0520-23 PENICILLIN G POTASSIUM 5 MILLION UNIT INJ SOLR $75.95 0049-0520-83 PENICILLIN G POTASSIUM 5 MILLION UNIT INJ SOLR $75.95 0049-0520-84 PENICILLIN G POTASSIUM 5 MILLION UNIT INJ SOLR $75.95 0781-6135-95 PENICILLIN G POTASSIUM 5 MILLION UNIT INJ SOLR $210.00 44567-311-10 PENICILLIN G POTASSIUM 5 MILLION UNIT INJ SOLR $165.00 70860-126-20 PENICILLIN G POTASSIUM 5 MILLION UNIT INJ SOLR $77.70 70860-126-41 PENICILLIN G POTASSIUM 5 MILLION UNIT INJ SOLR $77.70 99999-038-45 "PENICILLIN G POTASSIUM 60,000 UNITS/ML (MCH)" $1.10 60793-131-10 PENICILLIN G PROCAINE 1.2 MILLION UNIT/2 ML IM SYRG $331.64 60793-130-10 "PENICILLIN G PROCAINE 600,000 UNIT/ML IM SYRG" $199.20 0781-6153-94 PENICILLIN G SODIUM 5 MILLION UNIT INJ SOLR $276.47 0781-6153-95 PENICILLIN G SODIUM 5 MILLION UNIT INJ SOLR $276.47 99999-034-50 PENICILLIN GK IV SOLN (FOR DESENSITIZATION USE) $1.02 0093-4125-73 PENICILLIN V POTASSIUM 125 MG/5 ML ORAL SOLR $43.80 0093-4125-74 PENICILLIN V POTASSIUM 125 MG/5 ML ORAL SOLR $63.60 0781-1205-01 PENICILLIN V POTASSIUM 250 MG ORAL TAB $3.29 16714-234-01 PENICILLIN V POTASSIUM 250 MG ORAL TAB $1.21 57237-040-01 PENICILLIN V POTASSIUM 250 MG ORAL TAB $1.00 0093-4127-74 PENICILLIN V POTASSIUM 250 MG/5 ML ORAL SOLR $70.80 99999-004-50 PENICILLIN V POTASSIUM 250 MG/5 ML ORAL SOLR $1.29 16714-235-01 PENICILLIN V POTASSIUM 500 MG ORAL TAB $3.67 63323-877-15 PENTAMIDINE 300 MG INHALATION SOLR "$1,001.34 " 63323-113-10 PENTAMIDINE 300 MG INJ SOLR "$1,001.34 " 0591-0395-01 PENTAZOCINE-NALOXONE 50-0.5 MG ORAL TAB $12.37 43386-680-01 PENTAZOCINE-NALOXONE 50-0.5 MG ORAL TAB $12.23 17156-251-08 PENTETATE INDIUM DISOD. IN-111 1.5 MCI/1.5 ML INTRATHECAL SOLN "$5,579.86 " 99999-004-21 PENTOBARBITAL DRIP (CONC: 50MG/ML) "$18,153.30 " 99999-004-22 PENTOBARBITAL DRIP (CONC: 50MG/ML) "$36,306.60 " 24201-010-20 PENTOBARBITAL SODIUM 50 MG/ML INJ SOLN "$7,261.56 " 24201-010-50 PENTOBARBITAL SODIUM 50 MG/ML INJ SOLN "$13,542.00 " 25021-676-20 PENTOBARBITAL SODIUM 50 MG/ML INJ SOLN "$8,400.00 " 25021-676-50 PENTOBARBITAL SODIUM 50 MG/ML INJ SOLN "$13,500.00 " 76478-501-20 PENTOBARBITAL SODIUM 50 MG/ML INJ SOLN "$7,261.32 " 76478-501-50 PENTOBARBITAL SODIUM 50 MG/ML INJ SOLN "$13,542.00 " 99999-006-94 PENTOBARBITAL SODIUM 50 MG/ML INJ SOLN $363.07 99999-006-95 PENTOBARBITAL SODIUM 50 MG/ML INJ SOLN $726.13 HC89007330 PENTOBARBITAL-AU $16.00 HC89015267 PENTOBARBITAL-U2 $42.00 50458-098-01 PENTOSAN POLYSULFATE SODIUM 100 MG ORAL CAP $56.38 0409-0801-01 PENTOSTATIN 10 MG IV SOLR "$13,237.86 " 99999-039-55 PENTOXIFYLLINE 20 MG/ML ORAL LIQUID (COMPOUND) $1.68 0904-5448-61 PENTOXIFYLLINE 400 MG ORAL TBSR $1.51 60505-0033-6 PENTOXIFYLLINE 400 MG ORAL TBSR $1.65 68682-101-10 PENTOXIFYLLINE 400 MG ORAL TBSR $2.16 395224391 PEPPERMINT SPIRIT ORAL SPRT $47.34 61364-181-03 PERAMIVIR (PF) 200 MG/20 ML (10 MG/ML) IV SOLN "$1,899.96 " 72769-181-01 PERAMIVIR (PF) 200 MG/20 ML (10 MG/ML) IV SOLN "$1,899.96 " 72769-181-03 PERAMIVIR (PF) 200 MG/20 ML (10 MG/ML) IV SOLN "$1,899.96 " 62856-272-30 PERAMPANEL 2 MG ORAL TAB $102.00 62856-274-30 PERAMPANEL 4 MG ORAL TAB $201.60 HC46501938 PERC ASP INTERDISCAL DX "$2,262.00 " HC46502910 PERC AV FISTULA TISSUE W/MAGNETIC AV CATH "$26,648.00 " HC44700680 PERC BALLOON VALVPLSTY AORTIC "$36,386.00 " HC44700698 PERC BALLOON VALVPLSTY MITRAL "$40,831.00 " HC44700706 PERC BALLOON VALVPLSTY PULM "$34,787.00 " HC46502183 PERC BX BREAST W/LOC DEV MR 1ST LESN "$6,777.00 " HC46502191 PERC BX BREAST W/LOC DEV MR ADDL LESN+ "$5,088.00 " HC46502142 PERC BX BREAST W/LOC DEV SG 1ST LESN "$5,651.00 " HC46502159 PERC BX BREAST W/LOC DEV SG ADDL LESN+ "$3,090.00 " HC46502167 PERC BX BREAST W/LOC DEV US 1ST LESN "$5,286.00 " HC46502175 PERC BX BREAST W/LOC DEV US ADDL LESN+ "$3,422.00 " HC36001170 PERC BX CORE LUNG/MEDIASTINUM W/ IMAG IF OCCURS "$5,000.00 " HC36800886 PERC BX CORE LUNG/MEDIASTINUM W/ IMAG IF OCCURS "$5,000.00 " HC46502860 PERC BX CORE LUNG/MEDIASTINUM W/ IMAG IF OCCURS "$5,225.00 " HC44702587 PERC CABG REVAS ATHR/DES/ANGIOP; SNGL-LC "$33,970.00 " HC44702579 PERC CABG REVAS ATHR/DES/ANGIOP; SNGL-LD "$33,970.00 " HC44702561 PERC CABG REVAS ATHR/DES/ANGIOP; SNGL-LM "$33,970.00 " HC44702595 PERC CABG REVAS ATHR/DES/ANGIOP; SNGL-RC "$33,970.00 " HC44702603 PERC CABG REVAS ATHR/DES/ANGIOP; SNGL-RI "$33,970.00 " HC44702637 PERC CABG REVAS ATHR/DES/ANGPL; ADDL-LC+ "$20,550.00 " HC44702629 PERC CABG REVAS ATHR/DES/ANGPL; ADDL-LD+ "$20,550.00 " HC44702611 PERC CABG REVAS ATHR/DES/ANGPL; ADDL-LM+ "$20,550.00 " HC44702645 PERC CABG REVAS ATHR/DES/ANGPL; ADDL-RC+ "$20,550.00 " HC44702652 PERC CABG REVAS ATHR/DES/ANGPL; ADDL-RI+ "$20,550.00 " HC44702181 PERC CABG REVAS ATHR/STENT/ANG; ADDL-LC+ "$20,550.00 " HC44702173 PERC CABG REVAS ATHR/STENT/ANG; ADDL-LD+ "$20,550.00 " HC44702165 PERC CABG REVAS ATHR/STENT/ANG; ADDL-LM+ "$20,550.00 " HC44702199 PERC CABG REVAS ATHR/STENT/ANG; ADDL-RC+ "$20,550.00 " HC44702207 PERC CABG REVAS ATHR/STENT/ANG; ADDL-RI+ "$20,550.00 " HC44702132 PERC CABG REVAS ATHR/STENT/ANG; SNGL-LC "$33,970.00 " HC44702124 PERC CABG REVAS ATHR/STENT/ANG; SNGL-LD "$33,970.00 " HC44702116 PERC CABG REVAS ATHR/STENT/ANG; SNGL-LM "$33,970.00 " HC44702140 PERC CABG REVAS ATHR/STENT/ANG; SNGL-RC "$33,970.00 " HC44702157 PERC CABG REVAS ATHR/STENT/ANG; SNGL-RI "$20,166.00 " HC46501953 PERC CHOLECYSTOSTOMY WCATH/S&I "$8,706.00 " HC44703478 PERC CLOSURE LAA (WATCHMAN) "$27,828.00 " HC44700714 PERC CLOSURE OF ASD W/IMPLANT "$35,769.00 " HC44703098 PERC CLOSURE OF PDA TRANSCATH "$32,092.00 " HC44701662 PERC CLOSURE OF VSD W/IMPLANT "$44,438.00 " HC44702686 PERC COR AMI REVAS ATHR/DES/ANGP;SNGL-LC "$38,836.00 " HC44702678 PERC COR AMI REVAS ATHR/DES/ANGP;SNGL-LD "$38,836.00 " HC44702660 PERC COR AMI REVAS ATHR/DES/ANGP;SNGL-LM "$38,836.00 " HC44702694 PERC COR AMI REVAS ATHR/DES/ANGP;SNGL-RC "$38,836.00 " HC44702702 PERC COR AMI REVAS ATHR/DES/ANGP;SNGL-RI "$38,836.00 " HC44702231 PERC COR AMI REVAS ATHR/STNT/ANG;SNGL-LC "$38,836.00 " HC44702223 PERC COR AMI REVAS ATHR/STNT/ANG;SNGL-LD "$38,836.00 " HC44702215 PERC COR AMI REVAS ATHR/STNT/ANG;SNGL-LM "$38,836.00 " HC44702249 PERC COR AMI REVAS ATHR/STNT/ANG;SNGL-RC "$38,836.00 " HC44702256 PERC COR AMI REVAS ATHR/STNT/ANG;SNGL-RI "$38,836.00 " HC44701886 PERC COR ANGIOP/ATHRECT; ADDL CA/BR-LC+ "$21,587.00 " HC44701878 PERC COR ANGIOP/ATHRECT; ADDL CA/BR-LD+ "$21,587.00 " HC44701860 PERC COR ANGIOP/ATHRECT; ADDL CA/BR-LM+ "$21,587.00 " HC44701894 PERC COR ANGIOP/ATHRECT; ADDL CA/BR-RC+ "$21,587.00 " HC44701902 PERC COR ANGIOP/ATHRECT; ADDL CA/BR-RI+ "$21,587.00 " HC44701837 PERC COR ANGIOP/ATHRECT; SNGL CA/BR-LC "$35,652.00 " HC44701829 PERC COR ANGIOP/ATHRECT; SNGL CA/BR-LD "$35,652.00 " HC44701811 PERC COR ANGIOP/ATHRECT; SNGL CA/BR-LM "$35,652.00 " HC44701845 PERC COR ANGIOP/ATHRECT; SNGL CA/BR-RC "$35,652.00 " HC44701852 PERC COR ANGIOP/ATHRECT; SNGL CA/BR-RI "$35,652.00 " HC44701787 PERC COR ANGIOPLST; ADDL CA/BRCH-LC+ "$18,178.00 " HC44701779 PERC COR ANGIOPLST; ADDL CA/BRCH-LD+ "$18,178.00 " HC44701761 PERC COR ANGIOPLST; ADDL CA/BRCH-LM+ "$18,178.00 " HC44701795 PERC COR ANGIOPLST; ADDL CA/BRCH-RC+ "$18,178.00 " HC44701803 PERC COR ANGIOPLST; ADDL CA/BRCH-RI+ "$18,178.00 " HC44701738 PERC COR ANGIOPLST; SNGL CA/BRCH-LC "$28,620.00 " HC44701720 PERC COR ANGIOPLST; SNGL CA/BRCH-LD "$28,620.00 " HC44701712 PERC COR ANGIOPLST; SNGL CA/BRCH-LM "$28,620.00 " HC44701746 PERC COR ANGIOPLST; SNGL CA/BRCH-RC "$28,620.00 " HC44701753 PERC COR ANGIOPLST; SNGL CA/BRCH-RI "$28,620.00 " HC44702538 PERC COR ATHR+STENT(DES)ANGIOP; ADDL-LC+ "$23,036.00 " HC44702520 PERC COR ATHR+STENT(DES)ANGIOP; ADDL-LD+ "$23,036.00 " HC44702512 PERC COR ATHR+STENT(DES)ANGIOP; ADDL-LM+ "$23,036.00 " HC44702546 PERC COR ATHR+STENT(DES)ANGIOP; ADDL-RC+ "$23,036.00 " HC44702553 PERC COR ATHR+STENT(DES)ANGIOP; ADDL-RI+ "$23,036.00 " HC44702488 PERC COR ATHR+STENT(DES)ANGIOP; SNGL-LC "$39,191.00 " HC44702470 PERC COR ATHR+STENT(DES)ANGIOP; SNGL-LD "$39,191.00 " HC44702462 PERC COR ATHR+STENT(DES)ANGIOP; SNGL-LM "$39,191.00 " HC44702496 PERC COR ATHR+STENT(DES)ANGIOP; SNGL-RC "$39,191.00 " HC44702504 PERC COR ATHR+STENT(DES)ANGIOP; SNGL-RI "$39,191.00 " HC44702082 PERC COR ATHR+STENT/ANGIOP; ADDL-LC+ "$23,036.00 " HC44702074 PERC COR ATHR+STENT/ANGIOP; ADDL-LD+ "$23,036.00 " HC44702066 PERC COR ATHR+STENT/ANGIOP; ADDL-LM+ "$23,036.00 " HC44702090 PERC COR ATHR+STENT/ANGIOP; ADDL-RC+ "$23,036.00 " HC44702108 PERC COR ATHR+STENT/ANGIOP; ADDL-RI+ "$23,036.00 " HC44702033 PERC COR ATHR+STENT/ANGIOP; SNGL-LC "$39,191.00 " HC44702025 PERC COR ATHR+STENT/ANGIOP; SNGL-LD "$39,191.00 " HC44702017 PERC COR ATHR+STENT/ANGIOP; SNGL-LM "$39,191.00 " HC44702041 PERC COR ATHR+STENT/ANGIOP; SNGL-RC "$39,191.00 " HC44702058 PERC COR ATHR+STENT/ANGIOP; SNGL-RI "$39,191.00 " HC44702785 PERC COR CHRON REVAS ATHR/DES/A;ADDL-LC+ "$23,285.00 " HC44702777 PERC COR CHRON REVAS ATHR/DES/A;ADDL-LD+ "$23,285.00 " HC44702769 PERC COR CHRON REVAS ATHR/DES/A;ADDL-LM+ "$23,285.00 " HC44702793 PERC COR CHRON REVAS ATHR/DES/A;ADDL-RC+ "$23,285.00 " HC44702801 PERC COR CHRON REVAS ATHR/DES/A;ADDL-RI+ "$23,285.00 " HC44702330 PERC COR CHRON REVAS ATHR/STNT/A;ADDL-LC+ "$23,285.00 " HC44702322 PERC COR CHRON REVAS ATHR/STNT/A;ADDL-LD+ "$23,285.00 " HC44702314 PERC COR CHRON REVAS ATHR/STNT/A;ADDL-LM+ "$23,285.00 " HC44702348 PERC COR CHRON REVAS ATHR/STNT/A;ADDL-RC+ "$23,285.00 " HC44702355 PERC COR CHRON REVAS ATHR/STNT/A;ADDL-RI+ "$23,285.00 " HC44702280 PERC COR CHRON REVAS ATHR/STNT/A;SNGL-LC "$39,574.00 " HC44702272 PERC COR CHRON REVAS ATHR/STNT/A;SNGL-LD "$39,574.00 " HC44702264 PERC COR CHRON REVAS ATHR/STNT/A;SNGL-LM "$39,574.00 " HC44702298 PERC COR CHRON REVAS ATHR/STNT/A;SNGL-RC "$39,574.00 " HC44702306 PERC COR CHRON REVAS ATHR/STNT/A;SNGL-RI "$39,574.00 " HC44702736 PERC COR CHRONC REVAS ATHR/DES/A;SNGL-LC "$39,574.00 " HC44702728 PERC COR CHRONC REVAS ATHR/DES/A;SNGL-LD "$39,574.00 " HC44702710 PERC COR CHRONC REVAS ATHR/DES/A;SNGL-LM "$39,574.00 " HC44702744 PERC COR CHRONC REVAS ATHR/DES/A;SNGL-RC "$39,574.00 " HC44702751 PERC COR CHRONC REVAS ATHR/DES/A;SNGL-RI "$39,574.00 " HC44702439 PERC COR DES STENT(S)/ANGIOP; ADDL-LC+ "$20,592.00 " HC44702421 PERC COR DES STENT(S)/ANGIOP; ADDL-LD+ "$20,592.00 " HC44702413 PERC COR DES STENT(S)/ANGIOP; ADDL-LM+ "$20,592.00 " HC44702447 PERC COR DES STENT(S)/ANGIOP; ADDL-RC+ "$20,592.00 " HC44702454 PERC COR DES STENT(S)/ANGIOP; ADDL-RI+ "$20,592.00 " HC44702389 PERC COR DES STENT(S)/ANGIOP; SNGL-LC "$33,048.00 " HC44702371 PERC COR DES STENT(S)/ANGIOP; SNGL-LD "$33,048.00 " HC44702363 PERC COR DES STENT(S)/ANGIOP; SNGL-LM "$33,048.00 " HC44702397 PERC COR DES STENT(S)/ANGIOP; SNGL-RC "$33,048.00 " HC44702405 PERC COR DES STENT(S)/ANGIOP; SNGL-RI "$33,048.00 " HC44701985 PERC COR STENT(S)/ANGIOP; ADDL CA/BR-LC+ "$20,570.00 " HC44701977 PERC COR STENT(S)/ANGIOP; ADDL CA/BR-LD+ "$20,592.00 " HC44701969 PERC COR STENT(S)/ANGIOP; ADDL CA/BR-LM+ "$20,592.00 " HC44701993 PERC COR STENT(S)/ANGIOP; ADDL CA/BR-RC+ "$20,592.00 " HC44702009 PERC COR STENT(S)/ANGIOP; ADDL CA/BR-RI+ "$20,592.00 " HC44701936 PERC COR STENT(S)/ANGIOP; SNGL CA/BR-LC "$33,010.00 " HC44701928 PERC COR STENT(S)/ANGIOP; SNGL CA/BR-LD "$33,010.00 " HC44701910 PERC COR STENT(S)/ANGIOP; SNGL CA/BR-LM "$33,010.00 " HC44701944 PERC COR STENT(S)/ANGIOP; SNGL CA/BR-RC "$33,010.00 " HC44701951 PERC COR STENT(S)/ANGIOP; SNGL CA/BR-RI "$33,010.00 " HC44500726 PERC DIL URETER/URETHRA S&I-LT "$2,855.00 " HC44500734 PERC DIL URETER/URETHRA S&I-RT "$2,855.00 " HC44504942 PERC DILAT EXIST TRACT UROLOGIC PX W/IMAGE &TUBE PLC; NEW ACCESS RNL COL-BIL "$22,529.00 " HC44504926 PERC DILAT EXIST TRACT UROLOGIC PX W/IMAGE &TUBE PLC; NEW ACCESS RNL COL-LT "$12,518.00 " HC44504934 PERC DILAT EXIST TRACT UROLOGIC PX W/IMAGE &TUBE PLC; NEW ACCESS RNL COL-RT "$12,518.00 " HC44504975 PERC DILAT EXIST TRACT UROLOGIC PX W/IMAGE /&TUBE-BIL "$11,452.00 " HC44504959 PERC DILAT EXIST TRACT UROLOGIC PX W/IMAGE /&TUBE-LT "$7,618.00 " HC44504967 PERC DILAT EXIST TRACT UROLOGIC PX W/IMAGE /&TUBE-RT "$7,618.00 " HC44500544 PERC DILATATION INTRACRANIAL VASOSPASM EA ADD VES DIFF TERRITORY+ "$27,889.00 " HC44500551 PERC DILATATION INTRACRANIAL VASOSPASM EA ADD VES SAME TERRITORY+ "$9,957.00 " HC44502524 PERC DILATATION INTRACRANIAL VASSOSPASM INITIAL VESSEL -LT "$16,266.00 " HC44502532 PERC DILATATION INTRACRANIAL VASSOSPASM INITIAL VESSEL -RT "$16,266.00 " HC46502308 PERC DRAIN CATH W/IMAG; PERITONEAL/RETROPERIT "$6,036.00 " HC46502282 PERC DRAIN CATH W/IMAG; SOFT TISSUE "$4,111.00 " HC46502290 PERC DRAIN CATH W/IMAG; VISCERAL "$5,760.00 " HC46502316 PERC DRAIN W/IMAG; PERIT/RETROPERIT TRANSVAG/RECTAL "$5,421.00 " HC44500650 PERC DRAINAGE TUBE/CATH "$2,413.00 " HC44701316 PERC IMPLANT NEURO ELEC; PERIP "$15,724.00 " HC23001118 PERC IMPLANT'N NEUROSTIM ELEC "$12,358.00 " HC44703221 PERC LT ATRIAL APPEND CLOSURE (LARIAT) "$48,234.00 " HC51002475 PERC NEUROSTIMULATION TIBIAL SINGLE TX $516.00 HC46501250 PERC PLACEMENT CEC TUBE W/FLUORO "$6,794.00 " HC46501268 PERC PLACEMENT DU/J TUBE W/FLUORO "$7,433.00 " HC46502209 PERC PLC BRST LOC DEV MAMMO 1ST LESN "$3,972.00 " HC46502217 PERC PLC BRST LOC DEV MAMMO ADDL LESN+ "$3,318.00 " HC46502266 PERC PLC BRST LOC DEV MR 1ST LESN "$5,510.00 " HC46502274 PERC PLC BRST LOC DEV MR ADDL LESN+ "$4,040.00 " HC46502225 PERC PLC BRST LOC DEV SG 1ST LESN "$4,143.00 " HC46502233 PERC PLC BRST LOC DEV SG ADDL LESN+ "$2,749.00 " HC46502241 PERC PLC BRST LOC DEV US 1ST LESN "$3,525.00 " HC46502258 PERC PLC BRST LOC DEV US ADDL LESN+ "$2,804.00 " HC46501276 PERC PLCMNT GT TUBE W/FLUORO "$7,128.00 " HC44504504 PERC PLCMT TISS SOFT DEV 1ST LESN "$4,188.00 " HC44504512 PERC PLCMT TISS SOFT DEV ADDL LESN+ "$2,559.00 " HC46000691 PERC PORTAL VEIN CATH "$3,522.00 " HC44703718 PERC REPAIR TRNSCTH TRICUSPID VALVE 1ST PROSTHESIS "$45,000.00 " HC44703726 PERC REPAIR TRNSCTH TRICUSPID VALVE ADDL PROSTHESIS+ "$10,000.00 " HC44504314 PERC SACRAL AUGMT BILAT W/ GUIDANCE&BX "$9,429.00 " HC44504306 PERC SACRAL AUGMT UNILAT W/ GUIDANCE&BX "$9,429.00 " HC44703700 PERC TRANSCATH INTRATRIAL SEPTAL SHUNT "$39,449.00 " HC44700789 PERC TRANSLUM COR THROMBECTMY+ "$12,243.00 " HC44504116 PERC TRNSCTH RENAL SYMP DENRV W/IMG BI "$13,320.00 " HC44504108 PERC TRNSCTH RENAL SYMP DENRV W/IMG UNILAT "$9,134.00 " HC44703429 PERCUT ACCESS & CLOSE FEMORAL ARTERY DELIVERY GRAFT+ "$3,592.00 " 11994-011-01 PERFLUTREN LIPID MICROSPHERES 1.1 MG/ML IV SUSP "$1,593.78 " 11994-011-04 PERFLUTREN LIPID MICROSPHERES 1.1 MG/ML IV SUSP "$1,593.78 " 11994-011-16 PERFLUTREN LIPID MICROSPHERES 1.1 MG/ML IV SUSP "$1,593.77 " HC62205653 PERFORATOR $559.00 HC38420063 PERFUSION CARDIO' EA ADDL .5HR "$1,503.00 " HC38420071 PERFUSION CARDIOASSIST DC'D PROC "$2,639.00 " HC38420055 PERFUSION CARDIOASSIST INL' 2HR "$8,454.00 " HC44703494 PERICARDIAL DRAIN 0-5YR W/ANOMOLY INCL FLUORO &/US "$5,807.00 " HC44703486 PERICARDIAL DRAIN 6+YR W/O ANOMOLY INCL FLUORO &/US "$5,093.00 " HC44703502 PERICARDIAL DRAIN W/CATH & CT GUIDANCE "$4,716.00 " HC25001025 PERICARDIOCENTESIS INCL IMAGING "$1,633.00 " HC44700797 PERICARDIOCENTESIS INCL IMAGING "$5,052.00 " 65862-287-01 PERINDOPRIL ERBUMINE 4 MG ORAL TAB $3.54 HC44001733 PERINEOGRAM "$1,262.00 " 49230-191-50 PERIT. DIALYSIS 21-2.5 % DEXTR CA 3.5 MEQ/L- MG 1.5 MEQ/L IP SOLN $150.00 0941-0409-06 PERIT.DIALYSIS 6-1.5 % DEXTROS CA 2.5 MEQ/L- MG 0.5 MEQ/L IP SOLN $120.00 0941-0457-08 PERITON.DIALYSIS 7-2.5 % DEXTR CA 2.5 MEQ/L- MG 0.5 MEQ/L IP SOLN $144.00 49230-209-92 PERITON.DIALYSIS 7-2.5 % DEXTR CA 2.5 MEQ/L- MG 0.5 MEQ/L IP SOLN $120.00 0941-0459-02 PERITON.DIALYSIS 8-4.25 % DEXT CA 2.5 MEQ/L- MG 0.5 MEQ/L IP SOLN $216.00 49230-212-92 PERITON.DIALYSIS 8-4.25 % DEXT CA 2.5 MEQ/L- MG 0.5 MEQ/L IP SOLN $120.00 HC46501235 PERITONEAL LAVAGE W-W/O IMAG GUIDE "$3,783.00 " HC44003036 PERITONEOGRAM S&I "$1,822.00 " HC73000226 PERITONITIS TREATMENT "$3,387.00 " HC82201229 PERLS PRUSSIAN BLU STN GRP II+ $412.00 1093973944 PERMETHRIN 1 % TOPICAL LIQD $34.34 6373612002 PERMETHRIN 1 % TOPICAL LIQD $50.27 6373612003 PERMETHRIN 1 % TOPICAL LIQD $40.71 49348-150-78 PERMETHRIN 1 % TOPICAL LIQD $34.34 63736-024-03 PERMETHRIN 1 % TOPICAL LIQD $50.27 0472-0242-60 PERMETHRIN 5 % TOPICAL CREAM $594.00 16714-897-01 PERMETHRIN 5 % TOPICAL CREAM $594.00 45802-269-37 PERMETHRIN 5 % TOPICAL CREAM $594.00 52959-159-06 PERMETHRIN 5 % TOPICAL CREAM $177.48 HC82201484 "PEROXIDASE STAIN, GRP III" $798.00 0591-4101-01 PERPHENAZINE 2 MG ORAL TAB $2.72 0603-5060-21 PERPHENAZINE 2 MG ORAL TAB $5.59 0603-5061-21 PERPHENAZINE 4 MG ORAL TAB $7.64 HC84200823 PERTUSSIS FA ANTIGEN $203.00 50242-145-01 PERTUZUMAB 420 MG/14 ML (30 MG/ML) IV SOLN "$31,752.08 " HC45600053 PET W/CT LIMITED AREA "$13,251.00 " HC45600095 "PET ANY SITE, NOS" "$8,677.00 " HC45600004 PET ASSESS MYOCARD VIABILITY "$11,125.00 " HC45600012 PET BRAIN METABOLIC EVAL "$13,494.00 " HC45600103 PET BREAST CA INTL/ SURG PLAN "$8,135.00 " HC45600020 PET LIMITED AREA "$11,312.00 " HC45600087 "PET MELANOMA, NON-COV INDCTNS" "$8,980.00 " HC45600038 PET SKULL BASE TO MID-THIGH "$13,239.00 " HC45600061 PET W/CT SKULL BASE-MID THIGH "$16,951.00 " HC45600079 PET W/CT WHOLE BODY "$17,824.00 " HC45600046 PET WHOLE BODY TUMOR IMAGING "$13,694.00 " HC36800779 PFT/LUNG VOL INFANT-2Y/O "$1,199.00 " HC36800662 PH FLUID $152.00 HC81100844 PH FLUID $163.00 HC89016562 PH FLUID FECAL-AU $11.03 HC39001003 PHARMACOLOGIC MGMT W/PSYTX+ $129.00 10135-620-01 PHENAZOPYRIDINE 100 MG ORAL TAB $3.82 42192-801-01 PHENAZOPYRIDINE 100 MG ORAL TAB $5.10 42937-701-10 PHENAZOPYRIDINE 100 MG ORAL TAB $5.10 51293-810-01 PHENAZOPYRIDINE 100 MG ORAL TAB $4.80 65162-681-10 PHENAZOPYRIDINE 100 MG ORAL TAB $1.92 75826-114-10 PHENAZOPYRIDINE 100 MG ORAL TAB $4.80 10135-621-01 PHENAZOPYRIDINE 200 MG ORAL TAB $7.00 42192-802-01 PHENAZOPYRIDINE 200 MG ORAL TAB $7.20 51293-811-01 PHENAZOPYRIDINE 200 MG ORAL TAB $7.20 65162-682-10 PHENAZOPYRIDINE 200 MG ORAL TAB $2.88 HC89021737 PHENCYCLIDINE (PCP) MEC(PNL)-AU $131.25 HC89022131 PHENCYCLIDINE (PCP)SERUM QNT(PNL)-AU $77.00 0071-0350-60 PHENELZINE 15 MG ORAL TAB $14.50 HC89003701 PHENMETRAZINE URINE-AU $125.00 42291-245-01 PHENOBARB-HYOSCY-ATROPINE-SCOP 16.2-0.1037 -0.0194 MG ORAL TAB $36.92 59212-425-10 PHENOBARB-HYOSCY-ATROPINE-SCOP 16.2-0.1037 -0.0194 MG ORAL TAB $62.40 75826-118-10 PHENOBARB-HYOSCY-ATROPINE-SCOP 16.2-0.1037 -0.0194 MG ORAL TAB $37.24 59212-423-04 PHENOBARB-HYOSCY-ATROPINE-SCOP 16.2-0.1037 -0.0194 MG/5 ML ORAL ELIX "$2,334.24 " 71914-162-04 PHENOBARB-HYOSCY-ATROPINE-SCOP 16.2-0.1037 -0.0194 MG/5 ML ORAL ELIX "$2,304.00 " 99999-000-46 PHENOBARBITAL 10 MG / ML SYRINGE $10.50 99999-005-69 PHENOBARBITAL 10 MG/ML INJ SOLN DILUTION (MCH) $1.50 0603-1508-58 PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIX $428.54 13517-107-16 PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIX $414.35 54932-501-81 PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIX $468.27 99998-002-31 PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIX $2.19 99998-005-26 PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIX $1.00 99999-035-95 PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIX $4.38 99999-035-97 PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIX $6.57 99999-037-05 PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIX $3.00 0603-5166-21 PHENOBARBITAL 32.4 MG ORAL TAB $3.24 0904-6575-61 PHENOBARBITAL 32.4 MG ORAL TAB $2.27 63739-294-10 PHENOBARBITAL 32.4 MG ORAL TAB $4.24 99999-002-37 PHENOBARBITAL 4MG/ML (NICU) ORAL SYRINGE $1.00 99999-005-68 PHENOBARBITAL 5 MG/ML INJ SOLN DILUTION (MCH) $1.00 0603-5167-21 PHENOBARBITAL 64.8 MG ORAL TAB $4.05 13517-112-01 PHENOBARBITAL 64.8 MG ORAL TAB $4.02 0603-5168-21 PHENOBARBITAL 97.2 MG ORAL TAB $5.71 13517-113-01 PHENOBARBITAL 97.2 MG ORAL TAB $5.68 HC89006555 PHENOBARBITAL LEVEL-AU $11.35 0641-0477-21 PHENOBARBITAL SODIUM 130 MG/ML INJ SOLN $373.42 0641-0477-25 PHENOBARBITAL SODIUM 130 MG/ML INJ SOLN $373.42 0641-0476-21 PHENOBARBITAL SODIUM 65 MG/ML INJ SOLN $151.07 0641-0476-25 PHENOBARBITAL SODIUM 65 MG/ML INJ SOLN $151.07 99999-006-96 PHENOBARBITAL SODIUM 65 MG/ML INJ SOLN $5.87 HC89005839 PHENOBARBITAL-U2 $30.00 HC81100315 PHENOBARBITOL $399.00 0316-0100-06 PHENOL 0.6 % MUCOUS MEMB LIQD $59.81 1093945944 PHENOL 1.4 % MUCOUS MEMB SPRA $11.68 7811201103 PHENOL 1.4 % MUCOUS MEMB SPRA $22.30 0536-1228-58 PHENOL 1.4 % MUCOUS MEMB SPRA $14.87 0904-6305-21 PHENOL 1.4 % MUCOUS MEMB SPRA $10.62 49348-991-36 PHENOL 1.4 % MUCOUS MEMB SPRA $11.68 99999-038-32 PHENOL 10% INJECTION $180.00 0054-0349-25 PHENOXYBENZAMINE 10 MG ORAL CAP $647.95 HC89001648 PHENSUXIMIDE-AU $112.00 0143-9564-01 PHENTOLAMINE 5 MG INJ SOLR "$2,674.98 " 0143-9564-10 PHENTOLAMINE 5 MG INJ SOLR "$2,674.95 " 68094-101-20 PHENTOLAMINE 5 MG INJ SOLR "$2,518.80 " HC89009542 PHENYLALANINE SCREEN-AU $16.00 573287194 PHENYLEPH-MIN OIL-PETROLATUM 0.25-14-74.9 % RECTAL OINT $60.88 1093979744 PHENYLEPH-MIN OIL-PETROLATUM 0.25-14-74.9 % RECTAL OINT $15.73 0573-2871-93 PHENYLEPH-MIN OIL-PETROLATUM 0.25-14-74.9 % RECTAL OINT $35.28 45802-188-16 PHENYLEPH-MIN OIL-PETROLATUM 0.25-14-74.9 % RECTAL OINT $15.73 99999-038-13 PHENYLEPHRINE 100 MCG/ML INJ DILUTION $1.00 99999-044-18 PHENYLEPHRINE 100 MCG/ML INJ DILUTION $1.92 71863-202-05 PHENYLEPHRINE HCL 0.1 MG/ML IV SOLN $60.00 71863-202-06 PHENYLEPHRINE HCL 0.1 MG/ML IV SOLN $60.00 5618412105 PHENYLEPHRINE HCL 0.125 % NASL DROP $18.09 5032300602 PHENYLEPHRINE HCL 0.25 % NASL SPRY $18.99 0024-1348-03 PHENYLEPHRINE HCL 0.25 % NASL SPRY $18.99 0225-0800-47 PHENYLEPHRINE HCL 0.25 % NASL SPRY $18.99 69536-025-15 PHENYLEPHRINE HCL 0.25 % NASL SPRY $18.99 5032300603 PHENYLEPHRINE HCL 0.5 % NASL SPRY $18.99 0024-1353-01 PHENYLEPHRINE HCL 0.5 % NASL SPRY $18.99 0225-0805-47 PHENYLEPHRINE HCL 0.5 % NASL SPRY $18.99 69536-050-15 PHENYLEPHRINE HCL 0.5 % NASL SPRY $18.99 1093944333 PHENYLEPHRINE HCL 1 % NASL DROP $12.60 49348-197-27 PHENYLEPHRINE HCL 1 % NASL DROP $12.60 5032300604 PHENYLEPHRINE HCL 1 % NASL SPRY $21.33 0024-1352-02 PHENYLEPHRINE HCL 1 % NASL SPRY $21.33 0225-0810-47 PHENYLEPHRINE HCL 1 % NASL SPRY $21.33 69536-100-15 PHENYLEPHRINE HCL 1 % NASL SPRY $21.33 17478-206-05 PHENYLEPHRINE HCL 10 % OPHT DROP $240.00 42702-103-05 PHENYLEPHRINE HCL 10 % OPHT DROP $240.00 0641-6142-01 PHENYLEPHRINE HCL 10 MG/ML INJ SOLN $36.00 0641-6142-25 PHENYLEPHRINE HCL 10 MG/ML INJ SOLN $36.00 0781-3422-71 PHENYLEPHRINE HCL 10 MG/ML INJ SOLN $19.20 0781-3422-92 PHENYLEPHRINE HCL 10 MG/ML INJ SOLN $19.20 0781-3458-75 PHENYLEPHRINE HCL 10 MG/ML INJ SOLN $132.00 0781-3458-95 PHENYLEPHRINE HCL 10 MG/ML INJ SOLN $132.00 0781-3466-70 PHENYLEPHRINE HCL 10 MG/ML INJ SOLN $222.00 25021-315-01 PHENYLEPHRINE HCL 10 MG/ML INJ SOLN $19.20 25021-315-98 PHENYLEPHRINE HCL 10 MG/ML INJ SOLN $177.60 42023-213-01 PHENYLEPHRINE HCL 10 MG/ML INJ SOLN $19.20 42023-213-25 PHENYLEPHRINE HCL 10 MG/ML INJ SOLN $19.20 42023-214-01 PHENYLEPHRINE HCL 10 MG/ML INJ SOLN $132.00 42023-214-10 PHENYLEPHRINE HCL 10 MG/ML INJ SOLN $132.00 61990-0211-0 PHENYLEPHRINE HCL 10 MG/ML INJ SOLN $15.36 61990-0211-3 PHENYLEPHRINE HCL 10 MG/ML INJ SOLN $15.36 61990-0212-0 PHENYLEPHRINE HCL 10 MG/ML INJ SOLN $21.12 61990-0212-2 PHENYLEPHRINE HCL 10 MG/ML INJ SOLN $105.60 63323-751-00 PHENYLEPHRINE HCL 10 MG/ML INJ SOLN $19.20 63323-751-01 PHENYLEPHRINE HCL 10 MG/ML INJ SOLN $19.20 63323-751-03 PHENYLEPHRINE HCL 10 MG/ML INJ SOLN $19.20 63323-751-10 PHENYLEPHRINE HCL 10 MG/ML INJ SOLN $259.38 63323-751-13 PHENYLEPHRINE HCL 10 MG/ML INJ SOLN $19.20 70121-1577-1 PHENYLEPHRINE HCL 10 MG/ML INJ SOLN $23.41 70121-1577-5 PHENYLEPHRINE HCL 10 MG/ML INJ SOLN $23.41 70121-1578-1 PHENYLEPHRINE HCL 10 MG/ML INJ SOLN $132.51 70121-1578-7 PHENYLEPHRINE HCL 10 MG/ML INJ SOLN $132.51 71288-807-01 PHENYLEPHRINE HCL 10 MG/ML INJ SOLN $19.20 71288-807-02 PHENYLEPHRINE HCL 10 MG/ML INJ SOLN $19.20 72572-571-01 PHENYLEPHRINE HCL 10 MG/ML INJ SOLN $11.88 72572-571-25 PHENYLEPHRINE HCL 10 MG/ML INJ SOLN $11.88 76014-004-10 PHENYLEPHRINE HCL 10 MG/ML INJ SOLN $132.42 76014-004-25 PHENYLEPHRINE HCL 10 MG/ML INJ SOLN $22.02 76014-004-30 PHENYLEPHRINE HCL 10 MG/ML INJ SOLN $22.02 76014-004-32 PHENYLEPHRINE HCL 10 MG/ML INJ SOLN $132.42 17478-201-02 PHENYLEPHRINE HCL 2.5 % OPHT DROP $195.00 17478-201-15 PHENYLEPHRINE HCL 2.5 % OPHT DROP $540.00 42702-102-15 PHENYLEPHRINE HCL 2.5 % OPHT DROP $540.00 99999-038-00 PHENYLEPHRINE HCL 2.5 % OPHT DROP $90.00 99999-044-85 PHENYLEPHRINE IN NS 20 MG/250 ML (80 MCG/ML) IV SOLN (MHS) $39.00 0536-1186-12 PHENYLEPHRINE-COCOA BUTTER 0.25-88.44 % RECTAL SUPP $1.00 0573-2883-20 PHENYLEPHRINE-COCOA BUTTER 0.25-88.44 % RECTAL SUPP $2.94 HC89003719 PHENYLPROPANOLAMINE URINE-AU $97.00 17856-4069-4 PHENYTOIN 100 MG/4 ML ORAL SUSP $13.34 66689-036-01 PHENYTOIN 100 MG/4 ML ORAL SUSP $38.40 66689-036-50 PHENYTOIN 100 MG/4 ML ORAL SUSP $38.40 66689-775-08 PHENYTOIN 100 MG/4 ML ORAL SUSP (MCH) $143.62 99999-036-67 PHENYTOIN 25 MG ORAL PARTIAL CHEWTAB (MCH) $2.29 0071-0007-24 PHENYTOIN 50 MG ORAL CHEW $7.65 0071-0007-40 PHENYTOIN 50 MG ORAL CHEW $10.85 51079-129-01 PHENYTOIN 50 MG ORAL CHEW $3.76 59762-5210-1 PHENYTOIN 50 MG ORAL CHEW $2.40 HC81100935 PHENYTOIN FREE $472.00 HC89006563 PHENYTOIN FREE(PNL)-AU $32.76 0409-1844-32 PHENYTOIN SODIUM 50 MG/ML IV SYRG $10.26 0071-0369-24 PHENYTOIN SODIUM EXTENDED 100 MG ORAL CAP $8.17 0071-0369-40 PHENYTOIN SODIUM EXTENDED 100 MG ORAL CAP $9.01 0904-6187-61 PHENYTOIN SODIUM EXTENDED 100 MG ORAL CAP $3.66 68084-376-01 PHENYTOIN SODIUM EXTENDED 100 MG ORAL CAP $3.21 68084-376-11 PHENYTOIN SODIUM EXTENDED 100 MG ORAL CAP $3.21 0071-3740-66 PHENYTOIN SODIUM EXTENDED 30 MG ORAL CAP $7.04 HC81100307 PHENYTOIN TOTAL $413.00 HC44503498 PHLEBCT VEIN/EXT >20 STAB-LT "$12,183.00 " HC44503480 PHLEBCT VEIN/EXT >20 STAB-RT "$12,183.00 " HC44501435 PHLEBCT VEIN/EXT 10-20 STAB-LT "$9,468.00 " HC44501443 PHLEBCT VEIN/EXT 10-20 STAB-RT "$9,468.00 " HC12800009 PHLEBOTOMY THERAPEUTIC $790.00 HC81101214 PHOSPHATIDYL GLYCEROL $380.00 HC89009609 PHOSPHATIDYL GLYCEROL-FE $59.00 HC89002646 PHOSPHATIDYL GLYCEROL-U2 $46.00 HC89017081 PHOSPHATIDYLSERINE ANTIBODY-AU $59.00 HC89004154 PHOSPHOLIPIDS - AU $25.00 HC81100687 PHOSPHORUS $167.00 HC81100000 PHOSPHORUS URINE $187.00 HC89009633 PHOSPHORUS URINE-AU $16.00 HC39001151 PHP MENTAL HEALTH TX<24HR "$2,378.00 " HC39001102 PHP OT SKILLS PER SESSION 45 M/> $341.00 HC47200308 PHYSICS CONSULT CONTINUOUS "$1,847.00 " HC47200316 PHYSICS CONSULT SPECIAL "$2,222.00 " HC36800274 PHYSIOLOGIC DATA COLLECTION $84.00 HC44701555 PHYSIOLOGIC EXERCISE STUDY+ "$1,551.00 " 0409-6141-09 PHYSIOLOGICAL IRRIG SOLN NO.1 140-5-3-98 MEQ/L IRR SOLN $30.00 0990-6141-09 PHYSIOLOGICAL IRRIG SOLN NO.1 140-5-3-98 MEQ/L IRR SOLN $30.00 17478-510-02 PHYSOSTIGMINE SALICYLATE 1 MG/ML INJ SOLN $469.72 0409-9157-01 PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJ SOLN $25.63 0409-9157-31 PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJ SOLN $25.63 0409-9157-50 PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJ SOLN $25.63 76329-1240-1 PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJ SYRG $135.00 0409-9158-01 PHYTONADIONE (VITAMIN K1) 10 MG/ML INJ SOLN $289.45 0409-9158-31 PHYTONADIONE (VITAMIN K1) 10 MG/ML INJ SOLN $289.45 0409-9158-50 PHYTONADIONE (VITAMIN K1) 10 MG/ML INJ SOLN $289.45 43598-405-11 PHYTONADIONE (VITAMIN K1) 10 MG/ML INJ SOLN $256.60 43598-405-16 PHYTONADIONE (VITAMIN K1) 10 MG/ML INJ SOLN $256.60 0187-1704-05 PHYTONADIONE (VITAMIN K1) 5 MG ORAL TAB $352.56 68682-170-30 PHYTONADIONE (VITAMIN K1) 5 MG ORAL TAB $321.53 99999-037-58 PHYTONADIONE 1 MG/0.5 ML INJ SOLN DILUTION (COMPOUNDED) $26.45 99999-037-59 PHYTONADIONE 1 MG/0.5 ML INJ SOLN DILUTION (COMPOUNDED) $13.22 99999-039-75 PHYTONADIONE 1 MG/ML ORAL SOLUTION (USING INJECTABLE TO MAKE SOLUTION) (LBM) $26.45 HC62205679 PICC LINE INTRODUCER $711.00 HC62224258 PICK INTRAOCULAR DISPOSABLE $130.00 HC62226311 PICK VEIN $65.00 HC62205687 PILLOW CERVICAL $121.00 0998-0203-15 PILOCARPINE HCL 1 % OPHT DROP $558.27 17478-223-12 PILOCARPINE HCL 1 % OPHT DROP $458.91 61314-203-15 PILOCARPINE HCL 1 % OPHT DROP $473.13 70069-181-01 PILOCARPINE HCL 1 % OPHT DROP $445.14 0998-0204-15 PILOCARPINE HCL 2 % OPHT DROP $571.05 17478-224-12 PILOCARPINE HCL 2 % OPHT DROP $469.35 61314-204-15 PILOCARPINE HCL 2 % OPHT DROP $483.93 70069-191-01 PILOCARPINE HCL 2 % OPHT DROP $455.31 61314-206-15 PILOCARPINE HCL 4 % OPHT DROP $507.33 0527-1313-01 PILOCARPINE HCL 5 MG ORAL TAB $4.90 68084-928-25 PILOCARPINE HCL 5 MG ORAL TAB $13.65 68084-928-95 PILOCARPINE HCL 5 MG ORAL TAB $13.65 0187-5100-01 PIMECROLIMUS 1 % TOPICAL CREAM "$1,794.24 " 49884-347-01 PIMOZIDE 1 MG ORAL TAB $8.13 HC62221981 PIN CHECKPOINT HEX ROBOTIC $296.00 HC62221973 PIN CHECKPOINT KNEE ROBOTIC $319.00 HC62221965 PIN CHECKPOINT TIBL/FEMORAL ROBOTIC $234.00 HC62220330 PIN DISTRACTOR $72.00 HC62205695 PIN PASSING $426.00 HC62216387 PIN/WIRE FIXATION TEMPORARY A $13.00 HC62216643 PIN/WIRE FIXATION TEMPORARY AA $572.00 HC62216650 PIN/WIRE FIXATION TEMPORARY AB $598.00 HC62216668 PIN/WIRE FIXATION TEMPORARY AC $624.00 HC62216676 PIN/WIRE FIXATION TEMPORARY AD $650.00 HC62216684 PIN/WIRE FIXATION TEMPORARY AE $780.00 HC62216692 PIN/WIRE FIXATION TEMPORARY AF $910.00 HC62216700 PIN/WIRE FIXATION TEMPORARY AG "$1,040.00 " HC62216718 PIN/WIRE FIXATION TEMPORARY AH "$1,170.00 " HC62216726 PIN/WIRE FIXATION TEMPORARY AI "$1,300.00 " HC62216395 PIN/WIRE FIXATION TEMPORARY B $26.00 HC62216403 PIN/WIRE FIXATION TEMPORARY C $39.00 HC62216411 PIN/WIRE FIXATION TEMPORARY D $52.00 HC62216429 PIN/WIRE FIXATION TEMPORARY E $65.00 HC62216437 PIN/WIRE FIXATION TEMPORARY F $78.00 HC62216445 PIN/WIRE FIXATION TEMPORARY G $91.00 HC62216452 PIN/WIRE FIXATION TEMPORARY H $104.00 HC62216460 PIN/WIRE FIXATION TEMPORARY I $117.00 HC62216478 PIN/WIRE FIXATION TEMPORARY J $130.00 HC62216486 PIN/WIRE FIXATION TEMPORARY K $156.00 HC62216494 PIN/WIRE FIXATION TEMPORARY L $182.00 HC62215777 PIN/WIRE FIXATION TEMPORARY M $208.00 HC62216510 PIN/WIRE FIXATION TEMPORARY N $234.00 HC62216528 PIN/WIRE FIXATION TEMPORARY O $260.00 HC62216536 PIN/WIRE FIXATION TEMPORARY P $286.00 HC62216544 PIN/WIRE FIXATION TEMPORARY Q $312.00 HC62216551 PIN/WIRE FIXATION TEMPORARY R $338.00 HC62216569 PIN/WIRE FIXATION TEMPORARY S $364.00 HC62216577 PIN/WIRE FIXATION TEMPORARY T $390.00 HC62216585 PIN/WIRE FIXATION TEMPORARY U $416.00 HC62216593 PIN/WIRE FIXATION TEMPORARY V $442.00 HC62216601 PIN/WIRE FIXATION TEMPORARY W $468.00 HC62216619 PIN/WIRE FIXATION TEMPORARY X $494.00 HC62216627 PIN/WIRE FIXATION TEMPORARY Y $520.00 HC62216635 PIN/WIRE FIXATION TEMPORARY Z $546.00 HC62216734 PIN/WIRE FIXATION TEMPORARY AJ "$1,430.00 " HC62216759 PIN/WIRE FIXATION TEMPORARY AL "$1,690.00 " HC62226329 PIN/WIRE FIXATION TEMPORARY AM "$1,950.00 " HC62216973 PIN/WIRE FIXATION TEMPORARY AV "$2,990.00 " HC62226584 PIN/WIRE FIXATION TEMPORARY AW "$3,250.00 " 0378-0052-01 PINDOLOL 5 MG ORAL TAB $6.34 57664-655-88 PINDOLOL 5 MG ORAL TAB $5.28 HC62221940 PINS BONE REFERENCE ROBOTIC(2 PK) $436.00 HC62205703 PINS CRW HEAD DISP "$2,688.00 " HC84200138 PINWORM PREP $105.00 0781-5420-31 PIOGLITAZONE 15 MG ORAL TAB $2.20 0781-5420-92 PIOGLITAZONE 15 MG ORAL TAB $2.20 33342-054-07 PIOGLITAZONE 15 MG ORAL TAB $1.00 33342-054-10 PIOGLITAZONE 15 MG ORAL TAB $1.00 51079-513-01 PIOGLITAZONE 15 MG ORAL TAB $9.74 51079-513-20 PIOGLITAZONE 15 MG ORAL TAB $9.74 57237-219-30 PIOGLITAZONE 15 MG ORAL TAB $1.00 60687-391-01 PIOGLITAZONE 15 MG ORAL TAB $6.30 60687-391-11 PIOGLITAZONE 15 MG ORAL TAB $6.30 65862-512-30 PIOGLITAZONE 15 MG ORAL TAB $1.00 0781-5421-31 PIOGLITAZONE 30 MG ORAL TAB $3.35 33342-055-07 PIOGLITAZONE 30 MG ORAL TAB $1.00 33342-055-10 PIOGLITAZONE 30 MG ORAL TAB $1.00 64764-301-14 PIOGLITAZONE 30 MG ORAL TAB $118.76 0093-7273-56 PIOGLITAZONE 45 MG ORAL TAB $2.80 0093-7273-98 PIOGLITAZONE 45 MG ORAL TAB $2.80 16729-022-15 PIOGLITAZONE 45 MG ORAL TAB $1.00 33342-056-07 PIOGLITAZONE 45 MG ORAL TAB $1.00 33342-056-10 PIOGLITAZONE 45 MG ORAL TAB $1.00 64764-451-24 PIOGLITAZONE 45 MG ORAL TAB $128.82 99998-000-41 PIPERACILLIN-TAZOBACTAM 112.5 MG/ML INJ SYR (USING 3.375G) $22.89 99998-000-42 PIPERACILLIN-TAZOBACTAM 112.5 MG/ML INJ SYR (USING 3.375G) $45.78 99999-007-01 PIPERACILLIN-TAZOBACTAM 112.5 MG/ML INJ SYR (USING 3.375G) $2.77 99999-042-08 PIPERACILLIN-TAZOBACTAM 112.5 MG/ML INJ SYR (USING 4.5 G) $2.06 0409-3374-02 PIPERACILLIN-TAZOBACTAM 2.25 GRAM IV SOLR $51.01 0409-3383-02 PIPERACILLIN-TAZOBACTAM 2.25 GRAM IV SOLR $41.20 0781-3110-90 PIPERACILLIN-TAZOBACTAM 2.25 GRAM IV SOLR $41.22 0781-3110-95 PIPERACILLIN-TAZOBACTAM 2.25 GRAM IV SOLR $41.22 0781-3344-94 PIPERACILLIN-TAZOBACTAM 2.25 GRAM IV SOLR $41.22 0781-3344-95 PIPERACILLIN-TAZOBACTAM 2.25 GRAM IV SOLR $41.22 0781-9210-90 PIPERACILLIN-TAZOBACTAM 2.25 GRAM IV SOLR $41.22 0781-9210-95 PIPERACILLIN-TAZOBACTAM 2.25 GRAM IV SOLR $41.22 25021-164-30 PIPERACILLIN-TAZOBACTAM 2.25 GRAM IV SOLR $42.00 44567-801-10 PIPERACILLIN-TAZOBACTAM 2.25 GRAM IV SOLR $43.98 55150-119-30 PIPERACILLIN-TAZOBACTAM 2.25 GRAM IV SOLR $44.22 63323-981-21 PIPERACILLIN-TAZOBACTAM 2.25 GRAM IV SOLR $55.50 63323-981-23 PIPERACILLIN-TAZOBACTAM 2.25 GRAM IV SOLR $55.50 64679-034-01 PIPERACILLIN-TAZOBACTAM 2.25 GRAM IV SOLR $46.11 64679-034-02 PIPERACILLIN-TAZOBACTAM 2.25 GRAM IV SOLR $46.11 99999-007-02 PIPERACILLIN-TAZOBACTAM 225 MG/ML IV SOLN DILUTION (MCH) $41.22 0409-3385-11 PIPERACILLIN-TAZOBACTAM 3.375 GRAM IV SOLR $62.12 0409-3385-13 PIPERACILLIN-TAZOBACTAM 3.375 GRAM IV SOLR $61.81 0781-3113-90 PIPERACILLIN-TAZOBACTAM 3.375 GRAM IV SOLR $61.80 0781-3113-95 PIPERACILLIN-TAZOBACTAM 3.375 GRAM IV SOLR $61.80 0781-3350-94 PIPERACILLIN-TAZOBACTAM 3.375 GRAM IV SOLR $61.80 0781-3350-95 PIPERACILLIN-TAZOBACTAM 3.375 GRAM IV SOLR $61.80 0781-9213-90 PIPERACILLIN-TAZOBACTAM 3.375 GRAM IV SOLR $61.80 0781-9213-95 PIPERACILLIN-TAZOBACTAM 3.375 GRAM IV SOLR $61.80 25021-165-30 PIPERACILLIN-TAZOBACTAM 3.375 GRAM IV SOLR $66.00 44567-802-10 PIPERACILLIN-TAZOBACTAM 3.375 GRAM IV SOLR $66.00 0409-3379-04 PIPERACILLIN-TAZOBACTAM 4.5 GRAM IV SOLR $92.21 0409-3390-04 PIPERACILLIN-TAZOBACTAM 4.5 GRAM IV SOLR $82.40 0781-3114-91 PIPERACILLIN-TAZOBACTAM 4.5 GRAM IV SOLR $82.38 0781-3114-95 PIPERACILLIN-TAZOBACTAM 4.5 GRAM IV SOLR $82.38 0781-3367-94 PIPERACILLIN-TAZOBACTAM 4.5 GRAM IV SOLR $82.38 0781-3367-95 PIPERACILLIN-TAZOBACTAM 4.5 GRAM IV SOLR $82.38 0781-9214-91 PIPERACILLIN-TAZOBACTAM 4.5 GRAM IV SOLR $82.38 25021-166-48 PIPERACILLIN-TAZOBACTAM 4.5 GRAM IV SOLR $87.00 64679-012-01 PIPERACILLIN-TAZOBACTAM 4.5 GRAM IV SOLR $87.61 64679-012-02 PIPERACILLIN-TAZOBACTAM 4.5 GRAM IV SOLR $87.61 0781-9214-95 PIPERACILLIN-TAZOBACTAM 4.5 GRAM IV SOLR (SLH) $82.38 63323-304-74 PIPERACILLIN-TAZOBACTAM 40.5 GRAM IV SOLR $887.67 63323-304-78 PIPERACILLIN-TAZOBACTAM 40.5 GRAM IV SOLR $446.15 99999-035-56 PIPERACILLIN-TAZOBACTAM IV (FOR DESENSITIZATION USE) $1.00 0206-8861-01 PIPERACILLIN-TAZOBACTAM-DEXTRS 3.375 GRAM/50 ML IV PGBK $120.00 0206-8861-02 PIPERACILLIN-TAZOBACTAM-DEXTRS 3.375 GRAM/50 ML IV PGBK $120.00 0378-0466-01 PIROXICAM 10 MG ORAL CAP $6.76 42571-176-01 PIROXICAM 10 MG ORAL CAP $4.20 0378-0467-01 PIROXICAM 20 MG ORAL CAP $12.67 42543-115-01 PIROXICAM 20 MG ORAL CAP $6.10 66869-104-90 PITAVASTATIN CALCIUM 1 MG ORAL TAB $62.08 HC44503779 PLACE CATH THOR AORTA&ANGIO W/S&I "$11,615.00 " HC47200860 PLACE DEVICE/MARKER OTHER SITES(NON-PROST) "$4,980.00 " HC44501229 PLACE TUBE NASO/ORO-GASTRIC BY MD W/FLUORO "$1,654.00 " HC44700813 PLACEMENT COIL SEPTUM "$34,525.00 " HC44504785 "PLACEMENT STENT(S)CDS VIA DIALYSIS CIRCUIT WS&I, PTA+" "$12,650.00 " HC44501450 PLACEMT OF CHOLEDOCHAL STENT "$8,222.00 " HC81500852 PLACENTAL ALPHA MICROGLOBULIN-1 $762.00 HC44703395 PLACMNT DELAY DISTL/PROX EXTSN INFRARENL AA ILIAC:INT'L VSSL "$23,920.00 " HC44703403 PLACMNT DELAY DISTL/PRX EXTSN INFRARENL AA ILIAC:ADD'L VSSL+ "$6,361.00 " HC44703387 PLACMNT EXTNSN PROTH ILIAC ART/PROX RENAL EV PER VESSEL TX+ "$6,945.00 " HC83001271 PLASMA CONVALESCENT (COVID-AB) -SB $798.00 HC83000620 PLASMA CRYO REDUCED EA UNIT-OS $456.00 HC83001156 PLASMA FRZN COLL 8-24 HRS EA UNIT $431.00 13533-613-25 PLASMA PROTEIN FRACTION 5 % IV SOLP $318.00 HC89010706 PLASMINOGEN ACTIVATOR INH-1-AU $54.00 HC89010714 PLASMINOGEN-AU $22.00 HC89004899 PLAT NEUT RFX - AU $39.00 HC89019749 PLATELET AB IDENTIFY-AU $160.00 HC81500183 PLATELET AGG EA AGENT $384.00 HC81500175 PLATELET AGG EPINEPHRINE $376.00 HC81500837 PLATELET AGG PLAVIX RESISTANCE $331.00 HC89010912 PLATELET ANTIBODIES-AU $100.00 HC89002356 PLATELET ANTIBODIES-QD $140.00 HC89500680 PLATELET ANTIBODY ID -SB $195.00 HC89010920 PLATELET ASSOCIATED ABS-AU $28.78 HC89002075 PLATELET ASSOCIATED IGG-QD $68.00 HC81500027 PLATELET COUNT- AUTO $181.00 HC83000521 PLATELET HLA LR APHER/PHER "$3,158.00 " HC83000067 PLATELET LR APHER/PHER EA UNIT "$2,374.00 " HC83000539 PLATELET LR CMV NEG APHER/PHER "$1,869.00 " HC83001206 PLATELET LR PHER EA UNIT "$2,319.00 " HC83001008 PLATELET LR PHER EA UNIT -SB "$2,320.00 " HC89010763 PLATELET NEUT-AU $42.00 HC89018246 PLATELET NEUT-EC $112.00 HC83000513 PLATELET PHERESIS EA UNIT "$2,399.00 " HC83000547 PLATELET PHERESIS IRRD EA UNIT "$2,393.00 " HC83001248 PLATELET PHERESIS PATHOGEN REDUCED EA UNIT "$2,181.00 " HC83000554 PLATELETPHER LR IRRAD EA UNIT "$3,047.00 " HC83000562 PLATELETPHER LR/CMV-/IRRAD/U "$2,710.00 " HC83000000 PLATELETS CONCENTRATE EA UNIT $504.00 HC83000497 PLATELETS IRRAD EA UNIT $664.00 HC83000489 PLATELETS LEUKO RED EA UNIT $500.00 HC83000505 PLATELETS LR IRRAD EA UNIT $645.00 HC47200324 PLC BRACHY CATH W/PART MAST BIL "$21,567.00 " HC47200332 PLC BRACHY CATH W/PART MAST LT "$10,830.00 " HC47200340 PLC BRACHY CATH W/PART MAST RT "$10,830.00 " HC47200357 PLC MAMMOSITE AFTER DOS BIL "$21,088.00 " HC47200365 PLC MAMMOSITE AFTER DOS LT "$11,609.00 " HC47200373 PLC MAMMOSITE AFTER DOS RT "$11,609.00 " HC47200381 PLC MAMMOSITE ON DOS BIL "$18,577.00 " HC47200399 PLC MAMMOSITE ON DOS LT "$9,387.00 " HC47200407 PLC MAMMOSITE ON DOS RT "$9,387.00 " HC25001157 PLCMNT CENTRAL VEN CATH<5 YR "$3,990.00 " HC46501284 PLCMNT CENTRAL VEN CATH<5 YR "$4,860.00 " HC25001165 PLCMNT CENTRAL VEN CATH>5 YR "$4,196.00 " HC44503928 PLCMNT DEV ENDOVAS OCCLUD ART ILIAC+ "$7,740.00 " HC44503936 PLCMNT GRAFT FEM-FEM-AAA REP+ "$21,072.00 " HC47200910 PLCMNT INTERSTIT DEV ABD/PELV "$6,017.00 " HC47200415 PLCMNT INTERSTIT DEV PROSTATE "$4,690.00 " HC47200902 PLCMNT INTERSTIT DEV THORACIC "$5,146.00 " HC44503605 PLCMNT IVC FILTER /S&I/IMAGE "$17,299.00 " HC44504413 "PLCMT ACC BILTREE->SB4ENDO PERC(CHOLANG,S&I) NEW ACC" "$8,174.00 " HC44504330 "PLCMT CATH BIL DRN PERC(CHOLANG,S&I)EXTRNL" "$10,477.00 " HC44504348 "PLCMT CATH BIL DRN PERC(CHOLANG,S&I)INT/EXT" "$11,630.00 " HC46502431 "PLCMT CATH NEPHURET PERC(NEPH/URET'GRM,S&I)NEW ACC BI" "$13,056.00 " HC46502449 "PLCMT CATH NEPHURET PERC(NEPH/URET'GRM,S&I)NEW ACC LT" "$7,461.00 " HC46502456 "PLCMT CATH NEPHURET PERC(NEPH/URET'GRM,S&I)NEW ACC RT" "$7,461.00 " HC44701357 PLCMT CORON CATH;BYPASS GRAFTS "$26,069.00 " HC44701373 PLCMT CORON CATH;GRAFTS&RT HRT "$32,647.00 " HC44701381 PLCMT CORON CATH;LT HRT CATH "$32,452.00 " HC44701399 PLCMT CORON CATH;LT HRT&GRAFTS "$39,916.00 " HC44701407 PLCMT CORON CATH;R&L HRT CATH "$38,557.00 " HC44701415 PLCMT CORON CATH;R&L HRT&GRFT "$42,170.00 " HC44701365 PLCMT CORON CATH;RT HRT CATH "$30,066.00 " HC44701340 PLCMT CORONARY CATH(ANGIO/S&I) "$24,286.00 " HC46502407 "PLCMT NEPHROSTOMY CATHETER,(NEPH/URET'GRM,S&I) BI" "$11,053.00 " HC46502415 "PLCMT NEPHROSTOMY CATHETER,(NEPH/URET'GRM,S&I) LT" "$6,318.00 " HC46502423 "PLCMT NEPHROSTOMY CATHETER,(NEPH/URET'GRM,S&I) RT" "$6,318.00 " HC44504371 "PLCMT STNT BIL PERC EA&CATH(CHOLANG,BLN DIL,S&I)NEW ACC" "$12,445.00 " HC44504355 "PLCMT STNT BIL PERC EA(CHOLANG,BLN DIL,S&I)EXIST ACC" "$13,236.00 " HC44504363 "PLCMT STNT BIL PERC EA(CHOLANG,BLN DIL,S&I)NEW ACC" "$10,656.00 " HC44504587 "PLCMT URET STENT PERC(NEPH/URET'GRM,S&I) NEW ACCES SEP CATH BI" "$20,498.00 " HC44504595 "PLCMT URET STENT PERC(NEPH/URET'GRM,S&I) NEW ACCES SEP CATH LT" "$13,452.00 " HC44504603 "PLCMT URET STENT PERC(NEPH/URET'GRM,S&I) NEW ACCES SEP CATH RT" "$13,452.00 " HC44504553 "PLCMT URET STENT PERC(NEPH/URET'GRM,S&I)NEW ACCES BI" "$22,345.00 " HC44504561 "PLCMT URET STENT PERC(NEPH/URET'GRM,S&I)NEW ACCES LT" "$11,759.00 " HC44504579 "PLCMT URET STENT PERC(NEPH/URET'GRM,S&I)NEW ACCES RT" "$11,759.00 " HC44504520 "PLCMT URET STENT PERC(NEPH/URET'GRM,S&I)PRE-EXIST BI" "$16,295.00 " HC44504538 "PLCMT URET STENT PERC(NEPH/URET'GRM,S&I)PRE-EXIST LT" "$9,052.00 " HC44504546 "PLCMT URET STENT PERC(NEPH/URET'GRM,S&I)PRE-EXIST RT" "$9,052.00 " HC62221924 PLEDGET CARDIOVASCULAR (6/PK) $36.00 HC29000346 PLETHYSMOGRAPHY $487.00 HC36000651 PLETHYSMOGRAPHY LUNG VOL "$1,061.00 " HC36800704 PLETHYSMOGRAPHY LUNG VOL "$1,071.00 " HC62807839 PLUG PORT LEAD GENERATOR PULSE $130.00 HC62205711 PLUG SILICONE $107.00 HC62208624 PLUG STOPCOCK $13.00 HC89019301 "PM/SCL-100 AB, IGG-AU" $73.00 0005-1971-01 PNEUMOC 13-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG "$1,207.52 " 0005-1971-02 PNEUMOC 13-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG "$1,207.52 " 0005-1971-05 PNEUMOC 13-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG "$1,245.42 " 0006-4837-01 PNEUMOCOCCAL 23-VAL PS VACCINE 25 MCG/0.5 ML INJ (MHS) $612.66 0006-4837-03 PNEUMOCOCCAL 23-VAL PS VACCINE 25 MCG/0.5 ML INJ (MHS) $631.16 0006-4943-00 PNEUMOCOCCAL 23-VAL PS VACCINE 25 MCG/0.5 ML INJ SOLN $631.16 0006-4943-01 PNEUMOCOCCAL 23-VAL PS VACCINE 25 MCG/0.5 ML INJ SOLN $631.16 HC89011704 PNEUMOCOCCAL AB(PNL)-AU $13.00 HC89021950 PNEUMOCYSTIS JIROVECII DFA-AU $37.00 HC36800290 PNEUMOGRAM 12-24HR REC INFANT "$1,981.00 " HC89018436 PNH RBC CD59-AU $37.50 HC89018444 PNH RBC GLYCOPHORIN-AU $37.50 536408501 PNV CMB#95-FERROUS FUMARATE-FA 28 MG IRON- 800 MCG ORAL TAB $1.00 46783-221-52 POLIDOCANOL 1 % (20 MG/2 ML) IV SOLN $120.00 99999-038-91 POLIHEXANIDE (PURAPLY AM) 2X2 CM EACH TOPICAL SHEET "$1,776.00 " 99999-041-55 POLIHEXANIDE (PURAPLY AM) 1.6 CM EACH TOPICAL DISC "$1,350.00 " 99999-038-92 POLIHEXANIDE (PURAPLY AM) 2X4 CM EACH TOPICAL SHEET "$2,688.00 " 99999-044-63 POLIHEXANIDE (PURAPLY AM) 3X4 CM EACH TOPICAL SHEET "$7,500.00 " 99999-044-64 POLIHEXANIDE (PURAPLY AM) 4X4 CM EACH TOPICAL SHEET "$10,368.00 " 99999-038-93 POLIHEXANIDE (PURAPLY AM) 5X5 CM EACH TOPICAL SHEET "$8,400.00 " 99999-038-94 POLIHEXANIDE (PURAPLY AM) 6X9 CM EACH TOPICAL SHEET "$18,144.00 " 99999-038-95 POLIHEXANIDE (PURAPLY) 2X2 CM EACH TOPICAL SHEET "$1,308.00 " 99999-038-96 POLIHEXANIDE (PURAPLY) 2X4 CM EACH TOPICAL SHEET "$2,616.00 " 99999-038-97 POLIHEXANIDE (PURAPLY) 5X5 CM EACH TOPICAL SHEET "$8,184.00 " 99999-038-98 POLIHEXANIDE (PURAPLY) 6X9 CM EACH TOPICAL SHEET "$17,682.00 " HC89012447 POLIOVIRUS AB (PNL)-AU $39.00 49281-860-10 POLIOVIRUS VACCINE 40-8-32 UNIT/0.5 ML INJ SUSP "$2,064.90 " 49281-860-78 POLIOVIRUS VACCINE 40-8-32 UNIT/0.5 ML INJ SUSP "$2,064.90 " HC89001523 POLIOVIRUS-QD $13.00 4110080676 POLYETHYLENE GLYCOL 3350 17 GRAM ORAL PWPK $5.29 0904-6931-76 POLYETHYLENE GLYCOL 3350 17 GRAM ORAL PWPK $8.35 0904-6931-81 POLYETHYLENE GLYCOL 3350 17 GRAM ORAL PWPK $9.35 0904-6931-86 POLYETHYLENE GLYCOL 3350 17 GRAM ORAL PWPK $8.35 11523-7234-1 POLYETHYLENE GLYCOL 3350 17 GRAM ORAL PWPK $5.29 11523-7268-3 POLYETHYLENE GLYCOL 3350 17 GRAM ORAL PWPK $5.29 11523-7268-8 POLYETHYLENE GLYCOL 3350 17 GRAM ORAL PWPK $5.45 45802-868-00 POLYETHYLENE GLYCOL 3350 17 GRAM ORAL PWPK $12.32 45802-868-66 POLYETHYLENE GLYCOL 3350 17 GRAM ORAL PWPK $12.32 51079-306-01 POLYETHYLENE GLYCOL 3350 17 GRAM ORAL PWPK $9.04 51079-306-30 POLYETHYLENE GLYCOL 3350 17 GRAM ORAL PWPK $9.04 68084-430-98 POLYETHYLENE GLYCOL 3350 17 GRAM ORAL PWPK $10.11 68084-430-99 POLYETHYLENE GLYCOL 3350 17 GRAM ORAL PWPK $10.11 69784-180-01 POLYETHYLENE GLYCOL 3350 17 GRAM ORAL PWPK $9.35 69784-180-10 POLYETHYLENE GLYCOL 3350 17 GRAM ORAL PWPK $9.35 69784-180-14 POLYETHYLENE GLYCOL 3350 17 GRAM ORAL PWPK $10.11 4110082073 POLYETHYLENE GLYCOL 3350 17 GRAM/DOSE ORAL POWD $52.84 4110082076 POLYETHYLENE GLYCOL 3350 17 GRAM/DOSE ORAL POWD $29.99 11523-7234-3 POLYETHYLENE GLYCOL 3350 17 GRAM/DOSE ORAL POWD $52.84 11523-7234-4 POLYETHYLENE GLYCOL 3350 17 GRAM/DOSE ORAL POWD $100.98 45802-868-02 POLYETHYLENE GLYCOL 3350 17 GRAM/DOSE ORAL POWD $44.27 17856-0312-2 POLYETHYLENE GLYCOL 3350 8.5 GRAM ORAL PWPK $8.33 17856-0312-5 POLYETHYLENE GLYCOL 3350 8.5 GRAM ORAL PWPK $8.33 6299129141 POLYETHYLENE GLYCOL 400 (BULK) MISC LIQD $537.00 6299127551 POLYETHYLENE GLYCOL 8000(BULK) MISC POWD $574.76 HC62807433 POLYMER FILLER RING GRAFT/STENT "$2,438.00 " 55150-234-10 "POLYMYXIN B SULFATE 500,000 UNIT INJ SOLR" $60.00 63323-367-01 "POLYMYXIN B SULFATE 500,000 UNIT INJ SOLR" $66.00 63323-367-11 "POLYMYXIN B SULFATE 500,000 UNIT INJ SOLR" $66.00 70594-049-02 "POLYMYXIN B SULFATE 500,000 UNIT INJ SOLR" $67.50 70860-103-10 "POLYMYXIN B SULFATE 500,000 UNIT INJ SOLR" $54.00 70860-103-41 "POLYMYXIN B SULFATE 500,000 UNIT INJ SOLR" $54.00 17478-703-11 "POLYMYXIN B SULF-TRIMETHOPRIM 10,000 UNIT- 1 MG/ML OPHT DROP" $61.80 24208-315-10 "POLYMYXIN B SULF-TRIMETHOPRIM 10,000 UNIT- 1 MG/ML OPHT DROP" $64.50 60758-908-10 "POLYMYXIN B SULF-TRIMETHOPRIM 10,000 UNIT- 1 MG/ML OPHT DROP" $65.34 61314-628-10 "POLYMYXIN B SULF-TRIMETHOPRIM 10,000 UNIT- 1 MG/ML OPHT DROP" $62.10 99996-000-12 POLYMYXIN/BACITRACIN IRRIGATION $117.00 99996-000-13 POLYMYXIN/BACITRACIN IRRIGATION $234.00 HC41000126 POLYSMN CPAP/BIPAP<6 ATTD REDCD SVC "$3,290.00 " HC41000076 POLYSMN CPAP/BIPAP6&>ATTD REDCD SVC "$3,835.00 " HC41000092 POLYSMNGRPH 4+STG<6Y/O ATTD RDC SVC "$3,738.00 " HC41000068 POLYSMNGRPH 4+STG6&> ATTD DISCONT' "$1,769.00 " HC41000100 POLYSMNGRPH 4+STGS <6 DISCONT "$1,669.00 " HC41000084 POLYSMNGRPH 4+STGS <6 Y/O ATTD "$7,250.00 " HC41000118 POLYSMNGRPH CPAP/BIPAP <6Y/O ATTD "$7,500.00 " HC41000035 POLYSOMNOGRAPHY 4+ STAGES 6&> ATTD "$7,075.00 " HC41000043 POLYSOMNOGRAPHY 4+ STG 6&> REDCD SVC "$3,206.00 " HC41000050 POLYSOMNOGRAPHY CPAP/BIPAP 6&> ATTD "$7,125.00 " 17478-060-12 POLYVINYL ALCOHOL 1.4 % OPHT DROP $26.73 0023-0506-01 POLYVINYL ALCOHOL-POVIDON(PF) 1.4-0.6 % OPHT DPET $1.72 0023-0506-50 POLYVINYL ALCOHOL-POVIDON(PF) 1.4-0.6 % OPHT DPET $1.58 HC83000364 POOLING PLAT OR OTHER BLD PROD $324.00 10122-510-01 PORACTANT ALFA 120 MG/1.5 ML INTRATRACH SUSP "$2,743.80 " 10122-510-03 PORACTANT ALFA 240 MG/3 ML INTRATRACH SUSP "$5,410.44 " 8213100033 "PORCINE SUBMUCOSA, FENESTRATED 3 X 3.5 CM TOPICAL SHEE" $708.78 8213100037 "PORCINE SUBMUCOSA, FENESTRATED 3 X 7 CM TOPICAL SHEE" "$1,417.50 " 8213000013 "PORCINE SUBMUCOSA, MESHED 5 X 7 CM TOPICAL SHEE" "$2,625.00 " HC89009641 PORPHOBILINOGEN QUANT-AU $33.00 HC89009674 PORPHYRINS FECAL FRACT-AU $126.00 HC89009666 PORPHYRINS FRACT URINE-AU $28.55 HC89000798 PORPHYRINS FRACT URINE-QD $75.00 HC62223888 PORT ENDOSCOPIC $150.00 HC62806427 PORT INDWELLING W/CATH E $650.00 HC62806435 PORT INDWELLING W/CATH F $780.00 HC62806120 PORT INDWELLING W/CATH G $910.00 HC62806443 PORT INDWELLING W/CATH I "$1,170.00 " HC62806138 PORT INDWELLING W/CATH J "$1,300.00 " HC62801725 PORT INDWELLING W/CATH K "$1,625.00 " HC62801733 PORT INDWELLING W/CATH M "$2,275.00 " HC62219043 PORT INSTRMNT MULTI LAPAROSCPC "$1,777.00 " HC62212113 PORT SINGLE-SITE ROBOTIC $488.00 HC44501468 PORTOGRAM W/ HEMODYNAMIC EVAL "$6,922.00 " HC44501476 PORTOGRAM W/O HEMODYNAMIC EVAL "$5,548.00 " 0085-4324-02 POSACONAZOLE 100 MG ORAL TBEC $411.18 0254-2045-02 POSACONAZOLE 100 MG ORAL TBEC $328.94 0527-2133-35 POSACONAZOLE 100 MG ORAL TBEC $328.94 0085-1328-01 POSACONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSP "$8,637.30 " 99999-004-26 POSACONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSP $376.50 0085-4331-01 POSACONAZOLE 300 MG/16.7 ML IV SOLN "$3,182.65 " HC62210836 POSITIONER FLUIDIZED FULL BODY $390.00 HC62221270 POSITIONER FLUIDIZED FULL BODY PEDS $199.00 HC62227830 POSITIONER FLUIDIZED LARGE $195.00 HC62209374 POSITIONER FLUIDIZED MED Z-FLO $455.00 HC62227822 POSITIONER FLUIDIZED SMALL $52.00 HC62209366 POSITIONER FLUIDIZED SML Z-FLO $130.00 HC62210828 POSITIONER FLUIDIZED UTILITY $98.00 HC62216825 POST ANCHOR SPINAL DISPOSABLE G $416.00 HC62216833 POST ANCHOR SPINAL DISPOSABLE O $624.00 HC62205737 POST OP SHOE $55.00 HC25006206 POSTPARTUM CARE "$1,325.00 " HC26000117 POSTPARTUM CARE "$2,058.00 " 121067716 "POT,SODIUM CITRATE-CITRIC ACID 550-500-334 MG/5 ML ORAL SOLN" $297.99 6025800216 "POT,SODIUM CITRATE-CITRIC ACID 550-500-334 MG/5 ML ORAL SOLN" $354.75 HC36800621 POTASSIUM $141.00 HC81100695 POTASSIUM $150.00 HC81101784 POTASSIUM (POS) $150.00 99999-000-30 POTASSIUM ACETATE 2 MEQ / ML ORAL SYRINGE $1.26 0409-3294-51 POTASSIUM ACETATE 2 MEQ/ML IV SOLN $63.00 0409-8183-01 POTASSIUM ACETATE 2 MEQ/ML IV SOLN $20.40 0409-8183-11 POTASSIUM ACETATE 2 MEQ/ML IV SOLN $20.40 0409-8183-15 POTASSIUM ACETATE 2 MEQ/ML IV SOLN $19.08 0409-8183-25 POTASSIUM ACETATE 2 MEQ/ML IV SOLN $19.08 51754-2001-4 POTASSIUM ACETATE 2 MEQ/ML IV SOLN $32.40 51801-011-30 POTASSIUM BICARB-CITRIC ACID 20 MEQ ORAL TBEF $2.80 51801-012-01 POTASSIUM BICARB-CITRIC ACID 20 MEQ ORAL TBEF $2.80 51801-012-30 POTASSIUM BICARB-CITRIC ACID 20 MEQ ORAL TBEF $2.80 0990-7993-09 POTASSIUM CHLORID-D5-0.45%NACL 10 MEQ/L IV SOLP $42.00 0990-7902-09 POTASSIUM CHLORID-D5-0.45%NACL 20 MEQ/L IV SOLP $42.00 0409-7903-09 POTASSIUM CHLORID-D5-0.45%NACL 30 MEQ/L IV SOLP $42.00 0990-7903-09 POTASSIUM CHLORID-D5-0.45%NACL 30 MEQ/L IV SOLP $42.00 0990-7904-09 POTASSIUM CHLORID-D5-0.45%NACL 40 MEQ/L IV SOLP $42.00 99999-001-14 POTASSIUM CHLORIDE - STERILE WATER - 20 MEQ / 50 ML IV PGBK $12.00 0574-0181-01 POTASSIUM CHLORIDE 10 MEQ ORAL CPSR $4.76 0904-6930-61 POTASSIUM CHLORIDE 10 MEQ ORAL CPSR $5.11 50268-671-11 POTASSIUM CHLORIDE 10 MEQ ORAL CPSR $5.84 50268-671-13 POTASSIUM CHLORIDE 10 MEQ ORAL CPSR $5.84 53746-542-01 POTASSIUM CHLORIDE 10 MEQ ORAL CPSR $4.76 62037-560-05 POTASSIUM CHLORIDE 10 MEQ ORAL CPSR $4.52 0245-5317-01 POTASSIUM CHLORIDE 10 MEQ ORAL TBTQ $2.96 0245-5317-89 POTASSIUM CHLORIDE 10 MEQ ORAL TBTQ $2.94 0245-5317-90 POTASSIUM CHLORIDE 10 MEQ ORAL TBTQ $2.86 0781-5710-01 POTASSIUM CHLORIDE 10 MEQ ORAL TBTQ $2.86 0832-5324-11 POTASSIUM CHLORIDE 10 MEQ ORAL TBTQ $2.86 66758-170-06 POTASSIUM CHLORIDE 10 MEQ ORAL TBTQ $2.96 66758-170-13 POTASSIUM CHLORIDE 10 MEQ ORAL TBTQ $2.96 99999-007-03 POTASSIUM CHLORIDE 10 MEQ/25 ML INJECTION $2.70 99999-000-31 POTASSIUM CHLORIDE 2 MEQ / ML ORAL SYRINGE $1.00 0264-1940-20 POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN $124.50 0409-6651-06 POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN $19.50 0409-6651-19 POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN $19.50 0409-6653-05 POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN $27.24 0409-6653-18 POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN $27.24 63323-965-03 POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN $10.50 63323-965-10 POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN $10.50 63323-965-20 POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN $12.00 63323-967-01 POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN $18.00 63323-967-30 POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN $18.00 0245-0360-30 POTASSIUM CHLORIDE 20 MEQ ORAL PACK $45.54 0245-0360-89 POTASSIUM CHLORIDE 20 MEQ ORAL PACK $45.54 0603-1554-10 POTASSIUM CHLORIDE 20 MEQ ORAL PACK $43.27 0603-1554-16 POTASSIUM CHLORIDE 20 MEQ ORAL PACK $45.54 54288-125-01 POTASSIUM CHLORIDE 20 MEQ ORAL PACK $30.00 54288-125-30 POTASSIUM CHLORIDE 20 MEQ ORAL PACK $30.00 0245-5319-01 POTASSIUM CHLORIDE 20 MEQ ORAL TBTQ $3.26 0245-5319-15 POTASSIUM CHLORIDE 20 MEQ ORAL TBTQ $3.01 0245-5319-89 POTASSIUM CHLORIDE 20 MEQ ORAL TBTQ $3.24 0781-5720-01 POTASSIUM CHLORIDE 20 MEQ ORAL TBTQ $3.01 0781-5720-05 POTASSIUM CHLORIDE 20 MEQ ORAL TBTQ $3.01 0781-5720-10 POTASSIUM CHLORIDE 20 MEQ ORAL TBTQ $3.01 0832-5325-11 POTASSIUM CHLORIDE 20 MEQ ORAL TBTQ $3.01 66758-190-06 POTASSIUM CHLORIDE 20 MEQ ORAL TBTQ $3.26 66758-190-13 POTASSIUM CHLORIDE 20 MEQ ORAL TBTQ $3.26 68084-360-09 POTASSIUM CHLORIDE 20 MEQ ORAL TBTQ $4.15 68084-360-11 POTASSIUM CHLORIDE 20 MEQ ORAL TBTQ $4.15 0121-1680-16 POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQD "$1,109.66 " 0603-1542-58 POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQD "$1,109.66 " 60505-6184-6 POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQD "$1,109.66 " 0338-0691-04 POTASSIUM CHLORIDE IN 0.9%NACL 20 MEQ/L IV SOLP $48.00 0990-7115-09 POTASSIUM CHLORIDE IN 0.9%NACL 20 MEQ/L IV SOLP $42.00 0990-7116-09 POTASSIUM CHLORIDE IN 0.9%NACL 40 MEQ/L IV SOLP $36.00 0338-0683-04 POTASSIUM CHLORIDE IN 5 % DEX 20 MEQ/L IV SOLP $54.00 0409-7905-09 POTASSIUM CHLORIDE IN 5 % DEX 20 MEQ/L IV SOLP $42.00 0990-7905-09 POTASSIUM CHLORIDE IN 5 % DEX 20 MEQ/L IV SOLP $42.00 0409-7111-09 POTASSIUM CHLORIDE IN LR-D5 20 MEQ/L IV SOLP $54.00 0990-7111-09 POTASSIUM CHLORIDE IN LR-D5 20 MEQ/L IV SOLP $54.00 0338-0709-48 POTASSIUM CHLORIDE IN WATER 10 MEQ/100 ML IV PGBK $20.40 0990-7074-26 POTASSIUM CHLORIDE IN WATER 10 MEQ/100 ML IV PGBK $29.40 0338-0705-48 POTASSIUM CHLORIDE IN WATER 20 MEQ/100 ML IV PGBK $21.00 0990-7075-26 POTASSIUM CHLORIDE IN WATER 20 MEQ/100 ML IV PGBK $16.20 0990-7077-14 POTASSIUM CHLORIDE IN WATER 20 MEQ/50 ML IV PGBK $30.00 0338-0703-48 POTASSIUM CHLORIDE IN WATER 40 MEQ/100 ML IV PGBK $21.00 0990-7077-26 POTASSIUM CHLORIDE IN WATER 40 MEQ/100 ML IV PGBK $30.60 0338-0704-34 POTASSIUM CHLORIDE-0.45 % NACL 20 MEQ/L IV SOLP $36.00 0990-9257-39 POTASSIUM CHLORIDE-0.45 % NACL 20 MEQ/L IV SOLP $42.00 0338-0663-04 POTASSIUM CHLORIDE-D5-0.2%NACL 20 MEQ/L IV SOLP $48.00 0990-7901-09 POTASSIUM CHLORIDE-D5-0.2%NACL 20 MEQ/L IV SOLP $42.00 0338-0803-04 POTASSIUM CHLORIDE-D5-0.9%NACL 20 MEQ/L IV SOLP $48.00 0990-7107-09 POTASSIUM CHLORIDE-D5-0.9%NACL 20 MEQ/L IV SOLP $42.00 0990-7109-09 POTASSIUM CHLORIDE-D5-0.9%NACL 40 MEQ/L IV SOLP $48.00 0245-0071-11 "POTASSIUM CITRATE 10 MEQ (1,080 MG) ORAL TBSR" $8.49 0591-2729-01 "POTASSIUM CITRATE 10 MEQ (1,080 MG) ORAL TBSR" $3.13 68084-850-32 "POTASSIUM CITRATE 10 MEQ (1,080 MG) ORAL TBSR" $14.47 68084-850-33 "POTASSIUM CITRATE 10 MEQ (1,080 MG) ORAL TBSR" $14.47 68382-537-01 "POTASSIUM CITRATE 10 MEQ (1,080 MG) ORAL TBSR" $8.44 0245-0070-11 POTASSIUM CITRATE 5 MEQ (540 MG) ORAL TBSR $6.05 68382-536-01 POTASSIUM CITRATE 5 MEQ (540 MG) ORAL TBSR $6.02 121067616 "POTASSIUM CITRATE-CITRIC ACID 1,100-334 MG/5 ML ORAL SOLN" $212.85 5865731216 "POTASSIUM CITRATE-CITRIC ACID 1,100-334 MG/5 ML ORAL SOLN" $374.62 6025800316 "POTASSIUM CITRATE-CITRIC ACID 1,100-334 MG/5 ML ORAL SOLN" $374.62 99999-008-82 "POTASSIUM CITRATE-CITRIC ACID 1,100-334 MG/5 ML ORAL SOLN" $1.26 71740-112-30 POTASSIUM IODIDE 1 GRAM/ML ORAL SOLN "$2,136.06 " 99999-000-33 POTASSIUM PHOSPHATE 3 MMOL / ML ORAL SYRINGE $5.83 99999-000-32 POTASSIUM PHOSPHATE 3 MMOL / ML SYRINGE $5.83 0000-4124-00 POTASSIUM PHOSPHATE M-/D-BASIC 3 MMOL/ML IV SOLN $33.00 0409-7295-01 POTASSIUM PHOSPHATE M-/D-BASIC 3 MMOL/ML IV SOLN $87.39 0409-7295-11 POTASSIUM PHOSPHATE M-/D-BASIC 3 MMOL/ML IV SOLN $87.39 63323-086-05 POTASSIUM PHOSPHATE M-/D-BASIC 3 MMOL/ML IV SOLN $88.86 63323-086-15 POTASSIUM PHOSPHATE M-/D-BASIC 3 MMOL/ML IV SOLN $181.71 65219-052-09 POTASSIUM PHOSPHATE M-/D-BASIC 3 MMOL/ML IV SOLN $120.00 65219-052-29 POTASSIUM PHOSPHATE M-/D-BASIC 3 MMOL/ML IV SOLN $120.00 65219-054-09 POTASSIUM PHOSPHATE M-/D-BASIC 3 MMOL/ML IV SOLN $240.03 65219-054-29 POTASSIUM PHOSPHATE M-/D-BASIC 3 MMOL/ML IV SOLN $240.03 0486-1111-01 "POTASSIUM PHOSPHATE, MONOBASIC 500 MG ORAL TBSO" $2.91 HC89014005 POTASSIUM STOOL-AU $14.00 HC81100042 POTASSIUM URINE $162.00 HC89022990 "POTASSIUM, BODY FLUID-AU" $11.00 6025800601 "POTASSIUM, SODIUM PHOSPHATES 280-160-250 MG ORAL PWPK" $3.26 6025800615 "POTASSIUM, SODIUM PHOSPHATES 280-160-250 MG ORAL PWPK" $3.26 HC62806765 POUCH/ENVELOPE PACEMAKER E "$2,600.00 " HC62806773 POUCH/ENVELOPE PACEMAKER G "$3,250.00 " 0904-1102-31 POVIDONE-IODINE 10 % TOPICAL OINT $9.02 1093914233 POVIDONE-IODINE 10 % TOPICAL SOLN $25.60 1093914333 POVIDONE-IODINE 10 % TOPICAL SOLN $36.89 0904-1103-09 POVIDONE-IODINE 10 % TOPICAL SOLN $12.74 53329-939-13 POVIDONE-IODINE 10 % TOPICAL SOLN $17.35 0065-0411-30 POVIDONE-IODINE 5 % OPHT SOLN $83.52 HC44703270 PPVI PERC TRANSCATH PV IMPLANT W/STENTING "$43,212.00 " 48818-001-01 PRALATREXATE 20 MG/ML (1 ML) IV SOLN "$35,283.12 " 60977-141-01 PRALIDOXIME 1 GRAM INJ SOLR $520.20 60977-141-27 PRALIDOXIME 1 GRAM INJ SOLR $520.20 0597-0183-90 PRAMIPEXOLE 0.125 MG ORAL TAB $42.13 68462-330-90 PRAMIPEXOLE 0.125 MG ORAL TAB $1.00 0597-0184-61 PRAMIPEXOLE 0.25 MG ORAL TAB $44.23 0597-0184-90 PRAMIPEXOLE 0.25 MG ORAL TAB $42.13 0904-6704-61 PRAMIPEXOLE 0.25 MG ORAL TAB $1.54 13668-092-90 PRAMIPEXOLE 0.25 MG ORAL TAB $1.00 33342-032-10 PRAMIPEXOLE 0.25 MG ORAL TAB $1.00 68462-331-90 PRAMIPEXOLE 0.25 MG ORAL TAB $1.00 0597-0185-90 PRAMIPEXOLE 0.5 MG ORAL TAB $42.13 13668-093-90 PRAMIPEXOLE 0.5 MG ORAL TAB $1.00 33342-033-10 PRAMIPEXOLE 0.5 MG ORAL TAB $1.00 60687-581-11 PRAMIPEXOLE 0.5 MG ORAL TAB $5.00 60687-581-21 PRAMIPEXOLE 0.5 MG ORAL TAB $5.00 68462-332-90 PRAMIPEXOLE 0.5 MG ORAL TAB $1.00 0597-0190-90 PRAMIPEXOLE 1 MG ORAL TAB $42.13 33342-034-10 PRAMIPEXOLE 1 MG ORAL TAB $1.00 60687-592-11 PRAMIPEXOLE 1 MG ORAL TAB $5.87 60687-592-21 PRAMIPEXOLE 1 MG ORAL TAB $5.87 68462-333-90 PRAMIPEXOLE 1 MG ORAL TAB $1.00 187546506 PRAMOXINE-CALAMINE 1-8 % TOPICAL LOTN $23.36 1093914533 PRAMOXINE-CALAMINE 1-8 % TOPICAL LOTN $14.87 0187-5465-06 PRAMOXINE-CALAMINE 1-8 % TOPICAL LOTN $23.36 49348-337-36 PRAMOXINE-CALAMINE 1-8 % TOPICAL LOTN $13.81 58232-730-01 PRAMOXINE-CALAMINE 1-8 % TOPICAL LOTN $29.16 0187-5466-06 PRAMOXINE-ZINC ACETATE 1-0.1 % TOPICAL LOTN $23.36 11868-814-01 PRAMOXINE-ZINC OXIDE 1-5 % TOPICAL CREAM $25.87 0002-5123-01 PRASUGREL 10 MG ORAL TAB $91.80 0002-5123-30 PRASUGREL 10 MG ORAL TAB $91.80 0002-5123-77 PRASUGREL 10 MG ORAL TAB $91.80 0378-5186-93 PRASUGREL 10 MG ORAL TAB $6.00 60505-4643-3 PRASUGREL 10 MG ORAL TAB $4.95 65862-830-30 PRASUGREL 10 MG ORAL TAB $4.95 0002-5121-01 PRASUGREL 5 MG ORAL TAB $91.80 0002-5121-30 PRASUGREL 5 MG ORAL TAB $91.80 0002-5121-52 PRASUGREL 5 MG ORAL TAB $91.80 60505-4642-3 PRASUGREL 5 MG ORAL TAB $4.95 0093-0771-98 PRAVASTATIN 10 MG ORAL TAB $2.89 0904-5891-61 PRAVASTATIN 10 MG ORAL TAB $2.36 55111-229-90 PRAVASTATIN 10 MG ORAL TAB $1.00 0003-5178-05 PRAVASTATIN 20 MG ORAL TAB $23.13 0093-7201-10 PRAVASTATIN 20 MG ORAL TAB $2.94 0093-7201-98 PRAVASTATIN 20 MG ORAL TAB $2.94 0904-5892-61 PRAVASTATIN 20 MG ORAL TAB $3.38 51079-458-01 PRAVASTATIN 20 MG ORAL TAB $3.72 55111-230-90 PRAVASTATIN 20 MG ORAL TAB $1.00 60687-178-01 PRAVASTATIN 20 MG ORAL TAB $4.22 60687-178-11 PRAVASTATIN 20 MG ORAL TAB $4.22 0093-7202-10 PRAVASTATIN 40 MG ORAL TAB $4.31 0093-7202-98 PRAVASTATIN 40 MG ORAL TAB $4.31 0904-5893-61 PRAVASTATIN 40 MG ORAL TAB $4.26 51079-782-01 PRAVASTATIN 40 MG ORAL TAB $4.92 55111-231-05 PRAVASTATIN 40 MG ORAL TAB $1.00 55111-231-90 PRAVASTATIN 40 MG ORAL TAB $1.22 60505-0170-9 PRAVASTATIN 40 MG ORAL TAB $2.30 49884-231-83 PRAZIQUANTEL 600 MG ORAL TAB $398.58 50419-747-01 PRAZIQUANTEL 600 MG ORAL TAB $498.23 0378-1101-01 PRAZOSIN 1 MG ORAL CAP $3.22 51079-630-01 PRAZOSIN 1 MG ORAL CAP $9.06 51079-630-20 PRAZOSIN 1 MG ORAL CAP $9.06 59762-5310-1 PRAZOSIN 1 MG ORAL CAP $1.81 68084-996-11 PRAZOSIN 1 MG ORAL CAP $8.93 70954-019-10 PRAZOSIN 1 MG ORAL CAP $3.02 51079-631-20 PRAZOSIN 2 MG ORAL CAP $12.62 0093-4069-01 PRAZOSIN 5 MG ORAL CAP $7.86 0378-3205-01 PRAZOSIN 5 MG ORAL CAP $7.86 51079-632-01 PRAZOSIN 5 MG ORAL CAP $21.54 51079-632-20 PRAZOSIN 5 MG ORAL CAP $21.54 59762-5350-1 PRAZOSIN 5 MG ORAL CAP $4.42 HC81101420 PREALBUMIN $298.00 HC89016026 PREALBUMIN-QD $13.00 0603-1567-05 PREDNISOLONE 15 MG/5 ML ORAL SOLN $4.61 50383-042-05 PREDNISOLONE 15 MG/5 ML ORAL SOLN $4.61 50383-042-24 PREDNISOLONE 15 MG/5 ML ORAL SOLN $158.40 11980-174-05 PREDNISOLONE ACETATE 0.12 % OPHT DRPS $916.56 11980-180-05 PREDNISOLONE ACETATE 1 % OPHT DRPS $916.56 11980-180-10 PREDNISOLONE ACETATE 1 % OPHT DRPS "$1,833.18 " 60758-119-05 PREDNISOLONE ACETATE 1 % OPHT DRPS $264.00 61314-637-05 PREDNISOLONE ACETATE 1 % OPHT DRPS $265.50 61314-637-10 PREDNISOLONE ACETATE 1 % OPHT DRPS $530.58 24208-715-10 PREDNISOLONE SODIUM PHOSPHATE 1 % OPHT DROP $316.26 0121-0759-08 PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLN $238.90 60432-212-08 PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLN $247.43 99999-044-57 PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLN $5.04 17856-0759-5 PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (5 ML) ORAL SOLN $8.25 0054-4741-25 PREDNISONE 1 MG ORAL TAB $1.21 0054-8739-25 PREDNISONE 1 MG ORAL TAB $1.34 0603-5335-21 PREDNISONE 1 MG ORAL TAB $1.22 59746-171-06 PREDNISONE 1 MG ORAL TAB $1.00 0054-0017-20 PREDNISONE 10 MG ORAL TAB $1.28 0054-0017-25 PREDNISONE 10 MG ORAL TAB $1.00 0054-0017-29 PREDNISONE 10 MG ORAL TAB $1.00 0603-5338-21 PREDNISONE 10 MG ORAL TAB $1.00 59746-173-06 PREDNISONE 10 MG ORAL TAB $1.00 60687-134-11 PREDNISONE 10 MG ORAL TAB $1.00 63739-519-10 PREDNISONE 10 MG ORAL TAB $1.00 0054-8740-25 PREDNISONE 2.5 MG ORAL TAB $1.00 0054-0018-20 PREDNISONE 20 MG ORAL TAB $1.37 0054-0018-25 PREDNISONE 20 MG ORAL TAB $1.24 0054-0018-29 PREDNISONE 20 MG ORAL TAB $1.23 0591-5443-10 PREDNISONE 20 MG ORAL TAB $1.00 0603-5339-28 PREDNISONE 20 MG ORAL TAB $1.23 0603-5339-32 PREDNISONE 20 MG ORAL TAB $1.00 59746-175-06 PREDNISONE 20 MG ORAL TAB $1.00 59746-175-09 PREDNISONE 20 MG ORAL TAB $1.00 60687-145-01 PREDNISONE 20 MG ORAL TAB $1.00 60687-145-11 PREDNISONE 20 MG ORAL TAB $1.00 63739-588-10 PREDNISONE 20 MG ORAL TAB $2.78 0054-4728-25 PREDNISONE 5 MG ORAL TAB $1.00 0054-4728-31 PREDNISONE 5 MG ORAL TAB $1.00 0054-8724-25 PREDNISONE 5 MG ORAL TAB $1.00 0378-0640-10 PREDNISONE 5 MG ORAL TAB $1.00 0603-5337-21 PREDNISONE 5 MG ORAL TAB $1.00 59746-172-06 PREDNISONE 5 MG ORAL TAB $1.00 60687-122-01 PREDNISONE 5 MG ORAL TAB $1.00 60687-122-11 PREDNISONE 5 MG ORAL TAB $1.00 63739-518-10 PREDNISONE 5 MG ORAL TAB $1.00 0054-3722-50 PREDNISONE 5 MG/5 ML ORAL SOLN $480.24 0054-3722-63 PREDNISONE 5 MG/5 ML ORAL SOLN "$1,860.00 " 17856-3722-1 PREDNISONE 5 MG/5 ML ORAL SOLN $20.82 99999-039-00 PREDNISONE 5 MG/5 ML ORAL SOLN $6.09 0054-3721-44 PREDNISONE 5 MG/ML ORAL CONC $779.94 0054-0019-20 PREDNISONE 50 MG ORAL TAB $2.01 0054-0019-25 PREDNISONE 50 MG ORAL TAB $1.96 0071-1015-41 PREGABALIN 100 MG ORAL CAP $54.02 0071-1015-68 PREGABALIN 100 MG ORAL CAP $49.11 0904-7001-61 PREGABALIN 100 MG ORAL CAP $5.04 50228-353-90 PREGABALIN 100 MG ORAL CAP $1.00 60687-506-01 PREGABALIN 100 MG ORAL CAP $8.08 60687-506-11 PREGABALIN 100 MG ORAL CAP $8.08 0071-1012-68 PREGABALIN 25 MG ORAL CAP $49.11 0904-6991-04 PREGABALIN 25 MG ORAL CAP $7.91 50228-350-90 PREGABALIN 25 MG ORAL CAP $1.00 60687-473-01 PREGABALIN 25 MG ORAL CAP $8.08 60687-473-11 PREGABALIN 25 MG ORAL CAP $8.08 62332-119-90 PREGABALIN 25 MG ORAL CAP $2.34 72205-011-90 PREGABALIN 25 MG ORAL CAP $1.00 0071-1013-41 PREGABALIN 50 MG ORAL CAP $54.02 0071-1013-68 PREGABALIN 50 MG ORAL CAP $49.11 0904-6992-61 PREGABALIN 50 MG ORAL CAP $4.52 50228-351-90 PREGABALIN 50 MG ORAL CAP $1.00 59762-1344-1 PREGABALIN 50 MG ORAL CAP $1.29 60687-484-01 PREGABALIN 50 MG ORAL CAP $8.08 60687-484-11 PREGABALIN 50 MG ORAL CAP $8.08 62332-120-90 PREGABALIN 50 MG ORAL CAP $2.34 72205-012-90 PREGABALIN 50 MG ORAL CAP $1.00 0071-1014-41 PREGABALIN 75 MG ORAL CAP $54.02 0071-1014-68 PREGABALIN 75 MG ORAL CAP $49.11 0904-7000-61 PREGABALIN 75 MG ORAL CAP $4.61 60687-495-01 PREGABALIN 75 MG ORAL CAP $8.08 60687-495-11 PREGABALIN 75 MG ORAL CAP $8.08 72205-013-90 PREGABALIN 75 MG ORAL CAP $1.00 HC14500045 PREGNANCY DIAB MGT 15MIN $158.00 HC14500060 PREGNANCY DIAB MGT 1HR $335.00 HC14500086 PREGNANCY DIAB MGT 2HR $382.00 HC14500052 PREGNANCY DIAB MGT 30MIN $247.00 HC81101875 "PREGNANCY, HCG-UR (DA)" $224.00 HC89021570 "PREGNENOLONE, SERUM/PLASMA-AU" $33.00 HC89016034 PREGNENOLONE-QD $15.00 HC89022636 PREGNENOLONE-QN $117.00 904531360 PRENATAL VIT NO.130-IRON-FOLIC 27 MG IRON- 800 MCG ORAL TAB $1.00 7733371510 PRENATAL VIT NO.130-IRON-FOLIC 27 MG IRON- 800 MCG ORAL TAB $1.24 7733371525 PRENATAL VIT NO.130-IRON-FOLIC 27 MG IRON- 800 MCG ORAL TAB $1.24 6025819309 "PRENATAL VIT,CALC76-IRON-FOLIC 29 MG IRON- 1 MG ORAL TAB" $2.87 1381100710 "PRENATAL VIT27,CALCIUM-IRON-FA 60 MG IRON-1 MG ORAL TAB" $1.00 HC21000575 PREP SITE F/N/HF/G EA +100SQCM "$2,205.00 " HC21000542 PREP SITE TRUNK/EXT<100SQCM "$2,907.00 " HC21000567 PREP SITE/SCR F/N/HF/G<100SQCM "$2,522.00 " HC82202813 PREP SURG TISSUE NON-MICRO STUDIES+ $210.00 HC21000559 PREP TRUNK/EXT EA ADDL 100SQCM "$2,403.00 " HC62205745 PRESSURE WIRE "$2,113.00 " HC62219654 PRESSURIZER FEMORAL $49.00 HC29000551 PREVENTATIVE MED COUNSELING 15MIN $135.00 HC29000569 PREVENTATIVE MED COUNSELING 30MIN $274.00 HC29000577 PREVENTATIVE MED COUNSELING 45MIN $414.00 HC29000585 PREVENTATIVE MED COUNSELING 60MIN $563.00 0024-1596-01 PRIMAQUINE 26.3 MG ORAL TAB $10.66 60429-035-01 PRIMAQUINE 26.3 MG ORAL TAB $8.17 76385-102-01 PRIMAQUINE 26.3 MG ORAL TAB $8.03 HC81100943 PRIMIDONE $237.00 0591-5321-01 PRIMIDONE 250 MG ORAL TAB $2.17 50268-687-11 PRIMIDONE 250 MG ORAL TAB $3.91 50268-687-15 PRIMIDONE 250 MG ORAL TAB $3.91 53746-545-01 PRIMIDONE 250 MG ORAL TAB $2.17 65162-545-10 PRIMIDONE 250 MG ORAL TAB $2.17 0527-1301-01 PRIMIDONE 50 MG ORAL TAB $2.24 0904-5559-60 PRIMIDONE 50 MG ORAL TAB $1.00 50268-686-11 PRIMIDONE 50 MG ORAL TAB $3.61 50268-686-15 PRIMIDONE 50 MG ORAL TAB $3.61 53746-544-01 PRIMIDONE 50 MG ORAL TAB $1.54 65162-544-10 PRIMIDONE 50 MG ORAL TAB $1.54 68084-202-01 PRIMIDONE 50 MG ORAL TAB $3.26 68084-202-11 PRIMIDONE 50 MG ORAL TAB $3.26 HC89006571 PRIMIDONE-AU $5.35 HC89015283 PRIMIDONE-QD $12.00 HC89003081 PRIMIDONE-U2 $35.00 HC62218003 PROBE ABLATION J $520.00 HC62222328 PROBE ABLATION R "$1,625.00 " HC62227137 PROBE ABLATION AS "$7,800.00 " HC62806492 PROBE ABLATION AT "$9,100.00 " HC62228689 PROBE ABLATION CRYO A "$4,050.00 " HC62205752 PROBE ABLATION CRYO I "$12,350.00 " HC62807011 PROBE ABLATION CRYO C "$7,800.00 " HC62807094 PROBE ABLATION CRYO H "$11,050.00 " HC62220025 PROBE ABLATION RF BIPOLR ARTHROSCPC $543.00 HC62218136 PROBE APC/ARGON PLASMA COAGULATOR $689.00 HC62205760 PROBE BICAP WITH NEEDLE "$1,170.00 " HC62210760 PROBE BILIARY DIRECT VISUAL "$2,340.00 " HC62214598 PROBE CATH V-PACING TRANSLUM $376.00 HC62205786 PROBE CAUTERY $709.00 HC62223243 PROBE DOPPLER NEURO "$2,600.00 " HC62224233 PROBE ELECTROHEMOSTASIS $429.00 HC62214572 PROBE ELECTROSURG LAPARASCOPIC DISP $361.00 HC62205794 PROBE ENDO EYE $322.00 HC62219779 PROBE FLOW PERFUSION $74.00 HC62222641 PROBE FLOW VASCULAR B $78.00 HC62205778 PROBE FLOW VASCULAR UTZ N $876.00 HC62205802 PROBE GALACTOGRAM $293.00 HC62224266 PROBE HEMOSTASIS (BICAP) E $650.00 HC62216049 PROBE HEMOSTASIS (BICAP) H "$1,040.00 " HC62205810 PROBE HEMOSTASIS (BICAP) K "$1,424.00 " HC62222898 PROBE LASER G $325.00 HC62222906 PROBE LASER J $520.00 HC62222914 PROBE LASER L $650.00 HC62222922 PROBE LASER M $780.00 HC62205828 PROBE LASER N $910.00 HC62224951 PROBE LITHOTRIPTOR F $260.00 HC62224969 PROBE LITHOTRIPTOR M $780.00 HC62205836 PROBE LITHOTRIPTOR N $910.00 HC62224977 PROBE LITHOTRIPTOR R "$1,625.00 " HC62219548 PROBE LITHOTRIPTOR ELECTRHYDRLC Y "$4,011.00 " HC62807102 PROBE LITHOTRIPTOR ELECTRHYDRLC AE "$5,850.00 " HC62224506 PROBE LITHOTRIPTOR KIDNEY T "$2,275.00 " HC62213871 PROBE MYOCARDIAL TEMP $52.00 HC62227053 PROBE OPTHALMIC $78.00 HC62214341 PROBE PEDICLE "$1,004.00 " HC62205844 PROBE PERCUTANEOUS "$1,561.00 " HC62209317 PROBE PH $325.00 HC62205851 PROBE PRASS STANDARD NIM $644.00 HC62205877 PROBE RECTAL/ESOPHAGEAL $195.00 HC62227061 PROBE SINUS $325.00 HC62226337 PROBE SPINAL DISPOSABLE A $325.00 HC62221916 PROBE SPINAL DISPOSABLE B $455.00 HC62215504 PROBE SPINAL DISPOSABLE D $585.00 HC62217021 PROBE SPINAL DISPOSABLE F $715.00 HC62218607 PROBE SPINAL DISPOSABLE H $845.00 HC62217039 PROBE SPINAL DISPOSABLE K "$1,040.00 " HC62219555 PROBE SPINAL DISPOSABLE O "$1,300.00 " HC62220041 PROBE SPINAL DISPOSABLE V "$1,755.00 " HC62215496 PROBE SPINAL DISPOSABLE AA "$2,080.00 " HC62226345 PROBE SPINAL DISPOSABLE AC "$2,340.00 " HC62226592 PROBE SPINAL DISPOSABLE AC "$2,340.00 " HC62205885 PROBE STEREO GUIDE $693.00 HC62806500 PROBE TEMPERATURE ESOPHAGEAL "$2,113.00 " HC62228333 PROBE TURBINATE L $650.00 HC62228341 PROBE TURBINATE N $910.00 HC62211479 PROBE VASCULAR PARSONNET $226.00 0378-0156-01 PROBENECID 500 MG ORAL TAB $3.78 0527-1367-01 PROBENECID 500 MG ORAL TAB $8.96 0591-5347-01 PROBENECID 500 MG ORAL TAB $3.56 HC81100950 PROCAINAMIDE $274.00 0409-1902-01 PROCAINAMIDE 100 MG/ML INJ SOLN $518.28 0409-1902-11 PROCAINAMIDE 100 MG/ML INJ SOLN $518.28 76329-3399-5 PROCAINAMIDE 100 MG/ML IV SYRG $510.00 0409-1903-01 PROCAINAMIDE 500 MG/ML INJ SOLN $430.10 14789-900-02 PROCAINAMIDE 500 MG/ML INJ SOLN $998.40 14789-900-07 PROCAINAMIDE 500 MG/ML INJ SOLN $998.40 HC81100778 PROCAINAMIDE W/NAPA $249.00 HC89004386 PROCAINAMIDE W/NAPA-AU $16.00 HC89003867 PROCAINAMIDE W/NAPA-U2 $25.00 HC81101818 PROCALCITONIN $376.00 HC89019467 PROCALCITONIN (PCT) - AU $180.00 HC89021372 PROCALCITONIN-U2 $70.00 HC82202938 PROCESS & EMBED ONLY $91.00 HC82202920 "PROCESS, EMBED & 1 UNSTN SLIDE" $91.00 HC82202805 "PROCESS, EMBED & 2 H&E'S" $12.00 0574-7226-12 PROCHLORPERAZINE 25 MG RECTAL SUPP $52.28 0713-0135-06 PROCHLORPERAZINE 25 MG RECTAL SUPP $52.28 0713-0135-12 PROCHLORPERAZINE 25 MG RECTAL SUPP $52.28 0641-6135-01 PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJ SOLN $108.78 23155-294-31 PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJ SOLN $55.50 23155-294-41 PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJ SOLN $111.00 23155-294-42 PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJ SOLN $111.00 23155-497-31 PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJ SOLN $111.00 23155-497-42 PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJ SOLN $111.00 55390-077-10 PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJ SOLN $27.60 70860-778-02 PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJ SOLN $108.00 70860-778-41 PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJ SOLN $108.00 0781-5021-01 PROCHLORPERAZINE MALEATE 10 MG ORAL TAB $1.71 50268-685-11 PROCHLORPERAZINE MALEATE 10 MG ORAL TAB $8.87 50268-685-15 PROCHLORPERAZINE MALEATE 10 MG ORAL TAB $8.87 51079-542-01 PROCHLORPERAZINE MALEATE 10 MG ORAL TAB $4.86 51079-542-20 PROCHLORPERAZINE MALEATE 10 MG ORAL TAB $4.86 59746-115-06 PROCHLORPERAZINE MALEATE 10 MG ORAL TAB $2.88 50268-684-11 PROCHLORPERAZINE MALEATE 5 MG ORAL TAB $8.06 50268-684-15 PROCHLORPERAZINE MALEATE 5 MG ORAL TAB $8.06 59746-113-06 PROCHLORPERAZINE MALEATE 5 MG ORAL TAB $1.92 HC25005323 PROCTOSIGMOIDOSCOPY RIGID W/REMOVE FB "$1,789.00 " 68516-3202-2 "PROFILNINE 1,000 (+/-) UNIT IV SOLR" "$8,040.00 " 68516-3205-2 "PROFILNINE 1,000 (+/-) UNIT IV SOLR" "$8,040.00 " HC44700896 PROG STIM/PACING POST MEDS+ "$10,235.00 " HC81700148 PROGESTERONE $394.00 65628-062-01 PROGESTERONE 100 MG VAGINAL SUPP $18.32 65628-063-01 PROGESTERONE 200 MG VAGINAL SUPP $24.13 0591-3128-79 PROGESTERONE 50 MG/ML IM OIL $186.00 63323-261-10 PROGESTERONE 50 MG/ML IM OIL $179.40 HC89022008 PROGESTERONE MASS SPECTROMETRY-ES $54.00 17478-766-10 PROGESTERONE MICRONIZED 100 MG ORAL CAP $3.60 69543-374-10 PROGESTERONE MICRONIZED 100 MG ORAL CAP $3.60 0023-6151-08 PROGESTERONE MICRONIZED 8 % VAGINAL GEL $179.28 0023-6151-09 PROGESTERONE MICRONIZED 8 % VAGINAL GEL $179.28 HC89021430 PROGESTERONE QNT-HPLC MS/MS-AU $23.00 HC89016042 PROGESTERONE-QD $15.00 HC89022651 PROGESTERONE-QN $26.66 HC42000430 PROGRAM EVAL CARDIAC RHYTHM MON SQ $383.00 HC42000448 PROGRAM EVAL PACEMAKER SINGLE LEAD/LEADLESS $366.00 HC42000471 PROGRAM EVAL PERI-OP PACEMAKER SGL/DUAL/MULTI/LEADLESS $405.00 HC42000455 PROGRAM/EVAL PACEMKR DUAL LEAD $457.00 HC42000463 PROGRAM/EVAL PACEMKR MULT LEAD $506.00 HC42000794 PROGRAM/EVAL S-ICD SNGL LEAD $498.00 HC42000406 PROGRAM/EVAL T-ICD DUAL LEAD $512.00 HC42000414 PROGRAM/EVAL T-ICD MULTI LEAD $590.00 HC42000422 PROGRAM/EVAL T-ICD PRE/POST PROC $440.00 HC42000398 PROGRAM/EVAL T-ICD SNGL LEAD $432.00 HC62802822 PROGRAMMER IDD TX (CONTROL) "$2,584.00 " HC62204599 PROGRAMMER NEUROSTIM PAT B "$1,625.00 " HC62219811 PROGRAMMER NEUROSTIM PAT F "$2,925.00 " HC62219829 PROGRAMMER NEUROSTIM PAT H "$3,575.00 " HC62226352 PROGRAMMER NEUROSTIM PAT H "$4,550.00 " HC89009757 PROINSULIN-AU $32.00 HC81700155 PROLACTIN $359.00 HC89009690 PROLACTIN-ES $47.00 HC89015499 PROLACTIN-QD $12.00 13533-705-01 "PROLASTIN-C 1,000 MG (+/-)/20 ML IV SOLN" "$3,060.00 " 13533-705-11 "PROLASTIN-C 1,000 MG (+/-)/20 ML IV SOLN" "$3,060.00 " 0713-0536-06 PROMETHAZINE 12.5 MG RECTAL SUPP $58.49 0713-0536-12 PROMETHAZINE 12.5 MG RECTAL SUPP $58.49 45802-758-00 PROMETHAZINE 12.5 MG RECTAL SUPP $58.49 45802-758-30 PROMETHAZINE 12.5 MG RECTAL SUPP $58.49 0591-5307-01 PROMETHAZINE 25 MG ORAL TAB $2.28 0781-1830-01 PROMETHAZINE 25 MG ORAL TAB $2.28 0904-6461-61 PROMETHAZINE 25 MG ORAL TAB $1.00 10702-003-01 PROMETHAZINE 25 MG ORAL TAB $1.00 0713-0526-12 PROMETHAZINE 25 MG RECTAL SUPP $58.49 45802-759-00 PROMETHAZINE 25 MG RECTAL SUPP $58.49 45802-759-30 PROMETHAZINE 25 MG RECTAL SUPP $58.49 0641-0928-21 PROMETHAZINE 25 MG/ML INJ SOLN $11.09 0641-0928-25 PROMETHAZINE 25 MG/ML INJ SOLN $11.09 0641-1495-35 PROMETHAZINE 25 MG/ML INJ SOLN $11.09 0713-0132-06 PROMETHAZINE 50 MG RECTAL SUPP $160.94 0713-0132-12 PROMETHAZINE 50 MG RECTAL SUPP $160.94 50383-801-16 PROMETHAZINE 6.25 MG/5 ML ORAL SYRP $65.27 60432-608-16 PROMETHAZINE 6.25 MG/5 ML ORAL SYRP $473.00 0603-1585-05 PROMETHAZINE-CODEINE 6.25-10 MG/5 ML ORAL SYRP $6.60 17856-804-05 PROMETHAZINE-CODEINE 6.25-10 MG/5 ML ORAL SYRP $13.74 27808-065-02 PROMETHAZINE-CODEINE 6.25-10 MG/5 ML ORAL SYRP $161.77 50383-804-05 PROMETHAZINE-CODEINE 6.25-10 MG/5 ML ORAL SYRP $4.20 50383-804-16 PROMETHAZINE-CODEINE 6.25-10 MG/5 ML ORAL SYRP $73.79 57664-185-05 PROMETHAZINE-CODEINE 6.25-10 MG/5 ML ORAL SYRP $1.00 60432-606-16 PROMETHAZINE-CODEINE 6.25-10 MG/5 ML ORAL SYRP $241.23 70408-185-05 PROMETHAZINE-CODEINE 6.25-10 MG/5 ML ORAL SYRP $6.27 70408-185-34 PROMETHAZINE-CODEINE 6.25-10 MG/5 ML ORAL SYRP "$1,024.52 " 99999-009-26 PROMETHAZINE-CODEINE 6.25-10 MG/5 ML ORAL SYRP $21.66 99999-036-95 PROMETHAZINE-CODEINE 6.25-10 MG/5 ML ORAL SYRP $10.83 99999-039-16 PROMETHAZINE-CODEINE 6.25-10 MG/5 ML ORAL SYRP $2.55 0603-1586-05 PROMETHAZINE-DM 6.25-15 MG/5 ML ORAL SYRP $1.80 17856-0604-5 PROMETHAZINE-DM 6.25-15 MG/5 ML ORAL SYRP $6.18 60432-604-05 PROMETHAZINE-DM 6.25-15 MG/5 ML ORAL SYRP $6.12 60432-604-16 PROMETHAZINE-DM 6.25-15 MG/5 ML ORAL SYRP $210.01 99999-002-42 PROMETHAZINE-DM 6.25-15 MG/5 ML ORAL SYRP $1.77 0591-0582-01 PROPAFENONE 150 MG ORAL TAB $2.31 0603-5448-21 PROPAFENONE 150 MG ORAL TAB $1.40 0603-5448-25 PROPAFENONE 150 MG ORAL TAB $1.36 53489-551-01 PROPAFENONE 150 MG ORAL TAB $4.42 59651-256-01 PROPAFENONE 150 MG ORAL TAB $1.40 62559-230-01 PROPAFENONE 150 MG ORAL TAB $1.63 0173-0823-18 PROPAFENONE 225 MG ORAL CP12 $73.01 0378-1258-91 PROPAFENONE 225 MG ORAL CP12 $35.08 66993-114-60 PROPAFENONE 225 MG ORAL CP12 $35.08 68462-408-60 PROPAFENONE 225 MG ORAL CP12 $13.16 69680-130-60 PROPAFENONE 225 MG ORAL CP12 $21.05 16714-826-01 PROPAFENONE 325 MG ORAL CP12 $38.89 49884-210-02 PROPAFENONE 325 MG ORAL CP12 $44.44 49884-210-09 PROPAFENONE 325 MG ORAL CP12 $44.44 68462-409-60 PROPAFENONE 325 MG ORAL CP12 $16.67 HC89017164 PROPAFENONE-AU $16.00 HC89003032 PROPAFENONE-QD $60.00 0998-0016-15 PROPARACAINE 0.5 % OPHT DROP $210.60 17478-263-12 PROPARACAINE 0.5 % OPHT DROP $210.60 24208-730-06 PROPARACAINE 0.5 % OPHT DROP $210.51 61314-016-01 PROPARACAINE 0.5 % OPHT DROP $210.60 0069-0234-01 PROPOFOL 10 MG/ML IV EMUL $64.20 0069-0234-20 PROPOFOL 10 MG/ML IV EMUL $64.20 0069-0248-01 PROPOFOL 10 MG/ML IV EMUL $128.40 0069-0248-10 PROPOFOL 10 MG/ML IV EMUL $128.40 0409-4699-24 PROPOFOL 10 MG/ML IV EMUL $128.40 0409-4699-50 PROPOFOL 10 MG/ML IV EMUL $25.68 0409-4699-53 PROPOFOL 10 MG/ML IV EMUL $64.20 0409-4699-54 PROPOFOL 10 MG/ML IV EMUL $128.40 0591-2136-51 PROPOFOL 10 MG/ML IV EMUL $85.50 0591-2136-55 PROPOFOL 10 MG/ML IV EMUL $85.50 0591-2136-57 PROPOFOL 10 MG/ML IV EMUL $171.00 0591-2136-68 PROPOFOL 10 MG/ML IV EMUL $171.00 0591-2136-80 PROPOFOL 10 MG/ML IV EMUL $34.20 0591-2136-95 PROPOFOL 10 MG/ML IV EMUL $34.20 25021-608-20 PROPOFOL 10 MG/ML IV EMUL $35.04 25021-608-50 PROPOFOL 10 MG/ML IV EMUL $87.60 25021-608-51 PROPOFOL 10 MG/ML IV EMUL $175.20 43598-549-10 PROPOFOL 10 MG/ML IV EMUL $168.00 43598-549-52 PROPOFOL 10 MG/ML IV EMUL $168.00 63323-269-29 PROPOFOL 10 MG/ML IV EMUL $36.00 63323-269-37 PROPOFOL 10 MG/ML IV EMUL $14.40 63323-269-50 PROPOFOL 10 MG/ML IV EMUL $90.00 63323-269-57 PROPOFOL 10 MG/ML IV EMUL $36.00 63323-269-65 PROPOFOL 10 MG/ML IV EMUL $180.00 63323-269-67 PROPOFOL 10 MG/ML IV EMUL $72.00 63323-270-65 PROPOFOL 10 MG/ML IV EMUL $168.00 65219-800-01 PROPOFOL 10 MG/ML IV EMUL $36.60 65219-800-10 PROPOFOL 10 MG/ML IV EMUL $36.60 0409-4699-30 PROPOFOL 10 MG/ML IV EMUL (MCH) $25.68 0409-4699-33 PROPOFOL 10 MG/ML IV EMUL (MCH) $64.20 63323-270-50 PROPOFOL 10 MG/ML IV EMUL (MCH) $84.00 99999-009-93 PROPOFOL 10 MG/ML IV EMUL (MCH) $67.20 63323-269-59 PROPOFOL DRIP (CONC: 10 MG/ML) $36.00 65219-427-10 PROPOFOL-EUA DRIP (CONC: 20 MG/ML) $180.00 0143-9872-01 PROPRANOLOL 1 MG/ML IV SOLN $48.00 0143-9872-10 PROPRANOLOL 1 MG/ML IV SOLN $48.00 55390-003-10 PROPRANOLOL 1 MG/ML IV SOLN $37.20 63323-604-01 PROPRANOLOL 1 MG/ML IV SOLN $60.42 99999-040-25 PROPRANOLOL 1 MG/ML NICU ORAL LIQUID (SLH) $3.12 0115-1659-01 PROPRANOLOL 10 MG ORAL TAB $1.65 0378-0182-01 PROPRANOLOL 10 MG ORAL TAB $1.71 0591-5554-01 PROPRANOLOL 10 MG ORAL TAB $1.65 0603-5482-21 PROPRANOLOL 10 MG ORAL TAB $1.00 0904-6550-61 PROPRANOLOL 10 MG ORAL TAB $1.40 23155-110-01 PROPRANOLOL 10 MG ORAL TAB $1.00 0228-2780-11 PROPRANOLOL 120 MG ORAL CS24 $14.62 62559-532-01 PROPRANOLOL 120 MG ORAL CS24 $3.60 0378-0183-01 PROPRANOLOL 20 MG ORAL TAB $2.14 0378-0183-10 PROPRANOLOL 20 MG ORAL TAB $2.14 0591-5555-01 PROPRANOLOL 20 MG ORAL TAB $2.06 0603-5483-21 PROPRANOLOL 20 MG ORAL TAB $1.00 0603-5483-32 PROPRANOLOL 20 MG ORAL TAB $1.00 23155-111-01 PROPRANOLOL 20 MG ORAL TAB $1.00 23155-111-10 PROPRANOLOL 20 MG ORAL TAB $1.00 50268-701-11 PROPRANOLOL 20 MG ORAL TAB $3.04 50268-701-15 PROPRANOLOL 20 MG ORAL TAB $3.04 60687-306-01 PROPRANOLOL 20 MG ORAL TAB $5.81 60687-306-11 PROPRANOLOL 20 MG ORAL TAB $5.81 0054-3727-63 PROPRANOLOL 20 MG/5 ML (4 MG/ML) ORAL SOLN $291.00 0378-0184-01 PROPRANOLOL 40 MG ORAL TAB $3.01 0591-5556-01 PROPRANOLOL 40 MG ORAL TAB $2.90 0603-5484-21 PROPRANOLOL 40 MG ORAL TAB $1.52 23155-112-01 PROPRANOLOL 40 MG ORAL TAB $1.52 50268-702-11 PROPRANOLOL 40 MG ORAL TAB $3.26 50268-702-15 PROPRANOLOL 40 MG ORAL TAB $3.26 60687-295-01 PROPRANOLOL 40 MG ORAL TAB $6.52 0228-2778-11 PROPRANOLOL 60 MG ORAL CS24 $10.09 0527-4116-37 PROPRANOLOL 60 MG ORAL CS24 $2.03 60687-215-01 PROPRANOLOL 60 MG ORAL CS24 $11.96 60687-215-11 PROPRANOLOL 60 MG ORAL CS24 $11.96 62559-530-01 PROPRANOLOL 60 MG ORAL CS24 $2.70 0228-2779-11 PROPRANOLOL 80 MG ORAL CS24 $11.78 0527-4117-37 PROPRANOLOL 80 MG ORAL CS24 $2.25 574007216 "PROPYLENE GLYCOL (BULK) 99.5 % (NOT LESS THAN, USP) MISC LIQD" $51.08 99999-038-03 PROPYLTHIOURACIL 5 MG/ML ORAL LIQUID (COMPOUND) $1.00 0228-2348-10 PROPYLTHIOURACIL 50 MG ORAL TAB $4.50 67253-651-10 PROPYLTHIOURACIL 50 MG ORAL TAB $4.50 68084-964-25 PROPYLTHIOURACIL 50 MG ORAL TAB $16.80 68084-964-95 PROPYLTHIOURACIL 50 MG ORAL TAB $16.80 HC62208475 PROSTATE BIOPSY NEEDLE $697.00 HC82202862 PROSTATE NEEDLE BX ANY METHD "$3,167.00 " 63323-229-05 PROTAMINE 10 MG/ML IV SOLN $73.74 63323-229-21 PROTAMINE 10 MG/ML IV SOLN $52.14 63323-229-30 PROTAMINE 10 MG/ML IV SOLN $221.10 63323-229-35 PROTAMINE 10 MG/ML IV SOLN $156.75 HC81500720 PROTAMINE SULFATE/PARACOAG $280.00 HC62226360 PROTECTOR CORNEAL $650.00 HC62227798 PROTECTOR OVERFLOW BACTERIA (DHS) $260.00 HC62210497 PROTECTOR PALM $26.00 HC81700163 PROTEIN ELECT FRACT AND QT $345.00 HC89003297 PROTEIN ELECT FRACT&QT CSF-QD $13.00 HC89003230 PROTEIN ELECT FRACT&QT UR-QD $13.00 HC89009732 PROTEIN ELECT FRACT&QT(PNL)-AU $4.00 HC89013916 PROTEIN ELECT FRACT&QT(PNL)-AU $5.00 HC89003222 PROTEIN ELECT FRACT&QT-QD $13.00 HC81701500 PROTEIN ELECT OTHER FLUIDS $407.00 HC81100133 PROTEIN FLUID $187.00 9468801162 PROTEIN ORAL POWD $57.75 HC81101271 PROTEIN OTHER SOURCE $183.00 HC81100703 PROTEIN TOTAL $160.00 HC81101628 "PROTEIN TOTAL, FLUID" $173.00 HC81101503 "PROTEIN TOTAL, REFRCT" $170.00 HC81100018 PROTEIN URINE $167.00 HC89010771 PROTHROMBIN -AU $10.00 HC81500076 PROTHROMBIN TIME $176.00 HC81500878 PROTHROMBIN TIME (POS) $160.00 HC89019947 PROTHROMBIN(F2) G20210A MUT-AU $75.00 HC89009740 PROTOPORPHYRINS RBC QUANT-AU $60.00 HC89014419 PROTOZOA AB OTHER-AU $11.35 HC89000657 PROTOZOA AB OTHER-QD $20.00 HC89006878 PROTRIPTYLINE; 1-2-AU $18.00 HC81700643 PSA COMPLEXED $247.00 HC89009716 PSA FREE-AU $6.00 HC89000152 PSA FREE-QD $14.00 HC81701377 PSA SCREENING $218.00 HC81700585 PSA TOTAL $281.00 HC89009708 PSA TOTAL-AU $6.00 HC89000137 PSA TOTAL-QD $52.00 HC89007462 PSEUDOCHOLINESTERASE-AU $10.00 1093946333 PSEUDOEPHEDRINE HCL 120 MG ORAL TBSR $1.78 7003013907 PSEUDOEPHEDRINE HCL 120 MG ORAL TBSR $1.80 0113-0054-52 PSEUDOEPHEDRINE HCL 120 MG ORAL TBSR $1.80 49348-361-01 PSEUDOEPHEDRINE HCL 120 MG ORAL TBSR $1.78 51660-204-21 PSEUDOEPHEDRINE HCL 120 MG ORAL TBSR $1.26 70677-0001-1 PSEUDOEPHEDRINE HCL 120 MG ORAL TBSR $2.33 1093947233 PSEUDOEPHEDRINE HCL 30 MG ORAL TAB $1.00 0904-5053-59 PSEUDOEPHEDRINE HCL 30 MG ORAL TAB $1.00 0904-6990-61 PSEUDOEPHEDRINE HCL 30 MG ORAL TAB $1.00 41163-112-08 PSEUDOEPHEDRINE HCL 30 MG ORAL TAB $1.00 45802-432-62 PSEUDOEPHEDRINE HCL 30 MG ORAL TAB $1.00 0904-5125-59 PSEUDOEPHEDRINE HCL 60 MG ORAL TAB $1.00 0904-6907-06 PSEUDOEPHEDRINE HCL 60 MG ORAL TAB $1.00 HC39000161 PSY FAMILY CONFERENCE $235.00 HC51070027 PSY FAMILY CONFERENCE 30 MIN $140.00 HC51070340 PSY FAMILY CONFERENCE 60MIN $258.00 HC39000153 PSY MED RECORD REVIEW $239.00 HC51070019 PSY MED RECORD REVIEW $171.00 HC39000724 PSY PREPARE REPORT $367.00 HC39000179 PSY PREPARE REPORT 1 HOUR $367.00 HC51070035 PSY PREPARE REPORT 1 HOUR $280.00 HC39000187 PSY PREPARE REPORT 2 HOURS $581.00 HC39000302 PSY TEAM CONF W/PT&/FAM 30MIN $273.00 HC39000237 PSY TM CONF W/MD 30/+MIN(NO PT) $258.00 HC51070522 PSY TM CONF W/MD 30/+MIN(ØPT) $197.00 HC39000252 PSY TM CONF W/PT&/FAM 60MIN $374.00 HC51070514 PSY TM CONF W/PT&/FAM 60MIN $286.00 HC39000245 PSY TM CONFW/NONMD 30/+MIN(NO PT $233.00 HC51070134 PSY TM CONFW/NONMD 30/+MIN(NO PT)/M $128.00 HC39000948 PSY TX W/PATIENT 30MIN W/E&M+ $384.00 HC51070365 PSY TX W/PATIENT 30MIN W/E&M+ $298.00 HC39000955 PSY TX W/PATIENT 45MIN W/E&M+ $604.00 HC51070381 PSY TX W/PATIENT 45MIN W/E&M+ $460.00 HC39000963 PSY TX W/PATIENT 60MIN W/E&M+ $694.00 HC51070407 PSY TX W/PATIENT 60MIN W/E&M+ $540.00 HC39001383 PSY-ASSESS APHASIA W/REPORT PER HOUR $447.00 HC51070688 PSY-ASSESS APHASIA W/REPORT PER HOUR $260.00 HC39001409 PSY-ASSESS BEHAVIOR W/SCORE & DOCD/STAND INSTRUMENT $152.00 HC51070704 PSY-ASSESS BEHAVIOR W/SCORE & DOCD/STAND INSTRUMENT $109.00 HC39001599 PSY-BEHAV TX FAM W/O PT 1ST 30MIN $110.00 HC51070803 PSY-BEHAV TX FAM W/O PT 1ST 30MIN $87.00 HC39001607 PSY-BEHAV TX FAM W/O PT ADD 15 $55.00 HC51070811 PSY-BEHAV TX FAM W/O PT ADD 15 $44.00 HC39001524 PSY-BEHAVIOR ASSESS/RE-ASSESS $258.00 HC51070738 PSY-BEHAVIOR ASSESS/RE-ASSESS $198.00 HC39001573 PSY-BEHAVIOR TX FAMW/PT 1ST 30MIN $110.00 HC51070787 PSY-BEHAVIOR TX FAMW/PT 1ST 30MIN $87.00 HC39001581 PSY-BEHAVIOR TX FAMW/PT ADD 15MIN $55.00 HC51070795 PSY-BEHAVIOR TX FAMW/PT ADD 15MIN $42.00 HC39001557 PSY-BEHAVIOR TX GROUP 1ST 30 MIN $88.00 HC51070761 PSY-BEHAVIOR TX GROUP 1ST 30 MIN $70.00 HC39001565 PSY-BEHAVIOR TX GROUP ADDL 15 MIN $42.00 HC51070779 PSY-BEHAVIOR TX GROUP ADDL 15 MIN $32.00 HC39001532 PSY-BEHAVIOR TX INDIV 1ST 30 MIN $258.00 HC51070746 PSY-BEHAVIOR TX INDIV 1ST 30 MIN $198.00 HC39001540 PSY-BEHAVIOR TX INDIV ADDL 15 MIN $127.00 HC51070753 PSY-BEHAVIOR TX INDIV ADDL 15 MIN $94.00 HC39000757 PSYCH ASSESS/INTERVEN EA30MIN/MCL $139.00 HC51070274 PSYCH ASSESS/INTERVEN EA30MIN/MCL $90.00 HC39000609 PSYCH CASE CONF 30MIN $231.00 HC39000617 PSYCH CASE CONF 60MIN $323.00 HC39000989 PSYCH DIAG EVAL W/ MED SERVICE $607.00 HC39000005 PSYCH DX EVAL EXAM (NO MED SVCS) $544.00 HC51070001 PSYCH DX EVAL EXAM (NO MED SVCS) $346.00 HC39001128 PSYCH EDUCATION TRNG SESS 45M/> $435.00 HC39000112 PSYCH FAMILY GROUP THERAPY $303.00 HC51070449 PSYCH FAMILY GROUP THERAPY $236.00 HC39000278 PSYCH FAMILY TX W/O PT 50 MIN $571.00 HC51070423 PSYCH FAMILY TX W/O PT 50 MIN $444.00 HC39000260 PSYCH FAMILY TX W/PT 50MIN $687.00 HC51070431 PSYCH FAMILY TX W/PT 50MIN $533.00 HC39001144 PSYCH GROUP INTERACTIVE 45-50M $270.00 HC39000799 PSYCH GROUP TEACH/COUNS SESSION $94.00 HC39001136 PSYCH GROUP THER (NOT FAM)45-50MIN $279.00 HC51070316 PSYCH GRP TX(NOT MULTI FAMILY)60MIN $175.00 HC39000120 PSYCH GRP TX(NOT MULTI FAMILY)60MIN/COMM $284.00 HC39000310 PSYCH GRP TX(NOT MULTI FAMILY)90MIN $362.00 HC51070324 PSYCH GRP TX(NOT MULTI FAMILY)90MIN $207.00 HC39001078 PSYCH HYPNOTHERAPY $450.00 HC51070464 PSYCH HYPNOTHERAPY $350.00 HC39001011 PSYCH NARCOSYNTHESIS $381.00 HC51070456 PSYCH NARCOSYNTHESIS $306.00 HC39000997 PSYCH PSYCHOANALYSIS $309.00 HC51070415 PSYCH PSYCHOANALYSIS $240.00 HC51070720 PSYCH TEACH/COUNSEL GROUP SESSION - COMM/CCS $72.00 HC39000765 PSYCH TEACH/COUNSEL INDIVIDUAL -COMM $117.00 HC39000773 PSYCH TEAM CONF PRTCPNT PER 15MIN $36.00 HC51070712 PSYCH TEAM CONF PRTCPNT PER 15MIN $27.00 HC39001243 PSYCH TESTING EVAL INTEGR INTERPRET CLIN DES TX; 1ST HOUR $516.00 HC51070555 PSYCH TESTING EVAL INTEGR INTERPRET CLIN DES TX; 1ST HOUR $400.00 HC39001250 PSYCH TESTING EVAL INTEGR INTERPRET CLIN DES TX; EA ADDL HR+ $526.00 HC51070563 PSYCH TESTING EVAL INTEGR INTERPRET CLIN DES TX; EA ADDL HR+ $286.00 HC39001110 PSYCH THERAPY ACT MUS/ART SESS45M/> $510.00 HC39001052 PSYCH THERAPY W/BIOFEEDBACK 30 MIN $345.00 HC39001060 PSYCH THERAPY W/BIOFEEDBACK 45 MIN $419.00 HC39000914 PSYCH TX FOR CRISIS 1ST 60MINS/COMM $889.00 HC51070290 PSYCH TX FOR CRISIS 1ST 60MINS/COMM $428.00 HC51070308 PSYCH TX FOR CRISIS EA ADD 30MINS+ $218.00 HC39000922 PSYCH TX FOR CRISIS EA ADD 30MINS+/COMM $389.00 HC39000013 PSYCH TX W/PATIENT 30MIN $452.00 HC51070357 PSYCH TX W/PATIENT 30MIN $344.00 HC39000039 PSYCH TX W/PATIENT 45MIN $610.00 HC51070373 PSYCH TX W/PATIENT 45MIN $474.00 HC39000286 PSYCH TX W/PATIENT 60MIN $709.00 HC51070399 PSYCH TX W/PATIENT 60MIN $546.00 HC39001292 "PSYCH/NEUROPSYCH TEST ADMIN & SCORING, 2 OR > TESTS; EA ADDL 30MIN+" $195.00 HC51070605 "PSYCH/NEUROPSYCH TEST ADMIN & SCORING, 2 OR > TESTS; EA ADDL 30MIN+" $90.00 HC39001284 "PSYCH/NEUROPSYCH TEST ADMIN & SCORING, 2 OR > TESTS; 1ST 30 MIN" $227.00 HC51070597 "PSYCH/NEUROPSYCH TEST ADMIN & SCORING, 2 OR > TESTS; 1ST 30 MIN" $199.00 HC39001300 PSYCH/NEUROPSYCH TEST ADMIN SNGLE AUTO INSTRU VIA ELECTRONIC AUTO RESULT ON $157.00 HC51060812 PSYCH/NEUROPSYCH TEST ADMIN SNGLE AUTO INSTRU VIA ELECTRONIC AUTO RESULT ON $80.00 HC39001375 PSY-DEVEL TEST ADMIN ASSESS COG INSTR; EA ADD 30MIN+ $210.00 HC51070670 PSY-DEVEL TEST ADMIN ASSESS COG INSTR; EA ADD 30MIN+ $151.00 HC39001367 PSY-DEVEL TEST ADMIN ASSESS COG INSTR; 1ST HR $489.00 HC51070662 PSY-DEVEL TEST ADMIN ASSESS COG INSTR; 1ST HR $369.00 HC39001417 PSY-DEVEL TEST PER STANDARD INSTRUMENT(SCREENING) $232.00 HC51070282 PSY-DEVEL TEST PER STANDARD INSTRUMENT(SCREENING) $182.00 3700074108 PSYLLIUM HUSK (ASPARTAME) 3.4 GRAM ORAL PWPK $2.21 37000-024-04 PSYLLIUM HUSK (ASPARTAME) 3.4 GRAM ORAL PWPK $2.21 37000-024-10 PSYLLIUM HUSK (ASPARTAME) 3.4 GRAM ORAL PWPK $1.80 3700074087 PSYLLIUM HUSK (WITH SUGAR) 3.4 GRAM ORAL PWPK $2.21 0224-1852-81 PSYLLIUM HUSK (WITH SUGAR) 3.4 GRAM ORAL PWPK $2.55 37000-023-04 PSYLLIUM HUSK (WITH SUGAR) 3.4 GRAM ORAL PWPK $2.21 37000-023-10 PSYLLIUM HUSK (WITH SUGAR) 3.4 GRAM ORAL PWPK $2.21 HC39000518 PSY-TEAM CONF W/PT &3D 30MINOR> $243.00 HC51070530 PSY-TEAM CONF W/PT &3D 30MINOR> $192.00 HC39001391 PSY-TEST COGNITIVE PERFORMANCE STDRD PER HOUR $552.00 HC51070696 PSY-TEST COGNITIVE PERFORMANCE STDRD PER HOUR $277.00 HC31002017 PT - STRAPPING; ANKLE AND/OR FOOT $393.00 HC31001977 PT - STRAPPING; ELBOW OR WRIST $368.00 HC31001985 PT - STRAPPING; HAND OR FINGER $369.00 HC31001993 PT - STRAPPING; HIP $392.00 HC31002009 PT - STRAPPING; KNEE $449.00 HC31002033 PT - STRAPPING; SHOULDER $372.00 HC31000128 PT CASE CONF & RPT 1-30 MIN $271.00 HC51060333 PT CONSULT TELEPHONE PER 15MIN $47.00 HC51060465 PT CONSULT TELEPHONE PER 15MIN $45.00 HC51060499 PT EVAL/TX/PROG RPT $112.00 HC81500597 PT SUBS PLASMA FRACTIONS EA $236.00 HC44504777 PTA CDS VIA DIALYSIS CIRCUIT WS&I + "$9,820.00 " HC44501583 PTA INTRACRANIAL "$29,822.00 " HC44700912 PTA PULMONARY ARTERY EA ADDL+ "$9,957.00 " HC44700904 PTA PULMONARY ARTERY SNGL "$24,062.00 " HC31001175 PT-ADL 30MIN/CW $347.00 HC31001183 PT-ADL ADD 15MIN/CW $177.00 HC82200098 PTAH STAIN/GRP II+ $412.00 HC31002157 PT-APPLIC CAST LONG LEG BILAT "$1,442.00 " HC31000029 PT-APPLIC CAST SHORT LEG WALK $809.00 HC31002140 PT-APPLIC CAST SHORT LEG WALK BILAT "$1,459.00 " HC31000037 PT-APPLIC SPLINT SHORT LEG $617.00 HC31001803 PT-APPLICATIN CAST LEG CLBFOOT $676.00 HC31001795 PT-APPLICATION CAST LONG LEG $918.00 HC31000011 PT-APPLICATION CAST SHORT LEG $763.00 HC31000045 PT-APPLICATION SPLINT LONG LEG $773.00 HC31001514 PT-APPLY VASOPNEUMATIC DEV/MW $168.00 HC31000730 PT-APPLY WHIRLPOOL MODALITY $332.00 HC31000748 PT-APPLY WHIRLPOOL MODALITY $332.00 HC31000060 PT-AQUATIC GRP 30MIN/MCW $117.00 HC31000078 PT-AQUATIC GRP 45MIN/M $228.00 HC31000086 PT-AQUATIC GRP 60MIN/M $401.00 HC31000094 PT-AQUATIC GRP ADDL 15 MIN/CW $94.00 HC31010218 PT-AQUATIC THERAPY 15MIN $239.00 HC31000052 PT-AQUATIC THERAPY 15MIN/M $247.00 HC31001860 PT-AQUATIC THERAPY 30MIN/CW $394.00 HC31001878 PT-AQUATIC THERAPY ADD15MIN/CW $196.00 HC31000102 PT-ASSESS ASSIST TECH 15MIN/CM $173.00 HC31010176 PT-BIOFEEDBACK PERINEAL MSCLS W/EMG&/MNMTRY F2F 1ST 15MIN $218.00 HC31010184 PT-BIOFEEDBACK PERINEAL MSCLS W/EMG&/MNMTRY F2F ADD'L 15MIN+ $149.00 HC31001761 PT-CASE CONF 30MIN/C $285.00 HC31001613 PT-COMMTY WK/REINT ADD15MIN/CW $147.00 HC31001605 PT-COMMTY WK/REINTEGRAT 30M/CW $318.00 HC31000144 PT-COMMTY WK/REINTEGRT 15M/M $233.00 HC31010127 PT-COMMTY WK/REINTEGRT 15MIN $224.00 HC31010168 PT-COMPUT DYNAMIC POSTURE SOT 6 CNDTNS; &MCT&ADT "$1,089.00 " HC31000151 PT-COMPUT DYNAMIC POSTURE SOT 6 CONDITIONS $885.00 HC31000169 PT-CONTRAST BATH 15MIN/MW $145.00 HC31001589 PT-CONTRAST BATH 30MIN/CW $310.00 HC31001597 PT-CONTRAST BATH AD15MIN/CW $132.00 HC31001357 PT-DBRD OPN WND EA+20SQCM OR < $777.00 HC31000656 PT-DEBRIDE OPN WND 1ST 20SQCM OR< $888.00 HC31002132 PT-DEVEL TEST ADMIN ASSESS COG INSTR; EA ADD 30MIN+ $210.00 HC51060804 PT-DEVEL TEST ADMIN ASSESS COG INSTR; EA ADD 30MIN+ $151.00 HC31002116 PT-DEVEL TEST ADMIN ASSESS COG INSTR; 1ST HR $489.00 HC51060796 PT-DEVEL TEST ADMIN ASSESS COG INSTR; 1ST HR $369.00 HC31000185 PT-DEVEL TEST PER STANDARD INSTRUMENT(SCREENING) $431.00 HC51060168 PT-DEVEL TEST PER STANDARD INSTRUMENT(SCREENING) $266.00 HC31000938 PT-ELEC STIM/TENS ATT ADD15/CW $177.00 HC31010101 PT-ELEC STIM/TENS ATTD 15MIN $199.00 HC31000193 PT-ELEC STIM/TENS ATTD15MIN/MW $202.00 HC31000920 PT-ELEC STIM/TENS ATTD30MIN/CW $354.00 HC31001266 PT-ELEC STIM/TENS/MCW $276.00 HC31001571 PT-ELEC STIM/WOUND CARE/M $275.00 HC31010077 PT-EVAL HIGH COMPLEXITY 45M F2F [15MIN] $240.00 HC31002082 PT-EVAL HIGH COMPLEXITY 45MF2F 30MIN $549.00 HC31002090 PT-EVAL HIGH COMPLEXITY 45MF2F 45MIN $750.00 HC31000342 PT-EVAL HIGH COMPLEXITY 45MF2F 60MIN $893.00 HC51060705 PT-EVAL HIGH COMPLEXITY 45MF2F 60MIN $382.00 HC31000359 PT-EVAL HIGH COMPLEXITY 45MF2F 75MIN "$1,104.00 " HC31000367 PT-EVAL HIGH COMPLEXITY 45MF2F 90MIN "$1,241.00 " HC31001787 PT-EVAL HIGH COMPLEXITY 45MIF2F 120MIN "$1,435.00 " HC31001837 PT-EVAL HIGH COMPLEXITY 45MIF2F 150MIN "$2,068.00 " HC31001845 PT-EVAL HIGH COMPLEXITY 45MIF2F 180MIN "$2,482.00 " HC31001753 PT-EVAL LOCOMOTOR /W $756.00 HC31001894 PT-EVAL LOCOMOTOR TRAINING $318.00 HC31000318 PT-EVAL LOW COMPLEXITY <20MF2F 15MIN $299.00 HC31000326 PT-EVAL LOW COMPLEXITY 20MF2F 30MIN $488.00 HC51060697 PT-EVAL LOW COMPLEXITY 20MF2F 30MIN $272.00 HC31002108 PT-EVAL LOW COMPLEXITY 20MF2F 45MIN $621.00 HC31010069 PT-EVAL LOW COMPLEXITY 20MIN F2F [15MIN] $233.00 HC31010028 PT-EVAL MOD COMPLEXITY 30M F2F [15MIN] $239.00 HC31002058 PT-EVAL MOD COMPLEXITY 30MF2F 30MIN $504.00 HC31000334 PT-EVAL MOD COMPLEXITY 30MF2F 45MIN $705.00 HC51060143 PT-EVAL MOD COMPLEXITY 30MF2F 45MIN $315.00 HC31002066 PT-EVAL MOD COMPLEXITY 30MF2F 60MIN $837.00 HC31002074 PT-EVAL MOD COMPLEXITY 30MF2F 90MIN "$1,144.00 " HC31001159 PT-FUNC ACTIVITY 30MIN/CW $354.00 HC31001167 PT-FUNC ACTIVITY ADDL 15MIN/CW $177.00 HC31010036 PT-GAIT TRAINING 15MIN $233.00 HC31000227 PT-GAIT TRAINING 15MIN/M $240.00 HC31001027 PT-GAIT TRAINING 30MIN/CW $318.00 HC31001035 PT-GAIT TRAINING ADD 15MIN/CW $175.00 HC31001563 PT-GROUP EDUCATION MIN 1HR/W $237.00 HC31000284 PT-HOT/COLD PACKS /CMW $132.00 HC31000292 PT-HUBBARD TANK 15MIN/M $236.00 HC31001316 PT-HUBBARD TANK 30MIN/CW $318.00 HC31001324 PT-HUBBARD TANK ADD15MIN/CW $157.00 HC31001548 PT-INDIV PROC W/COMPUT EQUIP/W $374.00 HC31000300 PT-INFRARED/CMW $166.00 HC31000904 PT-INITIAL EVAL ADDL 15MIN/CW $216.00 HC31010275 PT-IONTOPHORESIS 15MIN $209.00 HC31000375 PT-IONTOPHORESIS 15MIN/MW $223.00 HC31000946 PT-IONTOPHORESIS 30MIN/CW $310.00 HC31000953 PT-IONTOPHORESIS ADDL 15MIN/CW $155.00 HC31001100 PT-MANUAL THER JOINT MOB/W $207.00 HC31001084 PT-MANUAL THER MYOFASC REL/W $213.00 HC31001092 PT-MANUAL THER S0FT TIS MOB/W $213.00 HC31010143 PT-MANUAL THERAPY 15MIN $226.00 HC31000383 PT-MANUAL THERAPY 15MIN/M $236.00 HC31001068 PT-MANUAL THERAPY 30 MIN/CW $303.00 HC31001076 PT-MANUAL THERAPY ADD 15MIN/CW $152.00 HC31001050 PT-MASSAGE ADD 15MIN/CW $152.00 HC31000391 PT-MASSAGE 15MIN/M $208.00 HC31001043 PT-MASSAGE 30MIN/CW $303.00 HC31010010 PT-NEUROMUSC RE-ED 15MIN $231.00 HC31000409 PT-NEUROMUSC RE-ED 15MIN/M $235.00 HC31001001 PT-NEUROMUSC RE-ED 30MIN/CW $316.00 HC31001019 PT-NEUROMUSC RE-ED ADD15MIN/CW $158.00 HC31090152 PT-ONLINE ASSESS & MANAGMNT EST PT 11-20MIN $157.00 HC31090160 PT-ONLINE ASSESS & MANAGMNT EST PT 21+MIN $209.00 HC31090145 PT-ONLINE ASSESS & MANAGMNT EST PT 5-10MIN $105.00 HC31001118 PT-ORTHOTIC FIT/TRNG 30MIN/CW $318.00 HC31001126 PT-ORTHOTIC FIT/TRNG ADD15M/CW $159.00 HC31010135 PT-ORTHOTIC MGMT & TRNG INITIAL ENC 15MIN $270.00 HC31000425 PT-ORTHOTIC MGMT & TRNG INITIAL ENC 15MIN/M $270.00 HC31010150 PT-ORTHOTIC/PROSTH MGMT/TRAIN SUBSQ 15MIN $218.00 HC31000417 PT-ORTHOTIC/PROSTH MGMT/TRAIN SUBSQ 15MIN/CMW $228.00 HC31000433 PT-PARAFFIN BATH /CMW $160.00 HC31000995 PT-PHYS MED TX ANY ADDL 15MIN/CW $183.00 HC31010291 PT-PHYS PERFORM TEST 15 MIN $203.00 HC31000219 PT-PHYS PERFORM TEST 15 MIN/M $203.00 HC31001530 PT-PHYS PERFORM TEST ADD'15M/W $166.00 HC31001522 PT-PHYS PERFORM TEST INL'30M/W $317.00 HC31001464 PT-PROC+MOD.COMBO ADD 15MIN/C $164.00 HC51060762 PT-PROC+MOD.COMBO ADD 15MIN/C $60.00 HC31001456 PT-PROC+MODALITY.COMBO 30MIN/C $338.00 HC31010234 PT-PROSTHETIC MGMT & TRNG INITIAL ENC 15MIN $213.00 HC31000441 PT-PROSTHETIC MGMT & TRNG INITIAL ENC 15MIN/M $214.00 HC31001134 PT-PROSTHETIC TRNG 30MIN/CW $298.00 HC31001142 PT-PROSTHETIC TRNG ADD15MIN/CW $148.00 HC31000912 PT-RE-EVAL ADDL 15MIN/CW $196.00 HC31010085 PT-RE-EVAL EST POC [15MIN] $223.00 HC31000458 PT-RE-EVAL EST POC 15MIN $276.00 HC31000466 PT-RE-EVAL EST POC 30MIN $465.00 HC31000474 PT-RE-EVAL EST POC 45MIN $667.00 HC31000482 PT-RE-EVAL EST POC 60MIN $797.00 HC31001365 PT-RE-EVAL EST POC 75MIN $958.00 HC31001373 PT-RE-EVAL EST POC 90MIN "$1,158.00 " HC31001720 PT-REMOVE/BIVAL CAST FULL LIMB $600.00 HC31001712 PT-REMOVE/BIVAL CAST SHRT LIMB $551.00 HC31010002 PT-SELF/HOME MGMT/ADL 15MIN $233.00 HC31000003 PT-SELF/HOME MGMT/ADL 15MIN/M $238.00 HC81500084 PTT (APTT) $269.00 HC89017446 PTT HEPARIN NEUTRALZ RFX - AU $39.00 HC89004881 PTT-D CORR RFX- AU $11.00 HC51060077 PT-TEAM CASE CONFERENCE EA 15MIN/C $45.00 HC31000136 PT-TEAM CONF W/MD >30MIN(NO PT) $271.00 HC31000607 PT-TEAM CONF W/NONMD>30MIN(NO PT) $261.00 HC31001191 PT-TEAM CONF W/PT &3D 30MINOR> $289.00 HC51060051 PT-TEST&MEASUREMENT 1ST30MIN/C $192.00 HC31001431 PT-TEST/MEASUREMENT 1ST30MIN/C $357.00 HC31001449 PT-TEST/MEASUREMENT ADD15MIN/C $183.00 HC51060069 PT-TEST/MEASUREMENT ADD15MIN/C $93.00 HC31010044 PT-THER ACTIVITIES 15MIN $233.00 HC31000201 PT-THER ACTIVITIES 15MIN/M $246.00 HC31010051 PT-THER EXER 15MIN $235.00 HC31000615 PT-THER EXER 15MIN/M $241.00 HC51060754 PT-THER EXER 15MIN/M $67.00 HC51060747 PT-THER EXER 30MIN/C $88.00 HC31000987 PT-THER EXER 30MIN/CW $389.00 HC31010093 PT-THER PROC GROUP [15MIN] $89.00 HC31001829 PT-THER PROC GRP 120MIN/MC $440.00 HC31001779 PT-THER PROC GRP 15MIN/M $95.00 HC31001472 PT-THER PROC GRP 30MIN/MWC $201.00 HC31001480 PT-THER PROC GRP 45MIN/MC $251.00 HC31001498 PT-THER PROC GRP 60MIN/MC $407.00 HC31001811 PT-THER PROC GRP 90MIN/MC $425.00 HC31001555 PT-THER PROC GRP ADD 15MIN/CW $88.00 HC31000623 PT-TRACTION/MECHANICAL/CMW $204.00 HC31000979 PT-ULTRASOUND ADD 15MIN/CW $132.00 HC31010283 PT-ULTRASOUND 15MIN $182.00 HC31000631 PT-ULTRASOUND 15MIN/MW $190.00 HC31000961 PT-ULTRASOUND 30MIN/CW $288.00 HC31001654 PT-WD SEL DEBRID<20CM 15MIN+/C $191.00 HC31001662 PT-WD SEL DEBRID>20CM 15MIN+/C $191.00 HC31001886 PT-WHEELCHAIR ASSESS 15 MIN/M $203.00 HC31010119 PT-WHEELCHAIR MGT 15MIN $215.00 HC31000722 PT-WHEELCHAIR MGT 15MIN/M $218.00 HC31001621 PT-WHEELCHAIR MGT 30MIN/C $341.00 HC31001639 PT-WHEELCHAIR MGT ADD 15MIN/C $171.00 HC31001928 PT-WINDOWING CAST $427.00 HC31000763 PT-WORK HARDENING ADD 1HR/CMW+ $387.00 HC31000755 PT-WORK HARDENING INIT 2HR/CMW $711.00 HC31000771 PT-WOUND NON-SEL DEB 15MIN/MW $201.00 HC31000789 PT-WOUND NON-SEL DEB 30MIN/CMW $382.00 HC31000797 PT-WOUND NON-SEL DEB 45MIN/MW $571.00 HC31000805 PT-WOUND NON-SEL DEB 60MIN/MW $742.00 HC31001647 PT-WOUND NON-SEL DEB ADD15M/C $164.00 HC31000813 PT-WOUND VAC 15MIN<50 SQ CM/M $191.00 HC31001670 PT-WOUND VAC 15MIN<50 SQ+/C $162.00 HC31000854 PT-WOUND VAC 15MIN>50 SQ CM/M $205.00 HC31001688 PT-WOUND VAC 15MIN>50 SQ+/C $175.00 HC31000821 PT-WOUND VAC 30MIN<50 SQ CM/CM $349.00 HC31000862 PT-WOUND VAC 30MIN>50 SQ CM/CM $370.00 HC31000839 PT-WOUND VAC 45MIN<50 SQ CM/M $393.00 HC31000870 PT-WOUND VAC 45MIN>50 SQ CM/M $472.00 HC31000888 PT-WOUND VAC 60>50 SQ CM/M $631.00 HC31000847 PT-WOUND VAC 60MIN<50 SQ CM/M $513.00 HC62219563 PULLER SUTURE INCL TENSURE $650.00 HC45200524 PULM PERFUSION IMAGING "$3,759.00 " HC36800522 PULM REHAB ONE HR PER SESS'N $605.00 HC45201258 PULM VENTILATION & PERF IMAG "$5,042.00 " HC45201241 PULM VENTILATION IMAGING "$2,957.00 " HC36000784 PULSE OX NOCTURNAL STUDY "$1,327.00 " HC36800357 PULSE OX NOCTURNAL STUDY "$1,325.00 " HC36800365 PULSE OX NOCTURNAL STUDY DC'D $553.00 HC62219787 PUMP BLOOD CENTRIFUGAL $577.00 HC62210968 PUMP CENTRIFUGAL $397.00 HC43000611 PUNC ASP CYST BREAST EA ADD+LT "$1,506.00 " HC43000553 PUNC ASP CYST BREAST EA ADD+RT "$1,506.00 " HC43000322 PUNC CYST ASP BREAST ADD'L "$1,506.00 " HC46501334 PUNC SHUNT/RES FOR ASP/INJ "$3,310.00 " HC51010973 PUNC SHUNT/RES FOR ASP/INJ "$1,326.00 " HC62216965 PUNCH AORTIC B $65.00 HC62225602 PUNCH AORTIC C $98.00 HC62205893 PUNCH AORTIC O $488.00 HC62220348 PUNCH ARTHROSCOPIC $390.00 HC62227566 PUNCH ARTHROSCOPIC B $260.00 HC62227905 PUNCH ARTHROSCOPIC E $650.00 HC62217260 PUNCH ATHROSCOPIC ROTARY "$3,234.00 " HC62205901 PUNCH SKIN BX $46.00 HC62217732 PUNCH SPINAL "$1,277.00 " HC51002624 PUNCTURE ASP CYST BREAST "$1,475.00 " HC43000629 PUNCTURE ASP CYST BREAST-LT "$2,057.00 " HC43000546 PUNCTURE ASP CYST BREAST-RT "$2,057.00 " HC46501359 PUNCTURE CISTERN/LAT CERVICAL C1-C2 W/INJ "$4,691.00 " HC46501342 PUNCTURE CISTERN/LAT CERVICAL C1-C2 W/O INJ "$4,353.00 " HC46502845 PUNCTURE SPINAL TX CSF WITH FLUORO/CT[NOT W/MRI OR US] "$3,874.00 " HC46501177 PUNCTURE SPINAL TX DRAIN CSF [NOT W/FLUORO/CT] "$3,205.00 " HC51010882 PUNCTURE SPINAL TX DRAIN CSF [NOT W/FLUORO/CT] $794.00 HC44701423 PUNCTURE TRANSEPTL (LT HC) + "$9,909.00 " 63323-522-77 "PURGE PRESSURE SOLUTION HEPARIN IN 5 % DEX 25,000 UNIT/500 ML (50 UNITS/ML)" $54.00 HC62217393 PUSHER KNOT ENDO D $455.00 HC62225404 PUSHER KNOT ENDO G $650.00 HC62225412 PUSHER KNOT ENDO H $780.00 HC62226378 PUSHER KNOT ENDO I $910.00 HC62220439 PUSHER KNOT ENDO L "$1,625.00 " HC62205919 PUSHER OCCLUSION COIL $511.00 HC62217922 PUSHER/CUTTER KNOT SUTURE ARTHRS E $390.00 HC44001758 PYELOGRAM RETROGRADE "$2,260.00 " 99999-010-98 PYRAZINAMIDE 100 MG/ML SUSPENSION $1.51 61748-012-01 PYRAZINAMIDE 500 MG ORAL TAB $29.54 61748-012-06 PYRAZINAMIDE 500 MG ORAL TAB $30.31 61748-012-09 PYRAZINAMIDE 500 MG ORAL TAB $30.13 61748-012-11 PYRAZINAMIDE 500 MG ORAL TAB $31.18 1093955633 PYRETHRINS-PIPERONYL BUTOXIDE 0.33-4 % TOPICAL SHAM $31.15 0904-2528-20 PYRETHRINS-PIPERONYL BUTOXIDE 0.33-4 % TOPICAL SHAM $26.90 HC89007686 PYRIDINIUM CROSSLINKS TOTAL-AU $54.00 0115-1404-08 PYRIDOSTIGMINE BROMIDE 180 MG ORAL TBSR $96.75 0187-3013-30 PYRIDOSTIGMINE BROMIDE 180 MG ORAL TBSR $184.19 47781-335-30 PYRIDOSTIGMINE BROMIDE 180 MG ORAL TBSR $96.75 64980-220-03 PYRIDOSTIGMINE BROMIDE 180 MG ORAL TBSR $39.80 0781-3040-72 PYRIDOSTIGMINE BROMIDE 5 MG/ML INJ SOLN $184.31 0781-3040-95 PYRIDOSTIGMINE BROMIDE 5 MG/ML INJ SOLN $184.31 0115-3511-01 PYRIDOSTIGMINE BROMIDE 60 MG ORAL TAB $6.12 0187-3010-30 PYRIDOSTIGMINE BROMIDE 60 MG ORAL TAB $97.11 63739-969-40 PYRIDOSTIGMINE BROMIDE 60 MG ORAL TAB $1.00 68084-494-01 PYRIDOSTIGMINE BROMIDE 60 MG ORAL TAB $7.41 68084-494-11 PYRIDOSTIGMINE BROMIDE 60 MG ORAL TAB $7.41 68682-302-10 PYRIDOSTIGMINE BROMIDE 60 MG ORAL TAB $6.12 0187-3012-20 PYRIDOSTIGMINE BROMIDE 60 MG/5 ML ORAL SYRP "$7,886.80 " 63323-180-00 PYRIDOXINE (VITAMIN B6) 100 MG/ML INJ SOLN $91.20 63323-180-01 PYRIDOXINE (VITAMIN B6) 100 MG/ML INJ SOLN $91.20 536440601 PYRIDOXINE (VITAMIN B6) 25 MG ORAL TAB $1.00 1000670012 PYRIDOXINE (VITAMIN B6) 50 MG ORAL TAB $1.00 3786490901 PYRIDOXINE (VITAMIN B6) 50 MG ORAL TAB $1.00 5026885811 PYRIDOXINE (VITAMIN B6) 50 MG ORAL TAB $1.41 5026885815 PYRIDOXINE (VITAMIN B6) 50 MG ORAL TAB $1.41 7733394010 PYRIDOXINE (VITAMIN B6) 50 MG ORAL TAB $1.00 7733394025 PYRIDOXINE (VITAMIN B6) 50 MG ORAL TAB $1.00 7985420030 PYRIDOXINE (VITAMIN B6) 50 MG ORAL TAB $1.00 3834400001 PYRITHIONE ZINC 0.25 % TOPICAL SPRY $118.80 HC89016422 PYRUVATE KINASE-AU $39.00 HC89009781 PYRUVATE-AU $28.00 HC89000756 PYRUVATE-QD $9.00 HC89012223 Q FEVER AB-AU $15.00 HC89000483 Q FEVER AB-QD $13.00 HC43001221 QT SCAN BREAST $137.00 HC45201266 QUANT DIFF PULM PERF "$2,958.00 " HC45201274 QUANT DIFF PULM PERF& VENT "$4,800.00 " HC89019780 QUANT HPLC 6-TGN RBC(P THIOPUR)-PR $108.00 HC89019798 QUANT HPLC-6-MMPN RBC(P THIOPUR)-PR $108.00 HC89019772 QUANT HPLC-6-MTG(P TPMT ENZYME)-PR $88.00 HC89018402 QUANTIFERON-TB GOLD-AU $40.00 0093-8162-01 QUETIAPINE 100 MG ORAL TAB $4.12 0904-6640-61 QUETIAPINE 100 MG ORAL TAB $2.82 16714-454-01 QUETIAPINE 100 MG ORAL TAB $1.70 16729-147-01 QUETIAPINE 100 MG ORAL TAB $2.65 47335-904-88 QUETIAPINE 100 MG ORAL TAB $1.91 50268-632-11 QUETIAPINE 100 MG ORAL TAB $2.77 50268-632-15 QUETIAPINE 100 MG ORAL TAB $2.77 63739-665-10 QUETIAPINE 100 MG ORAL TAB $3.01 0904-6641-61 QUETIAPINE 200 MG ORAL TAB $5.70 16714-455-01 QUETIAPINE 200 MG ORAL TAB $3.88 50268-633-11 QUETIAPINE 200 MG ORAL TAB $6.34 50268-633-15 QUETIAPINE 200 MG ORAL TAB $6.34 63739-677-10 QUETIAPINE 200 MG ORAL TAB $6.13 0310-0275-10 QUETIAPINE 25 MG ORAL TAB $23.31 0904-6638-61 QUETIAPINE 25 MG ORAL TAB $1.74 16714-452-01 QUETIAPINE 25 MG ORAL TAB $1.00 16729-145-01 QUETIAPINE 25 MG ORAL TAB $1.00 47335-902-88 QUETIAPINE 25 MG ORAL TAB $1.00 50268-630-11 QUETIAPINE 25 MG ORAL TAB $2.03 50268-630-15 QUETIAPINE 25 MG ORAL TAB $2.03 60687-327-01 QUETIAPINE 25 MG ORAL TAB $1.95 60687-327-11 QUETIAPINE 25 MG ORAL TAB $1.95 68001-185-00 QUETIAPINE 25 MG ORAL TAB $1.00 0054-0229-20 QUETIAPINE 50 MG ORAL TAB $2.82 0904-6639-61 QUETIAPINE 50 MG ORAL TAB $2.82 16714-453-01 QUETIAPINE 50 MG ORAL TAB $2.22 50268-631-11 QUETIAPINE 50 MG ORAL TAB $3.04 50268-631-15 QUETIAPINE 50 MG ORAL TAB $3.04 0071-0530-40 QUINAPRIL 10 MG ORAL TAB $29.06 43547-411-09 QUINAPRIL 10 MG ORAL TAB $1.00 65862-618-90 QUINAPRIL 10 MG ORAL TAB $1.00 65862-619-90 QUINAPRIL 20 MG ORAL TAB $1.00 68084-899-25 QUINAPRIL 20 MG ORAL TAB $6.40 68084-899-95 QUINAPRIL 20 MG ORAL TAB $6.40 0071-0535-23 QUINAPRIL 40 MG ORAL TAB $29.06 59762-5022-1 QUINAPRIL 40 MG ORAL TAB $5.50 65862-620-90 QUINAPRIL 40 MG ORAL TAB $1.00 68180-554-09 QUINAPRIL 40 MG ORAL TAB $1.00 43547-410-09 QUINAPRIL 5 MG ORAL TAB $1.00 59762-5019-1 QUINAPRIL 5 MG ORAL TAB $5.50 65862-617-90 QUINAPRIL 5 MG ORAL TAB $1.00 HC81100711 QUINIDINE $223.00 53489-141-01 QUINIDINE GLUCONATE 324 MG ORAL TBSR $43.50 0185-4346-01 QUINIDINE SULFATE 200 MG ORAL TAB $1.48 HC89006597 QUINIDINE-AU $15.00 0093-3002-56 QUININE SULFATE 324 MG ORAL CAP $33.95 13310-153-07 QUININE SULFATE 324 MG ORAL CAP $39.29 53489-700-07 QUININE SULFATE 324 MG ORAL CAP $35.17 68084-947-32 QUININE SULFATE 324 MG ORAL CAP $26.47 68084-947-33 QUININE SULFATE 324 MG ORAL CAP $26.47 HC89009799 QUININE-AU $97.00 61570-260-10 QUINUPRISTIN-DALFOPRISTIN 500 MG IV SOLR "$2,662.91 " HC91000066 R&B DETOXIFICATION "$4,914.00 " HC91200242 R&B HIGH RISK PERINATAL "$8,950.00 " HC91500125 R&B HOSPICE "$4,500.00 " HC91000404 R&B ICU - INTENSIVE PPE ISOLATION "$13,935.00 " HC91400496 R&B ICU PEDS - INTENSIVE PPE ISOLATION "$15,521.00 " HC91200404 R&B IICU - INTENSIVE PPE ISOLATION "$13,935.00 " HC91000204 R&B INTENSIVE CARE "$12,880.00 " HC91000163 R&B ISOLATION/PRECAUTIONARY "$6,000.00 " HC91200241 R&B L&D PP OBSTETRICS CARE "$8,125.00 " HC91200134 R&B NEWBORN CARE "$3,025.00 " HC91200135 R&B NEWBORN CARE-BOARDER "$4,575.00 " HC91200136 R&B NICU-NURSERY LEVEL II "$13,750.00 " HC91200137 R&B NICU-NURSERY LEVEL III "$16,000.00 " HC91200138 R&B NICU-NURSERY LEVEL IV "$18,375.00 " HC91200133 R&B NURSERY LEVEL EOL "$1,050.00 " HC91000123 R&B ONCOLOGY "$6,525.00 " HC91400094 R&B PEDIATRIC ACUTE "$7,800.00 " HC91400096 R&B PEDIATRIC INTENSIVE CARE "$14,750.00 " HC91400095 R&B PEDS STEPDOWN/DOU "$10,975.00 " HC91800055 R&B PSYCHIATRIC "$4,996.00 " HC91600029 R&B REHABILITATION "$4,950.00 " HC91000331 R&B STANDARD "$5,250.00 " HC91200131 R&B STANDARD-WOMEN "$5,250.00 " HC91000044 R&B STEP DOWN/DOU INTERMD ICU "$9,425.00 " HC91000243 R&B TELEMETRY CARE "$8,755.00 " HC91000208 R&B TRAUMA ICU "$15,225.00 " 62856-243-30 RABEPRAZOLE 20 MG ORAL TBEC $104.94 13533-618-10 RABIES IMMUNE GLOBULIN (PF) 150 UNIT/ML IM SOLN "$20,113.14 " 13533-618-11 RABIES IMMUNE GLOBULIN (PF) 150 UNIT/ML IM SOLN "$20,113.14 " 13533-318-01 RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML IM SOLN "$4,022.64 " 13533-318-03 RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML IM SOLN "$12,067.92 " 13533-318-05 RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML IM SOLN "$20,113.14 " 13533-318-10 RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML IM SOLN "$4,022.64 " 13533-318-30 RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML IM SOLN "$12,067.92 " 13533-318-50 RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML IM SOLN "$20,113.14 " 58160-964-12 "RABIES VACCINE, PCEC (PF) 2.5 UNIT IM SUSR" "$2,082.66 " 58160-966-01 "RABIES VACCINE, PCEC (PF) 2.5 UNIT IM SUSR" "$2,082.66 " 0487-2784-01 RACEPINEPHRINE 2.25 % INHALATION NEBU $5.00 0487-5901-99 RACEPINEPHRINE 2.25 % INHALATION NEBU $7.20 0543-1009-12 RACEPINEPHRINE 2.25 % INHALATION NEBU $5.00 HC47200753 RAD ONC E&M LEVEL I BRIEF $214.00 HC47200761 RAD ONC E&M LEVEL II LIMITED $280.00 HC47200779 RAD ONC E&M LEVEL III INTERMED $523.00 HC47200787 RAD ONC E&M LEVEL IV EXTENDED $563.00 HC47200795 RAD ONC E&M LEVEL V COMPREHNSV $710.00 HC47200530 "RAD TREATMENT DELVR, = 1MEV;CMPLX" "$2,827.00 " HC47200498 "RAD TREATMENT DELVR, = 1MEV;INTRMED" "$2,137.00 " HC47200456 "RAD TREATMENT DELVR, = 1MEV;SIMPLE" "$1,705.00 " HC47200423 RADIATION TX SUPRFCL OR/ORTH PER DAY "$1,213.00 " 99999-033-52 RADIESSE INJECTABLE IMPLANT "$1,770.00 " HC47200563 RADIOELEMENT INFUSION "$1,184.00 " HC45201167 RADIOLABEL MONONCLON ANTIBODY "$3,045.00 " HC45200714 RADIOPHARM' TX; IV ADMIN "$2,571.00 " HC47200803 RADIOPHARM' TX; IV ADMIN "$2,532.00 " HC45201175 RADIOPHARM' TX; ORAL ADMIN "$3,428.00 " HC47200704 RADIOTHERAPY PLAN 3D W/VOL HISTOGRAM "$15,782.00 " 50419-208-01 "RADIUM RA 223 DICHLORIDE 1,100 KBQ/ML(30 MICROCURIE/ML) IV SOLN" "$146,294.64 " 0093-7290-01 RALOXIFENE 60 MG ORAL TAB $23.27 0093-7290-56 RALOXIFENE 60 MG ORAL TAB $23.20 60687-266-11 RALOXIFENE 60 MG ORAL TAB $34.21 0006-3603-01 RALTEGRAVIR 100 MG ORAL PWPK $41.33 0006-3603-61 RALTEGRAVIR 100 MG ORAL PWPK $41.33 0006-0227-61 RALTEGRAVIR 400 MG ORAL TAB $165.31 64764-805-30 RAMELTEON 8 MG ORAL TAB $77.81 61570-110-01 RAMIPRIL 1.25 MG ORAL CAP $30.32 68382-144-06 RAMIPRIL 1.25 MG ORAL CAP $1.86 0054-0107-25 RAMIPRIL 2.5 MG ORAL CAP $1.00 57237-223-01 RAMIPRIL 2.5 MG ORAL CAP $1.00 65862-475-01 RAMIPRIL 2.5 MG ORAL CAP $1.00 68180-589-01 RAMIPRIL 2.5 MG ORAL CAP $1.96 68180-589-02 RAMIPRIL 2.5 MG ORAL CAP $1.86 68180-590-01 RAMIPRIL 5 MG ORAL CAP $2.06 68382-146-01 RAMIPRIL 5 MG ORAL CAP $1.25 0002-7669-01 RAMUCIRUMAB 10 MG/ML IV SOLN "$7,137.90 " 0002-7678-01 RAMUCIRUMAB 10 MG/ML IV SOLN "$35,689.50 " 27241-125-02 RANOLAZINE 500 MG ORAL TB12 $6.00 42291-773-60 RANOLAZINE 500 MG ORAL TB12 $1.75 50228-423-60 RANOLAZINE 500 MG ORAL TB12 $4.00 60687-549-11 RANOLAZINE 500 MG ORAL TB12 $8.40 60687-549-21 RANOLAZINE 500 MG ORAL TB12 $8.40 61958-1003-1 RANOLAZINE 500 MG ORAL TB12 $39.23 68462-319-60 RANOLAZINE 500 MG ORAL TB12 $4.00 HC89501027 RARE DONOR SEARCH-SB $178.00 0378-1270-93 RASAGILINE 0.5 MG ORAL TAB $82.49 16714-770-01 RASAGILINE 0.5 MG ORAL TAB $82.09 68546-142-56 RASAGILINE 0.5 MG ORAL TAB $166.52 0093-3061-56 RASAGILINE 1 MG ORAL TAB $82.49 16714-771-01 RASAGILINE 1 MG ORAL TAB $81.77 42571-221-30 RASAGILINE 1 MG ORAL TAB $47.76 47781-690-30 RASAGILINE 1 MG ORAL TAB $89.01 67877-260-30 RASAGILINE 1 MG ORAL TAB $47.83 68546-229-56 RASAGILINE 1 MG ORAL TAB $166.52 0024-5150-10 RASBURICASE 1.5 MG IV SOLR "$5,374.46 " 0024-5150-11 RASBURICASE 1.5 MG IV SOLR "$5,374.46 " 0024-5151-74 RASBURICASE 7.5 MG IV SOLR "$19,114.98 " 0024-5151-75 RASBURICASE 7.5 MG IV SOLR "$26,872.26 " HC62224316 RASP SPINAL DISPSBL "$1,040.00 " HC89001028 RAST-INDIVIDUAL-QD $9.00 25682-022-01 RAVULIZUMAB-CWVZ 10 MG/ML IV SOLN "$38,424.06 " HC89500573 RBC AG OTHER THAN ABO/RH-SB $33.00 HC89500946 RBC AG PROFILE-MOLECULAR LEVEL 4-SB $575.00 HC83000174 RBC ANTIBODY ELUTION $462.00 HC89500441 RBC ANTIBODY ELUTION-SB $100.00 HC89500417 RBC ANTIBODY ID EA TECH-SB $85.00 HC83000133 RBC ANTIBODY ID EACH TECH $591.00 HC83000125 RBC ANTIBODY SCREEN $313.00 HC89500482 RBC ANTIBODY SCRN EA TECH-SB $50.00 HC83000091 RBC ANTIGENS OTHER THAN ABO/RH $342.00 HC83001214 RBC DEGLYCEROLIZED EA UNIT "$1,649.00 " HC89501043 RBC DNA GENOTYPE 16 GROUPS 51 AG-SB $500.00 HC83000570 RBC IRRADIATED EA UNIT $962.00 HC83000463 RBC LEUKOREDUC/CMV NEG EA $674.00 HC83000471 RBC LR/CMV NEG DIVIDED UNIT $690.00 HC83000372 RBC PRETREAT W/DRUG/CHEM $181.00 HC89500193 RBC PRETREAT W/DRUG/CHEM-AA $45.00 HC89500425 RBC PRETREAT W/DRUG/CHEM-SB $75.00 HC83000380 RBC PRETREAT W/ENZYMES $356.00 HC89500995 "RBC PRETX AB DETECT, ID, COMPAT; INCUB EZYM, EACH-SB" $75.00 HC83000604 RBC/FRZ/DEGLYC/WSHD/LR/IRRAD "$1,499.00 " HC83000059 RBC'S DEGLYCEROLIZED EA UNIT "$1,649.00 " HC83000018 RBC'S EA UNIT $876.00 HC83001198 RBC'S EA UNIT $876.00 HC83001040 RBC'S EA UNIT (AUTOLOGOUS)-SB $876.00 HC83000984 RBC'S EA UNIT -SB $876.00 HC83001149 RBC'S LEUKO RED IRRAD EACH UNIT "$1,317.00 " HC83001180 RBC'S LEUKO REDUCED EA UNIT "$1,050.00 " HC83000992 RBC'S LEUKO REDUCED EA UNIT-SB "$1,058.00 " HC83000042 RBC'S LEUKOREDUCE EA UNIT "$1,057.00 " HC83000612 RBC'S LR/CMV-NEG/IRRAD/UNIT "$1,283.00 " HC83000927 RBC'S LUK RED EA UNIT AUTOL~BB "$1,054.00 " HC83000935 RBC'S LUK RED EA UNIT DIREC~BB "$1,054.00 " HC83000943 RBC'S LUK RED'IRR EAUNIT DD~BB $993.00 HC83000034 RBC'S WASHED EA UNIT "$1,244.00 " HC83001032 RBC'S WASHED EA UNIT -SB "$1,244.00 " HC51040004 RD ASSESS/EDUCATE PER 30MIN $86.00 HC51040020 RD CONSULT TELEPHONE PER 15MIN $47.00 HC51040038 RD COORDINATOR ACTIVITIES CASE $302.00 HC51002137 RD COUNSELING NUTRITION VISIT/C $159.00 HC51040012 RD TEAM CONF PRTCPNT PER 15MIN $45.00 HC62213566 REAMER AA "$1,560.00 " HC62213574 REAMER AB "$1,625.00 " HC62213582 REAMER AC "$1,690.00 " HC62213590 REAMER AD "$1,755.00 " HC62213608 REAMER AE "$1,820.00 " HC62213616 REAMER AF "$1,885.00 " HC62217450 REAMER B $39.00 HC62217468 REAMER D $65.00 HC62227574 REAMER F $195.00 HC62213368 REAMER G $260.00 HC62213376 REAMER H $325.00 HC62213384 REAMER I $390.00 HC62213392 REAMER J $455.00 HC62213400 REAMER K $520.00 HC62213418 REAMER L $585.00 HC62213426 REAMER M $650.00 HC62213434 REAMER N $715.00 HC62213442 REAMER O $780.00 HC62213459 REAMER P $845.00 HC62213467 REAMER Q $910.00 HC62213475 REAMER R $975.00 HC62213483 REAMER S "$1,040.00 " HC62213491 REAMER T "$1,105.00 " HC62213509 REAMER U "$1,170.00 " HC62213517 REAMER V "$1,235.00 " HC62213525 REAMER W "$1,300.00 " HC62213533 REAMER X "$1,365.00 " HC62213541 REAMER Y "$1,430.00 " HC62213558 REAMER Z "$1,495.00 " HC62227186 REAMER AG "$2,145.00 " HC62227582 REAMER AH "$2,015.00 " HC62224639 REAMER AJ "$2,340.00 " HC62227590 REAMER AK "$2,600.00 " HC35000017 REC- EVALUATION 15MIN $213.00 HC35000025 REC- EVALUATION 30MIN $437.00 HC35000033 REC- EVALUATION 45MIN $632.00 HC35000041 REC- EVALUATION 60MIN $802.00 HC35000223 REC' THER' TX 1-30 MIN $341.00 HC35000074 REC' THER' TX ADD'L 15 MIN $238.00 HC35000173 REC-COMMTY WK/REINTEGRAT 15M $226.00 HC35000256 REC-DEV COGNITIVE SKILLS ADDL 15MIN $212.00 HC35000249 REC-DEV COGNITIVE SKILLS INITL 15MIN $216.00 HC83500066 "RECEPTOR ASSAY, ESTROGEN-PI" $28.00 HC83500074 "RECEPTOR ASSAY, PROGESTERON-PI" $28.00 HC62204607 RECHARGER BATTERY NRST RPLCMNT "$3,900.00 " HC62802996 RECORDER CARDC EVNT(BIOTRONIK BIOMNTR 2AF) "$15,925.00 " HC62808423 RECORDER CARDIAC EVENT(ABBOTT/BOSTON SCI) "$14,625.00 " HC62800800 RECORDER CARDIAC EVENT(MEDTRONIC LINQ) "$16,722.00 " HC35000165 REC-SELF/HOME MGMT/ADL 15MIN $214.00 HC35000157 REC-SENSRY INTEGRT TECH 15MIN $202.00 HC35000199 REC-TEAM CONF W/MD >30MIN(NO PT) $260.00 HC35000207 REC-TEAM CONF W/NONMD>30MIN(NO PT $238.00 HC35000215 REC-TEAM CONF W/PT &3D 30MINOR> $272.00 HC35000181 REC-TEAM CONF W/PT&/FAM 30MIN $251.00 HC89016570 REDUCING SUBS FECAL-AU $13.55 HC51010379 REFILL MAINT IMPL PMP/RESV WANAL'MD $536.00 HC51010361 REFILL MAINT IMPLNT PMP/RESV WANAL' $445.00 HC12200127 REFILL&MAINT'N IMPLANT PUMP $861.00 HC51001451 REFILL&MAINT'N IMPLANT PUMP $356.00 HC12200119 REFILL/MAINTENANCE PORT PUMP "$1,167.00 " 0469-6501-89 REGADENOSON 0.4 MG/5 ML IV SYRG "$1,457.76 " HC44701084 RELOCATE SKIN POCKET ICD "$13,723.00 " HC44701092 RELOCATE SKIN POCKET PACEMAKER "$13,171.00 " HC44501732 "REM & REPLAC EXT URET CATH(IMG,S&I) BI" "$11,036.00 " HC44501740 "REM & REPLAC EXT URET CATH(IMG,S&I) LT" "$5,810.00 " HC44501757 "REM & REPLAC EXT URET CATH(IMG,S&I) RT" "$5,810.00 " HC44501765 REM & REPLAC URETERAL STENT BI "$15,458.00 " HC44501773 REM & REPLAC URETERAL STENT LT "$8,134.00 " HC44501781 REM & REPLAC URETERAL STENT RT "$8,134.00 " HC44702959 REM PERC VAD DEVICE-SEP SETTING ARTERIAL/AV; LEFT HEART "$8,789.45 " HC38000378 REM/BIVALV SPICA SHOULDER/HIP $710.00 61958-2901-1 REMDESIVIR 100 MG IV SOLR "$3,120.00 " 61958-2901-2 REMDESIVIR 100 MG IV SOLR "$3,120.00 " 61958-2902-1 REMDESIVIR 100 MG/20 ML (5 MG/ML) IV SOLN "$3,120.00 " 63323-723-01 REMIFENTANIL 1 MG IV SOLR $385.86 63323-723-03 REMIFENTANIL 1 MG IV SOLR $385.86 67457-198-00 REMIFENTANIL 1 MG IV SOLR $367.75 67457-198-03 REMIFENTANIL 1 MG IV SOLR $367.75 63323-724-01 REMIFENTANIL 2 MG IV SOLR $771.72 63323-724-05 REMIFENTANIL 2 MG IV SOLR $771.72 67457-198-05 REMIFENTANIL 2 MG IV SOLR $735.49 67457-198-99 REMIFENTANIL 2 MG IV SOLR $735.49 67457-198-10 REMIFENTANIL 5 MG IV SOLR "$1,564.89 " 67457-198-98 REMIFENTANIL 5 MG IV SOLR "$1,564.89 " HC51061992 REMOTE MONITOR PHYSIOL PARAM INTL SUPPLY DEVICE EA 30DAY $125.00 HC51061984 REMOTE MONITOR PHYSIOLOGIC PARAM INITIAL SET UP $250.00 HC44504447 "REMOV CALC DUCT(S)BIL&/GB PERC(DESTRCT,S&I)+" "$7,247.00 " HC44001766 REMOV FB ESOPHAGEAL W/BALLOON "$1,612.00 " HC44701001 REMOV ICD LEADS EXTRACTN TRANSVENOS "$13,555.00 " HC21001045 REMOV IMPACTD EAR WAX IRRIG/LAVG BI $364.00 HC25001520 REMOV IMPACTD EAR WAX IRRIG/LAVG BI $362.00 HC51002558 REMOV IMPACTD EAR WAX IRRIG/LAVG BI $217.00 HC21001052 REMOV IMPACTD EAR WAX IRRIG/LAVG LT $200.00 HC25001538 REMOV IMPACTD EAR WAX IRRIG/LAVG LT $205.00 HC51002566 REMOV IMPACTD EAR WAX IRRIG/LAVG LT $125.00 HC21001060 REMOV IMPACTD EAR WAX IRRIG/LAVG RT $200.00 HC25001546 REMOV IMPACTD EAR WAX IRRIG/LAVG RT $205.00 HC51002574 REMOV IMPACTD EAR WAX IRRIG/LAVG RT $125.00 HC21000666 REMOV IMPACTD EAR WAX(INSTRUMENT) BI (NO MOD50) $513.00 HC25000118 REMOV IMPACTD EAR WAX(INSTRUMENT) BI (NO MOD50) $326.00 HC51004158 REMOV IMPACTD EAR WAX(INSTRUMENT) BI (NO MOD50) $146.00 HC21001029 REMOV IMPACTD EAR WAX(INSTRUMENT) LT $255.00 HC25001496 REMOV IMPACTD EAR WAX(INSTRUMENT) LT $183.00 HC51002079 REMOV IMPACTD EAR WAX(INSTRUMENT) LT $87.00 HC21001037 REMOV IMPACTD EAR WAX(INSTRUMENT) RT $255.00 HC25001504 REMOV IMPACTD EAR WAX(INSTRUMENT) RT $183.00 HC51002087 REMOV IMPACTD EAR WAX(INSTRUMENT) RT $87.00 HC51000453 REMOV IMPL VEN CATH DEVICE $938.00 HC44503621 REMOV IVC FILTER/S&I/IMG GUIDE "$14,322.00 " HC25005661 REMOV SKIN TAGS UP TO&INCL 15 LESIONS $748.00 HC51003812 REMOV SKIN TAGS UP TO&INCL 15 LESIONS $220.00 HC46501367 REMOV TUNNELED CV ACS CATH W/O PORT/PUMP "$5,266.00 " HC51010957 REMOVAL DEVICE INTRAUTERINE IUD $500.00 HC38420006 REMOVAL IABP DEVICE; PERC "$1,584.58 " HC44700995 REMOVAL ICD GENERATOR ONLY "$11,137.00 " HC38420329 REMOVAL LEFT HEART VENT BY THORACIC INCIS ECMO/ECLS "$23,521.08 " HC47200886 REMOVAL OF FIXATION DEVICE $940.00 HC44502615 REMOVAL PLEURAL CATH W/CUFF LT "$3,172.00 " HC44502607 REMOVAL PLEURAL CATH W/CUFF RT "$3,172.00 " HC25000506 REMOVAL/BIVALVE CAST ARM OR LEG $508.00 HC44701019 REMOVE CARDIAC RHYTHM MONITOR SQ "$5,843.00 " HC25005844 REMOVE CATH CV TUNNELED W/O PORT/PUMP "$1,311.00 " HC44504405 "REMOVE CATH DRN BIL PERC(CHOLANG,S&I)" "$4,160.00 " HC51001998 REMOVE DRUG DELIVERY IMPLANT $302.00 HC44701035 REMOVE DUAL LEAD "$14,045.00 " HC44703254 REMOVE ELECTRODE DEFIBRILLATOR SUBQ "$9,329.00 " HC23001126 REMOVE EPIDURAL/INTRATH CATH "$4,118.00 " HC25004292 REMOVE FB DEEP THIGH/KNEE AREA BIL "$5,714.00 " HC25004276 REMOVE FB DEEP THIGH/KNEE AREA LT "$3,175.00 " HC25004284 REMOVE FB DEEP THIGH/KNEE AREA RT "$3,175.00 " HC25005513 REMOVE FB EXTRNL EYE; CONJUNCT EMBEDD BIL "$1,288.00 " HC25005497 REMOVE FB EXTRNL EYE; CONJUNCT EMBEDD LT $645.00 HC25005505 REMOVE FB EXTRNL EYE; CONJUNCT EMBEDD RT $645.00 HC25005489 REMOVE FB EXTRNL EYE; CONJUNCT SUPERF BIL $545.00 HC25005463 REMOVE FB EXTRNL EYE; CONJUNCT SUPERF LT $303.00 HC25005471 REMOVE FB EXTRNL EYE; CONJUNCT SUPERF RT $303.00 HC25005547 REMOVE FB EXTRNL EYE; CORNEAL NO SLITLAMP BIL "$1,212.00 " HC25005521 REMOVE FB EXTRNL EYE; CORNEAL NO SLITLAMP LT $636.00 HC25005539 REMOVE FB EXTRNL EYE; CORNEAL NO SLITLAMP RT $636.00 HC25005554 REMOVE FB EXTRNL EYE; CORNEAL W/SLITLAMP LT $341.00 HC25005562 REMOVE FB EXTRNL EYE; CORNEAL W/SLITLAMP RT $341.00 HC25005570 REMOVE FB EXTRNL EYE; CORNL W/SLITLAMP BIL $614.00 HC25004623 REMOVE FB FOOT; DEEP BIL "$5,405.00 " HC25004607 REMOVE FB FOOT; DEEP LT "$2,252.00 " HC25004615 REMOVE FB FOOT; DEEP RT "$2,252.00 " HC25004599 REMOVE FB FOOT; SUBC BIL "$2,252.00 " HC25004573 REMOVE FB FOOT; SUBC LT "$1,163.00 " HC25004581 REMOVE FB FOOT; SUBC RT "$1,163.00 " HC25003724 REMOVE FB FOREARM DEEP LT "$2,590.00 " HC25003732 REMOVE FB FOREARM DEEP RT "$2,590.00 " HC25003716 REMOVE FB FOREARM DEEP-BIL "$4,184.00 " HC25003351 REMOVE FB MUSCLE/TENDON SHEATH SIMPLE "$1,910.00 " HC25003369 REMOVE FB MUSCLE/TNDON SHEATH DEEP/COMP "$2,383.00 " HC25005299 REMOVE FB PHARYNX "$1,062.00 " HC25003633 REMOVE FB UPPER ARM/ELBOW DEEP LT "$2,762.00 " HC25003641 REMOVE FB UPPER ARM/ELBOW DEEP RT "$2,762.00 " HC25003625 REMOVE FB UPPER ARM/ELBOW DEEP-BIL "$4,690.00 " HC25003609 REMOVE FB UPPER ARM/ELBOW SQ LT "$1,423.00 " HC25003617 REMOVE FB UPPER ARM/ELBOW SQ RT "$1,423.00 " HC25003591 REMOVE FB UPPER ARM/ELBOW SQ-BIL "$3,984.00 " HC25005224 REMOVE FB VESTIBULE MOUTH; SIMPLE "$1,365.00 " HC51002665 REMOVE HEMORRHOID INT&EXT GROUPS 2+ "$4,228.00 " HC51061513 REMOVE IMPLANT SUPERFICIAL "$1,640.00 " HC51002715 REMOVE NEPHROSTOMY TUBE "$1,056.00 " HC44501799 REMOVE NEPHROSTOMY TUBE BIL "$6,294.00 " HC51061000 REMOVE NEPHROSTOMY TUBE BIL "$1,630.00 " HC44501807 REMOVE NEPHROSTOMY TUBE LT "$3,389.00 " HC51061018 REMOVE NEPHROSTOMY TUBE LT "$1,035.00 " HC44501815 REMOVE NEPHROSTOMY TUBE RT "$3,389.00 " HC51061026 REMOVE NEPHROSTOMY TUBE RT "$1,035.00 " HC46501375 REMOVE PERITONEAL CATH TUNNELED "$9,065.00 " HC44701027 REMOVE SINGLE LEAD "$11,451.00 " HC44703296 REMOVE TRANSCATH PACER LEADLESS RV INCL ALL IMAGING "$10,645.00 " HC44501823 REMOVE URETERAL STENT BIL "$14,170.00 " HC44501831 REMOVE URETERAL STENT LT "$7,458.00 " HC44501849 REMOVE URETERAL STENT RT "$7,458.00 " HC44703643 REMOVE VAD PERCUT VENOUS RIGHT "$7,427.71 " HC25005109 "REMOVE/BIVALVING; GAUNTLET,BOOT OR BODY CAST" $550.00 HC51002061 REMOVE/INSERT DRUG DELIVERY IMPLANT $486.00 HC44701597 REMV&REPL PACER DUAL LEAD SYS "$29,175.00 " HC44701605 REMV&REPL PACER MULTI LEAD SYS "$31,672.00 " HC44701589 REMV&REPL PACER SINGL LEAD SYS "$26,334.00 " HC44702991 REMV&REPLC SUBQ ICD GEN ONLY "$29,623.00 " HC44701647 REMV&REPLC SYSTM ICD LEAD DUAL "$32,592.00 " HC44701654 REMV&REPLC SYSTM ICD LEAD MULTI "$36,970.00 " HC44701639 REMV&REPLC SYSTM ICD LEAD SINGL "$29,623.00 " HC38000105 REMV/BIVALVE FULL CAST ARM/LEG $625.00 HC38000113 REMV/BIVALVE SHRT CAST ARM/LEG $537.00 HC46501383 REMVL INTRALUMIN OBST VEN DEV "$3,573.00 " HC44700987 REMVL PERM PACER PULSE GN ONLY "$12,630.00 " HC46501391 REMVL TUN CV ACS DEVICE W/ SQ PORT "$6,372.00 " HC81100281 RENAL FUNCTION PANEL $368.00 HC89009807 RENIN-AU $13.50 HC89009815 RENIN-ES $60.00 HC89015515 RENIN-QD $8.00 HC89023030 RENIN-QN $35.00 0574-0240-01 REPAGLINIDE 0.5 MG ORAL TAB $3.24 65862-670-01 REPAGLINIDE 0.5 MG ORAL TAB $1.86 0574-0241-01 REPAGLINIDE 1 MG ORAL TAB $3.24 51991-854-01 REPAGLINIDE 1 MG ORAL TAB $2.40 57664-745-88 REPAGLINIDE 1 MG ORAL TAB $5.49 65862-671-01 REPAGLINIDE 1 MG ORAL TAB $1.86 68084-954-25 REPAGLINIDE 1 MG ORAL TAB $17.77 68084-954-95 REPAGLINIDE 1 MG ORAL TAB $17.77 0574-0242-01 REPAGLINIDE 2 MG ORAL TAB $3.24 51991-855-01 REPAGLINIDE 2 MG ORAL TAB $2.40 57237-159-01 REPAGLINIDE 2 MG ORAL TAB $1.86 HC44703460 REPAIR AORTA ASCENDING ENDOVSC STENT GRAFT "$65,244.00 " HC51000446 REPAIR CENTRAL VEN CATH W/PORT $952.00 HC51000438 REPAIR CENTRAL VEN CATH(TECH/HOSP) $775.00 HC51000040 REPAIR CENTRAL VENOUS CATH $941.00 HC51003853 REPAIR CIRCUMCISION INCOMPLETE "$2,260.00 " HC46501409 REPAIR CV ACCESS CATH "$3,438.00 " HC46501417 REPAIR CV ACCESS CATH W/PORT "$6,149.00 " HC51002673 REPAIR FISTULA ANAL W/GLUE "$3,668.00 " HC51002681 REPAIR FISTULA ANAL W/PLUG "$4,256.00 " HC44701043 REPAIR LEAD TV SNGL PACER/ICD "$13,815.00 " HC44701050 REPAIR LEADS TV DUAL PACER/ICD "$14,681.00 " HC25005208 REPAIR LIP FULL THICK; OVER 1/2 VERTICAL HT/COMPLEX "$2,597.00 " HC25005190 REPAIR LIP FULL THICK; TO HALF VERTICAL HT "$1,353.00 " HC25005182 REPAIR LIP FULL THICK; VERMILION ONLY "$1,212.00 " HC25000217 REPAIR NAIL BED "$1,130.00 " HC38000386 REPAIR SPICA BODY CAST $716.00 HC44702900 REPAIR VISC AORTA FEVAR(PROX&DIS);1 PROSTH "$61,814.00 " HC44702918 REPAIR VISC AORTA FEVAR(PROX&DIST);2 PROSTH "$62,306.00 " HC44702926 REPAIR VISC AORTA FEVAR(PROX&DIST);3 PROSTH "$64,425.00 " HC44702934 REPAIR VISC AORTA FEVAR(PROX&DIST);4 PROSTH "$65,909.00 " HC44702876 REPAIR VISC AORTA FEVAR; 2 PROSTH "$52,564.00 " HC44702884 REPAIR VISC AORTA FEVAR; 3 PROSTH "$53,975.00 " HC44702892 REPAIR VISC AORTA FEVAR; 4+PROSTH "$55,854.00 " HC44702868 REPAIR VISC AORTA FEVAR;1 PROSTH "$51,151.00 " HC46501425 REPLACE PERC DU/J TUBE W/FLUORO "$4,528.00 " HC46501433 REPLACE PERC G-J TUBE W/FLUORO "$4,520.00 " HC46501441 REPLACE PERC GT/CEC TUBE W/FLUORO "$4,404.00 " HC46501458 REPLC CATH ONLY CV ACESS W/PORT "$8,621.00 " HC46501490 REPLC NON-TUN CV ACS CATH W/O PORT/PUMP "$5,594.00 " HC46501516 REPLC PICC LINE W/ SQ PORT "$9,655.00 " HC46501508 REPLC PICC LINE W/O SQ PORT/PUMP &W/O IMAGING "$5,183.00 " HC46502811 REPLC PICC LINE W/O SQ PORT/PUMP W/IMAGING "$5,915.00 " HC46501482 REPLC TUNNELED CV ACS DEV W/PUMP "$11,742.00 " HC46501466 REPLC TUNNELED CV ACS DEVICE W/O PORT/PUMP "$8,088.00 " HC46501474 REPLC TUNNELED CV ACS DEVICE W/PORT "$10,916.00 " HC44503613 REPOS IVC FILTER/S&I/IMG GUIDE "$14,060.00 " HC44701068 REPOS PREV PLCD LV SYSTEM ELEC "$16,826.00 " HC44703262 REPOSIT ELECTRODE DEFIBRILLATOR SUBQ "$12,113.00 " HC27001064 REPOSIT GASTRO FEED TUBE(PEG) "$3,746.00 " HC25005307 REPOSIT NASO/ORO GASTRIC FEED TUBE THRU DUODENUM $794.00 HC44502649 REPOSIT NASO/ORO GFT THRU DUOD "$3,470.00 " HC44702967 REPOSIT PERC VAD DEVICE INC S&I; LEFT OR RIGHT HEART DEVICE "$7,675.30 " HC46501524 REPOSITION CV CATH UNDER FLUORO "$3,584.00 " HC44701076 REPOSITION PACER/ICD LEAD RT HRT "$13,646.00 " HC31001704 REPOSITIONING CANALITH/DAY $420.00 HC89017115 REPTILASE TIME 1:1 MIX-AU $30.00 HC89017453 REPTILASE TIME RFX- AU $28.00 HC89017107 REPTILASE TIME-AU $28.00 HC62205927 RESERVIOR JACKSON PRATT $224.00 HC62211099 RESERVOIR CELL SAVER D $130.00 HC62221288 RESERVOIR CELL SAVER E $195.00 HC62221296 RESERVOIR CELL SAVER F $260.00 HC62221304 RESERVOIR CELL SAVER G $325.00 HC62221312 RESERVOIR CELL SAVER H $390.00 HC62221320 RESERVOIR CELL SAVER K $585.00 HC62225156 RESERVOIR CSF VENTRICULAR $410.00 HC62205935 RESIN ACRYLIC $514.00 HC84201839 RESP BACTERIA/VIRAL 22 TRGT SARS-COV-2 QUAL RT-PCR(PNL RP2.1) "$2,080.00 " HC89023402 RESP DNA/RNA SARS-COV-2/COVID-19 AMP PROBE-ET $65.00 HC84201292 RESP VIRUS 12-25 TRGTS(RVP PNL) "$3,640.00 " HC84201813 RESP VIRUS 3-5 TARGETS $630.00 HC84201805 RESP VIRUS 6-11 TARGETS (PNL) "$1,230.00 " HC62205943 RESPIRATORY EXERCISER $72.00 HC84200898 RESPIRATORY SYNCTAL VIRUS AG $198.00 HC84200955 RESPIRATORY SYNCTAL VIRUS EIA $283.00 HC84201359 RESPIRATORY SYNCTAL VIRUS EIA (POS) $283.00 HC62205950 RESUSCITATOR $130.00 HC62210745 RETAINER NOSTRIL $130.00 HC81500894 RETICULATED PLATELET ASSAY $347.00 HC89001580 RETICULIN FA AB SCRN-QD $23.00 HC51061646 RETICULOCYTE - AUTO $44.00 HC81500035 RETICULOCYTE - AUTO $144.00 HC85100501 RETICULOCYTE - AUTO $44.00 HC51001923 RETICULOCYTE MANUAL $45.00 HC81500324 RETICULOCYTE MANUAL $146.00 HC85100493 RETICULOCYTE MANUAL $45.00 HC81500886 RETICULOCYTE MULTI PARAMETERS $182.00 HC82200122 RETICULUM STAIN/GRP II+ $412.00 HC62300009 RETRACTOR ATRIAL SHORT ROBOTIC $959.00 HC62217534 RETRACTOR DISPOSABLE B $130.00 HC62220058 RETRACTOR DISPOSABLE C $195.00 HC62220066 RETRACTOR DISPOSABLE D $260.00 HC62214499 RETRACTOR DISPOSABLE E $325.00 HC62214507 RETRACTOR DISPOSABLE F $455.00 HC62214515 RETRACTOR DISPOSABLE G $585.00 HC62214523 RETRACTOR DISPOSABLE H $715.00 HC62214531 RETRACTOR DISPOSABLE I $845.00 HC62214549 RETRACTOR DISPOSABLE J $975.00 HC62214556 RETRACTOR DISPOSABLE K "$1,105.00 " HC62226386 RETRACTOR DISPOSABLE M "$1,300.00 " HC62220355 RETRACTOR DISPOSABLE N "$1,495.00 " HC62211180 RETRACTOR HEART POSITIONER "$2,322.00 " HC62226600 RETRACTOR MIS SPINAL A $650.00 HC62226741 RETRACTOR MIS SPINAL A $650.00 HC62226394 RETRACTOR MIS SPINAL B "$1,300.00 " HC62217328 RETRACTOR MIS SPINAL C "$1,950.00 " HC62226618 RETRACTOR MIS SPINAL D "$2,275.00 " HC62218995 RETRACTOR MIS SPINAL I "$3,900.00 " HC62219001 RETRACTOR MIS SPINAL K "$4,550.00 " HC62219019 RETRACTOR MIS SPINAL O "$5,850.00 " HC62219027 RETRACTOR MIS SPINAL Q "$6,500.00 " HC62226402 RETRACTOR MIS SPINAL T "$8,775.00 " HC62205968 RETRACTOR STAYS ELASTIC $410.00 HC62215512 RETRACTOR TUBE SPINAL ENDOSCOPIC $937.00 HC62205984 RETRIEVAL NET $296.00 HC62227780 RETRIEVER GRAFT $195.00 HC62215520 RETRIEVER STENT BILI SOEHENDRA $407.00 HC62224985 RETRIEVER SUTURE D $130.00 HC44502946 REVAS FEMPOP TLA&STENT&ATHER-B "$95,863.00 " HC44502938 REVAS FEMPOP TLA&STENT&ATHER-L "$53,259.00 " HC44502920 REVAS FEMPOP TLA&STENT&ATHER-R "$53,259.00 " HC44502821 REVAS ILIAC EA+VES W/TLA&STENT-B "$49,586.00 " HC44502813 REVAS ILIAC EA+VES W/TLA&STENT-L "$25,815.00 " HC44502805 REVAS ILIAC EA+VES W/TLA&STENT-R "$25,815.00 " HC44504074 REVAS OTHR PERIPH +ART W/STNT W-S&I "$15,529.00 " HC44504090 REVAS OTHR PERIPH +VEIN W/STNT W-S&I "$14,333.00 " HC44504066 REVAS OTHR PERIPH1ST ART W/STNT W-S&I "$32,442.00 " HC44504082 REVAS OTHR PERIPH1ST VEIN W/STNT W-S&I "$27,706.00 " HC44503183 REVAS TIB/PER EA+TLA&ATH&STN-B "$59,601.00 " HC44503175 REVAS TIB/PER EA+TLA&ATH&STN-L "$31,378.00 " HC44503167 REVAS TIB/PER EA+TLA&ATH&STN-R "$31,378.00 " HC44503159 REVAS TIB/PER EA+V TLA&STENT-B "$51,879.00 " HC44503142 REVAS TIB/PER EA+V TLA&STENT-L "$27,307.00 " HC44503134 REVAS TIB/PER EA+V TLA&STENT-R "$27,307.00 " HC44503068 REVAS TIB/PERO TLA&STNT&ATHR-B "$77,346.00 " HC44503050 REVAS TIB/PERO TLA&STNT&ATHR-L "$40,703.00 " HC44503043 REVAS TIB/PERO TLA&STNT&ATHR-R "$40,703.00 " HC44503001 REVAS TIB/PERO W/TLA & ATHER-BI "$62,249.00 " HC44502995 REVAS TIB/PERO W/TLA & ATHER-LT "$34,512.00 " HC44502987 REVAS TIB/PERO W/TLA & ATHER-RT "$34,512.00 " HC44502979 REVAS TIB/PERO W/TLA 1ST VES-BI "$39,132.00 " HC44502961 REVAS TIB/PERO W/TLA 1ST VES-LT "$21,739.00 " HC44502953 REVAS TIB/PERO W/TLA 1ST VES-RT "$21,739.00 " HC44503035 REVAS TIB/PERO W/TLA&STENT-BI "$62,371.00 " HC44503027 REVAS TIB/PERO W/TLA&STENT-LT "$34,392.00 " HC44503019 REVAS TIB/PERO W/TLA&STENT-RT "$34,392.00 " HC44502888 REVASC FEM POP W/TLA&ATHER-BI "$69,078.00 " HC44502870 REVASC FEM POP W/TLA&ATHER-LT "$38,376.00 " HC44502862 REVASC FEM POP W/TLA&ATHER-RT "$38,376.00 " HC44502912 REVASC FEM POP W/TLA&STENT-BI "$65,302.00 " HC44502904 REVASC FEM POP W/TLA&STENT-LT "$36,279.00 " HC44502896 REVASC FEM POP W/TLA&STENT-RT "$36,279.00 " HC44502854 REVASC FEM POP W/TLA-BI "$41,448.00 " HC44502847 REVASC FEM POP W/TLA-LT "$23,027.00 " HC44502839 REVASC FEM POP W/TLA-RT "$23,027.00 " HC44502797 REVASC ILIAC EA+VES W/TLA-BI "$36,216.00 " HC44502789 REVASC ILIAC EA+VES W/TLA-LT "$20,012.00 " HC44502771 REVASC ILIAC EA+VES W/TLA-RT "$20,012.00 " HC44502763 REVASC ILIAC W/TLA & STENT-BI "$57,438.00 " HC44502755 REVASC ILIAC W/TLA & STENT-LT "$31,337.00 " HC44502748 REVASC ILIAC W/TLA & STENT-RT "$31,337.00 " HC44502730 REVASC ILIAC W/TLA INITL VES-BI "$41,725.00 " HC44502722 REVASC ILIAC W/TLA INITL VES-LT "$23,174.00 " HC44502714 REVASC ILIAC W/TLA INITL VES-RT "$23,174.00 " HC46502894 REVASC LITHOTRIP ARTHERECTOMY TIBIA/PERONEAL ENDOVASC "$25,603.00 " HC46502902 REVASC LITHOTRIP ARTHERECTOMY TIBIA/PERONEAL ENDOVASC W/STENT "$26,648.00 " HC46502878 REVASC LITHOTRIP TIBIA/PERONEAL ENDOVASC "$24,035.00 " HC46502886 REVASC LITHOTRIP TIBIA/PERONEAL ENDOVASC W/STENT "$25,080.00 " HC44503092 REVASC TIB/PERO EA+VES W/TLA-B "$35,327.00 " HC44503126 REVASC TIB/PERO EA+VES W/TLA-B "$47,802.00 " HC44503084 REVASC TIB/PERO EA+VES W/TLA-L "$18,967.00 " HC44503118 REVASC TIB/PERO EA+VES W/TLA-L "$25,162.00 " HC44503076 REVASC TIB/PERO EA+VES W/TLA-R "$18,967.00 " HC44503100 REVASC TIB/PERO EA+VES W/TLA-R "$25,162.00 " HC44703528 REVASCULARIZATION LITHOTRIPSY INTRAVASC "$26,125.00 " HC44703544 REVASCULARIZATION LITHOTRIPSY INTRAVASC & ATHERECT "$32,395.00 " HC44703536 REVASCULARIZATION LITHOTRIPSY INTRAVASC W/STENT "$31,350.00 " HC44703551 REVASCULARIZATION LITHOTRIPSY INTRAVASC W/STENT & ATHERECT "$39,710.00 " HC89016315 REVERSE T3-QD $2.00 HC44501864 REVISION-TIPS "$30,811.00 " HC62217344 RFID CHANDELIER OPTHALMIC $342.00 HC83000315 RH PHENOTYPE $183.00 HC89500565 RH PHENOTYPE (CCEE)-SB $62.00 HC89014252 RHEUMATOID FACT IGM (PNL)-RD $32.00 HC81700015 RHEUMATOID FACTOR QUAL $146.00 HC81700031 RHEUMATOID FACTOR QUANT $146.00 HC89012041 RHEUMATOID FACTOR-AU $9.00 HC89015754 RHEUMATOID FACTOR-QD $20.00 HC89012058 RHEUMATOID FACTOR-RD $44.00 HC89002919 RHEUMATOID FACTOR-SL $8.00 0562-7805-00 "RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG) IM SYRG" $708.00 0562-7805-01 "RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG) IM SYRG" $708.00 0562-7805-05 "RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG) IM SYRG" $708.00 0562-7805-25 "RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG) IM SYRG" $708.00 70257-330-11 "RHO(D) IMMUNE GLOBULIN-MALTOSE 1,500 UNIT (300 MCG)/1.3 ML INJ SOLN" "$3,087.66 " 70257-330-51 "RHO(D) IMMUNE GLOBULIN-MALTOSE 1,500 UNIT (300 MCG)/1.3 ML INJ SOLN" "$3,087.66 " 70504-3100-1 "RHO(D) IMMUNE GLOBULIN-MALTOSE 5,000 UNIT(1000 MCG)/4.4 ML INJ SOLN" "$10,356.35 " 70504-3100-2 "RHO(D) IMMUNE GLOBULIN-MALTOSE 5,000 UNIT(1000 MCG)/4.4 ML INJ SOLN" "$10,356.35 " HC42000489 RHYTHM STRIP 1-3 LEADS $358.00 HC89013924 RI ANTIBODY-AT $340.00 0781-2043-42 RIBAVIRIN 200 MG ORAL CAP $8.21 65862-290-84 RIBAVIRIN 200 MG ORAL CAP $8.00 68382-260-12 RIBAVIRIN 200 MG ORAL CAP $8.00 7431200640 RIBOFLAVIN (VITAMIN B2) 100 MG ORAL TAB $1.00 7985420195 RIBOFLAVIN (VITAMIN B2) 100 MG ORAL TAB $1.00 4329255538 RIBOFLAVIN (VITAMIN B2) 25 MG ORAL TAB $1.00 10539-03697 RIBOSE ORAL POWDER $151.20 99999-001-28 RIBOSE ORAL POWDER $77.16 99999-039-95 RIBOSE ORAL POWDER $2.70 HC89011555 RIBOSOMAL P PROTEIN AB-AU $17.00 HC44001774 RIBS BILAT 3 VIEWS "$1,071.00 " HC44001782 RIBS BILAT MIN 4VWS W/PA CHEST "$1,233.00 " HC44001790 RIBS UNILAT 2 VIEWS LT $839.00 HC44001808 RIBS UNILAT 2 VIEWS RT $838.00 HC44001816 RIBS UNILAT MIN 3 VWS W/PA-LT "$1,028.00 " HC44001824 RIBS UNILAT MIN 3 VWS W/PA-RT "$1,028.00 " HC89012835 RICKETTSIA AB PANEL-AU $32.00 HC89016331 RICKETTSIA AB PANEL-QD $120.00 59762-1350-1 RIFABUTIN 150 MG ORAL CAP $83.97 99999-041-19 RIFABUTIN 20 MG/ML ORAL SOLUTION $11.20 99999-000-99 RIFAMPIN 10 MG / ML ORAL SOLN $1.00 0185-0801-01 RIFAMPIN 150 MG ORAL CAP $15.56 0185-0801-30 RIFAMPIN 150 MG ORAL CAP $15.56 0527-1393-01 RIFAMPIN 150 MG ORAL CAP $4.99 0527-1393-30 RIFAMPIN 150 MG ORAL CAP $5.93 61748-015-30 RIFAMPIN 150 MG ORAL CAP $5.91 99999-008-85 RIFAMPIN 20 MG/ML ORAL SOLN (COMPOUND) $18.90 99999-018-85 RIFAMPIN 20 MG/ML ORAL SOLN (COMPOUND) $37.80 99999-036-36 RIFAMPIN 20 MG/ML ORAL SOLN (COMPOUND) $1.00 0185-0799-01 RIFAMPIN 300 MG ORAL CAP $22.04 0527-1315-01 RIFAMPIN 300 MG ORAL CAP $8.01 0904-5282-61 RIFAMPIN 300 MG ORAL CAP $6.64 61748-018-01 RIFAMPIN 300 MG ORAL CAP $7.54 61748-018-60 RIFAMPIN 300 MG ORAL CAP $7.54 63739-415-10 RIFAMPIN 300 MG ORAL CAP $9.75 0068-0597-01 RIFAMPIN 600 MG IV SOLR "$1,071.36 " 0068-0599-01 RIFAMPIN 600 MG IV SOLR "$1,071.36 " 23155-340-31 RIFAMPIN 600 MG IV SOLR $648.00 55390-123-01 RIFAMPIN 600 MG IV SOLR $390.00 63323-351-20 RIFAMPIN 600 MG IV SOLR $918.00 67457-445-60 RIFAMPIN 600 MG IV SOLR $924.60 99999-035-24 RIFAXIMIN 20 MG/ML ORAL SUSPENSION (COMPOUND) $11.51 99999-036-18 RIFAXIMIN 20 MG/ML ORAL SUSPENSION (COMPOUND) $57.66 99999-036-19 RIFAXIMIN 20 MG/ML ORAL SUSPENSION (COMPOUND) $115.32 99999-036-20 RIFAXIMIN 20 MG/ML ORAL SUSPENSION (COMPOUND) $158.57 65649-301-03 RIFAXIMIN 200 MG ORAL TAB $134.07 65649-303-02 RIFAXIMIN 550 MG ORAL TAB $255.56 65649-303-03 RIFAXIMIN 550 MG ORAL TAB $255.56 HC44701100 "RIGHT HEART CATH; MSRMT, CO" "$18,300.00 " HC44703239 RIGHT HEART CATH; W/SENSOR PULM ARTERY W/S&I "$14,769.00 " 59676-278-01 RILPIVIRINE 25 MG ORAL TAB $233.06 0378-4145-91 RILUZOLE 50 MG ORAL TAB $16.90 62756-538-86 RILUZOLE 50 MG ORAL TAB $59.90 67877-286-60 RILUZOLE 50 MG ORAL TAB $15.00 10454-712-10 "RIMABOTULINUMTOXINB 10,000 UNIT/2 ML IM SOLN" "$6,972.00 " 10454-711-10 "RIMABOTULINUMTOXINB 5,000 UNIT/ML IM SOLN" "$3,486.00 " 0115-1911-01 RIMANTADINE 100 MG ORAL TAB $13.64 HC62801782 RING FALLOPIAN $189.00 HC62205992 RING INFLATABLE $126.00 0430-0472-03 RISEDRONATE 35 MG ORAL TAB $511.47 33342-109-37 RISEDRONATE 35 MG ORAL TAB $67.80 60505-3165-0 RISEDRONATE 35 MG ORAL TAB $67.80 0430-0471-15 RISEDRONATE 5 MG ORAL TAB $73.11 33342-107-07 RISEDRONATE 5 MG ORAL TAB $23.70 0904-6357-61 RISPERIDONE 0.25 MG ORAL TAB $1.00 27241-002-06 RISPERIDONE 0.25 MG ORAL TAB $1.00 43547-339-06 RISPERIDONE 0.25 MG ORAL TAB $1.00 0904-6358-61 RISPERIDONE 0.5 MG ORAL TAB $1.00 27241-003-06 RISPERIDONE 0.5 MG ORAL TAB $1.00 50268-695-11 RISPERIDONE 0.5 MG ORAL TAB $1.75 50268-695-15 RISPERIDONE 0.5 MG ORAL TAB $1.75 0781-5310-06 RISPERIDONE 0.5 MG ORAL TBDL $19.37 0781-5310-08 RISPERIDONE 0.5 MG ORAL TBDL $19.37 49884-311-52 RISPERIDONE 0.5 MG ORAL TBDL $20.98 49884-311-55 RISPERIDONE 0.5 MG ORAL TBDL $20.98 0904-6359-61 RISPERIDONE 1 MG ORAL TAB $1.00 27241-001-06 RISPERIDONE 1 MG ORAL TAB $1.00 43547-341-06 RISPERIDONE 1 MG ORAL TAB $1.00 50458-300-01 RISPERIDONE 1 MG ORAL TAB $68.36 0054-0063-44 RISPERIDONE 1 MG/ML ORAL SOLN $180.00 13668-589-06 RISPERIDONE 1 MG/ML ORAL SOLN $180.00 50458-305-03 RISPERIDONE 1 MG/ML ORAL SOLN "$2,291.94 " 50458-596-01 RISPERIDONE 1 MG/ML ORAL SOLN $730.62 65162-673-84 RISPERIDONE 1 MG/ML ORAL SOLN $181.26 99999-037-89 RISPERIDONE 1 MG/ML ORAL SOLN $24.35 0904-6360-61 RISPERIDONE 2 MG ORAL TAB $1.00 13668-038-60 RISPERIDONE 2 MG ORAL TAB $1.00 0781-5312-06 RISPERIDONE 2 MG ORAL TBDL $36.80 0781-5312-08 RISPERIDONE 2 MG ORAL TBDL $36.80 49884-401-52 RISPERIDONE 2 MG ORAL TBDL $39.85 49884-401-91 RISPERIDONE 2 MG ORAL TBDL $39.85 0074-3399-30 RITONAVIR 100 MG ORAL PWPK $51.43 0054-0407-13 RITONAVIR 100 MG ORAL TAB $32.00 0074-3333-30 RITONAVIR 100 MG ORAL TAB $51.43 68382-696-06 RITONAVIR 100 MG ORAL TAB $44.44 0074-1940-63 RITONAVIR 80 MG/ML ORAL SOLN "$8,641.44 " 50242-051-21 RITUXIMAB 10 MG/ML IV CONC "$5,637.12 " 50242-053-06 RITUXIMAB 10 MG/ML IV CONC "$28,185.60 " 63459-104-50 RITUXIMAB-ABBS 10 MG/ML IV SOLN "$25,366.50 " 50242-108-01 "RITUXIMAB-HYALURONIDASE,HUMAN 1400 MG/11.7 ML (120 MG/ML) SUBCUTANEOUS SOLN" "$39,459.49 " 50458-580-01 RIVAROXABAN 10 MG ORAL TAB $98.50 50458-580-10 RIVAROXABAN 10 MG ORAL TAB $98.50 50458-580-30 RIVAROXABAN 10 MG ORAL TAB $93.99 50458-580-90 RIVAROXABAN 10 MG ORAL TAB $93.99 50458-578-01 RIVAROXABAN 15 MG ORAL TAB $93.99 50458-578-10 RIVAROXABAN 15 MG ORAL TAB $93.99 50458-578-30 RIVAROXABAN 15 MG ORAL TAB $93.99 50458-577-01 RIVAROXABAN 2.5 MG ORAL TAB $46.99 50458-577-10 RIVAROXABAN 2.5 MG ORAL TAB $46.99 50458-579-01 RIVAROXABAN 20 MG ORAL TAB $93.99 50458-579-10 RIVAROXABAN 20 MG ORAL TAB $93.99 50458-579-30 RIVAROXABAN 20 MG ORAL TAB $93.99 0078-0503-15 RIVASTIGMINE 13.3 MG/24 HOUR TRANSDERMAL PT24 $137.20 0078-0503-61 RIVASTIGMINE 13.3 MG/24 HOUR TRANSDERMAL PT24 $137.16 0378-9072-16 RIVASTIGMINE 13.3 MG/24 HOUR TRANSDERMAL PT24 $34.03 0378-9072-93 RIVASTIGMINE 13.3 MG/24 HOUR TRANSDERMAL PT24 $34.03 0781-7313-31 RIVASTIGMINE 13.3 MG/24 HOUR TRANSDERMAL PT24 $81.10 0781-7313-58 RIVASTIGMINE 13.3 MG/24 HOUR TRANSDERMAL PT24 $81.10 16714-117-01 RIVASTIGMINE 13.3 MG/24 HOUR TRANSDERMAL PT24 $61.16 16714-117-02 RIVASTIGMINE 13.3 MG/24 HOUR TRANSDERMAL PT24 $61.16 0078-0501-15 RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PT24 $137.20 0078-0501-61 RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PT24 $137.16 0378-9070-16 RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PT24 $34.03 0378-9070-93 RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PT24 $34.03 0781-7304-31 RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PT24 $81.10 0781-7304-58 RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PT24 $81.10 0078-0502-15 RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PT24 $137.20 0078-0502-61 RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PT24 $137.16 0378-9071-16 RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PT24 $34.03 0378-9071-93 RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PT24 $34.03 0781-7309-58 RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PT24 $81.10 16714-116-01 RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PT24 $61.15 16714-116-02 RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PT24 $61.15 47781-305-03 RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PT24 $68.05 47781-305-11 RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PT24 $68.05 0781-2614-06 RIVASTIGMINE TARTRATE 1.5 MG ORAL CAP $20.37 0781-2614-13 RIVASTIGMINE TARTRATE 1.5 MG ORAL CAP $20.37 51991-793-06 RIVASTIGMINE TARTRATE 1.5 MG ORAL CAP $6.25 55111-352-60 RIVASTIGMINE TARTRATE 1.5 MG ORAL CAP $3.50 62756-145-86 RIVASTIGMINE TARTRATE 1.5 MG ORAL CAP $3.50 33342-090-09 RIVASTIGMINE TARTRATE 3 MG ORAL CAP $2.00 51991-794-06 RIVASTIGMINE TARTRATE 3 MG ORAL CAP $6.25 55111-353-60 RIVASTIGMINE TARTRATE 3 MG ORAL CAP $3.50 62756-146-86 RIVASTIGMINE TARTRATE 3 MG ORAL CAP $3.50 55111-355-60 RIVASTIGMINE TARTRATE 6 MG ORAL CAP $3.50 62756-148-86 RIVASTIGMINE TARTRATE 6 MG ORAL CAP $3.50 33342-094-52 RIZATRIPTAN 10 MG ORAL TBDL $18.07 33342-094-72 RIZATRIPTAN 10 MG ORAL TBDL $18.07 65862-626-03 RIZATRIPTAN 10 MG ORAL TBDL $12.24 65862-626-90 RIZATRIPTAN 10 MG ORAL TBDL $12.25 68462-468-06 RIZATRIPTAN 10 MG ORAL TBDL $9.74 68462-468-40 RIZATRIPTAN 10 MG ORAL TBDL $9.74 69452-157-73 RIZATRIPTAN 10 MG ORAL TBDL $5.93 68462-467-06 RIZATRIPTAN 5 MG ORAL TBDL $8.75 HC51020006 RN ASSESSMENT EA 30MIN $83.00 HC51020055 RN CONSULT TELEPHONE PER 15MIN $47.00 HC51020063 RN COORDINATOR ACTIVITIES CASE $302.00 HC51020014 RN DEV PT REPORT; INTERMEDIATE $147.00 HC51020022 RN DEV PT REPORT;COMPREHENSIVE $262.00 HC51020048 RN GROUP TEACH/COUNS SESSION $74.00 HC51020030 RN TEAM CONF PRTCPNT PER 15MIN $49.00 HC51020238 RN-DEVEL TEST PER STANDARD INSTRUMENT(SCREENING) $209.00 HC89011340 RNP AB IGG-AU $16.00 HC89011225 RNP ENA AB-QD $13.00 HC89011357 RNP REFLEX (PNL)-AU $16.00 HC89012843 ROCKY MT SPOTTED FEVER AB-AU $12.50 HC89015838 ROCKY MT SPOTTED FEVER AB-QD $29.00 0143-9250-01 ROCURONIUM 10 MG/ML IV SOLN $30.81 0143-9250-10 ROCURONIUM 10 MG/ML IV SOLN $30.81 0409-9558-05 ROCURONIUM 10 MG/ML IV SOLN $22.08 0409-9558-10 ROCURONIUM 10 MG/ML IV SOLN $42.54 0409-9558-11 ROCURONIUM 10 MG/ML IV SOLN $22.08 0409-9558-31 ROCURONIUM 10 MG/ML IV SOLN $42.54 0409-9558-49 ROCURONIUM 10 MG/ML IV SOLN $21.90 0409-9558-50 ROCURONIUM 10 MG/ML IV SOLN $42.12 0409-9558-69 ROCURONIUM 10 MG/ML IV SOLN $21.90 0409-9558-70 ROCURONIUM 10 MG/ML IV SOLN $42.12 0781-3220-70 ROCURONIUM 10 MG/ML IV SOLN $52.38 0781-3220-75 ROCURONIUM 10 MG/ML IV SOLN $45.15 0781-3220-92 ROCURONIUM 10 MG/ML IV SOLN $52.38 0781-3220-95 ROCURONIUM 10 MG/ML IV SOLN $45.15 25021-662-05 ROCURONIUM 10 MG/ML IV SOLN $36.00 39822-4200-1 ROCURONIUM 10 MG/ML IV SOLN $27.00 39822-4200-2 ROCURONIUM 10 MG/ML IV SOLN $27.00 39822-4200-5 ROCURONIUM 10 MG/ML IV SOLN $45.00 39822-4200-6 ROCURONIUM 10 MG/ML IV SOLN $45.00 47781-616-17 ROCURONIUM 10 MG/ML IV SOLN $25.20 47781-616-20 ROCURONIUM 10 MG/ML IV SOLN $25.20 47781-617-22 ROCURONIUM 10 MG/ML IV SOLN $40.80 47781-617-91 ROCURONIUM 10 MG/ML IV SOLN $40.80 55150-225-05 ROCURONIUM 10 MG/ML IV SOLN $36.00 55150-226-10 ROCURONIUM 10 MG/ML IV SOLN $69.00 63323-426-02 ROCURONIUM 10 MG/ML IV SOLN $39.00 63323-426-05 ROCURONIUM 10 MG/ML IV SOLN $39.00 67457-228-00 ROCURONIUM 10 MG/ML IV SOLN $29.10 67457-228-05 ROCURONIUM 10 MG/ML IV SOLN $29.10 67457-228-10 ROCURONIUM 10 MG/ML IV SOLN $42.00 67457-228-99 ROCURONIUM 10 MG/ML IV SOLN $42.00 70860-651-05 ROCURONIUM 10 MG/ML IV SOLN $39.00 HC62225230 ROD EXTRACTION CONICAL $975.00 HC62215538 ROD WORKING SPINAL $282.00 0310-0095-30 ROFLUMILAST 500 MCG ORAL TAB $72.23 59572-962-10 ROMIDEPSIN 10 MG/2 ML IV SOLR "$19,191.90 " 59572-984-01 ROMIDEPSIN 10 MG/2 ML IV SOLR "$19,191.90 " 55513-223-01 ROMIPLOSTIM 125 MCG SUBCUTANEOUS SOLR "$6,082.94 " 55513-221-01 ROMIPLOSTIM 250 MCG SUBCUTANEOUS SOLR "$11,697.90 " 55513-222-01 ROMIPLOSTIM 500 MCG SUBCUTANEOUS SOLR "$23,395.80 " 0904-6373-61 ROPINIROLE 0.25 MG ORAL TAB $2.95 43547-268-10 ROPINIROLE 0.25 MG ORAL TAB $3.00 68462-253-01 ROPINIROLE 0.25 MG ORAL TAB $1.00 0904-6374-61 ROPINIROLE 1 MG ORAL TAB $3.40 43547-270-10 ROPINIROLE 1 MG ORAL TAB $3.00 62332-032-31 ROPINIROLE 1 MG ORAL TAB $1.80 68462-255-01 ROPINIROLE 1 MG ORAL TAB $1.00 43547-271-10 ROPINIROLE 2 MG ORAL TAB $3.00 62332-033-31 ROPINIROLE 2 MG ORAL TAB $1.80 68462-256-01 ROPINIROLE 2 MG ORAL TAB $1.00 63323-288-07 ROPIVACAINE (PF) 10 MG/ML (1 %) INJ SOLN $136.20 63323-288-20 ROPIVACAINE (PF) 10 MG/ML (1 %) INJ SOLN $136.20 63323-288-21 ROPIVACAINE (PF) 10 MG/ML (1 %) INJ SOLN $136.20 25021-671-87 ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJ SOLN $463.20 55150-196-99 ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJ SOLN $240.00 63323-285-02 ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJ SOLN $231.60 63323-285-20 ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJ SOLN $58.08 63323-285-23 ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJ SOLN $58.08 63323-285-61 ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJ SOLN $231.60 63323-285-64 ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJ SOLN $488.40 0409-9301-30 ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJ SOLN $39.42 0409-9301-31 ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJ SOLN $39.42 0781-3140-30 ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJ SOLN $117.18 17478-081-30 ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJ SOLN $36.00 63323-286-11 ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJ SOLN $3.39 63323-286-23 ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJ SOLN $86.88 63323-286-30 ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJ SOLN $130.32 63323-286-31 ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJ SOLN $130.32 63323-286-35 ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJ SOLN $169.38 63323-286-95 ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJ SOLN $37.98 70069-064-01 ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJ SOLN $35.64 25021-671-82 ROPIVACAINE PF 0.2% AUTOFUSER PUMP $231.60 63323-285-65 ROPIVACAINE PF 0.2% AUTOFUSER PUMP $244.20 HC83000265 "ROSETTE TEST,FETAL HGB" $199.00 0173-0861-18 ROSIGLITAZONE 2 MG ORAL TAB $22.84 0310-0751-90 ROSUVASTATIN 10 MG ORAL TAB $52.18 16714-989-01 ROSUVASTATIN 10 MG ORAL TAB $1.21 27808-156-01 ROSUVASTATIN 10 MG ORAL TAB $1.00 57237-169-90 ROSUVASTATIN 10 MG ORAL TAB $1.00 57237-169-99 ROSUVASTATIN 10 MG ORAL TAB $1.00 60505-4503-9 ROSUVASTATIN 10 MG ORAL TAB $2.20 60687-245-01 ROSUVASTATIN 10 MG ORAL TAB $8.40 60687-245-11 ROSUVASTATIN 10 MG ORAL TAB $8.40 70377-007-12 ROSUVASTATIN 10 MG ORAL TAB $1.00 0310-0752-90 ROSUVASTATIN 20 MG ORAL TAB $52.18 0904-6780-61 ROSUVASTATIN 20 MG ORAL TAB $7.40 16714-990-01 ROSUVASTATIN 20 MG ORAL TAB $1.00 27808-157-01 ROSUVASTATIN 20 MG ORAL TAB $1.00 57237-170-90 ROSUVASTATIN 20 MG ORAL TAB $1.00 60505-4504-9 ROSUVASTATIN 20 MG ORAL TAB $2.20 60687-256-01 ROSUVASTATIN 20 MG ORAL TAB $8.40 60687-256-11 ROSUVASTATIN 20 MG ORAL TAB $8.40 68462-263-90 ROSUVASTATIN 20 MG ORAL TAB $1.00 70377-008-12 ROSUVASTATIN 20 MG ORAL TAB $1.00 0310-0755-90 ROSUVASTATIN 5 MG ORAL TAB $52.18 0904-6778-61 ROSUVASTATIN 5 MG ORAL TAB $6.01 16714-988-01 ROSUVASTATIN 5 MG ORAL TAB $1.23 27808-155-01 ROSUVASTATIN 5 MG ORAL TAB $1.00 57237-168-90 ROSUVASTATIN 5 MG ORAL TAB $1.00 60505-4502-9 ROSUVASTATIN 5 MG ORAL TAB $2.20 68462-261-90 ROSUVASTATIN 5 MG ORAL TAB $1.00 70377-006-12 ROSUVASTATIN 5 MG ORAL TAB $1.00 HC62208988 ROTABLATOR LUBRICANT $319.00 HC89001598 ROTAVIRUS AG-QD $15.00 HC84200963 ROTAVIRUS ASSAY EIA/ANTIGEN $266.00 50474-802-03 ROTIGOTINE 2 MG/24 HOUR TRANSDERMAL PT24 $141.08 HC81700395 RPR/VDRL QUAL $133.00 HC89015762 RPR/VDRL QUAL-QD $16.00 HC81700403 RPR/VDRL QUANT $155.00 HC81700387 RPR/VDRL SPINAL FLUID/QUAL. $133.00 HC89003644 RSV AB-AU $12.00 HC44701332 RT & LT HEART CATH;LT VENT S&I "$30,719.00 " HC51050003 RT ASSESS/INTERVENTION EA 30MIN $61.00 HC51050029 RT CONSULT TELEPHONE PER 15MIN $47.00 HC44701118 RT HRT CATH FOR CONGEN ANOMAL "$22,977.00 " HC36000966 RT INHALATION TREATMENT $483.00 HC36000974 RT INHALATION TREATMENT SUBSQ $440.00 HC36800555 RT RESP THER GRP 15 MIN/MW $83.00 HC36800563 RT RESP THER GRP 30 MIN/MW $157.00 HC36800571 RT RESP THER GRP 45 MIN/MW $233.00 HC36800589 RT RESP THER GRP 60 MIN/MW $308.00 HC51050011 RT TEAM CONF PER CASE $40.00 HC36800548 RT THER INC RESP FUNC 15MIN/MW $229.00 HC36800530 RT THER MUSC STRENGTH 15MIN/MW $209.00 HC44701126 RT VENTRICULAR RECORDING "$7,658.00 " HC36000693 RT-TEAM CONF W/MD >30MIN(NO PT) $160.00 HC81701609 RUBELLA AB IGG $196.00 HC89017248 RUBELLA AB IGG - AU $9.00 HC89017594 RUBELLA AB IGG(PNL)-AU $9.00 HC89003248 RUBELLA AB-QD $13.00 HC89017560 RUBELLA IGM AB(PNL)-AU $9.00 HC89012868 RUBELLA IGM AB-AU $9.00 HC89002679 RUBELLA IGM AB-QD $17.00 HC81700478 RUBELLA SCREEN $166.00 HC81700486 RUBEOLA AB IGG $250.00 HC89015846 RUBEOLA AB IGG-QD $17.00 62856-582-52 RUFINAMIDE 200 MG ORAL TAB $76.00 69452-223-84 RUFINAMIDE 40 MG/ML ORAL SUSP "$8,199.96 " 62856-583-52 RUFINAMIDE 400 MG ORAL TAB $152.00 HC81701690 S AUREUS BY PCR $423.00 HC84201862 S AUREUS BY PCR $419.00 HC89005003 S PNEUMONIA AG -AU $20.00 HC89005714 S. PNEUMONIAE ANTIGEN-FT $84.00 HC89020176 SAA CHEMILUMINESCENT (PNL)-PR $28.00 414200007 SACCHAROMYCES BOULARDII 250 MG ORAL CAP $3.40 414200024 SACCHAROMYCES BOULARDII 250 MG ORAL CAP $3.96 7733380025 SACCHAROMYCES BOULARDII 250 MG ORAL CAP $5.63 7733380050 SACCHAROMYCES BOULARDII 250 MG ORAL CAP $5.63 414200040 SACCHAROMYCES BOULARDII 250 MG ORAL PWPK $3.96 04142-00037 SACCHAROMYCES BOULARDII 250 MG ORAL PWPK $3.68 55135-132-01 SACITUZUMAB GOVITECAN-HZIY 180 MG IV SOLR "$12,075.00 " HC44001832 SACRO-ILIAC JNTS 3 OR MORE VWS $901.00 HC44001840 SACROILIAC JOINTS < 3VWS $683.00 HC44001857 SACRUM & COCCYX MIN 2VWS $877.00 0078-0659-20 SACUBITRIL-VALSARTAN 24-26 MG ORAL TAB $54.47 99999-042-37 SACUBITRIL-VALSARTAN 4 MG/ML (COMBINED MG CONCENTRATION) ORAL LIQUID $2.03 0078-0777-20 SACUBITRIL-VALSARTAN 49-51 MG ORAL TAB $54.47 0078-0696-20 SACUBITRIL-VALSARTAN 97-103 MG ORAL TAB $54.47 HC81100729 SALICYLATES; 1-2 $314.00 HC62206016 SALINE LOCK $78.00 8290306547 SALINE LOCK FLUSH (MCH-NICU) $3.00 0409-4888-01 SALINE LOCK FLUSH (MCH-NICU) $9.48 0409-4888-12 SALINE LOCK FLUSH (MCH-NICU) $9.48 63323-186-10 SALINE LOCK FLUSH (MCH-NICU) $4.44 4858200155 SALIVA STIMULANT COMB. NO.3 MUCOUS MEMB SPRY $26.85 8489800001 SALIVA SUBSTITUTE COMBO NO.2 MUCOUS MEMB SOLN $51.84 4858200330 SALIVA SUBSTITUTE COMBO NO.9 MUCOUS MEMB MWSH $28.38 4858200440 SALIVA SUBSTITUTE COMBO NO.9 MUCOUS MEMB MWSH $42.00 4858280220 SALIVA SUBSTITUTE COMBO NO.9 MUCOUS MEMB MWSH $17.06 HC44001865 SALIVARY GLAND FOR CALCULUS $534.00 HC89015853 SALMONELLA AB-QD $16.00 42192-366-10 SALSALATE 750 MG ORAL TAB $2.46 51293-804-01 SALSALATE 750 MG ORAL TAB $10.72 HC89500458 SAMPLE TRANSPORT-SB $75.00 HC51080216 SANDAL PLASTAZOTE EACH $263.00 0004-0244-51 SAQUINAVIR MESYLATE 500 MG ORAL TAB $60.09 0024-5843-01 SARGRAMOSTIM 250 MCG INJ SOLR "$1,574.16 " 0024-5843-05 SARGRAMOSTIM 250 MCG INJ SOLR "$1,652.84 " 58468-0180-1 SARGRAMOSTIM 250 MCG INJ SOLR "$1,311.10 " 71837-5843-1 SARGRAMOSTIM 250 MCG INJ SOLR "$1,544.84 " 71837-5843-5 SARGRAMOSTIM 250 MCG INJ SOLR "$1,652.84 " HC84201821 SARS-COV-2 COVID-19 AMP QUAL PCR $426.00 HC89023295 SARS-COV-2 RNA QUAL RT-PCR-AU $95.00 HC89023287 SARS-COV-2 RNA QUAL RT-PCR-QN $100.00 HC84201847 SARS-COV-2/FLU/RSV RNA QUAL PCR $673.00 0310-6100-30 SAXAGLIPTIN 2.5 MG ORAL TAB $86.62 HC12200275 SC INFUSION THERAPY EA ADDL HOUR $881.00 HC51020402 SC INFUSION THERAPY EA ADDL HOUR $400.00 HC12200267 SC INFUSION THERAPY INITIAL UP TO 1HR "$1,614.00 " HC51020394 SC INFUSION THERAPY INITIAL UP TO 1HR $534.00 HC12200283 SC INFUSION THERAPY; ADD'L SET UP NEW SITE $441.00 HC51020410 SC INFUSION THERAPY; ADD'L SET UP NEW SITE $232.00 HC62206024 SCALPEL $111.00 HC62222658 SCALPEL HARMONIC ELECTRODE HOOK $471.00 HC62203476 SCALPEL SHEARS HARMONIC "$1,560.00 " HC44001873 SCAPULA BILATERAL "$1,257.00 " HC44001881 SCAPULA LT $713.00 HC44001899 SCAPULA RT $713.00 HC89012561 SCHISTOSOMA AB-AU $90.00 HC89012579 SCHISTOSOMA AB-FT $114.00 HC62300017 SCISSORS CURVED ROBOTIC I $455.00 HC62300157 SCISSORS CURVED ROBOTIC N $910.00 HC62222815 SCISSORS ENDOSCOPIC D $130.00 HC62224019 SCISSORS ENDOSCOPIC H $390.00 HC62202940 SCISSORS ENDOSCOPIC L $650.00 HC62228820 SCISSORS ENDOSCOPIC Q "$1,050.00 " HC62206032 SCISSORS EYE(DISP) $460.00 HC62300165 SCISSORS POTTS ROBOTIC $634.00 HC89003347 SCL 70 ENA AB-QD $16.00 HC89011365 SCL-70 REFLEX (PNL)-AU $16.00 HC89011373 SCLERODERMA SCL-70 AB IGG-AU $16.00 HC81701484 "SCLERODERMA SCL-70 AB, IGG" $241.00 HC44504454 "SCLEROTX FLUID (CYST) PERC(IMAG,S&I)" "$3,747.00 " 0067-4345-09 SCOPOLAMINE BASE 1 MG OVER 3 DAYS TRANSDERMAL PT3D $79.43 0378-6470-16 SCOPOLAMINE BASE 1 MG OVER 3 DAYS TRANSDERMAL PT3D $110.28 0378-6470-44 SCOPOLAMINE BASE 1 MG OVER 3 DAYS TRANSDERMAL PT3D $110.28 0378-6470-99 SCOPOLAMINE BASE 1 MG OVER 3 DAYS TRANSDERMAL PT3D $96.96 10019-553-03 SCOPOLAMINE BASE 1 MG OVER 3 DAYS TRANSDERMAL PT3D $127.78 10019-553-04 SCOPOLAMINE BASE 1 MG OVER 3 DAYS TRANSDERMAL PT3D $127.78 10019-553-90 SCOPOLAMINE BASE 1 MG OVER 3 DAYS TRANSDERMAL PT3D $127.78 45802-580-01 SCOPOLAMINE BASE 1 MG OVER 3 DAYS TRANSDERMAL PT3D $115.00 45802-580-46 SCOPOLAMINE BASE 1 MG OVER 3 DAYS TRANSDERMAL PT3D $115.00 45802-580-84 SCOPOLAMINE BASE 1 MG OVER 3 DAYS TRANSDERMAL PT3D $96.30 HC62217351 SCRAPER MEMBRANE OPHTH $417.00 HC51003507 SCREENING DEPRESSION ANNUAL $60.00 HC51003481 SCREENING MISUSE ANNUAL ETOH $136.00 HC51003499 SCREENING MISUSE BEHAVIORAL ETOH $137.00 HC29000494 SCREENING PURE TONE HEARING AIR $145.00 HC29000460 SCREENING VISION $96.00 HC62211537 SCREW EXTRACTOR BOLT $397.00 HC62206040 SCREWS LONG HEAD 4 (SRS) $455.00 HC62225081 SEAL ENDO ROBOTIC A $33.00 HC62213806 SEAL ENDO ROBOTIC B $65.00 HC62225099 SEAL ENDO ROBOTIC D $130.00 HC62203492 SEALANT (FLOSEAL) KIT 10CC "$1,147.00 " HC62203914 SEALANT (FLOSEAL) KIT 5CC $618.00 HC62802897 SEALANT PULMONARY (PROGEL) "$2,698.00 " HC62808043 SEALANT STENT ENDOPRSTH $780.00 HC62807920 SEALANT TISSUE HYDROGEL "$2,600.00 " HC62807938 SEALANT TISSUE HYDROGEL ET "$3,250.00 " HC62217401 SEALER BIPOLAR AQUAMANTYS "$1,758.00 " HC62223581 SEALER VESSEL LAPAROSCOPIC "$2,113.00 " HC62224613 SEALER VESSEL ROBOTIC "$1,950.00 " 25682-007-01 SEBELIPASE ALFA 2 MG/ML IV SOLN "$61,260.00 " HC81500761 SED RATE AUTOMATED $111.00 HC81500043 SED RATE NON-AUTO $142.00 HC44504157 SEL CATH IC CAROTID &ANG IC W/SI BI "$41,087.00 " HC44503829 SEL CATH IC CAROTID &ANG IC W/SI LT "$22,830.00 " HC44503837 SEL CATH IC CAROTID &ANG IC W/SI RT "$22,830.00 " HC46000774 SEL CATH AB/PEL/LOEX 2ND+ORD LT "$2,309.00 " HC46000782 SEL CATH AB/PEL/LOEX 2ND+ORD RT "$2,309.00 " HC46001087 SEL CATH AB/PEL/LOEX2ND+ORDERT "$2,309.00 " HC46001053 SEL CATH AB/PEL/LOEXT1ST OR "$6,900.00 " HC46000709 SEL CATH AB/PEL/LOEXT1ST OR BI "$12,119.00 " HC46000717 SEL CATH AB/PEL/LOEXT1ST OR LT "$6,836.00 " HC46000725 SEL CATH AB/PEL/LOEXT1ST OR RT "$6,836.00 " HC46001061 SEL CATH AB/PEL/LOEXT2ND OR "$7,590.00 " HC46000741 SEL CATH AB/PEL/LOEXT2ND OR LT "$7,590.00 " HC46000758 SEL CATH AB/PEL/LOEXT2ND OR RT "$7,590.00 " HC46001079 SEL CATH AB/PEL/LOEXT3RD OR "$8,979.00 " HC46000808 SEL CATH AB/PEL/LOEXT3RD OR LT "$8,979.00 " HC46000816 SEL CATH AB/PEL/LOEXT3RD OR RT "$8,979.00 " HC44504132 SEL CATH CC/INOM &ANGIO EXCC W/S&I BI "$23,966.00 " HC44503787 SEL CATH CC/INOM &ANGIO EXCC W/S&I LT "$13,924.00 " HC44503795 SEL CATH CC/INOM &ANGIO EXCC W/S&I RT "$13,924.00 " HC44504140 SEL CATH CC/INOM &ANGIO IC W/S&I BI "$34,909.00 " HC44503803 SEL CATH CC/INOM &ANGIO IC W/S&I LT "$18,871.00 " HC44503811 SEL CATH CC/INOM &ANGIO IC W/S&I RT "$18,871.00 " HC44504199 SEL CATH EA IC CRTD/VERT&ANG W/SI BI+ "$17,106.00 " HC44503902 SEL CATH EA IC CRTD/VERT&ANG W/SI LT+ "$9,505.00 " HC44503910 SEL CATH EA IC CRTD/VERT&ANG W/SI RT+ "$9,505.00 " HC44504181 SEL CATH EX CAROTID&ANG EC W/SI BI+ "$17,712.00 " HC44503886 SEL CATH EX CAROTID&ANG EC W/SI LT+ "$9,842.00 " HC44503894 SEL CATH EX CAROTID&ANG EC W/SI RT+ "$9,842.00 " HC46000824 SEL CATH PULMONARY ART BILAT "$5,958.00 " HC46000832 SEL CATH PULMONARY ART LT "$3,569.00 " HC46000840 SEL CATH PULMONARY ART RT "$3,569.00 " HC46000857 SEL CATH SEGMNT PULM ART BILAT "$6,725.00 " HC46000865 SEL CATH SEGMNT PULM ART LT "$3,393.00 " HC46000873 SEL CATH SEGMNT PULM ART RT "$3,393.00 " HC44504165 SEL CATH SUBC/INOM &ANG VRT W/SI BI "$25,290.00 " HC44503845 SEL CATH SUBC/INOM &ANG VRT W/SI LT "$14,052.00 " HC44503852 SEL CATH SUBC/INOM &ANG VRT W/SI RT "$14,052.00 " HC46000881 SEL CATH THOR/BRAC 1ST ORD LT "$6,160.00 " HC46000899 SEL CATH THOR/BRAC 1ST ORD RT "$6,160.00 " HC46000907 SEL CATH THOR/BRAC 2ND ORD LT "$7,040.00 " HC46000915 SEL CATH THOR/BRAC 2ND ORD RT "$7,040.00 " HC46000923 SEL CATH THOR/BRAC 3RD ORD LT "$8,659.00 " HC46000931 SEL CATH THOR/BRAC 3RD ORD RT "$8,659.00 " HC46000949 SEL CATH THOR/BRAC+ 2ND/3RD LT "$1,784.00 " HC46000956 SEL CATH THOR/BRAC+ 2ND/3RD RT "$1,784.00 " HC44504173 SEL CATH VERTEBRAL &ANG VRT W/SI BI "$38,275.00 " HC44503860 SEL CATH VERTEBRAL &ANG VRT W/SI LT "$20,272.00 " HC44503878 SEL CATH VERTEBRAL &ANG VRT W/SI RT "$20,272.00 " HC44503563 SEL CATH&RENAL ANGIO1STW/S&I-B "$18,074.00 " HC44503548 SEL CATH&RENAL ANGIO1STW/S&I-L "$11,182.00 " HC44503555 SEL CATH&RENAL ANGIO1STW/S&I-R "$11,182.00 " HC44503597 SEL CATH&RENAL ANGIO2NDW/S&I-B "$19,610.00 " HC44503571 SEL CATH&RENAL ANGIO2NDW/S&I-L "$12,665.00 " HC44503589 SEL CATH&RENAL ANGIO2NDW/S&I-R "$12,665.00 " HC46000964 SEL VENOUS CATH 1ST ORD BI "$6,340.00 " HC46000972 SEL VENOUS CATH 1ST ORD LT "$3,743.00 " HC46000980 SEL VENOUS CATH 1ST ORD RT "$3,743.00 " HC46000998 SEL VENOUS CATH 2ND+ORDR LT "$4,473.00 " HC46001004 SEL VENOUS CATH 2ND+ORDR RT "$4,473.00 " 49502-900-01 SELEGILINE 6 MG/24 HR TRANSDERMAL PT24 $351.36 60505-3438-3 SELEGILINE HCL 5 MG ORAL TAB $8.83 4009310287 SELENIUM 200 MCG ORAL TAB $1.00 0517-6510-25 SELENIUM 40 MCG/ML IV SOLN $106.38 0517-6560-01 SELENIUM 60 MCG/ML IV SOLN "$2,058.00 " 0517-6560-05 SELENIUM 60 MCG/ML IV SOLN "$2,058.00 " 0517-6560-25 SELENIUM 60 MCG/ML IV SOLN "$2,058.00 " 0536-1995-53 SELENIUM SULFIDE 1 % TOPICAL SHAM $17.39 4116760352 SELENIUM SULFIDE-ALOE VERA 1 % TOPICAL SHAM $35.10 HC89009831 SELENIUM-AU $13.00 HC89015531 SELENIUM-QD $11.00 HC51062032 SELF MANAGEMENT EDUC & TRAINING 2-4PTS 30MIN (PRIVAT INSAUTHREQ) $100.00 HC51062040 SELF MANAGEMENT EDUC & TRAINING 5-8PTS 30MIN (PRIVAT INSAUTHREQ) $75.00 HC51062024 SELF MANAGEMENT EDUC & TRAINING INDIV 30MIN (PRIVAT INSAUTHREQ) $150.00 HC51062008 SELF MEASURE BP PT EDUCATION/TRAINING $75.00 HC44001915 SELLA TURCICA $486.00 HC84201003 SEMEN ANALYSIS COMPLETE $303.00 HC84201011 SEMEN ANALYSIS POST $188.00 121072208 SENNA LEAF EXTRACT 176 MG/5 ML ORAL SYRP $71.10 0067-0005-24 SENNOSIDES 15 MG ORAL CHEW $1.00 1093991444 SENNOSIDES 8.6 MG ORAL TAB $1.00 3786400033 SENNOSIDES 8.6 MG ORAL TAB $1.00 0904-6522-61 SENNOSIDES 8.6 MG ORAL TAB $1.00 0904-6725-59 SENNOSIDES 8.6 MG ORAL TAB $1.00 0904-6725-80 SENNOSIDES 8.6 MG ORAL TAB $1.00 49348-062-10 SENNOSIDES 8.6 MG ORAL TAB $1.00 51645-851-01 SENNOSIDES 8.6 MG ORAL TAB $1.00 57896-451-01 SENNOSIDES 8.6 MG ORAL TAB $1.00 57896-454-01 SENNOSIDES 8.6 MG ORAL TAB $1.00 67618-300-10 SENNOSIDES 8.6 MG ORAL TAB $1.00 67618-300-50 SENNOSIDES 8.6 MG ORAL TAB $1.00 69618-048-01 SENNOSIDES 8.6 MG ORAL TAB $1.00 69618-064-01 SENNOSIDES 8.6 MG ORAL TAB $9.24 70677-0041-1 SENNOSIDES 8.6 MG ORAL TAB $1.00 70677-0041-11 SENNOSIDES 8.6 MG ORAL TAB $1.00 54162-007-08 SENNOSIDES 8.8 MG/5 ML ORAL SYRP $59.47 57896-452-08 SENNOSIDES 8.8 MG/5 ML ORAL SYRP $58.30 57896-462-08 SENNOSIDES 8.8 MG/5 ML ORAL SYRP $61.15 99999-008-86 SENNOSIDES 8.8 MG/5 ML ORAL SYRP $1.26 0536-1247-01 SENNOSIDES-DOCUSATE SODIUM 8.6-50 MG ORAL TAB $1.00 10135-669-01 SENNOSIDES-DOCUSATE SODIUM 8.6-50 MG ORAL TAB $1.00 57896-303-01 SENNOSIDES-DOCUSATE SODIUM 8.6-50 MG ORAL TAB $1.00 57896-304-01 SENNOSIDES-DOCUSATE SODIUM 8.6-50 MG ORAL TAB $1.00 57896-555-01 SENNOSIDES-DOCUSATE SODIUM 8.6-50 MG ORAL TAB $1.00 63739-432-10 SENNOSIDES-DOCUSATE SODIUM 8.6-50 MG ORAL TAB $1.00 67618-310-60 SENNOSIDES-DOCUSATE SODIUM 8.6-50 MG ORAL TAB $2.17 HC62206057 SENSOR BISPECTRAL INDEX $239.00 HC62223706 SENSOR CARDIAC OUTPUT $494.00 HC62211164 SENSOR GAS CBP $446.00 HC62206065 SENSOR IN-LINE $371.00 HC62206073 SENSOR LOW LEVEL $208.00 HC62225271 SENSOR OXIMETRY CEREBRAL SOMATIC $260.00 HC62211420 SENSOR PRESSURE HEMODYN (FLOTRAC) $978.00 HC62806963 SENSOR PULMONARY ARTERY PRESS IMPL WIRELESS SYS "$74,588.00 " HC51080059 "SENSOR SPHB, SPMET, SPO2" $33.00 HC62209440 "SENSOR SPHB, SPMET, SPO2" $455.00 HC62228739 SENSORS TRACKER VPAD® "$1,400.00 " HC62217575 SEPARATOR PLASMA PLASMAFLO $127.00 HC89008510 SERINE PROTEASE3 IGG IMMUNOASSAY-AU $13.03 HC89091425 SEROTONIN RELEASE ASSAY -AU $135.00 HC89018279 SEROTONIN RELEASE ASSAY- QN $260.00 HC89009849 SEROTONIN-AU $31.00 HC89000764 SEROTONIN-QD $17.00 16714-613-01 SERTRALINE 100 MG ORAL TAB $1.00 16714-613-04 SERTRALINE 100 MG ORAL TAB $1.00 16714-613-05 SERTRALINE 100 MG ORAL TAB $1.00 16714-613-06 SERTRALINE 100 MG ORAL TAB $1.00 60687-253-01 SERTRALINE 100 MG ORAL TAB $2.66 60687-253-11 SERTRALINE 100 MG ORAL TAB $2.66 65862-013-30 SERTRALINE 100 MG ORAL TAB $1.00 16714-601-02 SERTRALINE 20 MG/ML ORAL CONC $335.52 0049-4900-41 SERTRALINE 50 MG ORAL TAB $70.19 16714-612-01 SERTRALINE 50 MG ORAL TAB $1.00 16714-612-04 SERTRALINE 50 MG ORAL TAB $1.00 16714-612-05 SERTRALINE 50 MG ORAL TAB $1.00 16714-612-06 SERTRALINE 50 MG ORAL TAB $1.00 59762-4900-3 SERTRALINE 50 MG ORAL TAB $1.42 59762-4900-4 SERTRALINE 50 MG ORAL TAB $1.42 59762-4900-5 SERTRALINE 50 MG ORAL TAB $1.00 60687-242-01 SERTRALINE 50 MG ORAL TAB $2.35 60687-242-11 SERTRALINE 50 MG ORAL TAB $2.35 HC89500607 SERUM PRETREATMNT W INHIB-SB $65.00 HC83000398 SERUM PRETREATMNT W/INHIB EA $272.00 HC89500433 SERUM PRETREATMNT/ABSORP-SB $70.00 HC83000406 SERUM PRETREATMNT/ABSORPTION $271.00 HC62206081 SET AMPLATZ "$1,560.00 " HC62206099 SET ANCHOR GASTROINTESTINAL $191.00 HC62206107 SET ANGIO PUMP W/BAG $393.00 HC62206115 SET ARTERIAL LINE $60.00 HC62214069 SET AUTOTRANSFUS(CONSTAVAC CBCII)AP "$2,340.00 " HC62221338 SET AUTOTRANSFUSE K $234.00 HC62202312 SET AUTOTRANSFUSE Q $390.00 HC62214366 SET AUTOTRANSFUSE S $442.00 HC62200241 SET AUTOTRANSFUSE AK $910.00 HC62212055 SET AUTOTRANSFUSE CONSTAVAC A $52.00 HC62206131 SET BLOOD Y TYPE $49.00 HC62206149 "SET CAP/DIAPH H, FREQ OSCILL I" $104.00 HC62206156 SET CARDIOPLEGIA $413.00 HC62226410 SET CARDIOPLEGIA B $65.00 HC62214010 SET CATH CVC QUAD LUMEN $243.00 HC62206164 SET CATH FIXATION $680.00 HC62206172 SET CHEST DRAINAGE $163.00 HC62210943 SET CPS CIRCUIT PERFUSION "$3,900.00 " HC62210703 SET DECOMPRESSION COLON $553.00 HC62206180 SET DIALYSIS PREWARM $711.00 HC62224043 SET DILATORS $260.00 HC62208871 SET DRAINAGE ANCHOR $247.00 HC62223821 SET DRILL BIT W/PIN(S) F $260.00 HC62223839 SET DRILL BIT W/PIN(S) I $455.00 HC62223847 SET DRILL BIT W/PIN(S) M $780.00 HC62206198 SET ENTERAL FEEDING W/BAG $107.00 HC62206206 SET FLUID TRANSFER $65.00 HC62206214 SET FRAGMATONE $250.00 HC62206222 SET GALACTOGRAM INFUSION $247.00 HC51080224 SET INF PUMP TUBE URO/CAVERNO $40.00 HC62206230 SET INFANT GAVAGE $111.00 HC62206248 SET INTRODUCER MICROPUNC $107.00 HC62206255 SET IPPB $78.00 HC62213889 SET IRRIG TUBING LAPAROSCOPY $95.00 HC62206263 SET IRRIGATION CYSTO/URO $98.00 HC62206271 SET IV TAXOL $86.00 HC62206289 SET IV/PORT ERCP EXTENSION $53.00 HC62206297 SET LACRIMAL INTUBATION $207.00 HC62206305 SET LITHOTRIPTOR $996.00 HC62206313 SET LIVER BIOPSY "$1,560.00 " HC62206321 SET LUMBAR DRAIN $712.00 HC62206339 SET NEEDLE INTRAOSEOUS $313.00 HC62226048 SET NEEDLE INTRAOSEOUS C $98.00 HC62805155 SET NEEDLE TARGETING W/WIRE X "$1,625.00 " HC62228812 SET NEURO MRI GUIDED ABLATE (INSIGHTEC®) "$9,750.00 " HC62802848 SET PEG 14-20 FR CONMED G $325.00 HC62206347 SET PERFUSION $325.00 HC62210802 SET PERITONEAL DIALYSIS $290.00 HC62217880 SET PIN DISTRACTORS-COUNT 10 A "$3,244.00 " HC62217898 SET PIN DISTRACTORS-COUNT 10 B "$6,754.00 " HC62217864 SET PIN DISTRACTORS-COUNT 2 A $650.00 HC62217872 SET PIN DISTRACTORS-COUNT 2 B "$1,352.00 " HC62206354 SET PROSTATE STABILIZATION $397.00 HC62225024 SET REMOVAL NUCLEUS SPINAL "$2,431.00 " HC62224167 SET SHEATH DILATOR "$3,250.00 " HC62228358 SET SHEATH DILATOR (TRUSEAL WATCHMAN) "$4,550.00 " HC62206370 SET SUSPENSION EYE(FRONTALIS) $252.00 HC62206388 SET THERM FOR CARDIAC OUTPUT $147.00 HC62206396 SET THORACENTESIS $517.00 HC62206404 SET THROMBECTOMY PUMP "$1,117.00 " HC62206123 SET TUBING $195.00 HC62225651 SET TUBING CATH COOL-TIP $341.00 HC62211578 SET TUBING DUAL WND IRRIG/SUCTN $243.00 HC62227772 SET TUBING HARVESTER GRAFT ENDO "$1,625.00 " HC62221726 SET TUBING STABILZR ENDOWRST ROBOTIC $910.00 HC62206412 SET TUBING VGFI $373.00 HC62206420 SET URICATH $293.00 HC62211909 SET VACUUM CANNISTER W/GEL $156.00 HC62206438 SET VACUUM CANNISTER W/O GEL $117.00 HC62208285 SET VAGINAL DILATORS $124.00 0955-1052-01 SEVELAMER CARBONATE 0.8 GRAM ORAL PWPK $56.74 0955-1052-90 SEVELAMER CARBONATE 0.8 GRAM ORAL PWPK $56.74 58468-0132-1 SEVELAMER CARBONATE 0.8 GRAM ORAL PWPK $107.09 58468-0132-2 SEVELAMER CARBONATE 0.8 GRAM ORAL PWPK $107.09 65862-930-08 SEVELAMER CARBONATE 0.8 GRAM ORAL PWPK $56.74 65862-930-90 SEVELAMER CARBONATE 0.8 GRAM ORAL PWPK $56.74 16714-814-01 SEVELAMER CARBONATE 800 MG ORAL TAB $12.59 58468-0130-1 SEVELAMER CARBONATE 800 MG ORAL TAB $35.69 60687-328-11 SEVELAMER CARBONATE 800 MG ORAL TAB $40.17 60687-328-31 SEVELAMER CARBONATE 800 MG ORAL TAB $49.57 60687-328-33 SEVELAMER CARBONATE 800 MG ORAL TAB $49.57 60687-328-65 SEVELAMER CARBONATE 800 MG ORAL TAB $40.17 65162-058-27 SEVELAMER CARBONATE 800 MG ORAL TAB $11.08 65862-921-27 SEVELAMER CARBONATE 800 MG ORAL TAB $2.33 0074-4456-04 SEVOFLURANE INHALATION LIQD "$1,128.00 " 0074-4456-51 SEVOFLURANE INHALATION LIQD "$1,128.00 " 0781-6160-43 SEVOFLURANE INHALATION LIQD $774.00 0781-6160-86 SEVOFLURANE INHALATION LIQD $774.00 66794-015-25 SEVOFLURANE INHALATION LIQD $714.00 HC81101826 SEX HORMONE BINDING GLOB $282.00 HC89005367 SEX HORMONE BINDING GLOB2ND-AU $12.00 HC89009864 SEX HORMONE BINDING GLOB-AU $8.00 HC89009856 SEX HORMONE BINDING GLOB-ES $48.00 HC89015549 SEX HORMONE BINDING GLOB-QD $27.00 HC81100620 SGOT(AST) $163.00 HC81100638 SGPT(ALT) $166.00 HC62224175 SHEARS COAGULATING HARMONIC K $585.00 HC62214374 SHEARS COAGULATING HARMONIC N $975.00 HC62216221 SHEARS COAGULATING HARMONIC O "$1,105.00 " HC62216239 SHEARS COAGULATING HARMONIC P "$1,235.00 " HC62216247 SHEARS COAGULATING HARMONIC Q "$1,398.00 " HC62220595 SHEARS COAGULATING HARMONIC R "$1,690.00 " HC62225727 SHEARS COAGULATING HARMONIC T "$1,950.00 " HC62300264 SHEARS HARMONIC ROBOTIC $182.00 HC62206453 SHEATH ABLATION $654.00 HC62227913 SHEATH ARTHROSCOPIC E $260.00 HC62227921 SHEATH ARTHROSCOPIC H $650.00 HC62228432 SHEATH GUIDING TORFLEX (WATCHMAN) $520.00 HC62224597 SHEATH STAPLER ROBOTIC $65.00 HC62228408 SHEATH STEERBL GUIDE SUREFLEX (WATCHMAN) "$2,925.00 " HC62228390 SHEATH TRANSSEPTAL GUIDE KIT(WATCHMAN) "$2,682.00 " HC62206479 SHEATHS ILLUMINATOR "$1,190.00 " HC62206487 SHEEPSKIN $121.00 HC62206495 SHELL BREAST $87.00 HC62227541 SHIELD COLLAGEN CORNEAL $683.00 HC62206503 SHIELD EYE D $57.00 HC62218052 SHIELD EYE L $182.00 HC62206511 SHIELD FULLER $31.00 HC62208764 SHIELD NIPPLE $14.00 HC84200559 SHIGELLA TOXIN BY IMM $127.00 HC84200542 SHIGELLA TOXIN BY IMMUNOASSAY $127.00 HC62217856 SHIM DEVICE ACCESS SPINAL Q $780.00 HC62217088 SHIM DEVICE ACCESS SPINAL X "$1,720.00 " HC62219589 SHIM DEVICE ACCESS SPINAL AE "$2,600.00 " HC62220363 SHIM DEVICE ACCESS SPINAL AK "$6,500.00 " HC44001923 SHOULDER 1 VIEW BILATERAL "$1,351.00 " HC44001931 SHOULDER 1 VIEW LT $710.00 HC44001949 SHOULDER 1 VIEW RT $710.00 HC44001956 SHOULDER ARTHROGRAM BILAT "$3,196.00 " HC44001964 SHOULDER ARTHROGRAM LT "$1,772.00 " HC44001972 SHOULDER ARTHROGRAM RT "$1,772.00 " HC44001980 SHOULDER COMP MIN 2VWS BILAT "$1,782.00 " HC44001998 SHOULDER COMP MIN 2VWS LT $933.00 HC44002004 SHOULDER COMP MIN 2VWS RT $933.00 HC62206529 SHUNT CAROTID $293.00 HC44002012 SIALOGRAPHY "$1,208.00 " HC81500605 SICKLE CELL SCREEN $166.00 HC27001072 SIGMOIDOSCOPY DX DISCONT PROC "$1,131.00 " HC27001098 SIGMOIDOSCOPY FL W/DECOMP&PLAC TUBE "$4,522.00 " HC27001726 SIGMOIDOSCOPY FLEX W/LIGATION BAND "$5,288.00 " HC27001700 SIGMOIDOSCOPY FLEX W/PLACE STENT "$5,472.00 " HC27001718 SIGMOIDOSCOPY FLEX W/RESECT MUCOSL "$5,678.00 " HC27001080 SIGMOIDOSCOPY FLEX BLEED CONT "$5,731.00 " HC27001106 SIGMOIDOSCOPY FLEX DIAGNOSTIC "$4,235.00 " HC27001114 SIGMOIDOSCOPY FLEX INJ SUBMCSL "$4,632.00 " HC27001221 SIGMOIDOSCOPY FLEX SCRN (Q48MO) "$2,998.00 " HC27001130 SIGMOIDOSCOPY FLEX W/BIOPSY "$4,548.00 " HC27001874 SIGMOIDOSCOPY FLEX W/EUS "$5,366.00 " HC27001841 SIGMOIDOSCOPY FLEX W/EUS&FNA/BX "$5,547.00 " HC27001155 SIGMOIDOSCOPY FLEX W/FB(S) REMOV "$4,951.00 " HC27001163 SIGMOIDOSCOPY FLEX W/HOT BX "$4,683.00 " HC25005331 SIGMOIDOSCOPY FLEX W/REMOVE FB "$1,648.00 " HC27001171 SIGMOIDOSCOPY FLEX W/SNARE "$4,915.00 " HC27001692 SIGMOIDSCPY FL W/ABLAT LESN(S)GUIDEWIRE "$5,316.00 " HC27001148 SIGMOIDSCPY FLEX W/DILAT 1+/>STRICT "$5,237.00 " HC42000497 SIGNAL AVERAGE ECG $865.00 55150-166-13 SILDENAFIL (PULM.HYPERTENSION) 10 MG/12.5 ML IV SOLN "$1,110.00 " 0069-4190-68 SILDENAFIL (PULM.HYPERTENSION) 20 MG ORAL TAB $300.19 0093-5517-98 SILDENAFIL (PULM.HYPERTENSION) 20 MG ORAL TAB $5.29 0378-1657-77 SILDENAFIL (PULM.HYPERTENSION) 20 MG ORAL TAB $5.29 0904-6671-04 SILDENAFIL (PULM.HYPERTENSION) 20 MG ORAL TAB $6.97 13668-185-90 SILDENAFIL (PULM.HYPERTENSION) 20 MG ORAL TAB $4.25 50268-717-11 SILDENAFIL (PULM.HYPERTENSION) 20 MG ORAL TAB $7.14 50268-717-15 SILDENAFIL (PULM.HYPERTENSION) 20 MG ORAL TAB $7.14 60687-416-11 SILDENAFIL (PULM.HYPERTENSION) 20 MG ORAL TAB $5.89 60687-416-21 SILDENAFIL (PULM.HYPERTENSION) 20 MG ORAL TAB $5.89 65862-688-90 SILDENAFIL (PULM.HYPERTENSION) 20 MG ORAL TAB $1.33 99998-000-67 SILDENAFIL 2.5 MG/ML ORAL LIQUID (MCH) (COMPOUND) $24.48 99998-000-68 SILDENAFIL 2.5 MG/ML ORAL LIQUID (MCH) (COMPOUND) $36.72 99998-000-69 SILDENAFIL 2.5 MG/ML ORAL LIQUID (MCH) (COMPOUND) $48.96 99999-010-95 SILDENAFIL 2.5 MG/ML ORAL LIQUID (MCH) (COMPOUND) $1.00 0069-4200-30 SILDENAFIL 25 MG ORAL TAB $445.10 0069-4210-30 SILDENAFIL 50 MG ORAL TAB $445.10 69238-1420-3 SILODOSIN 8 MG ORAL CAP $6.00 HC82200114 SILVER METHENMN ST/GR I W/I&R+ $475.00 0093-9614-13 SILVER NITRATE 0.5 % TOPICAL SOLN $362.88 12165-100-01 SILVER NITRATE APPLICATORS 75-25 % TOPICAL STCK $1.44 12165-100-03 SILVER NITRATE APPLICATORS 75-25 % TOPICAL STCK $1.44 12870-0001-1 SILVER NITRATE APPLICATORS 75-25 % TOPICAL STCK $3.63 12870-0001-2 SILVER NITRATE APPLICATORS 75-25 % TOPICAL STCK $3.33 43598-210-25 SILVER SULFADIAZINE 1 % TOPICAL CREAM $45.00 43598-210-40 SILVER SULFADIAZINE 1 % TOPICAL CREAM $316.80 43598-210-50 SILVER SULFADIAZINE 1 % TOPICAL CREAM $74.40 43598-210-55 SILVER SULFADIAZINE 1 % TOPICAL CREAM $74.40 61570-131-20 SILVER SULFADIAZINE 1 % TOPICAL CREAM $49.92 61570-131-50 SILVER SULFADIAZINE 1 % TOPICAL CREAM $82.80 61570-131-55 SILVER SULFADIAZINE 1 % TOPICAL CREAM $74.10 67877-124-05 SILVER SULFADIAZINE 1 % TOPICAL CREAM $73.50 67877-124-50 SILVER SULFADIAZINE 1 % TOPICAL CREAM $73.50 8019629660 SILVER TOPICAL GLSR $183.28 8327030909 SILVER TOPICAL GLSR $183.28 1093960244 SIMETHICONE 40 MG/0.6 ML ORAL DRPS $20.16 1990301020 SIMETHICONE 40 MG/0.6 ML ORAL DRPS $77.94 5618412041 SIMETHICONE 40 MG/0.6 ML ORAL DRPS $31.14 0904-5894-30 SIMETHICONE 40 MG/0.6 ML ORAL DRPS $11.16 49348-740-27 SIMETHICONE 40 MG/0.6 ML ORAL DRPS $20.16 1093979444 SIMETHICONE 80 MG ORAL CHEW $1.00 8770170344 SIMETHICONE 80 MG ORAL CHEW $1.00 0904-5068-60 SIMETHICONE 80 MG ORAL CHEW $1.00 49348-188-10 SIMETHICONE 80 MG ORAL CHEW $1.00 63739-225-10 SIMETHICONE 80 MG ORAL CHEW $1.00 69618-033-01 SIMETHICONE 80 MG ORAL CHEW $1.00 395266116 SIMPLE SYRUP ORAL SYRP $82.30 16714-682-01 SIMVASTATIN 10 MG ORAL TAB $1.00 16714-682-02 SIMVASTATIN 10 MG ORAL TAB $1.00 16714-682-03 SIMVASTATIN 10 MG ORAL TAB $1.00 51079-454-20 SIMVASTATIN 10 MG ORAL TAB $1.00 63739-571-10 SIMVASTATIN 10 MG ORAL TAB $1.00 68084-511-01 SIMVASTATIN 10 MG ORAL TAB $1.00 68084-511-11 SIMVASTATIN 10 MG ORAL TAB $1.00 16714-683-01 SIMVASTATIN 20 MG ORAL TAB $1.00 16714-683-02 SIMVASTATIN 20 MG ORAL TAB $1.00 16714-683-03 SIMVASTATIN 20 MG ORAL TAB $1.00 51079-455-01 SIMVASTATIN 20 MG ORAL TAB $1.00 51079-455-20 SIMVASTATIN 20 MG ORAL TAB $1.00 63739-572-10 SIMVASTATIN 20 MG ORAL TAB $1.00 68084-512-01 SIMVASTATIN 20 MG ORAL TAB $1.44 68084-512-11 SIMVASTATIN 20 MG ORAL TAB $1.44 16714-684-01 SIMVASTATIN 40 MG ORAL TAB $1.00 16714-684-02 SIMVASTATIN 40 MG ORAL TAB $1.00 16714-684-03 SIMVASTATIN 40 MG ORAL TAB $1.00 51079-456-20 SIMVASTATIN 40 MG ORAL TAB $1.00 52959-112-30 SIMVASTATIN 40 MG ORAL TAB $27.61 60687-210-01 SIMVASTATIN 40 MG ORAL TAB $1.00 60687-210-11 SIMVASTATIN 40 MG ORAL TAB $1.00 63739-573-10 SIMVASTATIN 40 MG ORAL TAB $1.00 16714-681-01 SIMVASTATIN 5 MG ORAL TAB $1.00 16714-681-02 SIMVASTATIN 5 MG ORAL TAB $1.00 63739-570-10 SIMVASTATIN 5 MG ORAL TAB $1.23 HC89020861 SIN NOMBRE VIRUS IGG-AU $50.00 HC89020879 SIN NOMBRE VIRUS IGM-AU $52.00 0270-0556-15 SINCALIDE 5 MCG INJ SOLR $500.54 HC44002020 SINUSES COMP MIN 3 VIEWS "$1,058.00 " HC44002038 SINUSES LTD < 3 VWS $722.00 HC41500406 SINUSOIDAL VERT ROTATION(VORT) "$1,360.00 " 0008-1040-05 SIROLIMUS 0.5 MG ORAL TAB $94.87 59762-1001-1 SIROLIMUS 0.5 MG ORAL TAB $41.66 68084-956-25 SIROLIMUS 0.5 MG ORAL TAB $51.76 68084-956-95 SIROLIMUS 0.5 MG ORAL TAB $51.76 68382-520-01 SIROLIMUS 0.5 MG ORAL TAB $40.94 0008-1041-05 SIROLIMUS 1 MG ORAL TAB $189.73 0008-1041-10 SIROLIMUS 1 MG ORAL TAB $189.73 55111-653-01 SIROLIMUS 1 MG ORAL TAB $81.83 0008-1030-04 SIROLIMUS 1 MG/ML ORAL SOLN "$10,842.12 " 60505-6197-2 SIROLIMUS 1 MG/ML ORAL SOLN "$6,315.84 " 69238-1594-3 SIROLIMUS 1 MG/ML ORAL SOLN "$6,315.84 " 0008-1030-06 SIROLIMUS 1 MG/ML ORAL SOLN (MCH) "$10,842.12 " HC89006886 SIROLIMUS(RAPAMUNE)-AU $30.00 0006-0277-01 SITAGLIPTIN 100 MG ORAL TAB $94.68 0006-0277-28 SITAGLIPTIN 100 MG ORAL TAB $94.68 0006-0277-54 SITAGLIPTIN 100 MG ORAL TAB $94.68 0006-0221-01 SITAGLIPTIN 25 MG ORAL TAB $94.68 0006-0221-28 SITAGLIPTIN 25 MG ORAL TAB $94.68 0006-0221-31 SITAGLIPTIN 25 MG ORAL TAB $94.68 0006-0221-54 SITAGLIPTIN 25 MG ORAL TAB $94.68 0006-0112-01 SITAGLIPTIN 50 MG ORAL TAB $94.68 0006-0112-28 SITAGLIPTIN 50 MG ORAL TAB $94.68 0006-0112-31 SITAGLIPTIN 50 MG ORAL TAB $94.68 0006-0112-54 SITAGLIPTIN 50 MG ORAL TAB $94.68 HC62206537 SIZER MAMMARY C $130.00 HC62225289 SIZER MAMMARY G $260.00 HC62219803 SIZER MAMMARY L $780.00 HC62228309 SIZER MAMMARY O $975.00 HC81700692 SJORGEN SYNDROME AB SSA EIA $241.00 HC81700700 SJORGEN SYNDROME AB SSB EIA $241.00 HC62206545 SKIN ADHESIVE TOP 0.5ML APPL $65.00 HC44002046 SKULL COMPLETE MIN 4 VWS "$1,381.00 " HC44002053 SKULL LTD <4 VIEWS $855.00 HC62228721 SLEEP REMOTE(INSPIRE®) "$4,550.00 " HC41000001 SLEEP STUDY - MSLT/MWT "$5,250.00 " HC41000019 SLEEP STUDY ATTENDED "$4,750.00 " HC41000027 SLEEP STUDY ATTENDED DISCNT'D "$1,706.00 " HC62222237 SLEEVE COMPRESSION B $65.00 HC62221346 SLEEVE COMPRESSION C $98.00 HC62221353 SLEEVE COMPRESSION D $130.00 HC62206552 SLEEVE COMPRESSION E $195.00 HC62223078 SLEEVE HOLDING ORTHO $390.00 HC62226626 SLEEVE IMPACTOR $195.00 HC62226428 SLEEVE SUTURE LEAD PACEMAKER $130.00 HC62225008 SLEEVE TROCAR RPRSD B $70.00 HC62213913 SLEEVE VITRECTOMY $117.00 HC51080174 SLING ARM $20.00 HC62206560 SLING ARM $98.00 HC51080141 SLING ARM PEDS $7.00 HC62209614 SLING CUFF AND COLLAR $147.00 HC62209622 SLING KODEL $163.00 HC62209630 SLING PELVIC CANVAS $306.00 HC62217153 SLITTER CATH ADJUST $53.00 HC89011266 SM ENA AB-QD $12.00 HC84200765 SMEAR CELL TYPE $152.00 HC89011381 SMITH (ENA) AD IGG-AU $16.00 HC81700718 SMITH ANTIBODY EIA $241.00 HC89011399 SMITH REFLEX (PNL)-AU $16.00 HC36500015 SMOKING CESSATION > 10 MIN $125.00 HC51003440 SMOKING CESSATION > 10 MIN $94.00 HC36500007 SMOKING CESSATION 3-10 MIN $90.00 HC51003432 SMOKING CESSATION 3-10 MIN $54.00 HC89002950 SMOOTH MUSCLE FA AB SCRN-QD $27.00 HC62222435 SNARE A $33.00 HC62221734 SNARE B $65.00 HC62224027 SNARE D $130.00 HC62206602 SNARE E $195.00 HC62224183 SNARE F $260.00 HC62206586 SNARE G $325.00 HC62223599 SNARE N $910.00 HC62223607 SNARE O "$1,040.00 " HC62223615 SNARE Q "$1,300.00 " HC62223623 SNARE S "$1,950.00 " HC62206594 SNARE DLP TOURNIKWIK $316.00 HC82201237 SNOOKS RETICULIN STAIN GRP II+ $412.00 HC62223524 SOCK FRACTURE ORTHOTIC $108.00 10361-793-01 SOD BICARB-CITRIC AC-SIMETH 2.21-1.53 GRAM/4 GRAM ORAL GREP $14.18 1011900252 SOD BORATE-BORIC AC-NACL-WATER OPHT IRSL $18.41 39410002 SOD FLUORIDE-CA CARBONATE 3.75 (8.25)-145 (364) MG ORAL TAB $1.00 486112501 "SOD PHOS DI, MONO-K PHOS MONO 250 MG ORAL TAB" $4.07 6498010401 "SOD PHOS DI, MONO-K PHOS MONO 250 MG ORAL TAB" $2.03 6808476425 "SOD PHOS DI, MONO-K PHOS MONO 250 MG ORAL TAB" $8.00 6808476495 "SOD PHOS DI, MONO-K PHOS MONO 250 MG ORAL TAB" $8.00 6954326810 "SOD PHOS DI, MONO-K PHOS MONO 250 MG ORAL TAB" $2.03 7135101101 "SOD PHOS DI, MONO-K PHOS MONO 250 MG ORAL TAB" $2.03 HC36800639 SODIUM $146.00 HC81100737 SODIUM $157.00 HC81101792 SODIUM (POS) $157.00 0409-3299-05 SODIUM ACETATE 2 MEQ/ML IV SOLN $27.60 0409-3299-06 SODIUM ACETATE 2 MEQ/ML IV SOLN $37.80 0409-3299-15 SODIUM ACETATE 2 MEQ/ML IV SOLN $27.60 0409-3299-16 SODIUM ACETATE 2 MEQ/ML IV SOLN $37.80 0409-3299-26 SODIUM ACETATE 2 MEQ/ML IV SOLN $25.80 0409-3299-46 SODIUM ACETATE 2 MEQ/ML IV SOLN $25.80 0409-7299-73 SODIUM ACETATE 2 MEQ/ML IV SOLN $18.96 0409-7299-83 SODIUM ACETATE 2 MEQ/ML IV SOLN $18.96 3877905519 SODIUM BENZOATE (BULK) MISC POWD "$2,280.00 " 5192712340 SODIUM BENZOATE (BULK) MISC POWD $2.46 99999-033-39 SODIUM BENZOATE 200 MG/ML ORAL LIQUID (MCH) $1.00 0187-0010-50 SODIUM BENZOATE-SOD PHENYLACET 10-10 % IV SOLN "$273,964.20 " 13811-705-50 SODIUM BENZOATE-SOD PHENYLACET 10-10 % IV SOLN "$219,000.00 " 0409-6625-02 SODIUM BICARBONATE 1 MEQ/ML (8.4 %) IV SOLN $58.20 0409-6625-25 SODIUM BICARBONATE 1 MEQ/ML (8.4 %) IV SOLN $54.00 51754-5001-1 SODIUM BICARBONATE 1 MEQ/ML (8.4 %) IV SOLN $52.50 51754-5001-5 SODIUM BICARBONATE 1 MEQ/ML (8.4 %) IV SOLN $52.50 71456-001-01 SODIUM BICARBONATE 1 MEQ/ML (8.4 %) IV SOLN $180.00 72572-740-01 SODIUM BICARBONATE 1 MEQ/ML (8.4 %) IV SOLN $57.00 72572-740-20 SODIUM BICARBONATE 1 MEQ/ML (8.4 %) IV SOLN $37.80 99999-035-05 SODIUM BICARBONATE 1 MEQ/ML (8.4 %) IV SOLN $1.00 99999-042-34 SODIUM BICARBONATE 1 MEQ/ML (8.4 %) IV SOLN $180.00 0409-6625-14 SODIUM BICARBONATE 1 MEQ/ML INJ (CRRT PRIME LESS THAN 10 KG) $58.50 0409-6625-22 SODIUM BICARBONATE 1 MEQ/ML INJ (CRRT PRIME LESS THAN 10 KG) $58.50 63323-089-50 SODIUM BICARBONATE 1 MEQ/ML INJ (CRRT PRIME LESS THAN 10 KG) $119.40 99999-039-77 SODIUM BICARBONATE 1 MEQ/ML INJ SOLN (FOR ORAL USE) $1.16 0536-1046-10 SODIUM BICARBONATE 325 MG ORAL TAB $1.00 0409-5534-14 SODIUM BICARBONATE 4.2 % (0.5 MEQ/ML) IV SYRG $68.10 0409-5534-24 SODIUM BICARBONATE 4.2 % (0.5 MEQ/ML) IV SYRG $68.10 0409-5534-34 SODIUM BICARBONATE 4.2 % (0.5 MEQ/ML) IV SYRG $64.86 0409-5555-02 SODIUM BICARBONATE 4.2 % IV SOLN $45.78 0409-5555-12 SODIUM BICARBONATE 4.2 % IV SOLN $45.78 7733383110 SODIUM BICARBONATE 650 MG ORAL TAB $1.22 7733383125 SODIUM BICARBONATE 650 MG ORAL TAB $1.22 64980-528-10 SODIUM BICARBONATE 650 MG ORAL TAB $1.00 66553-008-01 SODIUM BICARBONATE 650 MG ORAL TAB $1.00 0409-6637-14 SODIUM BICARBONATE 8.4 % (1 MEQ/ML) IV SYRG $63.30 0409-6637-24 SODIUM BICARBONATE 8.4 % (1 MEQ/ML) IV SYRG $65.10 0409-6637-34 SODIUM BICARBONATE 8.4 % (1 MEQ/ML) IV SYRG $63.30 76329-3352-1 SODIUM BICARBONATE 8.4 % (1 MEQ/ML) IV SYRG $81.00 99999-010-91 SODIUM BICARBONATE 8.4% NO STING INJ (MCH) $1.00 99999-010-92 SODIUM BICARBONATE 8.4% NO STING INJ (MCH) $1.00 0409-1966-02 SODIUM CHLOR 0.9% BACTERIOSTAT 0.9 % INJ SOLN $6.66 0409-1966-05 SODIUM CHLOR 0.9% BACTERIOSTAT 0.9 % INJ SOLN $7.20 0409-1966-07 SODIUM CHLOR 0.9% BACTERIOSTAT 0.9 % INJ SOLN $6.66 63323-259-30 SODIUM CHLOR 0.9% BACTERIOSTAT 0.9 % INJ SOLN $15.48 63323-924-30 SODIUM CHLOR 0.9% BACTERIOSTAT 0.9 % INJ SOLN $12.42 0264-7802-10 SODIUM CHLORIDE 0.45 % 0.45 % IV SOLP $15.00 0409-7985-03 SODIUM CHLORIDE 0.45 % 0.45 % IV SOLP $33.00 0990-7985-09 SODIUM CHLORIDE 0.45 % 0.45 % IV SOLP $30.00 1093940233 SODIUM CHLORIDE 0.65 % NASL SPRA $8.18 0904-3865-75 SODIUM CHLORIDE 0.65 % NASL SPRA $4.75 45802-357-58 SODIUM CHLORIDE 0.65 % NASL SPRA $12.69 6425311123 SODIUM CHLORIDE 0.9 % (FLUSH) INJ SYRG $5.99 8290306544 SODIUM CHLORIDE 0.9 % (FLUSH) INJ SYRG $2.59 8290306546 SODIUM CHLORIDE 0.9 % (FLUSH) INJ SYRG $2.70 0487-9301-03 SODIUM CHLORIDE 0.9 % INHALATION NEBU $1.00 0487-9301-33 SODIUM CHLORIDE 0.9 % INHALATION NEBU $1.00 0409-4888-02 SODIUM CHLORIDE 0.9 % INJ SOLN $5.46 0409-4888-03 SODIUM CHLORIDE 0.9 % INJ SOLN $7.56 0409-4888-06 SODIUM CHLORIDE 0.9 % INJ SOLN $15.30 0409-4888-20 SODIUM CHLORIDE 0.9 % INJ SOLN $7.56 0409-4888-50 SODIUM CHLORIDE 0.9 % INJ SOLN $15.30 63323-186-00 SODIUM CHLORIDE 0.9 % INJ SOLN $67.80 63323-186-20 SODIUM CHLORIDE 0.9 % INJ SOLN $8.76 0409-4888-10 SODIUM CHLORIDE 0.9 % INJ SOLN INTRADERMAL SKIN TEST CONTROL $5.46 0338-0047-47 SODIUM CHLORIDE 0.9 % IRR SOLN $90.00 0338-0048-02 SODIUM CHLORIDE 0.9 % IRR SOLN $19.50 0409-6138-03 SODIUM CHLORIDE 0.9 % IRR SOLN $33.00 0990-7138-09 SODIUM CHLORIDE 0.9 % IRR SOLN $30.00 0338-0553-18 SODIUM CHLORIDE 0.9 % IV PGBK $30.00 0409-7101-02 SODIUM CHLORIDE 0.9 % IV PGBK $19.50 0409-7101-67 SODIUM CHLORIDE 0.9 % IV PGBK $14.40 0264-1800-32 SODIUM CHLORIDE 0.9 % IV SOLP $11.40 0264-7800-10 SODIUM CHLORIDE 0.9 % IV SOLP $15.00 0264-7800-20 SODIUM CHLORIDE 0.9 % IV SOLP $13.50 0338-0049-02 SODIUM CHLORIDE 0.9 % IV SOLP $19.50 0338-0049-10 SODIUM CHLORIDE 0.9 % IV SOLP $14.40 0338-0049-31 SODIUM CHLORIDE 0.9 % IV SOLP $12.00 0338-0049-38 SODIUM CHLORIDE 0.9 % IV SOLP $12.00 0338-0049-48 SODIUM CHLORIDE 0.9 % IV SOLP $13.20 0409-7983-09 SODIUM CHLORIDE 0.9 % IV SOLP $30.00 0409-7983-61 SODIUM CHLORIDE 0.9 % IV SOLP $31.50 0990-7983-03 SODIUM CHLORIDE 0.9 % IV SOLP $33.00 0990-7983-09 SODIUM CHLORIDE 0.9 % IV SOLP $30.00 0990-7983-25 SODIUM CHLORIDE 0.9 % IV SOLP $31.50 0990-7983-61 SODIUM CHLORIDE 0.9 % IV SOLP $31.50 0990-7984-37 SODIUM CHLORIDE 0.9 % IV SOLP $11.40 63323-623-53 SODIUM CHLORIDE 0.9 % IV SOLP $18.00 63323-623-61 SODIUM CHLORIDE 0.9 % IV SOLP $18.00 63323-623-74 SODIUM CHLORIDE 0.9 % IV SOLP $21.00 0990-7983-02 SODIUM CHLORIDE 0.9% IV SOLP FOR BLD TRANSFUSION $31.50 0990-7984-13 SODIUM CHLORIDE 0.9% IV SOLP FOR BLD TRANSFUSION $14.70 0990-7984-23 SODIUM CHLORIDE 0.9% IV SOLP FOR BLD TRANSFUSION $13.80 6936722001 SODIUM CHLORIDE 1 GRAM ORAL TAB $1.00 0223-1760-01 SODIUM CHLORIDE 1 GRAM ORAL TAB $1.00 7733383510 "SODIUM CHLORIDE 1,000 MG MISC TBSO" $1.72 7733383525 "SODIUM CHLORIDE 1,000 MG MISC TBSO" $1.72 99999-007-80 SODIUM CHLORIDE 2 MEQ/ML ORAL SOLN (MCH) $1.00 0338-0054-03 SODIUM CHLORIDE 3 % 3 % IV SOLP $33.00 63323-530-21 SODIUM CHLORIDE 3 % 3 % IV SOLP $24.00 63323-530-75 SODIUM CHLORIDE 3 % 3 % IV SOLP $24.00 378699789 SODIUM CHLORIDE 3 % INHALATION NEBU $4.50 487900360 SODIUM CHLORIDE 3 % INHALATION NEBU $1.99 5019014263 SODIUM CHLORIDE 3 % INHALATION NEBU $3.79 99999-000-36 SODIUM CHLORIDE 4 MEQ / ML ORAL SYRINGE $1.00 63323-187-30 SODIUM CHLORIDE 4 MEQ/ML (23.4%) INFUSION (FOR ELEVATED ICP) $27.00 0409-1141-02 SODIUM CHLORIDE 4 MEQ/ML IV SOLP $22.20 0409-1141-12 SODIUM CHLORIDE 4 MEQ/ML IV SOLP $22.80 63323-088-61 SODIUM CHLORIDE 4 MEQ/ML IV SOLP $70.80 63323-088-63 SODIUM CHLORIDE 4 MEQ/ML IV SOLP $165.60 99998-005-11 SODIUM CHLORIDE 4 MEQ/ML ORAL SOLN (MCH) $2.25 99998-005-12 SODIUM CHLORIDE 4 MEQ/ML ORAL SOLN (MCH) $4.50 99998-005-13 SODIUM CHLORIDE 4 MEQ/ML ORAL SOLN (MCH) $9.00 99999-010-93 SODIUM CHLORIDE 4 MEQ/ML ORAL SOLN (MCH) $1.00 17478-623-12 SODIUM CHLORIDE 5 % OPHT DROP $56.61 24208-277-15 SODIUM CHLORIDE 5 % OPHT DROP $95.85 17478-622-35 SODIUM CHLORIDE 5 % OPHT OINT $56.57 24208-385-55 SODIUM CHLORIDE 5 % OPHT OINT $95.89 487900760 SODIUM CHLORIDE 7 % INHALATION NEBU $1.99 5019014123 SODIUM CHLORIDE 7 % INHALATION NEBU $3.79 225052547 SODIUM CHLORIDE-ALOE VERA NASL GEL $15.40 225052848 SODIUM CHLORIDE-ALOE VERA NASL SPRY $26.27 121059515 SODIUM CITRATE-CITRIC ACID 500-334 MG/5 ML ORAL SOLN $19.62 121059516 SODIUM CITRATE-CITRIC ACID 500-334 MG/5 ML ORAL SOLN $85.14 121059530 SODIUM CITRATE-CITRIC ACID 500-334 MG/5 ML ORAL SOLN $10.80 121119000 SODIUM CITRATE-CITRIC ACID 500-334 MG/5 ML ORAL SOLN $21.24 121119030 SODIUM CITRATE-CITRIC ACID 500-334 MG/5 ML ORAL SOLN $21.24 6025800116 SODIUM CITRATE-CITRIC ACID 500-334 MG/5 ML ORAL SOLN $215.69 99999-039-93 SODIUM CITRATE-CITRIC ACID 500-334 MG/5 ML ORAL SOLN $3.60 0024-2792-01 SODIUM FERRIC GLUCONAT-SUCROSE 62.5 MG/5 ML IV SOLN $190.80 0024-2792-10 SODIUM FERRIC GLUCONAT-SUCROSE 62.5 MG/5 ML IV SOLN $190.80 0143-9298-01 SODIUM FERRIC GLUCONAT-SUCROSE 62.5 MG/5 ML IV SOLN $49.20 0143-9298-10 SODIUM FERRIC GLUCONAT-SUCROSE 62.5 MG/5 ML IV SOLN $49.20 0143-9570-01 SODIUM FERRIC GLUCONAT-SUCROSE 62.5 MG/5 ML IV SOLN $190.80 0143-9570-10 SODIUM FERRIC GLUCONAT-SUCROSE 62.5 MG/5 ML IV SOLN $190.80 99988-000-39 SODIUM FLOURIDE F-18 10 MCI TO 200 MCI/ML IV SOLN $373.75 HC81101222 SODIUM FLUID $169.00 63323-241-20 SODIUM GLYCEROPHOSPHATE 1 MMOL/ML IV SOLN $78.00 8065183004 SODIUM HYALURONATE 10 MG/ML INTRAOCULAR SYRG $692.58 8065183055 SODIUM HYALURONATE 10 MG/ML INTRAOCULAR SYRG $879.06 8065183085 SODIUM HYALURONATE 10 MG/ML INTRAOCULAR SYRG "$1,153.98 " 8544636971 SODIUM HYALURONATE 10 MG/ML INTRAOCULAR SYRG $600.00 5047-4508-38 SODIUM HYALURONATE 10 MG/ML INTRAOCULAR SYRG $325.22 5047-4508-58 SODIUM HYALURONATE 10 MG/ML INTRAOCULAR SYRG $447.17 5047-4508-50 SODIUM HYALURONATE 14 MG/ML INTRAOCULAR SYRG $308.31 5047-4508-54 SODIUM HYALURONATE 14 MG/ML INTRAOCULAR SYRG $459.00 5047-4508-32 SODIUM HYALURONATE 23 MG/ML INTRAOCULAR SYRG $713.76 0436-0672-16 SODIUM HYPOCHLORITE 0.125 % MISC SOLN $56.76 99996-001-36 SODIUM HYPOCHLORITE 0.125 % MISC SOLN $120.00 99999-038-06 SODIUM HYPOCHLORITE 0.125 % MISC SOLUTION (LBM) $30.00 0436-0936-16 SODIUM HYPOCHLORITE 0.25 % MISC SOLN $56.76 39328-063-25 SODIUM HYPOCHLORITE 0.25 % MISC SOLN $76.63 99999-038-07 SODIUM HYPOCHLORITE 0.25 % MISC SOLUTION (LBM) $30.00 0436-0946-16 SODIUM HYPOCHLORITE 0.5 % MISC SOLN $56.76 69945-601-10 SODIUM IODIDE-123 3.7 MBQ (100 MICROCI) ORAL CAP $149.92 69945-602-20 SODIUM IODIDE-123 7.4 MBQ (200 MICROCI) ORAL CAP $199.88 5155200699 SODIUM METABISULFITE (BULK) 100 % MISC GRAN $42.00 60267-311-10 SODIUM NITRITE 30 MG/ML IV SOLN $642.00 60267-812-00 SODIUM NITRITE-SOD THIOSULFATE 300 MG/10 ML- 12.5 GRAM/50 ML IV SOLN "$1,224.00 " 0187-4302-02 SODIUM NITROPRUSSIDE 25 MG/ML IV SOLN "$1,800.00 " 0409-3024-01 SODIUM NITROPRUSSIDE 25 MG/ML IV SOLN $286.44 14789-012-02 SODIUM NITROPRUSSIDE 25 MG/ML IV SOLN $480.00 25021-310-02 SODIUM NITROPRUSSIDE 25 MG/ML IV SOLN $780.00 25021-310-66 SODIUM NITROPRUSSIDE 25 MG/ML IV SOLN $498.78 67457-839-02 SODIUM NITROPRUSSIDE 25 MG/ML IV SOLN $780.00 HC89009880 SODIUM OTHER SOURCE-AU $14.00 49884-170-04 SODIUM PHENYLBUTYRATE 500 MG ORAL TAB $119.04 99999-002-35 SODIUM PHOSPHATE 3 MMOL/ML (NICU) ORAL SYRINGE $5.83 0409-7391-72 SODIUM PHOSPHATE 3 MMOL/ML IV SOLN $87.39 0409-7391-82 SODIUM PHOSPHATE 3 MMOL/ML IV SOLN $87.39 63323-170-05 SODIUM PHOSPHATE 3 MMOL/ML IV SOLN $96.84 63323-170-15 SODIUM PHOSPHATE 3 MMOL/ML IV SOLN $198.09 0132-0201-40 SODIUM PHOSPHATES 19-7 GRAM/118 ML RECTAL ENEM $5.59 0536-7415-51 SODIUM PHOSPHATES 19-7 GRAM/118 ML RECTAL ENEM $4.79 0904-6320-78 SODIUM PHOSPHATES 19-7 GRAM/118 ML RECTAL ENEM $6.38 49348-186-20 SODIUM PHOSPHATES 19-7 GRAM/118 ML RECTAL ENEM $4.79 0132-0202-20 SODIUM PHOSPHATES 9.5-3.5 GRAM/59 ML RECTAL ENEM $7.52 0574-2002-02 SODIUM POLYSTYRENE SULFONATE (SORBITOL) 15 GRAM/60 ML ORAL SUSPENSION $54.00 46287-006-60 SODIUM POLYSTYRENE SULFONATE (SORBITOL) 15 GRAM/60 ML ORAL SUSPENSION $105.12 99999-041-16 SODIUM POLYSTYRENE SULFONATE (SORBITOL) 15 GRAM/60 ML ORAL SUSPENSION $51.84 99999-039-62 SODIUM POLYSTYRENE SULFONATE 1 G/3 ML ORAL SUSP (MCH) $1.08 10702-036-45 SODIUM POLYSTYRENE SULFONATE ORAL POWD $411.32 11534-166-15 SODIUM POLYSTYRENE SULFONATE ORAL POWD $74.97 46287-006-01 SODIUM POLYSTYRENE SULF-SORBTL 15-20 GRAM/60 ML ORAL SUSP $794.64 67457-162-00 SODIUM TETRADECYL SULFATE 1 % (10 MG/ML) IV SOLN $468.76 67457-162-02 SODIUM TETRADECYL SULFATE 1 % (10 MG/ML) IV SOLN $468.76 67457-163-00 SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) IV SOLN $468.76 67457-163-02 SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) IV SOLN $468.76 60267-705-50 SODIUM THIOSULFATE 12.5 GRAM/50 ML (250 MG/ML) IV SOLN $642.00 HC81100059 SODIUM URINE $170.00 0310-1110-01 SODIUM ZIRCONIUM CYCLOSILICATE 10 GRAM ORAL PWPK $134.93 0310-1110-30 SODIUM ZIRCONIUM CYCLOSILICATE 10 GRAM ORAL PWPK $134.93 0310-1110-39 SODIUM ZIRCONIUM CYCLOSILICATE 10 GRAM ORAL PWPK $134.92 0310-1105-01 SODIUM ZIRCONIUM CYCLOSILICATE 5 GRAM ORAL PWPK $134.93 0310-1105-30 SODIUM ZIRCONIUM CYCLOSILICATE 5 GRAM ORAL PWPK $134.93 HC89022941 "SODIUM, BODY FLUID-AU" $10.00 HC44002087 SOFT PALATE CINE (OR VIDEO) $859.00 50228-427-30 SOLIFENACIN 5 MG ORAL TAB $2.00 50228-427-90 SOLIFENACIN 5 MG ORAL TAB $2.00 51248-150-01 SOLIFENACIN 5 MG ORAL TAB $77.10 51248-150-03 SOLIFENACIN 5 MG ORAL TAB $77.10 HC89021125 SOLUBLE IL-2R -CN $309.00 HC62206610 SOLUTION BSS $72.00 HC62206628 SOLUTION BSS PLUS 500ML $403.00 HC62206636 SOLUTION CONCHA WATER $74.00 HC62203633 SOLUTION DEBRIDEMENT WOUND $195.00 HC62206644 SOLUTION DIALYSIS $81.00 HC89009906 SOMATOMEDIN-AU $9.00 HC89009898 SOMATOMEDIN-ES $59.00 HC89000590 SOMATOMEDIN-QD $27.00 HC41500414 SOMATOSENSORY HEAD/TRUNK "$2,481.00 " HC41500422 SOMATOSENSORY LOWER LIMBS "$2,642.00 " HC41500430 SOMATOSENSORY UPPER LIMBS "$2,770.00 " HC41500513 SOMATOSENSORY UPPER& LWR LIMBS "$4,221.00 " 0013-2650-01 SOMATROPIN 0.4 MG/0.25 ML SUBCUTANEOUS SYRG $230.33 0013-2650-02 SOMATROPIN 0.4 MG/0.25 ML SUBCUTANEOUS SYRG $343.42 50419-488-58 SORAFENIB 200 MG ORAL TAB $999.06 99999-035-91 SORAFENIB 200 MG/30 ML ORAL LIQUID $823.97 0338-0295-47 SORBITOL 3 % IRR SOLN $126.00 4628750001 SORBITOL 70 % MISC SOLN $42.57 4628750030 SORBITOL 70 % MISC SOLN $10.62 54162-700-16 SORBITOL 70 % MISC SOLN $22.75 0990-7981-08 SORBITOL-MANNITOL 2.7-0.54 GRAM/100 ML TRANSURETHRA SOLN $90.00 99999-036-32 SOTALOL 5 MG/ML ORAL LIQUID $1.00 0093-1061-01 SOTALOL 80 MG ORAL TAB $1.68 0245-0012-01 SOTALOL 80 MG ORAL TAB $9.58 0245-0012-89 SOTALOL 80 MG ORAL TAB $9.54 60505-0080-0 SOTALOL 80 MG ORAL TAB $1.69 68084-654-01 SOTALOL 80 MG ORAL TAB $7.63 68084-654-11 SOTALOL 80 MG ORAL TAB $7.63 76385-114-01 SOTALOL 80 MG ORAL TAB $1.72 HC62808019 SPACER HYDROGEL PROSTATE-RECTUM "$9,263.00 " HC33000001 SP-ASSESS APHASIA/REPT EA HR/M $447.00 HC33000118 SP-ASSESS ASSIST TECH 15MIN/CM $177.00 HC88600234 SPECIAL COURIER 25 $32.00 HC88600267 SPECIAL COURIER 30 $38.00 HC88600242 SPECIAL COURIER 40 $51.00 HC88600226 SPECIAL COURIER 85 $108.00 HC88600275 SPECIAL COURIER 110 $139.00 HC47200571 SPECIAL DOSIMETRY "$1,507.00 " HC47200597 "SPECIAL RAD TX;IRRAD,ENDO,CONE" "$6,021.00 " HC84200252 SPECIAL STAIN $196.00 HC83505909 SPECIAL STAIN GROUP I -AP $25.00 HC83505461 SPECIAL STAIN GROUP I -NG $57.00 HC82202607 SPECIAL STAIN GROUP I+ $475.00 HC83505917 SPECIAL STAIN GROUP II -AP $40.00 HC83505479 SPECIAL STAIN GROUP II -NG $50.00 HC83505743 SPECIAL STAIN GROUP II(PANEL)-U2 $50.00 HC82200577 SPECIAL STAIN GROUP II+ $412.00 HC82202615 SPECIAL STAIN GROUP II+ *OP $412.00 HC83505495 SPECIAL STAIN GROUP II+-CS $70.10 HC83500785 SPECIAL STAIN GRP I W/ I&R+-MA $152.00 HC82200569 SPECIAL STAIN GRP I W/INT&RPT+ $475.00 HC83505768 SPECIAL STAIN GRP III ENZYMES(PANEL)-U2 $69.00 HC84200625 SPECIAL STAIN THICK $132.00 HC89019483 SPECIAL STAIN;MICROSPORIDIA-AU $10.00 HC82200445 SPECIAL STN GRP I W/I&R * OP $475.00 HC47200589 SPECIAL TELETHERAPY PORT PLAN "$3,411.00 " HC81100836 SPECIFIC GRAVITY FLUID $84.00 HC89022818 SPECIFIC GRAVITY FLUID -U2 $14.00 HC89005847 SPECIMEN CONCENTRATION-U2 $9.00 HC62206651 SPECULUM VAGINAL (DISP) $85.00 HC44002095 SPEECH STUDY - CINE/VIDEO "$1,217.00 " HC89001739 SPERM AB (PNL)-AU $33.00 HC89000517 SPERM ANTIBODIES-AU $48.00 HC62227533 SPHINCTEROTOME C $390.00 HC62216197 SPHINCTEROTOME E $650.00 HC62216205 SPHINCTEROTOME F $780.00 HC62216213 SPHINCTEROTOME G $910.00 HC62206669 SPHINCTEROTOME H "$1,040.00 " HC62216148 SPHINCTEROTOME CANNULATING G $910.00 HC62216155 SPHINCTEROTOME CANNULATING H "$1,040.00 " HC62216163 SPHINCTEROTOME CANNULATING I "$1,170.00 " HC62216171 SPHINCTEROTOME CANNULATING J "$1,300.00 " HC62216189 SPHINCTEROTOME CANNULATING K "$1,430.00 " HC62211974 SPHINCTEROTOME CANNULATING L "$1,560.00 " HC62204953 SPHINCTEROTOME NEEDLE KNIFE $650.00 HC62206677 SPHINCTEROTOME W/WIRE M "$1,690.00 " HC62226055 SPIKE BONE ORTHO $260.00 HC62210869 SPINAL HOOK DEVICE $260.00 HC89020937 SPINAL MUSCULAR ATROPHY-QN $695.00 HC44002871 SPINE ENTIRE SKULL-SACRUM 1 VIEW $762.00 HC44002889 SPINE ENTIRE SKULL-SACRUM 2-3 VIEWS "$1,151.00 " HC44002897 SPINE ENTIRE SKULL-SACRUM 4-5 VIEWS "$1,542.00 " HC44002905 SPINE ENTIRE SKULL-SACRUM 6/> VIEWS "$1,852.00 " HC44002228 SPINE THORACOLUMBAR JUNCTN MIN 2 VWS $892.00 HC62206685 SPIROMETER INCENTIVE $9.00 HC36800761 SPIROMETRY INF PRE&POST RX ADM "$1,087.00 " HC36800753 SPIROMETRY INFANT-2Y/O $635.00 HC51061935 SPIROMETRY PT INITIATED 30DAY; EDUCATION TRANSMIT INTERPRETATION $525.00 HC51061943 SPIROMETRY PT INITIATED 30DAY; HOOKUP RECORD TREND RECALIBRATION $500.00 HC36001055 SPIROMETRY W/MEASUREMNTS& REC $854.00 HC36800381 SPIROMETRY W/MEASUREMNTS& REC $854.00 HC51000172 SPIROMETRY W/MEASUREMNTS& REC $247.00 HC36001063 SPIROMETRY W/PRE&POST BRONCHO "$1,587.00 " HC36800399 SPIROMETRY W/PRE&POST BRONCHO "$1,587.00 " HC51000180 SPIROMETRY W/PRE&POST BRONCHO $467.00 51079-980-01 SPIRONOLACTONE 100 MG ORAL TAB $6.38 59762-5013-1 SPIRONOLACTONE 100 MG ORAL TAB $5.76 60687-487-01 SPIRONOLACTONE 100 MG ORAL TAB $4.38 60687-487-11 SPIRONOLACTONE 100 MG ORAL TAB $4.38 99999-041-33 SPIRONOLACTONE 12.5 MG ORAL PARTIAL TAB $1.00 0378-2146-01 SPIRONOLACTONE 25 MG ORAL TAB $1.00 0378-2146-05 SPIRONOLACTONE 25 MG ORAL TAB $1.00 16714-084-01 SPIRONOLACTONE 25 MG ORAL TAB $1.00 16729-225-01 SPIRONOLACTONE 25 MG ORAL TAB $1.00 51079-103-01 SPIRONOLACTONE 25 MG ORAL TAB $1.00 51079-103-20 SPIRONOLACTONE 25 MG ORAL TAB $1.00 53489-143-01 SPIRONOLACTONE 25 MG ORAL TAB $1.00 53489-143-05 SPIRONOLACTONE 25 MG ORAL TAB $1.00 53489-143-10 SPIRONOLACTONE 25 MG ORAL TAB $1.00 53746-511-01 SPIRONOLACTONE 25 MG ORAL TAB $1.00 53746-511-05 SPIRONOLACTONE 25 MG ORAL TAB $1.00 53746-511-10 SPIRONOLACTONE 25 MG ORAL TAB $1.00 59746-216-01 SPIRONOLACTONE 25 MG ORAL TAB $1.00 59762-5011-1 SPIRONOLACTONE 25 MG ORAL TAB $1.30 63739-544-10 SPIRONOLACTONE 25 MG ORAL TAB $1.38 65162-511-10 SPIRONOLACTONE 25 MG ORAL TAB $1.00 65162-511-50 SPIRONOLACTONE 25 MG ORAL TAB $1.00 46287-020-04 SPIRONOLACTONE 25 MG/5 ML ORAL SUSP "$1,925.05 " 0378-0243-01 SPIRONOLACTONE 50 MG ORAL TAB $3.43 0378-0243-05 SPIRONOLACTONE 50 MG ORAL TAB $3.26 51079-979-01 SPIRONOLACTONE 50 MG ORAL TAB $2.40 51079-979-20 SPIRONOLACTONE 50 MG ORAL TAB $2.40 53489-328-01 SPIRONOLACTONE 50 MG ORAL TAB $1.71 53746-514-01 SPIRONOLACTONE 50 MG ORAL TAB $2.64 53746-514-05 SPIRONOLACTONE 50 MG ORAL TAB $2.56 63739-545-10 SPIRONOLACTONE 50 MG ORAL TAB $3.15 65162-514-10 SPIRONOLACTONE 50 MG ORAL TAB $2.64 99999-036-28 SPIRONOLACTONE-HYDROCHLOROTHIAZIDE ORAL SUSP (MCH) $3.07 53489-144-01 SPIRONOLACTON-HYDROCHLOROTHIAZ 25-25 MG ORAL TAB $7.32 59762-5014-1 SPIRONOLACTON-HYDROCHLOROTHIAZ 25-25 MG ORAL TAB $5.94 HC33000209 SP-LARYNGEAL FUNCTION STUDIES $526.00 HC44501872 SPLENOPORTOGRAM "$6,222.00 " HC62206727 SPLINT CLAVICLE $46.00 HC62223391 SPLINT ELBOW/KNEE B $65.00 HC62224514 SPLINT ELBOW/KNEE F $260.00 HC51080133 SPLINT FINGER $7.00 HC62206735 SPLINT FINGER $52.00 HC62224860 SPLINT FINGER OUTRIGGER A $39.00 HC62224878 SPLINT FINGER OUTRIGGER B $72.00 HC25000514 SPLINT FINGER STATIC $468.00 HC62209002 SPLINT FOOT $553.00 HC62214036 SPLINT FOOT DROP PREFAB $82.00 HC62221361 SPLINT FOOT DROP PREFAB $283.00 HC62206750 SPLINT FULL LEG AIR PREFAB $143.00 HC62206743 SPLINT LEG $143.00 HC25000522 SPLINT LONG ARM $604.00 HC25000530 SPLINT LONG LEG $648.00 HC62206768 SPLINT MULTI-PODUS BOOT $182.00 HC62204813 SPLINT NASAL D $130.00 HC62228531 SPLINT NASAL(POSISEP) I $455.00 HC62225016 SPLINT NERVE RADIAL HAND-BASED $342.00 HC62225263 SPLINT RESTRICTION CMC THUMB $65.00 HC25000548 SPLINT SHORT ARM $502.00 HC25000555 SPLINT SHORT LEG $528.00 HC62209481 SPLINT WRIST PREFAB $143.00 HC62210273 SPLINT WRIST/ HAND RESTING $293.00 HC83000224 SPLITTING BLD/BLD PROD EA UNIT $358.00 HC89012025 SPOROTRICHOSIS AB-FT $75.00 HC62220454 SPRAY ADHESIVE OSTOMY $53.00 HC84200393 SPUTUM EVALUATION STAIN $152.00 HC36000248 SPUTUM INDUC TX SUBSQ SAME DAY $445.00 HC36000230 SPUTUM INDUCTION INIT TX $483.00 HC47200829 "SRS LINR ACCL FX 1-5 SESSNS,CMPLT" "$24,572.00 " HC47200811 "SRS LINR ACCL TX 1 SESSN,CMPLT(CRANIAL)" "$34,488.00 " HC47200845 "SRS ROBOTIC FX EA 1-5 SESS,CMPLT" "$24,828.00 " HC47200837 "SRS ROBOTIC TX 1 SESSN, CMPLT(CRANIAL)" "$34,488.00 " HC89011415 SSA ENA AB-QD $13.00 HC89011407 SSA REFLEX (PNL)-AU $16.00 HC89011431 SSB ENA AB-QD $13.00 HC89011423 SSB REFLEX (PNL)-AU $16.00 HC14500078 SS-NUTRIT-POST PARTUM EA 15MIN $202.00 HC51060549 ST EVAL BEHAVRAL QUAL VOICE &RESONANCE/M $175.00 HC33010083 ST EVAL BEHAVRAL QUAL VOICE [15MIN] $135.00 HC33001124 ST EVAL BEHAVRAL QUAL VOICE 120MIN/M $809.00 HC33001132 ST EVAL BEHAVRAL QUAL VOICE 180MIN/M "$1,025.00 " HC33001082 ST EVAL BEHAVRAL QUAL VOICE 30MIN/M $291.00 HC33001090 ST EVAL BEHAVRAL QUAL VOICE 45MIN/M $426.00 HC33001108 ST EVAL BEHAVRAL QUAL VOICE 60MIN/M $530.00 HC33001165 ST EVAL BEHAVRAL QUAL VOICE 90MIN/M $714.00 HC51060531 ST EVAL SOUND PROD W/LANG COMP&EXPRESS/C $258.00 HC33010067 ST EVAL SOUND PRODUCTION [15MIN] $118.00 HC33001009 ST EVAL SOUND PRODUCTION 120MIN/M $717.00 HC33001017 ST EVAL SOUND PRODUCTION 180MIN/M $898.00 HC33000969 ST EVAL SOUND PRODUCTION 30MIN/M $240.00 HC33000977 ST EVAL SOUND PRODUCTION 45MIN/M $366.00 HC33000985 ST EVAL SOUND PRODUCTION 60MIN/M $458.00 HC33000993 ST EVAL SOUND PRODUCTION 90MIN/M $646.00 HC51060523 ST EVAL SOUND PRODUCTION/M $161.00 HC33010059 ST EVAL SOUND W/LANG COMP&EXPRESS [15MIN] $177.00 HC33001066 ST EVAL SOUND W/LANG COMP&EXPRESS 120MIN/M "$1,102.00 " HC33001074 ST EVAL SOUND W/LANG COMP&EXPRESS 180MIN/M "$1,301.00 " HC33001025 ST EVAL SOUND W/LANG COMP&EXPRESS 30MIN/M $469.00 HC33001157 ST EVAL SOUND W/LANG COMP&EXPRESS 45MIN/M $620.00 HC33001041 ST EVAL SOUND W/LANG COMP&EXPRESS 60MIN/M $752.00 HC33001058 ST EVAL SOUND W/LANG COMP&EXPRESS 90MIN/M "$1,004.00 " HC33010075 ST EVAL SPEECH FLUENCY [15MIN] $148.00 HC33000944 ST EVAL SPEECH FLUENCY 120MIN/M $790.00 HC33001140 ST EVAL SPEECH FLUENCY 180MIN/M $948.00 HC33000902 ST EVAL SPEECH FLUENCY 30MIN/M $286.00 HC33000910 ST EVAL SPEECH FLUENCY 45MIN/M $419.00 HC33000928 ST EVAL SPEECH FLUENCY 60MIN/M $538.00 HC33000936 ST EVAL SPEECH FLUENCY 90MIN/M $736.00 HC51060515 ST EVAL SPEECH FLUENCY/M $205.00 HC62300462 STABILIZER ENDOWRIST ROBOTIC "$7,150.00 " HC62216254 STABILIZER HEART OCTOPUS E "$2,600.00 " HC62216262 STABILIZER HEART OCTOPUS L "$4,875.00 " HC62211198 STABILIZER HEART OCTOPUS O "$5,850.00 " HC62226436 STABILIZER LEAD PACING $130.00 HC83505487 STAIN IMMUNOHISTOCHEMICAL QUANT -NG $45.00 HC62214671 STAPLE CARTRG/ENDO RELOAD B $65.00 HC62218078 STAPLE CARTRG/ENDO RELOAD D $130.00 HC62219597 STAPLE CARTRG/ENDO RELOAD E $195.00 HC62218565 STAPLE CARTRG/ENDO RELOAD F $260.00 HC62218573 STAPLE CARTRG/ENDO RELOAD G $130.00 HC62202932 STAPLE CARTRG/ENDO RELOAD H $390.00 HC62223631 STAPLE CARTRG/ENDO RELOAD I $455.00 HC62223649 STAPLE CARTRG/ENDO RELOAD J $520.00 HC62228325 STAPLE CARTRG/ENDO RELOAD M $780.00 HC62223656 STAPLE CARTRG/ENDO RELOAD O "$1,040.00 " HC62218581 STAPLE CARTRG/ENDO RELOAD P "$1,170.00 " HC62218599 STAPLE CARTRG/ENDO RELOAD Q "$1,300.00 " HC62218516 STAPLE CARTRG/RELOAD LIN CUT H $163.00 HC62214382 STAPLE CARTRG/RELOAD LIN CUT N $358.00 HC62804661 STAPLE REINFORCEMENT(SEAMGUARD)     B $497.00 HC62807821 STAPLE REINFORCEMENT(SEAMGUARD)     C $608.00 HC62804679 STAPLE REINFORCEMENT(SEAMGUARD)     D $887.00 HC62206792 STAPLE REMOVER $30.00 HC62209168 STAPLE STONE/TABLE $330.00 HC62211933 STAPLER ENDO POWERED "$1,015.00 " HC62228580 STAPLER INTERNAL EEA "$3,825.00 " HC62208525 STAPLER POWERED $722.00 HC62300256 STAPLER ROBOTIC (ENDOWRIST) $455.00 HC62228317 STAPLER SINGLE USE ROBOTIC "$1,690.00 " HC62206800 STAPLER SKIN D $130.00 HC62221379 STAPLER SKIN F $260.00 HC89020242 STAT3 SNP (RS744166)(PNL)-PR $14.40 65862-112-60 STAVUDINE 20 MG ORAL CAP $9.38 HC62206818 STAYS UROLOGY[LONESTAR] $124.00 HC33001207 ST-DEV COGNITIVE SKILL 30MIN/CW $327.00 HC33010125 ST-DEV COGNITIVE SKILLS ADDL 15MIN $216.00 HC33010117 ST-DEV COGNITIVE SKILLS INITL 15MIN $224.00 HC33000787 ST-DYSPHAGIA SCREENING/IP $126.00 HC82200155 STEINER STN/GR I W/I&R+ $475.00 HC33000134 ST-ENDOSCOP EVAL SWALLOW/LARYN "$1,225.00 " HC51061182 ST-ENDOSCOP EVAL SWALLOW/LARYN $349.00 HC33000142 ST-ENDOSCOPIC EVAL LARYNGEAL "$1,169.00 " HC33000159 ST-ENDOSCOPIC EVAL SWALLOW "$1,486.00 " HC51061174 ST-ENDOSCOPIC EVAL SWALLOW $324.00 HC62804919 STENT BILIARY COVRD W/DELSYS A "$2,600.00 " HC62804927 STENT BILIARY COVRD W/DELSYS B "$2,925.00 " HC62804935 STENT BILIARY COVRD W/DELSYS C "$3,250.00 " HC62806971 STENT BILIARY COVRD W/DELSYS K "$5,850.00 " HC62804943 STENT BILIARY COVRD W/DELSYS T "$8,775.00 " HC62804950 STENT BILIARY COVRD W/DELSYS U "$9,100.00 " HC62804968 STENT BILIARY COVRD W/DELSYS V "$9,425.00 " HC62805304 STENT BILIARY PLASTIC F $455.00 HC62802079 STENT BILIARY PLASTIC L $618.00 HC62802087 STENT CAROTID "$10,400.00 " HC62802095 STENT COAT/COVRD W/O DEL SYS "$8,060.00 " HC62802855 STENT COLONIC/DUOD NOCOV&DEL "$8,060.00 " HC62804588 STENT CORO BARE METAL W/DEL A $910.00 HC62804596 STENT CORO BARE METAL W/DEL B "$1,556.00 " HC62803861 STENT CORO BARE METAL W/DEL C "$2,207.00 " HC62803879 STENT CORO BARE METAL W/DEL D "$2,397.00 " HC62803887 STENT CORO BARE METAL W/DEL E "$2,600.00 " HC62803895 STENT CORO BARE METAL W/DEL F "$3,250.00 " HC62803903 STENT CORO BARE METAL W/DEL G "$3,900.00 " HC62803911 STENT CORO BARE METAL W/DEL H "$4,550.00 " HC62803929 STENT CORO BARE METAL W/DEL I "$5,200.00 " HC62802152 STENT CORO BARE METAL W/DEL J "$5,850.00 " HC62804604 STENT CORO BARE METAL W/DEL K "$6,500.00 " HC62802061 STENT CORO COVRD W/DEL SYS "$9,263.00 " HC62808159 STENT COV W/DEL SYS PVD B "$7,638.00 " HC62807268 STENT COV W/DEL SYS PVD M "$15,600.00 " HC62807326 STENT COVRD W/DEL SYS(AXIOS) AE "$14,300.00 " HC62808183 STENT DES CORO COV GRAFTMASTER H000001 "$7,800.00 " HC62804612 STENT DES CORO COV W/DEL SYS D "$2,275.00 " HC62808399 STENT DES CORO COV W/DEL SYS E "$2,600.00 " HC62808407 STENT DES CORO COV W/DEL SYS G "$3,250.00 " HC62804620 STENT DES CORO COV W/DEL SYS I "$3,900.00 " HC62803937 STENT DES CORO COV W/DEL SYS L "$4,875.00 " HC62803812 STENT DES CORO COV W/DEL SYS M "$5,200.00 " HC62803820 STENT DES CORO COV W/DEL SYS N "$5,525.00 " HC62803846 STENT DES CORO COV W/DEL SYS O "$5,850.00 " HC62803853 STENT DES CORO COV W/DEL SYS Q "$6,500.00 " HC62804638 STENT DES CORO COV W/DEL SYS R "$7,150.00 " HC62806211 STENT DES CORO COV W/DEL SYS S "$7,800.00 " HC62804646 STENT DES CORO COV W/DEL SYS T "$8,450.00 " HC62802129 STENT DES CORO COV W/DEL SYS V "$10,075.00 " HC62803838 STENT DES CORO COV W/DEL SYS X "$11,050.00 " HC62807953 STENT ENDOPRSTH AAA C "$7,800.00 " HC62806864 STENT ENDOPRSTH AAA F "$10,075.00 " HC62803325 STENT ENDOPRSTH AAA I "$11,375.00 " HC62806799 STENT ENDOPRSTH AAA K "$13,000.00 " HC62806807 STENT ENDOPRSTH AAA L "$14,300.00 " HC62806815 STENT ENDOPRSTH AAA M "$15,600.00 " HC62807409 STENT ENDOPRSTH AAA P "$19,500.00 " HC62806823 STENT ENDOPRSTH AAA S "$23,400.00 " HC62803317 STENT ENDOPRSTH AAA V "$29,250.00 " HC62806831 STENT ENDOPRSTH AAA W "$32,500.00 " HC62808050 STENT ENDOPRSTH AAA Y "$39,000.00 " HC62808068 STENT ENDOPRSTH AAA AA "$45,500.00 " HC62807961 STENT ENDOPRSTH LEG ILIAC A "$6,500.00 " HC62807979 STENT ENDOPRSTH LEG ILIAC G "$10,725.00 " HC62806872 STENT ENDOPRSTH PVD(VIABAHN) F "$9,750.00 " HC62802103 STENT ENDOPRSTH PVD(VIABAHN) G "$10,400.00 " HC62806880 STENT ENDOPRSTH PVD(VIABAHN) H "$11,050.00 " HC62806898 STENT ENDOPRSTH PVD(VIABAHN) J "$12,350.00 " HC62806922 STENT ENDOPRSTH TAA W "$32,500.00 " HC62808076 STENT ENDOPRSTH TAA AA "$45,500.00 " HC62806930 STENT ENDOPRSTH TAA AB "$48,750.00 " HC62807987 STENT ENDOPRSTH TAA AC "$52,000.00 " HC62807243 STENT ENDOPRSTH TAA AD "$55,250.00 " HC62806849 STENT ENDOPRSTH TAA AE "$58,500.00 " HC62807417 STENT ENDOPRSTH TAA AF "$61,750.00 " HC62808118 STENT ENDOPRSTH TAA IDE G040175 "$48,750.00 " HC62802053 STENT ENDOPRSTH TIPS(VIATORR) K "$13,650.00 " HC62802756 STENT ESOPHAGEAL;CVRD;DEL C "$7,800.00 " HC62806914 STENT EXTENDER ENDOGRAFT AAA J "$4,225.00 " HC62807854 STENT EXTENDER ENDOGRAFT AAA Q "$6,500.00 " HC62808431 STENT EXTENDER ENDOGRAFT AAA Q "$6,500.00 " HC62808100 STENT EXTENDER ENDOGRAFT AAA V "$9,750.00 " HC62808084 STENT EXTENDER ENDOGRAFT AAA X "$11,050.00 " HC62808092 STENT EXTENDER ENDOGRAFT AAA AD "$16,900.00 " HC62807862 STENT EXTENDER ENDOGRAFT TAA O "$17,875.00 " HC62808571 STENT FULLY COVERED VIABIL "$7,800.00 " HC62808209 STENT NEUROVASC CODMAN ENTRPRS H060001 "$24,528.00 " HC62807201 STENT NEUROVASC LVIS MICROVENTION H130005 "$23,400.00 " HC62808191 STENT NEUROVASC NEUROFORM ATLAS H020002 "$23,563.00 " HC62807193 STENT NEUROVASC WINGSPAN H050001 "$23,709.00 " HC62802954 STENT NEUROVASCULAR D "$8,450.00 " HC62802970 STENT NEUROVASCULAR O "$18,200.00 " HC62807029 STENT NON CORON W/DELIV SYS B $260.00 HC62804893 STENT NON CORON W/DELIV SYS D $455.00 HC62804901 STENT NON CORON W/DELIV SYS E $520.00 HC62806450 STENT NON-COAT/NON-COV W-DEL I $455.00 HC62808357 STENT NON-COAT/NON-COV W-DEL R "$1,625.00 " HC62803739 STENT NON-COAT/NON-COV W-DEL S "$1,950.00 " HC62807003 STENT NON-COAT/NON-COV W-DEL T "$2,275.00 " HC62807441 STENT NON-COAT/NON-COV W-DEL U "$2,600.00 " HC62803747 STENT NON-COAT/NON-COV W-DEL V "$2,925.00 " HC62803754 STENT NON-COAT/NON-COV W-DEL X "$3,575.00 " HC62806526 STENT NON-COAT/NON-COV W-DEL AA "$4,550.00 " HC62807151 STENT NON-COAT/NON-COV W-DEL AB "$4,875.00 " HC62807458 STENT NON-COAT/NON-COV W-DEL AC "$5,200.00 " HC62802046 STENT NON-COAT/NON-COV W-DEL AD "$5,850.00 " HC62803762 STENT NON-COAT/NON-COV W-DEL AE "$6,175.00 " HC62807235 STENT NON-COAT/NON-COV W-DEL AF "$6,500.00 " HC62802186 STENT NON-COAT/NON-COV W-DEL AG "$7,150.00 " HC62803770 STENT NON-COAT/NON-COV W-DEL AH "$7,800.00 " HC62807144 STENT NON-COAT/NON-COV W-DEL AI "$8,288.00 " HC62805288 STENT NON-COAT/NON-COV W-DEL AJ "$8,450.00 " HC62803788 STENT NON-CORON TEMP NO DELIV SYS F $260.00 HC62802194 STENT NON-CORON TEMP NO DELIV SYS L $650.00 HC62803986 STENT PANC/URETERAL J $520.00 HC62802178 STENT PANCREATIC M $780.00 HC44501880 STENT PLAC INTRACRANIAL "$29,947.00 " HC62802137 STENT PV BARE METAL W/O DEL SYS "$4,908.00 " HC62802111 STENT PV SELF EXP CVRD/DEL SPX "$10,855.00 " HC62216106 STENT REMOVER C $390.00 HC62216114 STENT REMOVER D $520.00 HC62216122 STENT REMOVER E $650.00 HC62209739 STENT REMOVER F $780.00 HC62216130 STENT REMOVER G $910.00 HC62807300 STENT TRACHEOBRONC COV W/DEL SYS C "$5,850.00 " HC62804414 STENT TRACHEOBRONC COV W/DEL SYS E "$6,500.00 " HC62804422 STENT TRACHEOBRONC COV W/DEL SYS F "$7,150.00 " HC62804430 STENT TRACHEOBRONC COV W/DEL SYS G "$7,800.00 " HC62804448 STENT TRACHEOBRONC COV W/DEL SYS H "$8,450.00 " HC62807318 STENT TRACHEOBRONC COV W/DEL SYS L "$11,050.00 " HC62808290 STENT TRANSCAROTID COV W/DEL SYS "$8,288.00 " HC62803952 STENT URETERAL C $98.00 HC62807912 STENT URETERAL E $195.00 HC62803960 STENT URETERAL G $325.00 HC62803978 STENT URETERAL H $390.00 HC62807995 STENT URETERAL L $650.00 HC62806682 STENT URETERAL ENDOPYELOTOMY AB "$4,875.00 " HC29000320 STEP TEST $235.00 HC47200894 STEREOTACTIC BODY RAD THER "$4,229.00 " HC62206826 STERI STRIP $13.00 62327-444-04 STERILE TALC 4 GRAM INTRAPLEURAL SUSR $840.00 62327-444-44 STERILE TALC 4 GRAM INTRAPLEURAL SUSR $840.00 0000-3763-00 STERILE TALC 5 GRAM INTRAPLEURAL SUSR $546.00 63256-200-05 STERILE TALC 5 GRAM INTRAPLEURAL SUSR $597.00 HC44002111 STERNOCLAVICULAR MIN 3 VWS $797.00 HC44002129 STERNUM MIN 2 VIEWS $740.00 HC33000696 ST-EVAL LANGUAGE CMPNT 60MIN $671.00 HC33000704 ST-EVAL LANGUAGE CMPNT 90MIN $895.00 HC33000712 ST-EVAL LANGUAGE CMPT 120MIN $984.00 HC33000720 ST-EVAL LANGUAGE CMPT 180MIN "$1,194.00 " HC33000811 ST-EVAL NONSP'CH DEV RX:ADD30MIN $572.00 HC33000761 ST-EVAL NONSPEECH DEVICE RX:1ST HR $930.00 HC33000175 ST-EVAL RX SP GEN DEV ADD30MIN $563.00 HC33000167 ST-EVAL RX SP GEN DEVC; 1ST HR "$1,317.00 " HC33000860 ST-EVAL SPEECH CMPNT 120MIN "$1,177.00 " HC33000845 ST-EVAL SPEECH CMPNT 60MIN $664.00 HC33000852 ST-EVAL SPEECH CMPNT 90MIN $948.00 HC33010034 ST-EVAL SWALLOW CINE/FLUORO [15MIN] $276.00 HC33010224 ST-EVAL SWALLOW CINE/FLUORO 120MIN "$2,125.00 " HC33010232 ST-EVAL SWALLOW CINE/FLUORO 150MIN "$2,500.00 " HC33010240 ST-EVAL SWALLOW CINE/FLUORO 180MIN "$2,875.00 " HC33000563 ST-EVAL SWALLOW CINE/FLUORO 30M $809.00 HC33000571 ST-EVAL SWALLOW CINE/FLUORO 45M "$1,059.00 " HC33000183 ST-EVAL SWALLOW CINE/FLUORO 60MIN "$1,337.00 " HC33000191 ST-EVAL SWALLOW CINE/FLUORO 90MIN "$1,764.00 " HC62206834 STIMULATOR NERVE LOCATOR $335.00 HC51060119 ST-LANGUAGE EVALUATION/C $350.00 HC33000795 ST-LANGUAGE SCREENING/IP $126.00 HC33000779 ST-LARYNGEAL FUNCTION STUDIES $526.00 HC51061190 ST-LARYNGEAL FUNCTION STUDIES $307.00 HC51061166 ST-LARYNGOSC W/STROBOSCOPY $664.00 HC33000746 ST-NASOPHARYNGOSCOPY "$1,650.00 " HC62206842 STOCKINETTE $26.00 HC62213343 STOCKINGS TED HOSE KNEE HI $33.00 HC62206859 STOCKINGS TED HOSE THIGH HI $38.00 HC83500033 STONE ANALYSIS-AU $27.00 HC89007389 STONE/CALCULI ANALYS MICRO-AU $13.00 HC33010208 ST-ONLINE ASSESS & MANAGMNT EST PT 11-20MIN $157.00 HC33010216 ST-ONLINE ASSESS & MANAGMNT EST PT 21+MIN $209.00 HC33010190 ST-ONLINE ASSESS & MANAGMNT EST PT 5-10MIN $105.00 HC62217377 STOPCOCK LUER LOCK ENDOSCOPE $369.00 HC33000498 STP-ELEC STIM/TENS/MCW $276.00 HC51080125 STRAP CLAVICLE $26.00 HC62206883 STRAP CLAVICLE $178.00 HC62225180 STRAP FLEXION FINGER $39.00 HC62206891 STRAP MONTGOMERY $26.00 HC62226196 STRAP WOUND CARE $33.00 HC25005091 STRAPPING; ANKLE AND/OR FOOT BILAT $449.00 HC25005075 STRAPPING; ANKLE AND/OR FOOT LT $301.00 HC25005083 STRAPPING; ANKLE AND/OR FOOT RT $301.00 HC51061554 STRAPPING; HAND OR FINGER $135.00 HC25004979 STRAPPING; SHOULDER BILATERAL $509.00 HC25004953 STRAPPING; SHOULDER LT $283.00 HC25004961 STRAPPING; SHOULDER RT $283.00 HC62206909 STRAPS LEG BAG $60.00 HC51000487 STREP A ANTIGN SCRN(DIRECT OBS) $88.00 HC84200070 STREP A ANTIGN SCRN(DIRECT OBS) $167.00 HC84200609 STREP PNEUMONIAE URINE AG $253.00 HC81701526 "STREPTOCCUS GROUP B, PCR" $453.00 HC84201854 "STREPTOCCUS GROUP B, PCR" $449.00 HC89004980 STREPTOCOCCUS GROUP B AG -AU $20.00 HC89005698 STREPTOCOCCUS GRP B ANTIGEN-FT $81.00 HC89004667 STREPTOCOCCUS PNEUM AG-FT $75.00 HC89014781 STREPTOCOCCUS PNEUMONIAE AG-AU $54.00 HC89004832 STREPTOLYSIN O AB (ASO)-AU $10.00 39822-0706-2 STREPTOMYCIN 1 GRAM IM SOLR $450.00 0703-4636-01 STREPTOZOCIN 1 GRAM IV SOLR "$2,095.38 " HC89012033 STREPTOZYME AB-AU $9.00 HC44002137 "STRESS VIEW, ANY JOINT" $550.00 HC89001390 STRIATED MUSCLE FA AB SCRN-QD $29.00 HC62217302 STRIPPER TENDON "$1,658.00 " HC89091391 STRONGYLOIDES AB IGG -AU $20.00 HC33000753 "ST-SCREEN PURE TONE, AIR ONLY" $145.00 HC51060127 ST-SPEECH EVALUATION/C $350.00 HC33000803 ST-SPEECH SCREENING/IP $126.00 HC33010042 ST-SPEECH THERAPY [15MIN] $218.00 HC33000266 ST-SPEECH THERAPY 120MIN/MW "$1,341.00 " HC33000548 ST-SPEECH THERAPY 15 MIN/MW $269.00 HC33000217 ST-SPEECH THERAPY 30 MIN/MCW $526.00 HC33000225 ST-SPEECH THERAPY 45 MIN/MW $670.00 HC51060739 ST-SPEECH THERAPY 60 MIN $147.00 HC33000233 ST-SPEECH THERAPY 60 MIN/MCW $895.00 HC33000241 ST-SPEECH THERAPY 75 MIN/MW $952.00 HC33000258 ST-SPEECH THERAPY 90 MIN/MW "$1,118.00 " HC33010174 ST-SPEECH THERAPY GROUP [15MIN] $98.00 HC33000688 ST-SPEECH THERAPY GRP 15MIN/MW $132.00 HC33000274 ST-SPEECH THERAPY GRP 30MIN/MCW $227.00 HC33000282 ST-SPEECH THERAPY GRP 45MIN/MCW $341.00 HC33000290 ST-SPEECH THERAPY GRP 60MIN/MCW $420.00 HC33000597 ST-SPEECH THERAPY GRP 90MIN/MCW $495.00 HC33000308 ST-SPEECH THERAPY GRP120MIN/MCW $631.00 HC51060671 ST-SWALLOWING EVAL $203.00 HC33010026 ST-SWALLOWING EVAL [15MIN] $253.00 HC33000365 ST-SWALLOWING EVAL 120MIN "$1,664.00 " HC33000555 ST-SWALLOWING EVAL 15MIN $487.00 HC33000373 ST-SWALLOWING EVAL 180MIN "$2,017.00 " HC33000316 ST-SWALLOWING EVAL 30MIN $836.00 HC33000324 ST-SWALLOWING EVAL 45MIN "$1,059.00 " HC33000332 ST-SWALLOWING EVAL 60MIN "$1,344.00 " HC33000340 ST-SWALLOWING EVAL 75MIN "$1,416.00 " HC33000357 ST-SWALLOWING EVAL 90MIN "$1,538.00 " HC33010018 ST-SWALLOWING THERAPY [15MIN] $251.00 HC33000381 ST-SWALLOWING THERAPY 15 MIN $356.00 HC33000399 ST-SWALLOWING THERAPY 30 MIN $538.00 HC33000407 ST-SWALLOWING THERAPY 45 MIN $767.00 HC33000415 ST-SWALLOWING THERAPY 60 MIN $918.00 HC33000423 ST-SWALLOWING THERAPY 75 MIN "$1,030.00 " HC33000431 ST-SWALLOWING THERAPY 90 MIN "$1,301.00 " HC51060135 ST-TEAM CASE CONF EA 15MIN/C $45.00 HC33000654 ST-TEAM CONF W/MD >30MIN(NO PT) $253.00 HC33000837 ST-TEAM CONF W/MD>30MIN(NO PT) $271.00 HC33000670 ST-TEAM CONF W/NONMD>30MIN(NO PT $253.00 HC33000829 ST-TEAM CONF W/PT &3D 30MINOR> $289.00 HC33000449 ST-TEAM CONF W/PT&/FAM30MINOR> $271.00 HC33001215 ST-TEST COGNITIVE PERFORMANCE STDRD PER HOUR $531.00 HC33000456 ST-THER NON-SP GEN DEV W/PROG $892.00 HC33000464 ST-THER SP GEN DEV W/PROG "$1,041.00 " HC41500562 STUDIES NERVE CONDUCTN 1-2 STUDIES $963.00 HC41500620 STUDIES NERVE CONDUCTN 13/> STUDIES "$2,695.00 " HC41500570 STUDIES NERVE CONDUCTN 3-4 STUDIES "$1,412.00 " HC41500588 STUDIES NERVE CONDUCTN 5-6 STUDIES "$1,668.00 " HC41500596 STUDIES NERVE CONDUCTN 7-8 STUDIES "$1,943.00 " HC41500604 STUDIES NERVE CONDUCTN 9-10 STUDIES "$2,219.00 " HC41500612 STUDIES NERVE CONDUCTN11-12 STUDIES "$2,375.00 " HC51002806 STUDY REFLEX BLADDER URINARY $157.00 HC62219605 STYLET CARDIAC B $98.00 HC62226444 STYLET CARDIAC C $163.00 HC62212840 STYLET CARDIAC G $390.00 HC62206917 STYLET INTUBATION $36.00 HC62214390 STYLET TUNNELING DIALYSIS $625.00 55292-201-11 SUCCIMER 100 MG ORAL CAP $114.50 0409-6629-02 SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJ SOLN $115.08 0409-6629-12 SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJ SOLN $115.08 0781-3411-70 SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJ SOLN $115.08 0781-3411-95 SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJ SOLN $115.08 70069-301-01 SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJ SOLN $114.00 70069-301-25 SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJ SOLN $89.76 0781-9053-70 SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJ SOLN (MCH) $115.08 0781-9053-95 SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJ SOLN (MCH) $115.08 0093-2210-01 SUCRALFATE 1 GRAM ORAL TAB $1.62 0093-2210-05 SUCRALFATE 1 GRAM ORAL TAB $1.43 29033-003-01 SUCRALFATE 1 GRAM ORAL TAB $1.76 29033-003-05 SUCRALFATE 1 GRAM ORAL TAB $1.68 51079-753-01 SUCRALFATE 1 GRAM ORAL TAB $1.90 51079-753-20 SUCRALFATE 1 GRAM ORAL TAB $1.90 58914-171-10 SUCRALFATE 1 GRAM ORAL TAB $24.47 59762-0401-1 SUCRALFATE 1 GRAM ORAL TAB $1.48 63739-943-10 SUCRALFATE 1 GRAM ORAL TAB $1.65 0254-1011-96 SUCRALFATE 100 MG/ML ORAL LIQUID (MCH) "$1,055.88 " 99999-012-91 SUCRALFATE 100 MG/ML ORAL LIQUID (MCH) $1.98 99999-012-92 SUCRALFATE 100 MG/ML ORAL LIQUID (MCH) $5.94 99999-012-93 SUCRALFATE 100 MG/ML ORAL LIQUID (MCH) $9.90 0121-0747-10 SUCRALFATE 100 MG/ML ORAL SUSP $54.00 0121-0747-40 SUCRALFATE 100 MG/ML ORAL SUSP $60.90 50268-732-11 SUCRALFATE 100 MG/ML ORAL SUSP $49.20 50268-732-12 SUCRALFATE 100 MG/ML ORAL SUSP $49.20 58914-170-14 SUCRALFATE 100 MG/ML ORAL SUSP "$1,317.96 " 66689-790-01 SUCRALFATE 100 MG/ML ORAL SUSP $62.22 66689-790-50 SUCRALFATE 100 MG/ML ORAL SUSP $62.22 68094-043-59 SUCRALFATE 100 MG/ML ORAL SUSP $54.12 68094-043-61 SUCRALFATE 100 MG/ML ORAL SUSP $54.12 HC89020309 SUCRASE (DISACCHARIDASE)-AU $38.00 HC62206925 SUCTION COLLECTION DEVICE A $33.00 HC62221387 SUCTION COLLECTION DEVICE B $65.00 HC62220801 SUCTION DEVICE ENDOSCOPIC BIOVAC $358.00 HC62206933 SUCTION IRRIGATOR $332.00 HC62224621 SUCTION IRRIGATOR ROBOTIC $715.00 HC62300496 SUCTION IRRIGATOR ROBOTIC $98.00 HC62206941 SUCTION TRAP MICRODEBRIDER $384.00 HC62206958 SUCTION YANKAUER $30.00 HC82201245 SUDA BLACK B STN/GRP II+ $412.00 17478-050-01 SUFENTANIL CITRATE 50 MCG/ML IV SOLN $26.91 17478-050-02 SUFENTANIL CITRATE 50 MCG/ML IV SOLN $45.46 0006-5423-02 SUGAMMADEX 100 MG/ML IV SOLN $628.32 0006-5423-12 SUGAMMADEX 100 MG/ML IV SOLN $628.32 HC89021638 SUGARS; SNGL QT GLYCOMARK EA SPEC -AU $62.00 24208-670-04 SULFACETAMIDE SODIUM 10 % OPHT DROP $292.50 61314-701-01 SULFACETAMIDE SODIUM 10 % OPHT DROP $267.12 0574-4190-35 SULFACETAMIDE SODIUM 10 % OPHT OINT $329.28 24208-317-05 SULFACETAMIDE-PREDNISOLONE 10 %-0.23 % (0.25 %) OPHT DROP $90.00 11980-022-05 SULFACETAMIDE-PREDNISOLONE 10-0.2 % OPHT DRPS $916.56 0023-0313-04 SULFACETAMIDE-PREDNISOLONE 10-0.2 % OPHT OINT $872.95 0185-0757-01 SULFADIAZINE 500 MG ORAL TAB $24.23 50383-824-16 SULFAMETHOXAZOLE-TRIMETHOPRIM 200-40 MG/5 ML ORAL SUSP $536.38 65862-496-47 SULFAMETHOXAZOLE-TRIMETHOPRIM 200-40 MG/5 ML ORAL SUSP $533.54 50268-728-11 SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG ORAL TAB $1.80 50268-728-15 SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG ORAL TAB $1.80 53489-145-01 SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG ORAL TAB $1.00 65862-419-01 SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG ORAL TAB $1.00 0703-9503-01 SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG/5 ML IV SOLN $27.87 0703-9503-03 SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG/5 ML IV SOLN $37.62 0703-9514-01 SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG/5 ML IV SOLN $75.24 0703-9514-03 SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG/5 ML IV SOLN $75.24 0703-9526-01 SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG/5 ML IV SOLN $225.72 0904-2725-61 SULFAMETHOXAZOLE-TRIMETHOPRIM 800-160 MG ORAL TAB $1.00 42292-028-01 SULFAMETHOXAZOLE-TRIMETHOPRIM 800-160 MG ORAL TAB $1.47 42292-028-08 SULFAMETHOXAZOLE-TRIMETHOPRIM 800-160 MG ORAL TAB $1.47 63739-228-10 SULFAMETHOXAZOLE-TRIMETHOPRIM 800-160 MG ORAL TAB $2.06 99999-037-64 SULFASALAZINE 100 MG/ML ORAL LIQUID $1.00 0591-0796-01 SULFASALAZINE 500 MG ORAL TAB $1.00 50268-730-11 SULFASALAZINE 500 MG ORAL TAB $2.38 50268-730-15 SULFASALAZINE 500 MG ORAL TAB $2.38 59762-5000-5 SULFASALAZINE 500 MG ORAL TAB $1.00 59762-0104-5 SULFASALAZINE 500 MG ORAL TBEC $1.63 HC89001887 SULFONAMIDES-QD $60.00 0378-0427-01 SULINDAC 150 MG ORAL TAB $1.47 0591-5661-01 SULINDAC 150 MG ORAL TAB $1.33 42806-018-01 SULINDAC 150 MG ORAL TAB $1.30 53489-478-01 SULINDAC 150 MG ORAL TAB $1.33 0591-5660-01 SULINDAC 200 MG ORAL TAB $1.72 42806-011-01 SULINDAC 200 MG ORAL TAB $1.83 51079-667-01 SULINDAC 200 MG ORAL TAB $7.65 51079-667-20 SULINDAC 200 MG ORAL TAB $7.65 0173-0523-00 SUMATRIPTAN 20 MG/ACTUATION NASL SPRY $503.80 0527-1859-43 SUMATRIPTAN 20 MG/ACTUATION NASL SPRY $361.82 0781-6523-06 SUMATRIPTAN 20 MG/ACTUATION NASL SPRY $295.21 0781-6523-86 SUMATRIPTAN 20 MG/ACTUATION NASL SPRY $295.21 0173-0735-00 SUMATRIPTAN SUCCINATE 25 MG ORAL TAB $185.18 0378-5630-59 SUMATRIPTAN SUCCINATE 25 MG ORAL TAB $6.23 16714-796-01 SUMATRIPTAN SUCCINATE 25 MG ORAL TAB $10.63 55111-291-09 SUMATRIPTAN SUCCINATE 25 MG ORAL TAB $10.63 55111-291-36 SUMATRIPTAN SUCCINATE 25 MG ORAL TAB $22.81 55111-291-98 SUMATRIPTAN SUCCINATE 25 MG ORAL TAB $10.63 62756-520-69 SUMATRIPTAN SUCCINATE 25 MG ORAL TAB $10.63 63304-097-11 SUMATRIPTAN SUCCINATE 25 MG ORAL TAB $11.36 63304-097-19 SUMATRIPTAN SUCCINATE 25 MG ORAL TAB $11.36 65862-146-36 SUMATRIPTAN SUCCINATE 25 MG ORAL TAB $10.63 0173-0736-01 SUMATRIPTAN SUCCINATE 50 MG ORAL TAB $403.66 0378-5631-59 SUMATRIPTAN SUCCINATE 50 MG ORAL TAB $6.23 16714-532-10 SUMATRIPTAN SUCCINATE 50 MG ORAL TAB $10.63 16714-532-11 SUMATRIPTAN SUCCINATE 50 MG ORAL TAB $10.63 16714-797-01 SUMATRIPTAN SUCCINATE 50 MG ORAL TAB $10.63 55111-292-09 SUMATRIPTAN SUCCINATE 50 MG ORAL TAB $10.63 55111-292-36 SUMATRIPTAN SUCCINATE 50 MG ORAL TAB $10.63 62756-521-69 SUMATRIPTAN SUCCINATE 50 MG ORAL TAB $10.63 65862-147-36 SUMATRIPTAN SUCCINATE 50 MG ORAL TAB $10.63 0143-9638-01 SUMATRIPTAN SUCCINATE 6 MG/0.5 ML SUBCUTANEOUS SOLN $144.00 0143-9638-05 SUMATRIPTAN SUCCINATE 6 MG/0.5 ML SUBCUTANEOUS SOLN $144.00 0173-0449-02 SUMATRIPTAN SUCCINATE 6 MG/0.5 ML SUBCUTANEOUS SOLN "$1,176.92 " 0781-3174-14 SUMATRIPTAN SUCCINATE 6 MG/0.5 ML SUBCUTANEOUS SOLN $408.79 0781-3174-71 SUMATRIPTAN SUCCINATE 6 MG/0.5 ML SUBCUTANEOUS SOLN $408.79 55150-173-01 SUMATRIPTAN SUCCINATE 6 MG/0.5 ML SUBCUTANEOUS SOLN $150.00 55150-173-05 SUMATRIPTAN SUCCINATE 6 MG/0.5 ML SUBCUTANEOUS SOLN $150.00 63323-273-01 SUMATRIPTAN SUCCINATE 6 MG/0.5 ML SUBCUTANEOUS SOLN $294.00 64679-728-01 SUMATRIPTAN SUCCINATE 6 MG/0.5 ML SUBCUTANEOUS SOLN $144.00 64679-728-08 SUMATRIPTAN SUCCINATE 6 MG/0.5 ML SUBCUTANEOUS SOLN $144.00 HC62227079 SUMP INTRACARDIAC PEDS $39.00 0069-0550-38 SUNITINIB 12.5 MG ORAL CAP "$1,154.83 " HC62206966 SUPPORT LUMBAR-SACRAL $241.00 HC62222294 SUPPORT/BRACE KNEE F $148.00 HC62220769 SUPPORT/BRACE LIMB $43.00 HC62206974 SUPPORTER ATHLETIC $134.00 HC62206982 SUPPORTER COTTON $46.00 HC79200044 SURGERY MINOR 1ST 30 MIN "$3,061.00 " HC79200051 SURGERY MINOR ADD'L 15 MIN "$1,563.00 " HC89021463 SUSCEPTIBILITY ANTIMICROB MIC -AU $90.00 HC62215546 SUTURE A $13.00 HC62206990 SUTURE B $39.00 HC62207030 SUTURE C $65.00 HC62207063 SUTURE D $91.00 HC62215553 SUTURE E $117.00 HC62215561 SUTURE F $143.00 HC62215579 SUTURE H $195.00 HC62215587 SUTURE I $221.00 HC62215595 SUTURE J $247.00 HC62215603 SUTURE K $273.00 HC62215611 SUTURE L $299.00 HC62215629 SUTURE M $325.00 HC62215637 SUTURE N $351.00 HC62215645 SUTURE P $403.00 HC62215652 SUTURE Q $429.00 HC62215660 SUTURE R $455.00 HC62215678 SUTURE T $507.00 HC62215686 SUTURE U $533.00 HC62215694 SUTURE V $559.00 HC62215702 SUTURE W $585.00 HC62215710 SUTURE X $611.00 HC62215728 SUTURE Y $637.00 HC62215736 SUTURE Z $663.00 HC62210463 SUTURE ACCESSORY $384.00 HC62209226 SUTURE CAPTURING DEVICE(VAG) $497.00 HC62207006 SUTURE CARDIOVASCULAR G $169.00 HC62207014 SUTURE EYE D $91.00 HC62207022 SUTURE GENERAL MULTI PKG $267.00 HC62207048 SUTURE LAURUS O $377.00 HC62207055 SUTURE NEURO D $91.00 HC62207071 SUTURE RETRIEVER $286.00 HC62214457 SUTURE SET FOOT/ANKLE "$3,088.00 " HC62207097 SUTURE SPECIALTY S $481.00 HC62207089 SUTURE WIRE $134.00 HC39000732 SW ASSESS/INTERVEN PER 30MIN/MCL $105.00 HC51030005 SW ASSESS/INTERVENTION EA 30MIN $86.00 HC51030021 SW CONSULT TELEPHONE PER 15MIN $47.00 HC51030039 SW COORDINATOR ACTIVITIES CASE $302.00 HC39000807 SW TEACH/COUNSEL GROUP SESSION - COMM/CCS $84.00 HC39000740 SW TEACH/COUNSEL INDIVIDUAL -COMM $80.00 HC39000781 SW TEAM CONF PRTCPNT PER 15MIN $53.00 HC51030013 SW TEAM CONF PRTCPNT PER 15MIN $45.00 HC44002822 SWALLOW FUNC W/CINE/VIDEO "$1,601.00 " HC81101263 SWEAT COLLECT IONTOPHORESIS $734.00 HC81701617 SYPHILIS TOTAL IGG&IGM $134.00 HC62207105 SYRINGE ANGIO $33.00 HC62214606 SYRINGE BONE MARROW ASPIRATION 10CC $694.00 HC62214614 SYRINGE BONE MARROW ASPIRATION 20CC "$1,232.00 " HC62222203 SYRINGE BONE MARROW ASPIRATION 30CC "$1,466.00 " HC62207113 SYRINGE KYPHOPLASTY INFLATION $477.00 HC62209259 SYSTEM ANASTOMOSIS DEVICE "$2,418.00 " HC62223946 SYSTEM COLLECTION/TRANSFER FAT "$2,750.00 " HC62203278 SYSTEM COMPRESSION (FEMOSTOP) $342.00 HC62208939 SYSTEM CONTRAST SAVER $148.00 HC62208947 SYSTEM CONTRAST SPIKE/BAG $148.00 HC62207121 SYSTEM CORE BIOPSY GUN $42.00 HC62207139 SYSTEM DALL MILES CABLE GRIP "$1,685.00 " HC62204466 SYSTEM DELIVERY LEAD B $650.00 HC62223748 SYSTEM DELIVERY LEAD C $780.00 HC62223755 SYSTEM DELIVERY LEAD I "$1,950.00 " HC62219464 SYSTEM DELIVERY LEAD J "$2,275.00 " HC62223854 SYSTEM DELIVERY LEAD K "$2,600.00 " HC62220280 SYSTEM DELIVERY LEAD M "$3,250.00 " HC62211255 SYSTEM DELIVERY SEPTAL DEFECT "$1,963.00 " HC62224241 SYSTEM DELIVERY SEPTAL DEFECT U "$2,600.00 " HC62225198 SYSTEM DELIVERY STENT BILIARY $260.00 HC62223664 SYSTEM DETACHMENT COIL $650.00 HC62223672 SYSTEM DETACHMENT COIL/PLUG (MVP) "$3,250.00 " HC62804695 SYSTEM DRAIN PLEURAL/PERIT (ASPIRA) "$9,100.00 " HC62228101 SYSTEM DRESSING WOUND NEG PRES P $975.00 HC62225776 SYSTEM DRESSING WOUND NEG PRES R "$1,625.00 " HC62225784 SYSTEM DRESSING WOUND NEG PRES T "$2,275.00 " HC62227954 SYSTEM DRESSING WOUND NEG PRES S "$1,950.00 " HC62228713 SYSTEM EMBOLECTOMY(CAPERE®) G200036 $1.01 HC62228796 SYSTEM ENDOAVF WAVELINQ™ "$22,750.00 " HC62210737 SYSTEM ENTERAL FEED PRESRELIEF $26.00 HC62211263 SYSTEM EXCHANGE SEPTAL DEFECT "$1,963.00 " HC62224738 SYSTEM ILLUMINATION ENDOSCOPIC $988.00 HC62227962 SYSTEM LAVAGE CLEANING WOUND $195.00 HC62223276 SYSTEM LEAD EXTRACTION $749.00 HC62210687 SYSTEM MICRODELIVERY FOR STENT "$18,334.00 " HC62223714 SYSTEM MIX/DELIVR GRAFT BIOCARTLG $615.00 HC62224522 SYSTEM MIXING BONE CEMENT VACUUM $780.00 HC62806245 SYSTEM PERFUSION VENOUS(ANGIOVAC) "$42,250.00 " HC62803291 SYSTEM PORT EVACUATING SUBDURAL "$5,613.00 " HC62207147 SYSTEM RAPID REFILL INJECTION $98.00 HC62808035 SYSTEM REFLECTOR RADAR LOCALIZ(SCOUT) "$1,450.00 " HC62802798 SYSTEM SEAL HEART STRING "$1,521.00 " HC62808563 SYSTEM SHUNT INTERATRIAL G180020 $1.01 HC62209556 SYSTEM SINUS ILLUMINATION "$1,395.00 " HC62207154 SYSTEM STEALTH ALL "$8,069.00 " HC62228523 SYSTEM THROMBECTOMY(CAPERE®) $1.01 HC62208608 SYSTEM VEIN HARVESTING "$2,961.00 " HC62211412 SYSTEM VENTRICULAR DRAINAGE $852.00 HC81701799 T CELL ABSOLUTE CD4 COUNT $351.00 HC81700239 T3 FREE $332.00 HC89015580 T3 FREE-QD $10.00 HC81700213 T3 OR T4 UPTAKE $182.00 HC89010102 T-3 REVERSE-AU $14.00 HC89010110 T-3 REVERSE-ES $47.00 HC89000368 T-3 REVERSE-QD $19.00 HC81700221 T3 TOTAL $278.00 HC89013999 T3 TOTAL-ES $33.00 HC89015572 T3 TOTAL-QD $11.00 HC89020424 T3 UPTAKE-AU $7.00 HC81700197 T4 FREE $230.00 HC89010029 T4 FREE-AU $30.00 HC89010011 T4 FREE-ES $34.00 HC81700189 T4/THYROXINE TOTAL $183.00 HC89013965 T4/THYROXINE-ES $20.00 0168-0416-30 TACROLIMUS 0.1 % TOPICAL OINT "$1,250.10 " 0469-0607-73 TACROLIMUS 0.5 MG ORAL CAP $18.10 0904-6623-61 TACROLIMUS 0.5 MG ORAL CAP $7.78 16729-041-01 TACROLIMUS 0.5 MG ORAL CAP $2.21 51079-817-01 TACROLIMUS 0.5 MG ORAL CAP $6.60 51079-817-20 TACROLIMUS 0.5 MG ORAL CAP $6.60 68084-449-01 TACROLIMUS 0.5 MG ORAL CAP $11.89 68084-449-11 TACROLIMUS 0.5 MG ORAL CAP $11.89 99999-033-47 TACROLIMUS 0.5 MG/ML ORAL SUSP (COMPOUND) $2.07 0469-0617-73 TACROLIMUS 1 MG ORAL CAP $36.19 0781-2103-01 TACROLIMUS 1 MG ORAL CAP $15.60 16729-042-01 TACROLIMUS 1 MG ORAL CAP $4.34 51079-818-01 TACROLIMUS 1 MG ORAL CAP $6.90 51079-818-20 TACROLIMUS 1 MG ORAL CAP $6.90 54288-135-01 TACROLIMUS 1 MG ORAL CAP $33.60 68084-450-01 TACROLIMUS 1 MG ORAL CAP $13.80 68084-450-11 TACROLIMUS 1 MG ORAL CAP $13.80 0904-6624-61 TACROLIMUS 5 MG ORAL CAP $61.00 16729-043-01 TACROLIMUS 5 MG ORAL CAP $20.71 68084-451-11 TACROLIMUS 5 MG ORAL CAP $71.74 0469-3016-01 TACROLIMUS 5 MG/ML IV SOLN "$1,247.45 " HC89006613 TACROLIMUS-AU $15.00 HC89005813 TACROLIMUS-QD $35.00 HC89001994 TACROLIMUS-U2 $40.00 66302-467-60 TADALAFIL (PULM. HYPERTENSION) 20 MG ORAL TAB $417.00 0378-0144-91 TAMOXIFEN 10 MG ORAL TAB $2.29 0591-2472-60 TAMOXIFEN 10 MG ORAL TAB $2.29 51862-447-60 TAMOXIFEN 10 MG ORAL TAB $1.00 59651-299-60 TAMOXIFEN 10 MG ORAL TAB $1.00 63739-269-10 TAMOXIFEN 10 MG ORAL TAB $2.87 68382-826-14 TAMOXIFEN 10 MG ORAL TAB $2.29 HC62226808 TAMP BONE KYPHOPLASTY B $975.00 HC62216940 TAMP BONE KYPHOPLASTY C "$1,300.00 " HC62200688 TAMP BONE KYPHOPLASTY J "$3,575.00 " 0228-2996-11 TAMSULOSIN 0.4 MG ORAL CAP $3.00 0228-2996-50 TAMSULOSIN 0.4 MG ORAL CAP $3.00 0597-0058-01 TAMSULOSIN 0.4 MG ORAL CAP $50.50 0781-2076-01 TAMSULOSIN 0.4 MG ORAL CAP $3.00 0904-6401-61 TAMSULOSIN 0.4 MG ORAL CAP $2.67 0904-6401-80 TAMSULOSIN 0.4 MG ORAL CAP $1.00 50268-740-11 TAMSULOSIN 0.4 MG ORAL CAP $1.71 50268-740-15 TAMSULOSIN 0.4 MG ORAL CAP $1.71 51079-294-01 TAMSULOSIN 0.4 MG ORAL CAP $3.45 51079-294-20 TAMSULOSIN 0.4 MG ORAL CAP $3.45 62756-160-88 TAMSULOSIN 0.4 MG ORAL CAP $1.46 63739-567-10 TAMSULOSIN 0.4 MG ORAL CAP $2.38 65862-598-01 TAMSULOSIN 0.4 MG ORAL CAP $1.65 65862-598-05 TAMSULOSIN 0.4 MG ORAL CAP $1.65 68084-299-11 TAMSULOSIN 0.4 MG ORAL CAP $3.55 68382-132-01 TAMSULOSIN 0.4 MG ORAL CAP $1.65 68382-132-10 TAMSULOSIN 0.4 MG ORAL CAP $1.65 51927-1123-0 TANNIC ACID (BULK) MISC POWD $5.64 HC62221791 TAP SURGICAL F $260.00 HC62227608 TAP SURGICAL G $325.00 HC62225958 TAP SURGICAL H $390.00 HC62226634 TAP SURGICAL I $455.00 HC62221809 TAP SURGICAL J $520.00 HC62221817 TAP SURGICAL K $585.00 HC62221825 TAP SURGICAL L $650.00 HC62221833 TAP SURGICAL M $780.00 HC62221841 TAP SURGICAL N $910.00 HC62221858 TAP SURGICAL O "$1,040.00 " HC62221866 TAP SURGICAL P "$1,170.00 " HC62221874 TAP SURGICAL Q "$1,300.00 " HC62221882 TAP SURGICAL R "$1,625.00 " HC62221890 TAP SURGICAL S "$1,950.00 " HC62223953 TAP SURGICAL T "$2,275.00 " HC62223961 TAP SURGICAL U "$2,600.00 " HC62226642 TAP SURGICAL V "$2,925.00 " HC62226659 TAP SURGICAL X "$3,575.00 " HC62226063 TAP SURGICAL H $390.00 HC62207162 TAPE HYPAFIX $156.00 HC62207170 TAPE RADIOPAQUE $111.00 99999-041-82 TAPENTADOL 25 MG ORAL PARTIAL TAB $20.97 24510-050-10 TAPENTADOL 50 MG ORAL TAB $41.95 50458-820-02 TAPENTADOL 50 MG ORAL TAB $41.95 50458-830-02 TAPENTADOL 75 MG ORAL TAB $49.01 HC89022792 TARGETED GENOME PNL SEQ 51/>GENES-AU "$1,900.00 " HC89023410 TARGETED GENOME PNL SEQ 5-50 GENES PANCREASEQ-SS $750.00 HC44703023 TAVR/TAVI W/ PROSTH; OPEN AXILLARLY ARTERY "$51,196.00 " HC44703015 TAVR/TAVI W/ PROSTH; OPEN FEM ARTERY "$56,575.00 " HC44703031 TAVR/TAVI W/ PROSTH; OPEN ILIAC ARTERY "$53,738.00 " HC44703007 TAVR/TAVI W/ PROSTH; PERC FEM ARTERY "$46,134.00 " HC44703049 TAVR/TAVI W/ PROSTH; TRANSAORTIC EXP (STERNO) "$59,708.00 " HC44703056 TAVR/TAVI W/ PROSTH; TRANSAPICAL EXP (LT THORAC) "$67,534.00 " HC44703080 "TAVR/TAVI; BYPASS OPEN CENTRAL A&V(AORTA,RA,PA)+" "$30,353.00 " HC44703072 TAVR/TAVI; BYPASS OPEN PERIPH A&V(F/I/A)+ "$29,000.00 " HC44703064 TAVR/TAVI; BYPASS PERC PERIPH A&V(FEM)+ "$24,302.00 " HC29000296 TB TEST (PPD) PROCEDURE $134.00 HC51002095 TB TEST (PPD) PROCEDURE $85.00 HC44200582 TCD EMBOLI DETECT W/ IV MICROBUBBLE "$3,083.00 " HC44200590 TCD EMBOLI DETECT W/O IV MICROBUBBL "$2,889.00 " HC44200913 TCD ICA VASOREACTIVITY STUDY "$3,053.00 " HC89020499 T-CELL RECEPTOR EXCISION CIRCLES-GE $1.00 HC81701104 TDT TEST IFA 1ST STAIN $504.00 HC42000505 TEE COMPLETE "$5,270.00 " HC42000745 TEE COMPLETE W/WO CONTRAST "$5,547.00 " HC42000513 TEE CONGENITAL COMPLETE "$4,959.00 " HC42000752 TEE CONGENITAL COMPLT W/WO CONTR "$4,604.00 " HC42000810 TEE GUIDE TRANSCATH INTVNTN INCL US "$4,614.00 " HC42000521 TEE MONITORING COMPLETE "$4,400.00 " HC42000760 TEE MONITORING COMPLT W/WO CONTR "$4,758.00 " HC44002160 TEETH SINGLE VIEW $374.00 HC44002178 TEETH/LESS THAN FULL MOUTH $519.00 HC89011787 TEICHOIC ACID AB (ID)-AU $25.00 HC89011795 TEICHOIC ACID AB (ID)-FT $84.00 HC89000467 TEICHOIC ACID AB (ID)-QD $24.00 66220-315-11 TELAVANCIN 750 MG IV SOLR "$3,064.80 " 66220-315-22 TELAVANCIN 750 MG IV SOLR "$3,064.80 " HC11500998 TELEHEALTH ORIGINATING SITE FACILITY FEE $57.00 HC47201181 TELEHEALTH ORIGINATING SITE FACILITY FEE $58.00 HC51061208 TELEHEALTH ORIGINATING SITE FACILITY FEE $57.00 HC47201033 TELETX ISODOSE W/ DOSIMETRY;SIMPLE "$3,010.00 " HC47201041 TELETX ISODOSE W/DOSIMETRY;COMPLEX "$5,218.00 " 0597-0039-37 TELMISARTAN 20 MG ORAL TAB $43.15 13668-156-36 TELMISARTAN 20 MG ORAL TAB $5.02 13668-156-72 TELMISARTAN 20 MG ORAL TAB $5.02 31722-802-31 TELMISARTAN 20 MG ORAL TAB $4.00 68462-199-11 TELMISARTAN 20 MG ORAL TAB $4.75 68462-199-13 TELMISARTAN 20 MG ORAL TAB $4.75 0378-2921-93 TELMISARTAN 40 MG ORAL TAB $6.43 0597-0040-37 TELMISARTAN 40 MG ORAL TAB $43.15 0781-5374-06 TELMISARTAN 40 MG ORAL TAB $20.83 0781-5374-64 TELMISARTAN 40 MG ORAL TAB $20.83 13668-157-36 TELMISARTAN 40 MG ORAL TAB $5.02 13668-157-72 TELMISARTAN 40 MG ORAL TAB $5.02 31722-803-31 TELMISARTAN 40 MG ORAL TAB $4.00 62332-088-30 TELMISARTAN 40 MG ORAL TAB $7.00 67877-483-33 TELMISARTAN 40 MG ORAL TAB $5.02 67877-483-84 TELMISARTAN 40 MG ORAL TAB $5.02 68382-472-30 TELMISARTAN 40 MG ORAL TAB $9.00 68382-472-78 TELMISARTAN 40 MG ORAL TAB $9.00 68462-200-11 TELMISARTAN 40 MG ORAL TAB $4.75 68462-200-13 TELMISARTAN 40 MG ORAL TAB $4.75 0597-0041-37 TELMISARTAN 80 MG ORAL TAB $43.15 0228-2076-10 TEMAZEPAM 15 MG ORAL CAP $1.00 0228-2076-50 TEMAZEPAM 15 MG ORAL CAP $1.00 0378-4010-01 TEMAZEPAM 15 MG ORAL CAP $1.00 51079-418-01 TEMAZEPAM 15 MG ORAL CAP $1.00 51079-418-20 TEMAZEPAM 15 MG ORAL CAP $1.00 63739-877-10 TEMAZEPAM 15 MG ORAL CAP $1.00 65162-556-10 TEMAZEPAM 15 MG ORAL CAP $1.00 67877-146-01 TEMAZEPAM 15 MG ORAL CAP $1.00 0406-9915-01 TEMAZEPAM 7.5 MG ORAL CAP $177.02 0406-9960-01 TEMAZEPAM 7.5 MG ORAL CAP $18.90 0904-6436-04 TEMAZEPAM 7.5 MG ORAL CAP $21.02 53489-648-01 TEMAZEPAM 7.5 MG ORAL CAP $41.75 63739-003-33 TEMAZEPAM 7.5 MG ORAL CAP $28.90 68084-549-11 TEMAZEPAM 7.5 MG ORAL CAP $32.47 68084-549-21 TEMAZEPAM 7.5 MG ORAL CAP $32.47 0085-1381-01 TEMOZOLOMIDE 100 MG IV SOLR "$6,018.66 " 0085-1366-03 TEMOZOLOMIDE 100 MG ORAL CAP "$2,733.60 " 47335-892-60 TEMOZOLOMIDE 100 MG ORAL CAP $422.20 47335-892-72 TEMOZOLOMIDE 100 MG ORAL CAP $422.20 65162-803-14 TEMOZOLOMIDE 100 MG ORAL CAP $536.12 16729-050-53 TEMOZOLOMIDE 100 MG ORAL CAP (MCH) $207.25 43975-254-14 TEMOZOLOMIDE 100 MG ORAL CAP (MCH) $482.52 67877-539-14 TEMOZOLOMIDE 100 MG ORAL CAP (MCH) $203.25 47335-891-60 TEMOZOLOMIDE 20 MG ORAL CAP $84.46 47335-891-72 TEMOZOLOMIDE 20 MG ORAL CAP $84.46 47335-891-80 TEMOZOLOMIDE 20 MG ORAL CAP $242.22 65162-802-51 TEMOZOLOMIDE 20 MG ORAL CAP $107.24 43975-253-14 TEMOZOLOMIDE 20 MG ORAL CAP (MCH) $96.50 47335-890-60 TEMOZOLOMIDE 5 MG ORAL CAP $23.21 47335-890-72 TEMOZOLOMIDE 5 MG ORAL CAP $23.21 43975-252-14 TEMOZOLOMIDE 5 MG ORAL CAP (MCH) $26.53 67877-537-14 TEMOZOLOMIDE 5 MG ORAL CAP (MCH) $15.53 HC62225966 TEMPLATE BRACHYTHERAPY B $65.00 HC62226071 TEMPLATE BRACHYTHERAPY B $65.00 HC62225974 TEMPLATE BRACHYTHERAPY D $130.00 HC62223292 TEMPLATE BRACHYTHERAPY I $455.00 HC62223300 TEMPLATE BRACHYTHERAPY L $780.00 HC62223862 TEMPLATE ORTHO/ROD SPINAL A $130.00 HC62217757 TEMPLATE ORTHO/ROD SPINAL C $182.00 HC62217765 TEMPLATE ORTHO/ROD SPINAL D $208.00 HC62217773 TEMPLATE ORTHO/ROD SPINAL E $234.00 HC62215751 TEMPLATE ORTHO/ROD SPINAL H $312.00 HC62216296 TEMPLATE ORTHO/ROD SPINAL M $442.00 HC62225792 TEMPLATE ORTHO/ROD SPINAL S $624.00 HC62226667 TEMPLATE ORTHO/ROD SPINAL V $780.00 HC62220447 TEMPLATE ORTHO/ROD SPINAL W $910.00 HC62217807 TEMPLATE STAPLE SPINAL C $455.00 HC62217815 TEMPLATE STAPLE SPINAL G $585.00 HC62217823 TEMPLATE STAPLE SPINAL L $748.00 0008-1179-01 TEMSIROLIMUS 30 MG/3 ML (10 MG/ML) (FIRST) IV SOLR "$10,617.54 " 0008-1279-01 TEMSIROLIMUS 30 MG/3 ML (10 MG/ML) (FIRST) IV SOLR "$24,309.72 " 50242-037-06 TENECTEPLASE 50 MG INJ SOLR (MHS) "$37,313.16 " 61958-2301-1 TENOFOVIR ALAFENAMIDE 25 MG ORAL TAB $234.52 0904-6821-04 TENOFOVIR DISOPROXIL FUMARATE 300 MG ORAL TAB $28.30 16714-820-01 TENOFOVIR DISOPROXIL FUMARATE 300 MG ORAL TAB $13.51 31722-535-30 TENOFOVIR DISOPROXIL FUMARATE 300 MG ORAL TAB $23.00 42291-800-30 TENOFOVIR DISOPROXIL FUMARATE 300 MG ORAL TAB $5.43 61958-0401-1 TENOFOVIR DISOPROXIL FUMARATE 300 MG ORAL TAB $250.70 64380-714-04 TENOFOVIR DISOPROXIL FUMARATE 300 MG ORAL TAB $12.20 65862-421-30 TENOFOVIR DISOPROXIL FUMARATE 300 MG ORAL TAB $12.00 69097-533-02 TENOFOVIR DISOPROXIL FUMARATE 300 MG ORAL TAB $11.52 HC46502548 "TENOTOMY PERC, TOE; MULTIPLE TENDONS" "$7,091.00 " HC46502530 "TENOTOMY PERC, TOE; SINGLE TENDON" "$5,436.00 " HC46502373 TENOTOMY ACHILLES TENDON *DS "$8,332.00 " HC46502340 "TENOTOMY ELBOW, LATERAL OR MEDIAL" "$8,952.00 " HC46502332 "TENOTOMY SHOULDER AREA, MULT TENDNS" "$9,290.00 " HC46502324 "TENOTOMY SHOULDER AREA, SNGL TENDON" "$7,793.00 " HC46502365 TENOTOMY THIGH MULTIPLE TENDONS "$10,412.00 " HC46502357 TENOTOMY THIGH SINGLE TENDON "$7,473.00 " HC62207188 TENT RESPIRATORY/AEROSOL $150.00 0781-2051-01 TERAZOSIN 1 MG ORAL CAP $1.00 51079-936-01 TERAZOSIN 1 MG ORAL CAP $1.42 51079-936-20 TERAZOSIN 1 MG ORAL CAP $1.42 59746-383-06 TERAZOSIN 1 MG ORAL CAP $1.00 0781-2052-01 TERAZOSIN 2 MG ORAL CAP $1.00 24689-855-01 TERAZOSIN 2 MG ORAL CAP $1.00 51079-937-20 TERAZOSIN 2 MG ORAL CAP $1.00 59746-384-06 TERAZOSIN 2 MG ORAL CAP $1.00 0378-2268-01 TERAZOSIN 5 MG ORAL CAP $1.00 0781-2053-01 TERAZOSIN 5 MG ORAL CAP $1.00 59746-385-06 TERAZOSIN 5 MG ORAL CAP $1.00 1093920444 TERBINAFINE HCL 1 % TOPICAL CREAM $42.12 49348-790-72 TERBINAFINE HCL 1 % TOPICAL CREAM $42.12 51672-2080-1 TERBINAFINE HCL 1 % TOPICAL CREAM $38.61 16714-501-01 TERBINAFINE HCL 250 MG ORAL TAB $1.60 16714-795-01 TERBINAFINE HCL 250 MG ORAL TAB $1.60 16714-795-02 TERBINAFINE HCL 250 MG ORAL TAB $1.27 0143-9746-01 TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLN $24.00 0143-9746-10 TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLN $24.00 55390-101-10 TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLN $24.00 63323-665-01 TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLN $107.94 70860-801-01 TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLN $10.80 0527-1318-01 TERBUTALINE 2.5 MG ORAL TAB $26.12 62559-721-01 TERBUTALINE 2.5 MG ORAL TAB $15.00 0527-1311-01 TERBUTALINE 5 MG ORAL TAB $31.90 51672-1304-6 TERCONAZOLE 0.4 % VAGINAL CREAM $216.00 51672-1302-0 TERCONAZOLE 0.8 % VAGINAL CREAM $216.12 0002-8400-01 TERIPARATIDE 20 MCG/DOSE (600MCG/2.4ML) SUBCUTANEOUS PNIJ "$21,586.98 " HC51010502 TEST ALLERGY INTRAQ AIRBORNE $65.00 HC51010510 TEST ALLERGY INTRAQ DELAYED RXN $75.00 HC51010494 TEST ALLERGY INTRAQ RX/BIOLOGIC $100.00 HC51010528 TEST ALLERGY PATCH $555.00 HC51010536 TEST ALLERGY PATCH PHOTO $60.00 HC51010486 TEST ALLERGY PERQ&INTRAQ RX/BIOLOGIC $75.00 HC51010478 TEST ALLERGY PERQ&INTRAQ VENOM $65.00 HC36800126 TEST BRONCHIAL INHAL CHALLENGE W/HISTAMINE "$1,501.00 " HC51010544 TEST CHALLENGE INGEST 1ST120MIN $555.00 HC51010551 TEST CHALLENGE INGEST ADD 60MIN $241.00 HC36800852 TEST EXERC BRONCHOSPASM INCL SPIR&POX W/O ECG "$1,738.00 " HC51070837 TEST EXERC BRONCHOSPSM INCL SPIR & POX W/O ECG $300.00 HC36800324 "TEST EXERC CARIOPULM INCL VENT,CO2,O2,EKG" "$3,781.00 " HC36800860 "TEST STRESS PULMON INCL HR,POX,O2 TIT" $966.00 HC51070829 "TEST STRESS PULMON INCL HR,POX,O2 TIT (6MIN WALK)" $350.00 0051-8425-01 TESTOSTERONE 1 % (25 MG/2.5GRAM) TRANSDERMAL GLPK $124.62 0051-8425-30 TESTOSTERONE 1 % (25 MG/2.5GRAM) TRANSDERMAL GLPK $124.62 0591-3216-17 TESTOSTERONE 1 % (25 MG/2.5GRAM) TRANSDERMAL GLPK $72.92 0591-3216-30 TESTOSTERONE 1 % (25 MG/2.5GRAM) TRANSDERMAL GLPK $72.92 0051-8450-30 TESTOSTERONE 1 % (50 MG/5 GRAM) TRANSDERMAL GLPK $128.07 0023-5990-02 TESTOSTERONE 2 MG/24 HOUR TRANSDERMAL PT24 $61.62 0023-5990-60 TESTOSTERONE 2 MG/24 HOUR TRANSDERMAL PT24 $61.59 66887-001-01 TESTOSTERONE 50 MG/5 GRAM (1 %) TRANSDERMAL GEL $118.41 66887-001-05 TESTOSTERONE 50 MG/5 GRAM (1 %) TRANSDERMAL GEL $118.41 0409-6557-01 TESTOSTERONE CYPIONATE 100 MG/ML IM OIL $427.74 0009-0417-01 TESTOSTERONE CYPIONATE 200 MG/ML IM OIL $120.00 0009-0417-02 TESTOSTERONE CYPIONATE 200 MG/ML IM OIL $696.84 0143-9659-01 TESTOSTERONE CYPIONATE 200 MG/ML IM OIL $108.00 0143-9726-01 TESTOSTERONE CYPIONATE 200 MG/ML IM OIL $474.00 0409-6562-20 TESTOSTERONE CYPIONATE 200 MG/ML IM OIL $473.70 0574-0820-01 TESTOSTERONE CYPIONATE 200 MG/ML IM OIL $111.24 0574-0820-10 TESTOSTERONE CYPIONATE 200 MG/ML IM OIL $486.66 0591-4128-79 TESTOSTERONE CYPIONATE 200 MG/ML IM OIL $486.66 62756-016-40 TESTOSTERONE CYPIONATE 200 MG/ML IM OIL $420.00 0143-9750-01 TESTOSTERONE ENANTHATE 200 MG/ML IM OIL $448.14 0591-3221-26 TESTOSTERONE ENANTHATE 200 MG/ML IM OIL $407.76 HC89016547 TESTOSTERONE FREE FEM/CHILD-AU $43.00 HC89009930 TESTOSTERONE FREE-AU $14.00 HC89009948 TESTOSTERONE FREE-ES $7.00 HC89016539 TESTOSTERONE FREE-MALE-AU $6.00 HC89000145 TESTOSTERONE FREE-QD $25.00 HC81700171 TESTOSTERONE TOTAL $450.00 HC89009963 TESTOSTERONE TOTAL MALE-AU $7.00 HC89009955 TESTOSTERONE TOTAL-ES $54.00 HC89003255 TESTOSTERONE TOTAL-QD $7.00 HC89022669 TESTOSTERONE TOTAL-QN $35.82 HC89018378 TESTOSTERONE TOTL FEM/CHILD-AU $17.00 HC51010452 TESTS PERCUTANEOUS ALLERGY $555.00 HC89012884 TETANUS AB-AU $13.00 49281-215-10 TETANUS AND DIPHTHER. TOX (PF) 5 LF UNIT- 2 LF UNIT/0.5ML IM SUSP $199.81 49281-215-58 TETANUS AND DIPHTHER. TOX (PF) 5 LF UNIT- 2 LF UNIT/0.5ML IM SUSP $199.80 49281-215-15 TETANUS AND DIPHTHER. TOX (PF) 5-2 LF UNIT/0.5 ML IM SYRG $199.81 49281-215-88 TETANUS AND DIPHTHER. TOX (PF) 5-2 LF UNIT/0.5 ML IM SYRG $199.80 13533-634-02 TETANUS IMMUNE GLOBULIN (PF) 250 UNIT IM SYRG "$3,338.40 " 99999-001-11 TETRACAINE - LIDOCAINE - EPINEPHRINE TOP SOLN $3.12 99999-009-74 TETRACAINE - LIDOCAINE - EPINEPHRINE TOP SOLN $1.56 99999-009-75 TETRACAINE - LIDOCAINE - EPINEPHRINE TOP SOLN $3.12 99999-033-00 TETRACAINE - LIDOCAINE - EPINEPHRINE TOP SOLN $6.55 49452-7680-2 TETRACAINE HCL (BULK) MISC POWD "$6,330.00 " 0065-0741-14 TETRACAINE HCL (PF) 0.5 % OPHT DROP $61.37 17478-045-32 TETRACAINE HCL (PF) 1 % (10 MG/ML) INJ SOLN $455.65 54799-505-05 TETRACAINE HCL 0.5 % OPHT DRPV $150.84 23155-766-01 TETRACYCLINE 250 MG ORAL CAP $11.40 69238-1522-1 TETRACYCLINE 250 MG ORAL CAP $9.99 23155-018-01 TETRACYCLINE 500 MG ORAL CAP $39.42 1093916733 TETRAHYDROZOLINE 0.05 % OPHT DROP $7.29 49348-037-29 TETRAHYDROZOLINE 0.05 % OPHT DROP $7.29 HC44703106 TEVAR W/ LT SUBCLAV; INITIAL ENDO& DIST EXTS CELIAC "$66,352.00 " HC44703114 TEVAR; INITIAL ENDO & DIST EXTS TO CELIAC "$60,444.00 " HC44703148 TEVAR; PLCMT OF DISTAL EXTS PROTH(S) DELAYED "$39,457.00 " HC44703130 TEVAR; PLCMT PROX EXT PROTH; EACH ADD'L+ "$18,670.00 " HC44703122 TEVAR; PLCMT PROX EXT PROTH; INITIAL "$45,115.00 " 51167-661-01 TEZACAFTOR-IVACAFTOR 100-150 MG (D)/ 150 MG (N) ORAL TBSQ "$2,400.00 " 51167-113-01 TEZACAFTOR-IVACAFTOR 50-75 MG (D)/ 75 MG (N) ORAL TBSQ "$2,400.00 " 59572-220-16 THALIDOMIDE 200 MG ORAL CAP "$1,895.03 " 59572-205-94 THALIDOMIDE 50 MG ORAL CAP "$1,025.41 " 17156-299-18 THALLOUS CHLORIDE TL-201 37 MBQ/ML (1 MCI/ML) IV SOLN $48.75 HC83000331 THAWING BLOOD EA UNIT $350.00 57648-002-01 THE MAGIC BULLET 10 MG RECTAL SUPP $3.49 HC81100356 THEOPHYLINE $360.00 50474-100-01 THEOPHYLLINE 100 MG ORAL CP24 $9.02 52244-100-10 THEOPHYLLINE 100 MG ORAL CP24 $14.48 50474-300-01 THEOPHYLLINE 300 MG ORAL CP24 $16.48 52244-300-10 THEOPHYLLINE 300 MG ORAL CP24 $26.45 62332-025-31 THEOPHYLLINE 300 MG ORAL TB12 $20.62 29033-001-01 THEOPHYLLINE 400 MG ORAL TB24 $7.33 42858-701-01 THEOPHYLLINE 400 MG ORAL TB24 $6.23 0121-4820-15 THEOPHYLLINE 80 MG/15 ML ORAL ELIX $60.03 0121-4820-40 THEOPHYLLINE 80 MG/15 ML ORAL ELIX $60.03 70408-644-34 THEOPHYLLINE 80 MG/15 ML ORAL ELIX "$1,892.95 " 99999-008-92 THEOPHYLLINE 80 MG/15 ML ORAL ELIX $75.04 27808-033-01 THEOPHYLLINE 80 MG/15 ML ORAL SOLN $448.40 54838-556-80 THEOPHYLLINE 80 MG/15 ML ORAL SOLN $448.40 HC89020416 THEOPHYLLINE-U2 $36.00 HC12800017 THER APHER W/EXTRACORP IMMUNO/ADSORP/FILTRATION "$9,158.00 " HC83000786 THER APHER W/EXTRACORP IMMUNO/ADSORP/FILTRATION "$9,218.00 " HC83000836 THER APHERESIS PLASMA CX/ABORT "$2,418.00 " HC12800025 THER APHERESIS PLASMA CX/DC'D "$2,407.00 " HC12800041 THERAPEUTIC APHERESIS PLASMA "$6,731.00 " HC83000760 THERAPEUTIC APHERESIS PLASMA "$6,748.00 " HC12800058 THERAPEUTIC APHERESIS PLATELET "$6,536.00 " HC83000752 THERAPEUTIC APHERESIS PLATELET "$6,568.00 " HC12800066 THERAPEUTIC APHERESIS RBC'S "$6,654.00 " HC83000745 THERAPEUTIC APHERESIS RBC'S "$6,686.00 " HC12800074 THERAPEUTIC APHERESIS WBC'S "$5,161.00 " HC83000737 THERAPEUTIC APHERESIS WBC'S "$5,288.00 " HC83000430 THERAPEUTIC PHLEBOTOMY $791.00 HC47200621 THERAPEUTIC RAD PORT IMAGES "$1,074.00 " 1184505651 THIAMINE HCL (VITAMIN B1) 100 MG ORAL TAB $1.00 8068109800 THIAMINE HCL (VITAMIN B1) 100 MG ORAL TAB $1.00 0641-6228-01 THIAMINE HCL (VITAMIN B1) 100 MG/ML INJ SOLN $59.70 0641-6228-25 THIAMINE HCL (VITAMIN B1) 100 MG/ML INJ SOLN $59.70 25021-500-02 THIAMINE HCL (VITAMIN B1) 100 MG/ML INJ SOLN $59.70 63323-013-01 THIAMINE HCL (VITAMIN B1) 100 MG/ML INJ SOLN $59.70 63323-013-02 THIAMINE HCL (VITAMIN B1) 100 MG/ML INJ SOLN $59.70 63323-013-09 THIAMINE HCL (VITAMIN B1) 100 MG/ML INJ SOLN $41.52 63323-013-26 THIAMINE HCL (VITAMIN B1) 100 MG/ML INJ SOLN $41.52 67457-196-00 THIAMINE HCL (VITAMIN B1) 100 MG/ML INJ SOLN $51.22 67457-196-02 THIAMINE HCL (VITAMIN B1) 100 MG/ML INJ SOLN $51.22 3160401281 THIAMINE MONONITRATE (VIT B1) 100 MG ORAL TAB $1.00 3786490599 THIAMINE MONONITRATE (VIT B1) 100 MG ORAL TAB $1.00 4843310801 THIAMINE MONONITRATE (VIT B1) 100 MG ORAL TAB $1.00 5026885111 THIAMINE MONONITRATE (VIT B1) 100 MG ORAL TAB $1.00 5026885115 THIAMINE MONONITRATE (VIT B1) 100 MG ORAL TAB $1.00 7733393410 THIAMINE MONONITRATE (VIT B1) 100 MG ORAL TAB $1.00 7733393425 THIAMINE MONONITRATE (VIT B1) 100 MG ORAL TAB $1.00 7985420010 THIAMINE MONONITRATE (VIT B1) 100 MG ORAL TAB $1.00 HC81500209 "THICK SMEAR, BLOOD PARASITES" $132.00 HC81500191 "THIN SMEAR, BLOOD PARASITES" $188.00 HC89009989 THIOCYANATE-AU $74.00 99999-036-83 THIOGUANINE 10 MG ORAL PARTIAL TAB $37.91 99999-036-84 THIOGUANINE 20 MG ORAL PARTIAL TAB $75.83 99999-037-57 THIOGUANINE 20 MG/ML ORAL LIQUID $75.83 76388-880-25 THIOGUANINE 40 MG ORAL TAB (MCH) $151.66 HC89021554 THIOPURINE METABOL(CAT#3200)-PR $216.00 51079-565-20 THIORIDAZINE 10 MG ORAL TAB $2.26 53489-148-01 THIORIDAZINE 10 MG ORAL TAB $2.05 0378-0618-01 THIORIDAZINE 100 MG ORAL TAB $5.72 51079-580-01 THIORIDAZINE 100 MG ORAL TAB $4.54 53489-500-01 THIORIDAZINE 100 MG ORAL TAB $4.09 0378-0614-01 THIORIDAZINE 25 MG ORAL TAB $4.02 51079-566-01 THIORIDAZINE 25 MG ORAL TAB $3.19 51079-566-20 THIORIDAZINE 25 MG ORAL TAB $3.19 53489-149-01 THIORIDAZINE 25 MG ORAL TAB $2.87 51079-567-20 THIORIDAZINE 50 MG ORAL TAB $3.98 0143-9565-01 THIOTEPA 15 MG INJ SOLR "$4,500.00 " 0378-1001-01 THIOTHIXENE 1 MG ORAL CAP $5.70 51079-587-01 THIOTHIXENE 2 MG ORAL CAP $11.95 51079-587-20 THIOTHIXENE 2 MG ORAL CAP $11.95 0378-3005-01 THIOTHIXENE 5 MG ORAL CAP $11.43 51079-588-01 THIOTHIXENE 5 MG ORAL CAP $18.11 51079-588-20 THIOTHIXENE 5 MG ORAL CAP $18.11 HC89001762 THIOTHIXENE-QD $60.00 HC51002640 THORACENTESIS ASP W/ IMG GUID "$1,143.00 " HC46501540 THORACENTESIS ASP W/ IMG GUID-BILAT "$8,867.00 " HC46501557 THORACENTESIS ASP W/ IMG GUID-LT "$4,667.00 " HC46501565 THORACENTESIS ASP W/ IMG GUID-RT "$4,667.00 " HC46501789 THORACENTESIS ASP W/O IMAG GUIDE "$3,633.00 " HC51002632 THORACENTESIS ASP W/O IMG GUID "$1,016.00 " HC25001173 THORACENTESIS ASP W/O IMG GUID-BIL "$2,628.00 " HC25001181 THORACENTESIS ASP W/O IMG GUID-LT "$1,460.00 " HC25001199 THORACENTESIS ASP W/O IMG GUID-RT "$1,460.00 " HC46501573 THORACENTESIS W/TUBE W/ IMAG BI "$9,377.00 " HC46501581 THORACENTESIS W/TUBE W/ IMAG LT "$4,931.00 " HC46501599 THORACENTESIS W/TUBE W/ IMAG RT "$4,931.00 " HC51010866 THORACENTESIS W/TUBE W/IMAGING "$1,413.00 " HC51010858 THORACENTESIS W/TUBE W/O IMAG "$1,323.00 " HC25001207 THORACENTESIS W/TUBE W/O IMAG BI "$2,602.00 " HC25001215 THORACENTESIS W/TUBE W/O IMAG LT "$1,447.00 " HC25001223 THORACENTESIS W/TUBE W/O IMAG RT "$1,447.00 " HC44002186 THORACIC SPINE 1VIEW $722.00 HC44002194 THORACIC SPINE 2 VIEWS $753.00 HC44002202 THORACIC SPINE 3 VIEWS $901.00 HC44002210 THORACIC SPINE MIN 4 VIEWS "$1,068.00 " HC25000324 THORACOTOMY "$3,854.00 " 13533-602-50 THROMBATE III 500 (+/-) UNIT IV SOLR "$11,640.00 " 13533-603-20 THROMBATE III 500 (+/-) UNIT IV SOLR "$11,640.00 " HC44501898 THROMBEC VC/ILIAC FEMPOP INCSN "$12,280.00 " HC44504744 "THROMBECT &/THROMBOLYSIS DIALYSIS CIRC WS&I,PHARM INJ" "$23,412.00 " HC44504769 "THROMBECT &/THROMBOLYSIS DIALYSIS CIRC WS&I,PHARM INJ; &PTA,STENT(S)OF PDS" "$36,267.00 " HC44504751 "THROMBECT &/THROMBOLYSIS DIALYSIS CIRC WS&I,PHARM INJ;&PTA OF PDS" "$30,832.00 " HC44504611 THROMBECT MECH PERC&/THROMBOLYSIS INF CRANI BI "$42,434.00 " HC44504629 THROMBECT MECH PERC&/THROMBOLYSIS INF CRANI LT "$23,239.00 " HC44504637 THROMBECT MECH PERC&/THROMBOLYSIS INF CRANI RT "$23,239.00 " HC44501922 THROMBECT MECH PRIM ART ADD LT(NONCOR/CRNL)+ "$9,954.00 " HC44501930 THROMBECT MECH PRIM ART ADD RT(NONCOR/CRNL)+ "$9,954.00 " HC44501948 THROMBECTOMY ART 2ND LT(NONCOR/CRNL) "$9,328.00 " HC44501955 THROMBECTOMY ART 2ND RT(NONCOR/CRNL) "$9,328.00 " HC44501906 THROMBECTOMY MECH PRIM ART LT(NONCOR/CRNL) "$13,560.00 " HC44501914 THROMBECTOMY MECH PRIM ART RT(NONCOR/CRNL) "$13,560.00 " HC44502003 THROMBECTOMY VEIN REPEAT LT "$9,971.00 " HC44502011 THROMBECTOMY VEIN REPEAT RT "$9,971.00 " HC44501989 THROMBECTOMY VENOUS LT "$12,263.00 " HC44501997 THROMBECTOMY VENOUS RT "$12,263.00 " 60793-215-05 "THROMBIN (BOVINE) 5,000 UNIT TOPICAL SOLR" $432.78 60793-315-01 "THROMBIN (BOVINE) 5,000 UNIT TOPICAL SOLR" $432.78 99999-038-30 THROMBIN ON GELFOAM 100 MIXTURE (OCM) $680.56 99999-038-17 THROMBIN ON SURGIFOAM 100 MIXTURE (SLH-OPTIME) "$1,110.68 " HC81500613 THROMBIN TIME $201.00 HC89017099 THROMBIN TIME 1:1 MIX-AU $17.00 HC89017461 THROMBIN TIME RFX - AU $15.00 HC89004485 THROMBIN TIME-AU $15.00 HC44503720 THROMBOLYSIS ART OTHER NONCOR/CRNL+S&I1ST DAY "$12,230.00 " HC25005653 THROMBOLYSIS CEREBRAL IV INFUSION "$1,690.00 " HC44502029 THROMBOLYSIS CEREBRAL/IV RT "$1,769.00 " HC44502037 THROMBOLYSIS CEREBRAL/IV LT "$1,769.00 " HC25001041 THROMBOLYSIS CORONARY IV INFUSION "$1,974.00 " HC44701167 THROMBOLYSIS CORONARY IV INFUSION "$3,385.00 " HC44701159 THROMBOLYSIS INTRACORONARY INF WANGIO "$4,459.00 " HC44503753 THROMBOLYSIS NONCOR END OF TX "$11,609.00 " HC44503746 THROMBOLYSIS NONCOR+S&I SUB DAY "$10,840.00 " HC44503738 THROMBOLYSIS VEN NONCOR+S&I1ST DAY "$10,838.00 " HC89013973 THS 3RD GENERATION-AU $16.00 HC81700502 THYROGLOBULIN AB $214.00 HC89013015 THYROGLOBULIN AB-AU $8.00 HC89014500 THYROGLOBULIN AB-ES $32.00 HC89003107 THYROGLOBULIN AB-QD $19.00 HC89009997 THYROGLOBULIN BY CIA-AU $18.88 HC89019707 THYROGLOBULIN BY LC/MS/MS-AU $60.00 0456-0458-01 THYROID (PORK) 30 MG ORAL TAB $4.75 42192-329-01 THYROID (PORK) 30 MG ORAL TAB $3.56 0456-0459-01 THYROID (PORK) 60 MG ORAL TAB $5.28 42192-330-01 THYROID (PORK) 60 MG ORAL TAB $3.96 HC45200904 THYROID METS IMAG W/ADD STUDIES "$4,153.00 " HC81700775 THYROID PEROXIDASE AB BY EIA $203.00 HC89010052 THYROID STIM IMMUNOGLOB-AU $39.15 HC89015556 THYROID STIM IMMUNOGLOB-QD $26.00 HC89010045 THYROXINE BIND GLOBULIN-AU $17.00 HC89010037 THYROXINE BIND GLOBULIN-ES $28.00 HC89001259 THYROXINE BIND GLOBULIN-QD $30.00 63459-402-30 TIAGABINE 2 MG ORAL TAB $59.70 0093-5031-56 TIAGABINE 4 MG ORAL TAB $38.09 62756-224-83 TIAGABINE 4 MG ORAL TAB $38.09 63459-404-30 TIAGABINE 4 MG ORAL TAB $59.70 69238-1105-3 TIAGABINE 4 MG ORAL TAB $38.09 HC81100208 TIBC $192.00 HC44002236 TIBIA & FIBULA (LEG) 2 VWS BIL "$1,594.00 " HC44002244 TIBIA & FIBULA (LEG) 2 VWS LT $862.00 HC44002251 TIBIA & FIBULA (LEG) 2 VWS RT $862.00 HC44002780 TIBIA AND FIBULA $862.00 0186-0776-60 TICAGRELOR 60 MG ORAL TAB $38.53 0186-0777-39 TICAGRELOR 90 MG ORAL TAB $38.53 0186-0777-60 TICAGRELOR 90 MG ORAL TAB $38.53 0008-4990-19 TIGECYCLINE 50 MG IV SOLR $939.01 0008-4990-20 TIGECYCLINE 50 MG IV SOLR $939.01 0781-3481-70 TIGECYCLINE 50 MG IV SOLR $751.20 0781-3481-92 TIGECYCLINE 50 MG IV SOLR $751.20 16729-364-03 TIGECYCLINE 50 MG IV SOLR $751.20 16729-364-68 TIGECYCLINE 50 MG IV SOLR $751.20 55150-228-10 TIGECYCLINE 50 MG IV SOLR $624.00 63323-960-10 TIGECYCLINE 50 MG IV SOLR $936.00 70121-1647-1 TIGECYCLINE 50 MG IV SOLR $624.00 70121-1647-7 TIGECYCLINE 50 MG IV SOLR $624.00 HC44701175 TILT TABLE EVALUATION "$3,785.00 " 76478-001-05 TIMOLOL 0.25 % OPHT DROP $766.56 60758-802-05 TIMOLOL MALEATE 0.25 % OPHT DROP $17.88 61314-226-05 TIMOLOL MALEATE 0.25 % OPHT DROP $31.02 64980-513-01 TIMOLOL MALEATE 0.25 % OPHT DROP $83.76 64980-513-05 TIMOLOL MALEATE 0.25 % OPHT DROP $31.20 17478-288-10 TIMOLOL MALEATE 0.5 % OPHT DROP $28.98 17478-288-11 TIMOLOL MALEATE 0.5 % OPHT DROP $35.52 60758-801-05 TIMOLOL MALEATE 0.5 % OPHT DROP $32.82 61314-227-05 TIMOLOL MALEATE 0.5 % OPHT DROP $57.90 64980-514-05 TIMOLOL MALEATE 0.5 % OPHT DROP $58.20 68682-813-05 TIMOLOL MALEATE 0.5 % OPHT DROP $66.00 68682-045-50 TIMOLOL MALEATE 0.5 % OPHT DRPD "$1,754.64 " 0378-0221-01 TIMOLOL MALEATE 10 MG ORAL TAB $8.17 0378-0055-01 TIMOLOL MALEATE 5 MG ORAL TAB $6.61 0054-0348-07 TINIDAZOLE 500 MG ORAL TAB $48.72 43386-551-02 TINIDAZOLE 500 MG ORAL TAB $47.93 0178-0900-01 TIOPRONIN 100 MG ORAL TAB $169.25 0597-0075-75 TIOTROPIUM BROMIDE 18 MCG INHALATION CPDV $108.19 0597-0100-51 TIOTROPIUM BROMIDE 2.5 MCG/ACTUATION INHALATION MIST $450.00 HC62300199 TIP CAUTERY HOOK ROBOTIC F $293.00 HC62300173 TIP CAUTERY HOOK ROBOTIC L $488.00 HC62300181 TIP CAUTERY HOOK ROBOTIC Q $650.00 HC62212105 TIP CAUTERY SINGLE USE ROBOTIC $293.00 HC62227764 TIP DISSECTOR MICRO $195.00 HC62226451 TIP DISSECTOR MICRO ULTRSONC (SONOPET) "$2,600.00 " HC62224530 TIP MIX LUERLOCK CORTOSS (CEMENT) $910.00 HC62211982 TIP PROBE SUCTION LAPARASCOPIC $477.00 HC62226089 TIP SACRO SURG DISP $228.00 HC62207196 TIP SUCTION $52.00 HC62214689 TIP SUCTION OPTHALMIC $96.00 HC62213897 TIP SUCTION/IRRIG $34.00 HC62227350 TIP SUCTION/IRRIG D $130.00 HC62207204 TIP VITALVUE SUCTION/IRRIG $417.00 25208-002-02 TIROFIBAN-0.9% SODIUM CHLORIDE 12.5 MG/250 ML (50 MCG/ML) IV SOLN "$1,434.00 " HC82200932 TISSUE EX G&M LVL 3 DIST SVC $438.00 HC82200924 TISSUE EX G&M LVL 2 DIST SVC $348.00 HC82200940 TISSUE EX G&M LVL 4 DIST SVC $678.00 HC82200957 TISSUE EX G&M LVL 5 DIST SVC $982.00 HC82200965 TISSUE EX G&M LVL 6 DIST SVC "$1,160.00 " HC82200510 TISSUE EXAM - LAB REPORT - OP $395.00 HC82200585 TISSUE EXAM - OP $544.00 HC82200387 TISSUE EXAM G&M LEVEL 2 $348.00 HC82202557 TISSUE EXAM G&M LEVEL 2 *OP $348.00 HC82200395 TISSUE EXAM G&M LEVEL 3 $438.00 HC82202565 TISSUE EXAM G&M LEVEL 3 *OP $438.00 HC82200403 TISSUE EXAM G&M LEVEL 4 $678.00 HC82202573 TISSUE EXAM G&M LEVEL 4 *OP $678.00 HC83500686 TISSUE EXAM G&M LEVEL 4-CS $157.15 HC83504043 TISSUE EXAM G&M LEVEL 4PROF-CS $116.00 HC82202250 TISSUE EXAM G&M LEVEL 4-REDUCE $678.00 HC83500678 TISSUE EXAM G&M LEVEL 4-SU $268.00 HC82200411 TISSUE EXAM G&M LEVEL 5 $982.00 HC82202581 TISSUE EXAM G&M LEVEL 5 *OP $982.00 HC83504050 TISSUE EXAM G&M LEVEL 5-CS $365.00 HC82200338 TISSUE EXAM G&M LEVEL 6 "$1,160.00 " HC82202730 TISSUE EXAM G&M LVL 2(TC ONLY) $348.00 HC82202748 TISSUE EXAM G&M LVL 3(TC ONLY) $438.00 HC82202755 TISSUE EXAM G&M LVL 4(TC ONLY) $678.00 HC82202763 TISSUE EXAM G&M LVL 5(TC ONLY) $982.00 HC82202771 TISSUE EXAM G&M LVL 6(TC ONLY) "$1,160.00 " HC82200718 TISSUE EXAM G&M SLIDE PREP-MHL $678.00 HC82200643 TISSUE EXAM LEVEL 2 ADD'L $348.00 HC82200650 TISSUE EXAM LEVEL 3 ADD'L $438.00 HC82200668 TISSUE EXAM LEVEL 4 SKIN $678.00 HC82200676 TISSUE EXAM LEVEL 4 SPECIAL $678.00 HC82200684 TISSUE EXAM LEVEL 5 ADD'L $982.00 HC82200627 TISSUE EXAM LEVEL 6 ADD'L "$1,160.00 " HC82200601 TISSUE EXAM LVL 5 (PQRI) $982.00 HC82200619 TISSUE EXAM LVL 6 (PQRI) "$1,160.00 " HC82202292 TISSUE FROZ SECT AD'L DIST SVC $239.00 HC82200353 TISSUE FROZEN SECTION $501.00 HC82200502 TISSUE FROZEN SECTION ADDIT'L $239.00 HC82202284 TISSUE FROZEN SECTION DIST SVC $501.00 HC82200635 TISSUE FRZN SECTION REDUCED $402.00 HC82202243 TISSUE GROSS EXAM LV1-DIST SVC $230.00 HC82200379 TISSUE GROSS EXAM ONLY LEVEL 1 $230.00 HC82202540 TISSUE GROSS EXAM ONLY LVL1*OP $230.00 HC83505933 TISSUE IN-SITU HYBRI EA ADDL -AP $135.00 HC83505925 TISSUE IN-SITU HYBRI INITIAL -AP $135.00 HC83505099 TISSUE IN-SITU HYBRI INITIAL -NG $80.00 HC83504092 TISSUE IN-SITU HYBRI INTER-IM $621.00 HC83503920 TISSUE IN-SITU HYBRI INTER-US $250.00 HC83505990 TISSUE IN-SITU HYBRID SGL PROBE EA ADDL-NG $80.00 HC84200377 TISSUE PROCESS GRINDING $142.00 HC81701914 TISSUE TRANSGLUTAMINASE IGA $253.00 HC81701922 TISSUE TRANSGLUTAMINASE IGG $253.00 HC89018063 TISSUE TRANSGLUTAMNS AB IGA-AU $6.00 HC89018055 TISSUE TRANSGLUTAMNS AB IGG-AU $24.00 99999-036-68 TIZANIDINE 1 MG ORAL PARTIAL TAB (MCH) $3.67 42291-808-15 TIZANIDINE 2 MG ORAL TAB $1.00 50268-759-11 TIZANIDINE 2 MG ORAL TAB $5.22 50268-759-15 TIZANIDINE 2 MG ORAL TAB $5.22 55111-179-15 TIZANIDINE 2 MG ORAL TAB $1.00 60505-0251-3 TIZANIDINE 2 MG ORAL TAB $1.00 68084-775-25 TIZANIDINE 2 MG ORAL TAB $6.47 68084-775-95 TIZANIDINE 2 MG ORAL TAB $6.47 0185-4400-51 TIZANIDINE 4 MG ORAL TAB $4.46 0904-6418-61 TIZANIDINE 4 MG ORAL TAB $3.16 51079-998-01 TIZANIDINE 4 MG ORAL TAB $4.46 51079-998-20 TIZANIDINE 4 MG ORAL TAB $4.46 55111-180-15 TIZANIDINE 4 MG ORAL TAB $1.00 60505-0252-3 TIZANIDINE 4 MG ORAL TAB $1.22 HC44501484 TLA AORTA W/S&I:INITIAL "$19,078.00 " HC44002277 TMJ ARTHROGRAM BILAT "$2,044.00 " HC44002285 TMJ ARTHROGRAM LT "$1,028.00 " HC44002293 TMJ ARTHROGRAM RT "$1,028.00 " HC44002301 TMJ BILAT "$1,009.00 " HC44002319 TMJ UNILATERAL LEFT $480.00 HC44002327 TMJ UNILATERAL RIGHT $480.00 HC39001029 TMS INITIAL MAP THRES DEL MGMT SESS $746.00 HC39001045 TMS REDETERMINATION THRES DELV MGNT $820.00 HC39001037 TMS SUBSEQ DELIV MGMNT SESS $895.00 HC44703593 TMVR MITRACLIP ADD'L PROTH+ "$10,500.00 " HC44703585 TMVR MITRACLIP INITIAL PROTH "$47,025.00 " 0065-0643-05 TOBRAMYCIN 0.3 % OPHT DROP $612.42 17478-290-10 TOBRAMYCIN 0.3 % OPHT DROP $69.90 24208-290-05 TOBRAMYCIN 0.3 % OPHT DROP $70.50 61314-643-05 TOBRAMYCIN 0.3 % OPHT DROP $93.00 70069-131-01 TOBRAMYCIN 0.3 % OPHT DROP $30.00 0065-0644-35 TOBRAMYCIN 0.3 % OPHT OINT "$1,286.17 " 99999-035-70 TOBRAMYCIN 1.4 % (14 MG/ML) FORTIFIED OPHTHALMIC SOLUTION $85.47 99999-007-17 TOBRAMYCIN 10 MG/5 ML INJ SOLN IN D5W (MCH-NEONATE) $1.80 99999-007-18 TOBRAMYCIN 10 MG/5 ML INJ SOLN IN D5W (MCH-NEONATE) $3.60 99999-007-19 TOBRAMYCIN 10 MG/5 ML INJ SOLN IN D5W (MCH-NEONATE) $5.40 99999-007-20 TOBRAMYCIN 10 MG/5 ML INJ SOLN IN D5W (MCH-NEONATE) $7.20 99999-043-15 TOBRAMYCIN 10 MG/5 ML INJ SOLN IN D5W (MCH-NEONATE) $203.40 99999-000-37 TOBRAMYCIN 15 MG/ML FORTIFIED OPHTHALMIC (SLH) $122.10 99999-034-36 TOBRAMYCIN 2 MG/ML NICU IV SYRINGE (OCM) $1.00 99999-004-76 TOBRAMYCIN 4 MG/ML INJECTION SYRINGE IN NS (MCH) $1.00 0078-0494-71 TOBRAMYCIN IN 0.225 % NACL 300 MG/5 ML INHALATION NEBU $786.18 0078-0494-91 TOBRAMYCIN IN 0.225 % NACL 300 MG/5 ML INHALATION NEBU $715.38 0093-4085-63 TOBRAMYCIN IN 0.225 % NACL 300 MG/5 ML INHALATION NEBU $618.12 16714-119-02 TOBRAMYCIN IN 0.225 % NACL 300 MG/5 ML INHALATION NEBU $419.58 65162-914-46 TOBRAMYCIN IN 0.225 % NACL 300 MG/5 ML INHALATION NEBU $386.22 68180-962-04 TOBRAMYCIN IN 0.225 % NACL 300 MG/5 ML INHALATION NEBU $212.04 68180-962-56 TOBRAMYCIN IN 0.225 % NACL 300 MG/5 ML INHALATION NEBU $212.04 HC81100612 TOBRAMYCIN INIT $458.00 HC89006621 TOBRAMYCIN INITIAL-U2 $38.00 HC81100604 TOBRAMYCIN SUBS $440.00 39822-0412-1 TOBRAMYCIN SULFATE 1.2 GRAM INJ SOLR "$1,050.00 " 39822-0412-6 TOBRAMYCIN SULFATE 1.2 GRAM INJ SOLR "$1,000.00 " 63323-303-51 TOBRAMYCIN SULFATE 1.2 GRAM INJ SOLR $501.00 63323-303-55 TOBRAMYCIN SULFATE 1.2 GRAM INJ SOLR $466.20 63323-305-02 TOBRAMYCIN SULFATE 10 MG/ML INJ SOLN $31.68 0409-3578-01 TOBRAMYCIN SULFATE 40 MG/ML INJ SOLN $14.58 36000-242-01 TOBRAMYCIN SULFATE 40 MG/ML INJ SOLN $128.70 63323-306-02 TOBRAMYCIN SULFATE 40 MG/ML INJ SOLN $20.34 63323-306-30 TOBRAMYCIN SULFATE 40 MG/ML INJ SOLN $131.94 63323-307-51 TOBRAMYCIN SULFATE 40 MG/ML INJ SOLN $287.10 67457-428-00 TOBRAMYCIN SULFATE 40 MG/ML INJ SOLN $130.68 67457-428-30 TOBRAMYCIN SULFATE 40 MG/ML INJ SOLN $130.68 67457-473-00 TOBRAMYCIN SULFATE 40 MG/ML INJ SOLN $11.88 67457-473-22 TOBRAMYCIN SULFATE 40 MG/ML INJ SOLN $11.88 24492-850-56 TOBRAMYCIN WITH NEBULIZER 300 MG/5 ML INHALATION NEBU $482.13 0065-0647-05 TOBRAMYCIN-DEXAMETHASONE 0.3-0.1 % OPHT DRPS $951.78 0065-0647-25 TOBRAMYCIN-DEXAMETHASONE 0.3-0.1 % OPHT DRPS $475.08 24208-295-25 TOBRAMYCIN-DEXAMETHASONE 0.3-0.1 % OPHT DRPS $303.42 61314-647-05 TOBRAMYCIN-DEXAMETHASONE 0.3-0.1 % OPHT DRPS $698.10 61314-647-25 TOBRAMYCIN-DEXAMETHASONE 0.3-0.1 % OPHT DRPS $348.30 0065-0648-35 TOBRAMYCIN-DEXAMETHASONE 0.3-0.1 % OPHT OINT "$1,369.26 " HC89001911 TOCAINIDE-QD $60.00 50242-138-01 TOCILIZUMAB 162 MG/0.9 ML SUBCUTANEOUS SYRG "$6,268.14 " 50242-136-01 TOCILIZUMAB 200 MG/10 ML (20 MG/ML) IV SOLN "$6,917.40 " 50242-137-01 TOCILIZUMAB 400 MG/20 ML (20 MG/ML) IV SOLN "$13,834.80 " 50242-135-01 TOCILIZUMAB 80 MG/4 ML (20 MG/ML) IV SOLN "$2,766.96 " HC44002335 TOE (S) BILAT "$1,141.00 " HC44002343 TOE (S) LT $602.00 HC44002350 TOE (S) RT $602.00 0187-0938-01 TOLCAPONE 100 MG ORAL TAB $711.23 0536-5150-26 TOLNAFTATE 1 % TOPICAL POWD $12.96 0904-0726-45 TOLNAFTATE 1 % TOPICAL POWD $15.93 0009-5190-01 TOLTERODINE 2 MG ORAL CP24 $73.00 0904-6592-04 TOLTERODINE 2 MG ORAL CP24 $67.77 0009-4544-02 TOLTERODINE 2 MG ORAL TAB $44.09 33342-098-09 TOLTERODINE 2 MG ORAL TAB $16.30 59762-0800-2 TOLTERODINE 2 MG ORAL TAB $9.17 0009-5191-02 TOLTERODINE 4 MG ORAL CP24 $73.00 0378-3404-93 TOLTERODINE 4 MG ORAL CP24 $38.53 0904-6593-04 TOLTERODINE 4 MG ORAL CP24 $70.89 51079-198-01 TOLTERODINE 4 MG ORAL CP24 $60.67 HC82201252 TOLUID BLU MAST CL STN/GRP II+ $412.00 99999-040-16 TOLVAPTAN 15 MG ORAL PARTIAL TAB "$1,215.78 " 59148-020-50 TOLVAPTAN 15 MG ORAL TAB "$2,972.56 " 60505-4704-0 TOLVAPTAN 15 MG ORAL TAB "$2,710.97 " 59148-021-50 TOLVAPTAN 30 MG ORAL TAB "$3,083.68 " 60505-4705-0 TOLVAPTAN 30 MG ORAL TAB "$2,812.31 " 99999-041-00 TOLVAPTAN 7.5 MG ORAL PARTIAL TAB $668.07 HC43001056 TOMO BRST DX 3-D; BILAT+ $109.00 HC43001031 TOMO BRST DX 3-D; UNILAT LT+ $87.00 HC43001049 TOMO BRST DX 3-D; UNILAT RT+ $87.00 HC43001064 TOMO BRST SCREEN 3-D BILAT+ $109.00 HC44002368 TOMOGRAM BILAT "$2,621.00 " HC44002376 TOMOGRAM SINGLE PLANE "$1,318.00 " HC44002384 TOMOGRAM UNILAT LT "$1,709.00 " HC44002392 TOMOGRAM UNILAT RT "$1,709.00 " HC29000338 TONOMETRY $186.00 HC62223995 TOOL ACCESSORY PCMKR "$1,625.00 " HC62226469 TOOL INSERTION TRANSVALVULAR $65.00 47335-711-13 TOPIRAMATE 100 MG ORAL TAB $2.50 47335-711-86 TOPIRAMATE 100 MG ORAL TAB $2.51 62756-711-86 TOPIRAMATE 100 MG ORAL TAB $2.51 68084-344-01 TOPIRAMATE 100 MG ORAL TAB $2.85 68084-344-11 TOPIRAMATE 100 MG ORAL TAB $2.85 68382-140-14 TOPIRAMATE 100 MG ORAL TAB $1.00 68382-004-14 TOPIRAMATE 15 MG ORAL CPSP $6.50 99999-044-70 TOPIRAMATE 20 MG/ML ORAL LIQUID (COMPOUND) $57.00 50458-645-65 TOPIRAMATE 25 MG ORAL CPSP $42.37 68382-005-14 TOPIRAMATE 25 MG ORAL CPSP $7.95 13668-031-60 TOPIRAMATE 25 MG ORAL TAB $1.00 47335-707-13 TOPIRAMATE 25 MG ORAL TAB $1.00 47335-707-86 TOPIRAMATE 25 MG ORAL TAB $1.00 50458-639-65 TOPIRAMATE 25 MG ORAL TAB $37.05 62756-707-13 TOPIRAMATE 25 MG ORAL TAB $1.00 68084-342-01 TOPIRAMATE 25 MG ORAL TAB $1.79 68084-342-11 TOPIRAMATE 25 MG ORAL TAB $1.79 68382-138-05 TOPIRAMATE 25 MG ORAL TAB $1.00 68382-138-14 TOPIRAMATE 25 MG ORAL TAB $1.00 68462-108-60 TOPIRAMATE 25 MG ORAL TAB $1.00 69097-122-03 TOPIRAMATE 25 MG ORAL TAB $1.00 13668-032-05 TOPIRAMATE 50 MG ORAL TAB $1.38 47335-710-86 TOPIRAMATE 50 MG ORAL TAB $1.84 68084-343-01 TOPIRAMATE 50 MG ORAL TAB $2.48 68084-343-11 TOPIRAMATE 50 MG ORAL TAB $2.48 68462-153-60 TOPIRAMATE 50 MG ORAL TAB $1.00 69097-123-03 TOPIRAMATE 50 MG ORAL TAB $1.00 HC89004071 TOPIRAMATE-AU $26.00 HC89002588 TOPIRAMATE-QD $38.00 99999-008-41 TOPOTECAN 1 MG/ML INJ SOLN (FOR ORAL USE)(MCH) $840.00 16729-151-31 TOPOTECAN 4 MG IV SOLR $840.00 63323-762-10 TOPOTECAN 4 MG IV SOLR "$1,410.00 " 0409-0302-01 TOPOTECAN 4 MG/4 ML (1 MG/ML) IV SOLN $819.00 0703-4714-01 TOPOTECAN 4 MG/4 ML (1 MG/ML) IV SOLN $641.28 0703-4714-71 TOPOTECAN 4 MG/4 ML (1 MG/ML) IV SOLN $641.28 HC89012892 TORCH TOXOPLASM AB IGG(PNL)-AU $10.00 HC89012900 TORCH TOXOPLASM AB IGM(PNL)-AU $10.00 50111-916-01 TORSEMIDE 10 MG ORAL TAB $3.16 50268-755-11 TORSEMIDE 10 MG ORAL TAB $1.84 50268-755-15 TORSEMIDE 10 MG ORAL TAB $1.84 50111-918-01 TORSEMIDE 100 MG ORAL TAB $11.67 0054-0077-25 TORSEMIDE 20 MG ORAL TAB $1.28 50111-917-01 TORSEMIDE 20 MG ORAL TAB $3.69 50268-756-11 TORSEMIDE 20 MG ORAL TAB $2.43 50268-756-15 TORSEMIDE 20 MG ORAL TAB $2.43 31722-529-01 TORSEMIDE 5 MG ORAL TAB $1.00 50111-915-01 TORSEMIDE 5 MG ORAL TAB $2.85 50268-754-11 TORSEMIDE 5 MG ORAL TAB $2.14 50268-754-15 TORSEMIDE 5 MG ORAL TAB $2.14 HC89013908 TOT PROT REFRACTOM(PNL)-AU $4.00 HC89009724 TOT PROT REFRACTOMETRIC-AU $8.00 HC89019590 TOT SRM IGA NPHLMT(PNL1155/6360)-PR $20.00 HC89016398 TOTAL PROTEIN UR-AU $5.00 HC89023261 TOTAL PROTEIN URINE (IFE)-AU $10.00 HC89013890 TOTAL PROTEIN(PNL)-AU $5.00 HC62207220 TOURNIQUET $150.00 HC89012587 TOXOCARA AB ELISA -AU $108.00 HC89011720 TOXOCARA CANIS/ELISA-FT $110.00 HC89000061 TOXOPLASMA AB IGG(PNL)-AU $11.35 HC89001143 TOXOPLASMA AB IGG(PNL)-AU $11.35 HC89014468 TOXOPLASMA AB IGG-AU $16.00 HC89001044 TOXOPLASMA AB IGM(PNL)-AU $10.00 HC89012918 TOXOPLASMA AB IGM-AU $10.00 HC89003487 TOXOPLASMA AB IGM-QD $20.00 HC89003479 TOXOPLASMA AB-QD $16.00 HC89020036 TPMT GENETICS (3300)-PR $316.00 59676-610-01 TRABECTEDIN 1 MG IV SOLR "$18,219.30 " 99996-000-28 TRACE ELEM CR-CU-MN-ZN 0.392-39.2-2-784 MCG/ML IV SOLN $10.00 63323-147-10 TRACE ELEM PED ZN-CU-MN-SE-F-I 521-53.7-3.6 MCG/ML IV SOLN $72.00 99996-000-27 TRACE ELEM ZN-CR-SE 848-0.34-3.03 MCG/ML IV SOLN $200.04 0517-9203-25 TRACE ELEMENT PEDI CR-CU-MN-ZN 1 MCG-0.1 MG-25 MCG-1 MG/ML IV SOLN $64.49 0517-8510-25 TRACE ELEMENTS CR-CU-MN-SE-ZN 4-400-100-20 -1000 MCG/ML IV SOLN $79.62 0517-6202-25 TRACE ELEMENTS CR-CU-MN-ZN 0.85 MCG-0.1 MG -25MCG-1.5MG/ML IV SOLN $61.50 0517-7201-25 TRACE ELEMENTS CR-CU-MN-ZN 10 MCG-1 MG- 0.5 MG-5 MG/ML IV SOLN $73.50 0517-7410-25 TRACE ELEMENTS CR-CU-MN-ZN 4 MCG-0.4 MG- 0.1 MG-1 MG/ML IV SOLN $205.62 99996-000-25 TRACE ELEMENTS CR-CU-MN-ZN-SE-0.36-35.6-1.8-714-3.6 MCG/ML IVN $300.06 0517-9305-01 TRACE ELEMENTS ZN-CU-MN-SE 3 MG-0.3 MG-55 MCG-60 MCG/ML IV SOLN $129.00 0517-9305-25 TRACE ELEMENTS ZN-CU-MN-SE 3 MG-0.3 MG-55 MCG-60 MCG/ML IV SOLN $129.00 HC62207238 TRACH PLUG $65.00 HC36000255 TRACH TUBE CHANGE "$1,769.00 " HC51004117 TRACH TUBE CHANGE $450.00 HC25000225 TRACHEOSTOMY "$1,755.00 " HC62218649 TRACKER INSTRUMENT FUSION ENT $520.00 HC62209564 TRACTION BUCKS UNIT $289.00 HC62209572 TRACTION CERVICAL UNIT $377.00 HC62209580 TRACTION KIRSCHNER WIRE UNIT $914.00 HC62209598 TRACTION PELVIC UNIT $553.00 HC62209606 TRACTION RUSSELLS UNIT $465.00 0093-0058-01 TRAMADOL 50 MG ORAL TAB $1.00 0378-4151-01 TRAMADOL 50 MG ORAL TAB $1.00 0904-6365-61 TRAMADOL 50 MG ORAL TAB $1.00 51079-991-01 TRAMADOL 50 MG ORAL TAB $1.00 51079-991-20 TRAMADOL 50 MG ORAL TAB $1.00 57664-377-08 TRAMADOL 50 MG ORAL TAB $1.00 65162-627-10 TRAMADOL 50 MG ORAL TAB $1.00 65162-627-50 TRAMADOL 50 MG ORAL TAB $1.00 57664-537-88 TRAMADOL-ACETAMINOPHEN 37.5-325 MG ORAL TAB $2.40 60505-2644-1 TRAMADOL-ACETAMINOPHEN 37.5-325 MG ORAL TAB $1.80 68084-825-01 TRAMADOL-ACETAMINOPHEN 37.5-325 MG ORAL TAB $2.54 68084-825-11 TRAMADOL-ACETAMINOPHEN 37.5-325 MG ORAL TAB $2.54 68180-566-01 TRANDOLAPRIL 1 MG ORAL TAB $3.31 0013-1114-01 "TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) IV SOLN" $180.00 0013-1114-20 "TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) IV SOLN" $180.00 0517-0960-01 "TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) IV SOLN" $119.88 0517-0960-10 "TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) IV SOLN" $119.88 39822-1001-6 "TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) IV SOLN" $124.20 39822-1001-7 "TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) IV SOLN" $124.20 42192-605-01 "TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) IV SOLN" $105.00 42192-605-10 "TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) IV SOLN" $105.00 47781-601-22 "TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) IV SOLN" $116.40 55150-188-10 "TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) IV SOLN" $210.00 67457-197-00 "TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) IV SOLN" $175.26 67457-197-10 "TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) IV SOLN" $175.26 23155-166-31 "TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) IV SOLN (FOR INHALATION USE)" $119.88 23155-166-41 "TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) IV SOLN (FOR INHALATION USE)" $119.88 39822-1000-1 "TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) IV SOLN (FOR INHALATION USE)" $124.20 61990-0611-0 "TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) IV SOLN (FOR INHALATION USE)" $48.00 61990-0611-2 "TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) IV SOLN (FOR INHALATION USE)" $48.00 63323-563-01 "TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) IV SOLN (FOR INHALATION USE)" $120.00 63323-563-10 "TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) IV SOLN (FOR INHALATION USE)" $120.00 67850-041-00 "TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) IV SOLN (FOR INHALATION USE)" $54.00 67850-041-10 "TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) IV SOLN (FOR INHALATION USE)" $54.00 70860-400-10 "TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) IV SOLN (FOR INHALATION USE)" $43.50 70860-400-41 "TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) IV SOLN (FOR INHALATION USE)" $43.50 99999-039-80 TRANEXAMIC ACID 50 MG/ML (5%) MOUTHWASH $58.20 60505-3638-3 TRANEXAMIC ACID 650 MG ORAL TAB $25.06 69918-301-30 TRANEXAMIC ACID 650 MG ORAL TAB $26.07 HC25006164 TRANSABDOMINAL AMNIOINFUSION "$1,550.00 " HC26000125 TRANSABDOMINAL AMNIOINFUSION "$2,328.00 " HC44703601 TRANSCATH ATRIAL SEPT(TAS)CONGENTL INCLED ALL IMAG(RASHKIND) "$41,800.00 " HC44703411 TRANSCATH DELIVERY ENHANCED FIXATION DEVICE "$25,867.00 " HC44502045 TRANSCATH EMBOLIZ PERC-CNS "$26,798.00 " HC44502052 TRANSCATH EMBOLIZ PERC-NON CNS "$26,320.00 " HC44502060 TRANSCATH EMBOLIZATION S&I "$12,307.00 " HC44703627 TRANSCATH INTRACARD SHUNT(TIS) STENT CONGENTL INCLUDE IMAGE; EA ADDL+ "$24,533.00 " HC44703619 TRANSCATH INTRACARD SHUNT(TIS) STENT ICF CONGENTL INCLUDE IMAGI; 1ST SHUNT (FONTANE) "$52,250.00 " HC47200639 TRANSCATH PLCMNT RAD DEL DEVIC "$7,380.00 " HC44503761 TRANSCATH RETRIEVAL PERC FB W/S&I "$11,701.00 " HC44002400 TRANSCERV CATH FALLOPIAN TUBES "$1,698.00 " HC44200608 TRANSCRANIAL DOPPLER STUDY COMP "$3,063.00 " HC44200616 TRANSCRANIAL DOPPLER STUDY LTD "$1,897.00 " HC62209770 TRANSCUTANEOUS MNTR SUPPLIES $208.00 HC62210844 TRANSDCR OPTCL DATA RSO2 P/A $390.00 HC62210851 TRANSDCR OPTCL DATARSO2WIRELSS $503.00 HC36001147 TRANSENDOSCOPIC EBUS DURING BRONCH DX OR TX FOR PERIPH NODE(S)+ "$2,898.00 " HC36800845 TRANSENDOSCOPIC EBUS DURING BRONCH DX OR TX FOR PERIPH NODE(S)+ "$2,898.00 " HC81101230 TRANSFERRIN $277.00 HC89010086 TRANSFERRIN-AU $16.00 HC89003305 TRANSFERRIN-QD $9.00 HC12800082 TRANSFUSION BLOOD &/OR COMPNTS "$2,599.00 " HC12800090 TRANSFUSION EXCHANGE BLOOD NOT NEWBORN "$2,650.00 " HC89017396 TRANSGLUT'AB IGA REFLEX IFA-AU $16.00 HC44502136 TRANSHEP DIL BILI W/O-W STENT "$3,617.00 " HC44504850 TRANSLUMINAL BALO ANGIOP ARTERY W/S&I:ADDL + BILAT "$22,791.00 " HC44504835 TRANSLUMINAL BALO ANGIOP ARTERY W/S&I:ADDL + LT "$12,548.00 " HC44504843 TRANSLUMINAL BALO ANGIOP ARTERY W/S&I:ADDL + RT "$12,548.00 " HC44504827 TRANSLUMINAL BALO ANGIOP ARTERY W/S&I:INTL BILAT "$35,515.00 " HC44504801 TRANSLUMINAL BALO ANGIOP ARTERY W/S&I:INTL LEFT "$18,693.00 " HC44504819 TRANSLUMINAL BALO ANGIOP ARTERY W/S&I:INTL RIGHT "$18,693.00 " HC44504918 TRANSLUMINAL BALO ANGIOP VEIN W/S&I:ADDL + BILAT "$18,610.00 " HC44504892 TRANSLUMINAL BALO ANGIOP VEIN W/S&I:ADDL + LT "$10,330.00 " HC44504900 TRANSLUMINAL BALO ANGIOP VEIN W/S&I:ADDL + RT "$10,330.00 " HC44504884 TRANSLUMINAL BALO ANGIOP VEIN W/S&I:INTL BILAT "$30,663.00 " HC44504868 TRANSLUMINAL BALO ANGIOP VEIN W/S&I:INTL LEFT "$17,039.00 " HC44504876 TRANSLUMINAL BALO ANGIOP VEIN W/S&I:INTL RIGHT "$17,039.00 " HC47201173 TRANSPERINEAL PLCMNT BIODEGRADABLE MATERIAL "$12,999.00 " 49884-032-01 TRANYLCYPROMINE 10 MG ORAL TAB $16.04 HC62205729 TRAP POLYP $60.00 50242-132-01 TRASTUZUMAB 150 MG IV SOLR "$9,350.10 " 55513-132-01 TRASTUZUMAB-ANNS 420 MG IV SOLR "$22,183.56 " 67457-991-15 TRASTUZUMAB-DKST 150 MG IV SOLR "$7,947.90 " HC25002676 TRAUMA ACT' I W/O CC SERVICE "$24,714.00 " HC25002700 TRAUMA ACT' I W/O P-H ALERT "$20,969.00 " HC25002684 TRAUMA ACT' II W/O CC SERVICE "$13,561.00 " HC25002718 TRAUMA ACT' II W/O P-H ALERT "$10,787.00 " HC25002692 TRAUMA ACT' III W/O CC SERVICE "$10,455.00 " HC25002726 TRAUMA ACT' III W/O P-H ALERT "$7,921.00 " HC25001413 TRAUMA ACTVTN I CMPREN "$28,209.00 " HC25001421 TRAUMA ACTVTN II INTRM "$16,737.00 " HC25001439 TRAUMA ACTVTN III LMTD "$11,515.00 " HC62207253 TRAY AMNIOCENTESIS $241.00 HC62207261 TRAY ANGIO $692.00 HC62209135 TRAY ARTHROGRAM(DISP) $346.00 HC62215975 TRAY BONE MARROW AE $676.00 HC62215900 TRAY BONE MARROW D $52.00 HC62215918 TRAY BONE MARROW E $65.00 HC62215926 TRAY BONE MARROW F $78.00 HC62215934 TRAY BONE MARROW G $91.00 HC62215942 TRAY BONE MARROW H $104.00 HC62215959 TRAY BONE MARROW I $117.00 HC62215967 TRAY BONE MARROW J $130.00 HC62207287 TRAY BONE MARROW Q $312.00 HC62211388 TRAY CIRCUMCISION DISPOSABLE $42.00 HC62207303 TRAY CUTDOWN $926.00 HC62207311 TRAY DIALYSIS "$1,114.00 " HC62220793 TRAY DRAIN PNEUMOPERICARDIUM $416.00 HC62222161 TRAY EXCHANGE TRANSFUSION $143.00 HC62207329 TRAY EYE CARE $124.00 HC62207337 TRAY FOLEY CATH $33.00 HC62211883 TRAY FOLEY CATH STATLOCK $52.00 HC62207345 TRAY FOLEY CATH W/URINEMETER $109.00 HC62207352 TRAY GASTRIC LAVAGE $176.00 HC62207360 TRAY GENERAL PURPOSE DISP $143.00 HC62207378 TRAY HYPERAL DRESSING(DISP) $160.00 HC62207386 TRAY INCISION & DRAINAGE DISP $299.00 HC62207394 TRAY INTUBATION $252.00 HC62221395 TRAY INTUBATION RETROGRADE $455.00 HC62207402 TRAY IRRIGATION $33.00 HC62207410 TRAY LACERATION DISPOSABLE $163.00 HC62207428 TRAY LUMBAR PUNCTURE $337.00 HC62207444 TRAY MYELOGRAM DISP $186.00 HC62207451 TRAY NASAL $989.00 HC62207469 TRAY NASAL HEMORRHAGE $228.00 HC62207477 TRAY PARACERVICAL $228.00 HC62207485 TRAY PELVIC EXAM $163.00 HC62207493 TRAY PERICARIOCENTESIS $592.00 HC62207501 TRAY PLASTIC SUTURE $676.00 HC62207519 TRAY SPINAL/EPIDURAL $52.00 HC62221403 TRAY THORAC/PARACENTESIS B $78.00 HC62221411 TRAY THORAC/PARACENTESIS F $130.00 HC62218193 TRAY THORAC/PARACENTESIS G $156.00 HC62207527 TRAY THORAC/PARACENTESIS U $520.00 HC62207535 TRAY TRACH CARE/CLEANING $85.00 HC62207550 TRAY UNIVERSAL PROCEDURE $124.00 HC62211891 TRAY URINEMETER ADD A FOLEY IC $43.00 0904-6869-61 TRAZODONE 100 MG ORAL TAB $1.00 50111-434-01 TRAZODONE 100 MG ORAL TAB $1.00 50111-434-02 TRAZODONE 100 MG ORAL TAB $1.00 50111-561-01 TRAZODONE 100 MG ORAL TAB $1.00 68382-806-01 TRAZODONE 100 MG ORAL TAB $1.00 0904-6868-61 TRAZODONE 50 MG ORAL TAB $1.00 50111-433-02 TRAZODONE 50 MG ORAL TAB $1.00 68382-805-01 TRAZODONE 50 MG ORAL TAB $1.00 68382-805-05 TRAZODONE 50 MG ORAL TAB $1.00 HC89006928 TRAZODONE; 1-2-AU $20.00 HC29000312 TREADMILL STRESS TEST "$1,676.00 " HC47200662 TREATMENT DEVICES COMPLEX "$3,619.00 " HC47200654 TREATMENT DEVICES INTERMEDIATE "$2,347.00 " HC47200977 TREATMENT DEVICES MLC FOR IMRT "$5,018.00 " HC47200647 TREATMENT DEVICES SIMPLE "$1,521.00 " HC47200696 TREATMENT SIMULATION COMPLEX "$4,559.00 " HC47200688 TREATMENT SIMULATION INTERMED "$3,254.00 " HC47200670 TREATMENT SIMULATION SIMPLE "$2,468.00 " HC81702003 "TREPONEMA PALLIDUM AB, IGG" $172.00 HC89012926 TREPONEMA PALLIDUM AB-AU $13.00 0555-0808-02 TRETINOIN (ANTINEOPLASTIC) 10 MG ORAL CAP $161.36 10370-268-01 TRETINOIN (ANTINEOPLASTIC) 10 MG ORAL CAP $161.36 68084-075-11 TRETINOIN (ANTINEOPLASTIC) 10 MG ORAL CAP $165.16 68084-075-21 TRETINOIN (ANTINEOPLASTIC) 10 MG ORAL CAP $165.16 0065-0543-01 TRIAMCINOLONE ACETONIDE (PF) 40 MG/ML INTRAOCULAR SUSP $902.46 0168-0003-15 TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL CREAM $22.32 0168-0003-80 TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL CREAM $55.68 45802-063-35 TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL CREAM $21.60 45802-063-36 TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL CREAM $48.96 0168-0005-80 TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL OINT $55.68 45802-054-35 TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL OINT $29.79 0713-0655-40 TRIAMCINOLONE ACETONIDE 0.1 % DENT PSTE $386.82 51672-1267-5 TRIAMCINOLONE ACETONIDE 0.1 % DENT PSTE $386.82 64980-320-05 TRIAMCINOLONE ACETONIDE 0.1 % DENT PSTE $386.82 0168-0004-15 TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM $27.90 0168-0004-16 TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM $149.69 0168-0004-80 TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM $69.60 45802-064-05 TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM $117.13 45802-064-35 TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM $19.44 51672-1282-1 TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM $24.75 51672-1282-2 TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM $37.80 52565-056-15 TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM $18.00 52565-056-30 TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM $36.00 67877-251-15 TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM $25.47 0168-0006-15 TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINT $27.90 0168-0006-80 TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINT $69.60 45802-055-05 TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINT $201.58 45802-055-35 TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINT $27.09 51672-1284-1 TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINT $26.01 51672-1284-8 TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINT $59.52 45802-065-35 TRIAMCINOLONE ACETONIDE 0.5 % TOPICAL CREAM $49.14 45802-049-35 TRIAMCINOLONE ACETONIDE 0.5 % TOPICAL OINT $49.05 0003-0494-20 TRIAMCINOLONE ACETONIDE 10 MG/ML INJ SUSP $72.54 0003-0293-05 TRIAMCINOLONE ACETONIDE 40 MG/ML INJ SUSP $56.16 0003-0293-20 TRIAMCINOLONE ACETONIDE 40 MG/ML INJ SUSP $285.06 0003-0293-28 TRIAMCINOLONE ACETONIDE 40 MG/ML INJ SUSP $425.76 0703-0241-01 TRIAMCINOLONE ACETONIDE 40 MG/ML INJ SUSP $48.54 70121-1049-1 TRIAMCINOLONE ACETONIDE 40 MG/ML INJ SUSP $51.00 70121-1049-2 TRIAMCINOLONE ACETONIDE 40 MG/ML INJ SUSP $51.00 70121-1049-5 TRIAMCINOLONE ACETONIDE 40 MG/ML INJ SUSP $51.00 70121-1168-1 TRIAMCINOLONE ACETONIDE 40 MG/ML INJ SUSP $260.10 70121-1651-1 TRIAMCINOLONE ACETONIDE 40 MG/ML INJ SUSP $51.00 70121-1651-5 TRIAMCINOLONE ACETONIDE 40 MG/ML INJ SUSP $51.00 59212-002-01 TRIAMTERENE 50 MG ORAL CAP $66.33 66993-831-02 TRIAMTERENE 50 MG ORAL CAP $57.25 0781-2074-01 TRIAMTERENE-HYDROCHLOROTHIAZID 37.5-25 MG ORAL CAP $1.27 51079-935-01 TRIAMTERENE-HYDROCHLOROTHIAZID 37.5-25 MG ORAL CAP $2.13 0378-0464-01 TRIAMTERENE-HYDROCHLOROTHIAZID 37.5-25 MG ORAL TAB $9.10 0378-1352-01 TRIAMTERENE-HYDROCHLOROTHIAZID 37.5-25 MG ORAL TAB $1.65 0781-5068-01 TRIAMTERENE-HYDROCHLOROTHIAZID 37.5-25 MG ORAL TAB $1.65 60505-2656-1 TRIAMTERENE-HYDROCHLOROTHIAZID 37.5-25 MG ORAL TAB $1.65 68084-750-25 TRIAMTERENE-HYDROCHLOROTHIAZID 37.5-25 MG ORAL TAB $4.18 68084-750-95 TRIAMTERENE-HYDROCHLOROTHIAZID 37.5-25 MG ORAL TAB $4.18 51079-433-01 TRIAMTERENE-HYDROCHLOROTHIAZID 75-50 MG ORAL TAB $4.28 51079-433-20 TRIAMTERENE-HYDROCHLOROTHIAZID 75-50 MG ORAL TAB $4.28 68382-857-01 TRIAMTERENE-HYDROCHLOROTHIAZID 75-50 MG ORAL TAB $1.27 59762-3718-4 TRIAZOLAM 0.25 MG ORAL TAB $17.60 HC89012934 TRICHINELLA AB-AU $45.00 HC89001416 TRICHINELLA AB-QD $17.00 HC89003776 TRICHLOROACETIC URINE(PNL)-AU $91.00 HC84200534 TRICHOMONAS RAPID TEST $161.00 HC89021034 TRICHOMONAS VAGINALIS DNA-AU $21.00 HC84200971 TRICHROME STAIN $404.00 HC84200435 TRICHROME STAIN CMPLX OVA/PARA $261.00 HC89017420 TRICHROME STAIN CMPLX(O&P)-AU $31.00 HC82200106 TRICHROME STAIN/GRP II+ $412.00 0378-2405-01 TRIFLUOPERAZINE 5 MG ORAL TAB $6.82 59762-0040-1 TRIFLURIDINE 1 % OPHT DROP $775.44 61314-044-75 TRIFLURIDINE 1 % OPHT DROP "$1,070.10 " HC81100745 TRIGLYCERIDES $185.00 HC89022974 "TRIGLYCERIDES, BODY FLUID-AU" $10.00 HC89016653 TRIGLYCERIDES-VAP(IN GRP)-AH $6.00 HC89005060 TRIGLYCERIDES-VAP(IN GRP)-AU $9.00 0591-5335-01 TRIHEXYPHENIDYL 2 MG ORAL TAB $1.00 70954-212-10 TRIHEXYPHENIDYL 2 MG ORAL TAB $1.00 0591-5337-10 TRIHEXYPHENIDYL 5 MG ORAL TAB $1.64 HC21000583 TRIM NONDYSTROPHIC NAILS $383.00 42023-118-01 TRIMETHOBENZAMIDE 100 MG/ML IM SOLN "$1,982.40 " 42023-119-25 TRIMETHOBENZAMIDE 100 MG/ML IM SOLN $231.28 43386-660-03 TRIMETHOBENZAMIDE 300 MG ORAL CAP $8.12 53489-376-01 TRIMETHOBENZAMIDE 300 MG ORAL CAP $7.85 61570-079-01 TRIMETHOBENZAMIDE 300 MG ORAL CAP $27.23 43386-330-01 TRIMETHOPRIM 100 MG ORAL TAB $1.84 51862-486-01 TRIMETHOPRIM 100 MG ORAL TAB $1.87 HC89006936 TRIMIPRAMINE-AU $113.00 HC62218086 TROCAR BALLOON $686.00 HC62214408 TROCAR ENDO A $46.00 HC62221429 TROCAR ENDO B $65.00 HC62221437 TROCAR ENDO C $98.00 HC62221445 TROCAR ENDO D $130.00 HC62221452 TROCAR ENDO E $195.00 HC62202999 TROCAR ENDO F $260.00 HC62201595 TROCAR ENDO G $325.00 HC62221460 TROCAR ENDO H $390.00 HC62221478 TROCAR ENDO I $455.00 HC62221486 TROCAR ENDO L $650.00 HC62226816 TROCAR ENDO O "$1,040.00 " HC62212253 TROCAR ENDO W-W/O SLEEVE $83.00 17478-101-12 TROPICAMIDE 0.5 % OPHT DROP $47.97 24208-590-64 TROPICAMIDE 0.5 % OPHT DROP $119.97 61314-354-01 TROPICAMIDE 0.5 % OPHT DROP $128.43 17478-102-12 TROPICAMIDE 1 % OPHT DROP $51.03 24208-585-59 TROPICAMIDE 1 % OPHT DROP $48.00 24208-585-64 TROPICAMIDE 1 % OPHT DROP $180.00 61314-355-01 TROPICAMIDE 1 % OPHT DROP $61.20 61314-355-02 TROPICAMIDE 1 % OPHT DROP $183.60 HC81100406 TROPONIN $348.00 HC89005417 TROPONIN-UCI $45.00 68462-461-60 TROSPIUM 20 MG ORAL TAB $4.76 68803-612-10 TRYPAN BLUE 0.06 % INTRAOCULAR SYRG $380.40 HC89010136 TRYPSIN (FECES)-AU $11.00 HC89008650 TRYPSIN-AU $29.00 HC89008668 TRYPSIN-QD $45.00 HC89008742 TRYPTASE-AU $41.00 HC81700205 TSH $402.00 HC89019293 TSH RECEPTOR AB (TRAB)-AU $31.00 HC89008684 TSH RECEPTOR AB-AU $16.00 HC89010060 TSH RECEPTOR AB-ES $120.00 HC81701195 TSH SUBSEQUENT $391.00 HC89013981 TSH-ES $44.53 HC62207584 TUBE ASPIRATING $68.00 HC62223284 TUBE BRACHY TX SEED ADMIN A $65.00 HC62226477 TUBE BRACHY TX SEED ADMIN G $260.00 HC62219092 TUBE CALIBRATION GASTRIC BANDING $407.00 HC62207592 TUBE CANTOR $506.00 HC62207600 TUBE CONNECTING $27.00 HC62207618 TUBE DRAINAGE CONNECTING $65.00 HC62207626 TUBE EMG REINFORCED NIM $963.00 HC62217229 TUBE ENDOBRONCHIAL $177.00 HC62207634 TUBE ET B $65.00 HC62217963 TUBE ET D $130.00 HC62217971 TUBE ET E $195.00 HC62219613 TUBE ET J $520.00 HC62219852 TUBE ET NIM O "$1,040.00 " HC51080273 TUBE FEEDING ENTERAL NG W/O STYLET $40.00 HC62212139 TUBE FEEDING ENTERAL NG W/O STYLET $40.00 HC62212147 TUBE FEEDING ENTERAL NG W/STYLET $52.00 HC62212162 TUBE FEEDING NG >36IN-NO STYLET $90.00 HC62212170 TUBE FEEDING NG>36IN TRACKABLE STYLET $164.00 HC62207659 TUBE GASTROSTOMY L $650.00 HC62804976 TUBE GASTROSTOMY KIT I $455.00 HC62800776 TUBE GASTROSTOMY LOWPRFL BTTN H $390.00 HC62802624 TUBE GASTROSTOMY LOWPRFL BTTN O "$1,011.00 " HC62806344 TUBE GASTROSTOMY LOWPRFL BTTN OPT G $325.00 HC62807250 TUBE GASTROSTOMY LOWPRFL BTTN OPT L $650.00 HC62805486 TUBE GASTROSTOMY REPLACE PEG C $98.00 HC62806112 TUBE GASTROSTOMY STANDARD C $98.00 HC62802863 TUBE GASTROSTOMY STANDARD E $195.00 HC62806310 TUBE GASTROSTOMY STNDRD BTTN OPT F $260.00 HC62806328 TUBE GASTROSTOMY STNDRD BTTN OPT G $325.00 HC62806336 TUBE GASTROSTOMY STNDRD BTTN OPT H $390.00 HC62212154 TUBE GASTROSTOMY STRD BUTTON/NONE A $33.00 HC62207667 TUBE GAUZE $107.00 HC62207675 TUBE GAVAGE/FEEDING INFANTS $20.00 HC62225941 TUBE INSERT TONGUE BRACHYTHERAPY $65.00 HC62222443 TUBE INSERTN LEAD ELECTRODE SINGLE "$2,990.00 " HC62222336 TUBE INSUFFLATOR A $33.00 HC62221494 TUBE INSUFFLATOR B $65.00 HC62221502 TUBE INSUFFLATOR D $130.00 HC62207683 TUBE INSUFFLATOR E $195.00 HC62222021 TUBE INSUFFLATOR F $260.00 HC62221510 TUBE INSUFFLATOR G $325.00 HC62225149 TUBE INSUFFLATOR J $520.00 HC62802269 TUBE JEJUN LOWPRO TG BUTTON "$1,053.00 " HC62806534 TUBE JEJUN STANDRD TRANSGAS G $325.00 HC62802871 TUBE JEJUN STANDRD TRANSGAS L $650.00 HC62801865 TUBE JEJUN STD TRANSG/SET PEG M $780.00 HC62802277 TUBE JEJUNOSTOMY STANDARD J $520.00 HC62207691 TUBE JEUJUNOSTOMY $627.00 HC62207709 TUBE LAVAGE $345.00 HC62218656 TUBE LEAD INSERT ELECTRODE ARRAY W/STYLET $488.00 HC62207717 TUBE MYRINGOTOMY $211.00 HC62207725 TUBE NASO GASTRIC $33.00 HC62223201 TUBE NASOJEJUNAL $144.00 HC62207733 TUBE NASOPHARYNGEAL $33.00 HC62210307 TUBE REPOGLE 8 FRENCH $166.00 HC62207741 TUBE SALEM SUMP $33.00 HC62207758 TUBE SILASTIC $39.00 HC62225495 TUBE SPLINTING ENDOSCOPIC "$1,057.00 " HC62209234 TUBE T $62.00 HC62221528 TUBE TRACH CUFFED C $98.00 HC62221536 TUBE TRACH CUFFED D $130.00 HC62211339 TUBE TRACH CUFFED E $195.00 HC62221544 TUBE TRACH CUFFED F $260.00 HC62227087 TUBE TRACH CUFFED L $650.00 HC62227095 TUBE TRACH CUFFED M $780.00 HC62219639 TUBE TRACH CUFFED N $910.00 HC62211438 TUBE TRACH CUFFED ADJUSTABLE G $325.00 HC62219621 TUBE TRACH CUFFED ADJUSTABLE K $585.00 HC51080091 TUBE TRACH NO CUFF $143.00 HC62221551 TUBE TRACH NO CUFF B $65.00 HC62207766 TUBE TRACH NO CUFF F $260.00 HC62211347 TUBE TRACH NO-CUFF D $130.00 HC62221569 TUBE TRACH NO-CUFF E $195.00 HC51080109 TUBE TRACH PEDS/NEO CUFFED $463.00 HC62210133 TUBE TRACH PEDS/NEO CUFFED $580.00 HC62207774 TUBE URINARY EXTENSION $42.00 42023-104-01 TUBERCULIN PPD 5 TUB. UNIT /0.1 ML INTRADERMAL SOLN $532.98 42023-104-05 TUBERCULIN PPD 5 TUB. UNIT /0.1 ML INTRADERMAL SOLN "$2,066.46 " 49281-752-21 TUBERCULIN PPD 5 TUB. UNIT /0.1 ML INTRADERMAL SOLN $512.70 49281-752-22 TUBERCULIN PPD 5 TUB. UNIT /0.1 ML INTRADERMAL SOLN "$1,987.92 " 49281-752-78 TUBERCULIN PPD 5 TUB. UNIT /0.1 ML INTRADERMAL SOLN $512.70 49281-752-98 TUBERCULIN PPD 5 TUB. UNIT /0.1 ML INTRADERMAL SOLN "$1,987.92 " HC62207790 TUBING PRESSURE $85.00 HC62207808 TUBING ARTHROSCOPIC PUMP $192.00 HC62210588 TUBING ASPIRATION NEURO "$1,203.00 " HC62223086 TUBING ASPIRATOR (SONASTAR) S "$1,950.00 " HC62222583 TUBING ASPIRATOR ULTRASONIC O "$1,050.00 " HC62222666 TUBING ASPIRATOR ULTRASONIC S "$1,950.00 " HC62214358 TUBING AUTOTRANSFUSE B $65.00 HC62207824 TUBING EXTENSION FEEDING $26.00 HC62207832 TUBING HEMODYNAMIC $124.00 HC62207840 TUBING HIGH PRESSURE $111.00 HC62207857 TUBING HYSTEROSCOPY D $260.00 HC62227715 TUBING HYSTEROSCOPY F $390.00 HC62227723 TUBING HYSTEROSCOPY H $520.00 HC62222930 TUBING IRRIGATION B $104.00 HC62216775 TUBING IRRIGATION D $208.00 HC62207865 TUBING IRRIGATION H $312.00 HC62221957 TUBING IRRIGATION HF ROBOTIC C $150.00 HC62212857 TUBING IRRIGATION MICRODEBRIDER $98.00 HC62218094 TUBING IRRIGATION/SUCTION $86.00 HC62207907 TUBING MICRODEBRIDER $194.00 HC62201041 TUBING NASAL CPAP $43.00 HC62207915 TUBING OXYGEN $26.00 HC62207923 TUBING PCA $33.00 HC62223094 TUBING PERFUSION PACK PUMP $224.00 HC62207949 TUBING PRESSURE MONITOR $53.00 HC62207956 TUBING SCD $189.00 HC62207964 TUBING SET ASPIRATING CYSTO $39.00 HC62218011 TUBING SET OPHTH INJECT/EXTRACT $192.00 HC62207972 TUBING SILICON $218.00 HC62227731 TUBING SINUS $130.00 HC62207980 TUBING SUCTION $43.00 HC62211115 TUBING SUCTION CELL SAVER $91.00 HC62207998 TUBING SUCTION NEZHAT DORSEY $176.00 HC62224001 TUBING SUCTN/IRRIG NEURO/SPINAL $390.00 HC62224688 TUBING URO INFUSE PUMP $39.00 HC62290440 TUBING URO INFUSE PUMP $39.00 HC62208004 TUBING UTERINE VAC $53.00 HC62208012 TUBING VACUUM DELIVERY $103.00 HC89014310 TULAREMIA AB-AU $20.00 HC89000475 TULAREMIA AB-QD $15.00 HC89017909 TUMOR IMMUNOHISTOCHEM/MANL-NG $133.00 HC62217070 TUNNELER SURGICAL B $163.00 HC62208020 TUNNELER SURGICAL F $293.00 HC62224332 TUNNELER SURGICAL Q "$1,300.00 " 69401-000-02 "TYPHOID VACCIN,LIVE,ATTENUATED 2 BILLION UNIT ORAL CPDR" $128.99 49281-790-20 TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML IM SOLN "$8,722.80 " HC89012850 TYPHUS FEVER ANTIBODY-AU $15.00 HC81101578 UA DIPSTICK (DIRECT ACCESS) $85.00 HC89000400 UA QUAL/SEMI QUAN MELANIN-AU $9.00 HC81101008 UA QUAL/SEMIQUAN $98.00 HC44002467 UGI W/O KUB "$1,656.00 " HC89016661 ULTRACENTRIFUG VAP(IN PNL)-AH $33.00 HC89005078 ULTRACENTRIFUG VAP(IN PNL)-AU $53.00 HC44701183 UPGRADE PACER SNGL-DUAL "$28,072.00 " HC44701191 UPGRADE W/ ADD LV LEAD "$30,625.00 " HC44002715 UPPER EXTREMITY - INFANT $691.00 3848598035 UREA 10 % TOPICAL CREAM $40.47 6253000011 UREA 15 GRAM ORAL PWPK $21.00 536110945 UREA 20 % TOPICAL CREAM $43.35 54295-308-25 UREA 40 % TOPICAL CREAM $567.82 HC81100471 UREA NITROGEN $137.00 HC81100257 UREA NITROGEN CLEARANCE $191.00 HC81100026 UREA NITROGEN URINE $190.00 HC89015598 UREA NITROGEN URINE-QD $22.00 HC89022982 "UREA NITROGEN, BODY FLUID-AU" $9.00 HC89014542 UREA PLASMA/MYCOPLASMA-AU $36.00 HC44002483 URETHROCYSTOGRAM RETROGRADE "$1,547.00 " HC44002491 URETHROCYSTOGRAM VOIDING "$1,785.00 " HC81100752 URIC ACID $156.00 HC81100141 URIC ACID FLUID $177.00 HC89010144 URIC ACID FLUID-AU $16.00 HC89015606 URIC ACID FLUID-QD $18.00 HC81100034 URIC ACID URINE $177.00 69468-151-04 URIDINE TRIACETATE 10 GRAM ORAL GRPK "$24,078.00 " 69468-151-10 URIDINE TRIACETATE 10 GRAM ORAL GRPK "$24,078.00 " HC81100794 URINALYSIS AUTO W/ MICROSCOPY $170.00 HC81500928 URINALYSIS AUTO W/ MICROSCOPY $163.00 HC51003408 URINALYSIS AUTO W/O MICRO $28.00 HC81100802 URINALYSIS AUTO W/O MICRO $102.00 HC81500936 URINALYSIS AUTO W/O MICRO $98.00 HC51002210 URINALYSIS DIP STICK NONAUTO W/SCOPE $15.00 HC81101495 URINALYSIS MICROSCOPIC ONLY $107.00 HC51000016 URINALYSIS NON-AUTO W/O MICRO $27.00 HC81100992 URINALYSIS NON-AUTO W/O MICRO $110.00 HC81500944 URINALYSIS NON-AUTO W/O MICRO $105.00 HC84200062 "URINE ISOLATE, PRESUMP ID, EA" $254.00 HC62208038 URINE METER $44.00 HC62208046 URINE STRAINER $38.00 HC46501615 URO-EMG $952.00 HC51000115 URO-EMG $386.00 HC46501623 UROFLOWMETRY COMPLEX $796.00 HC51002194 UROFLOWMETRY COMPLEX $245.00 HC46501631 UROFLOWMETRY SIMPLE $595.00 HC51002186 UROFLOWMETRY SIMPLE $212.00 HC44002509 UROGRAPHY ANTEGRADE "$2,080.00 " HC44002681 UROGRAPHY ANTEGRADE LTD LT "$1,268.00 " HC44002699 UROGRAPHY ANTEGRADE LTD RT "$1,268.00 " 99999-010-99 URSODIOL 25 MG/ML ORAL SUSP (COMPOUND) $2.20 99999-042-20 URSODIOL 25 MG/ML ORAL SUSP (COMPOUND) $127.80 0591-2998-01 URSODIOL 250 MG ORAL TAB $12.88 58914-785-10 URSODIOL 250 MG ORAL TAB $33.04 60687-527-11 URSODIOL 250 MG ORAL TAB $21.00 60687-527-21 URSODIOL 250 MG ORAL TAB $21.00 68462-473-01 URSODIOL 250 MG ORAL TAB $8.50 0527-1326-01 URSODIOL 300 MG ORAL CAP $7.50 0591-3159-01 URSODIOL 300 MG ORAL CAP $30.65 0904-6221-06 URSODIOL 300 MG ORAL CAP $44.91 0904-6221-61 URSODIOL 300 MG ORAL CAP $26.36 10702-237-01 URSODIOL 300 MG ORAL CAP $4.74 42806-503-01 URSODIOL 300 MG ORAL CAP $7.50 43063-871-60 URSODIOL 300 MG ORAL CAP $5.86 69238-1540-1 URSODIOL 300 MG ORAL CAP $6.30 HC44200699 US AAA SCREENING "$1,015.00 " HC44200004 US ABDOMEN "$2,460.00 " HC51002541 US ABDOMEN $338.00 HC44200012 US ABDOMEN LTD "$1,765.00 " HC44200038 US ART NONINVAS REST/STRES LEA "$2,029.00 " HC43000991 US BREAST; COMPLETE BILATERAL "$1,783.00 " HC43000975 US BREAST; COMPLETE LT $967.00 HC43000983 US BREAST; COMPLETE RT $967.00 HC43001023 US BREAST; LIMITED BILATERAL "$1,424.00 " HC43001007 US BREAST; LIMITED LT $724.00 HC43001015 US BREAST; LIMITED RT $724.00 HC44200095 US CHEST "$1,539.00 " HC44200921 US CHEST LTD $820.00 HC44200103 US DUPLEX ABD/PEL FLOW COMP "$3,204.00 " HC44200111 US DUPLEX ABD/PEL FLOW LTD "$1,919.00 " HC44200129 "US DUPLEX AORTA,IVC,ILIAC COMP" "$2,388.00 " HC44200137 "US DUPLEX AORTA,IVC,ILIAC UNI/LTD" "$1,833.00 " HC44200145 US DUPLEX ART LOW EXT COMP BIL "$3,500.00 " HC44200152 US DUPLEX ART LOW EXT UNILAT/LTD "$1,931.00 " HC44200160 US DUPLEX ART UP EXT COMP BIL "$2,902.00 " HC44200178 US DUPLEX ART UP EXT UNILAT/LTD "$1,900.00 " HC44200186 US DUPLEX CAROTID COMP BILAT "$2,808.00 " HC44200210 US DUPLEX CAROTID LTD "$1,561.00 " HC44200194 US DUPLEX CAROTID UNILAT LT "$1,860.00 " HC44200202 US DUPLEX CAROTID UNILAT RT "$1,860.00 " HC44200228 US DUPLEX HEMODIALYSIS ACCESS "$2,057.00 " HC44200236 US DUPLEX PENILE VESSEL COMP "$2,253.00 " HC44200244 US DUPLEX PENILE VESSEL F/U OR LTD "$1,750.00 " HC44200251 US DUPLEX VEIN EXT COMP BILAT "$3,058.00 " HC44200269 US DUPLEX VEIN EXT UNILAT/LTD "$2,159.00 " HC44200962 US ELASTOGRAPHY $827.00 HC44200970 US ELASTOGRAPHY 1ST LESION $761.00 HC44200988 US ELASTOGRAPHY ADDTL LESION $496.00 HC44200814 US EXTREMITY NON VASC CMPLT-LT "$1,625.00 " HC44200806 US EXTREMITY NON VASC CMPLT-RT "$1,625.00 " HC44200830 US EXTREMITY NON VASC LTD- LT $840.00 HC44200822 US EXTREMITY NON VASC LTD-RT $840.00 HC44200293 US FETAL BIO PROF W/O NST(INTL) "$1,539.00 " HC44200285 US FETAL BIO PROFILE W/NST "$1,748.00 " HC44200897 US FETAL BPP W/O NST(EA ADD'L)+ "$1,427.00 " HC44200020 US GUIDANCE ABLATION PARENCHYMAL TISSUE "$1,715.00 " HC44200673 US GUIDANCE AMNIOCENTESIS "$1,398.00 " HC44200301 US GUIDANCE INTRAOPERATIVE "$2,724.00 " HC43000710 US GUIDE BREAST CORE BIOPSY LT "$1,812.00 " HC43000728 US GUIDE BREAST CORE BIOPSY RT "$1,811.00 " HC44200319 US GUIDE COMP REPR PSEUDOANEUR "$3,190.00 " HC43000736 US GUIDE CYST ASPIRATION LT "$1,900.00 " HC43000744 US GUIDE CYST ASPIRATION RT "$1,900.00 " HC43000371 US GUIDE FNA "$1,930.00 " HC44200749 US GUIDE FNA LT "$1,949.00 " HC44200756 US GUIDE FNA RT "$1,949.00 " HC44200764 US GUIDE PLCMNT LT "$1,949.00 " HC51002525 US GUIDE PLCMNT NEEDLE /BX $376.00 HC44200707 US GUIDE PLCMNT NEEDLE LOC "$1,949.00 " HC44200780 US GUIDE PLCMNT NEEDLE LOC LT "$1,949.00 " HC44200798 US GUIDE PLCMNT NEEDLE LOC RT "$1,949.00 " HC44200772 US GUIDE PLCMNT RT "$1,949.00 " HC47200720 US GUIDE RAD ELEMENT APP "$3,373.00 " HC44200327 US GUIDE VASC ACCESS "$1,425.00 " HC44200335 US HEAD "$2,017.00 " HC44200343 US HEAD/NECK SOFT TISSUE "$1,830.00 " HC44200939 US HEAD/NECK SOFT TISSUE LTD $788.00 HC44200350 US HYSTEROSONOGRAPHY "$1,806.00 " HC44200376 US INFANT HIPS LTD/STATIC "$1,467.00 " HC44200368 US INFANT HIPS(DYNAMIC) "$1,880.00 " HC44200384 US KIDNEY TRANSPLANT W/DOPLER "$2,073.00 " HC44200947 US MAPPING VESSEL HEMODIALYSIS; COMPLT BILAT "$1,975.00 " HC44200954 US MAPPING VESSEL HEMODIALYSIS; COMPLT UNILAT "$1,594.00 " HC51001972 US MEASUR POST-VD RES&/BLDR CAP NO IMG $144.00 HC25005364 US MEASUR POST-VOID RES&/BLDR CAP NO IMG $190.00 HC44200400 US OB >1ST TRI ADD'L GEST+ "$1,680.00 " HC44200392 US OB >1ST TRI/1ST GEST "$2,309.00 " HC44200426 US OB 1ST TRI ADD'L GEST + "$1,099.00 " HC44200418 US OB 1ST TRI/1ST GEST "$1,967.00 " HC44201002 US OB EVA PLUS FETAL ANATOMIC DETAIL EA ADL GEST+ "$1,875.00 " HC44200996 US OB EVAL PLUS FETAL ANATOMIC DETAIL 1ST GEST "$2,775.00 " HC44200442 US OB FOLLOW UP EA ADD'L FETUS+ "$1,182.00 " HC44200434 US OB FOLLOW UP(RE-EVAL) "$1,175.00 " HC44200459 US OB LIMITED FETUS(S) "$1,254.00 " HC44200475 US OB NUCHAL MEAS EA ADL GEST+ "$1,247.00 " HC44200467 "US OB NUCHAL MEAS, 1ST GEST" "$1,410.00 " HC44200483 US OB TRANSVAGINAL "$1,607.00 " HC44200491 US OPHTH B-SCAN "$1,273.00 " HC44200525 US PELVIC(NON OB) "$2,030.00 " HC44200533 US PELVIC(NON OB)LTD OR F/U "$1,420.00 " HC51002376 US PELVIC(NON OB)LTD OR F/U $223.00 HC44200541 US RETROPERITONEAL COMPLETE "$2,160.00 " HC51061109 US RETROPERITONEAL COMPLETE $560.00 HC44200558 US RETROPERITONEAL LTD "$1,485.00 " HC44200566 US SCROTUM "$1,930.00 " HC51002509 US SCROTUM W/DOPPLER $323.00 HC44200574 US SPINAL CANAL & CONTENT "$1,716.00 " HC44200624 US TRANSRECT PROSTATE VOL STDY "$1,949.00 " HC44200632 US TRANSRECTAL "$1,676.00 " HC51002517 US TRANSRECTAL $323.00 HC44200640 US TRANSVAGINAL(NON OB) "$1,887.00 " HC51002533 US TRANSVAGINAL(NON OB) $329.00 HC38000170 USE OF CAST ROOM $370.00 HC41500448 USE OF VERTICAL ELECTRODES $571.00 57894-054-27 USTEKINUMAB 130 MG/26 ML IV SOLN "$10,070.42 " 57894-061-03 USTEKINUMAB 90 MG/ML SUBCUTANEOUS SYRG "$138,497.04 " HC62208079 VACUUM CURRETTE $35.00 HC62208087 VACUUM SUCTION (NEWBORN) $156.00 HC62207576 VACUUM TREPHINE $334.00 HC89014773 VAGINAL PATHOGEN DNA PROBE-AU $66.00 99999-040-60 VALACYCLOVIR 50 MG/ML ORAL LIQUID $2.32 0173-0933-08 VALACYCLOVIR 500 MG ORAL TAB $75.94 0173-0933-56 VALACYCLOVIR 500 MG ORAL TAB $77.63 16714-698-01 VALACYCLOVIR 500 MG ORAL TAB $4.87 16714-698-03 VALACYCLOVIR 500 MG ORAL TAB $4.45 50268-788-11 VALACYCLOVIR 500 MG ORAL TAB $15.66 50268-788-15 VALACYCLOVIR 500 MG ORAL TAB $15.66 51079-093-01 VALACYCLOVIR 500 MG ORAL TAB $18.32 51079-093-03 VALACYCLOVIR 500 MG ORAL TAB $18.32 57237-042-30 VALACYCLOVIR 500 MG ORAL TAB $2.40 63739-525-10 VALACYCLOVIR 500 MG ORAL TAB $23.18 65862-448-30 VALACYCLOVIR 500 MG ORAL TAB $4.88 0004-0038-22 VALGANCICLOVIR 450 MG ORAL TAB $530.41 0603-6330-20 VALGANCICLOVIR 450 MG ORAL TAB $100.96 16714-765-01 VALGANCICLOVIR 450 MG ORAL TAB $124.00 55111-762-60 VALGANCICLOVIR 450 MG ORAL TAB $140.56 65862-753-60 VALGANCICLOVIR 450 MG ORAL TAB $23.81 68084-965-25 VALGANCICLOVIR 450 MG ORAL TAB $255.00 68084-965-95 VALGANCICLOVIR 450 MG ORAL TAB $255.00 0004-0039-09 VALGANCICLOVIR 50 MG/ML ORAL SOLR "$6,421.01 " 0591-2579-20 VALGANCICLOVIR 50 MG/ML ORAL SOLR "$4,801.63 " 27241-159-19 VALGANCICLOVIR 50 MG/ML ORAL SOLR "$4,801.63 " 0121-0675-16 VALPROATE SODIUM 250 MG/5 ML ORAL SYRP (MCH) $73.79 60432-621-16 VALPROATE SODIUM 250 MG/5 ML ORAL SYRP (MCH) $82.30 0143-9637-01 VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) IV SOLN $14.82 0143-9637-10 VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) IV SOLN $14.82 0143-9785-01 VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) IV SOLN $103.71 0143-9785-10 VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) IV SOLN $103.71 55390-007-10 VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) IV SOLN $21.60 63323-494-01 VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) IV SOLN $40.20 63323-494-05 VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) IV SOLN $40.20 0121-4675-05 VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLN $2.79 68094-193-59 VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLN $3.72 68094-193-61 VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLN $3.72 99999-042-46 VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML ORAL SOLN $1.00 0591-4012-01 VALPROIC ACID 250 MG ORAL CAP $2.40 63739-251-10 VALPROIC ACID 250 MG ORAL CAP $2.57 63739-253-40 VALPROIC ACID 250 MG ORAL CAP $1.58 69452-150-20 VALPROIC ACID 250 MG ORAL CAP $2.10 HC81100265 VALPROIC ACID; TOTAL $461.00 67979-001-01 VALRUBICIN 40 MG/ML INTRAVESICAL SOLN "$9,560.97 " 0078-0359-34 VALSARTAN 160 MG ORAL TAB $50.68 0378-5814-77 VALSARTAN 160 MG ORAL TAB $2.66 33342-064-10 VALSARTAN 160 MG ORAL TAB $2.50 65862-572-90 VALSARTAN 160 MG ORAL TAB $2.50 0078-0360-34 VALSARTAN 320 MG ORAL TAB $64.10 0378-5815-77 VALSARTAN 320 MG ORAL TAB $3.34 31722-748-90 VALSARTAN 320 MG ORAL TAB $3.01 33342-065-10 VALSARTAN 320 MG ORAL TAB $3.17 59746-363-90 VALSARTAN 320 MG ORAL TAB $1.93 62332-047-90 VALSARTAN 320 MG ORAL TAB $14.06 65862-573-90 VALSARTAN 320 MG ORAL TAB $3.17 0078-0423-15 VALSARTAN 40 MG ORAL TAB $39.42 0378-5807-93 VALSARTAN 40 MG ORAL TAB $1.60 31722-745-30 VALSARTAN 40 MG ORAL TAB $1.59 33342-062-07 VALSARTAN 40 MG ORAL TAB $2.44 50268-783-11 VALSARTAN 40 MG ORAL TAB $6.83 50268-783-15 VALSARTAN 40 MG ORAL TAB $6.83 59746-360-30 VALSARTAN 40 MG ORAL TAB $1.25 65162-837-03 VALSARTAN 40 MG ORAL TAB $1.59 65862-570-30 VALSARTAN 40 MG ORAL TAB $2.44 0078-0358-34 VALSARTAN 80 MG ORAL TAB $47.12 0378-5813-77 VALSARTAN 80 MG ORAL TAB $2.00 33342-063-10 VALSARTAN 80 MG ORAL TAB $2.05 65862-571-90 VALSARTAN 80 MG ORAL TAB $2.05 HC62208095 VALVE ANTI REFLUX $88.00 HC62208103 VALVE BIOPSY $816.00 HC62208111 VALVE CHEST DRAIN $104.00 HC62214697 VALVE ENDOSCOPIC A $33.00 HC62224050 VALVE ENDOSCOPIC G $325.00 HC62802657 VALVE HANCOCK II MEDTRONIC "$21,158.00 " HC62208129 VALVE HEIMLICH CHEST DRAIN $117.00 HC62208830 VALVE HEMOSTATIC $111.00 HC62221585 VALVE HEMOSTATIC W/GUIDEWIRE $215.00 HC62208137 VALVE NON-REBREATHING TEE $88.00 HC62208145 VALVE PEEP $191.00 HC62208152 VALVE SUCTION $53.00 HC62219647 VALVE TRACH SPEAKING E $195.00 HC62208160 VALVE TRACH SPEAKING L $650.00 HC62208178 VALVULTOME "$6,107.00 " 99999-002-13 VANCOMYCIN - BSS 25 MG/0.5 ML OPHTHALMIC SYRINGE $6.08 0409-6533-01 "VANCOMYCIN 1,000 MG IV SOLR" $96.24 0409-6533-11 "VANCOMYCIN 1,000 MG IV SOLR" $96.24 0409-6533-31 "VANCOMYCIN 1,000 MG IV SOLR" $22.08 0409-6533-59 "VANCOMYCIN 1,000 MG IV SOLR" $22.08 47781-597-07 "VANCOMYCIN 1,000 MG IV SOLR" $35.94 51991-941-17 "VANCOMYCIN 1,000 MG IV SOLR" $36.00 51991-941-99 "VANCOMYCIN 1,000 MG IV SOLR" $36.00 67457-340-00 "VANCOMYCIN 1,000 MG IV SOLR" $96.24 67457-340-01 "VANCOMYCIN 1,000 MG IV SOLR" $96.24 68001-339-63 "VANCOMYCIN 1,000 MG IV SOLR" $96.24 68001-339-64 "VANCOMYCIN 1,000 MG IV SOLR" $96.24 72572-801-01 "VANCOMYCIN 1,000 MG IV SOLR" $20.70 72572-801-02 "VANCOMYCIN 1,000 MG IV SOLR" $20.70 0409-6510-01 VANCOMYCIN 10 GRAM IV SOLR "$1,284.06 " 25021-158-99 VANCOMYCIN 10 GRAM IV SOLR $593.94 63323-314-61 VANCOMYCIN 10 GRAM IV SOLR "$1,275.00 " 63323-314-68 VANCOMYCIN 10 GRAM IV SOLR "$1,275.00 " 67457-342-10 VANCOMYCIN 10 GRAM IV SOLR "$1,284.06 " 70594-048-01 VANCOMYCIN 10 GRAM IV SOLR "$1,284.00 " 72572-805-01 VANCOMYCIN 10 GRAM IV SOLR $195.90 63323-284-20 VANCOMYCIN 1000 MG IV SOLR $95.40 70860-105-20 VANCOMYCIN 1000 MG IV SOLR $45.00 70860-105-41 VANCOMYCIN 1000 MG IV SOLR $45.00 47781-729-02 VANCOMYCIN 125 MG ORAL CAP $75.00 99999-039-33 VANCOMYCIN 1250 MG IN D5W 250 ML IVPB $24.00 99999-039-34 VANCOMYCIN 1500 MG IN D5W 500 ML IVPB $30.00 99999-007-22 VANCOMYCIN 25 MG/5 ML INJ SOLN IN D5W (MCH-NICU) $2.40 99999-007-23 VANCOMYCIN 25 MG/5 ML INJ SOLN IN D5W (MCH-NICU) $4.80 99999-007-24 VANCOMYCIN 25 MG/5 ML INJ SOLN IN D5W (MCH-NICU) $7.20 99999-007-25 VANCOMYCIN 25 MG/5 ML INJ SOLN IN D5W (MCH-NICU) $9.60 99999-000-38 VANCOMYCIN 250 MG / 5 ML ORAL SYRINGE $23.40 99999-042-14 VANCOMYCIN 250 MG / 5 ML ORAL SYRINGE "$1,872.00 " 99999-042-18 VANCOMYCIN 250 MG / 5 ML ORAL SYRINGE $936.00 47781-730-02 VANCOMYCIN 250 MG ORAL CAP $120.00 0409-6509-01 VANCOMYCIN 5 GRAM IV SOLR $533.58 0409-6509-49 VANCOMYCIN 5 GRAM IV SOLR $118.14 25021-157-99 VANCOMYCIN 5 GRAM IV SOLR $299.94 63323-295-61 VANCOMYCIN 5 GRAM IV SOLR $477.00 67457-341-05 VANCOMYCIN 5 GRAM IV SOLR $533.58 72572-803-01 VANCOMYCIN 5 GRAM IV SOLR $98.58 99998-000-53 VANCOMYCIN 5 MG/ML INJ SOLN (MCH) $4.80 99998-000-54 VANCOMYCIN 5 MG/ML INJ SOLN (MCH) $9.60 99998-000-55 VANCOMYCIN 5 MG/ML INJ SOLN (MCH) $14.40 99998-000-56 VANCOMYCIN 5 MG/ML INJ SOLN (MCH) $24.00 99999-010-96 VANCOMYCIN 5 MG/ML INJ SOLN (MCH) $1.00 99999-002-18 VANCOMYCIN 5% (50 MG/ML) OPHTHALMIC SOLUTION $68.13 65628-206-05 VANCOMYCIN 50 MG/ML ORAL SOLR $817.20 65628-208-10 VANCOMYCIN 50 MG/ML ORAL SOLR "$1,301.40 " 99999-041-14 VANCOMYCIN 50 MG/ML ORAL SOLR $19.92 99999-041-15 VANCOMYCIN 50 MG/ML ORAL SOLR $9.96 0409-4332-01 VANCOMYCIN 500 MG IV SOLR $48.48 0409-4332-11 VANCOMYCIN 500 MG IV SOLR $48.48 47781-598-07 VANCOMYCIN 500 MG IV SOLR $18.00 47781-598-91 VANCOMYCIN 500 MG IV SOLR $18.00 63323-221-10 VANCOMYCIN 500 MG IV SOLR $42.00 67457-339-00 VANCOMYCIN 500 MG IV SOLR $48.24 67457-339-50 VANCOMYCIN 500 MG IV SOLR $48.24 70860-104-10 VANCOMYCIN 500 MG IV SOLR $42.00 70860-104-41 VANCOMYCIN 500 MG IV SOLR $42.00 99999-000-39 VANCOMYCIN 5MG/ML SYRINGE $9.00 99999-039-32 VANCOMYCIN 750 MG IN D5W 250 ML IVPB $15.00 99999-034-67 VANCOMYCIN IN BSS INTRAVITREAL INJECTION (SLH) $9.00 0338-3552-48 VANCOMYCIN IN DEXTROSE 5 % 1 GRAM/200 ML IV PGBK $162.00 99999-044-51 VANCOMYCIN IN NS 1 GRAM/250 ML IV SOLN (MHS) $129.00 99999-044-52 VANCOMYCIN IN NS 1.25 GRAM/250 ML IV SOLN (MHS) $160.50 99999-044-53 VANCOMYCIN IN NS 1.5 GRAM/300 ML IV SOLN (MHS) $192.60 99999-041-81 VANCOMYCIN IN NS 1750 MG/500 ML IV SOLN (MHS) $225.00 99999-044-50 VANCOMYCIN IN NS 750 MG/150 ML IV SOLN (MHS) $96.30 99999-010-02 VANCOMYCIN IN NS INTRAVITREAL INJECTION $1.00 HC81100158 VANCOMYCIN INIT $412.00 99999-034-55 VANCOMYCIN IV SOLN (FOR DESENSITIZATION USE) $9.62 99999-010-04 VANCOMYCIN SUBCONJUNCTIVAL INJECTION (MHS) $1.00 HC81100166 VANCOMYCIN SUBS $404.00 HC89010177 VANILLYLMANDELIC ACID URINE-AU $15.00 0069-0468-56 VARENICLINE 0.5 MG ORAL TAB $47.40 HC81700494 VARICELLA AB $219.00 HC89012942 VARICELLA AB (PNL)-AU $8.00 HC89014484 VARICELLA AB (PNL)-FT $70.00 0006-4827-00 "VARICELLA VIRUS VACC LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSR" $809.85 0006-4827-01 "VARICELLA VIRUS VACC LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSR" $809.85 HC89012967 VARICELLA ZOSTER (PNL)-AU $7.50 HC84200906 VARICELLA ZOSTER FA ANTIGEN $220.00 HC89012959 VARICELLA ZOSTER IGG-AU $8.00 HC89015861 VARICELLA ZOSTER IGG-QD $23.00 HC89019236 VARICELLA ZOSTER QNT-FT $314.00 70257-126-11 VARICELLA-ZOSTER I.GLOB-MALTOS 125 UNIT/1.2 ML IM SOLN "$10,824.84 " 70257-126-51 VARICELLA-ZOSTER I.GLOB-MALTOS 125 UNIT/1.2 ML IM SOLN "$10,824.84 " HC89012975 VARICELLA-ZOSTER IGM-AU $8.00 HC89015879 VARICELLA-ZOSTER IGM-QD $23.00 HC62208582 VASCULAR PUNCH $393.00 HC51003085 VASECTOMY BILAT/UNILAT(SEP PROCEDURE) "$3,249.00 " HC89010219 VASOACTIVE INTEST PEPTIDE-AU $29.00 HC89002018 VASOACTIVE INTEST PEPTIDE-QD $25.00 HC89010201 VASOACTIVE INTEST PEPTIDE-QN $57.00 HC41500455 VASOMOTOR ADRENERGIC INNERV $993.00 42023-164-01 VASOPRESSIN 20 UNIT/ML IV SOLN "$1,185.36 " 42023-164-10 VASOPRESSIN 20 UNIT/ML IV SOLN "$1,185.36 " 42023-164-25 VASOPRESSIN 20 UNIT/ML IV SOLN "$1,185.36 " HC89020168 VCAM CHEMILUMINESCENT (PNL)-PR $28.00 HC89012066 VDRL CSF-AU $6.00 HC89003263 VDRL CSF-QD $11.00 HC89012074 VDRL TITER QUANT-AU $16.00 99999-038-29 VECURONIUM 1 MG/ML NICU IV SYRINGE $31.08 0409-1632-01 VECURONIUM BROMIDE 10 MG IV SOLR $43.38 0409-1632-21 VECURONIUM BROMIDE 10 MG IV SOLR $43.38 0703-2914-01 VECURONIUM BROMIDE 10 MG IV SOLR $37.80 0703-2914-03 VECURONIUM BROMIDE 10 MG IV SOLR $37.80 41616-931-40 VECURONIUM BROMIDE 10 MG IV SOLR $51.00 41616-931-44 VECURONIUM BROMIDE 10 MG IV SOLR $51.00 47335-931-40 VECURONIUM BROMIDE 10 MG IV SOLR $51.00 47335-931-44 VECURONIUM BROMIDE 10 MG IV SOLR $51.00 55150-235-01 VECURONIUM BROMIDE 10 MG IV SOLR $26.40 55150-235-10 VECURONIUM BROMIDE 10 MG IV SOLR $26.40 55390-037-10 VECURONIUM BROMIDE 10 MG IV SOLR $36.00 63323-781-10 VECURONIUM BROMIDE 10 MG IV SOLR $31.20 63323-781-21 VECURONIUM BROMIDE 10 MG IV SOLR $31.20 67457-438-00 VECURONIUM BROMIDE 10 MG IV SOLR $30.00 67457-438-10 VECURONIUM BROMIDE 10 MG IV SOLR $30.00 0409-1634-01 VECURONIUM BROMIDE 20 MG IV SOLR $79.14 0409-1634-85 VECURONIUM BROMIDE 20 MG IV SOLR $79.14 0703-2925-03 VECURONIUM BROMIDE 20 MG IV SOLR $54.00 41616-932-40 VECURONIUM BROMIDE 20 MG IV SOLR $102.00 47335-932-40 VECURONIUM BROMIDE 20 MG IV SOLR $102.00 47335-932-44 VECURONIUM BROMIDE 20 MG IV SOLR $102.00 55150-236-01 VECURONIUM BROMIDE 20 MG IV SOLR $54.00 55150-236-20 VECURONIUM BROMIDE 20 MG IV SOLR $54.00 55390-039-10 VECURONIUM BROMIDE 20 MG IV SOLR $72.00 63323-782-20 VECURONIUM BROMIDE 20 MG IV SOLR $66.00 63323-782-23 VECURONIUM BROMIDE 20 MG IV SOLR $66.00 67457-475-00 VECURONIUM BROMIDE 20 MG IV SOLR $60.00 67457-475-20 VECURONIUM BROMIDE 20 MG IV SOLR $60.00 64764-300-20 VEDOLIZUMAB 300 MG IV SOLR "$40,365.90 " HC89020143 VEGF ELISA(PNL)-PR $28.00 HC62208186 VEIN STRIPPER $85.00 0074-0561-11 VENETOCLAX 10 MG ORAL TAB $61.47 HC88600051 VENIPUNCTURE BY PHYSICIAN OR QHC <3YRS $67.00 HC88600069 VENIPUNCTURE CUTDOWN <1 $585.00 HC36001006 VENIPUNCTURE ROUTINE $57.00 HC51001592 VENIPUNCTURE ROUTINE $16.00 HC88600077 VENIPUNCTURE ROUTINE $58.00 HC88600044 VENIPUNCTURE ROUTINE (BY UNIT) $58.00 HC88600291 VENIPUNCTURE ROUTINE AFP PROGRAM $8.00 HC88600309 VENIPUNCTURE ROUTINE SPECIAL CLIENT $32.00 62332-012-31 VENLAFAXINE 100 MG ORAL TAB $2.19 0093-7386-56 VENLAFAXINE 150 MG ORAL CP24 $2.68 0093-7386-98 VENLAFAXINE 150 MG ORAL CP24 $2.21 0904-6470-61 VENLAFAXINE 150 MG ORAL CP24 $3.51 59762-0182-3 VENLAFAXINE 150 MG ORAL CP24 $2.99 68084-713-01 VENLAFAXINE 150 MG ORAL CP24 $3.72 68084-713-11 VENLAFAXINE 150 MG ORAL CP24 $3.72 0093-9147-01 VENLAFAXINE 25 MG ORAL TAB $1.87 16714-311-01 VENLAFAXINE 25 MG ORAL TAB $2.12 16714-655-01 VENLAFAXINE 25 MG ORAL TAB $2.12 57237-172-01 VENLAFAXINE 25 MG ORAL TAB $1.00 0008-0837-02 VENLAFAXINE 37.5 MG ORAL CP24 $68.86 0008-0837-03 VENLAFAXINE 37.5 MG ORAL CP24 $68.86 0904-6468-61 VENLAFAXINE 37.5 MG ORAL CP24 $3.08 59762-0180-3 VENLAFAXINE 37.5 MG ORAL CP24 $2.45 68084-698-01 VENLAFAXINE 37.5 MG ORAL CP24 $2.97 68084-698-11 VENLAFAXINE 37.5 MG ORAL CP24 $2.97 68382-034-06 VENLAFAXINE 37.5 MG ORAL CP24 $2.45 16714-312-01 VENLAFAXINE 37.5 MG ORAL TAB $1.73 16714-656-01 VENLAFAXINE 37.5 MG ORAL TAB $1.73 51079-480-01 VENLAFAXINE 37.5 MG ORAL TAB $3.67 51079-480-20 VENLAFAXINE 37.5 MG ORAL TAB $3.67 68084-844-01 VENLAFAXINE 37.5 MG ORAL TAB $4.05 68084-844-11 VENLAFAXINE 37.5 MG ORAL TAB $4.05 16714-657-01 VENLAFAXINE 50 MG ORAL TAB $2.03 57237-174-01 VENLAFAXINE 50 MG ORAL TAB $1.00 57664-394-88 VENLAFAXINE 50 MG ORAL TAB $2.04 0093-7385-98 VENLAFAXINE 75 MG ORAL CP24 $1.71 0904-6469-61 VENLAFAXINE 75 MG ORAL CP24 $3.13 59762-0181-3 VENLAFAXINE 75 MG ORAL CP24 $2.75 65862-528-30 VENLAFAXINE 75 MG ORAL CP24 $3.00 65862-528-90 VENLAFAXINE 75 MG ORAL CP24 $3.00 68084-709-01 VENLAFAXINE 75 MG ORAL CP24 $3.28 68084-709-11 VENLAFAXINE 75 MG ORAL CP24 $3.28 68382-035-06 VENLAFAXINE 75 MG ORAL CP24 $2.74 68382-035-16 VENLAFAXINE 75 MG ORAL CP24 $2.74 68084-856-01 VENLAFAXINE 75 MG ORAL TAB $4.42 68084-856-11 VENLAFAXINE 75 MG ORAL TAB $4.42 75834-217-30 VENLAFAXINE 75 MG ORAL TR24 $13.14 HC44502177 VENOGRAM ADRENAL BILAT "$9,758.00 " HC44502185 VENOGRAM ADRENAL LT "$6,846.00 " HC44502193 VENOGRAM ADRENAL RT "$6,846.00 " HC44502201 VENOGRAM CAVAL INFERIOR "$7,634.00 " HC44502219 VENOGRAM CAVAL SUPERIOR "$7,112.00 " HC44502227 VENOGRAM EPIDURAL "$6,182.00 " HC44502235 VENOGRAM EXTREMITY BILAT "$6,063.00 " HC44502243 VENOGRAM EXTREMITY UNILAT LT "$3,441.00 " HC44503431 VENOGRAM EXTREMITY UNILAT RT "$3,441.00 " HC44502250 VENOGRAM HEPATIC W/HEMO EVAL "$7,257.00 " HC44502268 VENOGRAM HEPATIC W/O HEMO EVAL "$6,022.00 " HC44502276 VENOGRAM RENAL BILAT "$10,201.00 " HC44502284 VENOGRAM RENAL LT "$6,858.00 " HC44502292 VENOGRAM RENAL RT "$6,858.00 " HC44502300 VENOGRAM SINUS/JUGULAR "$6,247.00 " HC46001012 VENOUS CATH ORGAN BLD SIMPLE "$2,132.00 " HC44502359 VENOUS SAMPLING THRU CATH "$6,358.00 " HC36000263 VENT DAY INITIAL-ADULT "$6,645.00 " HC36000271 VENT DAY INITIAL-INFANT "$6,645.00 " HC36000289 VENT DAY INIT-JET VENT "$6,678.00 " HC36000297 VENT DAY INIT-OSCIL&/OR HI FRQ "$6,645.00 " HC36000305 VENT DAY SUBSEQUENT-ADULT "$6,065.00 " HC36000313 VENT DAY SUBSEQUENT-INFANT "$6,065.00 " HC36000321 VENT DAY SUBSQ-JET VENT "$6,167.00 " HC36000339 VENT DAY SUBSQ-OSCIL&/OR HI FR "$6,065.00 " 62175-485-37 VERAPAMIL 100 MG ORAL CPCT $29.26 0904-2924-61 VERAPAMIL 120 MG ORAL TAB $1.00 23155-027-01 VERAPAMIL 120 MG ORAL TAB $1.00 0025-1901-31 VERAPAMIL 120 MG ORAL TBSR $36.62 51079-894-01 VERAPAMIL 120 MG ORAL TBSR $11.59 51079-894-20 VERAPAMIL 120 MG ORAL TBSR $11.59 57664-116-88 VERAPAMIL 120 MG ORAL TBSR $4.35 68462-292-01 VERAPAMIL 120 MG ORAL TBSR $3.61 0591-2882-01 VERAPAMIL 180 MG ORAL C24P $9.14 51079-899-01 VERAPAMIL 180 MG ORAL TBSR $12.46 51079-899-20 VERAPAMIL 180 MG ORAL TBSR $12.46 57664-117-88 VERAPAMIL 180 MG ORAL TBSR $2.22 68462-293-01 VERAPAMIL 180 MG ORAL TBSR $1.94 68462-293-05 VERAPAMIL 180 MG ORAL TBSR $1.84 75834-158-01 VERAPAMIL 180 MG ORAL TBSR $1.45 0409-1144-01 VERAPAMIL 2.5 MG/ML IV SOLN $8.52 0409-1144-05 VERAPAMIL 2.5 MG/ML IV SOLN $173.64 0409-1144-10 VERAPAMIL 2.5 MG/ML IV SOLN $173.64 0409-1144-11 VERAPAMIL 2.5 MG/ML IV SOLN $173.64 0409-1144-65 VERAPAMIL 2.5 MG/ML IV SOLN $173.64 0409-4011-01 VERAPAMIL 2.5 MG/ML IV SOLN $108.18 0409-4011-61 VERAPAMIL 2.5 MG/ML IV SOLN $108.18 51754-0203-1 VERAPAMIL 2.5 MG/ML IV SOLN $192.90 51754-0203-2 VERAPAMIL 2.5 MG/ML IV SOLN $192.90 55150-342-01 VERAPAMIL 2.5 MG/ML IV SOLN $120.00 55150-342-25 VERAPAMIL 2.5 MG/ML IV SOLN $120.00 70069-271-01 VERAPAMIL 2.5 MG/ML IV SOLN $60.00 70069-271-25 VERAPAMIL 2.5 MG/ML IV SOLN $60.00 70121-1585-1 VERAPAMIL 2.5 MG/ML IV SOLN $182.16 70121-1585-5 VERAPAMIL 2.5 MG/ML IV SOLN $182.16 72485-108-01 VERAPAMIL 2.5 MG/ML IV SOLN $59.94 72485-108-05 VERAPAMIL 2.5 MG/ML IV SOLN $59.94 72485-108-25 VERAPAMIL 2.5 MG/ML IV SOLN $59.94 0409-1144-02 VERAPAMIL 2.5 MG/ML IV SOLN (MCH) $191.09 0025-1891-31 VERAPAMIL 240 MG ORAL TBSR $53.09 51079-869-01 VERAPAMIL 240 MG ORAL TBSR $12.67 51079-869-20 VERAPAMIL 240 MG ORAL TBSR $12.67 68462-260-01 VERAPAMIL 240 MG ORAL TBSR $1.86 75834-159-01 VERAPAMIL 240 MG ORAL TBSR $1.39 0591-0404-01 VERAPAMIL 40 MG ORAL TAB $1.00 0591-0343-01 VERAPAMIL 80 MG ORAL TAB $1.00 0904-2920-61 VERAPAMIL 80 MG ORAL TAB $1.00 23155-026-01 VERAPAMIL 80 MG ORAL TAB $1.00 HC89013452 VERAPAMIL-AU $73.00 HC82201260 VERHOFF ELASTI TIS STN/GRP II+ $412.00 HC44503662 VERT/THOR CAROTID STENT 1ST LT "$30,448.00 " HC44503670 VERT/THOR CAROTID STENT 1ST RT "$30,448.00 " HC44503688 VERT/THOR CAROTID STENT+LT "$6,161.00 " HC44503696 VERT/THOR CAROTID STENT+RT "$6,161.00 " HC44504298 VERTEBRAL AUGMNT 1BODY W/GUIDE;EA ADD'L L "$13,810.00 " HC44504280 VERTEBRAL AUGMNT 1BODY W/GUIDE;LUMBAR "$19,930.00 " HC44504272 VERTEBRAL AUGMNT 1BODY W/GUIDE;THORACIC "$18,902.00 " HC44504249 VERTEBROPLASTY 1BODY/GUIDE;CERVICOTHORACIC "$10,115.00 " HC44504256 VERTEBROPLASTY 1BODY/GUIDE;LUMBOSACRAL "$10,247.00 " HC44504264 VERTEBROPLASTY1BODY/GUIDE; EA ADD'L VBODY "$8,964.00 " HC62222047 VESSEL DILATOR B $52.00 HC62208194 VESSEL DILATOR C $104.00 HC62208616 VEST CHEST/AIRWAY CLEARANCE $257.00 HC62217203 VEST SYSTEM OSCIL FREQU HI CHEST $225.00 HC41500554 VESTIBULAR COMPREHENSIVE EVAL "$1,544.00 " HC41500893 VESTIBULAR EVOKD MYOGN POTENTL-VEMP;CERVICAL (CVEMP) $679.00 HC41500919 VESTIBULR EVOKD MYOGN POTENTL-VEMP; CVEMP & OVEMP "$1,045.00 " HC41500901 VESTIBULR EVOKD MYOGN POTENTL-VEMP;OCULAR (OVEMP) $679.00 0456-1110-30 VILAZODONE 10 MG ORAL TAB $57.17 0456-1120-30 VILAZODONE 20 MG ORAL TAB $57.17 63323-278-10 VINBLASTINE 1 MG/ML IV SOLN $258.42 61703-309-06 VINCRISTINE 1 MG/ML IV SOLN $34.50 61703-309-26 VINCRISTINE 1 MG/ML IV SOLN $33.96 61703-309-16 VINCRISTINE 2 MG/2 ML IV SOLN $64.08 61703-309-25 VINCRISTINE 2 MG/2 ML IV SOLN $63.18 0703-4182-01 VINORELBINE 10 MG/ML IV SOLN $120.00 25021-204-01 VINORELBINE 10 MG/ML IV SOLN $150.00 64370-532-01 VINORELBINE 10 MG/ML IV SOLN $180.00 25021-204-05 VINORELBINE 50 MG/5 ML IV SOLN $540.00 64370-532-02 VINORELBINE 50 MG/5 ML IV SOLN $510.00 HC84200807 VIRAL ID (SHELL VIAL) $275.00 HC89016141 VIRAL ID (SHELL VIAL)-QD $19.00 HC89013163 VIRAL ISOLATE CONFIRM-U2 $150.00 HC89010813 VISCOSITY-AU $11.00 HC89001127 VISCOSITY-QD $12.00 HC41500463 VISUAL EVOKED RESP CNS/FLASH "$2,044.00 " 87040303 VIT A PALMITATE-VIT C-VIT D3 250 MCG-50 MG- 10 MCG/ML ORAL DROP $38.70 536509008 "VIT A,C AND E-LUTEIN-MINERALS 1,000 UNIT-200 MG-60 UNIT-2 MG ORAL TAB" $1.00 2420838760 "VIT A,C AND E-LUTEIN-MINERALS 1,000 UNIT-200 MG-60 UNIT-2 MG ORAL TAB" $1.00 HC89007819 VIT B12 BINDING CAPACITY-AU $22.00 299391816 VIT E-GLYCERIN-DIMETHICONE TOPICAL LOTN $56.76 HC36800415 VITAL CAPACITY $528.00 904208560 "VITAMIN A 10,000 UNIT ORAL CAP" $1.00 0904-2085-56 "VITAMIN A 10,000 UNIT ORAL CAP" $1.00 1170100216 VITAMIN A AND D TOPICAL CREAM $24.48 HC89010243 VITAMIN A-AU $9.00 536478701 VITAMIN B COMPLEX ORAL CAP $1.00 7985420080 VITAMIN B COMPLEX ORAL CAP $1.00 54629-0560-01 VITAMIN B COMPLEX ORAL CAP $1.00 HC89009971 VITAMIN B1 THIAMINE-AU $16.00 HC89001622 VITAMIN B1 THIAMINE-QD $25.00 HC81700080 VITAMIN B12 $298.00 HC89016000 VITAMIN B12-QD $14.00 HC89009823 VITAMIN B-2-AU $33.00 HC89015523 VITAMIN B-2-QD $14.00 HC89009773 VITAMIN B6 PYRIDOXAL-AU $9.00 HC89015507 VITAMIN B6 PYRIDOXAL-QD $23.00 HC89007306 VITAMIN C-AU $18.00 HC89013528 VITAMIN D 25 OH-AU $10.00 HC89015333 VITAMIN D 25 OH-QD $195.00 HC81701658 "VITAMIN D, 25-HYDROXY" $429.00 1000670043 "VITAMIN E (DL, ACETATE) 200 UNIT ORAL CAP" $1.00 5483800530 "VITAMIN E (DL, ACETATE) 22.5 MG (50 UNIT)/ML ORAL DROP" $164.88 5789675201 "VITAMIN E (DL, ACETATE) 400 UNIT ORAL CAP" $1.00 7733395110 "VITAMIN E (DL, ACETATE) 400 UNIT ORAL CAP" $1.54 7733395125 "VITAMIN E (DL, ACETATE) 400 UNIT ORAL CAP" $1.54 8770140754 "VITAMIN E (DL, ACETATE) 400 UNIT ORAL CAP" $1.00 904027760 "VITAMIN E (DL, ACETATE) 450 MG (1,000 UNIT) ORAL CAP" $1.00 99999-001-88 VITAMIN E 15 UNIT ORAL SYRINGE NICU $13.74 30768-02791 VITAMIN E TOPICAL OIL $29.25 HC89010078 VITAMIN E-AU $9.00 HC89015564 VITAMIN E-QD $12.00 4110081124 VITS A AND D-WHITE PET-LANOLIN TOPICAL OINT $21.02 45802-395-04 VITS A AND D-WHITE PET-LANOLIN TOPICAL OINT $16.27 HC89008908 VLDL CHOLESTEROL-AU $16.00 HC89010193 VMA URINE-AU $16.00 HC89010185 VMA URINE-CA $48.00 HC89002992 VMA URINE-QD $18.00 HC51000123 VOIDING PRESSURE STUDIES+ $224.00 HC81100331 VOL MEASURE TIMED COLLECTION $58.00 HC89010250 VOLATILES-AU $22.40 HC89018089 VON WILLEBRAND FACT 2N BIND-EC $172.00 0944-7553-02 "VONVENDI 1,300 (+/-) UNIT RANGE IV SOLR" "$15,444.00 " 0944-7551-02 VONVENDI 650 (+/-) UNIT RANGE IV SOLR "$7,722.00 " 99999-038-34 VORICONAZOLE 100 MCG INTRAVITREAL INJ $1.00 0049-3190-01 VORICONAZOLE 200 MG IV SOLR $360.00 0049-3190-28 VORICONAZOLE 200 MG IV SOLR $895.14 0781-3416-94 VORICONAZOLE 200 MG IV SOLR $732.42 39822-1077-1 VORICONAZOLE 200 MG IV SOLR $732.42 47781-466-71 VORICONAZOLE 200 MG IV SOLR $732.42 0049-3180-30 VORICONAZOLE 200 MG ORAL TAB $22.01 0093-5290-56 VORICONAZOLE 200 MG ORAL TAB $123.45 0904-7024-04 VORICONAZOLE 200 MG ORAL TAB $138.99 43547-378-03 VORICONAZOLE 200 MG ORAL TAB $123.45 51079-165-01 VORICONAZOLE 200 MG ORAL TAB $197.63 51079-165-03 VORICONAZOLE 200 MG ORAL TAB $197.63 63739-707-33 VORICONAZOLE 200 MG ORAL TAB $201.30 68382-736-06 VORICONAZOLE 200 MG ORAL TAB $123.45 68462-573-30 VORICONAZOLE 200 MG ORAL TAB $55.66 0049-3160-44 VORICONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSR "$3,029.85 " 59762-0935-3 VORICONAZOLE 200 MG/5 ML ORAL SUSR (MCH) "$5,065.65 " 0049-3170-30 VORICONAZOLE 50 MG ORAL TAB $8.80 0093-5289-56 VORICONAZOLE 50 MG ORAL TAB $34.29 0904-6596-04 VORICONAZOLE 50 MG ORAL TAB $48.58 51079-164-01 VORICONAZOLE 50 MG ORAL TAB $51.19 51079-164-03 VORICONAZOLE 50 MG ORAL TAB $51.19 68382-735-06 VORICONAZOLE 50 MG ORAL TAB $34.29 HC89023188 VORICONAZOLE ANTIFNGL-AU $53.00 HC89005102 VORICONAZOLE ANTIFNGL-FT $178.00 0006-0568-40 VORINOSTAT 100 MG ORAL CAP $750.48 99999-035-38 VORINOSTAT 50 MG/ML ORAL LIQUID (COMPOUND) $375.24 64764-730-30 VORTIOXETINE 10 MG ORAL TAB $80.57 64764-720-30 VORTIOXETINE 5 MG ORAL TAB $84.60 HC41500471 WADA TEST "$3,258.00 " HC82201005 WADES MOD FITE STN/GR I W/I&R+ $475.00 HC62208210 WAFFLE WHEEL CHAIR $52.00 HC62222450 WAND ARTHRO D $130.00 HC62224555 WAND ARTHRO F $260.00 HC62222468 WAND ARTHRO K $585.00 HC62222476 WAND ARTHRO L $650.00 HC62200217 WAND ARTHRO M $780.00 HC62222484 WAND ARTHRO N $910.00 HC62222492 WAND ARTHRO O "$1,040.00 " HC62222500 WAND ARTHRO P "$1,170.00 " HC62222518 WAND ARTHRO Q "$1,300.00 " HC62806955 WAND ASPIRATION/IRRIG NEUROVASC "$18,054.00 " HC62227327 WAND BREAST BIOPSY N $975.00 HC62226485 WAND LARYNGEAL "$2,080.00 " 99999-036-39 WARFARIN 0.5 MG ORAL PARTIAL TAB $6.19 99999-044-62 WARFARIN 0.5 MG ORAL PARTIAL TAB $1.00 0832-1211-00 WARFARIN 1 MG ORAL TAB $2.23 0832-1211-01 WARFARIN 1 MG ORAL TAB $2.23 0832-1211-89 WARFARIN 1 MG ORAL TAB $2.22 57237-119-01 WARFARIN 1 MG ORAL TAB $1.00 0093-1720-01 WARFARIN 10 MG ORAL TAB $2.18 0832-1219-01 WARFARIN 10 MG ORAL TAB $3.64 0832-1219-89 WARFARIN 10 MG ORAL TAB $3.66 57237-127-01 WARFARIN 10 MG ORAL TAB $1.39 0832-1212-00 WARFARIN 2 MG ORAL TAB $2.28 0832-1212-01 WARFARIN 2 MG ORAL TAB $2.28 0832-1212-89 WARFARIN 2 MG ORAL TAB $2.28 62584-984-11 WARFARIN 2 MG ORAL TAB $1.90 0832-1213-01 WARFARIN 2.5 MG ORAL TAB $2.33 0832-1213-89 WARFARIN 2.5 MG ORAL TAB $2.34 68084-027-01 WARFARIN 2.5 MG ORAL TAB $1.93 68084-027-11 WARFARIN 2.5 MG ORAL TAB $1.93 76282-329-01 WARFARIN 2.5 MG ORAL TAB $1.45 0832-1214-00 WARFARIN 3 MG ORAL TAB $2.39 0832-1214-01 WARFARIN 3 MG ORAL TAB $2.39 0832-1214-89 WARFARIN 3 MG ORAL TAB $2.40 57237-122-01 WARFARIN 3 MG ORAL TAB $1.00 0832-1215-00 WARFARIN 4 MG ORAL TAB $2.39 0832-1215-01 WARFARIN 4 MG ORAL TAB $2.39 0832-1215-89 WARFARIN 4 MG ORAL TAB $2.40 0832-1216-00 WARFARIN 5 MG ORAL TAB $2.44 0832-1216-01 WARFARIN 5 MG ORAL TAB $2.44 0832-1216-89 WARFARIN 5 MG ORAL TAB $2.46 57237-124-01 WARFARIN 5 MG ORAL TAB $1.00 62584-994-01 WARFARIN 5 MG ORAL TAB $1.99 62584-994-11 WARFARIN 5 MG ORAL TAB $1.99 0093-1718-01 WARFARIN 6 MG ORAL TAB $2.03 0832-1217-00 WARFARIN 6 MG ORAL TAB $3.37 0832-1217-01 WARFARIN 6 MG ORAL TAB $3.37 0832-1217-89 WARFARIN 6 MG ORAL TAB $3.36 0093-1723-01 WARFARIN 7.5 MG ORAL TAB $2.10 0832-1218-00 WARFARIN 7.5 MG ORAL TAB $3.47 0832-1218-01 WARFARIN 7.5 MG ORAL TAB $3.47 0832-1218-89 WARFARIN 7.5 MG ORAL TAB $3.48 HC89006969 WARFARIN-AU $62.00 HC82201013 WARTHIN-STARRY STN/GR I W/I&R+ $475.00 63323-249-30 WATER FOR INJECT BACT PARABENS INJ SOLN $11.34 0409-3977-01 "WATER FOR INJECT, BACTERIOSTAT INJ SOLN" $7.74 0409-3977-03 "WATER FOR INJECT, BACTERIOSTAT INJ SOLN" $7.74 0409-4887-10 "WATER FOR INJECTION, STERILE INJ SOLN" $5.22 0409-4887-17 "WATER FOR INJECTION, STERILE INJ SOLN" $5.22 0409-4887-20 "WATER FOR INJECTION, STERILE INJ SOLN" $7.44 0409-4887-23 "WATER FOR INJECTION, STERILE INJ SOLN" $7.44 0409-4887-24 "WATER FOR INJECTION, STERILE INJ SOLN" $13.50 0409-4887-25 "WATER FOR INJECTION, STERILE INJ SOLN" $24.60 0409-4887-50 "WATER FOR INJECTION, STERILE INJ SOLN" $13.50 0409-4887-99 "WATER FOR INJECTION, STERILE INJ SOLN" $24.60 0517-3010-25 "WATER FOR INJECTION, STERILE INJ SOLN" $18.72 0641-6147-01 "WATER FOR INJECTION, STERILE INJ SOLN" $18.72 0641-6147-10 "WATER FOR INJECTION, STERILE INJ SOLN" $18.72 0641-6147-25 "WATER FOR INJECTION, STERILE INJ SOLN" $31.26 63323-185-00 "WATER FOR INJECTION, STERILE INJ SOLN" $46.20 63323-185-10 "WATER FOR INJECTION, STERILE INJ SOLN" $20.94 63323-185-20 "WATER FOR INJECTION, STERILE INJ SOLN" $27.36 63323-185-50 "WATER FOR INJECTION, STERILE INJ SOLN" $50.00 0990-7990-09 "WATER FOR INJECTION, STERILE IV SOLP" $30.00 63323-178-76 "WATER FOR INJECTION, STERILE IV SOLP" $30.00 0409-7139-09 "WATER FOR IRRIGATION, STERILE IRR SOLN" $30.00 0409-7973-07 "WATER FOR IRRIGATION, STERILE IRR SOLN" $60.00 0990-6139-22 "WATER FOR IRRIGATION, STERILE IRR SOLN" $250.00 HC81500274 WBC AUTO DIFF $93.00 HC84200245 WBC IN FECES $146.00 HC51001915 WBC MANUAL DIFF $33.00 HC81500167 WBC MANUAL DIFF $163.00 HC85100469 WBC MANUAL DIFF $32.00 HC11500691 WC ESTB E&M BRIEF LVL1 $202.00 HC11500733 WC ESTB E&M COMPREHENSIVE L:5 $544.00 HC11500725 WC ESTB E&M EXTENDED LVL 4 $487.00 HC11500717 WC ESTB E&M INTERMEDIATE LVL3 $442.00 HC11500709 WC ESTB E&M MINOR LVL 2 $276.00 HC11500683 WC NEW E&M ASSESS COMPREHN L:5 $624.00 HC11500675 WC NEW E&M ASSESS EXTENDED L:4 $544.00 HC11500667 WC NEW E&M ASSESS INTRMED LVL3 $446.00 HC11500659 WC NEW E&M ASSESS MINOR LVL 2 $276.00 HC11501046 WC PROLONGED E&M SERVICE ADDL 15MIN+ $100.00 HC42000596 WCH EST PT LVL1-BRIEF $152.00 HC42000604 WCH EST PT LVL2-PROB FOCUS $195.00 HC42000612 WCH EST PT LVL3-EXPANDED $223.00 HC42000620 WCH EST PT LVL4-DETAILED $266.00 HC42000638 WCH EST PT LVL5-COMPREHEN $312.00 HC42000554 WCH NEW PT LVL2-PROB FOCUS $202.00 HC42000562 WCH NEW PT LVL3-EXPANDED $347.00 HC42000570 WCH NEW PT LVL4-DETAILED $415.00 HC42000588 WCH NEW PT LVL5-COMPREHEN $507.00 HC38000402 WEDGING CAST CLUBFOOT $504.00 HC25005117 WEDGING CAST EXCEPT CLUBFOOT $563.00 HC38000394 WEDGING CAST EXCEPT CLUBFOOT $491.00 HC89002687 WEST NILE VIR AB IGG/IGM(SERM)ELISA-AU $14.00 HC89018097 "WEST NILE VIR AB,IGM, CSF-AU" $18.00 HC89016737 WEST NILE VIRUS AB EA-LB $20.00 HC89005789 WEST NILE VIRUS AB EA-QD $24.00 HC89020887 WEST NILE VIRUS ELISA(PNL) -AU $16.92 HC89019244 WEST NILE VIRUS IGG AB-AU $17.00 HC84200112 WET MOUNT $187.00 7214003147 WHITE PETROLATUM 41 % TOPICAL OINT $64.15 7214003263 WHITE PETROLATUM 41 % TOPICAL OINT $26.14 7214045231 WHITE PETROLATUM 41 % TOPICAL OINT $21.00 0536-1143-97 WHITE PETROLATUM 42 % TOPICAL OINT $34.20 54162-500-02 WHITE PETROLATUM 42 % TOPICAL OINT $25.80 1011902013 WHITE PETROLATUM-MINERAL OIL 80-20 % OPHT OINT $40.93 1011902239 WHITE PETROLATUM-MINERAL OIL 80-20 % OPHT OINT $40.93 1571889305 WHITE PETROLATUM-MINERAL OIL 80-20 % OPHT OINT $54.00 24208-313-34 WHITE PETROLATUM-MINERAL OIL 80-20 % OPHT OINT $40.93 0904-6488-38 WHITE PETROLATUM-MINERAL OIL 83-15 % OPHT OINT $24.78 17478-062-35 WHITE PETROLATUM-MINERAL OIL 83-15 % OPHT OINT $18.61 8212427181 WHITE PETROLATUM-ZINC TOPICAL PSTE $36.00 HC83000026 WHOLE BLOOD EA UNIT $974.00 HC83000596 WHOLE BLOOD LEUKO RED/IRRAD EA UNIT $993.00 68982-182-01 WILATE 500-500 UNIT IV SOLR $8.76 HC25000563 WINDOW CAST $391.00 HC38000188 WINDOW CAST $500.00 HC62802574 WIRE BENTSON $91.00 HC62802582 WIRE INTERVENTIONAL $358.00 HC62802590 WIRE INTERVENTIONAL SPECIALTY "$1,099.00 " HC62217062 WIRE PACING TEMP C $46.00 HC62223250 WIRE PACING TEMP F $143.00 HC62802608 WIRE PACING TEMP T $390.00 HC62228382 WIRE PIGTAIL PROTRACK (WATCHMAN) $634.00 HC62802616 WIRE TEFLON BENTSON $85.00 HC11500907 WM EXAM EST' PT EVAL BRIEF LVL1 $154.00 HC11500923 WM EXAM EST' PT EVAL COMPLEX L 5 $461.00 HC11500915 WM EXAM EST' PT EVAL MINOR LVL 2 $203.00 HC11500865 WM EXAM EST' PT EVAL LO/MODIII $295.00 HC11500873 WM EXAM EST' PT EVAL MOD/HI IV $424.00 HC11500972 WM EXAM NEW PT EVAL COMPLEX L 5 $483.00 HC11500964 WM EXAM NEW PT EVAL HIGH L 4 $443.00 HC11500949 WM EXAM NEW PT EVAL MINOR LVL 2 $226.00 HC11500956 WM EXAM NEW PT EVAL MOD LVL3 $341.00 HC62208228 WOUND CARE LOTION/GEL/CRM/OINT $78.00 HC62213665 WOUND FILLER DRY FORM PER GM $156.00 HC62226949 WOUND FILLER GEL COLLAGEN-28GM $260.00 HC62228606 WOUND FILLER GEL(PLUROGEL)-1.75OZ $317.00 HC62228614 WOUND FILLER GEL(PLUROGEL)-14.1OZ "$2,124.00 " HC62226758 WOUND FILLER POWDER COLLAGEN-1GM "$2,113.00 " HC62290432 WOUND FILLER POWDER COLLAGEN-5GM "$6,338.00 " HC21000617 WOUND NON-SEL DEBRID PER SESSN $788.00 HC21000658 WOUND ULTRASOUND PER DAY $703.00 HC21001078 WOUND VAC TX W/ DISP ASST/INSTR <50SQ CM SESSION "$1,170.00 " HC21001086 WOUND VAC TX W/ DISP ASST/INSTR >50SQ CM SESSION "$1,324.00 " HC21000625 WOUND VAC W/ DME <50 SQ CM PER SESSION $760.00 HC21000633 WOUND VAC W/ DME >50 SQ CM PER SESSION $944.00 HC62224886 WRAP COLD BAG GEL CERVICAL $78.00 HC62224746 WRAP COMPRESSION BACK/SPINE $156.00 HC62210729 WRAP COMPRESSION KNEE/HIP $121.00 HC62217054 WRENCH TIP SPINAL (DISP) "$1,073.00 " HC62217047 WRENCH TORQUE SHAFT SPINAL (DISP) $585.00 HC44002749 WRIST - FOUR VIEWS $876.00 HC44002723 WRIST - TWO VIEWS $702.00 HC44002517 WRIST 2 VIEWS BILAT "$1,328.00 " HC44002525 WRIST 2 VIEWS LT $702.00 HC44002533 WRIST 2 VIEWS RT $702.00 HC44002541 WRIST ARTHROGRAM BILAT "$2,981.00 " HC44002558 WRIST ARTHROGRAM LT "$1,608.00 " HC44002566 WRIST ARTHROGRAM RT "$1,608.00 " HC44002574 WRIST COMP MIN 3 VWS BILAT "$1,782.00 " HC44002582 WRIST COMP MIN 3 VWS LT $876.00 HC44002590 WRIST COMP MIN 3 VWS RT $876.00 HC44002731 WRIST MIN 3 VIEWS $876.00 HC51002228 X RAY CYSTOGRAM MIN 3 VWS $534.00 HC51002483 X RAY FLUORO GUIDANCE $411.00 HC51061091 X RAY PYELOGRAM RETROGRADE $640.00 HC51002269 X RAY URETHROCYSTOGRAM RETROGRADE $511.00 HC51002202 X RAY URETHROCYSTOGRAM VOIDING $559.00 HC51002251 X RAY UROGRAPHY ANTEGRADE R&I $590.00 11994-127-11 XENON-133 IN CARBON DIOXIDE 370 MBQ (10 MCI) INHALATION GAS $269.00 11994-128-21 XENON-133 IN CARBON DIOXIDE 740 MBQ (20 MCI) INHALATION GAS $489.32 HC83000182 X-MATCH AHG TECH EA UNIT $468.00 HC83001222 X-MATCH ELECTRONIC TECH EA UNIT $502.00 HC83000190 X-MATCH INCUB TECH EA UNIT $429.00 HC83000109 X-MATCH I-SPIN TECH EA UNIT $473.00 HC44000040 XR ABDOMEN COMPLETE (2/> IMAGES) W/CXR "$1,389.00 " HC44000206 "XR COLON DOUBLE CONTRAST INC SCOUT,DELAYED" "$2,489.00 " HC44000198 "XR COLON SINGLE CONTRAST INC SCOUT,DELAYED" "$2,010.00 " HC44003077 XR ESOPHAGUS W/DOUBLE CONSTRST INC SCOUT&DELAYS "$1,706.00 " HC44000693 XR ESOPHAGUS W/SNGLE CONSTRST INC SCOUT&DELAYS "$1,389.00 " HC44002608 XR EXAM SURGICAL SPECIMEN "$1,006.00 " HC44001303 XR INTRO GI TUBE IMAGING S&I "$1,580.00 " HC44001741 XR PHARYNX/CERVICAL ESOPHAGUS W/CNSTRST INC SCOUT&DELAYS "$1,164.00 " HC44003085 XR SMALL BOWEL F-THRU INC SERIAL+ "$1,058.00 " HC44002079 "XR SMALL BOWEL W/DOUBLE CONTRAST INC SCOUT,SERIAL" "$2,382.00 " HC44002061 "XR SMALL BOWEL W/SINGLE CONTRAST INC SCOUT,SERIAL" "$1,777.00 " HC44002152 XR SWALLOW FUNC W/CINE/VIDEO INC SCOUT&DELAYES "$1,601.00 " HC44002442 "XR UGI W/DOUBLE CONTRAST INC SCOUT,DELAYED" "$1,766.00 " HC44002616 "XR UGI W/SNGLE CONTRAST INC SCOUT,DELAYED" "$1,730.00 " HC51001840 X-RAY ANKLE 2 VWS $210.00 HC51001857 X-RAY ANKLE 3+ VWS $223.00 HC51001881 X-RAY BONE AGE STUDIES $199.00 HC51001899 X-RAY BONE LENGTH STUDIES $208.00 HC51001675 X-RAY CLAVICLE $204.00 HC51001709 X-RAY ELBOW 2 VW $377.00 HC51001717 X-RAY ELBOW 3+ VW $248.00 HC51001766 X-RAY EXAM OF FINGERS MIN 2 VWS $185.00 HC51003879 X-RAY FEMUR 1 VIEW $195.00 HC51003887 X-RAY FEMUR MIN 2 VIEWS $206.00 HC51061927 X-RAY FOOT 2 VWS $195.00 HC51001865 X-RAY FOOT 3+ VWS $218.00 HC51001725 X-RAY FOREARM 2 VW $248.00 HC51001741 X-RAY HAND 2 VW $206.00 HC51001758 X-RAY HAND 3+ VW $242.00 HC51001691 X-RAY HUMERUS; MIN 2 VWS $234.00 HC51061901 X-RAY KNEE 1 OR 2 VWS $210.00 HC51001816 X-RAY KNEE 3 VWS $248.00 HC51001824 X-RAY KNEE CMPLET 4+ VWS $251.00 HC51061919 "X-RAY LOWER EXTREMITY, INFANT MIN 2 VWS" $210.00 HC51003382 X-RAY ORPORA CAVERNOSGRAPHY $550.00 HC51001774 X-RAY PELVIS 1 OR 2 VWS $206.00 HC51061869 X-RAY PELVIS COMPLETE MIN 3 VWS $235.00 HC51003390 X-RAY PERC DIL URETER/URETHRA "$1,582.00 " HC51061877 X-RAY SCAPULA $225.00 HC51061885 X-RAY SHOULDER; 1 VW $200.00 HC51001683 X-RAY SHOULDER; COMPLETE MIN 2 VWS $230.00 HC51061745 X-RAY SPINE 1 VIEW ANY LEVEL $220.00 HC51061752 X-RAY SPINE CERVICAL; 2 OR 3VWS $250.00 HC51001626 X-RAY SPINE CERVICAL; 4 OR 5VWS $390.00 HC51061760 X-RAY SPINE CERVICAL; COMP 6/> VWS $425.00 HC51061810 X-RAY SPINE ENTIRE SKULL-SACRUM 1 VIEW $255.00 HC51061828 X-RAY SPINE ENTIRE SKULL-SACRUM 2-3 VIEWS $325.00 HC51061836 X-RAY SPINE ENTIRE SKULL-SACRUM 4-5 VIEWS $355.00 HC51061844 X-RAY SPINE ENTIRE SKULL-SACRUM 6/> VIEWS $425.00 HC51001634 X-RAY SPINE LUMBOSACRAL; 2 OR 3VWS $368.00 HC51061851 X-RAY SPINE LUMBOSACRAL; CMPLT W/BEND MIN 6 VWS $450.00 HC51001642 X-RAY SPINE LUMBOSACRAL; MIN 4VWS $345.00 HC51001659 X-RAY SPINE LUMBOSCARAL; BEND ONLY 2 OR 3VWS $362.00 HC51061778 X-RAY SPINE THORACIC; 2 VIEWS $325.00 HC51061786 X-RAY SPINE THORACIC; 3 VIEWS $350.00 HC51061794 X-RAY SPINE THORACIC; MIN 4 VIEWS $375.00 HC51061802 X-RAY SPINE THORACOLUMBAR JUNCTN MIN 2 VWS $265.00 HC44504207 XRAY TEVAR W/ LT SUBCLAV; INT'L ENDO& DIST EXTS CELIAC S&I "$8,610.00 " HC44504215 XRAY TEVAR; INITIAL ENDO & DIST EXTS TO CELIAC S&I "$7,058.00 " HC44504231 XRAY TEVAR; PLCMT OF DISTAL EXTS PROTH(S) DELAYED S&I "$5,441.00 " HC44504223 XRAY TEVAR; PLCMT PROX EXT PROTH S&I "$5,441.00 " HC51001832 "X-RAY TIBULA + FIBULA, 2 VWS" $211.00 HC51001873 X-RAY TOES MIN 2 VWS $162.00 HC51061893 X-RAY UPPER EXTREMITY INFANT MIN 2 VWS $240.00 HC51001733 X-RAY WRIST 2 VW $209.00 58394-013-01 XYNTHA 500 (+/-) UNIT IV SOLN "$4,740.00 " HC84200294 YEAST ID EA ORG $233.00 HC89014492 YERSINIA AB IGA BY IMMUNOBLOT-ARUP $41.75 HC89023469 YERSINIA AB IGG BY IMMUNOBLOT-AU $40.50 HC89001671 YERSINIA AB-QD $14.00 HC89002810 YO FA AB SCRN-QD $16.00 49884-554-02 ZAFIRLUKAST 20 MG ORAL TAB $9.10 68084-059-11 ZAFIRLUKAST 20 MG ORAL TAB $14.47 68084-059-21 ZAFIRLUKAST 20 MG ORAL TAB $14.47 0173-0681-01 ZANAMIVIR 5 MG/ACTUATION INHALATION DSDV $17.70 49702-213-01 ZIDOVUDINE 10 MG/ML IV SOLN $175.20 49702-213-26 ZIDOVUDINE 10 MG/ML IV SOLN $175.20 49702-212-48 ZIDOVUDINE 10 MG/ML ORAL SYRP $388.80 65862-048-24 ZIDOVUDINE 10 MG/ML ORAL SYRP $216.00 99999-037-93 ZIDOVUDINE 10 MG/ML ORAL SYRP $18.00 65862-107-01 ZIDOVUDINE 100 MG ORAL CAP $9.09 65862-024-60 ZIDOVUDINE 300 MG ORAL TAB $5.38 HC82201021 ZIEHL NEELSON STN/GR I W/I&R+ $475.00 HC89021885 "ZIKA VIRUS BY PCR, BLOOD-AU" $150.00 HC89021877 ZIKA VIRUS IGM AB CAPTURE-AU $85.00 57844-208-52 ZINC ACETATE 50 MG (ZINC) ORAL CAP $17.33 0409-4090-01 ZINC CHLORIDE 1 MG/ML IV SOLN $116.58 0409-4090-11 ZINC CHLORIDE 1 MG/ML IV SOLN $116.58 99999-034-10 ZINC CHLORIDE 1 MG/ML ORAL LIQUID (MCH) $3.21 7430000300 ZINC OXIDE 13 % TOPICAL CREAM $57.00 0501-3401-02 ZINC OXIDE 13 % TOPICAL CREAM $57.00 58232-071-93 ZINC OXIDE 13 % TOPICAL CREAM $25.09 6210333300 ZINC OXIDE 16 % TOPICAL OINT $11.09 6210333304 ZINC OXIDE 16 % TOPICAL OINT $31.87 0536-5700-28 ZINC OXIDE 20 % TOPICAL OINT $12.42 75834-170-01 ZINC OXIDE 20 % TOPICAL OINT $31.52 99999-034-13 ZINC SULFATE 1 MG/ML ORAL LIQUID (MCH) $7.17 99999-036-69 ZINC SULFATE 110 MG ORAL PARTIAL TAB (MCH) $1.00 0517-8005-25 ZINC SULFATE 5 MG/ML IV SOLN $420.75 7733398310 ZINC SULFATE 50 MG ZINC (220 MG) ORAL CAP $1.40 7733398325 ZINC SULFATE 50 MG ZINC (220 MG) ORAL CAP $1.40 8068113500 ZINC SULFATE 50 MG ZINC (220 MG) ORAL CAP $1.00 1000673027 ZINC SULFATE 50 MG ZINC (220 MG) ORAL TAB $1.00 1657169901 ZINC SULFATE 50 MG ZINC (220 MG) ORAL TAB $1.00 5789686501 ZINC SULFATE 50 MG ZINC (220 MG) ORAL TAB $1.00 0536-2450-10 ZINC SULFATE 50 MG ZINC (220 MG) ORAL TAB $1.00 HC89017651 "ZINC, SERUM (PNL) -AU" $3.00 HC89010284 "ZINC, SERUM -AU" $5.00 HC89020432 "ZINC, WHOLE BLOOD -AU" $74.00 HC89001036 ZINC-QD $11.00 0781-2164-60 ZIPRASIDONE HCL 20 MG ORAL CAP $3.00 0904-6269-08 ZIPRASIDONE HCL 20 MG ORAL CAP $28.95 0904-6269-45 ZIPRASIDONE HCL 20 MG ORAL CAP $16.55 55111-256-60 ZIPRASIDONE HCL 20 MG ORAL CAP $3.00 63739-988-32 ZIPRASIDONE HCL 20 MG ORAL CAP $16.69 68084-103-09 ZIPRASIDONE HCL 20 MG ORAL CAP $16.62 68084-103-11 ZIPRASIDONE HCL 20 MG ORAL CAP $16.62 68180-331-07 ZIPRASIDONE HCL 20 MG ORAL CAP $8.00 0904-6270-08 ZIPRASIDONE HCL 40 MG ORAL CAP $28.95 16714-836-01 ZIPRASIDONE HCL 40 MG ORAL CAP $8.30 68084-104-11 ZIPRASIDONE HCL 40 MG ORAL CAP $16.62 0781-2167-60 ZIPRASIDONE HCL 60 MG ORAL CAP $3.50 16714-838-01 ZIPRASIDONE HCL 80 MG ORAL CAP $5.80 0049-3920-20 ZIPRASIDONE MESYLATE 20 MG/ML (FINAL CONC.) IM SOLR $312.68 0049-3920-83 ZIPRASIDONE MESYLATE 20 MG/ML (FINAL CONC.) IM SOLR $312.68 43598-848-11 ZIPRASIDONE MESYLATE 20 MG/ML (FINAL CONC.) IM SOLR $282.00 43598-848-58 ZIPRASIDONE MESYLATE 20 MG/ML (FINAL CONC.) IM SOLR $282.00 72266-160-01 ZIPRASIDONE MESYLATE 20 MG/ML (FINAL CONC.) IM SOLR $196.74 72266-160-10 ZIPRASIDONE MESYLATE 20 MG/ML (FINAL CONC.) IM SOLR $196.74 72266-160-41 ZIPRASIDONE MESYLATE 20 MG/ML (FINAL CONC.) IM SOLR $119.46 72266-160-42 ZIPRASIDONE MESYLATE 20 MG/ML (FINAL CONC.) IM SOLR $119.46 16729-242-31 ZOLEDRONIC ACID 4 MG/5 ML IV SOLN $600.00 25021-801-66 ZOLEDRONIC ACID 4 MG/5 ML IV SOLN "$1,080.00 " 43598-330-11 ZOLEDRONIC ACID 4 MG/5 ML IV SOLN $270.00 55111-685-07 ZOLEDRONIC ACID 4 MG/5 ML IV SOLN $600.00 67457-390-54 ZOLEDRONIC ACID 4 MG/5 ML IV SOLN $264.00 0078-0435-61 ZOLEDRONIC ACID-MANNITOL-WATER 5 MG/100 ML IV PGBK "$6,502.80 " 23155-186-31 ZOLEDRONIC ACID-MANNITOL-WATER 5 MG/100 ML IV PGBK "$1,800.00 " 25021-830-82 ZOLEDRONIC ACID-MANNITOL-WATER 5 MG/100 ML IV PGBK "$2,100.00 " 43598-331-11 ZOLEDRONIC ACID-MANNITOL-WATER 5 MG/100 ML IV PGBK "$1,410.00 " 55111-688-52 ZOLEDRONIC ACID-MANNITOL-WATER 5 MG/100 ML IV PGBK "$1,800.00 " 67457-619-10 ZOLEDRONIC ACID-MANNITOL-WATER 5 MG/100 ML IV PGBK "$1,410.00 " 25021-826-82 ZOLEDRONIC AC-MANNITOL-0.9NACL 4 MG/100 ML IV PGBK "$1,080.00 " 64896-671-51 ZOLMITRIPTAN 2.5 MG ORAL TAB $776.18 68462-497-76 ZOLMITRIPTAN 2.5 MG ORAL TAB $25.18 0024-5421-31 ZOLPIDEM 10 MG ORAL TAB $111.56 13668-008-01 ZOLPIDEM 10 MG ORAL TAB $1.00 51079-725-01 ZOLPIDEM 10 MG ORAL TAB $1.00 0024-5401-31 ZOLPIDEM 5 MG ORAL TAB $111.56 0781-5317-01 ZOLPIDEM 5 MG ORAL TAB $1.00 0904-6082-61 ZOLPIDEM 5 MG ORAL TAB $1.00 13668-007-01 ZOLPIDEM 5 MG ORAL TAB $1.00 16714-621-01 ZOLPIDEM 5 MG ORAL TAB $1.00 51079-724-01 ZOLPIDEM 5 MG ORAL TAB $1.00 51079-724-20 ZOLPIDEM 5 MG ORAL TAB $1.00 68084-189-01 ZOLPIDEM 5 MG ORAL TAB $1.00 68084-189-11 ZOLPIDEM 5 MG ORAL TAB $1.00 99999-035-44 ZONISAMIDE 10 MG/ML ORAL LIQUID (COMPOUND) $1.00 50268-816-11 ZONISAMIDE 100 MG ORAL CAP $3.63 50268-816-15 ZONISAMIDE 100 MG ORAL CAP $3.63 60687-230-01 ZONISAMIDE 100 MG ORAL CAP $3.32 60687-230-11 ZONISAMIDE 100 MG ORAL CAP $3.32 68462-130-01 ZONISAMIDE 100 MG ORAL CAP $2.21 69097-861-07 ZONISAMIDE 100 MG ORAL CAP $2.94 62756-258-02 ZONISAMIDE 25 MG ORAL CAP $1.25 68462-128-01 ZONISAMIDE 25 MG ORAL CAP $1.00 0006-4963-00 "ZOSTER VACCINE LIVE (PF) 19,400 UNIT/0.65 ML SUBCUTANEOUS SUSR" "$1,338.72 "