Jupiter Medical Center is required by Centers for Medicare & Medicaid
Services (Medicare) to publish its
charge master, or listing of full price charges. Unfortunately, identifying what a patient
would pay from this listing is impractical. Because of the known complexity
(depending on the patient insurance coverage; how much is remaining of
the annual/lifetime deductibles, other illnesses affecting the services,
etc.) of estimating the patient portion of a bill; we recommend you call
us at 561-263-4440 or 800-743-4499 for such an estimate. In addition,
Jupiter Medical Center has a variety of financial arrangements for those
without insurance coverage.
Please click here to access our Financial Assistance Policy.
|
Description
|
Price
|
| IV HYDRATION |
$172 |
| IV INFUSION |
$185 |
| IV INFUSION SEQ |
$119 |
| IV INFUSION CONCURRENT |
$91 |
| OBSERVATION DIRECT ADMIT |
$550 |
| 4TH FL EMERG ESRD OP DIAL |
$1,072 |
| HEMODIALYISS |
$1,072 |
| IM/SQ INJECTION |
$91 |
| IVP INJECTION |
$187 |
| IVP INJ ADDL SAME DRUG |
$87 |
| KIT CENTRAL LINE DRESSING |
$94 |
| PHLEBOTOMY THERAPEUTIC |
$142 |
| CARDIO DEFIBRILLATION |
$927 |
| BEDSIDE DECLOT VASCULAR DEVICE |
$443 |
| BEDSIDE BONE MARROW ASP OR BX |
$1,616 |
| BEDSIDE INS STRAIGHT CATH |
$190 |
| BEDSIDE INS FOLEY (INDWEL) CATH |
$259 |
| BEDSIDE INS COMPLICATED CATH |
$367 |
| BEDSIDE LUMBAR PUNCTURE |
$811 |
| BEDSIDE THORACENTESIS PROCEDURE |
$2,000 |
| BEDSIDE ARTHROCENTESIS PROCEDURE |
$1,786 |
| BLOOD TRANSFUSION |
$1,247 |
| ADMIN INFLUENZA VACCINE |
$100 |
| ADMIN HEPATITIS B VACCINE |
$136 |
| IMMUNIZATION ADMIN |
$150 |
| IMMUNE ADMIN ORAL/NASAL |
$100 |
| BLADDER/CATH SUPPLIES |
$103 |
| IV START KIT |
$20 |
| ORTHOTIC AFO FRACTURE |
$868 |
| ORTHOTIC TLSO TRIPLANAR 2 PIECE |
$2,880 |
| ORTHOTIC AFO PREFAB |
$422 |
| ORTHOTIC AFO CUSTOM FAB |
$880 |
| ORTHOTIC KNEE ADJUSTABLE |
$1,150 |
| ORTHOTIC CERVICAL COLLAR W/EXTENS |
$447 |
| ORTHOTIC UPPER EXTREMITY FRACTURE |
$731 |
| ORTHOTIC AFO ARTICULATING CUSTOM |
$1,050 |
| ORTHOTIC HIP ABDUCTION |
$1,440 |
| ORTHOTIC VARUS VALGUS CORRECT MOD |
$288 |
| ORTHOTIC SOFT INTERFACE BELOW KNE |
$237 |
| ORTHOTIC ADJUSTABLE MOTION KNEE |
$404 |
| ORTHOTIC PELVIC CONTROL HIP FLEX |
$761 |
| ORTHOTIC LIMITED ANKLE MOTION EAC |
$149 |
| ORTHOTIC VARUS VALGUS CORRECTION |
$158 |
| ORTHOTIC PRE TIBIAL SHELL |
$866 |
| ORTHOTIC ORTHOPEDIC SHOE |
$144 |
| ORTHOTIC KNEE ANKLE FOOT CUSTOM |
$2,374 |
| ORTHOTIC ORTHOTICS AIRCAST ANKLE |
$253 |
| ORTHOTIC LSO |
$2,300 |
| ORTHOTIC TLSO CUSTOM FIT |
$2,880 |
| ORTHOTIC POST OP SURGICAL SHOE |
$136 |
| ORTHOTIC SHOULDER BRACE |
$732 |
| ORTHOTIC UNILATERAL HIP JT & PELV |
$570 |
| BRACE SLING & SWATH |
$414 |
| CUSTOM AFO PLS |
$914 |
| ORTHOTIC CTO |
$1,792 |
| ORTHOTIC ANKLE SUPPORT MULTILIGAM |
$364 |
| ORTHOTIC SHOE |
$315 |
| ORTHOTIC SOCK FEMORAL LENGTH |
$225 |
| ORTHOTIC POST OP APP NON WT BEAR |
$868 |
| ORTHOTIC PELVIC BAN |
$620 |
| ORTHOTIC ELBOW ROM FRACTURE BRACE |
$980 |
| ORTHOTIC DORSI ASSIST MECH JOINT |
$254 |
| ORTHOTIC LUMBAR ORTHOSIS |
$775 |
| OPB ROOM CARE |
$40 |
| PARACENTESIS |
$1,710 |
| THORACENTESIS |
$2,000 |
| DECLOT VAD |
$443 |
| BONE MARROW ASPIRATION |
$1,616 |
| LUMBAR PUNCTURE |
$811 |
| SIMPLE BEDSIDE PROCEDURE |
$366 |
| INTERMEDIATE BEDSIDE PROCEDURE |
$600 |
| COMPLEX BEDSIDE PROCEDURE |
$833 |
| ADMIN PNEUMOCOCCAL VACCINE |
$100 |
| 2ND FL EMERG ESRD OP DIAL |
$1,072 |
| 2ND FLOOR HEMODIALYSIS |
$1,072 |
| VENIPUNCTURE |
$32 |
| LAB DRAW FROM INFUSAPORT |
$180 |
| LAB DRAW FROM PICC |
$166 |
| PED BEDSIDE DECLOT VASC DEVICE |
$443 |
| CHEMO ADM |
$973 |
| PED BEDSIDE ARTHROCENT PROCED |
$1,786 |
| PED BEDSIDE INS FOLEY(INDWEL)CTH |
$259 |
| PED BEDSIDE PHOTOTHERAPY |
$306 |
| PED BEDSIDE PROCEDURE SIMPLE |
$400 |
| PED BEDSIDE PROCEDURE INTERMED |
$1,000 |
| PED BEDSIDE PROCEDURE COMPLEX |
$1,700 |
| PED BEDSIDE INCISION/DRAINAGE |
$548 |
| PED BEDSIDE WOUND PACKING |
$634 |
| PED BEDSIDE PELVIC EXAM |
$300 |
| CATH REP KIT 5FR DBL LUM |
$295 |
| KIT CATH REP DBL LUMEN 7FR |
$295 |
| CATH FOLEY SIL 10FR 3CC |
$17 |
| CATH FOLEY SIL 12FR 5CC |
$17 |
| CATH FOLEY SIL 22FR 5CC |
$17 |
| CATH FOLEY SIL 8FR 3CC |
$17 |
| 20178 ARMBOARD |
$9 |
| 34933 TRAY SUTURE REMOVAL |
$10 |
| CATH KIT 5 FR INFANT |
$8 |
| CATH KIT FEMALE |
$8 |
| CATH KIT SUCT 10FR FOR TRACHEA |
$10 |
| CATH KIT SUCT 12FR SUB FOR TRACH |
$10 |
| CATH KIT SUCT 14FR (4894T) FOR TR |
$10 |
| CATH KIT SUCT 6FR FOR TRACH |
$10 |
| CATH KIT SUCT 8FR FOR TRACH |
$10 |
| STAPLE REMOVER SKIN STERILE |
$10 |
| PED BEDSIDE APPLICAT ARM CAST |
$650 |
| CODE BLUE RESPONSE |
$539 |
| OBSERVATION HOURLY PCU |
$46 |
| CAVHD |
$677 |
| TRANSFUSION |
$383 |
| IV CHEMO GRTR 8HRS VIA CADD |
$973 |
| OBSERVATION HOURLY ICU |
$46 |
| BEDSIDE PROCEDURE SIMPLE |
$400 |
| BEDSIDE PROCEDURE INTERMEDIATE |
$1,000 |
| BEDSIDE PROCEDURE COMPLEX |
$1,700 |
| ORTHOTIC SOFT INTERFACE ABOVE KNE |
$244 |
| LABOR AND DELIVERY ROOM AND BED |
$1,662 |
| BABY ROOM AND BOARD |
$1,408 |
| OB OR 1ST 30 MIN |
$1,455 |
| OB OR EA ADDL 15 MIN |
$627 |
| OB EPIDURAL 1ST HOUR |
$669 |
| OB EPIDURAL EA ADDL HOUR |
$472 |
| OB OR ANESTHESIA 1ST 30 MIN |
$551 |
| OB OR ANESTHESIA EA ADDL 15 MIN |
$94 |
| VAGINAL DELIVERY SIMPLE |
$2,924 |
| OB RECOVERY AREA |
$822 |
| OB AMNIOCENTESIS DIAGNOSTIC |
$2,356 |
| OB CONTRACTION STRESS TEST |
$666 |
| OB FETAL NST |
$596 |
| US PREG UTERUS LIMITED |
$506 |
| US GUIDED AMNIOCENTESIS S AND I |
$524 |
| FETAL VERSION |
$3,828 |
| POST PARTUM TUBAL |
$2,336 |
| C SECTION SIMPLE |
$4,341 |
| NEO PUFF |
$100 |
| ALEXIS RETRACTOR L |
$240 |
| ALEXIS RETRACTOR XL |
$250 |
| AMNIO HOOK |
$10 |
| BAKRI POSTPARTUM BALLOON |
$603 |
| INTERCEED ADHESION BARRIER |
$429 |
| FETAL SCALP ELECTRODE |
$14 |
| INTERUTERINE PRESSURE CATH |
$106 |
| KIWI VAC. |
$105 |
| MITY VAC |
$104 |
| UROMETRY BAG |
$33 |
| CERCLAGE OF CERVIX, VAGINAL |
$3,828 |
| DILITATION & CURETTAGE PP |
$3,828 |
| MANUAL REMOVAL OF PLACENTA |
$3,828 |
| C SECTION COMPLEX |
$6,200 |
| C SECTION INTERMEDIATE |
$5,200 |
| VAGINAL DELIVERY COMPLEX |
$4,200 |
| VAGINAL DELIVERY INTERMEDIATE |
$3,200 |
| VISIT LEVEL 2 OP |
$229 |
| VISIT LEVEL 3 OP |
$290 |
| VISIT LEVEL 5 OP |
$406 |
| ARISTA |
$219 |
| NURSERY SPECIAL CARE |
$1,938 |
| CIRCUMCISION TRAY |
$54 |
| BILICHEK TCB |
$98 |
| CHEST TUBE PLACEMENT WO GUID |
$1,445 |
| INSERT CV CATH < 5YR |
$2,491 |
| THORACENT NDL/CATH ASP WO GUID |
$1,445 |
| UMBILICIAL ARTERY CATH NEWBORN |
$494 |
| NEWBORN RESUSCITATION |
$702 |
| CIRCUMCISION |
$400 |
| CAR SEAT CHALLENGE 1HR |
$155 |
| CAR SEAT CHALLENGE EA ADD 30M |
$78 |
| PHOTOTHERAPY |
$306 |
| ROUTINE ROOM CARE |
$1,278 |
| CDU/PCU/ICU ROOM AND CARE |
$3,107 |
| VAD BLOOD DRAW |
$180 |
| TELE ROOM AND CARE |
$2,288 |
| OBSERVATION HOURLY |
$40 |
| CELL SAVER |
$1,590 |
| EYE LASER PROCEDURE |
$3,568 |
| S YAG LASER |
$1,741 |
| ARGON BEACH COAGULAT |
$339 |
| KTP/YAG LASER |
$973 |
| OR LEVEL I FIRST HOUR |
$3,595 |
| OR LEVEL I EA ADDL 15 MIN |
$999 |
| OR LEVEL II FIRST HOUR |
$5,192 |
| OR LEVEL II EA ADDL 15 MIN |
$999 |
| OR LEVEL III FIRST HOUR |
$6,790 |
| OR LEVEL III EA ADDL 15 MIN |
$999 |
| OR LEVEL IV FIRST HOUR |
$8,388 |
| OR LEVEL IV EA ADDL 15 MIN |
$999 |
| OR LEVEL V FIRST HOUR |
$9,984 |
| OR LEVEL V EA ADDL 15 MIN |
$999 |
| OR LEVEL VI FIRST HOUR |
$11,581 |
| OR LEVEL VI EA ADDL 15 MIN |
$999 |
| MINOR PROCEDURE PREOP UP TO 1HR |
$845 |
| PACU FIRST HOUR |
$2,413 |
| PACU EA ADDL 15 MIN |
$166 |
| ABLATOR ENDOMEETRIAL 850T950 |
$2,782 |
| ADAPTOR (0T100) |
$395 |
| ADAPTOR (101T200) |
$867 |
| ADAPTOR (201T300) |
$1,082 |
| ADAPTOR (301T400) |
$1,514 |
| ADAPTOR (401T500) |
$1,641 |
| ADHESION BARRIERS (0T50) |
$335 |
| ADHESION BARRIERS (101T150) |
$804 |
| ADHESION BARRIERS (151T200) |
$1,410 |
| ADHESION BARRIERS (201T250) |
$1,765 |
| ANCHOR /TACKER (0T100) |
$649 |
| ANCHOR /TACKER (101T200) |
$1,427 |
| ANCHOR /TACKER (201T300) |
$1,783 |
| ANCHOR /TACKER (301T400) |
$2,496 |
| ANCHOR /TACKER (401T500) |
$2,708 |
| ANCHOR /TACKER (501T600) |
$2,770 |
| ANCHOR /TACKER (601T700) |
$3,273 |
| ANCHOR /TACKER (701T800) |
$3,777 |
| ANCHOR /TACKER (801T900) |
$4,279 |
| ANCHOR /TACKER (901T1000) |
$4,783 |
| BAG ANESTHESIA |
$138 |
| BAG BILE/URETERAL |
$93 |
| BAG DRAINAGE CYSTO DOUBLE |
$277 |
| BAG SPECIMEN ENDO EXTRACT |
$692 |
| BALLOON / DILATOR (0T500) |
$983 |
| BALLOON / DILATOR (501T1000) |
$2,377 |
| BALLOON / DILATOR (1001T1500) |
$3,963 |
| BALLOON / DILATOR (1501T2000) |
$5,547 |
| BALLOON / DILATOR (2001T2500) |
$7,132 |
| BALLOON/DILATOR (2501T3000) |
$8,716 |
| BALLOON/DILATOR (3001T3500) |
$10,302 |
| BALLOON/DILATOR (3501T4000) |
$11,886 |
| BASKET(0T100) |
$394 |
| BASKET(101T200) |
$865 |
| BASKET(201T300) |
$1,082 |
| BASKET(301T400) |
$1,514 |
| BASKET(401T500) |
$1,641 |
| BASKET(501T600) |
$1,918 |
| BASKET(601T700) |
$2,267 |
| BASKET(701T800) |
$2,616 |
| BASKET(801T900) |
$2,964 |
| BASKET(901T1000) |
$3,313 |
| BLADE / SHAVER / RASP (0T50) |
$185 |
| BLADE / SHAVER / RASP (51T100) |
$442 |
| BLADE / SHAVER / RASP (101T150) |
$721 |
| BLADE / SHAVER / RASP (151T200) |
$778 |
| BLADE / SHAVER / RASP (200T250) |
$973 |
| BLADE / SHAVER / RASP (251T300) |
$1,190 |
| BLADE / SHAVER / RASP (301T350) |
$1,406 |
| BURR/BIT/PIN (0T100) |
$394 |
| BURR/BIT/PIN (101T200) |
$865 |
| BURR/BIT/PIN (201T300) |
$1,082 |
| BURR/BIT/PIN (301T400) |
$1,514 |
| BURR/BIT/PIN (401T500) |
$1,641 |
| CATH VASC DIAL (0T100) |
$357 |
| CATH VASC DIAL (101T200) |
$785 |
| CATH VASC DIAL (201T300) |
$981 |
| CATH VASC DIAL (301T400) |
$1,373 |
| CATH VASC DIAL (401T500) |
$1,489 |
| CATH VASC DIAL (501T600) |
$1,740 |
| CATH VASC DIAL (601T700) |
$2,056 |
| CATH VASC DIAL (701T800) |
$2,372 |
| CATH VASC DIAL (801T900) |
$2,689 |
| CATH VASC DIAL (901T1000) |
$3,005 |
| CATH ARTHRECTOMY 1900T2400 |
$4,741 |
| CATH ARTHRECTOMY 2401T2900 |
$5,843 |
| CATH ARTHRECTOMY 2901T3400 |
$6,946 |
| CATH ARTHRECTOMY 3401T3900 |
$8,048 |
| CATH ARTHRECTOMY 3901T4400 |
$9,151 |
| CATH (0T100) |
$394 |
| CATH (101T200) |
$865 |
| CATH (201T300) |
$1,082 |
| CATH (301T400) |
$1,514 |
| CATH (401T500) |
$1,641 |
| CATH (501T600) |
$1,918 |
| CATH (601T700) |
$2,267 |
| CATH (701T800) |
$2,616 |
| CATH (801T900) |
$2,964 |
| CATH (901T1000) |
$3,313 |
| CATH UROLOGY (701T800) |
$2,616 |
| CATH UROLOGY (901T1000) |
$3,313 |
| CATH VASC PERPH (0T100) |
$357 |
| CATH VASC PERPH (101T200) |
$785 |
| CATH VASC PERPH (301T400) |
$1,373 |
| CATH VASC PERPH (401T500) |
$1,489 |
| CATH VASC PERPH (501T600) |
$1,740 |
| CATH VASC PERPH (601T700) |
$2,056 |
| CATH VASC PERPH (701T800) |
$2,372 |
| CATH VASC PERPH (801T900) |
$2,689 |
| CATH VASC PERPH (901T1000) |
$3,005 |
| CELL SAVER SUPPLIES/SERV (0T100) |
$394 |
| CELL SAVER SUPPLIES/SERV(100T200) |
$865 |
| CELL SAVER SUPPLIES/SERVICE (301T |
$1,514 |
| CEMENTIMPLANTS (0T100) |
$649 |
| CEMENTIMPLANTS (100T200) |
$1,427 |
| CEMENTIMPLANTS (201T300) |
$1,783 |
| CEMENTIMPLANTS (301T400) |
$2,496 |
| CEMENTIMPLANTS (401T500) |
$2,708 |
| CEMENTSUPPLIES (0T100) |
$357 |
| CEMENTSUPPLIES (101T200) |
$788 |
| CEMENTSUPPLIES (201T300) |
$983 |
| COLLAR (0T50) |
$314 |
| COLLAR (51T100) |
$406 |
| COLLAR (101T150) |
$417 |
| CUFF (0T50) |
$185 |
| CUFF (51T100) |
$442 |
| DEVICE (0T100) |
$394 |
| DEVICE (101T200) |
$865 |
| DRAIN (0T50) |
$185 |
| DRAIN (51T100) |
$442 |
| DRAIN (101T150) |
$721 |
| DRAIN (150T200) |
$778 |
| DRAIN (200T250) |
$973 |
| DRAIN (251T300) |
$1,190 |
| DRAIN (300T350) |
$1,406 |
| DRAIN (351T400) |
$1,622 |
| DRAIN (401T450) |
$1,599 |
| DRAIN (451T500) |
$1,687 |
| DRESSING/PACKING/SPONGE(0T50) |
$106 |
| DRESSING/PACKING/SPONG(51T100) |
$254 |
| DRESSING/PACKING/SPONG(101T150) |
$414 |
| ELECTRODES /TIPS (0T100) |
$394 |
| ELECTRODES /TIPS (101T200) |
$865 |
| ELECTRODES /TIPS (201T300) |
$1,082 |
| ELECTRODES /TIPS (301T400) |
$1,514 |
| ELECTRODES /TIPS (401T500) |
$1,641 |
| ENDOSCOPIC BIPOLAR / MONOP (0T100 |
$394 |
| ENDOSCOPIC INSTRUMENTS (0T100) |
$394 |
| ENDOSCOPIC INSTRUMENTS (101T200) |
$865 |
| ENDOSCOPIC INSTRUMENTS (201T300) |
$1,082 |
| ENDOSCOPIC INSTRUMENTS (301T400) |
$1,514 |
| ENDOSCOPIC INSTRUMENTS (401T500) |
$1,641 |
| ENDOSCOPIC INSTRUMENTS (501T600) |
$3,054 |
| ENDOSCOPIC INSTRUMENTS (601T700) |
$3,609 |
| ENDOSCOPIC INSTRUMENTS (701T800) |
$4,164 |
| ENDOSCOPIC INSTRUMENTS (801T900) |
$4,718 |
| ENDOSCOPIC INSTRUMENTS (901T1000) |
$5,273 |
| SYSTEM EXTRACTION 17CM KIT |
$620 |
| FIBER LASER (0T300) |
$865 |
| FIBER LASER (601T900) |
$2,616 |
| FIBER LASER (901T1200) |
$4,010 |
| FIBER LASER (1201T1500) |
$4,708 |
| FILTER (0T50) |
$185 |
| FIER (50T100) |
$442 |
| FIER (101T150) |
$721 |
| FIER (151T200) |
$778 |
| FIER (201T250) |
$973 |
| FIER (251T300) |
$1,190 |
| FIER (301T350) |
$1,406 |
| FIER (351T400) |
$1,622 |
| FIER (401T450) |
$1,599 |
| FIER (451T500) |
$1,687 |
| FINGER/TOE IMPLANT(0T700) |
$2,496 |
| FINGER/TOE IMPLANT(701T1400) |
$5,285 |
| FINGER/TOE IMPLANT(1401T2100) |
$8,808 |
| FINGER/TOE IMPLANT(2101T2800) |
$12,329 |
| FINTER/TOE IMPLANT(2801T3500) |
$15,852 |
| GUIDE WIRE (0T100) |
$649 |
| GUIDE WIRE (101T200) |
$1,427 |
| GUIDE WIRE (201T300) |
$1,783 |
| GUIDE WIRE (301T400) |
$2,496 |
| GUIDE WIRE (401T500) |
$2,708 |
| GUIDE WIRE (501T600) |
$2,770 |
| GUIDE WIRE (601T700) |
$3,273 |
| GUIDE WIRE (701T800) |
$3,777 |
| GUIDE WIRE (801T900) |
$4,279 |
| GUIDE WIRE (901T1000) |
$4,783 |
| GUIDE WIRE (1001T1100) |
$5,285 |
| GUIDE WIRE (1101T1200) |
$5,789 |
| GUIDE WIRE (1201T1300) |
$6,292 |
| GUIDE WIRE (1301T1400) |
$6,795 |
| GUIDE WIRE (1401T1500) |
$7,298 |
| GRSP / FOR / BIO / PASS DEV (0T10 |
$649 |
| GRSP / FOR / BIO / PASS DEV (101T |
$1,427 |
| GRSP / FOR / BIO / PASS DEV (201T |
$1,783 |
| GRSP / FOR / BIO / PASS DEV (301T |
$2,496 |
| GRSP / FOR / BIO / PASS DEV (401T |
$2,708 |
| GRSP / FOR / BIO / PASS DEV (501T |
$2,770 |
| GYN IMPLANT(0T300) |
$1,429 |
| GYN IMPLANT(301T600) |
$2,708 |
| GYN IMPLANT(601T900) |
$3,777 |
| GYN IMPLANT(901T1200) |
$5,285 |
| HOOD (0T50) |
$185 |
| HOOD (51T100) |
$442 |
| HOOD (101T150) |
$721 |
| IPH PROCEDURE KIT HIPEC |
$7,000 |
| IMPLANT BONE (0T199) |
$503 |
| IMPLANT BONE (200T500) |
$2,674 |
| IMPLANT BONE (501T800) |
$3,273 |
| IMPLANT BONE (801T1100) |
$5,463 |
| IMPLANT BONE (1101T1400) |
$6,292 |
| IMPLANT BONE (1401T1700) |
$7,802 |
| IMPLANT BONE (1701T2000) |
$9,310 |
| IMPLANT BONE (2001T2300) |
$10,820 |
| IMPLANT BONE (2301T2600) |
$12,329 |
| IMPLANT BONE (2600T2900) |
$13,836 |
| IMPLANT BONE (2901T3200) |
$15,348 |
| IMPLANT BONE (3201T3500) |
$16,858 |
| IMPLANT BONE (3501T3800) |
$18,367 |
| IMPLANT BONE (3801T4100) |
$19,877 |
| IMPLANT BONE (4101T4400) |
$21,385 |
| IMPLANT BONE (4401T4700) |
$22,895 |
| IMPLANT BONE (4701T5000) |
$24,404 |
| IMPLANT BONE (5001T5300) |
$26,156 |
| IMPLANT BONE (5301T5600) |
$27,250 |
| IMPLANT BONE (5601T5900) |
$28,750 |
| IMPLANT BONE (5901T6200) |
$30,250 |
| IMPLANTCABLE (0T100) |
$649 |
| IMPLANTCABLE (101T200) |
$1,427 |
| IMPLANTCABLE (201T300) |
$1,783 |
| IMPLANTCABLE (301T400) |
$2,496 |
| IMPLANTCABLE (401T500) |
$2,708 |
| IMPLANTCAGE (0T500) |
$1,783 |
| IMPLANTCAGE (501T1000) |
$3,777 |
| IMPLANTCAGE (1001T1500) |
$6,292 |
| IMPLANTCAGE (1501T2000) |
$8,808 |
| IMPLANTCAGE (2001T2500) |
$11,323 |
| IMPLANTCAGE (2501T3000) |
$13,839 |
| IMPLANTCAGE (3001T3500) |
$16,354 |
| IMPLANTCAGE (3501T4000) |
$18,870 |
| IMPLANTCAGE (4001T4500) |
$21,385 |
| IMPLANTCAGE (4501T5000) |
$23,898 |
| IMPLANTCAGE (5001T5500) |
$26,250 |
| IMPLANTCAGE (5501T6000) |
$28,923 |
| IMPLANTCAGE (6001T6500) |
$31,438 |
| IMPLANTCAGE (6501T7000) |
$33,953 |
| IMPLANTCAGE (7001T7500) |
$36,468 |
| IMPLANTCAGE (7501T8000) |
$38,983 |
| IMPLANTCAGE (8001T8500) |
$41,498 |
| IMPLANTCAGE (8501T9000) |
$44,013 |
| IMPLANTCAGE (9001T9500) |
$46,528 |
| IMPLANTCAGE (9501T10000) |
$49,043 |
| IMPLANTCAGE (10001T10500) |
$51,558 |
| IMPLANTCAGE (10501T11000) |
$54,073 |
| IMPLANTCAGE (11001T11500) |
$56,588 |
| IMPLANTCAGE (11501T12000) |
$59,103 |
| IMPLANTCAGE (12001T12500) |
$61,618 |
| IMPLANTCAGE (12501T13000) |
$64,133 |
| IMPLANTCAGE (13001T13500) |
$66,648 |
| IMPLANTCAGE (13501T14000) |
$69,163 |
| IMPLANTCAGE (14001T14500) |
$71,678 |
| IMPLANTCORNEAL (0T500) |
$1,783 |
| IMPLANTCORNEAL (501T1000) |
$3,777 |
| IMPLANTCORNEAL (1001T1500) |
$6,292 |
| IMPLANTCORNEAL (1501T2000) |
$8,808 |
| IMPLANTEAR /TUBE |
$305 |
| IMPLANTEAR /TUBE (101T150) |
$1,190 |
| IMPLANTEAR /TUBE (151T200) |
$1,282 |
| IMPLANTEAR /TUBE (201T250) |
$1,604 |
| IMPLANTEAR /TUBE (251T300) |
$1,961 |
| IMPLANTEAR /TUBE (301T350) |
$2,317 |
| IMPLANTEAR/TUBE (351T400) |
$2,674 |
| IMPLANTEAR/TUBE (401T450) |
$2,637 |
| IMPLANTEAR/TUBE (451T500) |
$2,781 |
| IMPLANT EAR COCHLEAR |
$146,125 |
| IMPLANTFIXATOR (0T500) |
$1,783 |
| IMPLANTFIXATOR (500T1000) |
$5,035 |
| IMPLANTFIXATOR (1001T1500) |
$6,292 |
| IMPLANTFIXATOR (1501T2000) |
$8,808 |
| IMPLANTFIXATOR (2001T2500) |
$11,323 |
| IMPLANTFIXATOR (2501T3000) |
$13,839 |
| IMPLANTFIXATOR (3001T3500) |
$16,354 |
| IMPLANTHIP BIPOLAR (1800T1800) |
$9,056 |
| IMPLANTHIP BIPOLAR (3500T3500) |
$17,610 |
| IMPLANTHIP BIPOLAR (5000T5000) |
$25,000 |
| IMPLANTHIP OPENED NOTUSED (500T10 |
$3,773 |
| IMPLANTHIP OPENED NOTUSED (1001) |
$6,292 |
| IMPLANTHIP OPENED NOTUSED (2001) |
$11,323 |
| IMPLANTHIP OPENED NOTUSED (2501) |
$13,839 |
| IMPLANTHIP OPENED NOTUSED (3001) |
$16,354 |
| IMPLANTHIP OPENED NOTUSED (3501) |
$18,870 |
| IMPLANTHIP OPENED NOTUSED (4001) |
$21,385 |
| IMPLANTHIP OPENED NOTUSED (4501) |
$23,902 |
| IMPLANTHIP OTHER (0T100) |
$649 |
| IMPLANTHIP OTHER (100T300) |
$1,355 |
| IMPLANTHIP OTHER (301T500) |
$2,852 |
| IMPLANTHIP OTHER (501T700) |
$3,022 |
| IMPLANTHIP OTHER (701T900) |
$4,028 |
| IMPLANTHIP OTHER (901T1100) |
$4,783 |
| IMPLANTHIP REVISION (500T1000) |
$3,773 |
| IMPLANTHIP REVISION (1001T1500) |
$6,292 |
| IMPLANTHIP (1501T2000) |
$8,808 |
| IMPLANTHIP REVISION (2001T2500) |
$11,323 |
| IMPLANTHIP REVISION (2501T3000) |
$13,839 |
| IMPLANTHIP REVISION (3001T3500) |
$16,354 |
| IMPLANTHIP REVISION (3501T4000) |
$18,870 |
| IMPLANTHIP REVISION (4001T4500) |
$21,385 |
| IMPLANTHIP REVISION (4501T5000) |
$23,902 |
| IMPLANTHIP REVISION (5001T5500) |
$26,417 |
| IMPLANTHIP REVISION (6001T6500) |
$31,448 |
| IMPLANTHIP |
$33,964 |
| IMPLANTHIP |
$36,479 |
| IMPLANT HIP RESURFACING(1000T2000 |
$7,500 |
| IMPLANT HIP RESURFACING(2001T3000 |
$12,575 |
| IMPLANT HIP RESURFACING(3001T4000 |
$17,605 |
| IMPLANT HIP RESURFACING(5001T6000 |
$27,665 |
| IMPLANT HIP RESURFACING(6001T7000 |
$32,695 |
| IMPLANT HIP RESURFACING(7001T8000 |
$37,725 |
| IMPLANT HIP RESURFACING(8001T9000 |
$42,755 |
| IMPLANTHIPTOTAL(3000T3500) |
$16,352 |
| IMPLANTHIPTOTAL(3501T4000) |
$18,870 |
| IMPLANTHIPTOTAL(4001T4500) |
$21,385 |
| IMPLANTHIPTOTAL(4501T5000) |
$23,902 |
| IMPLANTHIPTOTAL(5001T5500) |
$26,417 |
| IMPLANTHIP |
$28,933 |
| IMPLANTHIPTOTAL(6001T6500) |
$31,448 |
| IMPLNT KNEE OPEN NU 500T1000 |
$3,773 |
| IMPLNT KNEE OPEN NU 1001T1500 |
$6,292 |
| IMPLNT KNEE OPEN NU 1501T2000 |
$8,808 |
| IMPLNT KNEE OPEN NU 2001T2500 |
$11,323 |
| IMPLNT KNEE OPEN NU 2501T3000 |
$13,839 |
| IMPLNT KNEE OPEN NU 3001T3500 |
$16,354 |
| IMPLNT KNEE OPEN NU 3501T4000 |
$18,870 |
| IMPLNT KNEE OPEN NU 4001T4500 |
$12,219 |
| IMPLANTKNEE OTHER (0T100) |
$649 |
| IMPLANTKNEE OTHER (101T300) |
$1,355 |
| IMPLANTKNEE OTHER (301T500) |
$2,852 |
| IMPLANTKNEE OTHER (501T700) |
$3,022 |
| IMPLANTKNEE OTHER (701T900) |
$4,028 |
| IMPLANTKNEE OTHER (901T1100) |
$2,519 |
| IMPLANTKNEE REVISION (500T1000) |
$3,773 |
| IMPLANTKNEE (1001T1500) |
$6,292 |
| IMPLANTKNEE REVISION (1501T2000) |
$8,808 |
| IMPLANTKNEE REVISION (2001T2500) |
$11,323 |
| IMPLANTKNEE REVISION (2501T3000) |
$13,839 |
| IMPLANTKNEE REVISION (3001T3500) |
$16,354 |
| IMPLANTKNEE REVISION (3501T4000) |
$18,870 |
| IMPLANTKNEE REVISION (4001T4500) |
$21,385 |
| IMPLANTKNEE REVISION (4501T5000) |
$23,902 |
| IMPLANTKNEE REVISION (5001T5500) |
$26,417 |
| IMPLANTKNEE |
$28,933 |
| IMPLANTKNEE REVISION (6001T6500) |
$31,448 |
| IMPLANTKNEE REVISION (6501T7000) |
$33,964 |
| IMPLANTKNEETOTAL (3000T3500) |
$16,352 |
| IMPLANTKNEETOTAL (3501T4000) |
$18,870 |
| IMPLANTKNEETOTAL (4001T4500) |
$21,385 |
| IMPLANTKNEETOTAL (4501T5000) |
$23,902 |
| IMPLANTKNEETOTAL(5000T5000) |
$25,000 |
| IMPLANTKNEETOTAL(5001T5500) |
$26,250 |
| IMPLNTKNEE UNI (500T1000) |
$3,773 |
| IMPLANTKNEE UNI (1501T2000) |
$8,808 |
| IMPLNTKNEE UNI (2001T2500) |
$11,323 |
| IMPLANTKNEE UNI (2501T3000) |
$13,839 |
| IMPLANTKNEE UNI (3001T3500) |
$16,354 |
| IMPLANTKNEE UNI (3501T4000) |
$18,870 |
| IMPLANTKNEE UNI (4001T4500) |
$21,385 |
| IMPLANTKNEE UNI (4501T5000) |
$23,902 |
| IMPLANTKNEEUNI(5000T5000) |
$25,000 |
| IMPLANTKNEE UNI (5001T5500) |
$26,417 |
| NEURO IMPLANTOTHER (3601T4000) |
$19,122 |
| IMPLANTORTHO OTHER (0T1000) |
$2,516 |
| IMPLANTORTHO OTHER (1001T2000) |
$7,550 |
| IMPLANTORTHO OTHER (2001T3000) |
$12,581 |
| IMPLANTORTHO OTHER (3001T4000) |
$17,612 |
| IMPLANTORTHO OTHER (4001T5000) |
$22,644 |
| IMPLANTOTHER (100T300) |
$1,355 |
| SCP BONE MARROW ASP CONCENTRATE |
$2,600 |
| IMPLANTOTHER (301T600) |
$2,708 |
| IMPLANTOTHER (601T900) |
$3,777 |
| IMPLANTOTHER (901T1200) |
$5,283 |
| IMPLANTOTHER (1201T1600) |
$7,047 |
| IMPLANTOTHER (1601T2000) |
$9,060 |
| IMPLANTOTHER (2001T2400) |
$11,072 |
| IMPLANTOTHER (2401T2800) |
$13,085 |
| IMPLANTOTHER (2801T3200) |
$15,097 |
| IMPLANTOTHER (3201T3600) |
$17,110 |
| IMPLANTOTHER (3601T4000) |
$19,122 |
| CERVICAL ARTIFICIAL DISC RPLCMNT |
$25,000 |
| SPINAL STIM GENERTR 10500T12499 |
$57,500 |
| SPNL STIM GEN(12500T13000)NONRCHB |
$64,148 |
| SPNL STIM GEN(13001T13500)NONRCHB |
$66,664 |
| SPNL STIM GEN(13501T14000)NONRCHB |
$69,179 |
| SPNL STIM GEN(14001T14500)NONRCHB |
$71,696 |
| SPINAL STIM LEAD (1000T1500) |
$6,289 |
| SPINAL STIM LEAD (1501T2000) |
$8,804 |
| SPINAL STIM LEAD (2001T2500) |
$11,321 |
| SPINAL STIM LEAD (2501T3000) |
$13,836 |
| SPINAL STIMTRANS (1501T2000) |
$8,804 |
| SPINAL STIM GENRATR RECHARGEABLE |
$79,500 |
| SPINAL STIM EXTENSION |
$3,133 |
| IMPLANTPAIN PUMP (0T100) |
$649 |
| IMPLANTPAIN PUMP (101T200) |
$1,427 |
| IMPLANTPAIN PUMP (201T300) |
$1,783 |
| IMPLANTPAIN PUMP (301T400) |
$2,496 |
| IMPLANTPAIN PUMP (401T500) |
$2,708 |
| IMPLANTPAIN PUMP (501T1000) |
$3,773 |
| IMPLANTPAIN PUMP (1001T2000) |
$7,550 |
| IMPLANTPAIN PUMP (2001T3000) |
$12,581 |
| IMPLANTPAIN PUMP (3001T4000) |
$17,612 |
| IMPLANTPAIN PUMP (4001T5000) |
$22,644 |
| IMPLANTPAIN PUMP (5001T6000) |
$27,675 |
| IMPLANTPAIN PUMP (6001T7001) |
$32,709 |
| IMPLANTPAIN PUMP (7001T8000) |
$37,737 |
| IMPLANTPAIN PUMP (8001T9000) |
$42,769 |
| IMPLANTPAIN PUMP (9001T10000) |
$47,797 |
| IMPLANTPAIN PUMP (10001T11000) |
$52,831 |
| IMPLANTPAIN PUMP (11001T12000) |
$57,862 |
| IMPLANTPAIN PUMP (12001T13000) |
$62,894 |
| IMPLANTPAIN PUMP (13001T14000) |
$67,925 |
| IMPLANTPAIN PUMP (14001T15000) |
$72,956 |
| IMPLANTS PLASTICS/GEN (0T600) |
$2,139 |
| IMPLANTS PLASTICS/GEN (601T1200) |
$4,531 |
| IMPLANTS PLASTIC/GEN (1201T1800) |
$7,550 |
| IMPLANTS PLASTICS/GEN (1801T2400) |
$10,569 |
| IMPLANTROD/PIN (0T100) |
$649 |
| IMPLANTROD / PIN (100T200) |
$1,427 |
| IMPLANTROD / PIN(201T300) |
$1,783 |
| IMPLANT ROD / PIN (301T400) |
$2,496 |
| IMPLANTROD / PIN(401T500) |
$2,708 |
| IMPLANTROD / PIN(501T600) |
$2,770 |
| IMPLANT ROD / PIN (601T700) |
$3,273 |
| IMPLANT ROD / PIN (701T800) |
$3,777 |
| IMPLANTROD / PIN(801T900) |
$4,279 |
| IMPLANTROD / PIN(901T1000) |
$4,783 |
| IMPLANTSHOULDER (500T1000) |
$3,773 |
| IMPLANTSHOULDER (1001T1500) |
$6,292 |
| IMPLANTSHOULDER (1501T2000) |
$8,808 |
| IMPLANTSHOULDER (2001T2500) |
$11,323 |
| IMPLANTSHOULDER (2501T3000) |
$13,839 |
| IMPLANTSHOULDER (3001T3500) |
$16,354 |
| IMPLANTSHOULDER (3501-4000) |
$18,750 |
| IMPLANTSHOULDER (4001-4500) |
$21,252 |
| IMPLANTSHOULDER (4501-5000) |
$23,752 |
| IMPLANTSHOULDER (7001T7500) |
$36,250 |
| IMPLANTSHOULDER (7501T8000) |
$38,750 |
| IMPLANTSHOULDER (5001-5500) |
$26,252 |
| IMPLANTSHOULDER (5501T6000) |
$28,755 |
| IMPLANTSHOULDER (6001T6500) |
$31,250 |
| IMPLANTSHOULDER (6501T7000) |
$33,750 |
| IMPLANTUROLOGY (0T500) |
$1,783 |
| IMPLANTUROLOGY (500T1000) |
$3,773 |
| IMPLANTUROLOGY (1001T1500) |
$6,292 |
| IMPLANTUROLOGY (1500T2000) |
$8,804 |
| IMPLANTUROLOGY (2001T2500) |
$11,323 |
| IMPLANTUROLOGY (2501T3200) |
$14,342 |
| IMPLANTUROLOGY (3201T3900) |
$17,864 |
| IMPLANTUROLOGY (3901T4600) |
$21,385 |
| IMPLANTUROLOGY (4601T5300) |
$24,908 |
| IMPLANTUROLOGY (5301T6000) |
$28,429 |
| IMPLANTVASCULAR (0T300) |
$1,427 |
| IMPLANTVASCULAR (301T600) |
$2,708 |
| IMPLANTVASCULAR (601T900) |
$3,777 |
| IMPLANTVASCULAR (901T1200) |
$5,285 |
| IMPLANTVASCULAR (1201T1500) |
$6,795 |
| IMPLANTVASCULAR (1501T1800) |
$8,304 |
| IMPLANTVASCULAR (1801T2100) |
$9,814 |
| IMPLANTVASCULAR (2101T2400) |
$11,323 |
| IMPLANTVASCULAR (2401T2700) |
$12,833 |
| IMPLANTVASCULAR (2701T3000) |
$14,342 |
| IMPLANTVASCULAR (3001T3300) |
$15,852 |
| IMPLANTVASCULAR (3301T3600) |
$17,360 |
| IMPLANTVASCULAR (3601T3900) |
$18,870 |
| IMPLANTVASCULAR (3901T4200) |
$20,379 |
| IMPLANTVASCULAR (4201T4500) |
$21,889 |
| IMPLANTVASCULAR (4501T4800) |
$23,398 |
| IMPLANTVASCULAR (4801T5100) |
$24,908 |
| IMPLANTVASCULAR (5101T5400) |
$26,417 |
| IMPLANTVASCULAR (5401T5800) |
$28,178 |
| IMPLANTVASCULAR (5801T6200) |
$30,191 |
| IMPLANTVASCULAR (6201T6600) |
$32,203 |
| IMPLANTVASCULAR (6601T7000) |
$34,216 |
| IMPLANTVASCULAR (7000T7400) |
$36,225 |
| IMPLANTVASCULAR (7401T7800) |
$38,241 |
| IMPLANTVASCULAR (7801T8200) |
$40,253 |
| IMPLANTNEURO (0T400) |
$1,006 |
| IMPLANTNEURO (401T800) |
$3,018 |
| IMPLANTNEURO (801T1200) |
$5,030 |
| IMPLANTNEURO (1201T1600) |
$7,042 |
| IMPLANTNEURO (1601T2000) |
$9,054 |
| IMPLANTNEURO (2001T2400) |
$11,066 |
| IMPLANTNEURO (2401T2800) |
$13,078 |
| IMPLANTNEURO (2801T3200) |
$15,090 |
| IMPLANTNEURO (3201T3600) |
$17,102 |
| IMPLANTNEURO (3601T4000) |
$19,114 |
| INFLATION ACCESS (0T100) |
$713 |
| INFLATION ACCESS (100T200) |
$1,570 |
| IMPLANTVASCULAR(8201T8600) |
$42,252 |
| IMPLANTVASCULAR(8601T9000) |
$44,264 |
| IMPLANTVASCULAR(9001T9400) |
$46,276 |
| IMPLANTVASCULAR(9401T9800) |
$48,288 |
| IMPLANTVASCULAR(9801T10200) |
$50,300 |
| IMPLANTVASCULAR(10201T10600) |
$52,312 |
| INTRODUCER (0T100) |
$715 |
| INTRODUCER (101T200) |
$1,573 |
| INTRODUCER (201T300) |
$1,966 |
| INTRODUCER (301T400) |
$2,752 |
| INTRODUCER (401T500) |
$2,985 |
| IRRIGATOR / SUCT / SYRNG (0T50) |
$185 |
| IRRIGATOR / SUCT / SYRNG (51T100) |
$442 |
| IRRIGATOR / SUCT/ SYRNG (101T150) |
$721 |
| IRRIGATOR / SUCT/ SYRNG (151T200) |
$778 |
| K WIRE (0T50) |
$185 |
| K WIRE (51T100) |
$442 |
| K WIRE (100T150) |
$721 |
| KIT(0T100) |
$184 |
| KIT(101T200) |
$865 |
| KIT(201T300) |
$1,082 |
| KIT(301T400) |
$1,514 |
| KIT(401T500) |
$1,641 |
| KYPHOPAK (0T500) |
$983 |
| KYPHOPAK (500T1000) |
$2,377 |
| KYPHOPAK (1000T1500) |
$3,963 |
| KYPHOPAK (1500T2000) |
$5,547 |
| KYPHOPAK (2001T2500) |
$7,132 |
| KYPHOPAK (2501T3000) |
$8,716 |
| KYPHOPAK (3001T3500) |
$10,302 |
| KYPHOPAK (3501T4000) |
$11,886 |
| LASER SUPPLIES (0T50) |
$394 |
| LASER SUPPLIES (51T100) |
$865 |
| LASER SUPPLIES (101T150) |
$1,082 |
| LASER SUPPLIES (151T200) |
$1,514 |
| LASER SURG SERVICE |
$1,514 |
| LASER ERBIUM |
$1,918 |
| LASER GREENLIGHT |
$5,230 |
| LENS INTRAOCULAR (0T100) |
$649 |
| LENS INTRAOCULAR (101T200) |
$1,427 |
| LENS INTRAOCULAR (201T300) |
$1,783 |
| MARKER TISSUE BIOZORB ANY SIZE |
$4,750 |
| MANIPULATORS (0T50) |
$185 |
| MANIPULATORS (51T100) |
$442 |
| MANIPULATORS (101T150) |
$721 |
| MANIPULATORS (151T200) |
$778 |
| MANIPULATORS (201T250) |
$973 |
| MANIPULATORS (250T300) |
$1,190 |
| MAT SENSORMAT BED |
$17 |
| MAT SENSORMAT CHAIR |
$17 |
| MESH (0T100) |
$649 |
| MESH (101T200) |
$1,427 |
| MESH (201T300) |
$1,783 |
| MESH (301T400) |
$2,496 |
| MESH (401T500) |
$2,708 |
| MESH (501T600) |
$2,770 |
| MESH (601T700) |
$3,273 |
| MESH (701T800) |
$3,777 |
| MESH (801T900) |
$4,279 |
| MESH (901T1000) |
$4,783 |
| MESH (1001T1100) |
$5,285 |
| MESH (1101T1200) |
$5,789 |
| MESH (1201T1300) |
$6,292 |
| MESH (1301T1401) |
$6,798 |
| MESH (1401T1500) |
$7,298 |
| MESH (1501T1600) |
$7,802 |
| MESH (1601T1700) |
$8,304 |
| MESH (1701T1800) |
$8,808 |
| MESH (1801T1900) |
$9,310 |
| MESH (1901T2000) |
$9,814 |
| MESH(2001T2500) |
$11,250 |
| MESH(2501T3000) |
$13,750 |
| MESH(3001T3500) |
$16,250 |
| MESH(3501T4000) |
$18,750 |
| MESH(4001T4500) |
$21,250 |
| MESH(4501T5000) |
$23,750 |
| MESH(5001T5500) |
$26,250 |
| MESH(5501T6000) |
$28,750 |
| MESH(6001T6500) |
$31,250 |
| MESH(6501T7000) |
$33,750 |
| MESH(7001T7500) |
$36,250 |
| MESH(7501T8000) |
$38,750 |
| MESH(8001T8500) |
$41,250 |
| MESH(8501T9000) |
$43,750 |
| MESH(9001T9500) |
$46,250 |
| MESH(9501T10000) |
$48,750 |
| MESH(10001T10500) |
$51,250 |
| MESH(10501T11000) |
$53,750 |
| MESH(11001T11500) |
$56,250 |
| MESH(11501T12000) |
$58,750 |
| MESH(12001T12500) |
$61,250 |
| MESH(12501T13000) |
$63,750 |
| NEEDLES (0T100) |
$394 |
| NEEDLES (101T200) |
$865 |
| NEEDLES (201T300) |
$1,082 |
| NEEDLES (301T400) |
$1,514 |
| NEEDLES (401T500) |
$1,641 |
| NERVE MONITOR (0T100) |
$394 |
| NERVE MONITOR (101T200) |
$865 |
| NERVE MONITOR (201T300) |
$1,082 |
| NERVE MONITOR (301T400) |
$1,514 |
| NERVE MONITOR (401T500) |
$1,641 |
| OCULAR SUPPLIES (0T50) |
$185 |
| OCULAR SUPPLIES (51T100) |
$442 |
| OCULAR SUPPLIES (101T150) |
$721 |
| OCULAR SUPPLIES (151T200) |
$778 |
| PACER GEN DUAL (3000T4000) |
$17,605 |
| PACER GEN DUAL |
$22,635 |
| PACER GEN |
$27,665 |
| PACER GEN |
$32,695 |
| PACER LEAD (401T500) |
$1,355 |
| PACER LEAD (501T600) |
$2,770 |
| PACER LEAD (601T700) |
$3,273 |
| PACER LEAD (701T800) |
$2,156 |
| PACER LEAD (801T900) |
$2,444 |
| PACER LEAD (901T1000) |
$2,731 |
| PACER LEAD (1001T1100) |
$5,282 |
| PACER LEAD (1101T1200) |
$5,785 |
| PACER LEAD (1201T1300) |
$6,288 |
| ICD DUAL CHAMB 12000T14000 |
$67,000 |
| INTRO/SHEATH NONGUID (0T100) |
$226 |
| PACK (0T100) |
$394 |
| PACK (101T200) |
$865 |
| PACK (201T300) |
$1,082 |
| PACK (301T400) |
$1,514 |
| PAD (0T50) |
$185 |
| PAD (50T100) |
$442 |
| PLASTIC SPEC SUPPLY (226T300) |
$652 |
| PLASTIC SPEC SUPPLY (301T400) |
$868 |
| PLASTIC SPEC SUPPLY (401T500) |
$942 |
| PLASTIC SPEC SUPPLY (501T600) |
$1,100 |
| PLASTIC SPEC SUPPLY (601T700) |
$1,300 |
| PLASTIC SPEC SUPPLY (701T800) |
$1,500 |
| PLASTIC SPEC SUPPLY (801T900) |
$1,700 |
| PLASTIC SPECIALTY SUPPLIES (0T75) |
$167 |
| PLASTIC SPEC SUPPLY (901T1000) |
$1,900 |
| PLASTIC SPEC SUPPLY (1001T1100) |
$2,100 |
| PLASTIC SPEC SUPPLY (1101T1200) |
$2,300 |
| PLASTIC SPEC SUPPLY (1201T1300) |
$2,500 |
| PLASTIC SPEC SUPPLIES (76T150) |
$374 |
| PLASTIC SPEC SUPPLY (1301T1400) |
$2,700 |
| PLASTIC SPEC SUPPLY (1401T1500) |
$2,900 |
| PLASTIC SPEC SUPPLY (1501T1600) |
$3,100 |
| PLASTIC SPEC SUPPLY (1601T1700) |
$3,300 |
| PLASTIC SPEC SUPPLIES (151T225) |
$459 |
| PLASTIC SPEC SUPPLY (1701T1800) |
$3,500 |
| PLASTIC SPEC SUPPLY (1801T1900) |
$3,700 |
| PLASTIC SPEC SUPPLY (1901T2000) |
$3,900 |
| PLATE (0T100) |
$649 |
| PLATE (101T200) |
$1,427 |
| PLATE (201T300) |
$1,783 |
| PLATE (301T400) |
$2,496 |
| PLATE (401T500) |
$2,708 |
| PLATE (501T600) |
$2,770 |
| PLATE (601T700) |
$3,273 |
| PLATE (701T800) |
$3,777 |
| PLATE (801T900) |
$4,279 |
| PLATE (901T1000) |
$4,779 |
| PLATE (1001T1100) |
$5,285 |
| PLATE (1101T1200) |
$5,789 |
| PLATE (1201T1300) |
$6,292 |
| PLATE (1301T1400) |
$6,795 |
| PLATE (1401T1500) |
$7,298 |
| PLATE (1501T1600) |
$7,755 |
| PLATE (1601T1700) |
$8,304 |
| PLATE (1701T1800) |
$8,808 |
| PLATE (1801T1900) |
$9,310 |
| PLATE (1901T2000) |
$9,814 |
| PLATE (2001T2100) |
$10,317 |
| PLATE (2101T2200) |
$10,820 |
| PLATE (2201T2300) |
$11,323 |
| PLATE (2301T2400) |
$11,827 |
| PLATE (2401T2500) |
$12,329 |
| PLATE (2501T2600) |
$12,833 |
| PLATE (2601T2700) |
$13,335 |
| PLATE (2701T2800) |
$13,839 |
| PLATE (2801T2900) |
$14,342 |
| PLATE (2901T3000) |
$14,845 |
| POSITIONER (0T100) |
$786 |
| POSITIONER (101T200) |
$1,731 |
| POSITIONER (201T300) |
$2,162 |
| POSITIONER (301T400) |
$3,027 |
| POSITIONER (401T500) |
$3,284 |
| PROBE (0T100) |
$394 |
| PROBE (101T200) |
$865 |
| PROBE (201T300) |
$1,082 |
| PROBE (301T400) |
$1,514 |
| PROBE (401T500) |
$1,641 |
| REVOLVE ADIPOSE GRAFT KIT |
$1,050 |
| SCREW (0T50) |
$305 |
| SCREW (51T100) |
$730 |
| SCREW (101T150) |
$1,190 |
| SCREW (151T200) |
$1,282 |
| SCREW (201T250) |
$1,604 |
| SCREW (251T300) |
$1,961 |
| SCREW (301T350) |
$2,317 |
| SCREW (351T400) |
$2,674 |
| SCREW (401T450) |
$2,637 |
| SCREW (451T500) |
$2,781 |
| SCREW (501T550) |
$2,644 |
| SCREW (551T600) |
$2,896 |
| SCREW (601T650) |
$3,146 |
| SCREW (651T700) |
$3,398 |
| SCREW (701T750) |
$3,650 |
| SCREW (751T800) |
$3,902 |
| SCREW (801T850) |
$4,153 |
| SCREW (851T900) |
$4,405 |
| SCREW (901T950) |
$4,656 |
| SCREW (951T1000) |
$4,908 |
| SCREW (1001T1100) |
$5,285 |
| SCREW (1101T1200) |
$5,789 |
| SCREW (1201T1300) |
$6,292 |
| SCREW (1301T1400) |
$6,795 |
| SCREW (1401T1500) |
$7,298 |
| SCREW (1501T1600) |
$7,802 |
| SCREW (1601T1700) |
$8,304 |
| SCREW (1701T1800) |
$8,808 |
| SCREW (1801T1900) |
$9,310 |
| SCREW (1901T2000) |
$9,814 |
| SCREW (2001T2100) |
$10,317 |
| SCREW (2101T2200) |
$10,820 |
| SCREW (2201T2300) |
$11,323 |
| SCREW (2301T2400) |
$11,827 |
| SCREW (2401T2500) |
$12,329 |
| SCREW (2501T2600) |
$12,833 |
| SCREW (2601T2700) |
$13,335 |
| SCREW (2701T2800) |
$13,839 |
| SCREW (2801T2900) |
$14,342 |
| SCREW (2901T3000) |
$14,845 |
| SCREW (3001T3100) |
$15,348 |
| SCREW (3101T3200) |
$15,852 |
| SCREW (3201T3300) |
$16,354 |
| SCREW (3301T3400) |
$16,858 |
| SCREW (3401T3500) |
$17,360 |
| SCREW (3501T3600) |
$17,864 |
| SCREW (3601T3700) |
$18,367 |
| SCREW (3701T3800) |
$18,870 |
| SCREW (3801T3900) |
$19,373 |
| SCREW (3901T4000) |
$19,877 |
| SCREW (4001T4100) |
$20,379 |
| SEALANTS / ANTICOAG (50T100) |
$804 |
| SEALANTS / ANTICOAG (101T150) |
$1,310 |
| SEALANTS / ANTICOAG (151T200) |
$1,410 |
| SEALANTS / ANTICOAG (201T250) |
$1,765 |
| SEALANTS / ANTICOAG (251T300) |
$2,156 |
| SEALANTS / ANTICOAG (301T350) |
$2,548 |
| SEALANTS / ANTICOAG (351T400) |
$2,942 |
| SEALANTS / ANTICOAG (401T450) |
$2,899 |
| SEALANTS/ANTICOAG (451T500) |
$3,058 |
| SEALANTS/ANTICOAG (501T550) |
$2,908 |
| SEALANTS/ANTICOAG (551T600) |
$3,184 |
| SHUNTIMPLANTS (0T400) |
$2,852 |
| SHUNTIMPLANTS (401T800) |
$3,022 |
| SHUNTIMPLANTS (801T1200) |
$5,035 |
| SHUNTIMPLANTS (1201T1600) |
$7,047 |
| SHUNTIMPLANTS (1601T2000) |
$9,060 |
| SHUNTIMPLANT(2001T2400) |
$11,072 |
| SHUNTIMPLANT(2401T2800) |
$13,085 |
| SHUNTSUPPLIES (0T50) |
$185 |
| SHUNTSUPPLIES (51T100) |
$442 |
| SHUNTSUPPLIES (101T150) |
$721 |
| SHUNT SUPPLIES (151T200) |
$778 |
| SHUNTSUPPLIES (201T250) |
$973 |
| SHUNTSUPPLIES (251T300) |
$1,190 |
| SHUNTSUPPLIES (301T350) |
$1,406 |
| SHUNTSUPPLIES (351T400) |
$1,622 |
| SHUNTSUPPLIES (401T450) |
$1,599 |
| SHUNTSUPPLIES (451T500) |
$1,687 |
| SLING GRAFT(300T400) |
$2,496 |
| SLING GRAFT(401T500) |
$2,708 |
| SLING GRAFT(500T600) |
$2,767 |
| SLING GRAFT(601T700) |
$3,273 |
| SLING GRAFT(701T800) |
$3,777 |
| SLING GRAFT(801T900) |
$4,279 |
| SLING GRAFT(901T1000) |
$4,783 |
| SLING GRAFT(1001T1100) |
$5,285 |
| SLING GRAFT(1101T1200) |
$5,789 |
| SLING GRAFT(1201T1300) |
$6,292 |
| SLING GRAFT(1301T1400) |
$6,795 |
| SLING GRAFT(1401T1500) |
$7,298 |
| STAPLE / CLIP (0T100) |
$649 |
| STAPLE / CLIP (101T150) |
$1,190 |
| STAPLE / CLIP (151T200) |
$1,282 |
| STAPLE / CLIP (201T250) |
$1,604 |
| STAPLE / CLIP (251T300) |
$1,961 |
| STAPLE / CLIP (301T350) |
$2,317 |
| STAPLE / CLIP (351T400) |
$2,674 |
| STAPLE / CLIP (401T450) |
$2,637 |
| STAPLE / CLIP (451T500) |
$2,781 |
| STAPLE / CLIP (501T600) |
$2,770 |
| STAPLE / CLIP (601T700) |
$3,273 |
| STAPLE / CLIP (701T800) |
$3,777 |
| STAPLE / CLIP (801T900) |
$4,279 |
| STAPLE / CLIP (901T1000) |
$4,783 |
| STENT(0T100) |
$250 |
| STENT(101T200) |
$750 |
| STENT(201T300) |
$1,250 |
| STENT(301T400) |
$1,750 |
| STENT(401T500) |
$2,250 |
| STENT(501T600) |
$2,750 |
| STENT(601T700) |
$3,250 |
| STENT(701T800) |
$3,750 |
| STENT(801T900) |
$4,250 |
| STENT(901T1000) |
$4,750 |
| STENT(1001T1100) |
$5,250 |
| STENT(1101T1200) |
$5,750 |
| STENT(1201T1300) |
$6,250 |
| STENT(1301T1400) |
$6,750 |
| STENT(1401T1500) |
$7,250 |
| STENT(1501T1600) |
$7,750 |
| STENT(1601T1700) |
$8,250 |
| STENT(1701T1800) |
$8,750 |
| STENT(1801T1900) |
$9,250 |
| STENT(1901T2000) |
$9,750 |
| STENT(2001T2100) |
$10,250 |
| STENT(2101T2200) |
$10,750 |
| STENT(2201T2300) |
$11,250 |
| STENT(2301T2400) |
$11,750 |
| STENT(2401T2500) |
$12,250 |
| SMT FLX STENT BIL 120CM |
$3,475 |
| PALMAZ STENT BIL 80CM |
$3,475 |
| SMART CNTRL STENT 80-120CM |
$2,975 |
| SUPPLY SPECIALTY STERILE (0T100) |
$225 |
| SUPPLY SPECIAY STERILE (101T200 |
$497 |
| SUPPLY SPECIAY STERILE (201T300 |
$620 |
| SUPPLY SPECIAY STERILE (301T400 |
$868 |
| SUPPLY SPECIAY STERILE (401T500 |
$942 |
| SUPPLY SPECIAY STERILE (501T600 |
$1,100 |
| SUPPLY SPECIAY STERILE (601T700 |
$1,300 |
| SUPPLY SPECIAY STERILE (701T800 |
$1,500 |
| SUPPLY SPECIAY STERILE (801T900 |
$1,700 |
| SUPPLY SPECIAY STERILE (901T100 |
$1,900 |
| SUPPLY SPECIAY STER (1001T1500) |
$2,500 |
| SUPPLY SPECIAY STER (1501T2000) |
$3,500 |
| SUPPLY SPECIAY STER (2001T2500) |
$4,500 |
| SUPPLY SPECIAY STER (2501T3000) |
$5,500 |
| SUPPLY SPECIAY STER (3001T3500) |
$6,500 |
| LOW AIR LOSS MATTRESS PER DAY |
$91 |
| CLINITRON WOUND BED PER DAY |
$248 |
| WOUND VAC PER DAY |
$229 |
| LONG BED/PULSATE PKG PER DAY |
$283 |
| IMMERSION MATTRESS PER DAY |
$135 |
| EVOLUTION BED PER DAY |
$152 |
| SLEEK CATH BALLN PTA 014 |
$558 |
| SABER CATH BALLN PTA 018 |
$496 |
| POWERFLEX PRO BALLN PTA 035 |
$414 |
| SUPPORT BREAST |
$17 |
| SUPPORT LUMBAR |
$17 |
| ORTH CTLSO APL CONTROL W/INTER |
$6,230 |
| SUPPORT SHOULDER |
$17 |
| SUTURE (0T50) |
$185 |
| SUTURE (51T100) |
$442 |
| SUTURE (101T150) |
$721 |
| SUTURE (151T200) |
$778 |
| SUTURE STRATAFIX 1 PDS CTX 18 |
$103 |
| SUTURE STRATAFIX 2-0 PROLENE 12 |
$103 |
| TIP (0T50) |
$185 |
| TIP (51T100) |
$442 |
| TIP (101T150) |
$721 |
| TIP (151T200) |
$778 |
| TOURNIQUETS (0T25) |
$133 |
| TOURNIQUETS (26T50) |
$295 |
| TOURNIQUETS (51T75) |
$431 |
| TOURNIQUETS (76T100) |
$506 |
| TREPHINE (0T100) |
$442 |
| TREPHINE (101T200) |
$865 |
| TROCAR (0T50) |
$185 |
| TROCAR (51T100) |
$442 |
| TROCAR (101T200) |
$865 |
| TROCAR (201T300) |
$1,082 |
| TROCAR (301T400) |
$1,514 |
| TROCAR (401T500) |
$1,641 |
| TUBE (0T50) |
$185 |
| TUBE (51T100) |
$442 |
| TUBE (101T150) |
$721 |
| TUBE (150T200) |
$778 |
| TUBE (201T250) |
$973 |
| TUBE (251T300) |
$1,190 |
| TUBE (300T350) |
$1,406 |
| TUBING (51T100) |
$442 |
| TUBING (151T200) |
$778 |
| TUBING (201T250) |
$973 |
| IMPLANTNEURO (13200T14200) |
$68,929 |
| LAB BAND BARIATRIC 3000T3600 |
$10,221 |
| WAND COLATOR REFLEX URA PTR |
$627 |
| WAND COBLATOR PROCISE MAX |
$670 |
| PACK PEDIATRIC MINOR |
$180 |
| PACK PEDIATRIC T&A |
$102 |
| VERITAS MATRIX PER SQ CM(48) |
$95 |
| HARNESS CERVICAL VISUALIZATION |
$244 |
| LASER INDIGO FIBER |
$2,598 |
| CELL SAVER FULL SERVICE |
$1,634 |
| CELL SAVER LIMITED SERVICE |
$1,599 |
| NEURO NAVIGATION |
$6,624 |
| GAMMA SENTINEL LYMPHNODE |
$2,616 |
| NEUROMETRIC MONITORING PER HOUR |
$791 |
| NEUROMETRIC UPPER SSEP |
$1,394 |
| NEUROMETRIC LOWER SSEP |
$1,129 |
| NEUROMETRIC 2 EXTREM EMG |
$755 |
| NEUROMETRIC 4 EXTREM EMG |
$1,001 |
| NEURO MONITORING FACIAL UNI EMG |
$119 |
| NEURO MONITORING FACIAL BIL EMG |
$119 |
| NEURO MONITORING THORACIC EMG |
$606 |
| NEUROMETRIC UP/LOW SSEP |
$1,140 |
| ESWL MATRIX |
$4,465 |
| PERCUTANEOUS DISSECTOMY PROBE |
$9,408 |
| ANS DORSAL SLMN STIM TRIAL LEAD |
$4,902 |
| LEAD PISCES QUAD 348 |
$4,238 |
| X STOP IMPLANTABLE DEVICE |
$27,500 |
| APLIGRAF PER SQ CM |
$125 |
| ALLO FLEXHDPLI 2PK 11X22 440SQCM |
$78 |
| ALLO FLXHDPLI LARGE 13X22 286SQCM |
$76 |
| ALLOFLXHDPLI MED 11X20 220SQCM |
$78 |
| ALLOFLXHDPLI 8X16 128SQCM |
$115 |
| ALLFLXHDPLI PLGE 13X22 286SQCM |
$76 |
| ALLOFLXHDPLIPMED 11X20 220SQCM |
$77 |
| ALLOFLXHDPLIPSML 9X15 135SQCM |
$77 |
| ALLOFLXHDPLIPXL15X24 360SQCM |
$80 |
| ALLOFLXHDPLI SMALL 9X15 135SQCM |
$77 |
| ALLOFLXHDPLI XL 15X24 360SQCM |
$80 |
| ALLOFLXHDPL 2PK LGE 13X22 572SQCM |
$76 |
| ALLOFLXHDPL 2PK MED11X20 440SQCM |
$78 |
| ALLOFLXHDPLPF 2PKLG 13X22 572SQCM |
$76 |
| ALLOFLXHDPLPF 2PKLG 15X24 720SQCM |
$80 |
| ALLOFLXHDPLI 2PK SML 9X15 270SQCM |
$154 |
| ALLOFLXHDPLI 2PK XL 15X24 720SQCM |
$80 |
| ALLOFLXHD 16X20 320SQCM |
$115 |
| ALLOFLXHD 10X16 160SQCM |
$115 |
| ALLOFLXHD 8X20 160SQCM |
$115 |
| EPIXL ALLOGRAFT 6X10 60SQCM |
$383 |
| ALLOFLXHD 10X17 170SQCM |
$80 |
| ALLOFLXHD 6X8 48SQCM |
$115 |
| INTEGRA BILAYR 4X5IN 125SQCM |
$212 |
| INTEGRA BILAYR 2X2IN 25SQCM |
$648 |
| INTEGRA DRSG THIN 2X2IN 25SQCM |
$494 |
| INTEGRA DRSG THIN 4X5IN 125SQCM |
$155 |
| INTEGRA MATRIX FLOWABLE 3CC QTY 3 |
$7,500 |
| ACTIFUSE BONE GRFT SUB 7.5ML QTY 1 |
$11,375 |
| PURAPLY 2X2 CHARGE QUANTITY 4 |
$415 |
| BIODFENCE 3X6 18SQCM |
$1,019 |
| BIODFENCE 4X4 16SQCM |
$1,112 |
| BIODFENCE 4X8 32SQCM |
$1,038 |
| BIODFENCE 15MM DISC 3SQCM |
$1,725 |
| BIODFENCE 2X3 6SQCM |
$1,843 |
| BIODFENCE 2X4 8SQCM |
$1,589 |
| ALLOFLXHD 20X20 400SQCM |
$115 |
| SP MTRX PLIF SPACER PER LEVEL |
$25,000 |
| SP MTRX PLIF HEMI LEVEL CONSTRUCT |
$12,500 |
| SP MTRX PLIF 1 LEVEL CONSTRUCT |
$25,000 |
| SP MTRX PLIF 2 LEVEL CONSTRUCT |
$36,000 |
| SP MTRX PLIF 3 LEVEL CONSTRUCT |
$47,000 |
| SP MTRX TLIF SPACER |
$17,000 |
| SP MTRX ALIF SPACER |
$17,500 |
| SP MTRX EXT LAT SPACER XLIF/DLIF |
$22,500 |
| SP MTRX PLIF CROSSLINKS |
$6,000 |
| SP MTRX PLIF 1 LEVEL CAN TMIS |
$29,000 |
| SP MTRX PLIF 2 LEVEL CAN TMIS |
$42,000 |
| SP MTRX PLIF 3 LEVEL CAN TMIS |
$55,000 |
| SP MTRX THOR/LUMB CORP SPACER |
$37,500 |
| SP MTRX THOR/LUMB CORP SPACER W |
$40,000 |
| SP MTRX THOR/LUMB PLATE CONSTRUCT |
$15,000 |
| SP MTRX THOR/LUMB SCREW CONSTRUCT |
$2,250 |
| SP MTRX LUMBIMPLNT OTHR 301T500 |
$2,000 |
| SP MTRX LUMBIMPLNT OTHR 501T700 |
$3,000 |
| SP MTRX LUMBIMPLNT OTHR 701T900 |
$4,000 |
| SP MTRX LUMBIMPLNT OTHR 901T1100 |
$5,000 |
| SP MTRX LUMBIMPLNT OTHR 1301T1500 |
$7,000 |
| SP MTRX LUMBIMPLNT OTHR 1501T1700 |
$8,000 |
| SP MTRX LUMBIMPLNT OTHR 1701T1900 |
$9,000 |
| SP MTRX LUMBIMPLNT OTHR 1901T2100 |
$10,000 |
| SP MTRX LUMBIMPLNT OTHR 2101T2300 |
$11,000 |
| SP MTRX LUMBIMPLNT OTHR 2301T2500 |
$12,000 |
| SP MTRX LUMBIMPLNT OTHR 2501T2700 |
$13,000 |
| SP MTRX LUMBIMPLNT OTHR 2701T2900 |
$14,000 |
| SP MTRX LUMBIMPLNT OTHR 2901T3100 |
$15,000 |
| SP MTRX LUMBIMPLNT OTHR 3101T3300 |
$16,000 |
| SP MTRX ACDF 1 LEVEL CONSTRUCT |
$10,000 |
| SP MTRX ACDF 2 LEVEL CONSTRUCT |
$13,000 |
| SP MTRX ACDF 3 LEVEL CONSTRUCT |
$16,000 |
| SP MTRX ACDF 4 LEVEL CONSTRUCT |
$19,000 |
| SP MTRX PCDF 1 LEVEL CONSTRUCT |
$25,000 |
| SP MTRX PCDF 2 LEVEL CONSTRUCT |
$36,000 |
| SP MTRX PCDF 3 LEVEL CONSTRUCT |
$47,000 |
| SP MTRX PCDF 4 LEVEL CONSTRUCT |
$58,000 |
| SP MTRX CERV SPACER BONE |
$5,000 |
| SP MTRX CERV CORPECTOMY SPACER |
$17,500 |
| SP MTRX CERVIMPLNT OTHR 100T300 |
$1,000 |
| SP MTRX CERVIMPLNT OTHR 301T500 |
$2,000 |
| SP MTRX CERVIMPLNT OTHR 501T700 |
$3,000 |
| SP MTRX CERVIMPLNT OTHR 701T900 |
$4,000 |
| SP MTRX CERVIMPLNT OTHR 901T1100 |
$5,000 |
| SP MTRX CERVIMPLNT OTHR 1101T1300 |
$6,000 |
| SP MTRX CERVIMPLNT OTHR 1501T1700 |
$8,000 |
| SP MTRX CERVIMPLNT OTHR 1701T1900 |
$9,000 |
| BIOCARTILAGE MATRIX 1.00CC |
$4,900 |
| RADIOGRAPHIC DYE (0T50) |
$181 |
| RADIOGRAPHIC DYE (51T100) |
$423 |
| RADIOGRAPHIC DYE (100T150) |
$705 |
| IMPLANT OTHER (4001T4500) |
$21,253 |
| IMPLANT OTHER (4501T5000) |
$23,753 |
| IMPLANT OTHER (5001T5500) |
$26,253 |
| IMPLANT OTHER (5501T6000) |
$28,753 |
| IMPLANT OTHER (6001T6500) |
$31,253 |
| IMPLANT OTHER (6501T7000) |
$33,753 |
| IMPLANT OTHER (7001T7500) |
$36,253 |
| IMPLANT OTHER (7501T8000) |
$38,753 |
| IMPLANT OTHER (8001T8500) |
$41,253 |
| IMPLANT OTHER (8501T9000) |
$43,753 |
| IMPLANT OTHER (9001T9500) |
$46,253 |
| IMPLANT OTHER (9501T10,000) |
$48,753 |
| IMPLANT OTHER (10,001T10,500) |
$51,253 |
| IMPLANT OTHER (10,501T11,000) |
$53,753 |
| IMPLANT OTHER (11,001T11,500) |
$56,255 |
| IMPLANT OTHER (12,001T12,500) |
$61,253 |
| IMPLANT OTHER (12,501T13,000) |
$63,753 |
| IMPLANT OTHER (13,001T13,500) |
$66,253 |
| IMPLANT OTHER (13,501T14,000) |
$68,753 |
| IMPLANT OTHER (14,001T14,500) |
$71,253 |
| IMPLANT OTHER (14,501T15,000) |
$73,753 |
| IMPLANT OTHER (15,001T15,500) |
$76,253 |
| IMPLANT OTHER (15,501T16,000) |
$78,750 |
| IMPLANT OTHER (16,001T16,500) |
$81,253 |
| IMPLANT OTHER (16,501T17,000) |
$83,753 |
| IMPLANT OTHER (17,001T17,500) |
$86,253 |
| IMPLANT OTHER (17,501T18,000) |
$88,753 |
| IMPLANT OTHER (18,001T18,500) |
$91,253 |
| IMPLANT OTHER (18,501T19,000) |
$93,753 |
| IMPLANT OTHER |
$96,253 |
| IMPLANT OTHER |
$101,253 |
| IMPLANT OTHER |
$103,753 |
| IMPLANT OTHER |
$106,253 |
| IMPLANT OTHER |
$108,753 |
| IMPLANT OTHER |
$111,253 |
| IMPLANT OTHER |
$113,753 |
| IMPLANT OTHER |
$116,253 |
| IMPLANT OTHER |
$118,753 |
| IMPLANT OTHER |
$121,253 |
| IMPLANT OTHER |
$126,253 |
| IMPLANT OTHER |
$128,753 |
| IMPLANT OTHER |
$131,253 |
| IMPLANT OTHER |
$133,753 |
| IMPLANT OTHER |
$141,253 |
| IMPLANT OTHER |
$138,753 |
| IMPLANT OTHER |
$141,253 |
| IMPLANT OTHER |
$143,753 |
| IMPLANT OTHER |
$146,253 |
| IMPLANT OTHER |
$148,753 |
| IMPLANT OTHER |
$151,255 |
| IMPLANT OTHER |
$156,253 |
| IMPLANT OTHER |
$158,753 |
| IMPLANT OTHER |
$161,253 |
| IMPLANT OTHER |
$163,753 |
| IMPLANT OTHER |
$166,253 |
| IMPLANT OTHER |
$168,753 |
| IMPLANT OTHER |
$171,253 |
| IMPLANT OTHER |
$173,753 |
| IMPLANT OTHER |
$178,753 |
| IMPLANT OTHER |
$181,253 |
| IMPLANT OTHER |
$183,753 |
| IMPLANT OTHER |
$186,253 |
| IMPLANT OTHER |
$188,753 |
| IMPLANT OTHER |
$191,253 |
| IMPLANT OTHER |
$193,753 |
| IMPLANT OTHER |
$196,253 |
| IMPLANT OTHER |
$198,753 |
| IMPLNAT OTHER (11,501T12,000) |
$58,755 |
| IMPLANT OTHER |
$123,755 |
| IMPLANT OTHER |
$153,755 |
| IMP AUTOL CU CHONDR |
$200,000 |
| FX HIP/PROX FEM CAN SCR |
$5,000 |
| FX HIP/PROX FEM |
$15,000 |
| FX HIP/PROX FEM |
$13,000 |
| FX DISTAL FEMUR IM NAIL |
$15,000 |
| FX ANK/TIB/FIB P/SCR |
$12,000 |
| FX ANK/TIB/FIB IM NAIL |
$15,000 |
| FX ANK/TIB/FIB CAN SCR |
$5,000 |
| FX HUMERUS P/SCR |
$12,000 |
| FX HUMERUS IM NAIL |
$15,000 |
| FX PROX ULNA/RAD P/SCR |
$12,000 |
| FX CLAVICLE PLATE/SCREW |
$11,000 |
| FX DIST ULNA/RAD/WR P/SCR |
$11,000 |
| FX PROX ULNA/RADIUS IM NAIL |
$15,000 |
| 1 ABRAMS BIOPSY NEEDLE |
$34 |
| BASIN LARGE |
$30 |
| BASIN MEDIUM |
$17 |
| BASIN SMALL |
$17 |
| FORCEP FINE TISSUE |
$19 |
| FORCEP TISSUE NO TEETH |
$17 |
| FORCEP TISSUE TEETH |
$17 |
| GARDNER WELLS TONGS |
$83 |
| HEMOSTAT CURVED |
$17 |
| HEMOSTAT STRAIGHT |
$17 |
| HUBER 20G 1 1/2 IN |
$36 |
| HYPOTHERMIA BLANKET |
$318 |
| NASAL BLEEDING TRAY |
$90 |
| NEEDLE BIOPSY JAMSHIDI |
$20 |
| NEEDLE BIOPSY MENGHINE |
$20 |
| NEEDLE BIOPSY SILVERMAN |
$69 |
| NEEDLE HOLDER |
$17 |
| PEDERSON VAGINAL SPEC |
$26 |
| SINGLE INSTRUMENT STERILE |
$17 |
| SUTURE SCISSORS |
$17 |
| TRAY BX MAYRON |
$84 |
| TRAY CHEST TUBE INSERTION |
$211 |
| TRAY CUTDOWN |
$265 |
| TRAY CUTDOWN SMALL |
$90 |
| TRAY EAR |
$75 |
| TRAY PACEMAKER |
$69 |
| TRAY PLASTIC LARGE |
$278 |
| TRAY PLASTIC SMALL |
$127 |
| TRAY STEINMAN PIN |
$84 |
| TRAY SUTURE |
$108 |
| TRAY SUTURE REMOVAL |
$42 |
| TRAY TONSIL BLEEDING |
$134 |
| TRAY TRACHEOTOMY |
$108 |
| TRAY VAGINAL |
$28 |
| TRAY VENTRICULOSTOMY |
$90 |
| UROLOGY CART |
$89 |
| VAGINAL SPEC LARGE |
$17 |
| VAGINAL SPEC MED |
$26 |
| VAGINAL SPEC SMALL |
$17 |
| HUBER 20G 1 IN |
$36 |
| HUBER 22G 1 1/2 IN |
$36 |
| HUBER 22G 1 IN |
$36 |
| MNT INITIAL EA 15MIN |
$100 |
| MNT REASSESSMENT EA 15 MIN |
$95 |
| NUTRITION CLASS SERIES SP |
$59 |
| MNT GROUP EA 30 MIN |
$63 |
| DIABETIC COUNSEL INDIVUL EA 30MIN |
$86 |
| DIABETIC EDUCATION GROUP EA 30MIN |
$64 |
| HEALTHY EATING SP 30 MINS |
$38 |
| INSULIN PUMP EDUCATION |
$441 |
| SUPPORT GROUP EDUCATION |
$166 |
| EDUCATION PER HOUR ADDITIONAL |
$45 |
| INSULIN PUMP EDUCATION 15MIN |
$10 |
| PUMP SELECTION |
$50 |
| PUMP TRAINING |
$225 |
| POST PUMP/UGRADE TRAINING |
$50 |
| OBSERVATION HOURLY ER |
$46 |
| COMPLEX BEDSIDE PROCEDURES |
$1,700 |
| FOLEY CATHETER |
$259 |
| BLADDER SCAN |
$174 |
| DRAINAGE OF SKIN ABSCESS |
$377 |
| DRAINAGE OF PILONIDAL CYST SIMP |
$650 |
| DRAINAGE OF PILONIDAL CYST COMP |
$3,368 |
| REMOVE FOREIGN BODY-SIMPLE |
$730 |
| REMOVE FOREIGN BODY |
$4,250 |
| DRAINAGE OF HEMATOMA/FLUID |
$3,368 |
| COMPLEX DRAINAGE WOUND |
$5,183 |
| DEBRIDE INFECTED SKIN |
$444 |
| DEBRIDE SKIN FX |
$1,197 |
| DEBRIDE SKIN/MUSCLE/BONE FX |
$1,464 |
| DEBRIDE |
$2,954 |
| DEBRIDE BONE 1ST20SQCM OF LESS |
$2,900 |
| EXC TR-EXT B9+MARG |
$1,197 |
| EXC TR-EXT B9+MARG 2.1-3 CM |
$2,208 |
| EXC H-F-NK-SP B9+MARG 1.1-2 |
$2,208 |
| EXC H-F-NK-SP B9+MARG |
$4,250 |
| EXC TR-EXT MLG+MARG 0.6-1 CM |
$1,760 |
| EXC TR-EXT MLG+MARG 1.1-2 CM |
$1,760 |
| EXC TR-EXT MLG+MARG 2.1-3 CM |
$2,900 |
| TRIM NAIL(S) |
$222 |
| DEBRIDE NAIL |
$222 |
| REMOVAL OF NAIL PLATE |
$222 |
| REMOVE NAIL PLATE ADD-ON |
$222 |
| DRAIN BLOOD FROM UNDER NAIL |
$112 |
| REMOVAL OF NAIL BED |
$1,197 |
| REPAIR OF NAIL BED |
$921 |
| RECONSTRUCTION OF NAIL BED |
$4,271 |
| EXCISION OF NAIL FOLD TOE |
$350 |
| RPR SPRFICIAL WND 2.5 CM OR LESS |
$351 |
| RPR SPRFICIAL WND 2.6 -7.5CM |
$351 |
| RPR SPRFICIAL WND 7.6 -12.5CM |
$351 |
| RPR SPRFICIAL WND 12.6 -20.0 CM |
$351 |
| RPR SPRFICIAL WND 20.1 CM -30.0 C |
$351 |
| RPR SPRFICIAL WND GRTR 30.0 CM |
$351 |
| RPR SPRFICIAL 2.5 CM OR LESS |
$500 |
| RPR SPRFICIAL 2.6-5.0 CM |
$351 |
| RPR SPRFICIAL 5.1- 7.5CM |
$351 |
| RPR SPRFICIAL 7.6-12.5CM |
$351 |
| RPR SPRFICIAL 12.6 -20.0CM |
$351 |
| RPR SPRFICIAL 20.1 CM -30.0 CM |
$351 |
| RPR SPRFICIAL GRTR 30.0 CM |
$351 |
| CLOSURE SPLIT WOUND SIMP |
$1,185 |
| CLOSURE SPLIT CPLX |
$921 |
| INTMD WND REPAIR S/TR/EXT 2.5 CM |
$351 |
| INTMD WND RPR S/TR/EXT GRTR30.0CM |
$2,800 |
| INTMD WND REPAIR N-HF/GENIT 2.5CM |
$351 |
| INTMD WND REPAIR |
$2,770 |
| INTMD WND RPR N-HG/GENIT GRTR30.0 |
$2,800 |
| INTMD WND REPAIR FACE/MM 2.5CM OR |
$351 |
| CMPLX RPR WND TRK 1.1-2.5CM |
$1,461 |
| CMPLX RPR WNDS |
$921 |
| REPAIR OF WOUND OR LESION |
$921 |
| RPR OF WND OR LESION |
$1,185 |
| TISSUE TX 10.1-30 SQ CM |
$4,271 |
| ADJ TISSUE TX 10SQ OR LESS |
$4,271 |
| ADJ TISSUE TX 10.1-30SQ CM |
$4,271 |
| TISSUE TX - EYELID/NOSE/EAR/LIP |
$4,271 |
| WOUND PREP TRK/ARM/LEG |
$1,461 |
| SKIN FULL GRAFT SCLP/ARM/LEG |
$4,271 |
| COMPOSITE SKIN GRAFT |
$5,632 |
| INITIAL TREATMENT OF BURN(S) |
$222 |
| DRESS/DEBRID P-THICK BURN S |
$910 |
| DRESS/DEBRID P-THICK BURN |
$406 |
| INCISION OF BURN SCAB INITI |
$444 |
| ESCHAROTOMY ADDTL INCISION |
$136 |
| DESTRUCT PREMALG LESION |
$222 |
| DESTRUCT PREMALG LES 2-14 |
$112 |
| DESTRUCTION OF SKIN LESIONS |
$730 |
| CHEMICAL CAUTERY TISSUE |
$406 |
| SKIN TISSUE PROCEDURE |
$122 |
| EXPLORE WOUND NECK |
$2,014 |
| EXPLORE WOUND |
$5,632 |
| EXPLORE WOUND EXTREMITY |
$3,070 |
| BLOCK FOR PAIN - TENDON |
$666 |
| BLOCK FOR PAIN - MUSCLE |
$1,788 |
| DRAIN/IND JT/BURSA MED W/U |
$1,786 |
| ASPIRATE/INJ GANGLION CYST |
$666 |
| REPLANTATION DIGIT COMPLETE |
$136 |
| REPLANTATION THUMB COMPLETE |
$136 |
| TRMNT OF NOSE FRACTURE |
$297 |
| TREAT/REPAIR NASAL |
$4,610 |
| TRT EYE SOCKET FRACTURE |
$2,014 |
| TREAT LWER JAW FRAC |
$883 |
| TREAT LWR JAW FRAC W/MANIP |
$2,014 |
| RESET DISLOCATED JAW |
$297 |
| RMV SHLDR FOREIGN BODY |
$2,439 |
| CLAV FRAC W/O MANIPULATION |
$426 |
| CLAV FRACT W/ MANIPULATION - BOTH |
$1,730 |
| CLAV FRACT W/ MANIPULATION - |
$1,400 |
| CLAV FRACT W/ MANIPULATION -RT |
$1,153 |
| TRT CLAVICLE DISLOCATION |
$1,643 |
| TREAT CLAVICLE DISLOCATION/FRACTURE |
$1,643 |
| TREAT SHOULDER BLADE FX |
$426 |
| TREAT SHOULDER BLADE FX |
$1,643 |
| TRT HUMERUS FRACTURE |
$5,313 |
| TREAT HUMERUS FRAC |
$5,313 |
| TREAT SHOULDER DIS BTH |
$426 |
| TREAT SHOULDER DIS W/ANS BTH |
$2,124 |
| TREAT SHOULDER DIS |
$1,416 |
| TREAT DIS/FRAC W/SURG |
$1,135 |
| TREAT DIS/FRAC W/SURG |
$1,400 |
| RMV ARM FOREIGN BODY SIMP |
$1,197 |
| REMOVE ARM FOREIGN BODY SIMP |
$1,197 |
| TREAT HUM FRAC |
$1,135 |
| TRT FRAC HUM |
$1,135 |
| TRT FRAC HUM COND |
$1,643 |
| TRT ELBOW DIS W/ANS BTH |
$2,124 |
| TRT ELBOW DIS |
$1,416 |
| TREAT ELBOW FRACTURE |
$5,313 |
| NURSEMAID ELBOW WITH MANIP |
$428 |
| TRT ULNAR FRAC W/O MAN |
$1,400 |
| TRT ULNAR FRAC |
$1,135 |
| RMV ARM FOREIGN BODY 4ARM SIMP |
$5,823 |
| REMOVE FOREARM FOREIGN BODY |
$5,823 |
| REPAIR FOREARM TENDON/MUSCLE |
$7,989 |
| TRT FRAC OF RAD |
$1,643 |
| TRT FRAC RADIUS AND ULNA |
$1,643 |
| TRT RAD DIS FRAC |
$1,643 |
| TREAT WRIST BONE FRAC |
$1,643 |
| TRT WRIST BONE FRAC |
$1,643 |
| TRT UL STY FRAC |
$6,804 |
| TRT LUNATE DIS |
$5,313 |
| DRAINAGE OF FINGER ABS SIMP |
$377 |
| DRAINAGE OF FINGER ABS COMP |
$3,368 |
| REPAIR FINGER/HAND TENDON |
$7,486 |
| REPAIR HAND |
$4,441 |
| REPAIR FINGER TENDON |
$4,441 |
| TRT THMB FRAC |
$1,643 |
| TRT THMB FRAC |
$6,804 |
| TRT HAND DIS |
$1,643 |
| PIN HAND DISLOCATION |
$6,804 |
| TRT KNUCLE DIS |
$1,135 |
| PIN KNUCKLE DISLOCATION |
$5,313 |
| TRT FGR FRAC |
$6,804 |
| TRT FGR FRAC JT |
$1,135 |
| TRT FGR FRAC JT W/MAN |
$1,400 |
| TREATMENT OF FRACTURE/DISLOCATION |
$428 |
| TR FGR FRAC DISC |
$6,804 |
| PIN FINGER DISLOCATION |
$6,804 |
| AMP METACARPAL BONE |
$7,486 |
| AMP FINGER/THMB W/CLOS |
$4,441 |
| HAND/FINGER SURGERY |
$428 |
| TREAT HP SOCKET FRAC W /M |
$136 |
| TREAT THIGH FRAC W/MAN |
$136 |
| THIGH FRAC CL |
$1,643 |
| THIGH FRAC WW/O TRACTION |
$136 |
| HIP DIS TRAUMATIC W/O ANES |
$428 |
| HIP DIS TRAUMATIC |
$4,161 |
| HIP DIS SPON W/O MAN W/O ANS |
$428 |
| HIP DIS SPON |
$4,161 |
| TRT HIP DIS W/REG OR GEN ANS BTH |
$2,124 |
| TRT HIP DIS |
$1,416 |
| CX THIGH FX |
$1,135 |
| CLTX THIGH FX W/MNPJ BTH |
$136 |
| REMV FOREIGN BODY THIGH/KNEE |
$5,840 |
| REPAIR OF KNEECAP TENDON |
$5,823 |
| TRT FEM SHAFT FRAC |
$1,643 |
| TRT FEM FRAC |
$5,313 |
| TRT THIGH FRAC |
$1,135 |
| FEM FRAC W/O MAN |
$428 |
| FEM FRAC |
$6,804 |
| FEM FRAC |
$1,643 |
| TRT THGH FX GRWTH PLATE |
$1,135 |
| TRT KNEECAP FRAC |
$5,313 |
| TRT KNEE DIS |
$4,162 |
| TREAT KNEECAP DIS W/ANS BTH |
$1,316 |
| TREAT KNEECAP DIS W/ANS |
$877 |
| REPAIR ACHILLES TENDON |
$12,126 |
| TRTM TIBIA FRAC |
$5,313 |
| TRT TIBIA FRAC |
$6,804 |
| CLTX MEDIAL ANKLE FX |
$428 |
| CX MED ANKLE FX |
$5,313 |
| CLTX POST ANKLE FX |
$428 |
| CX POST ANKLE |
$1,135 |
| TRT OF FIB FRAC |
$5,313 |
| TRT ANK FRAC |
$1,643 |
| TRT LWR LEG FRAC |
$5,313 |
| TRT LOWER LEG DIS |
$5,313 |
| ANKLE DIS |
$1,643 |
| ANKLE DIS W/ANS BTH |
$2,124 |
| ANKLE DIS |
$1,416 |
| REM FOREIGN BODY FEET |
$2,208 |
| RPR OF FOOT EXTEN TENDON |
$5,781 |
| TRT HEEL FRAC |
$5,313 |
| TRT HEEL FRAC |
$6,804 |
| TRT TALUS FRAC |
$1,135 |
| TRT TALUS FRAC |
$6,804 |
| TRT MDFT FRAC |
$1,135 |
| TRT TARSAL BONE FRAC W/S FIX |
$7,313 |
| TRT META FRAC |
$6,804 |
| SESAMOID FRACTURE - LEFT |
$428 |
| TRT FOOT DIS W/O ANS |
$1,643 |
| TRT FOOT DIS W/O ANS |
$1,643 |
| TRT FOOT DIS W/ANS LEFT |
$5,313 |
| TRT FOOT DIS W/ANS RIGHT |
$5,313 |
| TRT FOOT DIS |
$6,804 |
| TREAT TOE DIS |
$4,161 |
| TREAT TOE DIS |
$6,804 |
| AMPUTATION OF MIDFOOT |
$136 |
| AMP THRU METATARSAL |
$2,480 |
| AMP TOE AND METATARSAL |
$5,781 |
| APPL OF LONG ARM CAST |
$650 |
| APP OF FOREARM CAST |
$650 |
| APPLY HAND/WIST CAST |
$290 |
| APPLY FINGER CAST |
$290 |
| APPLY LONG ARM SPLINT |
$290 |
| APPLY FOREARM SPLINT |
$290 |
| APPLICATION OF FINGER SPLINT |
$290 |
| STRAPPING OF SHOULDER |
$290 |
| STRAPPING OF ELBOW/WRIST |
$290 |
| HAND STRAPPING |
$290 |
| FINGER STRAPPING FA |
$290 |
| APP OF LONG LEG CAST |
$650 |
| APPLY SHORT LEG CAST |
$650 |
| ADDITION OF WALKER TO CAST |
$290 |
| APPLY LONG LEG SPLINT |
$290 |
| APP LOWER LEG SPLINT |
$290 |
| KNEE STRAPPING |
$290 |
| ANKLE AND/OR FOOT STRAPPING |
$290 |
| STRAPPING OF TOES |
$290 |
| APPLICATION OF PASTE BOOT |
$290 |
| RMVAL/REV OF CAST |
$290 |
| WINDOWING OF CAST |
$290 |
| WEDGING OF CAST |
$290 |
| DRAINAGE OF NOSE LESION |
$883 |
| REMOVE NASAL FOREIGN BODY |
$174 |
| ABLATE INF TURBINATE SUPERF |
$2,014 |
| ABLAT INF TURBIN SUPERF UNI/BIL |
$2,014 |
| CAUTERIZATION INNER NOSE |
$2,014 |
| CONTROL OF NOSEBLEED ANY METH |
$297 |
| CONTROL OF NOSEBLEED BIL |
$297 |
| NOSE PAC |
$297 |
| INSERT EMERGENCY AIRWAY |
$647 |
| REMOVE FOREIGN BODY LARYNX |
$439 |
| INCISION OF WINDPIPE |
$1,200 |
| INCISION OF WNDPIPE |
$714 |
| INSERTION OF CHEST TUBE |
$1,427 |
| CHEST TUBE - BILATERAL |
$1,427 |
| PLEURAL DRAINAGE W/O IMAGING |
$1,236 |
| DRAINAGE OF HEART SAC |
$1,427 |
| BLOOD VESSEL REPAIR - UPPER EXTRE |
$7,763 |
| REPAIR BLOOD VESSEL DIRECT HAND |
$10,779 |
| BLOOD VESSEL REPAIR - LOWER EXTRE |
$3,000 |
| BL DRAW LESS 3 YRS FEM/JUGULAR |
$136 |
| BL DRAW LESS 3 YRS OTHER VEIN |
$136 |
| NON-ROUTINE BL DRAW GRTR 3 YRS |
$136 |
| ROUTINE VENIPUNCTURE |
$32 |
| INSERT NON TUNNEL CV CATH |
$2,958 |
| INSERT PICC CATH |
$2,958 |
| DECLOT VASCULAR DEVICE |
$443 |
| INSERT NEEDLE BONE CAVITY |
$384 |
| INTRAOSSEOUS INFUSION - ADDITIONA |
$384 |
| TEMPORAL ARTERY PROCEDURE |
$4,250 |
| LIGATION OF EXTREMITY ARTERY |
$136 |
| REPAIR LIP |
$2,014 |
| DRAINAGE OF MOUTH LESION |
$600 |
| DRAIN OF MOUTH LESION |
$2,014 |
| RMVL FOREIGN BODY MOUTH-S |
$174 |
| RMVL FOREIGN BODY MOUTH-C |
$2,014 |
| RPR TONGUE LACERATION 2/3 |
$719 |
| RPR TONGUE LACERATION 1/3 |
$883 |
| RPR TONGUE LACERATION C |
$2,014 |
| DRAINAGE OF GUM LESION |
$377 |
| DENTAL SURGERY PROCEDURE |
$297 |
| DRAINAGE MOUTH ROOF LESION |
$883 |
| DRAINAGE OF TONSIL ABSCESS |
$883 |
| REMOVE PHARYNX FOREIGN BODY |
$174 |
| THROAT SURGERY PROCEDURE |
$297 |
| CHANGE GASTROSTOMY TUBE |
$1,229 |
| REPOSITION GASTROSTOMY TUBE |
$2,313 |
| UNLISTED PROCEDURE INTESTINE |
$6,259 |
| DRAINAGE OF RECTAL ABSCESS |
$3,265 |
| PROCTOSIGMOIDOSCOPY FB |
$5,756 |
| SIGMOIDOSCOPY W/FB REMOVAL |
$1,364 |
| RECTUM SURGERY PROCEDURE |
$1,565 |
| INCISION OF RECTAL ABSCESS |
$6,200 |
| INCISE EXTERNAL HEMORRHOID |
$501 |
| DIAGNOSTIC ANOSCOPY |
$158 |
| ABDOMEN SURGERY PROCEDURE |
$6,259 |
| IRRIGATION OF BLADDER |
$501 |
| INSERT BLADDER CATHETER |
$190 |
| INSERT TEMP BLADDER CATH |
$259 |
| INSERT BLADDER CATH COMPLEX |
$367 |
| CHANGE OF BLADDER TUBE |
$501 |
| US URINE CAPACITY MEASURE |
$174 |
| CYSTOSCOPY |
$1,434 |
| CYSTOSCOPY W/DILATION |
$3,500 |
| PENILE INJECTION |
$501 |
| PENILE IRRIGATION |
$501 |
| DRAINAGE OF SCROTUM ABSCESS |
$3,368 |
| GENITAL SURGERY PROCEDURE |
$279 |
| I AND D OF VULVA/PERINEUM |
$803 |
| DRAINAGE OF GLAND ABSCESS |
$380 |
| GENITAL SURGERY PROC |
$146 |
| OBSTETRICAL CARE |
$5,290 |
| N BLOCK INJ TRIGEMINAL |
$666 |
| N BLOCK OTHER PERIPHERAL |
$976 |
| REPAIR OF DIGIT NERVE |
$9,614 |
| STR DIGITAL NRV H/F ECH ADTL |
$865 |
| RPR OF H/F NERVE |
$9,614 |
| SUTURE ECH ADDTL NERVE H/F |
$912 |
| EYE CONJUNCTIVA SUPERFICIAL |
$250 |
| EYE CONJUNCTIVA EMBEDDED |
$250 |
| RMV FOREIGN BODY CORNEA W/O SLIT |
$350 |
| RMV FOREIGN BODY CORNEA W/SLIT LA |
$844 |
| DRAINAGE OF EYELID ABSCESS |
$844 |
| REMOVE EYELID FOREIGN BODY |
$576 |
| DRAIN EXTERNAL EAR LESION SIMP |
$600 |
| DRAIN EXTERNAL EAR LESION COMP |
$5,183 |
| DRAIN OUTER EAR CANAL LESION |
$377 |
| CLEAR OUTER EAR CANAL |
$174 |
| ECHO EXAM OF ABDOMEN |
$1,014 |
| GASTRIC INTUBATION TREATMENT |
$405 |
| TEMPORARY EXTERNAL PACING |
$647 |
| RHYTHM ECG TRACING |
$59 |
| BREATHING CAPACITY TEST |
$203 |
| AIRWAY INHALATION TREATMENT |
$225 |
| POS AIRWAY PRESSURE CPAP |
$459 |
| MEASURE BLOOD OXYGEN LEVEL SING |
$124 |
| MEASURE BLOOD OXYGEN LEVEL MULT |
$124 |
| EXHALED CARBON DIOXIDE TEST |
$228 |
| SEL/EPI/DERM 1ST 20SQ CM |
$318 |
| MOD CS SAME INIT 15M <5 |
$118 |
| MOD CS SAME INIT 15M 5+ |
$118 |
| MOD CS SAME ADD 15M |
$97 |
| ERD TRIAGE |
$111 |
| LEVEL 1 ED SERVICES |
$430 |
| LEVEL 2 ED SERVICES |
$1,220 |
| LEVEL 3 ED SERVICES |
$1,375 |
| LEVEL 4 ED SERVICES |
$1,514 |
| LEVEL 5 ED SERVICES |
$2,704 |
| CRITICAL CARE FIRST HOUR |
$3,178 |
| CRITICAL CARE ADD'L 30 MIN |
$1,021 |
| BEHAV CHNG SMOKING 3-10 MIN |
$42 |
| NB RESUSCITATION |
$588 |
| RMVL IMPACTED WAX W INST |
$147 |
| RMVL IMPACTED WAX IRR/LAV |
$220 |
| IMMOBLIZATION DEVICE |
$164 |
| INCISION AND DRAINAGE TRAY |
$106 |
| FLUID ASPIRATION TRAY |
$105 |
| A/V CATH SUPPLIES |
$95 |
| CHEST TUBE SUPPLIES |
$140 |
| PACEMAKER SUPPLIES |
$220 |
| INTUBATION/AIRWAY SUPPLIES |
$180 |
| SKIN/TISSUE CLOSURE DEVICES |
$118 |
| PELVIC EXAM TRAY |
$135 |
| NASO/GASTRIC SUPPLIES |
$140 |
| EAR KIT |
$35 |
| EPITAXIS TRAY |
$210 |
| IRRIGATION TRAY |
$81 |
| EYE KIT |
$81 |
| OXYGEN AND SUPPLIES |
$45 |
| LUCAS SUCTION CUP |
$169 |
| SLING |
$29 |
| COLLAR |
$28 |
| ORTHOTIC LSO CORSET |
$807 |
| REPAIR KIT |
$25 |
| MOD SED GI ENDO 1ST 15M |
$118 |
| MOD SED EA ADDL 15M |
$97 |
| LEVEL II OUTPATIENT VISIT |
$229 |
| LEVEL V OUTPTIENT VISIT |
$406 |
| CONMED STNT VIABIL W/WO HOLES |
$11,500 |
| STENT BRONCH URAFLEX |
$14,500 |
| STENT COTD |
$503 |
| STENT COTD |
$1,130 |
| STENT COTD W/ DELRY |
$1,518 |
| STENT |
$2,125 |
| STENT |
$2,732 |
| STENT COTD W/DELRY 1001T1200 |
$3,630 |
| STENT COTD W/DELRY 1201T1400 |
$4,455 |
| STENT COTD W/DELRY 1401T1600 |
$4,950 |
| STENT COTD W/DELRY 1601T1800 |
$5,610 |
| STENT COTD W/DELRY 1801T2000 |
$6,270 |
| STENT NO COAT W/O DELRY $401-600 |
$1,822 |
| VALVE IMPLANT |
$8,250 |
| BALLN DILTATN ESOPHGL $0-100 |
$378 |
| BALLN DIATN ESOPHGL $101-200 |
$1,022 |
| BALLN DIATN ESOPHGL $201-300 |
$1,477 |
| CATH BAL DIL NON VASCULAR |
$3,520 |
| GUIDE WIRE $0-100 |
$378 |
| GUIDE WIRE $101-200 |
$831 |
| GUIDE WIRE $201-300 |
$1,038 |
| GUIDE WIRE $301-400 |
$1,453 |
| GUIDE WIRE $401-500 |
$1,576 |
| GUIDE WIRE $501-600 |
$1,841 |
| SNARE/BX FORCEP/PROBE $0-$100 |
$674 |
| SNARE/BX FORCEP/PROBE $101-$200 |
$831 |
| SNARE/BX FORCEP/PROBE $201-300 |
$1,038 |
| SNARE/BX FORCEP/PROBE $301-400 |
$1,453 |
| SNARE/BX FORCEP/PROBE $401-500 |
$1,576 |
| SNARE/BX FORCEP/PROBE $501-600 |
$1,841 |
| SNARE/BX FORCEP/PROBE $701-800 |
$2,511 |
| SNARE/BX FORCEP/PROBE $601-700 |
$2,176 |
| SNARE/BX FORCEP/PROBE $801-900 |
$2,845 |
| SNARE/BX FORCEP/PROBE $901-1000 |
$3,180 |
| SNARE/BX FORCEP/PROBE $1001-1100 |
$3,515 |
| SNARE/BX FORCEP/PROBE $1101-1200 |
$3,850 |
| HOT BIOPSY FORCEPS |
$419 |
| PEG TUBE |
$139 |
| JEJUN TUBE ENDOVIVE TIP 8.5X68 |
$431 |
| PEG KIT ENDO SAFETY 20FR |
$298 |
| GASTROSTOMY TUBE REP |
$1,229 |
| SPYGLASS ACCESS/DELIV CATH |
$5,300 |
| SKYBITE BIOPSY FORCEPS |
$990 |
| BALN FIT BIL STONE REMVL WIRE |
$497 |
| SCLERO TREATMENT |
$743 |
| ENDOSCOPIC HEMOR BANDING |
$654 |
| BALLOON DILATION |
$732 |
| COAG WITH HEATER PRO |
$859 |
| PERCUTANEOUS ENDO |
$859 |
| ESOPH BANDING LIGATION |
$998 |
| ESOPH DILATION W/O B |
$1,178 |
| EBUS BALLOON |
$108 |
| GI LITHOTRIPTOR |
$1,326 |
| ESOPHOGUS MOTILITY STUDY |
$2,328 |
| ESOPHAGEAL MOTILITY IMPEDANCE |
$959 |
| SPHINCTEROTOMY |
$1,159 |
| ANORECTAL MANOMETRY |
$700 |
| EMG |
$240 |
| BRONCH W EBUS |
$6,500 |
| ENTEROSCOPY |
$1,759 |
| EGD NON BLEEDING ABLATION |
$1,800 |
| COLON CTRL OF BLEED ABLATION |
$1,975 |
| CAPSULE ENDOSCOPY |
$2,757 |
| ESOPH ENDOSCOPY ABLATION |
$2,585 |
| EBUS PERPH LESION(S) ADD BRONC |
$2,220 |
| SCLEROTHERAPY VARICE |
$2,056 |
| CAPSULE BRAVO |
$593 |
| BRAVO PH |
$2,841 |
| EGD/BRAVO |
$1,832 |
| GI GASTROSCOPY |
$1,832 |
| ERCP |
$2,607 |
| GI FLEXIBLE SIGMOID |
$1,917 |
| FLEX SIG CTRL BLEEDING ABLATION |
$2,000 |
| GI COLONOSCOPY SCREEN |
$1,917 |
| GI COLONOSCOPY DIAGNOSTIC |
$2,252 |
| BIO FEEDBACK |
$240 |
| PUDENDAL NERVE STUDY |
$132 |
| RECTAL SENSATION TONE |
$240 |
| STENT PLACEMENT |
$2,536 |
| UPPER ENDO W ASP AND SPECIMEN |
$150 |
| SECRETORY STUDY |
$190 |
| THERAPEUTIC UPPER ENDOSCOPY |
$150 |
| PILLCAM SB3 |
$992 |
| CAPSULE ENDO PILL FGS0180 |
$978 |
| ELEVIEW SUBMUC LIFT SOLUTION 10ML |
$268 |
| INJECTION OF P RICH PLASMA |
$852 |
| SPEC COLLECT PORT |
$180 |
| SPEC COLLECT EXT CATH |
$166 |
| BRONCHIAL THERMOPLASTY |
$4,700 |
| BRONCHOTHERMOPLASTY CATHETER |
$5,000 |
| BRONCHOSCOPY W/BIOPSY(S) |
$3,200 |
| BRONCHOSCOPY W/MARKERS |
$5,500 |
| NAVIGATIONAL BRONCHOSCOPY |
$2,900 |
| BRONCH VALVE |
$5,500 |
| BRONCH VALVE ADDL REMOVAL |
$2,500 |
| BRONCH VALVE ADDL INSERT |
$2,200 |
| BRONCHOSCOPY/LUNG BX(S) 1 LOBE |
$3,600 |
| BRONCHOSCOPY/LUNG BX ADDL LOBE |
$2,950 |
| BRONCHOSCOPY/NDL ASP BX(S) 1 LOBE |
$3,600 |
| BRONCH WITH STENT |
$6,024 |
| UNLISTED BRONCH PROCEDURE |
$2,900 |
| ACUJECT VAR INJ NEEDLE |
$153 |
| NEEDLE VIZISHOT ASP ENDO |
$374 |
| CAPSULE DELIVERY DEVICE |
$497 |
| RESOLUTION CLIPS |
$430 |
| ROTH NET |
$331 |
| GASTROTOMY DEVICE LOW PROFILE |
$487 |
| PEG MINI BUTTON |
$314 |
| COLON DECOMPRESSION SET |
$367 |
| WANG NEEDLE |
$1,500 |
| FOGARTY CATHETER |
$414 |
| BASKET WIRE SPIRAL |
$739 |
| FORCEP 3 NAIL GRASPING |
$789 |
| GI LAB SPECIALTY SUPPLY $0-100 |
$377 |
| GI LAB SPECIAY SUPPLY $101-200 |
$829 |
| GI LAB SPECIAY SUPPLY $201-300 |
$1,038 |
| GI LAB SPECIAY SUPPLY $301-400 |
$1,453 |
| GI LAB SPECIAY SUPPLY $401-500 |
$1,868 |
| GI PACU LEVEL I(61-75) |
$1,082 |
| GI PACU LEVEL I(76-90) |
$1,250 |
| GI PACU LEVLE I(91-105) |
$1,414 |
| GI PACU LEVEL I(106-120) |
$1,581 |
| CELL SAVER SUPPLIES/SERV(301T400) |
$1,514 |
| CELL SAVER SUPPLIES/SERV(401T500) |
$1,641 |
| MARKER FIDUCIAL SOFT TISSUE |
$395 |
| STENT PRTL COV ESOPH |
$10,750 |
| STENT FULLY COV ESOPH |
$11,250 |
| STENT PRTL COV BILIARY |
$11,750 |
| STENT FULLY COV BILIARY |
$12,250 |
| STENT BIL DBL PIGTAIL |
$600 |
| STENT DUODENAL WALLFLEX |
$10,475 |
| STENT BILIARY |
$265 |
| STENT ADVANTIX PRELOADED |
$695 |
| TAEWOONG ESOPH STENT 20X60 |
$11,250 |
| ADVANT STENT KIT PANC PIG 5X4 |
$441 |
| ADVANT STENT KIT PANC STRT 5X4 |
$441 |
| ADVANT STENT KIT PANC STRT 4X4 |
$441 |
| ADVANT STENT PANC PIG 4X4 |
$265 |
| ADVANT STENT PANC PIG 5X4 |
$265 |
| FIXED WIRE BALLN DILATOR |
$466 |
| WIREGUIDE BALLN DILATOR |
$546 |
| CATH BALLN BARRX HALO 360 |
$3,168 |
| CATH BALLN SIZING HALO 360 |
$897 |
| BILIARY GUIDEWIRE |
$450 |
| DREAMTOME |
$980 |
| CATH |
$2,318 |
| CATH ABLAT BARRX 90 URA LONG |
$3,018 |
| CATH ABLAT BARRX 60 |
$2,560 |
| CATH ENDOSCOPIC BARRX TTS |
$3,090 |
| CLEANING CAP BARRX RFA MEDIUM |
$139 |
| RESOLUTION 360 CLIPS |
$543 |
| MEDIUM HEXAGONAL STIFF |
$79 |
| EUS SLIMLINE NEEDLE 19-22-25GA |
$521 |
| EUS FLEX NEEDLE 19GA |
$941 |
| HYDRA JAB 035 STR/STIFF |
$446 |
| DREAMWIRE F/G 035X450 STRT |
$436 |
| JAGWIRE 035/025 STRT/ANGLED |
$381 |
| NOVAGOLD 018 |
$446 |
| NEEDLE KNIFE |
$446 |
| TRUTOME 49 LONG WIRE |
$508 |
| TANDEM XL ERCP CANNULA |
$238 |
| CONTOUR CANNULA 018/035 |
$203 |
| TRUETOME 39 LONG WIRE/PRELOAD |
$694 |
| EXTRACTOR PRO LONGWIRE 9-18 |
$480 |
| ADVX PANC STNT NO BARB 3-4-5FR |
$400 |
| NAVIFLEX PUSH PANC STNT 3-4-5FR |
$232 |
| HURRICAN RX DIL BALN 4-10MM |
$568 |
| ENCORE INFLATION DEVICE 20CC |
$250 |
| COVID FNA SYS 22G NDL W HANDLE |
$570 |
| COVID FNA IND 22G NDL EXCH CBL |
$397 |
| COVID SHARKCORE SYS PKG 19G |
$1,070 |
| COVID SHARKCORE SYS PKG 22G |
$806 |
| CONMED VIABIL STNT FUL 10X4-10 |
$10,325 |
| ISNARE SYS HEX 25GA |
$265 |
| DASH SPHINCTEROTOME 035 |
$756 |
| GLO TIP ERCP CATH ANY 5.5FR |
$246 |
| STENT INTRODUCER 10-11.5 FR |
$314 |
| COTTON BIL STENT ANY 10-11.5FR |
$405 |
| PUSHING CATHETER 5FR |
$226 |
| ZIMMON PANCR STENT ANY 5FR |
$360 |
| FUSION TITAN DIL BALN 12-30FR |
$729 |
| HUIBREGTSE TRIPLE LUMN NDL 7FR |
$457 |
| ECHOTIP CELIAC NEUROLYSIS NDL |
$694 |
| DUETTE MUIBAND LIGATOR KIT |
$853 |
| ECHOTIP PROCOR HIDEF US BX NDL |
$897 |
| ECHOTIP URA ENDO US NDL |
$717 |
| EVOLUT DUOD CNTRL RELEASE STNT |
$12,200 |
| EVOLUT ESOPH CNTRL RELEASE STEN |
$9,475 |
| EVOLUT COLON CNTRL RELEASE STNT |
$12,200 |
| QUANTUM BIL BALN DILATOR |
$457 |
| ACROBAT WIRE GUIDE 025-035 |
$563 |
| BONE WAX W31G |
$28 |
| FX GUIDEWIRE 035 |
$364 |
| X STIFF GUIDEWIRE 035 |
$295 |
| PRECISOR EXL JUMBO FRCP W NDL |
$100 |
| CLEARVIEW NEEDLE |
$441 |
| PRECISOR EXL FRCP W NDL |
$84 |
| ORBIT SNARE ROTATABLE SNARE |
$79 |
| DURACLIP HEMOSTASIS CLIP |
$415 |
| OLYM ERCP EXTRACTION BALLOON |
$351 |
| OLYM LITHOCRUSH BASKET |
$885 |
| OLYM VISIGLIDE GUIDEWIRE |
$429 |
| OLYM POLYLOOP |
$926 |
| OLYM LOOP CUTTER |
$930 |
| CATH SIDE ARM ROTATE |
$180 |
| SOEHENDRA CATH BIL DIL 6-7-8.5 FR |
$261 |
| CONMED VIABIL STNT 8X4-6 |
$10,325 |
| GWIRE BARRX RFA ENDO |
$441 |
| CATH BARRX 360 EXP RFA BALN |
$4,576 |
| ENDOCUFF VISION |
$161 |
| BEAMER ARGON PROBE 320CM |
$577 |
| BEAMER SNARE PROBE 230CM |
$825 |
| KIT SPIN BX GUIDE |
$1,660 |
| HEMOSTATIC FRCP ELECSUR GASTRO |
$451 |
| HEMOSTATIC FRCP ELECSUR COLON |
$749 |
| OLYMP 3 LUMEN EXTRACTION BALLN |
$387 |
| RESHAPE DUAL BALLOON |
$4,400 |
| RESHAPE REMOVAL CATHETER |
$744 |
| RESHAPE GUIDEWIRE |
$254 |
| SPIRATION VALVE |
$5,300 |
| SPIRATION VALVE 9MM |
$6,990 |
| SPIRATION CATHETER/LOADER |
$2,000 |
| SPIRATION SIZING KIT/BALLN |
$744 |
| ZIMMON PANCR STENT ANY 7FR |
$360 |
| END CAP ENDOSCOPE ANY SIZE |
$105 |
| LIGATING BAND |
$461 |
| EUS LIGATOR KIT |
$853 |
| SNARE HEXAGONAL 3X4.5CM |
$105 |
| SNARE HEXAGONAL 1.5X0.5CM |
$105 |
| CLEVERCUT 3V SPHINCTEROTOME |
$459 |
| OLYMPUS ENDOSCOPE VALVE SET |
$38 |
| CON BIL STN REMVL BALN F922XW |
$421 |
| CONMED VIABIL STENT VSWVHXXXX |
$11,500 |
| NEEDLE EXPECT 22GA |
$558 |
| ADAPTER EXPECT PULM NEEDLE |
$92 |
| NDL BX 25GA4.1FR 5CM FN PROCOR |
$682 |
| NDL BX 22GA4.1 FR 5CM FN PROCOR |
$902 |
| NDL ASP 19GA VIZISHOT FLX |
$699 |
| HKUP ESCP OLMP INLT CNCT |
$396 |
| KIT BIOPSY SPIN NIT GUN NDL FLX |
$992 |
| KIT BRONCHOSCOPY |
$60 |
| CABLE CONNECT IG4 IR 2 VPAD |
$682 |
| SPHINCTERTOME COOK UTS-20 |
$455 |
| CELLEBRITY ENDCOCYOLOGY BRUSH |
$50 |
| FORCEPS HOT BIOPSY BC 1550-20 |
$460 |
| VASC AMPLATZER PLUG |
$1,900 |
| HOT AXIOS PANCR STENT 15X10MM |
$22,000 |
| WALLFLEX PCV ESOPH STENT 23X12 |
$11,000 |
| SNARE ACUSNARE 7.0FR 1.5X3 |
$68 |
| FMT FECAL BIOLOGIC |
$1,270 |
| FMT FECAL PILL BIOLOGIC |
$1,900 |
| EGD |
$2,222 |
| EGD |
$2,355 |
| EUS W/FNA(S) |
$2,355 |
| EGD,EMR |
$2,537 |
| EGD+EUS |
$2,510 |
| EGD W/STENT |
$6,007 |
| EGD DILATION W/O BALLOON |
$2,900 |
| ESOPHASCOPY DILATION W/O BALN |
$4,050 |
| SB W/BX(S) |
$2,355 |
| SB W STENT |
$6,007 |
| COLONOSCOPY THRU STOMA |
$2,325 |
| COLONOSCOPY THRU STOMA W/EMR |
$2,537 |
| GASTRODUODENOSCOPY THRU STOMA |
$2,222 |
| FLEX SIG |
$2,355 |
| SB,EMR |
$2,537 |
| EGD W DRAINAGE PSEUDOCYST |
$4,058 |
| ERCP |
$3,828 |
| ERCP W DESTRUCT CALC ANY METH |
$3,938 |
| SPYGLASS ENDO PANCREATOSCOPY |
$2,010 |
| ERCP W INS EA STENT B OR P DUCT |
$3,938 |
| ERCP W EA STENT REMVL/EXCHANGE |
$3,938 |
| SB ENDO W ABLAT TUMORS/LESIONS |
$3,347 |
| SB ENDO W STENT PLCMT INCL DIL |
$6,007 |
| FLEX SIG W SUBMUC INJECTION |
$1,826 |
| FLEX SIG W TNDSC BALLOON DIL |
$3,181 |
| FLEX SIG W PLCMT STENT INCL DIL |
$2,222 |
| COLONOSCOPY |
$2,222 |
| CELIAC ANES INJ NERVE BLOCK |
$1,723 |
| CELIAC DESTRUCT W NEUROL AGENT |
$3,828 |
| SUCTION BIOPSY OF RECTUM |
$4,238 |
| COLONOSCOPY WITH EMR |
$3,400 |
| FLEX SIG WITH BIOPSY |
$3,100 |
| COLONOSCOPY AND BIOPSY |
$2,700 |
| GI PACU FIRST HOUR |
$917 |
| GI PACU EA ADDL 15 MIN |
$166 |
| BMP |
$379 |
| BMP IONIZED CA |
$195 |
| ELECTROLYTES |
$234 |
| CMP |
$518 |
| LIPID PROFILE |
$203 |
| RENAL PANEL |
$192 |
| ACUTE HEPATITIS PANEL |
$256 |
| LIVER FUNCTION TEST |
$225 |
| TRICYCLIC SCREEN |
$193 |
| DRUG SCREEN DETOX |
$298 |
| BARBITURATE CONFIRM |
$138 |
| AMIKACIN LEVEL |
$161 |
| AMIKACIN PEAK |
$161 |
| AMIKACIN TROUGH |
$161 |
| CARBAMAZEPINE |
$143 |
| NORPACE |
$116 |
| DIGOXIN |
$112 |
| VALPROIC ACID |
$220 |
| GENTAMICIN PEAK |
$208 |
| GENTAMICIN TROUGH |
$208 |
| GENTAMICIN RANDOM |
$208 |
| LIDOCAINE |
$110 |
| LITHIUM |
$175 |
| PHENOBARBITAL |
$131 |
| DILANTIN |
$125 |
| PROCAINAMIDE AND NAPA |
$119 |
| QUINIDINE |
$102 |
| SALICYLATE |
$174 |
| THEOPHYLLINE |
$118 |
| TOBRAMYCIN PEAK |
$201 |
| TOBRAMYCIN TROUGH |
$201 |
| TOBRAMYCIN RANDOM |
$201 |
| VANCOMYCIN PEAK |
$198 |
| VANCOMYCIN TROUGH |
$198 |
| VANCOMYCIN RANDOM |
$198 |
| METHOTREXATE |
$178 |
| METABOLITE CONFIRM |
$110 |
| ACETAMINOPHEN |
$252 |
| BHB |
$110 |
| ALBUMIN |
$47 |
| FLUID ALBUMIN |
$72 |
| ALCOHOL (ETOH) |
$194 |
| AMMONIA |
$245 |
| AMYLASE |
$141 |
| 12 HR URINE AMYLASE |
$141 |
| URINE AMYLASE TIMED |
$141 |
| URINE AMYLASE RANDOM |
$96 |
| FLUID AMYLASE |
$96 |
| BILIRUBIN TOTAL |
$365 |
| FLUID BILIRUBIN |
$98 |
| BILIRUBIN DIRECT |
$106 |
| CALCIUM |
$56 |
| URINE CALCIUM RANDOM |
$50 |
| BICARBONATE |
$76 |
| CEA |
$143 |
| CHLORIDE |
$67 |
| 24 HR URINE CHLORIDE |
$79 |
| URINE CHLORIDE RANDOM |
$54 |
| CHOLESTEROL |
$94 |
| COLLAGEN CROSSLINKS (NTX) |
$86 |
| CK |
$142 |
| CK MB QUANTITATIVE |
$114 |
| CORTISOL |
$164 |
| CORTISOL 30 MINUTES |
$164 |
| CORTISOL 60 MINUTES |
$164 |
| CREATININE |
$86 |
| JOI CREATININE |
$78 |
| RAD CREATININE |
$78 |
| 24 HR URINE CREATININE |
$95 |
| URINE CREATININE RANDOM |
$94 |
| FLUID CREATININE |
$94 |
| CREATININE CLEARANCE 24HR |
$171 |
| CREATININE SEND OUT |
$18 |
| VITAMIN B12 |
$108 |
| CYSTATIN C |
$78 |
| FERRITIN |
$112 |
| FOLIC ACID |
$101 |
| 24 HR URINE GLUCOSE |
$86 |
| URINE GLUCOSE RANDOM |
$70 |
| CSF GLUCOSE |
$59 |
| FLUID GLUCOSE |
$59 |
| GLUCOSE |
$70 |
| POST GLUCOSE DOSE |
$91 |
| GLUCOSE 2 HR PP |
$55 |
| GTT FIRST 3 SPECIMENS |
$205 |
| OB 2HR GLUCOSE TOLERANCE |
$110 |
| OB 3 HR GLUCOSE TOLERANCE |
$205 |
| LACTOSE TOLERANCE TEST |
$205 |
| GTT 1.5HR ADD'L SPECIMEN |
$66 |
| GTT 6HR ADD'L SPECIMEN |
$72 |
| GGT |
$113 |
| HOMOCYSTEINE |
$211 |
| IRON |
$70 |
| TRANSFERRIN |
$118 |
| LACTIC ACID |
$101 |
| LD |
$99 |
| FLUID LDH |
$99 |
| LD ISOENZYMES |
$112 |
| LIPASE |
$131 |
| FLUID LIPASE |
$131 |
| HDL |
$112 |
| LDL DIRECT |
$96 |
| MAGNESIUM |
$75 |
| OB MAGNESIUM |
$75 |
| URINE MG RANDOM |
$96 |
| PROBNP |
$289 |
| OSMOLALITY SERUM |
$75 |
| URINE OSMOLALITY |
$70 |
| INTACT PTH |
$234 |
| FLUID PH |
$40 |
| ALK PHOSPHATASE |
$70 |
| PHOSPHOROUS |
$79 |
| URINE PHOSPHOROUS |
$90 |
| URINE PHOSPHORUS RANDOM |
$50 |
| POTASSIUM |
$48 |
| 24 HR URINE POTASSIUM |
$87 |
| URINE POTASSIUM RANDOM |
$55 |
| PSA TOTAL |
$122 |
| PSA FREE |
$122 |
| PROTEIN TOTAL SERUM |
$66 |
| 24 HR URINE TOTAL PROTEIN |
$96 |
| PROTEIN URINE RANDOM |
$90 |
| CSF TOTAL PROTEIN |
$90 |
| FLUID TOTAL PROTEIN |
$90 |
| SODIUM |
$50 |
| 24 HR URINE SODIUM |
$70 |
| URINE SODIUM RANDOM |
$55 |
| GLYCOMARK |
$245 |
| T4 TOTAL |
$122 |
| FREE T4 |
$94 |
| TSH |
$181 |
| SGOT/AST |
$102 |
| SGPT/ALT |
$102 |
| TRIGLYCERIDE |
$105 |
| FLUID TRIGLYCERIDE |
$105 |
| T3 TOTAL |
$146 |
| TROPONIN QUANTITATIVE |
$225 |
| BLOOD UREA NITROGEN |
$50 |
| FLUID UREA NITROGEN |
$77 |
| 24HR URINE UREA NITROGEN |
$90 |
| URINE UREA NITROGEN RANDOM |
$50 |
| URIC ACID |
$92 |
| FLUID URIC ACID |
$95 |
| FLUID CHOLESTEROL |
$94 |
| HCG QUANTITATIVE |
$205 |
| CRP HIGH SENSITIVITY (HSCRP) |
$192 |
| C REACTIVE PROTEIN |
$192 |
| PSA TOTAL SCREEN |
$48 |
| HIV RAPID 1 AND 2 |
$159 |
| CA19-9 |
$146 |
| CA125 |
$191 |
| VITAMIN-D 25 HYDROXY |
$310 |
| IGG |
$116 |
| IGM |
$116 |
| IGA |
$116 |
| IGE |
$141 |
| SEX BINDING HORMONE |
$143 |
| TESTOSTERONE TOTL |
$204 |
| C3 |
$140 |
| C4 |
$140 |
| ETG CONFIRMATION |
$110 |
| SICKLE SOLUBILITY BILL |
$146 |
| SICKLE CELL PREP |
$92 |
| FLUID HEMATOCRIT |
$35 |
| HEMATOCRIT |
$35 |
| FLUID HEMOGLOBIN |
$46 |
| HEMOGLOBIN |
$46 |
| CBD |
$302 |
| AUTO DIFF |
$27 |
| MANUAL DIFF |
$47 |
| CBC |
$248 |
| RBC COUNT |
$58 |
| RETIC COUNT |
$55 |
| RETIC WITH IRF |
$65 |
| WBC COUNT |
$66 |
| PLATELET COUNT |
$153 |
| FACTOR 8 ASSAY |
$164 |
| VON WILLEBRAND FACTOR |
$245 |
| VON WILLEBRAND FACTOR ANTIGEN |
$195 |
| VON WILLEBRAND MULTIMERIC |
$164 |
| FACTOR XA ACTIVITY |
$240 |
| HEPARIN ASSAY XA LMWH |
$240 |
| BETHESDA QUANT FACTOR 8 |
$523 |
| OR ACT |
$96 |
| SPECIAL PROCED ACT |
$96 |
| FIBRIN DEGRED PROD |
$155 |
| D-DIMER |
$151 |
| FIBRINOGEN |
$105 |
| LEUKOCYTE ALK PHOS |
$123 |
| P2Y12 |
$201 |
| PLATELET FUNCTION ASSESSMENT EPI |
$201 |
| PLATELET FUNCTION BASE |
$201 |
| ASPIRIN THERAPY RESPONSE |
$201 |
| PT INR |
$152 |
| INR WHOLE BLOOD |
$152 |
| INR WHOLE BLOOD 2 |
$152 |
| PLATELET FUNCTION ASSESSMENT ADP |
$201 |
| PT 1 TO 1 MIX |
$99 |
| SED RATE |
$84 |
| BILL FOR APTTDR REFLEXED |
$108 |
| PTT |
$254 |
| PTT 1 TO 1 MIX |
$108 |
| MALARIA PREP |
$179 |
| CSF CELL COUNT |
$92 |
| FLUID CELL COUNT |
$92 |
| STOOL FOR WBC'S |
$86 |
| SMEAR FOR EOSINOPHILS |
$65 |
| SEMEN ANALYSIS |
$194 |
| SEMEN REVIEW POST VASECTOMY |
$68 |
| URINALYSIS WITH MICRO |
$177 |
| URINE BILIRUBIN |
$39 |
| URINE BLOOD |
$39 |
| URINE KETONES |
$39 |
| URINE PH |
$39 |
| URINE SPEC GRAVITY |
$39 |
| DIPSTICK URINE PROTEIN |
$39 |
| URINE UROBILINOGEN |
$37 |
| SCREENING FECAL-OCCULT BLOOD |
$66 |
| OCCULT BLOOD |
$66 |
| HEMOSURE IFOB IMMUNOLGCL FECAL |
$77 |
| OCCULT BLOOD GASTRIC |
$37 |
| FLUID SPECIFIC GRAVITY |
$45 |
| URINE EOSINOPHIL |
$58 |
| CRYSTAL IDENTIFICATION |
$90 |
| AMNI SURE |
$289 |
| PREGNANCY TEST SERUM |
$50 |
| URINE PREGNANCY TEST |
$90 |
| ED URINE PREGNANCY |
$50 |
| FETAL MATERNAL HEMORRAGE SCREE |
$116 |
| KLEIHAUER-BETKE STAIN |
$101 |
| KLEIHAUER-BETKE ACID ELUTION |
$295 |
| AB ID PLT |
$223 |
| AB ID PLT ASSOC IMMUNOGLOB |
$268 |
| ASO |
$104 |
| COLD AGGLUTININS |
$95 |
| MONOSPOT |
$70 |
| RA FACTOR |
$95 |
| CANDIDA SKIN TEST |
$44 |
| PPD SKIN TEST |
$36 |
| RPR |
$95 |
| RPR TITER |
$89 |
| BILL FOR VDRL TITER |
$89 |
| CMV TESTING OF BLOOD PRODUCT |
$34 |
| HLA ANTIGEN TYPING |
$435 |
| HLA AG TYPING |
$435 |
| HLA DR TYPING |
$421 |
| HLA ANTIBODY SCREEN |
$211 |
| HLA AB SCREEN |
$192 |
| PREWARMED ANTIBODY SCREEN |
$110 |
| ELUTION |
$377 |
| ANTIBODY IDENTIFICATION |
$217 |
| ANTIBODY ID ADDITIONAL WORKUP |
$217 |
| DIRECT COOMBS |
$206 |
| ANTIBODY SCREEN/INDIR COOMBS |
$134 |
| INDIRECT COOMBS |
$134 |
| AUTOLOGOUS BLOOD PROCESSING |
$217 |
| BLOOD TYPE |
$154 |
| CORD BLOOD EVALUATION |
$154 |
| TYPE AND HOLD |
$154 |
| BLOOD RH |
$43 |
| ANTIGEN TYPE DONOR |
$250 |
| RBC ANTIGENS PATIENT |
$111 |
| RED CELL PHENOTYPE |
$208 |
| COMPATIBILITY TEST |
$147 |
| ELECTRONIC CROSSMATCH TEST |
$147 |
| COOMBS XMATCH PREWARMED |
$110 |
| COOMBS CROSSMATCH |
$110 |
| THAW FROZEN BLOOD PRODUCT |
$217 |
| RBC PRETREATMENT AB ID |
$111 |
| ENZYME TREATMENT |
$364 |
| CELL SEPARATION |
$111 |
| ADSORPTION |
$149 |
| STREP A SCREEN |
$94 |
| CLOSTRIDIUM DIFF TOXIN GENE |
$188 |
| CRYPTOCOCCCUS ANTIGEN CSF |
$123 |
| CAMPBYLOBACTER ANTIGEN |
$160 |
| RHOGAM FULL DOSE |
$277 |
| CRYOPRECIPITATE EA UNIT |
$110 |
| RBC L/R EA UNIT 1 |
$734 |
| RBC L/R EA UNIT 2 |
$395 |
| RBC L/R EA UNIT 3 |
$395 |
| APHERESIS FFP |
$261 |
| RBC EA UNIT |
$268 |
| WASHED IRR PC |
$961 |
| WASHED RBC APHERESIS |
$961 |
| PLT L/R EA UNIT |
$201 |
| IRR P L/R EA UNIT |
$444 |
| P PHERESIS |
$1,313 |
| P L/R PHERESED EA UNIT |
$1,109 |
| IRR P PHERESIS |
$1,084 |
| P L/R PHERESED IRR EA UNIT |
$1,239 |
| IRRADIATED RBC |
$369 |
| DEGLYC PC 1 |
$1,255 |
| LEUKO IRR RBC |
$540 |
| PLASMA CRYORED EA UNIT |
$108 |
| GRANULOCYTE APHERESIS EA UNIT |
$2,750 |
| RBC/WB L/R CMV NEG EA UNIT |
$772 |
| P L/R PHER HLA MATCH EA UNIT |
$1,748 |
| RBC/WB FRZ/LR/WSH/DEGL EA UNT1 |
$1,295 |
| RBC/WB FRZ/LR/WSH/DEGL EA UNT 2 |
$1,233 |
| WB L/R IRRAD EA UNIT |
$323 |
| RAPID UREASE |
$204 |
| CONCENTRATION |
$45 |
| CUURE BLOOD |
$574 |
| BILL ONLY FOR VIBRIO CULTURE |
$40 |
| CULTURE STOOL |
$178 |
| STOOL PATHOGEN ISOLATION |
$79 |
| CULTURE |
$225 |
| GC CULTURE |
$225 |
| CHARGE FOR NOCARDIA CULTURE |
$225 |
| PBP2A SA CULT COLONY TEST |
$82 |
| ANAEROBIC CULTURE |
$102 |
| ANAEROBE ID |
$98 |
| DIRECT ID |
$141 |
| CULTURE STREP B |
$125 |
| MRSA SCREEN |
$85 |
| VRE SCREEN |
$58 |
| CULTURE URINE |
$256 |
| FRO SCREEN CULTURE |
$128 |
| CULTURE FUNGUS |
$168 |
| CULTURE BLOOD FUNGAL |
$208 |
| ID FUNGUS |
$372 |
| ACID FAST CULTURE AND SMEAR |
$171 |
| CULTURE BLOOD TB |
$171 |
| SEROLOGIC GROUPING |
$102 |
| GRP2 |
$102 |
| GRP |
$113 |
| MYCOBACTERIUM GENE PROBE |
$156 |
| DARKFIELD EXAM |
$175 |
| MACRO EXAM PARASITE |
$90 |
| PINWORM EXAM |
$83 |
| HOMOGENIZATION |
$48 |
| OVA AND PARASITES |
$194 |
| SENSITIVITY KIRBY BAUER |
$108 |
| ENZYME DETECTION |
$28 |
| FUNGUS SENSITIVITY EACH DRUG |
$289 |
| SENSITIVITY FUNGUS PER PLATE |
$289 |
| SENSITIVITY MIC PER PLATE |
$128 |
| SENSITIVITY MBC EACH PLATE |
$147 |
| TB SENSITIVITY 1 DRUG |
$102 |
| SENSITIVITY TB DRUG |
$102 |
| STAIN CHARGE |
$58 |
| STAIN PARASITOLOGY |
$110 |
| ACID FAST SMEAR ONLY |
$94 |
| STAIN MICROSPORIDIA |
$62 |
| TRICHROME STAIN |
$78 |
| INDIA INK PREP |
$84 |
| WET PREP |
$84 |
| KOH PREPARATION |
$182 |
| CRYPTOSPORIDIUM ANTIGEN |
$122 |
| GIARDIA ANTIGEN 1 |
$134 |
| E COLI 0157 ANTIGEN |
$211 |
| E COLI 0157 CULTURE |
$54 |
| INFLUENZA A |
$103 |
| INFLUENZA B |
$103 |
| RSV AG DIRECT OBSERVATION |
$179 |
| SHIGA 1 TOXIN |
$33 |
| STREP PNEUMO ANTIGEN |
$160 |
| LEGIONELLA ANTIGEN |
$160 |
| ANAEROBE SUSCEPTIBILITY |
$107 |
| AFB IDENTIFICATION BY MALDI |
$98 |
| AFB/NOCARDIA SUSCEPTIBILITY |
$107 |
| AFB ID BY SEQUENCING |
$208 |
| AEROBIC ID BY MALDI |
$98 |
| AEROBIC ID BY DNA SEQUENCING |
$208 |
| ANTIMICROBIAL SUSCEPT MIC INDIV |
$107 |
| SUSCEPT AUTOMATED DISK DIFFUS |
$75 |
| AFB ISOLATION |
$200 |
| SUSCEPT SINGLE DRUG BY ETEST |
$85 |
| SUSCEPT CARAPENEMASE RESIST |
$75 |
| ECOLI 0157 LATEX |
$60 |
| STREP B CULTURE |
$10 |
| STREP B PCR |
$52 |
| MYRIAD SPECIMEN COLLECTION |
$18 |
| PROMETHEUS COLLECTION |
$23 |
| SPECTRACELL COLLECTION |
$12 |
| NON SCHEDULED VENIPUNCTURE |
$25 |
| BOSTON HEART COLLECT AND PROCESS |
$25 |
| DRUG SCREEN MEDICAL |
$198 |
| DRUG SCREEN WORKERS COMP |
$48 |
| THC CONFIRM |
$138 |
| BENZODIAZEPINE CONFIRM |
$138 |
| AMPHETAMINE 1-2 CONFIRMATION |
$138 |
| OPIATES CONFIRM |
$138 |
| COCAINE CONFIRM |
$138 |
| PCP CONFIRM |
$138 |
| ELAVIL |
$204 |
| CLONAZEPAM |
$202 |
| DIAZEPAM |
$193 |
| NORDIAZEPAM |
$78 |
| CYCLOSPORINE WHOLE BLOOD |
$227 |
| CYCLOSPORINE HPLC |
$579 |
| DESIPRAMINE |
$183 |
| DOXEPIN |
$134 |
| IMIPRAMINE/DESIPRAMINE |
$224 |
| NORTRIPTYLINE |
$147 |
| PRIMIDONE AND METABOLITE |
$142 |
| TACROLIMUS/FK506 |
$371 |
| AMIODARONE |
$195 |
| FLECAINIDE |
$171 |
| PROPOXYPHENE CONFIRM |
$138 |
| OXYCODONE CONFIRM |
$138 |
| RAPAMYCIN |
$425 |
| BUPRENORPHINE CONFIRM |
$138 |
| ADRENOCORTICOTROPIC HORMONE |
$285 |
| ALBUMIN SERUM SEND OUT |
$47 |
| MICROALBUMIN BENCEJONES |
$68 |
| MICROALBUMIN URINE |
$231 |
| ALDOLASE |
$152 |
| ALDOSTERONE SERUM |
$279 |
| ALDOSTERONE URINE |
$279 |
| ALPHA 1 ANTITRYPSIN |
$155 |
| MATERNAL SCREEN AFP QUAD |
$162 |
| ALPHA FETOPROTEIN TUMOR MARKE |
$162 |
| ALUMINUM SERUM |
$212 |
| CYSTINE URINE |
$201 |
| HOMCYSTEINE URINE QUANTITATIV |
$108 |
| DELTA AMINOLEVULINIC ACID |
$249 |
| PANCREATIC AMYLASE ISOENZYME |
$33 |
| TOTAL AMYLASE FOR ISOENZYMES |
$33 |
| ANDROSTENEDIONE |
$252 |
| ANGIOTENSIN CONVERTING ENZYME |
$138 |
| APOLIPOPROTEIN A1 |
$161 |
| APOLIPOPROTEIN B |
$165 |
| LIPOPROTEIN (A) |
$387 |
| ARSENIC BLOOD |
$151 |
| ARSENIC URINE |
$151 |
| ARSENIC TOTAL INORGANIC |
$479 |
| ARSENIC FRACTIONATED |
$485 |
| BETA 2 MICROGLOBULIN |
$134 |
| BILE ACIDS |
$129 |
| VITAMIN D2 D3 |
$100 |
| CALCITONIN |
$114 |
| CALCIUM SENDOUT |
$96 |
| CALCIUM IONIZED |
$158 |
| CALCIUM URINE 24HR |
$105 |
| CARNITINE TOTAL |
$204 |
| CARNITINE FREE |
$204 |
| CAROTENE |
$195 |
| CATECHOLAMINES PLASMA |
$231 |
| CATECHOLAMINES URINE |
$208 |
| CERULOPLASMIN |
$122 |
| MYCBACTERIUM TB BY AMPLFIED DD |
$289 |
| FECAL CHLORIDE |
$66 |
| PCB |
$316 |
| PSEUDOCHOLINESTERASE TOTAL |
$96 |
| CHOLINESTERASE RBC |
$142 |
| ANAFRANIL |
$195 |
| GABAPENTIN |
$279 |
| LAMOTRIGINE |
$129 |
| KEPPRA LEVEL |
$193 |
| CLOZAPINE LEVEL |
$110 |
| CO Q10 TOTAL |
$375 |
| TCA CONFIRMATION/ID |
$143 |
| CITRATE SERUM |
$289 |
| CITRATE URINE |
$289 |
| N-TELOPEPTIDE X-LINKED |
$245 |
| PYRIDIUM COLLAGEN CROSS LINKS |
$426 |
| DEOXYPYRIDINOLINE |
$426 |
| C TELOPEPTIDE BETA CROSS LINKD |
$289 |
| COPPER SERUM |
$162 |
| CORTISOL FREE |
$199 |
| CORTISOL URINARY FREE |
$199 |
| CRYOGLOBULIN |
$83 |
| DHEA |
$195 |
| DHEAS |
$188 |
| 11 DEOXYCORTISOL |
$245 |
| VITAMIN D 1 25 DIHYDROXY |
$371 |
| ENZYME 1 ACTIVITY TISSUE |
$24 |
| ENZYME 2 ACTIVITY TISSUE |
$24 |
| ENZYME 3 ACTIVITY TISSUE |
$24 |
| ERYTHROPOIETIN |
$205 |
| ENZYME 4 ACTIVITY TISSUE |
$24 |
| ESTRADIOL SERUM |
$239 |
| ESTROGEN FRACTIONATED BY TMS |
$194 |
| ESTRIOL SERUM |
$154 |
| ESTRONE BY TMS |
$155 |
| FECAL FAT |
$106 |
| FAT FECAL QUANT 24 HR |
$295 |
| FAT FECAL QUANT 48 HR |
$326 |
| FAT FECAL QUANT 72 HR |
$409 |
| FATTY ACIDS |
$238 |
| FOLATE RBC |
$222 |
| FETAL FIBRONECTIN |
$289 |
| IMMUNOGLOBULIN A |
$116 |
| BILL FOR IGA REFLEX |
$116 |
| IMMUNOGLOBULIN G |
$116 |
| BILL FOR IGG REFLEX |
$116 |
| IMMUNOGLOBULIN G CSF |
$116 |
| IMMUNOGLOBULIN M |
$116 |
| BILL FOR IGM REFLEX |
$116 |
| IGG SYNTHESIS RATE CSF |
$194 |
| CELIAC DISEASE PANEL |
$62 |
| IMMUNOGLOBULIN E |
$141 |
| GASTRIN |
$154 |
| GLUCAGON |
$141 |
| G-6-PD QUANT |
$179 |
| FRUCTOSAMINE |
$136 |
| FOLLICLE STIMULATING HORMONE |
$171 |
| LUTEINIZING HORMONE |
$131 |
| HAPTOGLOBIN |
$142 |
| COBALT |
$90 |
| HEMOGLOBIN FRACTIONATION |
$155 |
| HGB ELECTROPHORESIS |
$155 |
| ACID HGB ELECTROPHORESIS BILL |
$84 |
| ALK HGB ELECTROPHORESIS BILL |
$43 |
| HEMOGLOBIN EVALUATION |
$158 |
| CAPILLARY HGB ELECTROPHORESIS BIL |
$53 |
| GLYCOSYLATED HEMOGLOBIN A1C |
$129 |
| HEMOGLOBIN FREE PLASMA |
$134 |
| URINE HEMOGLOBIN |
$75 |
| URINE HEMOSIDERIN QUAL |
$54 |
| HOMOVANILLIC ACID |
$183 |
| 17-HYDROXYCORTICOSTEROIDS |
$259 |
| 5-HIAA |
$184 |
| 17-HYDROXYPROGESTERONE |
$233 |
| CYCLIC CITRULLINATD PEPTDE IGG |
$126 |
| IMMUNOASSAY FOR ANALYTE |
$112 |
| GLIADIN AB IGA |
$87 |
| GLIADIN AB IGG |
$87 |
| F ACTN SMOOTH MSCLE AB IGG W/R |
$98 |
| NEURONAL HU RI YO WESTERN BLOT |
$482 |
| PURKINJE CELL IMMUNOBLOT |
$295 |
| TISSUE TRANSGLUTAMINASE IGA |
$59 |
| TISSUE TRANSGLUTAMINASE IGG |
$171 |
| CELIAC DUAL AG SCRN |
$63 |
| 18-HYDROXYCORTICOSTERONE |
$523 |
| ANTI-T4 AUTO AB |
$233 |
| TSH RECEPTOR ANTIBODY |
$211 |
| GLUTAMATE DECARB AB |
$211 |
| PTH-RELATED PROTEIN |
$391 |
| THYROTROPIN BINDING INHIBITORY |
$1,077 |
| TRYPSIN |
$131 |
| PROCOLLAGEN TYP1 INTACT N TERM |
$809 |
| ANTI-MITOCHONDRIAL ANTIBODY |
$146 |
| RIBOSOMAL P PROTEIN AB |
$210 |
| INSULIN LEVEL |
$142 |
| INSULIN |
$134 |
| 17-KETOGENIC STEROIDS URINE |
$305 |
| 17-KETOSTEROIDS URINE |
$147 |
| LEAD URINE |
$101 |
| T-SPOT TB TEST |
$336 |
| LEAD BLOOD |
$101 |
| LEUCINE AMINOPEPTIDASE |
$210 |
| 24 HR URINE MAGNESIUM |
$108 |
| MERCURY BLOOD |
$161 |
| MERCURY URINE |
$161 |
| MERCURY URNIE UG/DAY |
$152 |
| METANEPHRINES 24 HOUR URINE |
$223 |
| METANEPHRINES PLASMA |
$449 |
| METHADONE CONFIRM |
$138 |
| MYELIN BASIC PROTEIN CSF |
$212 |
| MYOGLOBIN SERUM |
$169 |
| MYOGLOBIN URINE |
$169 |
| KAPPA FREE LIGHT CHAINS |
$183 |
| LAMBDA FREE LIGHT CHAINS |
$183 |
| NEPHELOMETRY BJ1 |
$98 |
| NEPHELOMETRY BJ2 |
$98 |
| REVERSE TRANSCRIPTION |
$90 |
| MOLEC DIAG MUTATION SCANNING |
$54 |
| MUTATION ID BY SEQUENCE |
$134 |
| 5' NUCLEOTIDASE |
$152 |
| OLIGOCLONAL BANDS CSF |
$83 |
| METHYLMALONIC ACID |
$188 |
| BONE GLA PROTEIN |
$234 |
| OXALATE |
$194 |
| HER 2 NEU SERUM |
$372 |
| PTH INTACT |
$234 |
| PARATHYROID HORMONE CAP |
$364 |
| INFANT SCREEN |
$60 |
| PKU ADDITIONAL TESTING |
$45 |
| PROSTATIC ACID PHOSPHATASE |
$164 |
| ALK PHOS ISOENZYMES |
$122 |
| PORPHOBILINOGEN URINE QUANT |
$168 |
| PORPHYRINS URINE QUANTITATIVE |
$227 |
| PREALBUMIN |
$129 |
| PREGNENOLONE |
$369 |
| 17-HYDROXYPREGNENOLONE |
$449 |
| PROGESTERONE |
$171 |
| PROLACTIN |
$139 |
| PSA FREE 1 |
$105 |
| PROTEIN REFRACTOMETER |
$19 |
| PROTEIN ELECTROPHORESIS |
$156 |
| ZINC PROTOPORPHYRIN |
$152 |
| VITAMIN B6 |
$270 |
| ACETYCHOLINE BINDING AB |
$266 |
| ACETYLCHOLINE BLOCKING AB |
$193 |
| ACETYLCHOLINE MODULATING AB |
$193 |
| PLASMA RENIN ACTIVITY |
$224 |
| SELENIUM LEVEL |
$108 |
| SEROTONIN SERUM |
$318 |
| SEX HORMONE BINDING GLOBULIN |
$143 |
| LIPID ASSOCIATED SIALIC ACID |
$145 |
| IGF1 WITH CALCULATED Z SCORE |
$117 |
| TESTOSTERONE FREE |
$289 |
| TESTSOSTERONE FREE FEMALE/CHIL |
$343 |
| BIOAVAILABLE TESTOSTERONE |
$204 |
| TESTOSTERONE FEMALE OR CHILD |
$204 |
| TESTOSTERONE TOTAL |
$204 |
| THIAMINE |
$222 |
| THIOCYANATE |
$189 |
| BILL THYROGLOBULIN BY LC MS/MS |
$150 |
| THYROGLOBULIN |
$150 |
| BILL THYROGLOBULIN BY CIA |
$65 |
| FREE T4 DIRECT DIALYSIS |
$338 |
| THYROXINE BINDING GLOBULIN |
$193 |
| THYROID STIMULATING IMMUNO |
$289 |
| VITAMIN E |
$118 |
| T3 FREE |
$169 |
| T3 REVERSE |
$179 |
| URIC ACID URINE 24 HR |
$95 |
| URINE URIC ACID RANDOM |
$95 |
| VANILLYLMANDELIC ACID URINE |
$166 |
| VASOACTIVE INTESTINAL POLYPEP |
$397 |
| ARGININE VASOPRESSIN |
$332 |
| VITAMIN A |
$118 |
| D-XYLOSE SERUM |
$199 |
| ZINC SERUM |
$113 |
| C-PEPTIDE |
$191 |
| HCG-BETA TUMOR MARKER |
$154 |
| FECAL POTASSIUM |
$66 |
| ANTI-THROMBIN III |
$270 |
| ANTI-THROMBIN III ANTIGEN |
$222 |
| PROTEIN C QUANTITATION |
$261 |
| PROTEIN C FUNCTIONAL |
$289 |
| PROTEIN S TOTAL ANTIGEN |
$275 |
| PROTEIN S FUNCTIONAL |
$289 |
| APC W/REFLEX TO FACTOR V LEIDEN |
$80 |
| PLASMINOGEN ACTIVITY |
$121 |
| BILL FOR PTT HEPARIN NEUT RFLX |
$178 |
| PLATELET NEUTRALIZATION |
$138 |
| BILL FOR HEXAGONL PHOSPHOLIPID |
$340 |
| PT SENDOUT |
$152 |
| RUSSEL VIPER VENOM |
$99 |
| BILLFOR DRVVT REFLEXED |
$99 |
| BILL FOR THROMBIN TIME REFLEXD |
$73 |
| PTT SENDOUT |
$70 |
| BILL FOR REPTILASE TIME REFLXD |
$128 |
| VISCOSITY SERUM |
$114 |
| ALLERGEN IGE |
$28 |
| ALLERGEN |
$28 |
| ANTI NEUTROPHIL AB |
$364 |
| PLATELET ANTIBODY INDIRECT |
$329 |
| HEPARIN ASSOC ANTIBODY DETECT |
$757 |
| PLATELET ANTIBODY IGG |
$243 |
| PLATELET ANTIBODY IGM |
$243 |
| PLATELET ANTIBODIES IGG |
$282 |
| PLATELET ANTIBODIES IGM |
$282 |
| ANA EVALUATION |
$140 |
| ANA BY IFA,IGG |
$75 |
| B-2 GLYCOPROTEIN IGA |
$208 |
| B-2 GLYCOPROTEIN IGG |
$78 |
| B-2 GLYCOPROTEIN IGM |
$78 |
| ANTI-CARDIOLIPIN AB IGG |
$149 |
| ANTI CARDIOLIPIN AB IGA |
$149 |
| ANTI-CARDIOLIPIN AB IGM |
$149 |
| C1 ESTERASE INHIBITOR ACTIVITY |
$169 |
| WHOLE COMPLEMENT CH50 |
$172 |
| DNASE B ANTIBODY |
$55 |
| ANTI DOUBLE STRANDED DNA |
$158 |
| DSDNA IGG IFA TITER,REFLEXED |
$100 |
| JO-1 ANTIBODY |
$192 |
| SCL 70 ANTIBODY |
$133 |
| CENTROMERE ANTIBODY IGG |
$141 |
| EXTRACTABLE NUCLEAR AG AB |
$86 |
| ENA SMITH ANTIBODY |
$86 |
| SMITH ENA AG IGG |
$64 |
| ENA RNP ANTIBODY |
$86 |
| ANTI-HISTONE AB |
$195 |
| SSA 52 RO ENA AB IGG |
$151 |
| SSA 60 RO ENA AB IGG |
$73 |
| SSB ANTIBODY |
$151 |
| ANTIGLOMERULAR BASEMENT MEMBRA |
$400 |
| ANTI-SMOOTH MUSCLE AB |
$154 |
| ANTI-STRIATED MUSCLE AB |
$175 |
| NEURONAL NUCLEAR AB REFLEX |
$175 |
| TISSUE TG IGA RFLX TO ENDO IGA |
$332 |
| ANTI-PARIETAL CELL ANTIBODY |
$155 |
| PURKINJE CELL CYTO AB |
$137 |
| ANCA IGG |
$272 |
| ENDOMYSIAL AB IGA TITIR |
$193 |
| BILL ONLY SMOOTH MUSCLE TITER |
$211 |
| BILL FOR ANCA TITER REFLEXED |
$211 |
| FLUORESCENT AB TITER EACH AB |
$254 |
| SMOOTH MUSCLE TITER |
$254 |
| BILL FOR STRIATED MUSCLE TITER |
$254 |
| BILL FOR ENDOMYSIAL TITER |
$254 |
| PURKINJE CELL AB TITTER |
$201 |
| CA 15-3 |
$155 |
| CA27.29 |
$211 |
| CHROMOGRANIN A |
$192 |
| NEURON SPECIFIC ENOLASE |
$560 |
| DIPTHERIA AB |
$114 |
| TETANUS AB |
$60 |
| PNEUMOCOCCAL ABS IGG |
$14 |
| PNEUMOCOCCAL ABS X5 |
$14 |
| PNEUMOCOCCAL ABS X8 |
$14 |
| PNEUMOCOCCAL ABS X17 |
$14 |
| PM 1 ANTIBODY |
$320 |
| GEL DIFFUSION |
$23 |
| C1Q BINDING |
$181 |
| IMMUNE COMPLEX BY RAJI CELL |
$431 |
| IMMUNOFIXATION ELECTROPHORESIS |
$172 |
| IMMUNOFIXATION OTHER FLUID |
$103 |
| INSULIN ANTIBODIES |
$201 |
| INTRINSIC FACTORS |
$167 |
| ISLET CELL ANTIBODY |
$218 |
| ANTITHYROID PEROXIDASE AB |
$141 |
| LIVER/KIDNEY AB |
$137 |
| QUANTIFERON TB GOLD PLUS 4 TUBE |
$420 |
| VDRL CSF |
$85 |
| ADENOVIRUS SERUM |
$155 |
| ANTIBODY ASPERGILLUS |
$23 |
| BARTONELLA HENSELAE IGG |
$72 |
| BARTONELLA HENSELAE IGM |
$72 |
| LYME AB IGM WESTERN BLOT |
$116 |
| LYME AB IGG WESTERN BLOT |
$116 |
| BILL IGG WESTERN BLOT REFLEXED |
$116 |
| LYME ANTIBODIES DETECTION |
$132 |
| LYME ACUTE REFLEXIVE PANEL |
$132 |
| LYME CHRONIC REFLEXIVE PANEL |
$132 |
| LYME TEST CSF |
$116 |
| CHLAMYDIA PNEUMONIA IGG |
$95 |
| CHLAMYDIA TRACHOMATIS IGG |
$95 |
| CHLAMYDIA PSITTACI IGG |
$95 |
| CHLAMYDIA PNEUMONIAE IGM |
$95 |
| CHLAMYDIA TRACHOMATIS IGM |
$95 |
| CHLAMYDIA PSITTACI IGM |
$95 |
| COCCIDIODES ANTIBODY |
$78 |
| CYTOMEGALOVIRUS IGG |
$130 |
| CYTOMEGALOVIRUS IGM |
$130 |
| COXSACKIE |
$103 |
| COXSACKIE A |
$59 |
| ECHO VIRUS |
$103 |
| ECHO VIRUS TYPE 7 |
$103 |
| ECHO VIRUS TYPE 9 |
$103 |
| ECHO VIRUS TYPE 11 |
$103 |
| POLIO VIRUS TYPE 1 |
$104 |
| POLIOVIRUS AB TYPE 2 |
$104 |
| POLIOVIRUS AB TYPE 3 |
$104 |
| EBV EARLY ANTIGEN |
$67 |
| EBV NUCLEAR ANTIGEN |
$67 |
| EPSTEIN-BARR VIRUS IGG |
$141 |
| EPSTEIN-BARR VIRUS IGM |
$141 |
| EHRLICHIA IGG CHAFFEENSIS |
$45 |
| TULAREMIA AB |
$421 |
| SACCHAROMYCES CERVISIAE IGG |
$141 |
| SACCHAROMYCES CERVISIAE IGA |
$141 |
| H PYLORI ABS |
$96 |
| HTLV1 |
$132 |
| HIV-WESTERN BLOT |
$175 |
| WESTERN BLOT HIV 1 |
$175 |
| BILL FOR HTLV1 WESTERN BLOT |
$175 |
| HEPATITIS DELTA ANTIBODY |
$142 |
| HEPATITIS DELTA IGM AB |
$386 |
| HERPES SIMPLEX I/II AB |
$174 |
| HSV I/II COMBINED AB IGM |
$174 |
| HERPES SIMPLEX TYPE 1 |
$174 |
| HSV I GLYCOPROTEIN G AB IGG |
$95 |
| HSV I IGM |
$95 |
| HSV 2 GLYCOPROTEIN G AB IGG |
$174 |
| HSV II IGG |
$95 |
| HSV II IGM |
$95 |
| HISTOPL MYCELIA |
$102 |
| HISTOPL YEAST |
$102 |
| HEPATITIS B CORE TOTAL AB |
$116 |
| HEPATITIS B CORE CONFIRM |
$116 |
| HEPATITIS B CORE IGM |
$116 |
| HEPATITIS B SURFACE ANTIBODY |
$144 |
| HEP BE ANTIBODY |
$93 |
| HEPATITIS A ABS TOTAL |
$67 |
| HEPATITIS A IGM |
$119 |
| INFLUENZA A IGM |
$134 |
| INFLUENZA A IGG |
$53 |
| INFLUENZA B IGM |
$134 |
| INFLUENZA B IGG |
$53 |
| LEGIONELLA IGG |
$169 |
| LEPTOSPIRA AB IGM BY DOT BLOT |
$94 |
| LCM IGG |
$200 |
| LCM IGM |
$200 |
| MUMPS IGM |
$167 |
| MUMPS IGG |
$107 |
| M PNEUM AB IGG |
$110 |
| M PNEUM AB IGM |
$110 |
| PARVOVIRUS B19 IGG INDEX |
$98 |
| AMOEBA ANTIBODY BY IHA |
$160 |
| ROCKY MTN IGG SPOTTED FEVER |
$80 |
| ROCKY MTN IGM SPOTTED FEVER |
$80 |
| RUBELLA IGG |
$103 |
| RUBELLA IGM |
$125 |
| MEASLES IGG |
$140 |
| MEASLES IGM |
$180 |
| TOXOPLASMA IGG |
$119 |
| TOXOPLASMA IGM |
$119 |
| FTA-ABS |
$98 |
| TREPONEMA PALLIDUM AB BY TP PA |
$110 |
| VARICELLA ZOSTER IGG |
$129 |
| VARICELLA ZOSTER IGG CSF |
$89 |
| VARICELLA ZOSTER IGM CSF |
$89 |
| VARICELLA ZOSTER IGM |
$129 |
| DENGUE IGG |
$85 |
| DENGUE IGM |
$85 |
| PARAINFLUENZA |
$119 |
| PARAINFLUENZA IGM |
$75 |
| WEST NILE AB IGG |
$213 |
| WEST NILE AB IGM |
$213 |
| DENGUE FEVER BY ELISA |
$215 |
| DENGUE FEVER BY PCR |
$215 |
| ANTI-THYROGLOBULIN AB |
$125 |
| HEPATITIS C |
$144 |
| HCV RIBA |
$362 |
| HLA-B27 |
$238 |
| HLA B27 TYPING |
$238 |
| LEGIONELLA CULTURE |
$352 |
| BORDETELLA PERTUSSIS CULTURE |
$44 |
| CULTURE CHLAMYDIA RESP |
$369 |
| HSV CULTURE TYPING |
$102 |
| RSV DFA |
$77 |
| CULTURE HERPES SIMPLEX |
$213 |
| CULTURE RSV |
$205 |
| CULTURE TISSUE INNOCULATION |
$205 |
| CULTURE VIRUS ISOLATION |
$205 |
| CULTURE TISS ADL STDY EA |
$165 |
| IP STAIN |
$165 |
| VIRUS CULTURE ADD'L STUDY |
$165 |
| SHELL VIAL |
$297 |
| GENETIC ISOLATION |
$193 |
| LEGIONELLA DFA DIRECT ANTIGEN |
$454 |
| CMV ANTIGEN |
$118 |
| HPYLORI ANTIGEN |
$188 |
| HEPATITIS B SURFACE ANTIGEN |
$84 |
| HBSAG CONFIRMATORY |
$106 |
| HEP BE ANTIGEN |
$101 |
| HEPATITIS DELTA ANTIGEN |
$342 |
| HISTOPLASM ANTIGEN |
$245 |
| ROTAVIRUS STOOL |
$113 |
| CHLAMYDIA PNEUMONIAE PCR |
$289 |
| CMV BY PCR |
$326 |
| CMV DNA QUANT,PCR |
$289 |
| HEPATITIS C RNA QUANTITATIVE |
$289 |
| HEPATITIS C HCV BY NAAT |
$289 |
| HERPES SIMPLEX BY PCR |
$321 |
| HIV 1 RNA QUAN PCR REAL TIME |
$409 |
| MYCBACTERUM TB BY PCR TIS ONLY |
$289 |
| MYCOPLASMA PNEUMONIAE PCR |
$405 |
| EBV BY PCR |
$289 |
| PCR DNA AMP FOR ORGANISM |
$538 |
| VARICELLA ZOSTER BY PCR |
$326 |
| WEST NILE RNA BY PCR |
$573 |
| AMPLIFIED PROBE EACH ORGANISM |
$60 |
| APTIMA |
$231 |
| HEP C GENOTYPING |
$289 |
| BILL FOR HCV GENOTYPE REFLEX |
$759 |
| CHROMIUM SERUM |
$86 |
| CHROMIUM URINE |
$121 |
| CHROMIUM WHOLE BLOOD |
$265 |
| GROWTH HORMONE |
$67 |
| BK VIRUS BLOOD PCR |
$380 |
| BK VIRUS URINE PCR |
$380 |
| ENTEROVIRUS,PCR |
$170 |
| RESPIRATORY VIRUS PANEL, PCR |
$1,728 |
| B CELLS TOTAL COUNT |
$55 |
| NATURAL KILLER CELLS . |
$55 |
| T CELLS TOTAL COUNT |
$55 |
| ABSOLUTE C4 C8 |
$67 |
| BABESIA IGG MICROTI |
$72 |
| F2 GENE |
$150 |
| F5 GENE |
$230 |
| HFE GENE |
$289 |
| IKBKAP GENE |
$990 |
| IGH GENE REARRANGE AMP METH |
$990 |
| MTHFR GENE |
$288 |
| MOPATH PROCEDURE LEVEL 1 |
$1,800 |
| VITAMIN K |
$90 |
| B PERTUSSIS AB,IGG |
$21 |
| 14-3-3 PROTEIN TAU/THETA CSF |
$120 |
| ZIKA VIRUS BY PCR BLOOD |
$205 |
| ZIKA VIRUS BY PCR URINE |
$205 |
| CHIKUNGUNYA ANTIBODY IGG |
$62 |
| CHIKUNGUNYA ANTIBODY IGM |
$62 |
| HANTAVIRUS ANTIBODY IGG |
$58 |
| HANTAVIRUS ANTIBODY IGM |
$58 |
| ACANTHAMOEBA & NAEGLERIA CULT |
$48 |
| AMOEBA CALCOFLUOR STAIN |
$48 |
| AMOEBA GIEMSA STAIN |
$48 |
| Mannose Binding Lectin ARUP |
$110 |
| Anti-Mullerian Hormone ARUP |
$110 |
| Fatty Acid PF Ess Ser/Pls ARUP |
$450 |
| IGF Binding Protein-3 ARUP |
$50 |
| T3 Uptake ARUP |
$116 |
| T3 Uptake ARUP PANEL |
$116 |
| Thyroxine ARUP PANEL |
$122 |
| Hep B Virus by Quant PCR ARUP |
$200 |
| EpsteinBarr Vir Quant PCR ARUP |
$220 |
| Sucrase ARUP DISACC |
$24 |
| Lactase ARUP DISACC |
$24 |
| Palatinase ARUP DISACC |
$24 |
| Maltase ARUP DISACC |
$24 |
| Panc Elastase Fecal ELISA ARUP |
$140 |
| Calprotectin Fecal ARUP |
$130 |
| Allergen Food |
$28 |
| Magnesium RBC ARUP |
$75 |
| Tryptase ARUP |
$75 |
| Allergen Food Mld |
$60 |
| Immunoglobulin E ARUP ADLT |
$25 |
| GM1 Antibody IgG |
$99 |
| GM1 Antibody IgM |
$99 |
| Myeloperox Abs, IgG ARUP |
$99 |
| LYMPH MITOGEN PROLIF RSLT (Q3) |
$135 |
| Ebola SBOH COLLECTION/PREP |
$50 |
| YELLOW FevER SBOH COLL/PREP |
$50 |
| Variol Mnr Smpox SBOH COLL/PRP |
$50 |
| Rabies Virus SBOH COLL/PREP |
$50 |
| Eq Encephalitis SBOH COLL/PREP |
$50 |
| AMINO ACIDS QUANT PLASMA |
$190 |
| REDUCING SUBST FECAL ARUP |
$50 |
| ORGANIC ACIDS URINE ARUP |
$219 |
| MENINGITIS ENCEPH PCR CSF ARUP |
$1,200 |
| DHT (5-A-DIHYDROTESTOS) ARUP |
$98 |
| 5 FU TOXICITY (DPYD) ARUP |
$900 |
| DRUGS OF ABUSE MECONIUM W RFX |
$180 |
| BILL FOR OPIATES MECON A |
$130 |
| BILL FOR OPIATES MECON B |
$130 |
| BILL FOR AMPHET MECON A |
$130 |
| BILL FOR AMPHET MECON B |
$130 |
| BILL FOR DRUG MECON CONF |
$260 |
| 50 SPECIMEN COLLECTION AND PREP |
$50 |
| 25 COLLECTION AND PREP |
$25 |
| 35 COLLECTION AND PREP |
$35 |
| TOTAL EOSINOPHIL CT 1 |
$66 |
| CRYPS AG SERUM |
$111 |
| MDVIP |
$34 |
| THERAPEUTIC PLASMA EXCHANGE |
$2,789 |
| THERAPEUTIC PLATELETDEPLETION |
$2,789 |
| THERAPEUTIC APHERESIS WBC |
$2,789 |
| THERAPEUTIC APHERESIS RBC |
$3,900 |
| CLINICAL PATH CONSULT |
$60 |
| BRAF GENE ANALYSIS |
$200 |
| BONE MARROW SMEAR INTERPRETAT |
$456 |
| FLD CYTO WASHINGS/BRUSHINGS |
$119 |
| CYTOSPIN WITH CONCENTRATION |
$134 |
| CYTO CERV/VAG THIN PREP 1 |
$140 |
| CYTOLOGY SMEAR TOUCH PREP |
$72 |
| CYTOLOGY TOUCH PREP |
$119 |
| CYTO EXTENDED 5 SLIDES |
$120 |
| PAP SMEAR BETHESDA |
$96 |
| EVAL OF FNA |
$122 |
| EVAL FNA ADDL |
$122 |
| INTERP AND REPORT OF FNA |
$122 |
| FLOW DNA ANALYSIS |
$337 |
| FLOW CELL CYCLE ANALYSIS |
$337 |
| FLW CELL SURF/CYT/NUC MARK 1ST |
$217 |
| FLW CELL SRF/CYT/NUC MAR EA AD |
$120 |
| ADDT'L MARKER |
$120 |
| TISSUE CUURE LYMPHOCYTE |
$817 |
| CUURE POC TISSUE |
$1,232 |
| CULTURE TISSUE CHROMOSOME |
$289 |
| CHRMSME CNT 15-20/2KARO W/BAND |
$289 |
| CHRMSME ANALYSIS 20-35 CELLS |
$846 |
| CHRMSME KARYOTYPING EA STUDY |
$1,185 |
| LEVEL I PATH EXAM |
$124 |
| LEVEL II PATH EXAM |
$234 |
| LEVEL III PATH EXAM |
$347 |
| LEVEL IV PATH EXAM |
$400 |
| LEVEL IV 2+SPECIMEN |
$400 |
| PROSTATE NEEDLE BIOPSY |
$289 |
| CELL BLOCK CYTOLOGY |
$400 |
| LEVEL V PATH EXAM |
$637 |
| LEVEL VI PATH EXAM |
$800 |
| DECALCIFY PROCEDURE |
$119 |
| STAIN |
$169 |
| SPECIAL STAINS GRP2 |
$166 |
| STAIN AMYLOID (CONGO RED) |
$166 |
| STAIN ELASTIC |
$166 |
| STAIN IRON |
$166 |
| STAIN MUCICARMINE |
$166 |
| STAIN PAS |
$166 |
| STAIN RETICULUM |
$166 |
| STAIN WRIGHT-GEIMSA |
$166 |
| STAIN SPECIAL FROZEN SECTION |
$110 |
| GROUP III FOR ENZYME CONSTITUENTS |
$256 |
| CONSULT/SLIDES REFRRD ELSEWHRE |
$220 |
| CONSULT PATH SLIDE |
$168 |
| CONSULT/REPORT REFRRD MATERIAL |
$321 |
| CONSULT DURING SURGERY GROSS |
$32 |
| FROZEN SECTION 1ST BLK SPEC |
$208 |
| FROZEN SECTION EA ADD'L BLOCK |
$116 |
| TOUCH PREP INITIAL SITE |
$456 |
| TOUCH PREP EA ADDL SITE |
$72 |
| IHC PER SPECIMEN INITIAL STAIN |
$232 |
| IHC PER SPECIMEN ADDTL STAIN |
$232 |
| IHC PER SPECIMEN MULTIPLEX STAIN |
$350 |
| IHC ADDITIONAL STAIN |
$289 |
| HER 2/NEU TISSUE ASSAY |
$217 |
| PAP SMR SCREEN BY CYTOTECH MC |
$106 |
| HC FOR ENZYME CONTITUENTS |
$992 |
| ELECTRON MICROSCOPY DIAGNOSTIC |
$456 |
| MORPHOMETRIC ANALYSIS 1 |
$210 |
| IHC QUANT OR SEMIQUANT MANUAL |
$265 |
| MORPHOMETRIC ANALYSIS 2 |
$210 |
| MORPHOMERIC ANALYSIS 3 |
$210 |
| MORPHOMETRIC ANALYSIS 4 |
$210 |
| M PHMETRIC ANLSYS ECH PROBE |
$217 |
| M PHMETRIC ANALYSIS(ISH)ECH PROBE |
$300 |
| GENE PROBE EACH |
$315 |
| ALK 1 FISH |
$289 |
| BCR ABL FISH |
$289 |
| ROS 1 |
$310 |
| ONCOTYPE DX |
$11,950 |
| HER2NEU IHC |
$75 |
| ER IHC |
$75 |
| PR IHC |
$75 |
| MICRODISSECTION MANUAL |
$79 |
| UNLISTED MOLECULAR 1 |
$165 |
| UNLISTED MOLECULAR 2 |
$165 |
| MULTIPLEX PROBE |
$289 |
| MLCULAR CYTGENTIC,DNA PROBE EA |
$110 |
| IN SITU HYBRIDIZATION 100-300 |
$314 |
| BCR/ABL1 GENE MAJOR BP |
$289 |
| BCR/ABL1 GENE MINOR BP |
$289 |
| EFGR GENE COM VARIANTS |
$289 |
| JAK2 GENE |
$435 |
| KRAS GENE |
$150 |
| TRG GENE REARRANGEMENT |
$555 |
| CYTOLOGY THIN PREP NON GYN |
$230 |
| MORPHORMETRIC ANAL COMPUTER ASST |
$210 |
| IMMUNOFL PER SPEC INIT SNGL AB |
$210 |
| IMMUNO PER SPEC EA ADD SNGL AB |
$103 |
| ECG/EKG |
$496 |
| CARDIOVASCULAR STRESS TEST |
$1,365 |
| STRESS TEST CARDIOLITE |
$1,365 |
| HOER MONIT RECORD UP TO 48HR |
$534 |
| HOLTER MONITOR SCAN/ANALYSIS |
$289 |
| ECHO COMPLETE |
$1,515 |
| ECHO 3D RENDERING |
$622 |
| TEE 3D RENDERING |
$622 |
| ECHO 2D FOL UP/LMTD |
$944 |
| TEE ONLY |
$2,036 |
| TI TABLE EVALUATION |
$1,428 |
| CONTRAST ECHO PER ML |
$121 |
| CARDIOVERSION |
$927 |
| ANESTHESIA MONITORED CARE |
$581 |
| CARDIAC REHAB PHASE 2 |
$602 |
| PULMONARY STRESS TEST SIMPLE |
$548 |
| PULMONARY EXERCISE |
$260 |
| CARDIAC REHAB PHASE 3 PREPAY |
$14 |
| PULM REHAB PHASE 3 PREPAY |
$14 |
| PHASE 3 MONTHLY SP |
$113 |
| PULMONARY REHAB PROGRAM |
$399 |
| RIGHT HEART CATH |
$5,454 |
| HEART CATH |
$8,181 |
| CORONARY ANGIO GRAFTS NO LVA |
$8,181 |
| DRUG ADMIN HEMO |
$150 |
| PHYS EXERCISE W/HEMO MEASURE |
$200 |
| INSERTION SWAN GANZ |
$3,954 |
| ENDOMYOCARDIAL BIOPSY |
$3,954 |
| RH TXSEPTAL LHC |
$8,181 |
| BALLOON CATHETER |
$1,257 |
| FLASH DUAL BALLOON SYSTEM |
$2,400 |
| HEMOSTATIC DISC |
$105 |
| CATHETER DIALYSIS TEMP |
$450 |
| INJ COR ANGIO/CONGNTL ANOM |
$600 |
| INJ COR ANGIO/GRAFTS CONGNT ANOM |
$600 |
| LA/LV ANGIOGRAPHY |
$900 |
| RA/RV ANGIOGRAPHY |
$1,200 |
| AO ROOT |
$500 |
| PULMONARY ANGIOGRAPHY |
$500 |
| INTRAVAS FFR |
$600 |
| INSERT VAD ARTERY ACCESS IMPELLA |
$20,800 |
| REMOVE VAD DIFF SESSION IMPELLA |
$5,300 |
| REPOS VAD DIFF SESSION IMPELLA |
$5,300 |
| TEMPORARY PACER INSERTION |
$12,889 |
| UNLISTED VAS PROCEDURE |
$214 |
| INS GEN PACER W/EXIST SGL LEAD |
$12,889 |
| INS GEN PACER W/EXST DUAL LEAD |
$18,694 |
| CONVERT SFL PACER TO DUAL SYS |
$18,694 |
| INS SINGLE LEAD PACER GEN SYS |
$18,694 |
| INS DUAL LEAD PACER GEN SYS |
$18,694 |
| REM/REPL PM GEN MU LEAD |
$20,090 |
| INSERT LV LEAD INCL CONNECT |
$18,694 |
| REPOSITION LV LEAD INCL CONNECT |
$5,131 |
| ABD CATH 3RD ORD |
$1,430 |
| LEADLESS PM INS/REPL VENTR |
$27,100 |
| RETRIEVE INTRAVAS FB |
$2,995 |
| LEADLESS PM REMOVAL VENTR |
$5,500 |
| LEADLESS PM |
$647 |
| INFUSION FOR THOR |
$1,077 |
| SP PICC LINE PLACEMENT |
$2,289 |
| SP NON TUNNEL CATH PLACEMENT |
$2,289 |
| SP ARTERIAL MECH THRMBCTMY ADD |
$5,222 |
| THORACIC CATH 3RD |
$1,314 |
| THORACIC CATH 2ND |
$1,271 |
| THORACIC CATH 1ST |
$1,474 |
| ABD CATH 2ND ORD |
$1,436 |
| ABD CATH 1ST ORD |
$1,572 |
| PTA SUBCLAV STENT W/WO ANGIO |
$18,958 |
| ILIAC REVASC |
$8,938 |
| ILIAC REVASC |
$11,570 |
| FEM/POPL REVAS W/TLA |
$8,938 |
| FEM/POPL REVAS W/ATHER |
$18,958 |
| FEM/POPL REVASC W/STENT |
$18,958 |
| FEM/POPL REVASC STNT AND ATHER |
$29,236 |
| TIB/PER REVASC W/TLA INITIAL |
$18,958 |
| TIB/PER REVASC STENT AND ATHER |
$29,236 |
| TIB/PER |
$11,570 |
| TIB PER REVASC W/ATHER ADD ON |
$24,550 |
| REVSC OPN/PRQ TIB/PERO STENT |
$11,570 |
| TRLUML PERIP ATHRC RENAL ART |
$18,958 |
| TRLUML PERIP ATHRC VISCERAL |
$19,540 |
| TRLUML PERIP ATHRC ABD AORTA |
$18,958 |
| TRLUML PERIP ATHRC BRCHIOCPH |
$18,958 |
| ATH PCI STNT ADD COR VSL BMS |
$19,400 |
| CATH PLCMT INTRNL CARTD W/ANG |
$8,864 |
| CATH PLCMT |
$5,925 |
| ANGIO/CATH PLCMT VERT ART |
$8,864 |
| INTRA ATRIAL PACING |
$9,127 |
| EP EVAL CD W GEN TEST |
$1,830 |
| INTRA VENTRICULAR PACING |
$9,127 |
| TEMP TRANSCUTANEOUS PACING |
$647 |
| PCI REVAS CABG SGL COR VSL BMS |
$18,958 |
| PCI REVAS CABG ADD COR VSL BMS |
$19,400 |
| CONSCIOUS SEDATION >=5 INIT 15M |
$118 |
| CONSCIOUS SEDATION EA ADDL 15M |
$97 |
| INTRO CATH DIAL CRCT |
$1,338 |
| INTRO CATH DIAL CRCT W BAL ANG |
$9,438 |
| INTRO CATH DIAL CRCT W STNT PLC |
$19,078 |
| THRMB/INF DIALY CRCT |
$9,440 |
| THRMB/INF DIALY CRCT W BAL ANG |
$19,078 |
| THRMB/INF DIALY CRCT W STNT PLC |
$28,920 |
| BALN ANGIOPL DIAL CRCT |
$664 |
| PLCMT STENT DIAL CRCT |
$575 |
| VASC EMB/OCC DIAL CRCT |
$734 |
| TRANS BALN ANGIO INITIAL ARTERY |
$9,440 |
| TRANS BALN ANGIO INITIAL VEIN |
$9,440 |
| TRANS BALN ANGIO |
$1,700 |
| PSEUDOANEURYSM REPAIR |
$459 |
| US GUIDE COMPRS RPR PSEUDO |
$643 |
| CPR |
$647 |
| PERICARDIOCENTESIS |
$1,427 |
| IABP INSERTION |
$500 |
| IABP REMOVAL |
$500 |
| INTRO NEEDLE/CATHETER, VEIN |
$192 |
| IVUS/OCT INITIAL VESSEL |
$2,704 |
| IVUS/OCT EA ADDL VESSEL |
$1,930 |
| THROMBOLYSIS CORONARY BY INFUSION |
$2,628 |
| PCI STNT COR SGL VES BMS |
$18,958 |
| PTCA SINGLE VESSEL |
$8,938 |
| CORONARY ARTHERECTOMY SGL VESSEL |
$18,958 |
| PROGRAM EVAL DUAL LEADS |
$100 |
| PROGRAM EVAL SINGLE LEAD |
$100 |
| FLOURO UP TO 1 HOUR |
$618 |
| FLUOROSCOPY OF AORTIC VALVE |
$450 |
| AORTOGRAM NON SELECTIVE |
$1,212 |
| AORTAGRAM THORACIC S AND I |
$2,113 |
| AORTOGRAM AB/BIL ILEOFEM S AND I |
$3,000 |
| ANGIO RENAL UNI SEL INCL S&I |
$2,500 |
| ANGIO RENAL BIL SEL INCL S&I |
$3,631 |
| ANGIO SELECTIVE ADDL VESSELS |
$463 |
| VENOGRAM CAVAL INFER S AND I |
$463 |
| PLACE IVC FIER S AND I |
$3,929 |
| FLOURO GUID FOR VENOUS ACCESS |
$659 |
| ANGIO VIA CATH EMBOLIZE/INF |
$463 |
| US GUIDE VASCULAR ACCESS |
$708 |
| REPAIR SINGLE LEAD PACEMCK/ICD |
$5,131 |
| REPAIR DUAL LEAD PACEMCK/ICD |
$5,131 |
| REPOSITION IMPLANTED LEADS |
$5,131 |
| INS SINGLE TV ELECTRODE PM/ICD |
$8,965 |
| RELOCATION PACEMAKER POCKET |
$3,389 |
| RELOCATION ICD POCKET |
$3,389 |
| PCI STNT COR ADD VES BMS |
$19,400 |
| PTCA ONLY CORONARY ADD VESSEL |
$13,446 |
| THROMBECTOMY CORONARY |
$8,527 |
| PCI AMI ATH ASP SGL COR VSL W/BMS |
$18,958 |
| PCI CTO REVAS SGL COR VSL BMS |
$18,958 |
| PCI CTO REVAS ADD COR VSL BMS |
$19,400 |
| INSERT TUNNELED CVC W/O PORT 5UP |
$4,436 |
| PCI STNT COR DES SGL |
$18,958 |
| PCI STNT COR DES ADD |
$14,618 |
| ATH PCI STNT |
$29,236 |
| ATH PCI STNT COR DES ADD |
$14,618 |
| PCI REVAS CABG COR DES |
$18,958 |
| PCI REVASC CABG COR DES ADD |
$14,618 |
| PCI AMI ATH ASP COR W/DES SGL |
$29,236 |
| PCI CTO REVAS COR DES SGL |
$29,236 |
| PCI CTO REVAS COR DES ADD |
$14,618 |
| IMP CARD EVENT RECORD |
$12,888 |
| REMOVE CARD EVENT RECORD |
$2,441 |
| REMOVAL ICD GENERATOR |
$6,933 |
| REM/REPL ICD |
$45,126 |
| INITIAL ICD SYSTEM |
$60,686 |
| INS LV PACING LEAD PM/ICD ADD ON |
$2,400 |
| REM/REPL ICD GEN ONLY MUI |
$60,686 |
| THROMB ART THER W S&I INIT DAY |
$6,500 |
| THROMB VEN THER W S&I INIT DAY |
$6,500 |
| CESS THROMB ART/VEN INCL RMVL |
$6,500 |
| INTRA ARTERIAL INJECTION |
$111 |
| PICC LINE |
$265 |
| REMOVAL OF PM GENERATOR ONLY |
$7,262 |
| REMVL TV PM LEAD(S) 1-LEAD SYS |
$2,700 |
| FEMOSTOP |
$250 |
| GUIDING CATHETER |
$232 |
| RADIAL TR BAND |
$113 |
| GUIDE WIRE PCI |
$265 |
| SECURE DEVICE |
$173 |
| CATHETER |
$40 |
| PERICARDIO KIT |
$360 |
| SWANGANZ 6FR CATH |
$430 |
| SWANGANZ 7FR CATH |
$190 |
| GUIDELINER CATHETER |
$950 |
| CATHETER DUAL LUMEN PIGTAIL |
$360 |
| VIPERWIRE ADVANCE .014 |
$497 |
| GLIDEWIRE |
$649 |
| CORONARY BIFURCATION BMS STENT |
$7,500 |
| BARE METAL COR STENT |
$4,000 |
| NEEDLE MICROPUNCTURE KIT |
$260 |
| VISIPAQUE PER ML |
$4 |
| NON IONIC CONTRAST PER ML |
$3 |
| RETRIEVAL DEVICE SNARE |
$1,240 |
| MICRA INTRODUCER SHEATH |
$1,240 |
| SP CORDIS TRAPESE |
$5,547 |
| SAFETY WIRE GUIDE IN |
$163 |
| SHEATH REGULAR |
$171 |
| SHEATH LONG |
$282 |
| INDEFLATOR |
$308 |
| SMART NEEDLE |
$563 |
| STENT RENAL |
$5,326 |
| STENT PERIPHERAL |
$7,012 |
| IAPB BALLOON |
$2,377 |
| PCI BALLOON |
$461 |
| ROTATIONAL ATHERECTOMY CATH |
$7,245 |
| PACER GEN SNG(3000T4000) |
$17,605 |
| PACER GEN SNG |
$22,635 |
| PACER GEN OTHER |
$22,635 |
| LEADLESS PM SYSTEM (8001T9000) |
$43,750 |
| PACER LEAD(501T600) |
$2,770 |
| PACER LEAD(801T900) |
$2,444 |
| PACER GEN OTHER (7001T8000) |
$37,500 |
| ICD GEN |
$95,570 |
| ICD GEN |
$115,690 |
| ICD GEN |
$135,005 |
| ICD GEN |
$135,005 |
| STENT GRAFTMASTER |
$12,475 |
| STENT CORONARY DRUG ELUTING |
$6,700 |
| ANTI BACT ENVELOPE |
$1,790 |
| VASC STENT GRAFT W DELS SYS |
$17,500 |
| FIER WIRE PROTECTION |
$2,720 |
| IVUS CATHETER |
$1,575 |
| CATHETER ASPIRTION CORONARY |
$912 |
| CATHETER THROMBECTOMY |
$3,770 |
| IMPELLA CP KIT VAD |
$125,000 |
| MDTR LEAD PM CAPS SENSE 407452 |
$2,565 |
| MDTR LEAD PM CAPFIX NOV 5076XX |
$2,565 |
| MDTR LEAD PM SELECTSUR 3830XX |
$2,565 |
| MDTR LEAD PM ATTAIN PER 4X9888 |
$9,400 |
| MDTR PM ADVISA SR A3SR01 |
$18,225 |
| MDTR PM AZURE SR W1R01 |
$18,225 |
| MDTR LEAD ICD SPRNQTTRO 69XXMXX |
$19,210 |
| MDTR PM ADVISA DR A2DR01 |
$20,500 |
| MDTR PM AZURE DR W1DR01 |
$20,500 |
| MDTR ICD VISIA SR DVFB1D1 |
$65,100 |
| MDTR ICD EVERA DR DDMB1D1 |
$73,940 |
| MDTR ICD VIVA XT DTBA1D1 |
$82,000 |
| MDTR ICD |
$90,000 |
| MDTR ICD |
$93,500 |
| ICD LEAD NON SGL/DUAL 400T500 |
$2,255 |
| ICD LEAD NO NSGL/DUAL 801T900 |
$4,255 |
| ICD LEAD NON SGL/DUAL 1101T1200 |
$5,755 |
| ICD GEN |
$125,005 |
| IMP CARDIAC ENVT REC 3000T5000 |
$23,000 |
| ARISTA HEMOSTAT 1G |
$328 |
| ARISTA HEMOSTAT 3G |
$468 |
| IMPLANT LEAD VENT 401T500 |
$2,255 |
| IMPLANT LEAD |
$2,755 |
| IMPLANT LEAD VENT 601T700 |
$3,255 |
| IMPLANT LEAD VENT 701T800 |
$3,755 |
| IMPLANT LEAD VENT 801T900 |
$4,255 |
| IMPLANT LEAD VENT 901T1000 |
$4,755 |
| IMPLANT LEAD VENT 1001T1100 |
$5,255 |
| IMPLANT LEAD VENT 1101T1200 |
$5,755 |
| IMPLANT LEAD VENT 1201T1300 |
$6,255 |
| IMPLANT LEAD VENT 1301T1400 |
$6,505 |
| ICD GENERATOR |
$85,510 |
| ICD GENERATOR |
$105,630 |
| ICD GEN |
$135,005 |
| ICD LEAD ENDO DUAL COIL 501T600 |
$2,755 |
| ICD LEAD ENDO DUAL COIL 801T900 |
$4,255 |
| ICD LEAD |
$4,755 |
| ICD LEAD ENDO |
$5,255 |
| ICD LEAD ENDO |
$5,755 |
| ICD LEAD ENDO |
$6,255 |
| ICD LEAD ENDO |
$6,505 |
| ABB LEAD PM TEND MR LPA1200MXX |
$2,165 |
| ABB LEAD PM TEND STS 2088TCXX |
$2,165 |
| ABB LEAD LV QUAQUIK OPT 1458Q86 |
$9,605 |
| ABB LEAD ICD |
$16,805 |
| ABB PM SR ASSURITY MRI PM1272 |
$16,805 |
| ABB PM DR ASSURITY MRI PM2272 |
$16,805 |
| ABB PM QUADRA ALLURE PM3262 |
$31,210 |
| ABB ICD ELIP PARDUAL CD241136C |
$64,820 |
| ABB ICD ELIPTHK12DUAL CD241136Q |
$64,820 |
| ABB ICD FORT PARDUAL CD235740C |
$64,820 |
| ABB ICD FORT THK12DUAL CD235740C |
$64,820 |
| ABB ICD QUADASSUR MP THK CD3369 |
$88,590 |
| CARDIOVASCULAR SCREENING |
$69 |
| AERIS FFR WIRE |
$1,300 |
| DRAGONFLY OCT CATHETER |
$1,500 |
| DRUG ELUTING PTA BALLOON |
$2,980 |
| EEG AWAKE/DROWSY |
$1,100 |
| EEG AWAKE/ASLEEP PEDIATRIC |
$1,400 |
| CHEMO ADMIN BLADDER INSTILLATION |
$609 |
| IV HYDRATION EA ADD HR |
$472 |
| IV INFUSION |
$1,200 |
| IVP INJECTION INITIAL |
$579 |
| CHEMO ADM IV SEQ UP TO 1 HR |
$1,201 |
| REFILL/MAINTAIN PORTABLE PUMP |
$973 |
| IRRIGATION OF PORT |
$1,202 |
| VISIT LEVEL 1 NEW OP |
$168 |
| VISIT LEVEL 2 NEW OP |
$229 |
| VISIT LEVEL 3 NEW OP |
$290 |
| VISIT LEVEL 5 NEW OP |
$406 |
| DECLOTTING OF VAD |
$443 |
| VISIT LEVEL 1 ESTABLISHED OP |
$168 |
| VISIT LEVEL 3 ESTABLISHED OP |
$290 |
| VISIT LEVEL 5 ESTABLISHED OP |
$406 |
| URINE COLLECT BLADDER CATH |
$39 |
| CLINIC VISIT EST UP TO 10 MINUTES |
$168 |
| CLINIC VISIT EST UP TO 20 MINUTES |
$229 |
| PICC LINE REPLACEMENT |
$910 |
| PICC LINE INSERTION BY OP ONC |
$2,017 |
| PICC LINE REPAIR |
$793 |
| ULTRASOUND GUIDANCE |
$708 |
| PICC DECLOTTING OF VAD |
$443 |
| IRRIG DRUG DELIVERY DEVICE |
$602 |
| MIDLINE CATHETER INSERTION |
$192 |
| MIDLN PWRGLD CATH ONLY 18-20 G |
$242 |
| MIDLINE 4FR SINGLE LUM FB KIT |
$308 |
| PICC SINGLE LUMEN TRAY |
$531 |
| PICC DOUBLE LUMEN TRAY |
$546 |
| PICC TRIPLE LUMEN TRAY |
$589 |
| CT SCAN FOR THERAPY GUIDE |
$1,884 |
| SIMULATION SIMPLE |
$1,441 |
| SIMULATION INTERMED |
$952 |
| SIMULATION COMPLEX |
$2,833 |
| 3D SIMULATION AIDED FIELD SETNG |
$5,039 |
| DOSIMETRY PLAN |
$515 |
| IMRT W/ DOSE VOLUME HISTOGRAM |
$4,758 |
| TELETHERAPY SIMPLE |
$549 |
| TELETHERAPY COMPLEX |
$2,266 |
| SPECIAL TELETHERAPY PORT PLAN |
$947 |
| BRACHTHERAPY SIMPLE |
$1,386 |
| BRACHTHERAPY INTERMED |
$1,951 |
| BRACHTHERAPY COMPLEX |
$2,349 |
| DOSIMETRY SPECIAL MICRO |
$440 |
| DOSIMETRY SPECIAL SOURCE ASSAY |
$440 |
| TREATMENT BLOCK SIMPLE |
$510 |
| TREATMENT BLOCK INTERMED |
$697 |
| TREATMENT BLOCK COMPLEX |
$1,833 |
| CONSU PHYSICS WEEKLY |
$750 |
| TX DEVICE IMRT |
$585 |
| SRS LINEAR BASED |
$19,238 |
| SBRT DELIVERY |
$3,748 |
| SPECIAL PHYSICS CONSU |
$755 |
| NTSTY MODUL RAD TX DLVR SMPL |
$5,236 |
| NTSTY MODUL RAD TX DLVR CPLX |
$5,236 |
| OTHER PROCEDURES,TX DEV,SPEC SERV |
$234 |
| RAD TRT DELIV >=1MEV SIMPLE |
$853 |
| RAD TRT DELIV >=1MEV INTERMED |
$1,070 |
| RAD TRT DELIV >=1MEV COMPLEX |
$3,785 |
| PORT FILMS PER 5 TREATMENTS |
$191 |
| IOERT |
$20,265 |
| SPECIAL TREATMENT PROCEDURE |
$1,780 |
| LOAD/SUPERVISE/HANDLE ISOTOPE |
$395 |
| LEVEL 2 VISIT ESTABLISHED OP |
$229 |
| LEVEL 3 VISIT ESTABLISHED OP |
$290 |
| LEVEL 4 VISIT ESTABLISHED OP |
$350 |
| LEVEL 5 VISIT ESTABLISHED OP |
$406 |
| BRACHYTX SOURCE PER SOURCE IR 192 |
$1,513 |
| FLEXI CATHETER BRACHYTHERAPY |
$90 |
| RADIATION ONC SPECIAL PROCEDURE |
$2,647 |
| LARYNGOSCOPY FLEX DIAGNOSTIC |
$387 |
| STEREOSCOPIC X-RAY GUIDANCE |
$754 |
| LEVEL 2 VISIT NEW PT |
$229 |
| LEVEL 3 VISIT NEW PT |
$290 |
| LEVEL 4 VISIT NEW PT |
$350 |
| LEVEL 5 VISIT NEW PT |
$406 |
| INSERT UTERI TANDEM/OVOIDS |
$5,358 |
| INSERTION VAG BRACHY DEVICE |
$750 |
| HDR NTSTL/ICAV BRCHTX 1 CH |
$7,104 |
| HDR NTSTL/ICAV BRCHTX 2 - 12 CH |
$7,216 |
| HDR NTSTL/ICAV BRCHTX > 12 CH |
$7,329 |
| CK CT SCAN FOR THERAPY GUIDE |
$1,884 |
| CK SIMULATION COMPLEX |
$2,833 |
| CK 3D SIMUL AIDED FIELD SETNG |
$5,039 |
| CK DOSIMETRY PLAN |
$515 |
| CK TREATMENT BLOCK COMPLEX |
$1,833 |
| CK CONSU PHYSICS WEEKLY |
$750 |
| CK SPECIAL PHYSICS CONSU |
$755 |
| CK SRS LINEAR BASED |
$19,238 |
| CK SBRT DELIVERY |
$3,748 |
| CK TREATMENT BLOCK SIMPLE |
$510 |
| CK SPECIAL TREATMENT PROCEDUDRE |
$1,780 |
| CK LEVEL 2 VISIT ESTABLISHED OP |
$229 |
| CK LEVEL 3 VISIT ESTABLISHED OP |
$290 |
| CK LEVEL 4 VISIT ESTABLISHED OP |
$350 |
| CK LEVEL 5 VISIT ESTABLISHED OP |
$406 |
| CK LEVEL 1 VISIT NEW PT |
$168 |
| CK LEVEL 2 VISIT NEW PT |
$229 |
| CK LEVEL 3 VISIT NEW PT |
$290 |
| CK LEVEL 4 VISIT NEW PT |
$350 |
| CK LEVEL 5 VISIT NEW PT |
$406 |
| MR TMJ |
$1,419 |
| MR ORBIT/FACE/NECK |
$1,419 |
| MRA HEAD |
$1,419 |
| MRA NECK |
$1,419 |
| MR CHEST |
$1,419 |
| MRA CHEST |
$1,419 |
| MR SPINE THORACIC |
$1,419 |
| MR SPINE LUMBAR |
$1,419 |
| MRA SPINE W/WO CONT |
$2,184 |
| MRI PELVIS |
$1,419 |
| MRI PROSTATE |
$1,419 |
| MR PROSTATE |
$1,419 |
| MR PELVIS |
$1,419 |
| MR ENTEROGRAPHY PELVIS |
$1,419 |
| MRI ABDOMEN |
$1,419 |
| MRI 3D RENDERING |
$622 |
| MR ABDOMEN |
$1,419 |
| MR ENTEROGRAPHY ABDOMEN |
$1,419 |
| MRA ABDOMEN |
$1,419 |
| MR CARD FUNC W/WO MORPH COMPL |
$3,394 |
| MRI HEART/MORPHOLOGT |
$3,394 |
| MR BREAST |
$1,419 |
| MR BREAST |
$2,129 |
| MRI GUIDE NEEDLE PLACMNT SANDI |
$2,184 |
| MRI PROSTATE COIL |
$267 |
| MRI COIL CERVIX |
$267 |
| MRA PELVIS |
$1,419 |
| GADOLINIUM CONTRAST PER ML |
$7 |
| EOVIST .25MMPL/ML 10 |
$46 |
| MR ORAL CONTRAST PER 100 ML |
$32 |
| MRI CAD |
$79 |
| MRI UNLISTED PROCEDURE |
$895 |
| DOTAREM INJECTION PER 0.1ML |
$1 |
| MR FOREARM |
$2,129 |
| MR FOREARM |
$1,419 |
| MR HUMERUS |
$1,419 |
| MR HAND |
$1,419 |
| MR HUMERUS |
$2,129 |
| MR HAND |
$2,129 |
| MR SHOULDER |
$2,129 |
| MR SHOULDER |
$1,419 |
| MR WRIST |
$1,419 |
| MR ELBOW |
$1,419 |
| MR WRIST |
$2,129 |
| MR ELBOW |
$2,129 |
| MR FEMUR |
$2,129 |
| MR FEMUR |
$1,419 |
| MR FOOT |
$1,419 |
| MR TIB FIB |
$1,419 |
| MR FOOT |
$2,129 |
| MR TIB FIB |
$2,129 |
| MR ANKLE |
$2,129 |
| MR HIP |
$2,129 |
| MR KNEE |
$2,129 |
| MR HIP |
$1,419 |
| MR KNEE |
$1,419 |
| MR ANKLE |
$1,419 |
| MRI PROCEDURE |
$2,032 |
| MRI GUIDED BREAST BIOPSY UNI |
$3,109 |
| MRI GUIDED BREAST BX ADD LESION |
$71 |
| TISSUE MARKER IMPLANTABLE |
$688 |
| OPTIMARK 0.5 MMOL/ML 15 |
$7 |
| CT HEAD |
$1,150 |
| CT PERFUSION BRAIN |
$890 |
| CT ORBIT/SELL |
$1,150 |
| CT PARANASAL SINUS |
$1,150 |
| CT SINUS |
$1,150 |
| CT FACIAL BONES |
$1,150 |
| CT SOFT TISSUE NECK |
$1,150 |
| CTA HEAD |
$1,150 |
| CTA NECK |
$1,150 |
| CTA CHEST |
$1,150 |
| CTA CHEST DISSECTION |
$1,150 |
| CTA CHEST ANEURYSM |
$1,150 |
| CTA PELVIS |
$1,150 |
| CT PELVIS |
$1,150 |
| CT UPPR EXTR |
$1,150 |
| CTA UPPR EXTR |
$1,150 |
| CTA LOWER EXT |
$1,150 |
| CTA ABDOMEN/PELVIS |
$1,150 |
| CT ABD & PEL |
$1,150 |
| CT UROGRAM |
$1,150 |
| CTA AORTO/FEM |
$1,150 |
| CT GUIDE VISCERAL TISSUE ABLAT |
$1,362 |
| CT CHEST |
$1,150 |
| RECONSRCT CT/MR COR/SAG/3D/MPR |
$786 |
| CT LMTD/LOCA FOLLOW UP |
$1,454 |
| CT ABSCESS/FISTULA/SINUS |
$737 |
| CT DENTAL SCAN |
$950 |
| UNLISTED CT PROCEDURE |
$385 |
| CT LOW DOSE SCREENING |
$897 |
| CT CARDIAC SCORING |
$950 |
| CT COLONOSCOPY |
$865 |
| CT TOTAL SCAN |
$1,170 |
| CAT PROCEDURE |
$1,026 |
| ABLATE TUMOR(S) PERC RF UNI |
$6,100 |
| CT GUIDED WIRE LOCALIZATION |
$1,479 |
| BONE MARROW ASPIRATION ONLY |
$1,670 |
| PL FIDUCIAL MARKERS INTRA-ABD |
$3,181 |
| CT BONE BX(S) WITH ASP(S) |
$2,400 |
| CT PL FIDUCIAL MRKRS INTRA-THRC |
$3,181 |
| FIDUCIAL MARKER EACH |
$625 |
| TRAY POWERED BONE MARROW 11 GA |
$464 |
| CT NON IONIC CONTRAST PER M L |
$3 |
| TRAY, BIOPSY RADIOLO |
$136 |
| CTA CORONARY W/O CALCIUM SCORE |
$1,517 |
| CT GUIDE FOR DRAINAGE CATH |
$1,574 |
| CT GUIDED THER SI JOINT INJ |
$1,986 |
| CYROABLAT RENAL TUMOR(S) PERQ |
$8,987 |
| CRYOABLAT LIVER TUMOR(S) PERQ |
$8,987 |
| CT RFA PROBE |
$1,500 |
| CT MICROWAVE PROBE |
$2,450 |
| NEEDLE CRYOABLATION EACH |
$2,550 |
| CT HUMERUS |
$1,150 |
| CT ELBOW |
$1,150 |
| CT FOREARM |
$1,150 |
| CT WRIST |
$1,150 |
| CT HAND |
$1,150 |
| CT HUMERUS |
$1,725 |
| CT ELBOW |
$1,725 |
| CT FOREARM |
$1,725 |
| CT HAND |
$1,725 |
| CT WRIST |
$1,725 |
| CT FEMUR W/CONT |
$1,150 |
| CT KNEE |
$1,150 |
| CT TIB/FIB |
$1,150 |
| CT ANKLE |
$1,150 |
| CT FOOT |
$1,150 |
| CT HIP |
$1,725 |
| CT FEMUR |
$1,725 |
| CT KNEE |
$1,725 |
| CT TIB/FIB |
$1,725 |
| CT ANKLE |
$1,725 |
| CT FOOT |
$1,725 |
| CT HIP |
$1,150 |
| CT 4D SOFT TSUE NECK W/WO CONT |
$1,150 |
| NEEDLE BIOPSY LIVER PERQ |
$3,350 |
| CT PRP INJECTION |
$852 |
| LUNG BIOPSY PLUG |
$1,375 |
| ACP DOUBLE SYRINGE |
$497 |
| ACP SERIES 1 KIT |
$446 |
| Bone Biopsy |
$3,350 |
| Groin lymph Node Biopsy |
$3,350 |
| Lung Biopsy |
$3,350 |
| Lymph Node Biopsy |
$3,350 |
| Neck Mass Biopsy |
$3,350 |
| Abdominal Mass Biopsy |
$3,350 |
| Pelvis Mass Biopsy |
$3,350 |
| OPTIRAY 240 PER ML 125 |
$3 |
| EYE DETECTION FB BILAT |
$470 |
| EYE DETECTION FB |
$398 |
| MANDIBLE COMPL 4+ VIEWS |
$463 |
| MASTOIDS COMPL 3+ V PER SIDE |
$463 |
| FACIAL BONES LESS 3 VIEWS |
$531 |
| FACIAL BONES COMPL 3+ VIEWS |
$706 |
| NASAL BONES COMPL 3+ VIEWS |
$598 |
| OPTIC FORAMINA |
$356 |
| ORBITS COMPL 4+ VIEWS |
$463 |
| SINUS PARANASAL COMPL LESS 3 VWS |
$398 |
| SINUS PARANASAL COMPL 3+ VIEWS |
$553 |
| SKULL LESS 4 VIEW W/WO STEREO PRT |
$576 |
| SKULL COMPL 4+ VIEWS |
$463 |
| TMJ OPEN AND CLSD MOUTH BILAT |
$551 |
| ARTHRO TMJ S AND I |
$991 |
| ORTHOPANTOGRAM |
$432 |
| NECK SOFT TISSUE |
$480 |
| SIALOGRAPHY S AND I |
$510 |
| CHEST |
$650 |
| CHEST POST PROCEDURE 1 VIEW |
$650 |
| CHEST 3 View |
$928 |
| CHEST 4+ VIEWS |
$1,034 |
| CHEST DECUBITUS/SPECIAL |
$650 |
| RIBS UNILAT 2 VIEWS |
$463 |
| RIBS W/CHEST 3+ VIEWS |
$485 |
| RIBS BILAT W/PA CHEST 4+ VIEWS |
$550 |
| STERNUM 2+ VIEWS |
$551 |
| STERNOCLAVICULAR JNT 3+ VIEWS |
$341 |
| SPINE |
$463 |
| C SPINE 2 OR 3 VIEWS |
$463 |
| C SPINE COMPL W/OBL/FLEX/EXTEN |
$463 |
| THORACOLUMBAR SPINE 2 VIEWS |
$463 |
| SCOLIOSIS SPINE STUDY |
$694 |
| SCOLIOSIS SPINE STUDY |
$1,041 |
| L SPINE 2 OR 3 VIEWS |
$463 |
| PELVIS COMPL 3+ VIEWS |
$463 |
| SACROILIAC JOINTS 3+ VIEWS |
$567 |
| SACRUM AND COCCYX 2+ VIEWS |
$617 |
| MYELOGRAPHY |
$1,815 |
| DISKOGRAPHY C/T SPINE S AND I |
$2,090 |
| CLAVICLE COMPLETE |
$495 |
| CLAVICLE COMPLETE BILAT |
$743 |
| SCAPULA COMPLETE |
$630 |
| SCAPULA COMPLETE BILAT |
$945 |
| SHOULDER 1 VIEW |
$453 |
| SHOULDER COMP 2+VIEWS |
$558 |
| SHOULDER COMPL 2+VIEWS |
$837 |
| ACM JNTS BILAT W/WO WEIGHTS |
$315 |
| HUMERUS 2+VIEWS |
$509 |
| ELBOW 2 VIEWS |
$463 |
| ELBOW 2 VIEWS BILAT |
$695 |
| ELBOW COMPL 3+VIEWS |
$463 |
| ELBOW COMPL 3+VIEWS BILAT |
$695 |
| ARTHRO ELBOW S AND I BILAT |
$695 |
| FOREARM 2 VIEWS |
$463 |
| ISOVUE M 200 PER ML 10 |
$4 |
| ISOVUE M 300 PER ML 15 |
$3 |
| OPTIRAY 320 |
$3 |
| FOREARM 2 VIEWS BILAT |
$695 |
| UP EXTR INFANT 2+ VIEWS |
$333 |
| WRIST 2 VIEWS PORT |
$463 |
| WRIST 2 VIEWS BILAT PORT |
$695 |
| WRIST COMPL 3+ VIEWS |
$597 |
| ARTHRO WRIST S AND I |
$463 |
| HAND 2 VIEWS |
$463 |
| HAND 2+ VIEWS BILAT |
$695 |
| HAND 3+ VIEWS |
$463 |
| FINGER HAND |
$464 |
| HIP 1 VIEW |
$463 |
| HIP 2+ VIEWS |
$694 |
| HIPS BILAT 5+V W/AP PELVIS |
$1,041 |
| ARTHRO HIP S AND I |
$463 |
| HIP 2+ VIEWS W/PELVIS |
$463 |
| FEMUR |
$695 |
| FEMUR 1 VIEW |
$463 |
| KNEE 1 OR 2 VIEWS |
$463 |
| KNEE |
$695 |
| XR KNEE 3 VIEW |
$463 |
| KNEE COMPL 4+VIEWS |
$463 |
| TIBIA/FIBULA 2 VIEWS |
$463 |
| TIBIA/FIBULA 2VIEWS BILAT |
$695 |
| LWR EXT INFANT 2+ VIEWS |
$336 |
| ANKLE 2 VIEWS |
$361 |
| ANKLE COMPL 3+VIEWS |
$463 |
| ANKLE COMPL 3+VIEWS BILAT |
$695 |
| FOOT 2 VIEWS |
$470 |
| FOOT 2 VIEWS |
$710 |
| FOOT COMPL 3+VIEWS |
$492 |
| FOOT COMPL 3+VIEWS BILAT |
$714 |
| CALCANEOUS 2+VIEWS |
$479 |
| TOE 2+ VIEWS |
$461 |
| ABDOMEN 1 VIEW |
$433 |
| XR KUB SINGLE FILM |
$433 |
| ABDOMEN AP/OBLIQUE/CONE VIEWS |
$554 |
| ABD COMPL W/ DECUB AND/OR ERECT |
$626 |
| ABD COMP W/SUP/DECUB/ERCT/CHST |
$618 |
| ESOPHAGUS |
$567 |
| SWALLOW VID W/FLURO AND/OR MAG |
$463 |
| GI SERIES PEDIATRIC |
$463 |
| UGI W/SMALL INTESTINE W/SERIAL |
$509 |
| GI SMALL BOWEL PEDIATRIC |
$509 |
| SMALL BOWEL SERIES |
$463 |
| GASTROGRAFFIN ENEMA |
$463 |
| COLON AIR W/BARIUM |
$463 |
| CHOLECYSTOGRAPHY W/ ORAL CONTR |
$444 |
| CHOLANGIO/PANCREATGRPY S AND I |
$463 |
| CHOLANG/PANCREA OR ADL SET SAND I |
$340 |
| ERCP BILIARY/PANCREATIC S AND I |
$463 |
| LONG GI TUBE W/MU FILM S AND I |
$560 |
| CHOLOANGIOGRAM T-TUBE CHECK |
$3,000 |
| ESOPHAGEAL DILATATION S AND I |
$463 |
| IVP W/WO KUB W/WO TOMO |
$463 |
| IVP DRIP AND/OR BOLUS |
$463 |
| IVP DRIP W/NEPHROTOMOGRAPHY |
$463 |
| CYSTOGRAPHY 3+ VIEWS S AND I |
$692 |
| URETHROCYSTOGRPH |
$463 |
| SHUNTOGRAM NONVASCULAR |
$579 |
| VENOGRAM UNILAT S AND I |
$650 |
| RADLGY GUIDE FOR DRAINGE CATH |
$1,574 |
| XR LUMBAR PUNCTURE W DRUG |
$2,175 |
| NOSE TO RECTUM CHILD FB |
$285 |
| BONE AGE UNDER 6 MOS |
$458 |
| BONE SURVEY LIMITED |
$844 |
| BONE SURVEY COMP AXIAL/APNDCLR |
$463 |
| BREAST TISSUE SPECIMEN |
$600 |
| TOMOGRAPHY SINGLE PLNE NOT URO |
$1,001 |
| FLOURO GUIDANCE FOR RADIOLOGIST |
$618 |
| CHEST X-RAY EMPLOYEE |
$14 |
| NG TUBE PLACE W/FLURO |
$571 |
| INJECTION FOR HIP |
$812 |
| INJECTION FOR ANKLE |
$213 |
| INJECTION FOR KNEE |
$272 |
| INJECTION OF SINUS TRAC |
$326 |
| INJECTION FOR ELBOW |
$442 |
| INJ FOR UTERUS/TU |
$466 |
| INJECTION FOR SHOULDER |
$578 |
| INJECTION SACROILIAC JOINT |
$2,761 |
| XR PRP INJECTION |
$852 |
| PROCEDURES |
$762 |
| INJECTION INTO SP |
$1,093 |
| BIOPSY - FLUROSCO |
$958 |
| PORTOGRAM |
$1,672 |
| RADIOGRAPHY UNLISTED |
$139 |
| IM CREATININE |
$86 |
| HYSTEROSALPINGOGRAPHY S & I |
$463 |
| VENOGRAPHY RENAL W/O HEMO S AND I |
$1,337 |
| INJ AIR CONTRAST PERITONEAL CAV |
$703 |
| PLACE GASTROSTOMY TUBE S AND I |
$329 |
| PLACE ENTEROCLYSIS TUBE S AND I |
$281 |
| DILATE BIL DCT W/WO STNT S AND I |
$463 |
| UROGRAPHY |
$463 |
| CYSTOGRAM |
$692 |
| DILATE NEPHRS/URETR/URTHRA S AND |
$731 |
| CATH PLCMT INTER CARTD UNI S&I |
$8,864 |
| ANGIO/CATH PLCMT SUBCLV ART S&I |
$5,925 |
| ANGIOGRAPHY SPINAL SELECTIVE |
$2,429 |
| ANGIO EXTERMITY |
$2,600 |
| JUGULAR VENOGRAM |
$1,760 |
| INS CATH REN ART |
$6,243 |
| ANGIO VISCERAL SELECTIVE S AND I |
$4,300 |
| ANGIO ANDRENAL UNILAT S AND I |
$1,098 |
| ANGIO ADRENAL BILAT S AND I |
$1,233 |
| ANGIO PELVIC SELECTIVE S AND I |
$4,300 |
| ANGIO PULMONARY UNILAT S AND I |
$1,644 |
| ANGIO PULMONARY BILAT S AND I |
$4,752 |
| ANGO PULMONRY NONSEL/INJCT S AND |
$1,413 |
| SP ANGIO INTERNAL MAMMARY |
$1,747 |
| VENOGRAM |
$695 |
| VENOGRAM RENAL UNILAT S AND I |
$463 |
| VENOGRAM ADRENAL |
$6,174 |
| PERC TRANSHEPATIC PORT W/HEMO |
$3,062 |
| PERC TRANSHEPATIC PRT W/O HEMO |
$1,337 |
| HEPATIC VENOGRAPHY W/HEMO |
$3,062 |
| HEPATIC VENOGRAM W/O HEMO |
$1,198 |
| VENOUS SAMPLING W/WO CATH S AND I |
$2,612 |
| VEN CATH ORGAN BLOOD SAMPLE |
$1,084 |
| TRANSCATH THERPY EMBOLIZE S AND I |
$463 |
| TRANSCATH THER ART INFUSION S&I |
$733 |
| TRANSCATH THER ART/VEN INF SUBSEQ |
$4,305 |
| REMV OBSTR CVA VIA VEN ACCESS |
$471 |
| REMV OBSTRCTN CVA VIA LUMN S AND |
$482 |
| INS ENDOVAS VENA CAVA FIR |
$5,748 |
| REM ENDOVAS VENA CAVA FIER |
$2,752 |
| TRANSCATH BX S AND I |
$463 |
| CHANGE DRAINAGE CATHETER S AND I |
$1,183 |
| DRAINAGE W/CATH PLACEMNT S AND I |
$1,574 |
| FLOURO UNLISTED |
$255 |
| ABCESS FISTULA SINUS EXAM |
$737 |
| E&M OUTPATIENT VISIT |
$450 |
| TRAPAESE OPTEASE FIER |
$5,250 |
| NON IONIC CONTRAST 5 |
$247 |
| RENOGRAFIN PER ML |
$2 |
| NON IONIC CONTRAST 1 |
$454 |
| CATHETER SELECTIVE |
$399 |
| SP CATHETER |
$109 |
| SP GW/EXCH WIRE/035/ |
$426 |
| SP SPECIAL PROC STER |
$355 |
| SP BALOON CATHETER NON VASCUL |
$684 |
| SP BALLOON CATHETER NON VASC |
$681 |
| BC/UT/7/4/5/75CM |
$1,213 |
| SOLITAIRE THROMB 4X40 CATH |
$14,000 |
| MARKSMAN 160CM MICRO-CATH |
$2,598 |
| SP PORTOCATH |
$2,707 |
| CATHETER SPECIAY |
$1,553 |
| CROSSING/SUPPORT CATHETER |
$466 |
| SIMMON/NITINOL FIE |
$9,671 |
| TITANIUM GREENFIELD |
$7,523 |
| SP CVR WALLGRAFT STE |
$10,761 |
| SP INJECT EXIST.VENO |
$653 |
| SP I AND D ABSCESS SIMPL |
$120 |
| SP I AND D ABCESS SIMPLE |
$208 |
| SP I AND D HEMATOMA,SERO |
$131 |
| SP I AND D HEMATOMA SERO |
$142 |
| SP I AND D ABSCESS SFT T |
$131 |
| SP I AND D ABCESS SFT T |
$142 |
| THROM W/O THROMBOLYSIS |
$140 |
| ORGAN BLOOD SAMPLING |
$140 |
| SP INJECTION FOR SAL |
$152 |
| SP INJEC FOR SAL |
$168 |
| SP BIOPSY NECK/CHEST |
$167 |
| SP BIOPSY NECK AND CHEST |
$184 |
| SP I AND D ABSCESS PERIA |
$193 |
| N/S EXTREMITY UNI |
$238 |
| SP VNS CATH SLCT ORG |
$419 |
| SP INJECTION VENOGRA |
$502 |
| N/S EXTREMITY VEI |
$316 |
| SP PORTO CATH REMOVA |
$339 |
| N/S AORTA TRANSLU |
$331 |
| N S AORTA TRANSLU |
$365 |
| OR PULMONAR |
$578 |
| NEPHROSTOGRAM/LOO |
$338 |
| SP INJECTION FOR KID |
$338 |
| PLACEMENT OF CLOSURE DEVICE |
$464 |
| INJ EXIST TUBE/CATH |
$356 |
| SP NEEDLE BIOPSY OF |
$3,181 |
| SP INJ DISCOGRAPHY C |
$400 |
| ABD EACH ADD'L 2 |
$499 |
| SP NEEDLE BIOPSY EPI |
$414 |
| SP BIOPSY OF PROSTAT |
$414 |
| BIOPSY PLEURA PERC NDL |
$419 |
| RT HEART OR PULM |
$446 |
| SP BIOPSY LUNG OR ME |
$688 |
| SP DRAINAGE LYMPH NO |
$456 |
| SP I AND D APPENDICAL AB |
$456 |
| THROBIN INJ PSEUDO |
$462 |
| VENOUS VASCULAR 1 |
$658 |
| PNEUMOCYSTOGRAM |
$505 |
| SP INJECT MAJOR JOIN |
$462 |
| NEPHROSTOMY CHANG |
$529 |
| CHANGE CYSTOSTOMY TUBE |
$507 |
| CYSTOTOMY TUBE CHANGE SIMPLE |
$430 |
| SP NEEDLE BIOPSY LYM |
$585 |
| SP NEEDLE BIOPSY PAN |
$588 |
| SP REPOSITIONING OF |
$713 |
| BRAIN SHUNT PROCEDURE |
$622 |
| SP DILATATION URETERS PC |
$633 |
| SP PERCUTANEOUS DRAI |
$631 |
| SP BIOPSY ABDOMINAL |
$643 |
| PTC (P/C) |
$631 |
| SP BONE BIOPSY TROCA |
$702 |
| OR PULMONAR 1 |
$936 |
| SP 2 TUNNEL CATH-TESIO |
$737 |
| SP PICC LINE REPAIR |
$737 |
| SP TUNNEL PORT REPAIR |
$2,128 |
| SP CATH REPAIR |
$737 |
| CHEST PROCEDURE UNLISTED |
$754 |
| REMOVAL INTRALUMINAL OBSTRUCTN |
$2,300 |
| SP REMOVE BILE DUCT |
$757 |
| SP MECHANICAL REMOVAL OBST PC |
$5,182 |
| SP DRAIN PERIVISCERA |
$780 |
| N/S VENA CAVA |
$993 |
| SP INSERTION TUBE TH |
$849 |
| SP CHANGE GASTROSTOM |
$1,229 |
| SP PERE GASTROSTOMY |
$866 |
| REPLMT GASTRO JEJUNOSTOMY TUBE |
$1,315 |
| VENOUS VASCULAR 2 |
$1,232 |
| SP BIOPSY OF THYROID |
$807 |
| PERC DILIT BILIA |
$881 |
| SP PERC CHOLECSTOSOMY |
$966 |
| SP PORTCAVAL SHUNT |
$924 |
| CHOLECYSTOSTOMY PERC INC I&G |
$4,460 |
| SP DRAINAGE OF KIDNE |
$1,294 |
| SP NEEDLE BIOPSY MUS |
$881 |
| DILITATION OF NEP |
$993 |
| SP BONE BIOPSY B |
$983 |
| BONE MARROW BIOPSY |
$993 |
| PERC DRAIN/INJ RE |
$1,149 |
| SP DRAINAGE FO KIDNE |
$1,545 |
| NEPHRO/URETEROGRAM W/INJ EXIST |
$1,042 |
| PLMT NEPHRO CATH |
$2,515 |
| THORACIC EACH ADD |
$1,011 |
| URETERAL STENT PLMT |
$3,205 |
| CONVERT NEPHRO CATH |
$1,895 |
| INJ FOR CHOLANGIOGRAPHY EXIST |
$855 |
| SP INJ FOR DISCOGRAP |
$1,035 |
| INJ FOR CHOLANGIOGRAPHY NEW |
$3,000 |
| CONVERSION EXT BIL DRG CATH |
$3,000 |
| INTRVASC US NONCORONARY 1ST |
$690 |
| INTRVASC US NONCORONARY ADDL |
$460 |
| EXCHANGE BILIARY DRG CATH |
$3,000 |
| REMOVAL DUCT GLBLDR CALCULI |
$1,720 |
| PLMT BILI DRAINAGE CATH EXT |
$3,000 |
| SP DRAIN RETROPERITO |
$1,246 |
| REMOVAL BILIARY DRG CATH |
$839 |
| PERQ PLMT BILE DUCT STNT EXIST |
$5,000 |
| PLMT BILE DUCT STE WO CATH NEW |
$5,000 |
| PLMT BILE DUCT STNT NEW W CATH |
$5,000 |
| SP TUNNEL PORT REMOVAL |
$1,966 |
| PLMT ACCESS BIL TREE SM BWL |
$3,000 |
| DILATE BILIARY DUCT/AMPULLA |
$881 |
| ENDOLUMINAL BX BILIARY TREE |
$1,000 |
| SCLEROTHERAPY FLUID COLLECTION |
$1,556 |
| SP CATHETER STRIPPING PC |
$1,231 |
| EXCHANGE NEPHRO CATH |
$1,895 |
| ENDOLUMINAL BX URTR RNL PLVS |
$881 |
| URETERAL EMBOLIZATION/OCCL |
$881 |
| BALLOON DILATE URTRL STRIX |
$881 |
| PERC BILIARY DRA |
$1,529 |
| SP TUNNEL CATH W/PORT REMOVAL |
$1,246 |
| N/S AORTA |
$1,212 |
| SP DRAIN SUBDIAPHRAG |
$1,966 |
| SP BIOPSY OF KIDNEY |
$3,181 |
| PERC DILIT BILATE |
$1,392 |
| SP TRANSCATHETER |
$1,389 |
| SP DRAIN OVARIAN ABS |
$1,340 |
| SP PERCUT PORT VEIN |
$1,475 |
| PERC DRAINAGE/INSERT CATH |
$1,479 |
| ABD CATH FIRST ORD |
$1,734 |
| PERC DRAIN OR STE |
$1,526 |
| SP 2 TUNNEL CATH-TESIO EXCHANG |
$1,906 |
| SP PICC LINE EXCHANGE |
$1,734 |
| PICC LINE EXCHANGE |
$1,734 |
| SP TUNNEL CATH EXCHANGE |
$1,988 |
| SP TUNNEL CATH PLACEMENT |
$5,152 |
| SP NON TUNNEL CATH EXCHANGE |
$1,968 |
| EXCH/MANIP EXIST CATH |
$2,308 |
| INSERT SUPRAPUBIC CATH |
$2,517 |
| SP TUNNEL PORT EXCHANGE |
$3,158 |
| SP TUNNEL PORT PLACEMENT |
$5,152 |
| EMBOLIZATION (P/C |
$3,167 |
| VASCULAR EMBOLIZATION OCCLUSION |
$26,958 |
| VASCULAR EMBOLIZATION OCC TUMOR |
$26,958 |
| VERTPLASTY LUMBAR |
$7,059 |
| VERTEBRAL AUG LUMBAR |
$17,160 |
| VERTEBRAL AUG EACH ADDL |
$2,880 |
| VERTEBROPLASTY EACH ADDL |
$2,880 |
| VERTEBRAL AUG THOR |
$17,160 |
| VERTPLASTY THORACIC |
$7,059 |
| SP AORTIC STENT MODULAR PC |
$3,575 |
| ENDOVASCULAR PLACE DEVICE |
$4,542 |
| SP TIPS PROCEDURE |
$4,887 |
| SP TUNNEL CATH W/PORT EXCHANGE |
$4,259 |
| SP 2 TUNNEL CATH-TESIO PLCMNT |
$4,259 |
| BILIARY BRUSH BIOPSY |
$4,450 |
| TRANSCATH OCLLUSION/EMBOLOZATN |
$4,613 |
| SP CAROTID STENT PLACEMENT |
$8,386 |
| CAROTID STENT COMPLETE |
$8,386 |
| SP 2 TUNNEL CATH W/PORT PLCMNT |
$10,826 |
| PI VASCULAR STENT INITIAL ART |
$27,802 |
| CS/5F MULTI/65CM |
$109 |
| PIN/INTRO/8F/10CM |
$170 |
| SMITH PEELAWAY INTRO |
$244 |
| C/6.5F SIM 2 |
$212 |
| SMART NEEDLE/DOP |
$286 |
| ROTATIONAL ATHERECTOMY CATHTR |
$6,870 |
| BALLOON CATHETER CUTTING |
$2,739 |
| SP DRAINAGE CATHETER |
$447 |
| PERMACATH |
$1,658 |
| GC/H-1/MP |
$159 |
| VENATECH V/C FIER/ |
$7,523 |
| WIRE SELECTIVE |
$348 |
| WIRE DIAGNOSTIC |
$203 |
| WIRE SPECIAY |
$764 |
| PIN/INTRO /10CM |
$84 |
| CLOSURE DEVICE VISOSEAL |
$464 |
| CLOSURE DEVICE |
$239 |
| CLOSURE DEVICE PER CLOSE |
$1,078 |
| THERAPY ORAL ADMINISTRATION |
$1,719 |
| THERAPY IV ADMINISTRATION |
$1,314 |
| ACT |
$86 |
| SELDINGER NEEDLE |
$65 |
| SHEATH GUIDING |
$550 |
| SHEATH PEEL AWAY |
$303 |
| ACCUSTICK |
$383 |
| TRIPLE LUMEN |
$216 |
| EMBOLIZATION COIL |
$382 |
| CO2 KIT |
$389 |
| EMBOSPHERE |
$1,234 |
| RETRIVAL DEVICE SNARE |
$1,647 |
| VERTEBROPLASTY KIT |
$1,824 |
| DILATOR |
$287 |
| PROTECTION DEVICE ACUNET |
$4,000 |
| STENT COVERED |
$11,094 |
| CRYOGENIC KIT |
$4,194 |
| STENT CAROTID |
$11,475 |
| MICRO PUNCTURE KIT |
$228 |
| STENT URETAL |
$622 |
| TIPS KIT |
$1,268 |
| ANGIOPACK |
$442 |
| THROMBECTOMY KIT |
$5,274 |
| THROMBECTOMY KIT REPAIR |
$6,921 |
| VASCULAR PORT |
$1,125 |
| KYPHYX BONE CEMENT |
$525 |
| STRYKER AUTOPLEX CEMENT |
$3,600 |
| KYPHYX BONE FILLER DEVICE |
$559 |
| KYPHYX XPANDER INFLATION SYRNG |
$597 |
| KYPHYX BONE BIOPSY DEVICE |
$669 |
| KYPHYX OSTEO INTRODUCER DEVICE |
$1,285 |
| KYPHYX INFLATABLE BONE TAMP |
$5,000 |
| SP ESOPHAGOSCOPY WITH STENT |
$4,167 |
| SP ESOPHAGUS DILITATN RAD GUID |
$463 |
| SP ESOPHAGUS DILITATION |
$1,158 |
| ESOPHAGEAL STENT |
$4,725 |
| ESOPHAGEAL GUIDEWIRE |
$1,216 |
| SP ENDOVENOUS RF 1ST VEIN |
$5,800 |
| SP ENDOVENOUS LASER |
$3,441 |
| SP ARTERIAL MECH THRMBCTMY INI |
$5,222 |
| SP SEC ARTERIAL MECH THRMBCTMY |
$5,222 |
| SP VENOUS MECH THROMBECTOMY |
$5,222 |
| INSERT TUNNELED PLUERAL CATH |
$6,130 |
| DECLOT VASCULAR DEVICE/CATH |
$432 |
| EXCHANGE DRAINAGE CATH |
$2,421 |
| RENAL TUBE REMOVAL AND IMAGING |
$1,345 |
| SP DOSIMETRY DOSE |
$334 |
| TIB/PER REVASC W/ATHER |
$24,550 |
| TIB/PER REVASC W/STENT |
$24,550 |
| TRLUML PERIP ATHRC ILIAC ART |
$19,540 |
| REPLACE DUODENOSTOMY TUBE PERC |
$1,318 |
| INSERT GASTROSTOMY TUBE PERC |
$1,804 |
| GASTROINTESTIONAL TUBE CHECK |
$834 |
| GASTROSTOMY/CECOSTOMY TUBE CHANGE |
$1,330 |
| CONV TO GASTROJEJUNOSTOMY TUBE |
$1,870 |
| NEPHROUREL CATH REMVL/RPLCT |
$2,750 |
| ASP BLADDER W/INS SUPRAPUBIC |
$2,820 |
| BILIARY ENDO THRU T TUBE |
$4,460 |
| INDWELL UR STENT REM&REPL PER APP |
$3,700 |
| INDWELL UR STENT REMOVE PERC APPR |
$2,470 |
| REMOVAL NEPHROSTMY TUBE W/FLOURO |
$1,570 |
| PLCE INIT GASTREJEJUNOSTOMY TUBE |
$1,870 |
| PERC DRAINAGE BY CATHETER |
$3,729 |
| INTRVERTEBRAL DISC SFT TISS ASP |
$970 |
| ABLATE BONE TUMOR(S) PERQ |
$11,115 |
| ABDOMINAL PARACENTESIS |
$1,710 |
| SPINAL PUNC LUMBAR DIAG |
$1,079 |
| ASPIRATE PLEURA W/IMAGING |
$1,925 |
| OPEN PERQ PLC STENT INIT VIEW |
$28,438 |
| VASC EMBOLIZE OCCLUDE ARTERY |
$28,438 |
| CHANGE OF URETER TUBE STENT |
$3,807 |
| OPEN PERQ PLACE STENT EA ADDL |
$24,172 |
| INTERVENTIONAL PROCEDURE SIMPL |
$868 |
| INTERVENTIONL PROCEDURE INTRMD |
$1,737 |
| INTERVENTIONAL PROCEDURE CMPLX |
$3,473 |
| BONE MARROW ONLY ASPIRATION |
$1,954 |
| ASP/INJ JOINT OR BURSA |
$624 |
| Y90 ADMINISTRATION |
$545 |
| TRANSCATH PLMT EXTRACRAN STENT |
$3,097 |
| TRANSCTH PLMT CER CAR WO EMBOL |
$5,560 |
| TRANSCTH PLMT OC DIS EACH ADDL |
$7,136 |
| EDOVAS TEMP BALLOON HEAD/NECK |
$5,192 |
| PERM OCC/EMBOL PERC CNS |
$3,632 |
| PERC CATH OCC/EMBOL NON-CNS |
$4,799 |
| INTRACRAN BALLOON ANGIO PERC |
$2,757 |
| INTRACRAN BALLN ANGIO W/STENT |
$4,126 |
| PRC ART THRMBEC & NFS INTRACRN |
$4,126 |
| EVAS INTRACRAN ADMN RX ART 1ST |
$4,799 |
| EVAS INTRACR ADMIN RX ART ADDL |
$3,632 |
| ANGIO SPINAL SELECTIVE |
$5,640 |
| 3 D POSTPROCESSING |
$786 |
| ONYX LIQ EMBOLIC SYSTEM |
$13,305 |
| MARATHON MICRO CATHETER |
$1,916 |
| MIRAGE .008 HYDRO GUIDEWIRE |
$990 |
| ENVOY SF NEURO GUIDE CATH |
$973 |
| CATH DRAINAGE PERITONEAL PERC |
$4,250 |
| REM TUNNEL INTRAPERITONEAL CATH |
$4,660 |
| DRAINAGE CATH EXCHANGE |
$3,050 |
| THERAPEUT EPIDER INJ CERV/THOR |
$2,015 |
| THERAPEUT EPIDER INJ LUMB/SAC |
$2,175 |
| THERAP INJ FACT JT CERV/THOR |
$2,778 |
| INJ FACET JT CERV THOR 2ND LVL |
$975 |
| DISCOGRAPHY LUMBAR SPINE |
$1,901 |
| CAREFUSION VERTEBROPLASTY KIT |
$1,300 |
| CAREFUSION KYPHO CURVED NEEDLE |
$942 |
| CAREFUSION BIOPSY NEEDLE |
$348 |
| CAREFUSION INTRO NEEDLE |
$244 |
| DEPUY VERTEBROPLASTY KIT 5CC |
$1,500 |
| DEPUY VERTEBROPLASTY KIT 10CC |
$2,100 |
| DEPUY INTRO NEEDLE |
$314 |
| DEPUY BIOPSY NEEDLE |
$447 |
| BARD FIER RETRIEVAL KIT |
$1,050 |
| EXOSEAL CLOSURE DEVICE |
$446 |
| FEMOSTOP GOLD |
$348 |
| SAFEGUARD PRESSURE DEVICE |
$260 |
| STATLOCK CATH SECUREMENT DEVICE |
$80 |
| URESIL DRAINAGE BAGS |
$71 |
| SURGISEAL ADHESIVE |
$68 |
| ULTRASOUND COVERS |
$60 |
| INJECTOR TUBING |
$45 |
| INJECTOR SYRINGE |
$39 |
| SUTURE TRAY |
$68 |
| DISPOSABLE CAUTERY PEN |
$44 |
| BIOPATCH DRESSING |
$34 |
| SUTURE |
$21 |
| CONCERTO COIL |
$3,250 |
| INTERLOCK COIL |
$1,985 |
| CHOCOLATE PERIPHERAL BALLOON |
$1,800 |
| DFINE DYPHO KIT |
$5,600 |
| DFINE RFA KIT |
$6,400 |
| EKOS CATHETER |
$5,390 |
| DRUG ELUTING BALLOON |
$3,300 |
| EMBOSPHERE TACE |
$2,400 |
| PLEURX KIT |
$1,500 |
| MVP VASCLAR PLUG |
$1,664 |
| OASIS PLEURAL KIT |
$126 |
| PEG INTRODUCER KIT |
$466 |
| YTTRIUM-90 PER DOSE |
$77,913 |
| CAREFUSION DENVER SHUNT |
$4,300 |
| INSERT PICC CATH PEDIATRIC |
$2,892 |
| INSERT NON-TUN CV CATH PED |
$2,892 |
| INSERT TUN CV W/O PORT PED |
$5,152 |
| INSERT TUN CV CATH W/PORT PED |
$5,152 |
| OUTBACK RE-ENTRY CATH |
$4,059 |
| INSERT TUN IP CATH PERC |
$6,233 |
| EV ABLAT VEIN MECHANOCHM 1ST |
$4,618 |
| ORION 021 MICRO CATHETER |
$2,164 |
| ECHELON 10/14 STRAIGHT CATH |
$1,970 |
| ECHELON 10/14 45 PRESHAPE CATH |
$4,420 |
| APOLLO ONYX MICROCAT 1.5/3.0CM |
$3,900 |
| PHENOM 27 MICRO CATHETER |
$2,600 |
| PHENOM PLUS 105/120CM CATHETER |
$4,100 |
| XPEDION HYDROPHILC GWIRE 200CM |
$682 |
| HYPERFORM OCCL BALOON 4X7/7X7 |
$3,872 |
| HYPERGLIDE OCCL BALN 3X15/4X10 |
$4,320 |
| NAVIEN 058X115CM INTRACRAN SUP |
$3,370 |
| NAVIEN 072X95 INTRACR SUP CATH |
$2,208 |
| CELLO BALOON GUIDE 9F |
$2,800 |
| AXIUM PRIME 3D DETACH COIL FRM |
$4,790 |
| AXIUM PRIME BARE 3D COIL |
$2,874 |
| AXIUM PRIME 3D DETACH COIL SFT |
$3,672 |
| PIPELINE FLEX COIL |
$27,632 |
| ID AXIUM COIL DETACHER |
$244 |
| RIPTIDE ASPIRATION SYSTEM |
$1,200 |
| ENVOY GUIDE CATH DA |
$1,535 |
| KYPHOPLASTY BI-PED KIT |
$5,500 |
| KYPHOPLASTY CURETTE |
$990 |
| WIRE SYNCHRO |
$1,500 |
| SPINE JACK IMPLANT EXP KIT |
$20,825 |
| INJECTOR TRANSFER TUBE |
$265 |
| CEMENT PUSHERS |
$265 |
| EV SAPHENOUS VIEN |
$4,095 |
| PHLEBECTOMY |
$3,079 |
| SCLEROTHERAPY |
$2,172 |
| SCLEROSING INJ |
$2,798 |
| REMOVAL TUNNELED PLEURAL CATH |
$1,723 |
| COVERED STENT LONG |
$32,775 |
| SP INJECTION SINUS TRACT |
$356 |
| SORBAVIEW DRESSING |
$22 |
| US GUID DRNG W/CATH PLC S AND I |
$1,574 |
| US GUID ASP/INJ INTER JT/BURSA |
$1,786 |
| US HEAD/BRAIN |
$757 |
| US CHEST W/ MEDIASTINUM |
$607 |
| US BREAST |
$708 |
| US ABDOMEN COMP |
$1,120 |
| US LIVER ELASTOGRAPHY |
$170 |
| US PYLORIC STENOSIS INFANT |
$1,014 |
| US RENAL INFANT |
$831 |
| US KIDNEY TRANSP W/WO DOPPLER |
$718 |
| US SPINAL CANAL |
$743 |
| US OB 1ST TRIMESTER |
$556 |
| US OB 1ST TRIMESTER/ADDL FETUS |
$449 |
| US OB 14+ WKS COMPL 1ST GEST |
$556 |
| US OB COMPLETE EXAM |
$900 |
| US OB COMPL EX ADDTL GESTATN |
$450 |
| US OB LIMITED 1+FETUSES |
$506 |
| US DOP FETAL UMBILICAL |
$275 |
| US TRANSVAGINAL |
$882 |
| US HYSTEROGRAM W/ COLR FLOW |
$583 |
| US PELVIS NON OB COMP |
$556 |
| US PELVIS NON OB LIMITED |
$509 |
| US SCROTUM AND CONTENTS |
$812 |
| US PROSTATE |
$877 |
| US TRANSRECTAL |
$877 |
| US SHOULDER MSK COMPL |
$613 |
| US ELBOW MSK COMPL |
$613 |
| US HAND/WRIST MSK COMPL |
$613 |
| US HIP MSK COMPL |
$613 |
| US KNEE MSK COMPL |
$613 |
| US ANKLE/FOOT MSK COMPL |
$613 |
| US EXTREMITY NONVASCULAR |
$495 |
| US SHOULDER MSK LMTD |
$495 |
| US ELBOW MSK LMTD |
$495 |
| US HIPS INFANT LIMITED/STATIC |
$450 |
| US GUIDE COMPRESSN REPAIR |
$643 |
| US GUIDE VISCERAL TISSUE ABLAT |
$733 |
| US HAND/WRIST MSK LMTD |
$495 |
| US HIP MSK LMTD |
$495 |
| US KNEE MSK LMTD |
$495 |
| US ANKLE/FOOT MSK LMTD |
$495 |
| US GUIDE PLACE RAD THERP FIELD |
$754 |
| US GUID INTERSTITIAL RADELEMNT |
$999 |
| US FOLLOW UP/LIMITED |
$415 |
| US GUIDE INTRAOPERATIVE |
$633 |
| US SCREENING VASCULAR PKG SP |
$180 |
| DUPLX EXTRCRANL ART COMP |
$834 |
| EXTR ARTERY SINGLE LVL BILAT |
$701 |
| EXTR ARTERY MU LVL BILAT |
$730 |
| LWR EXTR ART POST STRESS |
$834 |
| DUPLX LWR EXTR ARTRY |
$834 |
| DUPLX ART UPR EXT |
$834 |
| US EXTREM VENOUS LOWER |
$834 |
| US EXTREM VENOUS LOWER |
$556 |
| UNLISTED ULTRASOUND PROCEDURE |
$367 |
| US SCROTAL TORSION |
$556 |
| DPLX ART IN/VEIN |
$556 |
| PROCEDURE URASOUND |
$1,650 |
| PROCEDURE URASOUND LEVEL II |
$3,994 |
| PL FIDUCIAL MKR PROSTATE |
$3,181 |
| US BIOPSY NECK/CHEST |
$435 |
| US BIOPSY OF PROSTAT |
$463 |
| US NEEDLE BIOPSY EPI |
$463 |
| US NEEDLE BIOPSY CHE |
$470 |
| NEEDLE BIOPSY OF LIVER |
$3,181 |
| US AMNIOCENTESIS |
$545 |
| US ASPIRATION THYROI |
$507 |
| US NEEDLE BIOPSY MUS |
$595 |
| US NEEDLE BIOPSY PAN |
$602 |
| US NEEDLE BIOPSY SPI |
$627 |
| US ABSCESS DRAINAGE |
$712 |
| US CYSTS ASPIRATION |
$712 |
| US BONE BIOPSY TROCA |
$696 |
| US PRP INJECTION |
$852 |
| US NEEDLE BIOPSY LYM |
$751 |
| US BIOPSY |
$863 |
| US FINE NEEDLE ASPIRATION |
$863 |
| US BIOPSY OF THYROID |
$906 |
| US BIOPSY OF KIDNEY |
$3,181 |
| US NEEDLE BIOPSY OF |
$1,049 |
| US BIOPSY ABDOMINAL |
$1,178 |
| US BIOPSY LUNG OR ME |
$1,347 |
| ABD AORTIC ANEURYSM AAA SCREEN |
$495 |
| INTRAVENOUS INFUSION ALBUMIN |
$393 |
| INTRAVENOUS PUSH ALBUMIN |
$187 |
| US BREAST BILAT |
$803 |
| US EXT NONVASCULAR |
$495 |
| US GUIDE NEEDLE PLACE |
$3,109 |
| US CYST ASPIRATION |
$3,109 |
| US GUIDED NEEDLE PL ADD LESION |
$220 |
| BIOPSY OF BREAST |
$2,600 |
| US VACUUM ASSISTED BREAST BIOPSY |
$2,600 |
| US DRAIN BREAST LE |
$491 |
| US DRAINAGE BREAST |
$793 |
| WIRE LOCATION A |
$370 |
| FINE NEEDLE ASPIRATION |
$966 |
| US BARD BIOPSY CLIP |
$360 |
| SCOUT DEL NEEDLE/REFLECTOR |
$2,230 |
| BONE DEN W/VERTEBRAL FX ASSMT |
$450 |
| BONE DENSITY |
$571 |
| BD VERTEBRAL FRACTURE ASSMT |
$162 |
| DEXA BODY COMPOSITION |
$99 |
| GALACTOGRAM MUIPLE DUCTS |
$789 |
| GALACTOGRAM SINGLE DUCT |
$704 |
| TOMOSYNTHESIS SCREENING |
$80 |
| TOMOSYNTHESIS DIAGNOSTIC |
$80 |
| STEREO GUIDE NEEDLE PLACE |
$3,109 |
| STEREOTACTIC BIOPSY ECH ADD LES |
$220 |
| STEREO UPRIGHT BX ADDL LESION |
$220 |
| STEROTACTIC LOCALIZATION UNI |
$389 |
| STEREOTACTIC LOCALIZAION |
$2,537 |
| MAMMO DIGITAL SCREENING |
$331 |
| MAMMO DIGITAL DIAGNOSTIC |
$414 |
| MAMMO DIGITAL |
$340 |
| MAM GDE NDL PLAC |
$2,537 |
| VISIT LEVEL 2 ESTABLISHED |
$229 |
| VISIT LEVEL 3 ESTABLISHED |
$266 |
| VISIT LEVEL 4 ESTABLISHED |
$326 |
| VISIT LEVEL 5 ESTABLISHED |
$382 |
| BARD SENOMARK COIL BX CLIP |
$620 |
| BARD RIBBON BX CLIP |
$620 |
| TRIMARK EVIVA BIOPSY CLIP |
$570 |
| MR BRAIN |
$1,419 |
| MR SPINE CERVCAL |
$1,419 |
| MR UPPR EXTR |
$2,129 |
| MR UPPR EXTR |
$1,419 |
| MR JNT UPR EXTR |
$2,129 |
| MR JNT UPR EXTR |
$2,129 |
| EOVIST .25MMOL/ML 10 |
$46 |
| MR LWR EXTR |
$1,419 |
| MR LWR EXTR |
$2,129 |
| MR JNT LWR EXTR |
$2,129 |
| MR JNT |
$1,419 |
| CHOLANGIOPANCREATOGRAPHY(MRCP) |
$1,419 |
| TRIMARK BREAST BX CLIP |
$345 |
| MR ORAL CONTRST PER 100 ML |
$37 |
| MRA ABD |
$1,419 |
| MRA LOW EXTR |
$1,419 |
| MRA LOW EXTR |
$2,129 |
| MRA UPPER EXT |
$2,129 |
| MRA UPPER EXT |
$1,419 |
| OPTIMARK 0.5 MMOL/ML 20 |
$7 |
| ULTRASOUND AAA SCREENING |
$495 |
| US AAA SCREENING |
$80 |
| US HEAD AND NECK TISSUE |
$556 |
| US ABDOMINAL LIMTED |
$1,014 |
| US RETROPERITNEUM COMPL |
$832 |
| US RETROPERITONEUM LIMTED |
$831 |
| US PREG UTER LESS 14WKS 1ST GST |
$556 |
| US PREG UTER LES |
$449 |
| US PRG W/DTL FETL EXM 1ST GST |
$901 |
| US OB COMPLETE EX ADDTL GESTN |
$449 |
| US FTL BIO PHYS EXM W/O STRESS |
$599 |
| US EXTREMITY NONVASC |
$495 |
| US HIPS INFNT DYNAMIC |
$876 |
| US CAROTID SCREENING SP |
$80 |
| DUPLEX LWR EXTREMITY ARTRY BIL |
$834 |
| EXTREM VENOUS UPPER |
$834 |
| DUPLEX HEMODIALYSIS |
$742 |
| PROCEDURE US |
$733 |
| CHEST W/FLURO ADD FLURO |
$463 |
| C SPINE 4+ VWS |
$463 |
| T SPINE 3 VIEWS |
$463 |
| L SPINE COMPL W/ BENDNG |
$463 |
| PELVIS 1 OR 2 VWS |
$463 |
| SCAPLA COMPL |
$630 |
| ARTHRO SHOULDER S AND I |
$556 |
| SHOULDER 2+VIEWS |
$837 |
| HUMERUS 2+ VIEWS BILAT |
$641 |
| ARTHR ELBOW S AND I |
$463 |
| XRAY WRIST 2 VIEWS |
$463 |
| INJECTION FOR WRIST |
$287 |
| XR ARTHROGRAM HIP |
$463 |
| KNEES BOTH STANDNG AP |
$366 |
| ARTHR ANKLE S AND I |
$556 |
| CALCANEOUS 2+VWS BILAT |
$568 |
| ABD AP/OBLIQUE/CONE VIEWS |
$554 |
| UGI W/AIR |
$463 |
| SML BOWEL W/SERIAL ENTEROCLYS |
$742 |
| BONE AGE STDY |
$458 |
| BONE LENGTH STDY |
$499 |
| BONE SURVEY FOR INFANT |
$463 |
| JRA PROCEDURE |
$762 |
| WRIST COMP 3+VIEWS BIL |
$685 |
| CONRAY 60 PER ML 50 |
$2 |
| CT SFT TISSUE NECK |
$1,150 |
| CT SPINE |
$1,150 |
| CT PEL ENTEROGRAPHY |
$1,150 |
| CT SHOULDER |
$1,725 |
| CT SHOULDER |
$1,150 |
| CT UPR EXTR |
$1,725 |
| CT LOWR EXTR |
$1,725 |
| CT LWR EXTR |
$1,150 |
| CT BONE LENGTH SCANGRAM |
$499 |
| CT GUIDED STEREOTCTIC LOCAL |
$2,132 |
| CT GUIDE NEEDLE PLACEMNT |
$1,150 |
| CT/MR IMAGE POST PROCESSING |
$786 |
| CT BODY TOTAL |
$1,610 |
| PEM NEEDLE GUIDED PLACEMENT |
$559 |
| BREAST BIOPSY PET |
$1,737 |
| NEURACEQ PET CT INITIAL LMTD |
$4,300 |
| FDG ISOTOPE PER DOSE A |
$1,155 |
| ISOTOPE PET BONE SCAN |
$1,155 |
| PET CT |
$4,300 |
| THYROID UPTAKE SINGLE |
$544 |
| THYROID UPTAKE MUIPLE |
$1,022 |
| THYROID IMAGING ONLY |
$634 |
| I 131 WHOLE BODY SCAN |
$1,130 |
| THYROID UPTKE ADD TO WHOLE BDY |
$166 |
| PARATHYROID |
$1,294 |
| ADRENAL MEDULLA SCAN |
$2,975 |
| BONE MARROW WHOLE BODY |
$1,849 |
| RED CELL SEQUESTRATION |
$1,877 |
| LYMPHATICS AND LYMPH GLANDS |
$666 |
| NM SALIVARY GLAND FUNCT STUDY |
$783 |
| LIVR AND SPLN IMAG STATC ONLY |
$1,685 |
| HEPATOBILIARY SYSTEM IMAGING |
$1,085 |
| GASTRIC EMPTYING |
$1,531 |
| ACUTE GI BLOOD LOSS IMAGING |
$1,283 |
| BOWEL IMAGING |
$1,338 |
| HAPS SCAN VENOUS SHUNT PATENCY |
$895 |
| BONE/JOINT LIMITED |
$1,475 |
| BONE/JOINT MUIPLE AREAS |
$1,381 |
| BONE/JOINT WHOLE BODY |
$2,280 |
| BONE/JOINT THREE PHASE |
$1,440 |
| SPECT BONE SCAN |
$1,381 |
| NON-CARDIAC VASCULAR FLOW |
$749 |
| MYOCARDIAL PLANAR SINGLE STUDY |
$1,106 |
| MYOCARDIAL SPECT SINGLE STUDY |
$1,931 |
| MYOCARDL SPECT MU CARDIOLITE |
$1,440 |
| MYOCARDIAL SPECT MU THALLIUM |
$1,440 |
| MUGA SCAN SINGLE STUDY |
$2,035 |
| LUNG SCAN PERFUSION |
$1,658 |
| LUNG VENTILATION IMAGING |
$606 |
| LUNG VENTILAT&PERFUS IMAGING |
$948 |
| LUNG PERF&VENTILAT DIFERENTL |
$1,026 |
| BRAIN COMPLETE W/ VASCULAR FLW |
$1,654 |
| NM BRAIN SPECT SCAN |
$1,490 |
| CISTERNOGRA |
$1,496 |
| SHUNTOGRAM |
$691 |
| CISTERNOGRAM DETECT LEAK/LOCAL |
$1,954 |
| RENAL SCAN W/BLD FLOW |
$1,800 |
| RENAL SCAN W/BLD FLW ONE W/MED |
$1,507 |
| RENAL SCAN WITH CAPTOPRIL |
$1,507 |
| RENAL SCAN DMSA |
$1,500 |
| TUMOR IMAGING LIMITED |
$1,199 |
| TUMOR IMAGING MUIPLE AREA |
$1,904 |
| TUMOR IMAGING SPECT |
$2,095 |
| TUMOR IMAGING WHLE BODY 2+DAYS |
$2,052 |
| LOCALIZE ABCESS WHOLE BODY |
$1,440 |
| QUANTATATIVE PERFUSION |
$730 |
| QUANTATATIVE VENT/PERFUSION |
$1,026 |
| CERETEC WBC SCAN |
$1,440 |
| THYROID THERAPY I |
$1,719 |
| I-131 THYROID CAR |
$1,719 |
| THERAPY, NONTHYROID NONHEMA |
$1,719 |
| HYDROMORPHONE PCA 50ML SYR |
$70 |
| SODIUM PERTECHNETATE PER MCI |
$116 |
| CARDIOLITE/SESTAMIBI PER DOSE |
$459 |
| MDP-MEDRONATE PER DOSE |
$160 |
| TL201/THALLOUS CHLRIDE PER MCI |
$147 |
| I 131 SODM IODIDE PER 100 MICR |
$245 |
| DISIDA/CHOLETEC/DISFENIN PER V |
$215 |
| CHOLETEC/MEBROFENIN PER DOSE |
$215 |
| PYROLITE / PYP PER DOSE |
$255 |
| DTPA / PENTETATE PER DOSE |
$296 |
| I-123 CAPS PER 100 UCI |
$118 |
| I-131 DIAGNSTC PER MCI 1ST MCI |
$82 |
| MAA PER DOSE A |
$399 |
| SULFUR/COLLOID PER DOSE |
$237 |
| SULFUR COLLOID FIERD PER DSE |
$529 |
| CERETEC/EXAMETAZIME PER DOSE |
$3,050 |
| SAMARIUM/LEXIDRONAM UP TO 150 MCI |
$9,811 |
| INDIUM 111 TIUXETAN ZEVALIN PER D |
$11,893 |
| ISOTOPE ZE VALIN DOSE |
$50,429 |
| IN-111 WBC PER .5 MCI |
$1,700 |
| IN - 111 DTPA PER .5 MCI |
$3,332 |
| FDG PER DOSE |
$750 |
| ZEVALIN THERAPY |
$1,869 |
| GA67 / GALLIUM pER MIC |
$186 |
| TC99M BICISATE =< 25 MCI |
$4,994 |
| DMSA PER DOSE |
$915 |
| XE 133 XENON PER 10 MCI |
$251 |
| TECHNETIUM LABELED RBC |
$248 |
| MAG-3/MERTIATIDE PER DOSE 1 |
$802 |
| NM MAG 3 MERTIATIDE PER DOSE |
$802 |
| OCTREOSCAN PENTREOTIDE PER DOSE |
$5,925 |
| MIBG I-123 INJ PER DOSE |
$6,609 |
| LYMPH NODE IDENTIFICATION |
$1,025 |
| LYMPHOSEEK 0.5 MCI |
$989 |
| NM BRAIN SHUNT PROCEDURE |
$622 |
| NM LIVER IMAGING STATIC ONLY |
$1,102 |
| NM LIVER IMGING SPECT |
$1,300 |
| BRONCHOSCOPY MAC |
$581 |
| ANESTHESIA ALL BLOCKS |
$897 |
| MAC COMBINED UPPER/LOWER GI |
$581 |
| GENL ANS FIRST HOUR |
$1,320 |
| GENL ANS EA ADDL 30 MIN |
$498 |
| INJECTION INTRLESIONAL 1-7 LESNS |
$989 |
| INJ TENDN LIGAMENT CYST TRGR |
$345 |
| INJECT TP MUSCLE GRPS |
$2,146 |
| ARTHR/ASP/INJ LRG JT/BUR W/O U |
$1,786 |
| LYSE ADHESN EPIDURL 1 DAY |
$3,023 |
| ASPIRATE SPINAL CORD CYST/SYRINX |
$1,221 |
| BLOOD PATCH |
$1,384 |
| INJ DISKOGRAPH LUMBAR EA LVL |
$1,322 |
| INJ SINGLE EPI/SUB CERV/THOR 1 |
$2,418 |
| INJ SINGLE EPI/SUB LUM/SAC |
$2,500 |
| NERV BLK TRIGEMINAL ANY BRANCH |
$520 |
| NERV BLK GRTR OCCIPITAL NERV |
$1,350 |
| NERV BLK |
$710 |
| NERV BLK BRACHIAL PLEXUS |
$1,710 |
| NERV BLK INTERCSTL NERV SNGL |
$1,216 |
| NERV BLK INTERCSTL NERV REGN |
$976 |
| NERV BLK ILIOINGUINAL |
$1,710 |
| NERV BLK PUDENDAL |
$1,710 |
| NERV BLOCK SCIATIC |
$580 |
| NERV BLK FEMORAL |
$1,710 |
| NERV BLK OTHER PERIPHERAL NRV |
$889 |
| GENICULATE NERVE BLOCK |
$889 |
| OBTURATOR NERVE BLOCK |
$938 |
| INJ PARAVER CERV/THOR 1ST LEVEL |
$2,778 |
| INJ PARAVER CER/THOR 3RD LEVEL |
$975 |
| INJ PARAVER LUM/SAC 1ST LEVEL |
$2,778 |
| INJ TRANFORM CERV/THOR SNG LVL |
$2,778 |
| INJ TRANFORM CRV/THR EA ADL LV |
$975 |
| INJ TRANFORM LUM/SAC SNG LEVEL |
$2,778 |
| INJ TRANFORM LUM/SAC EA ADL LV |
$975 |
| NERV BLK SPHENOPALATINE GANGLION |
$1,156 |
| NERV BLK STELLATE GANGLION |
$2,430 |
| NERV BLK LUM/THOR PARAVERT SYM |
$2,661 |
| NRV BLK CELIAC PLXUS W/WO XRAY |
$1,088 |
| CHEMODENERVATION OF NECK MUSCLE |
$889 |
| DESTR INTERCOSTAL NERVE |
$1,595 |
| DESTR FACET LUM/SAC SINGLE LVL |
$1,976 |
| DESTR FACET LUM/SAC EA ADL LVL |
$964 |
| DESTR FACET CERV/THOR SNG LVL |
$1,757 |
| DESTR FACET CRV/THR EA ADL LVL |
$969 |
| DESTR OTH PERIPHERAL NERVE/BRCH |
$1,725 |
| GENICULAR NEUROTOMY |
$1,725 |
| FEM OBTURATOR NEUROTOMY |
$1,725 |
| DESTR CELIAC PLEXUS W/WO XRAY |
$1,368 |
| DESTR SUPERIOR HYPOGASTRIC PLXS |
$1,574 |
| NERV BLK HYPOGASTRIC |
$1,579 |
| SYMPATHECTOMY LUMBAR |
$1,657 |
| ISOVUE-M 200 |
$3 |
| URASOUND GUIDANCE NEEDLE |
$787 |
| MODERATE SEDATION 1ST 15 MIN |
$118 |
| MODERATE SEDATION ADDTL 15MIN |
$97 |
| RECOVERY LVL I (1ST HOUR) |
$917 |
| RECOVERY LVL I (61-75) |
$1,083 |
| RECOVERY LVL I (76-90) |
$1,250 |
| INR |
$152 |
| EPIDURAL TRAY |
$76 |
| COOLED RF KIT |
$1,200 |
| BRONCHOSCOPY LARYNGOSCOPY |
$387 |
| ARTERIAL BLOOD GAS |
$259 |
| VENOUS BLOOD GAS |
$259 |
| CAPILLARY BLOOD GAS |
$259 |
| O2 SATURATION DIRECT MEASUREMNT |
$76 |
| LACTATE |
$101 |
| PH PLEURAL FLUID |
$91 |
| REFLUX TEST W/ NASAL PH |
$968 |
| CPR CODE BLUE |
$539 |
| SPIROMETRY OCC HEALTH |
$179 |
| SPIROMETRY SIMPLE |
$312 |
| SPIROMETRY PRE/POST BRONC ADM |
$374 |
| BRONCHO SPASM EVAL MULT MET |
$374 |
| PEAK FLOW MEASUREMENT/VITL CAP |
$134 |
| PLETHYSMOGRAPHY/RAW |
$550 |
| LUNG VOL GAS DILUTION |
$500 |
| INHALATION TREATMENT AEROSOL |
$225 |
| INHALATION TREATMENT MDI |
$225 |
| SPUTUM INDUCTION |
$225 |
| INHAL TRTMNT PENTAMIDINE |
$155 |
| CONTINUOUS INHALAT |
$204 |
| VENTILATOR MANAGEMENT 1ST DAY |
$1,877 |
| VENTILATOR MANAGMNT SUBSEQ DAY |
$737 |
| CPAP INITIATION AND MANAGMNT DAIL |
$459 |
| DEMO/EVAL PT USE AEROSOL/IPPB/MDI |
$225 |
| INHALATION TREATMENT IPPB |
$225 |
| INHALATION TREATMENT EZ PAP |
$225 |
| MANIPULATE CHEST WALL INITIAL |
$99 |
| MANIPULATE CHEST WALL SUBSEQNT |
$81 |
| ARTERIAL PUNCTURE |
$300 |
| PULM FUNCT TEST OSCILLOMETRY |
$228 |
| MEMBRANE DIFFUSION CAPACITY |
$268 |
| PULSE OX SINGLE PROTOCOL |
$71 |
| PULSE OX MULTIPLE |
$183 |
| PULSE OX CONTINUOUS |
$150 |
| PULSE OX OVERNIGHT CONTINUOUS |
$301 |
| SUCTION NASOTRACHEAL |
$188 |
| METHACHOLINE INHAL CHALLENGE |
$524 |
| HISTAMINE INHALATION CHALLENGE |
$524 |
| CROUPETTE PER DAY |
$216 |
| ADAPTOR END TIDAL CO2 |
$84 |
| VALVE PASSY MUIR |
$336 |
| O2 ADMINISTRATION PER DAY |
$309 |
| O2 ADMINISTRATION PRN |
$98 |
| DISPOSABLE DEVICE |
$40 |
| INCENTIVE SPIROMETER |
$62 |
| ADAPTOR AIRWAY |
$123 |
| NASO-PHARYNGEAL AIRWAY |
$73 |
| BAG RESUSCITATION |
$142 |
| BRONCH ROOM PHOTO FEE |
$24 |
| DEVICE MUCUS CLEARANCE |
$245 |
| VENTILATOR STANDBY |
$183 |
| MONITOR END TIDAL CO2 |
$17 |
| PROBE PULSE OX |
$155 |
| TUBE ENDOTRACHEAL |
$68 |
| TUBE TRACHEOSTOMY |
$413 |
| PEAK FLOW METER |
$136 |
| FORCEPS BIOPSY |
$370 |
| NEEDLE ASPIRATION |
$277 |
| DISPOSABLE BRONCHIAL SCOPE |
$793 |
| BRONCHOSCOPY FIBEROPTIC |
$1,432 |
| INTUBATE ENDOTRACHEAL EMERGENT |
$348 |
| CONTINUOUS COOL AEROSOL/DAY |
$440 |
| SMOKING CESSATION ASSESSMENT |
$69 |
| SMOKING CESSATION PROGRAM |
$349 |
| SMOKING CESSATION SCREEN IP |
$86 |
| SMOKING AND TOBACCO USE CESS |
$76 |
| ASTHMA ASSESSMENT/EVALUATION |
$134 |
| ASTHMA EDUCATION SUPPLY |
$69 |
| THERAPUTIC ACTIVITY |
$165 |
| ASTHMA COMPL MONITOR |
$571 |
| ASTHMA EDUCATION SCREEN IP |
$54 |
| ASTHMA EDUCATION LIMITED |
$134 |
| MU SLEEP LATENCY MU TRIALS |
$2,317 |
| RESEARCH MU SLEEP LATENCY |
$2,317 |
| SLEEP STUDY W/4 ADDL PARMETRS |
$3,270 |
| SLEEP STDY W/4 ADL PRMTRS AND CPA |
$4,426 |
| RESEARCH POLYSOMNOGRAPHY |
$3,264 |
| HOME STUDY |
$629 |
| PT DEVELOPMENT TEST EXT PER HR |
$450 |
| PT RE-EVAL EST POC |
$232 |
| PT ELEC STIM UNATTENDED |
$131 |
| PT ELECT STIM MANUAL |
$176 |
| PT ULTRASOUND PHONO EA 15 MINS |
$165 |
| PT NEUROMUSC RE-EDUC EA 15M |
$165 |
| PT GAIT TRAINING EA 15M |
$165 |
| PT MASSAGE EA 15M |
$165 |
| PT MANUAL THER EA 15M |
$167 |
| PT GRP THERAPY |
$117 |
| PT ORTHO FIT/TRAIN |
$172 |
| PT THERAPEUTIC ACT EA 15M |
$165 |
| PT SENS INTEGR EA 15M |
$165 |
| PT SELF CARE/HOME CARE EA 15 MIN |
$169 |
| PT CHEK ORTH PROST SUBQ EA 15M |
$127 |
| OT DEVELOPMENTAL TEST EXT/HR |
$450 |
| OT ELECT STIM MANUAL |
$176 |
| OT ULTRASOUND/PHONO EA 15 MIN |
$165 |
| OT NEUROMUSC RE-EDUC EA 15M |
$165 |
| OT MASSAGE EA 15M |
$165 |
| OT MANUAL THER EA 15M |
$167 |
| OT ORTHO FIT/TRAIN |
$172 |
| OT THERAPEUTIC ACT EA 15M |
$165 |
| OT COG SKILL DEV EA 15M |
$165 |
| OT SENS INTEGR EA 15M |
$165 |
| OT SELF CARE/ADL EA 15M |
$169 |
| SPEECH/HEARING TREAT |
$385 |
| SPEECH/HEARING TX GROUP |
$165 |
| TREATMENT ORAL FUNCTION 0-30 MINS |
$366 |
| EVALUATE ORAL/SWALLOW FUNCTION |
$471 |
| ST DEV TEST EXT/HR |
$450 |
| OT EVAL |
$362 |
| OT RE-EVAL EST POC |
$232 |
| OT ORTH PROST TRAN INIT EA 15M |
$118 |
| OT CHEK ORTH PROST SUBQ EA 15M |
$127 |
| SP EVAL SPEECH FLUENCY |
$266 |
| SP EVAL SOUND PRODUCTION |
$395 |
| SP EVAL LANGUAGE COMP AND EXPRESS |
$495 |
| SP BEHAV&QUANT ANALYSIS |
$228 |
| OT PARAFFIN BATH |
$132 |
| PT EVAL |
$362 |
| PT ULTRASOUND EA 15M |
$165 |
| PT CPM INITIAL SET UP |
$143 |
| PT FUNCTIONL TRAINING EA 15MIN |
$165 |
| PT ASSISTIVE TECH ASSESSMENT |
$105 |
| OT ASSISTIVE TECH ASSESSMENT |
$105 |
| SPEECH/LANG TX SINGLE 30 MIN |
$385 |
| VIDEO SWALLOW STUDY 60 MINS |
$471 |
| PT PARAFFIN BATH |
$132 |
| PT IONTOPHORESIS |
$174 |
| PT CONTRAST BATH EA 15M |
$165 |
| PT THERAPEUTIC EXERCISE EA 15 M |
$168 |
| PT SELF CARE/ADL EA 15M |
$169 |
| PT PHYSICAL TEST W/ REP EA 15 M |
$169 |
| PT ESTIM WND CARE OTHER |
$120 |
| OT HOT OR COLD PACKS |
$64 |
| OT ELECT STIM UNATTENDED |
$131 |
| OT IONTOPHORESIS |
$174 |
| OT CONTRAST BATH EA 15M |
$165 |
| OT ULTRASOUND EA 15M |
$165 |
| OT THERAPEUTIC EXERCISE EA 15 M |
$168 |
| OT AQUATIC THER EA 15M |
$116 |
| OT GROUP THER PER MEMBER |
$117 |
| OT WHEELCHAIR INSTRUCTION TRNG |
$90 |
| PT WHEELCHAIR INSTRUCTION TRNG |
$90 |
| OT PHYSICAL TEST W/REP EA 15M |
$169 |
| OT ESTIM WND CARE OTHER |
$120 |
| ORAL FUNCTION EVAL |
$471 |
| APHASIA ASSESSMENT PER HR |
$362 |
| PT IONTOPHORESIS EA 15M |
$174 |
| PT COMM/WORK REINT EA 15M |
$129 |
| PT NONSELECT DEBRIDEMENT |
$167 |
| PHYSICAL AGILITY TESTING |
$89 |
| OT NONSELECT DEBRIDEMENT |
$167 |
| SP COG SKILL DEV EA 15M |
$165 |
| OT COMM/WORK REINT EA 15M |
$129 |
| I AND D ABCESS SIMPLE/SINGLE |
$314 |
| I&D ACNE SURGERY |
$255 |
| I AND D REMV FB SUBQ TISSUE SIMPL |
$263 |
| I AND D REMV FB SUBQ TISSUE COMPL |
$3,053 |
| I AND D HEMTOMA |
$2,900 |
| I&D PILONIDAL CYST COMPLICATED |
$3,368 |
| EXCISION PILONIDAL CYST EXTEN |
$3,700 |
| PUNC ASP OF ABSCESS |
$585 |
| MUSCLE DEBRIDE |
$2,354 |
| PAIRING OF CORN/CALLUS>4 |
$321 |
| BONE DEBRIDE |
$2,354 |
| DEBRIDE BONE 1ST 20SQ CM OR LESS |
$2,900 |
| DEBRIDE NAILS 1-5 |
$196 |
| DEBRIDE NAILS 6 OR MORE |
$196 |
| PARING OF CORN/CALLUS |
$200 |
| BX SKIN SUBQ / MUCOUS SINGLE |
$350 |
| BX SKIN SUBQ/MUCOUS EA ADL LESION |
$98 |
| REPAIR LACERATION |
$400 |
| SIMPLE REPAIR |
$520 |
| CMPLX RPR WNDS A/L/S 2.5-7.5 CM |
$1,760 |
| CAUTERY CHEMICAL GRANULATION TISS |
$154 |
| DESTR MLES T/A/L 1.1-2.0CM |
$2,900 |
| SHAVE LES T/A/L 0.6-1.0CM |
$234 |
| DESTR MLES T/A/L 2.1-3.0CM |
$3,100 |
| SHAVE LES T/A/L >2.0CM |
$965 |
| SHAVE LES T/A/L 1.1-2.0CM |
$340 |
| BX MUSCLE |
$3,053 |
| BX MUSCLE PERCUTANEOUS NEEDLE |
$2,900 |
| I&D PELV/HIP JNT ABSC DEEP |
$4,400 |
| I AND D DEEP HEMATOMA LEG/ANKLS |
$3,053 |
| BX SOFT TISS LEG/ANKLE SUPFICIAL |
$2,900 |
| BX SOFT TISS LEG/ANKLE DEEP |
$3,053 |
| APP RIGID TOTAL CONTACT LEG CAST |
$534 |
| STRAPPING UNNA BOOT |
$375 |
| APP MULT LAY VEN WND COMP BLWKNRT |
$420 |
| COMPRESSION TO ARM INC HAND |
$164 |
| STRAPPING UNNA BOOT MULTILAYER BI |
$234 |
| TCP02 ABI UNILAT 1-2 LEVELS |
$701 |
| TCP02 ABI BIL 1-2 LVLS>=3 LVLS |
$730 |
| RMVL DEV TIS SEL EA ADDL 20 SQ CM |
$227 |
| RMVL DEV TIS SEL 1ST 20 SQ CM |
$264 |
| NEG PRES WND THERAPY GRTR50CM |
$350 |
| NEG PRES WND THERAPY LESS50CM |
$188 |
| HBO TX 30 MINS |
$555 |
| VISIT ESTABLISHED OR NEW |
$780 |
| APLIGRF PER SQ CM |
$125 |
| OASIS DERMAL TISS PER SQ CM |
$13 |
| PURAPLY PER SQ CM |
$415 |
| BURN SMALL 5% |
$910 |
| BURN MED 5-10% |
$1,010 |
| BURN LARGE GRTR10% |
$1,110 |
| FT GRFT ARMS/LEG EA ADD 20 SQCM |
$1,322 |
| PINCH GRFT SIN/MU TO 2CM DIA |
$1,760 |
| FT GRAFT HAND/FEET 20 SQ CM |
$3,053 |
| FT GRFT ARM/LEG 20 SQ CM |
$3,053 |
| AVULSION OF NAIL, EA ADDL |
$222 |
| AVULSION OF NAIL PARTIAL/COMP |
$1,197 |
| AVULSION NAIL SINGLE |
$293 |
| REPAIR INTERMEDICATE H/F/N |
$300 |
| COM REP A/L 1.1-2.5CM |
$1,760 |
| CMPLX RPR H/F/D 1.1-2.5CM |
$1,760 |
| CMPLX RPR 2.6-7.5 FHD,CHKS,CHN,MO |
$1,760 |
| EXCISION ISCHIAL ULCER/SUTURE |
$3,053 |
| COMPLEX REPAIR EYE/EAR/NOSE/LIP |
$1,760 |
| STSG H/F/D/F/S/1ST 100 SQ CM |
$5,471 |
| COMP REPAIR TRUNCK 2.6-7.5 CM |
$1,760 |
| COMP REPAIR TRUNK ADD 5 ORLESSCM |
$985 |
| APPL SK SUB EA ADD 25SQ CM L/A/T |
$985 |
| APP SK SUB EA ADD 25SQ CM FT TOES |
$985 |
| APP SK SUB 1ST 100SQ CM L/A/T |
$5,471 |
| APPL SK SUB EA ADD 100SQ CM L/A/T |
$985 |
| APPL SK SUB 1ST 100SQ CM FT/TS |
$5,471 |
| APPL SK SUB EA ADD 100SQ CM FT/TS |
$985 |
| I&D DEEP ABS HEMATOMA THGH KNEE |
$3,739 |
| APP SKN SUB TRK/ARM/LEG IN 25 SQ |
$1,760 |
| APP SKN SUB TRK/ARM/LEG ADL 25 |
$832 |
| APP SKN SUB TRK/ARM/LEG INI 100SQ |
$5,471 |
| APP SKN SUB TRK/ARM/LEG ADD 100SQ |
$2,786 |
| APP SKN SUB F/H/FT INI 25 SQ CM |
$1,760 |
| APP SKN SUB F/H/FT ADDTL 25 SQ CM |
$832 |
| APP SKN SUB |
$3,053 |
| APP SKN SUB F/H/FT ADDTL 100SQ CM |
$832 |
| SIMPLE REPAIR 2.5CM OR LESS |
$185 |
| RPR SPRFICIAL WND SIMP CLOSURE |
$1,760 |
| SIMPLE REPAIR 2.6-5.0CM FENLMM |
$580 |
| INTMD WND RPR S/TR/EXT 2.5 CM |
$351 |
| INTMD WND RPR S/TR/EXT 2.5-7.5 |
$1,085 |
| INTERMEDIATE REPAIR 12.6-20 CM |
$1,248 |
| SIMPLE REPAIR 20.1-30.0 CM |
$599 |
| CMPLX RPR WND TRK 1.1-2.5 CM |
$3,053 |
| WND CARE CMPLX W/SUTURE |
$1,760 |
| MUSCLE SKIN GRAFT LEG |
$5,471 |
| LATE CLOSURE OF WOUND |
$5,471 |
| REMOVAL FOREIGN BODY DEEP/COMP |
$3,053 |
| EXC TR EXT MLG MARG 0.6-1 CM |
$1,760 |
| EXC TR EXT MLG 0.6-1CM |
$1,760 |
| EXC TR EXT MLG MARG 1.1-2CM |
$1,760 |
| EXC TR ECT MLG MARG 2.1-3CM |
$2,900 |
| EXC TR-EXT MAL+MARG 3.1-4CM |
$3,050 |
| REPAIR BLD VESSEL LWR EXTREM |
$3,000 |
| TISSUE TX ANY AREA 30.1-60SQCM |
$4,100 |
| TISSUE TX EA ADDL 30SQCM |
$1,600 |
| TISSUE TX S/A/L UPTO 10SQCM |
$3,300 |
| WOUND EXPLORATION EXTREMITY |
$3,070 |
| TISSUE TX F/A/H/F |
$3,053 |
| ASPIRATE/INJ GAGLION CYST |
$624 |
| I&D BELOW FASCIA, FOOT |
$3,053 |
| EXC BLES N/H/F W MARG TO 3CM |
$2,900 |
| AMNIOEXCEL/SQCM 15MM OR 2X3 |
$750 |
| AMNIOEXCEL/SQCM 3.5X3.5 |
$398 |
| AMNIOEXCEL/SQCM 4X4 OR 10X10 |
$290 |
| AMNIOEXCEL/SQCM 5X5 OR 4X8 |
$215 |
| EPIFIX 18MM DISK PER SQCM |
$496 |
| EPIFIX 2CMX2CM PER SQCM |
$532 |
| EPIFIX 2CMX3CM PER SQCM |
$381 |
| EPIFIX MESH 2CMX3CM PER SQCM |
$572 |
| EPIFIX MESH 3.5X3.5CM PER SQCM |
$311 |
| I&D DEEP FOREARM/WRIST |
$3,053 |
| CONCIERGE MASSAGE |
$45 |
| PT FLUIDO THERAPY |
$176 |
| OT FLUIDO THERAPY |
$176 |
| PT TRACTION MECH |
$167 |
| OT ESTIM WND CARE STAGE 3/4 ULC |
$132 |
| ROBOT XI CURVE SHEAR 8MM |
$1,092 |
| ROBOT XI ENDOWRIST SUCTION |
$657 |
| Candida Albicans Extract - Sol |
$1,235 |
| Sevoflurane 100% Liq |
$1,327 |
| Tuberculin Purified Protein Derivative 5 Tuberculin Units/0.1 Ml Sol |
$67 |
| Tuberculin Purified Protein Derivative 5 Tuberculin Units/0.1 Ml Sol |
$86 |
| Silver Nitrate Topical - Sti |
$10 |
| Typhoid Vaccine, Inactivated IM Sol 0.5 Ml |
$568 |
| Compound Tincture Benzoin Swabstick |
$10 |
| Compound Tincture Benzoin Swabstick |
$10 |
| Acetaminophen 1000 Mg/100 Ml IV Sol |
$445 |
| Acetazolamide 500 Mg Inj |
$460 |
| Acetylcysteine 20% (200mg/Ml) Sol 30 Ml |
$103 |
| Acetylcysteine 20% IV Soln (200mg/Ml) 30 Ml |
$1,209 |
| Acetylcysteine 20% IV Soln (200mg/Ml) 30 Ml |
$1,209 |
| Acetylcysteine 20% IV Soln (200mg/Ml) 30 Ml |
$1,876 |
| Acyclovir 50 Mg/Ml IV Sol 10ml |
$148 |
| P-Acyclovir 5 Mg/Ml |
$10 |
| Tetanus/Diphtheria/Pertussis, Acel (Tdap) 0.5 Ml IM Susp |
$277 |
| Tetanus/Diphtheria/Pertussis, Acel (Tdap) 0.5 Ml IM Susp |
$282 |
| Adenosine 3 Mg/Ml IV Sol 20 Ml |
$1,401 |
| Adenosine 3 Mg/Ml IV Sol 20 Ml |
$557 |
| Allopurinol 500 Mg IV Inj |
$25,645 |
| Allopurinol 500 Mg IV Inj |
$22,753 |
| Amikacin 250 Mg/Ml |
$62 |
| Aminocaproic Acid 250 Mg/Ml IV Sol 20 Ml |
$64 |
| Aminocaproic Acid 250 Mg/Ml IV Sol 20 Ml |
$69 |
| Aminophylline 500 Mg/20 Ml IV Sol |
$68 |
| Amiodarone 150 Mg/3 Ml IV Sol |
$22 |
| Amiodarone 150 Mg/3 Ml IV Sol |
$23 |
| Amiodarone 150 Mg/3 Ml IV Sol |
$144 |
| Amiodarone 150 Mg/3 Ml IV Sol |
$16 |
| Amiodarone 150 Mg/3 Ml IV Sol |
$40 |
| Amiodarone 150 Mg/100 Ml-D5% Sol 100ml |
$385 |
| Amiodarone 360 Mg/200 Ml-D5% |
$297 |
| Amphotericin B Lipid Complex 100 Mg/20 Ml IV Susp |
$1,209 |
| Amphotericin B Liposomal 50 Mg IV Inj |
$1,338 |
| Ampicillin-Sulbactam 1 G-0.5 G Inj |
$98 |
| Ampicillin-Sulbactam 1 G-0.5 G Inj |
$39 |
| Ampicillin-Sulbactam 1 G-0.5 G Inj |
$71 |
| Ampicillin-Sulbactam 1 G-0.5 G Inj |
$84 |
| Ampicillin-Sulbactam 2 G-1 G Inj |
$142 |
| Ampicillin-Sulbactam 2 G-1 G Inj |
$70 |
| Ampicillin-Sulbactam 2 G-1 G Inj |
$159 |
| Ampicillin-Sulbactam 2 G-1 G Inj |
$135 |
| P-Ampicillin-Sulbactam 20 Mg-10mg/Ml (30 Mg/Ml) |
$10 |
| Ampicillin 1 G Pow |
$80 |
| Ampicillin 1 G Pow |
$80 |
| Ampicillin 2 G Inj |
$155 |
| Ampicillin 2 G Inj |
$147 |
| Ampicillin 250 Mg Inj |
$25 |
| Ampicillin 250 Mg/5 Ml Oral Liq |
$6 |
| Ampicillin 500 Mg Inj |
$27 |
| Ampicillin 500 Mg Inj |
$41 |
| P-Ampicillin 100 Mg/Ml |
$10 |
| Antivenin (Micrurus Fulvius) IV Kit |
$31,838 |
| Antivenin (Crotalidae) Polyvalent - Pow |
$12,479 |
| Arginine 10% 30 G/300 Ml IV Sol |
$347 |
| P-Arginine 10% 0.1 G/ Ml |
$10 |
| Atracurium 100 Mg/10 Ml IV Sol |
$92 |
| Atracurium 100 Mg/10 Ml IV Sol |
$176 |
| Atropine 1 Mg/10 Ml Inj Sol |
$100 |
| Atropine 1 Mg/10 Ml Inj Sol |
$103 |
| Atropine 0.05 Mg/Ml Sol |
$141 |
| Atropine 0.4 Mg/Ml Inj Sol |
$40 |
| Atropine 1 Mg/Ml Sol |
$127 |
| Azithromycin 500 Mg IV Inj |
$67 |
| Azithromycin 500 Mg IV Inj |
$82 |
| P-Azithromycin 2mg/Ml |
$67 |
| Aztreonam 1 G Inj |
$365 |
| Aztreonam 1 G Inj |
$365 |
| Aztreonam 2 G Inj |
$342 |
| Aztreonam 2 G Inj |
$431 |
| Aztreonam 2 G Inj |
$373 |
| P-Aztreonam 20 Mg/Ml |
$10 |
| Bacitracin Topical 500 Units/G Oint 1 Oz Tube |
$15 |
| Bacitracin Topical 500 Units/G Oint UD |
$2 |
| Bacitracin 50,000 Units IM Inj |
$72 |
| Bacitracin 50,000 Units IM Inj |
$123 |
| Benztropine 1 Mg/Ml Inj Sol |
$354 |
| Beractant 25 Mg/Ml Intratracheal Sol 8 Ml |
$3,633 |
| Beractant 25 Mg/Ml Intratracheal Sol 4ml |
$2,053 |
| Betamethasone Top Valerate 0.1% Crm |
$10 |
| Betamethasone Top Valerate 0.1% Crm |
$16 |
| Betamethasone Acetate-Betamethasone Sodium Phosphate 3 Mg-3 Mg Inj Susp 5 Ml |
$391 |
| Betamethasone Acetate-Betamethasone Sodium Phosphate 3 Mg-3 Mg Inj Susp 5 Ml |
$331 |
| Betamethasone Acetate-Betamethasone Sodium Phosphate 3 Mg-3 Mg Inj Susp 5 Ml |
$356 |
| Benzathine Penicillin-Procaine Penicillin 600,000 Units-600,000 Units/1 Ml |
$328 |
| Penicillin G Benzathine 1,200,000 Units/2 Ml Sus |
$821 |
| Ophth Irrigation, Intraocular Balanced Salt Sol |
$1 |
| Budesonide 0.5 Mg/2 Ml NEB Susp |
$106 |
| Budesonide 0.5 Mg/2 Ml NEB Susp |
$96 |
| Bumetanide 1 Mg/4 Ml Inj Sol |
$28 |
| Bumetanide 1 Mg/4 Ml Inj Sol |
$25 |
| Bumetanide 1 Mg/4 Ml Inj Sol |
$25 |
| Bumetanide 0.25 Mg/Ml Sol 10 Ml |
$27 |
| Bupivacaine 0.25% PF Inj Sol 30 Ml |
$22 |
| Bupivacaine 0.25% PF Inj Sol 30 Ml |
$22 |
| Bupivacaine 0.5% PF Inj Sol 30 Ml |
$24 |
| Bupivacaine 0.5% PF Inj Sol 30 Ml |
$70 |
| Bupivacaine 0.5% PF Inj Sol 30 Ml |
$18 |
| Bupivacaine 0.5% PF Inj Sol 30 Ml |
$24 |
| Bupivacaine 0.5% PF Inj Sol 30 Ml |
$70 |
| Bupivacaine 0.5% PF Inj Sol 30 Ml |
$18 |
| Bupivacaine 0.75% PF Inj Sol 30 Ml |
$44 |
| Bupivacaine 0.75% PF Inj Sol 30 Ml |
$36 |
| Bupivacaine 0.75% PF Inj Sol 30 Ml |
$44 |
| Bupivacaine 0.75% PF Inj Sol 30 Ml |
$36 |
| Bupivacaine 0.25%-Epinephrine 1:200,000 Inj Sol 50 Ml |
$114 |
| Bupivacaine 0.25%-Epinephrine 1:200,000 Inj Sol 50 Ml |
$137 |
| Bupivacaine 0.25%-Epinephrine 1:200,000 Inj Sol 50 Ml |
$114 |
| Bupivacaine 0.25%-Epinephrine 1:200,000 Inj Sol 50 Ml |
$137 |
| Bupivacaine 0.5%-Epinephrine 1:200,000 Inj Sol 50 Ml |
$122 |
| Bupivacaine 0.5%-Epinephrine 1:200,000 Inj Sol 50 Ml |
$122 |
| Bupivacaine 0.75% Intrathecal Sol 2 Ml |
$28 |
| Bupivacaine 0.75% Intrathecal Sol 2 Ml |
$54 |
| Butorphanol 1 Mg/Ml Inj Sol |
$24 |
| Butorphanol 1 Mg/Ml Inj Sol |
$44 |
| Calcium Chloride 100 Mg/Ml Inj Sol 10 Ml |
$69 |
| Calcium Chloride 100 Mg/Ml Inj Sol 10 Ml |
$100 |
| Calcium Chloride 100 Mg/Ml Inj Sol 10 Ml |
$95 |
| Caffeine Citrated 60 Mg/3 Ml |
$266 |
| Calcitonin 200 Intl Units/Ml Inj Sol |
$14,687 |
| Calcium Gluconate 100 Mg/Ml Sol 10 Ml |
$78 |
| Calcium Gluconate 100 Mg/Ml Sol 10 Ml |
$101 |
| Calcium Gluconate 100 Mg/Ml Sol 10 Ml |
$60 |
| P-CALCIUM GLUCONATE 20 Mg/Ml |
$10 |
| Phenol Top Liq |
$3 |
| Cefazolin 1 G/50 Ml IV Sol |
$65 |
| Cefepime 1 G Pow |
$201 |
| Cefepime 1 G Pow |
$188 |
| Cefazolin 2 G/100 Ml-D5W Inj Sol |
$103 |
| Cefepime 2 G Pow |
$373 |
| Cefepime 2 G Pow |
$373 |
| Cefepime 2 G Pow |
$373 |
| P-Cefepime 40 Mg/Ml |
$10 |
| Cefotaxime 1 G |
$21 |
| P-Cefotaxime 100 Mg/Ml |
$10 |
| Ceftaroline 600 Mg Pow |
$937 |
| Ceftaroline 400 Mg Pow |
$937 |
| Ceftazidime 500 Mg Pow |
$73 |
| Ceftazidime 2 G Inj |
$122 |
| Ceftazidime 2 G Inj |
$122 |
| Ceftazidime 2 G Inj |
$111 |
| P-Ceftazidime 40 Mg/Ml |
$10 |
| Cefoxitin 2 G Pow Inj |
$208 |
| Cefoxitin 2 G Pow IV |
$227 |
| Cefoxitin 2 G Pow IV |
$133 |
| P-Cefoxitin 40 Mg/Ml |
$10 |
| Cefoxitin 1 G/50 Ml Sol |
$124 |
| Ceftriaxone 2 G/50 Ml IV Sol |
$444 |
| P-Ceftriaxone 40 Mg/Ml |
$10 |
| Ceftriaxone 1 G Pow |
$395 |
| Ceftriaxone 1 G Pow |
$27 |
| Ceftriaxone 1 G Pow |
$17 |
| Ceftriaxone 1 G Pow |
$17 |
| Ceftriaxone 250 Mg Inj |
$10 |
| Ceftriaxone 500mg Inj |
$69 |
| Ceftriaxone 500mg Inj |
$248 |
| Ceftriaxone 2 G Pow |
$489 |
| Ceftriaxone 2 G Pow |
$490 |
| Dinoprostone 10 Mg Vag Insert |
$3,694 |
| Chloroprocaine 3% PF Inj Sol 20 Ml |
$161 |
| Chloroprocaine 3% PF Inj Sol 20 Ml |
$248 |
| Chloroprocaine 3% PF Inj Sol 20 Ml |
$248 |
| Chlorpromazine 25 Mg/Ml Inj Sol |
$248 |
| Ciprofloxacin 200 Mg/100 Ml IV Sol |
$144 |
| Ciprofloxacin 200 Mg/100 Ml IV Sol |
$29 |
| Ciprofloxacin 200 Mg/100 Ml IV Sol |
$36 |
| Ciprofloxacin 400 Mg/200 Ml IV Sol |
$31 |
| Ciprofloxacin 400 Mg/200 Ml IV Sol |
$48 |
| Ciprofloxacin 400 Mg/200 Ml IV Sol |
$31 |
| P-Ciprofloxacin 2 Mg/Ml |
$10 |
| Cisatracurium 2 Mg/Ml IV Sol |
$155 |
| Clindamycin 150 Mg/Ml IV Sol 2 Ml |
$27 |
| Clindamycin 150 Mg/Ml IV Sol 2 Ml |
$27 |
| Clindamycin 600 Mg/50 Ml-D5W IV Sol |
$193 |
| Clindamycin 600 Mg/50 Ml-D5W IV Sol |
$91 |
| Clindamycin 600 Mg/50 Ml-D5W IV Sol |
$137 |
| P-Clindamycin 12 Mg/ Ml |
$10 |
| Clindamycin 900 Mg/50 Ml-D5W IV Sol |
$236 |
| Clindamycin 900 Mg/50 Ml-D5W IV Sol |
$167 |
| Clobetasol Top 0.05% Crm |
$39 |
| Clobetasol Top 0.05% Crm |
$74 |
| Clonidine 100 Mcg/Ml Sol 10ml |
$259 |
| Clonidine 100 Mcg/Ml Sol 10ml |
$455 |
| Collagenase Top 250 Units/G Oint |
$2,118 |
| Collagenase Top 250 Units/G Oint |
$2,335 |
| Collodion Liqd |
$10 |
| Cyanocobalamin 1000 Mcg/Ml Inj Sol 1 Ml |
$81 |
| Cyanocobalamin 1000 Mcg/Ml Inj Sol 1 Ml |
$77 |
| Cyclopentolate-Phenylephrine 0.2 % -1 % Ophth Sol |
$95 |
| Dextrose 5% With 0.45% NS And Kcl 40 Meq/L IV Sol 1000 Ml |
$31 |
| Dextrose 5% With 0.9% NS And Kcl 20 Meq/L IV Sol 1000 Ml |
$32 |
| Sodium Hypochlorite Top 0.25% Sol |
$99 |
| Sodium Hypochlorite Top 0.25% Sol |
$102 |
| Sodium Hypochlorite Top 0.5% Sol |
$99 |
| Sodium Hypochlorite Top 0.5% Sol |
$102 |
| Dantrolene 20 Mg IV Inj |
$570 |
| Estradiol Cypionate 5 Mg/Ml IM Sol |
$589 |
| Methylprednisolone 40 Mg/Ml Inj Susp |
$99 |
| Methylprednisolone 40 Mg/Ml Inj Susp |
$99 |
| Methylprednisolone 80 Mg/Ml Inj Susp |
$172 |
| Methylprednisolone 80 Mg/Ml Inj Susp |
$203 |
| Medroxyprogesterone 400 Mg/Ml IM Susp 2.5 Ml |
$2,655 |
| Desflurane 100% Inh Liq 240 Ml |
$1,657 |
| Desmopressin 4 Mcg/Ml IV Sol |
$378 |
| Desmopressin 4 Mcg/Ml IV Sol |
$383 |
| Desoximetasone Top 0.25% Crm |
$33 |
| Dexamethasone 10 Mg/Ml Inj Sol |
$14 |
| Dexamethasone 10 Mg/Ml Inj Sol |
$21 |
| Dexamethasone 10 Mg/Ml Preservative-Free Sol |
$58 |
| Dexamethasone 4 Mg/Ml Inj Sol |
$10 |
| Dexamethasone 4 Mg/Ml Inj Sol |
$24 |
| Dexmedetomidine 200 Mcg/2 Ml IV Sol |
$272 |
| Dexmedetomidine 200 Mcg/2 Ml IV Sol |
$212 |
| Dexmedetomidine 200 Mcg/2 Ml IV Sol |
$144 |
| Dexmedetomidine 200 Mcg/2 Ml IV Sol |
$76 |
| Dextrose 25% IV Sol 10 Ml |
$85 |
| Dextrose 50% IV Sol 50 Ml |
$91 |
| Dextrose 50% IV Sol 50 Ml |
$81 |
| Dextrose 50% IV Sol 50 Ml |
$111 |
| Dialysate Potassium Chloride Packet 5.8 Gram |
$10 |
| Diazepam 10 Mg/ 2 Ml Inj Sol |
$266 |
| Dicyclomine 20 Mg/2 Ml Inj Sol |
$471 |
| Dicyclomine 20 Mg/2 Ml Inj Sol |
$312 |
| Dicyclomine 20 Mg/2 Ml Inj Sol |
$450 |
| Dihydroergotamine 1 Mg/Ml Inj Sol |
$803 |
| Diltiazem 125 Mg Added To D5W 100 Ml In 150 Ml PAB Bag [JUP |
$10 |
| Diltiazem 125 Mg/125 Ml-D5W IV Sol |
$399 |
| Diltiazem 125 Mg/125 Ml-D5W IV Sol |
$399 |
| Diltiazem 25 Mg/5 Ml IV Sol |
$24 |
| Diltiazem 25 Mg/5 Ml IV Sol |
$25 |
| Diltiazem 25 Mg/5 Ml IV Sol |
$24 |
| Dobutamine 250 Mg/20 Ml IV Sol |
$54 |
| Dobutamine 250 Mg/20 Ml IV Sol |
$57 |
| Dobutamine 500 Mg/250 Ml-D5W IV Soln |
$173 |
| Dopamine 400 Mg/250 Ml-D5W IV Soln |
$122 |
| Dopamine 400 Mg/250 Ml-D5W IV Soln |
$144 |
| Gadodiamide 287 Mg/Ml Sol 15 Ml |
$536 |
| Gadodiamide 287 Mg/Ml Sol 15 Ml |
$536 |
| Gadodiamide 287 Mg/Ml Sol 20 Ml Syringe |
$649 |
| Gadodiamide 287 Mg/Ml Sol 20 Ml Syringe |
$649 |
| Gadodiamide 287 Mg/Ml Sol 20 Ml Vial |
$659 |
| Gadodiamide 287 Mg/Ml Sol 20 Ml Vial |
$659 |
| Gadodiamide 287 Mg/Ml Sol 5 Ml Vial |
$183 |
| Gadodiamide 287 Mg/Ml Sol 5 Ml Vial |
$183 |
| Dopamine 400 Mg/5 Ml IV Sol |
$36 |
| Doxycycline 100 Mg IV Inj |
$268 |
| Doxycycline 100 Mg IV Inj |
$268 |
| Edrophonium 150 Mg/15 Ml Inj Sol |
$515 |
| Enalaprilat 2.5 Mg/2 Ml IV Sol |
$31 |
| Enalaprilat 2.5 Mg/2 Ml IV Sol |
$67 |
| Hepatitis B Pediatric Vaccine 10 Mcg/0.5 Ml Sus |
$449 |
| Enoxaparin 100 Mg/Ml Inj Sol |
$532 |
| Enoxaparin 100 Mg/Ml Inj Sol |
$220 |
| Enoxaparin 100 Mg/Ml Inj Sol |
$166 |
| Enoxaparin 40 Mg/0.4 Ml Inj Sol |
$367 |
| Enoxaparin 40 Mg/0.4 Ml Inj Sol |
$88 |
| Enoxaparin 40 Mg/0.4 Ml Inj Sol |
$88 |
| Enoxaparin 40 Mg/0.4 Ml Inj Sol |
$67 |
| Enoxaparin 60 Mg/0.6 Ml Inj Sol |
$320 |
| Enoxaparin 60 Mg/0.6 Ml Inj Sol |
$132 |
| Enoxaparin 60 Mg/0.6 Ml Inj Sol |
$132 |
| Enoxaparin 60 Mg/0.6 Ml Inj Sol |
$100 |
| Enoxaparin 80 Mg/0.8 Ml Inj Sol |
$426 |
| Enoxaparin 80 Mg/0.8 Ml Inj Sol |
$176 |
| Enoxaparin 80 Mg/0.8 Ml Inj Sol |
$133 |
| Enoxaparin 30 Mg/0.3 Ml Inj Sol |
$275 |
| Enoxaparin 30 Mg/0.3 Ml Inj Sol |
$66 |
| Enoxaparin 30 Mg/0.3 Ml Inj Sol |
$50 |
| Ephedrine 50 Mg/Ml |
$314 |
| Epinephrine 0.1 Mg/Ml 10 Ml Inj Sol Syringe |
$67 |
| Epinephrine 1 Mg/Ml Inj Sol |
$139 |
| Epinephrine 1 Mg/Ml Inj Sol |
$162 |
| Epinephrine 1 Mg/Ml Inj Sol |
$28 |
| Epinephrine 0.3 Mg Inj Kit |
$1,005 |
| Erythromycin Lactobionate 500 Mg Inj |
$431 |
| Esmolol 100 Mg/10ml IV Sol |
$237 |
| Esmolol 100 Mg/10ml IV Sol |
$159 |
| Esmolol 2,500 Mg/250 Ml IV Premix |
$2,131 |
| Estradiol Valerate 20 Mg/Ml IM Sol |
$1,203 |
| Estradiol Valerate 20 Mg/Ml IM Sol |
$774 |
| Ethacrynic Acid 50 Mg IV Inj |
$27,399 |
| Ethacrynic Acid 50 Mg IV Inj |
$24,442 |
| Ethacrynic Acid 50 Mg IV Inj |
$24,442 |
| Ethacrynic Acid 50 Mg IV Inj |
$24,435 |
| Etomidate 20 Mg/10 Ml IV Sol |
$123 |
| Etomidate 20 Mg/10 Ml IV Sol |
$69 |
| Famotidine 20 Mg/2 Ml IV Sol |
$10 |
| Famotidine 20 Mg/2 Ml IV Sol |
$10 |
| Famotidine 20 Mg/2 Ml IV Sol |
$10 |
| Famotidine 20 Mg/50 Ml IV Sol |
$101 |
| Bupivacaine 0.1%-Fentanyl 2 Mcg/Ml-NS Inj Sol 100 Ml |
$411 |
| Fluconazole 100 Mg/50 Ml-Nacl 0.9% |
$102 |
| Fluconazole 200 Mg/100 Ml-NS IV Sol |
$130 |
| Fluconazole 200 Mg/100 Ml-NS IV Sol |
$207 |
| Fluconazole 200 Mg/100 Ml-NS IV Sol |
$100 |
| Fluconazole 200 Mg/100 Ml-NS IV Sol |
$74 |
| Fluconazole 200 Mg/100 Ml-NS IV Sol |
$100 |
| Fluconazole 200 Mg/100 Ml-NS IV Sol |
$32 |
| P-Fluconazole 2 Mg/Ml |
$10 |
| Fluconazole 400 Mg/200 Ml-NS IV Sol |
$84 |
| Fluconazole 400 Mg/200 Ml-NS IV Sol |
$155 |
| Fluconazole 400 Mg/200 Ml-NS IV Sol |
$231 |
| Flumazenil 0.1 Mg/Ml IV Sol 5 Ml |
$75 |
| Flumazenil 0.1 Mg/Ml IV Sol 5 Ml |
$75 |
| Fluocinolone Top 0.01% Crm |
$384 |
| Folic Acid 5 Mg/Ml Inj Sol |
$296 |
| Folic Acid 5 Mg/Ml Inj Sol |
$290 |
| Fondaparinux 2.5 Mg/0.5 Ml Subq Sol |
$402 |
| Fondaparinux 2.5 Mg/0.5 Ml Subq Sol |
$260 |
| Fondaparinux 7.5 Mg/0.6 Ml SC Sol |
$376 |
| Furosemide 40 Mg/4 Ml Inj Sol |
$31 |
| Furosemide 40 Mg/4 Ml Inj Sol |
$31 |
| Furosemide 40 Mg/4 Ml Inj Sol |
$35 |
| Furosemide 100 Mg/10 Ml Inj Sol |
$61 |
| Gentamicin 100 Mg/100 Ml-0.9% Sol |
$41 |
| Gentamicin 120 Mg/100 Ml-NS IV Sol |
$38 |
| Gentamicin 60 Mg/50 Ml-NS IV Sol |
$79 |
| Gentamicin 60 Mg/50 Ml-NS IV Sol |
$35 |
| Gentamicin 80 Mg/2 Ml Inj Sol |
$14 |
| Gentamicin 80 Mg/2 Ml Inj Sol |
$36 |
| Glycopyrrolate 0.2 Mg/Ml Inj Sol |
$150 |
| Glycopyrrolate 0.2 Mg/Ml Inj Sol |
$144 |
| Granisetron 1 Mg/Ml IV Sol |
$1,004 |
| Granisetron 1 Mg/Ml IV Sol |
$218 |
| Granisetron 1 Mg/Ml IV Sol |
$211 |
| Carboprost 250 Mcg/Ml Inj Sol |
$1,753 |
| Heparin 1000 Units/Ml Inj Sol 10 Ml |
$84 |
| Heparin 1000 Units/Ml Inj Sol 10 Ml |
$84 |
| Heparin 1000 Units/Ml Inj Sol 10 Ml |
$32 |
| Heparin Flush 2 Units/Ml-Nacl 0.9% 500 Ml |
$44 |
| Heparin Flush 2 Units/Ml-Nacl 0.9% 500 Ml |
$52 |
| Heparin Flush 2 Units/Ml-Nacl 0.9% 1000 Ml |
$64 |
| Heparin 25,000 Units/250 Ml-Nacl 0.45% IV Sol 250 Ml |
$93 |
| Heparin 10,000 Units/Ml Inj Sol |
$81 |
| Heparin 10,000 Units/Ml Inj Sol |
$31 |
| Heparin 1000 Units/Ml Inj Sol 2 Ml |
$152 |
| Heparin 1000 Units/Ml Sol |
$15 |
| Heparin 1000 Units/Ml Sol |
$44 |
| Heparin 5000 Units/Ml Inj Sol |
$48 |
| Heparin 5000 Units/Ml Inj Sol |
$19 |
| Hepatitis B Immune Globulin IM Sol 0.5 Ml |
$469 |
| Hepatitis B Immune Globulin IM Sol 0.5 Ml |
$492 |
| Hepatitis B Immune Globulin IM Sol 5 Ml |
$4,244 |
| Hepatitis B Adult Vaccine 20 Mcg/Ml Sus |
$332 |
| Hepatitis B Adult Vaccine 20 Mcg/Ml Sus |
$315 |
| Amino Acids 8% (Hepatamine) IV Sol 500 Ml |
$1,000 |
| Hetastarch 60 Mg/Ml-NS IV Sol |
$295 |
| Hydrocortisone 1 G Inj |
$166 |
| Hydrocortisone 1000 Mg Preservative-Free Pow |
$639 |
| Hydrocortisone 250 Mg Inj |
$79 |
| Hydrocortisone 250 Mg Preservative-Free Pow |
$212 |
| Hydrocortisone 100 Mg PF Pow Ing |
$114 |
| Hydrogen Peroxide Top 3% Sol |
$10 |
| Hydromorphone 10 Mg/Ml Inj Sol |
$49 |
| Hydromorphone 10 Mg/Ml Inj Sol |
$39 |
| Hydromorphone 10 Mg/Ml Inj Sol |
$28 |
| Hydroxyzine Hcl 50 Mg/Ml IM Sol |
$230 |
| Ibutilide 1 Mg/10 Ml IV Sol |
$2,909 |
| Ibutilide 1 Mg/10 Ml IV Sol |
$2,909 |
| Imipenem-Cilastatin 500 Mg Inj |
$362 |
| Imipenem-Cilastatin 500 Mg Inj |
$139 |
| Indigo Carmine 40 Mg/5 Ml Inj Sol |
$60 |
| Indigo Carmine 40 Mg/5 Ml Inj Sol |
$889 |
| Indigo Carmine 40 Mg/5 Ml Inj Sol |
$60 |
| Indigo Carmine 40 Mg/5 Ml Inj Sol |
$889 |
| Indocyanine Green 25 Mg Inj |
$556 |
| Indocyanine Green 25 Mg Inj |
$520 |
| Indocyanine Green 25 Mg Inj |
$556 |
| Indocyanine Green 25 Mg Inj |
$520 |
| Influenza Virus Vaccine, Inactivated PF Quadrivalent Sus 1 Ea |
$187 |
| Influenza Virus Vaccine, Inactivated PF Quadrivalent Sus 1 Ea |
$166 |
| Influenza Virus Vaccine, Inactivated PF Quadrivalent Sus 1 Ea |
$198 |
| Iron Sucrose 100 Mg/5 Ml IV Sol |
$322 |
| Iron Sucrose 200 Mg/10 Ml Sol |
$643 |
| Fat Emul, 20% IV 250 Ml |
$384 |
| Fat Emul, 20% IV 100 Ml |
$311 |
| Fat Emul, 20% IV 100 Ml |
$298 |
| Isoflurane 100% Inh Liq 100 Ml |
$29 |
| Isoproterenol 1 Mg/5 Ml IV Sol |
$377 |
| Isoproterenol 1 Mg/5 Ml IV Sol |
$10,467 |
| Ketamine 500 Mg/5 Ml Inj Sol |
$110 |
| Ketamine 500 Mg/5 Ml Inj Sol |
$90 |
| Ketamine 50 Mg/5 Ml IV Sol |
$109 |
| Ketorolac 30 Mg/Ml Inj Sol |
$10 |
| Ketorolac 30 Mg/Ml Inj Sol |
$55 |
| Ketorolac 15 Mg/Ml Inj Sol |
$10 |
| Ketorolac 15 Mg/Ml Inj Sol |
$21 |
| Ketorolac 60 Mg/2 Ml Inj Sol |
$18 |
| Labetalol 100 Mg/20 Ml IV Sol |
$34 |
| Labetalol 100 Mg/20 Ml IV Sol |
$34 |
| Labetalol 100 Mg/20 Ml IV Sol |
$139 |
| Labetalol 100 Mg/20 Ml IV Sol |
$289 |
| Labetalol 100 Mg/20 Ml IV Sol |
$69 |
| Cysteine 50 Mg/Ml Inj Sol |
$139 |
| Lacosamide 200 Mg/20 Ml IV Sol |
$354 |
| Lansoprazole 3 Mg/Ml Sus |
$10 |
| Levetiracetam 500 Mg/5 Ml IV Sol |
$331 |
| Levetiracetam 500 Mg/5 Ml IV Sol |
$43 |
| P-Levetiracetam 10 Mg/Ml |
$10 |
| Levetiracetam 1000 Mg/100 Ml Premix |
$293 |
| Levetiracetam 1000 Mg/100 Ml Premix |
$333 |
| Levofloxacin 500 Mg/100 Ml Sol |
$129 |
| Levofloxacin 500 Mg/100 Ml Sol |
$122 |
| Levofloxacin 500 Mg/100 Ml Sol |
$307 |
| P-Levofloxacin 5mg/Ml |
$10 |
| Levofloxacin 500mg/20 Ml IV Sol |
$177 |
| Levofloxacin 750 Mg/150 Ml IV Sol |
$310 |
| Levofloxacin 750 Mg/150 Ml IV Sol |
$122 |
| Levofloxacin 750 Mg/150 Ml IV Sol |
$122 |
| Levofloxacin 750 Mg/150 Ml IV Sol |
$69 |
| Levothyroxine 100 Mcg (0.1 Mg) Inj |
$679 |
| Levothyroxine 100 Mcg (0.1 Mg) Inj |
$679 |
| Levothyroxine 100 Mcg (0.1 Mg) Inj |
$642 |
| Levothyroxine 100 Mcg (0.1 Mg) Inj |
$642 |
| Lidocaine 0.5% Inj Sol 50 Ml |
$46 |
| Lidocaine 0.5% Inj Sol 50 Ml |
$46 |
| Lidocaine 0.5% Preservative-Free Sol |
$140 |
| Lidocaine 2g-D5W Inj Sol 500 Ml |
$58 |
| Diltiazem 125 Mg/25 Ml IV Sol |
$64 |
| Diltiazem 125 Mg/25 Ml IV Sol |
$66 |
| Lidocaine 1% PF Inj Sol 30 Ml |
$33 |
| Lidocaine 1% PF Inj Sol 30 Ml |
$114 |
| Lidocaine 1% Inj Sol 50ml |
$31 |
| Lidocaine 1% Inj Sol 50ml |
$55 |
| Lidocaine 1% Inj Sol 50ml |
$31 |
| Lidocaine 1% Inj Sol 50ml |
$31 |
| Lidocaine 1% Inj Sol 50ml |
$55 |
| Lidocaine 1% Inj Sol 50ml |
$31 |
| Lidocaine 1% PF Inj Sol 5 Ml |
$38 |
| Lidocaine 2% MPF INJ Sol 5 Ml |
$32 |
| Lidocaine 2% PF 5ml Syringe |
$33 |
| Lidocaine 2% PF 5ml Syringe |
$34 |
| Lidocaine 2% PF 5ml Syringe |
$44 |
| Lidocaine 2% Inj Sol 50 Ml |
$41 |
| Lidocaine 2% Inj Sol 50 Ml |
$41 |
| Lidocaine 1% Sol 20 Ml |
$16 |
| Lidocaine 1% Sol 20 Ml |
$16 |
| Lidocaine 2% Sol 20 Ml |
$23 |
| Lidocaine 2% Sol 20 Ml |
$23 |
| Epinephrine-Lidocaine 0.5%-1:200,000 Inj Sol 50 Ml |
$38 |
| Epinephrine-Lidocaine 0.5%-1:200,000 Inj Sol 50 Ml |
$68 |
| Epinephrine-Lidocaine 0.5%-1:200,000 Inj Sol 50 Ml |
$38 |
| Epinephrine-Lidocaine 0.5%-1:200,000 Inj Sol 50 Ml |
$68 |
| Epinephrine-Lidocaine 1%-1:100,000 Inj Sol 50 Ml |
$40 |
| Epinephrine-Lidocaine 1%-1:100,000 Inj Sol 50 Ml |
$87 |
| Epinephrine-Lidocaine 1%-1:100,000 Inj Sol 50 Ml |
$40 |
| Epinephrine-Lidocaine 1%-1:100,000 Inj Sol 50 Ml |
$87 |
| Lidocaine 2% MPF Inj Sol 10 Ml |
$42 |
| Lidocaine 5%-D7.5% Inj Sol 2 Ml |
$92 |
| Epinephrine-Lidocaine 2%-1:100,000 Inj Sol 50 Ml |
$79 |
| Epinephrine-Lidocaine 2%-1:100,000 Inj Sol 50 Ml |
$79 |
| Linezolid 600 Mg/300 Ml-D5% Sol |
$515 |
| P-Linezolid 2 Mg/ Ml |
$10 |
| Lorazepam 2 Mg/Ml Inj Sol |
$19 |
| Lorazepam 2 Mg/Ml Inj Sol |
$10 |
| Lorazepam 2 Mg/Ml Inj Sol |
$10 |
| Lorazepam 20 Mg/10 Ml Inj Sol |
$79 |
| Lorazepam 20 Mg/10 Ml Inj Sol |
$98 |
| Magnesium Sulfate 40 G/1000 Ml-Sterile Water |
$93 |
| Magnesium Sulfate 4 G/100 Ml-Sterile Water |
$76 |
| Magnesium Sulfate 1 G/100ml-D5W |
$84 |
| Magnesium Sulfate 1 G/100ml-D5W |
$90 |
| Magnesium Sulfate 2g/50ml-Sterile Water |
$162 |
| Magnesium Sulfate 2g/50ml-Sterile Water |
$178 |
| Magnesium Sulfate 50% Inj Sol (1 Gram/2 Ml) |
$13 |
| Magnesium Sulfate 50% Inj Sol (1 Gram/2 Ml) |
$18 |
| Magnesium Sulfate 50% Inj Sol (1 Gram/2 Ml) |
$18 |
| Magnesium Sulfate 50% Sol 1gram/2ml |
$24 |
| P-MAGNESIUM SULFATE 40mg/Ml |
$10 |
| Mannitol 25% IV Sol 50 Ml |
$22 |
| Mastisol Liquid |
$20 |
| Measles/Mumps/Rubella Virus Vaccine Subq Inj |
$417 |
| Methylene Blue 10 Mg/Ml Inj Sol |
$186 |
| Meperidine 50 Mg/Ml Inj Sol |
$62 |
| Meperidine 50 Mg/Ml Inj Sol |
$24 |
| Mepivacaine 1% PF Inj Sol 30 Ml |
$75 |
| Mepivacaine 1% PF Inj Sol 30 Ml |
$59 |
| Mepivacaine 1% PF Inj Sol 30 Ml |
$75 |
| Mepivacaine 1% PF Inj Sol 30 Ml |
$59 |
| Mepivacaine 1.5% PF Inj Sol 30 Ml |
$102 |
| Mepivacaine 1.5% PF Inj Sol 30 Ml |
$56 |
| Mepivacaine 1.5% PF Inj Sol 30 Ml |
$102 |
| Mepivacaine 1.5% PF Inj Sol 30 Ml |
$56 |
| Methacholine 100 Mg Inh Pwdr For Recon |
$431 |
| Methocarbamol 1000 Mg/10 Ml Inj Sol |
$425 |
| Methocarbamol 1000 Mg/10 Ml Inj Sol |
$320 |
| Methocarbamol 1000 Mg/10 Ml Inj Sol |
$155 |
| Methocarbamol 1000 Mg/10 Ml Inj Sol |
$622 |
| Methocarbamol 1000 Mg/10 Ml Inj Sol |
$189 |
| Methohexital 500 Mg IV Inj |
$362 |
| Methylergonovine 0.2 Mg/Ml Inj Sol |
$87 |
| Methylergonovine 0.2 Mg/Ml Inj Sol |
$285 |
| Methylnaltrexone 12 Mg/0.6 Ml SC Sol |
$585 |
| Methylnaltrexone 12 Mg/0.6 Ml SC Sol |
$701 |
| Methylprednisolone 1 G Pow |
$333 |
| Methylprednisolone 1 G Pow |
$410 |
| Methylprednisolone 1 G Pow |
$379 |
| Methylprednisolone 500 Mg Inj |
$226 |
| Methylprednisolone 40 Mg Preservative-Free Pow |
$59 |
| Methylprednisolone 40 Mg Preservative-Free Pow |
$59 |
| Metoprolol Tartrate 5 Mg/5 Ml Inj Sol |
$12 |
| Metoprolol Tartrate 5 Mg/5 Ml Inj Sol |
$11 |
| Metoprolol Tartrate 5 Mg/5 Ml Inj Sol |
$10 |
| Metoprolol Tartrate 5 Mg/5 Ml Inj Sol |
$30 |
| Metronidazole 500 Mg/100 Ml Sol |
$20 |
| Metronidazole 500 Mg/100 Ml Sol |
$22 |
| Metronidazole 500 Mg/100 Ml Sol |
$42 |
| Metronidazole 500 Mg/100 Ml Sol |
$20 |
| P-Metronidazole 5mg/Ml |
$10 |
| Midazolam 2 Mg/2 Ml PF Inj Sol |
$11 |
| Midazolam 2 Mg/2 Ml PF Inj Sol |
$10 |
| Midazolam 2 Mg/2 Ml PF Inj Sol |
$10 |
| Midazolam 1 Mg/Ml Preservative-Free Sol |
$11 |
| Midazolam 5 Mg/5 Ml Inj Sol |
$32 |
| Midazolam 50mg/10 Ml Inj Sol |
$77 |
| Midazolam 50mg/10 Ml Inj Sol |
$444 |
| Midazolam 50mg/10 Ml Inj Sol |
$77 |
| Midazolam 10 Mg/2 Ml Inj Sol |
$63 |
| Midazolam 10 Mg/5 Ml Oral Syrup |
$100 |
| Midazolam 10 Mg/5 Ml Oral Syrup |
$68 |
| Mineral Oil 100% Liq Sterile |
$8 |
| Ferric Subsulfate Top Sol |
$10 |
| Morphine 25 Mg/Ml Inj Sol |
$77 |
| Morphine 250 Mg/250 Ml-D5W IV Solution |
$133 |
| Morphine 250 Mg/250 Ml-Nacl 0.9% IV Sol |
$290 |
| Morphine 2 Mg/Ml PF Inj Sol |
$24 |
| Morphine 2 Mg/Ml PF Inj Sol |
$29 |
| Morphine 2 Mg/Ml PF IV Sol |
$21 |
| Morphine 30 Mg/30ml PCA |
$74 |
| Morphine 1 Mg/Ml PF Inj Sol 2ml |
$39 |
| Morphine 10 Mg/10 Ml PF Inj Sol |
$74 |
| Moxifloxacin 400 Mg/250 Ml IV Sol |
$328 |
| Moxifloxacin 400 Mg/250 Ml IV Sol |
$296 |
| Moxifloxacin 400 Mg/250 Ml IV Sol |
$3,543 |
| Multiple Vitamins IV Sol 10 Ml 100 Ml |
$154 |
| Multiple Vitamins IV Sol 10 Ml |
$112 |
| Multiple Vitamins IV Sol 10 Ml |
$112 |
| Nafcillin 1 G Inj |
$135 |
| Nafcillin 1 G Inj |
$134 |
| Nafcillin 1 G Inj |
$80 |
| Nafcillin 2 G Pow |
$261 |
| Nafcillin 2 G Pow |
$244 |
| P-Nafcillin 40 Mg/Ml |
$10 |
| Nalbuphine 10 Mg/Ml Inj Sol |
$25 |
| Nalbuphine 10 Mg/Ml Inj Sol |
$36 |
| Nalbuphine 10 Mg/Ml Inj Sol |
$25 |
| Naloxone 0.4 Mg/Ml Inj Sol 10 Ml |
$732 |
| Naloxone 0.4 Mg/Ml Inj Sol 10 Ml |
$732 |
| Naloxone 0.4 Mg/Ml Inj Sol 1 Ml |
$168 |
| Naloxone 0.4 Mg/Ml Inj Sol 1 Ml |
$168 |
| Naloxone 0.4 Mg/Ml Inj Sol 1 Ml |
$46 |
| Neostigmine 10 Mg/10 Ml |
$518 |
| Neostigmine 10 Mg/10 Ml |
$518 |
| Neostigmine 10 Mg/10 Ml |
$200 |
| Nicardipine 30 Mg Cap |
$28 |
| Nitroglycerin 50 Mg/10 Ml IV Sol |
$116 |
| Nitroglycerin 50 Mg/250 Ml-D5W IV Sol |
$195 |
| Nitroglycerin 25 Mg/250 Ml-D5W IV Sol |
$195 |
| Nitroprusside 25 Mg/Ml IV Sol |
$371 |
| Nitroprusside 25 Mg/Ml IV Sol |
$612 |
| Nitroprusside 25 Mg/Ml IV Sol |
$535 |
| Sodium Nitroprusside 50 Mg/100 Ml-Nacl 0.9% Sol |
$15 |
| Norepinephrine 4 Mg/4 Ml IV Sol |
$215 |
| Norepinephrine 4 Mg/4 Ml IV Sol |
$215 |
| Norepinephrine 4 Mg/4 Ml IV Sol |
$200 |
| Insulin Regular Human Recomb 100 Units/Ml |
$2 |
| Sodium Chloride 0.9% With Kcl 20 Meq/L IV Sol 1000 Ml |
$34 |
| Orphenadrine 60 Mg/2 Ml Inj Sol |
$205 |
| Orphenadrine 60 Mg/2 Ml Inj Sol |
$133 |
| Oxycodone 5 Mg/5 Ml Oral Sol |
$61 |
| Oxycodone 5 Mg/5 Ml Oral Sol |
$2,579 |
| Oxytocin 10 Units/Ml Inj Sol |
$17 |
| Oxytocin 10 Units/Ml Inj Sol |
$17 |
| Pancuronium 1 Mg/Ml IV Sol |
$26 |
| Papaverine 30 Mg/Ml Inj Sol |
$55 |
| P-Penicillin G Potassium 100,000 Units/Ml |
$10 |
| Penicillin G Potassium 5,000,000 Units Pow |
$140 |
| Penicillin G Potassium 5,000,000 Units Pow |
$140 |
| Procaine Penicillin 1,200,000 Units/2 Ml Sus |
$272 |
| Pentamidine 300 Mg Inj |
$1,073 |
| Phenobarbital 65 Mg/Ml Inj Sol |
$206 |
| Phentolamine 5 Mg Inj |
$965 |
| Phentolamine 5 Mg Inj |
$2,734 |
| Phenylephrine Ophth 10% Sol |
$4 |
| Phenylephrine 10 Mg/Ml Inj Sol |
$133 |
| Phenylephrine 10 Mg/Ml Inj Sol |
$51 |
| Phenylephrine 10 Mg/Ml Sol 5ml |
$62 |
| Phenylephrine 100 Mcg/Ml-Nacl 0.9% |
$10 |
| Physostigmine 1 Mg/Ml Inj Sol |
$411 |
| Infant - Phytonadione 1 Mg/0.5 Ml Inj Sol 0.5 Ml Syringe |
$200 |
| Piperacillin-Tazobactam 2.25 G Pow |
$114 |
| Piperacillin-Tazobactam 2.25 G Pow |
$78 |
| Piperacillin-Tazobactam 4 G-0.5 G Pow |
$216 |
| Piperacillin-Tazobactam 4.5 G Pow |
$216 |
| Piperacillin-Tazobactam 3.375 G/50 Ml IV Sol |
$231 |
| P-Piperacillin-Tazobactam 40mg-5mg-Ml (45mg/Ml) |
$10 |
| Piperacillin-Tazobactam 4.5 G/100 Ml IV Sol |
$295 |
| Piperacillin-Tazobactam 3.375 G Pow |
$171 |
| Piperacillin-Tazobactam 3.375 G Pow |
$171 |
| Polymyxin B Sulfate 500,000 Units Inj |
$141 |
| Polymyxin B Sulfate 500,000 Units Inj |
$125 |
| Potassium Acetate 2 Meq/Ml IV Sol |
$23 |
| Potassium Acetate 2 Meq/Ml IV Sol |
$109 |
| Potassium Acetate 2 Meq/Ml IV Sol |
$23 |
| P-POTASSIUM CHLORIDE 0.1 Meq/ML |
$10 |
| Potassium Chloride 10 Meq/100 Ml IV Sol |
$36 |
| Potassium Chloride 10 Meq/100 Ml IV Sol |
$35 |
| P-POTASSIUM CHLORIDE 0.2 Meq/ML |
$10 |
| Potassium Chloride 20 Meq/100 Ml IV Sol |
$35 |
| Potassium Chloride 20 Meq/100 Ml IV Sol |
$37 |
| Potassium Chloride 2 Meq/Ml IV Sol 20 Ml |
$46 |
| Potassium Chloride 40 Meq/100 Ml IV Sol |
$35 |
| Potassium Chloride 40 Meq/100 Ml IV Sol |
$36 |
| Potassium Phosphate 3 Mmol/Ml IV Sol |
$155 |
| Pralidoxime 1 G IV Inj |
$558 |
| Pralidoxime 1 G IV Inj |
$558 |
| Prochlorperazine 5 Mg/Ml Inj Sol |
$89 |
| Prochlorperazine 5 Mg/Ml Inj Sol |
$201 |
| Prochlorperazine 5 Mg/Ml Inj Sol |
$205 |
| Progesterone 50 Mg/Ml IM Sol |
$347 |
| Propofol 10 Mg/Ml IV Emul 100 Ml |
$347 |
| Propofol 10 Mg/Ml IV Emul 100 Ml |
$347 |
| Propofol 10 Mg/Ml IV Emul 100 Ml |
$310 |
| Propofol 10 Mg/Ml IV Emul 100 Ml |
$316 |
| Propofol 10 Mg/Ml IV Emul 20 Ml |
$67 |
| Propofol 10 Mg/Ml IV Emul 50 Ml |
$155 |
| Propofol 10 Mg/Ml IV Emul 50 Ml |
$162 |
| Protamine 10 Mg/Ml Inj Sol |
$130 |
| Pyridoxine 100 Mg/Ml Inj Sol |
$169 |
| Pyridostigmine 5 Mg/Ml Inj Sol |
$355 |
| Ranitidine 50 Mg/2 Ml Inj Sol |
$183 |
| Ranitidine 50 Mg/2 Ml Inj Sol |
$143 |
| Rasburicase 1.5 Mg IV Inj |
$4,945 |
| Remifentanil 1 Mg IV Inj |
$379 |
| Remifentanil 2 Mg IV Inj |
$723 |
| Remifentanil 2 Mg IV Inj |
$759 |
| Rifampin 600 Mg IV Inj |
$1,128 |
| Rifampin 600 Mg IV Inj |
$1,148 |
| Rho (D) Immune Globulin 300 Mcg/2 Ml Sol |
$1,075 |
| Rocuronium 10 Mg/Ml IV Sol |
$451 |
| Rocuronium 10 Mg/Ml IV Sol |
$88 |
| Ropivacaine 0.5% Inj Sol 30 Ml |
$241 |
| Ropivacaine 0.5% Inj Sol 30 Ml |
$349 |
| Ropivacaine 0.5% Inj Sol 30 Ml |
$313 |
| Ropivacaine 0.5% Inj Sol 30 Ml |
$313 |
| Ropivacaine 0.5% Inj Sol 30 Ml |
$73 |
| Ropivacaine 0.2% Inj Sol 10 Ml |
$54 |
| Ropivacaine 0.2% Inj Sol 10 Ml |
$17 |
| Sargramostim 250 Mcg IV Inj |
$1,098 |
| Sargramostim 250 Mcg IV Inj |
$1,592 |
| Selenium 400 Mcg/10 Ml IV Sol |
$181 |
| Sincalide 5 Mcg Pow |
$651 |
| Sulfamethoxazole-Trimethoprim 80 Mg-16 Mg/Ml IV Sol 10 Ml |
$124 |
| Sodium Acetate 2 Meq/Ml IV Sol |
$16 |
| Sodium Acetate 2 Meq/Ml IV Sol |
$21 |
| Sodium Acetate 2 Meq/Ml IV Sol |
$21 |
| Sodium Bicarbonate 4.2% Sol 5 Meq/10 Ml (Infant) |
$115 |
| Sodium Bicarbonate 8.4% IV Sol 50 Meq/50 Ml |
$103 |
| Sodium Bicarbonate 8.4% IV Sol 50 Meq/50 Ml |
$97 |
| Sodium Chloride 0.9% Inj Sol 20 Ml |
$16 |
| Sodium Chloride 0.9% Inj Sol 20 Ml |
$14 |
| Sodium Phosphate 3 Mmol/Ml Inj Sol |
$46 |
| Sodium Phosphate 3 Mmol/Ml Inj Sol |
$336 |
| Sodium Tetradecyl Sulfate 3% Inj Sol 2 Ml |
$437 |
| Sodium Tetradecyl Sulfate 3% Inj Sol 2 Ml |
$808 |
| Sodium Thiosulfate 25% Sol 250mg/Ml |
$574 |
| Methylprednisolone 125 Mg Preservative-Free Pow |
$95 |
| Methylprednisolone 125 Mg Preservative-Free Pow |
$95 |
| Succinylcholine 200 Mg/10ml Inj Sol |
$213 |
| Sufentanil 50 Mcg/Ml IV Sol |
$54 |
| Sufentanil 50 Mcg/Ml IV Sol |
$50 |
| Sufentanil 50 Mcg/Ml IV Sol |
$65 |
| Sugammadex 200 Mg/2 Ml |
$278 |
| Prednisolone-Sodium Sulfacetamide Ophth 0.25% Sodium Phosphate-10% Sol |
$4 |
| Sumatriptan 6 Mg/0.5 Ml Subq Sol |
$1,030 |
| Sumatriptan 6 Mg/0.5 Ml Subq Sol |
$456 |
| Quinupristin 150 Mg And Dalfopristin 350 Mg |
$2,586 |
| Telavancin 250 Mg Pow |
$404 |
| Testosterone Cypionate 2000 Mg/10 Ml IM Sol |
$747 |
| Tetracaine 1% Inj Sol 2 Ml |
$418 |
| Thiopental 500 Mg IV Inj |
$439 |
| Thrombin Topical Bovine 20,000 Intl Units Pow |
$1,655 |
| Thrombin Topical Bovine 20,000 Intl Units Pow |
$1,738 |
| Thrombin Topical Bovine 20,000 Intl Units Pow |
$1,738 |
| Thrombin Topical Bovine 5000 Intl Units Pow |
$420 |
| Tigecycline 50 Mg IV Inj |
$913 |
| Tigecycline 50 Mg IV Inj |
$1,003 |
| Tigecycline 50 Mg IV Inj |
$891 |
| Tolnaftate Top 1% Crm |
$2 |
| Tolnaftate Top 1% Crm |
$2 |
| Tolterodine 4 Mg Ercap |
$107 |
| Tolterodine 4 Mg Ercap |
$122 |
| Trace Elements 4.0 Mcg-0.4 Mg-0.1 Mg-1.0 Mg/Ml IV Sol 10 Ml |
$81 |
| Tranexamic Acid 1000 Mg/10 Ml IV Sol |
$335 |
| Tranexamic Acid 1000 Mg/10 Ml IV Sol |
$340 |
| Tranexamic Acid 1000 Mg/10 Ml IV Sol |
$340 |
| Triamcinolone Top 0.1% Oint 15 G |
$48 |
| Trimethobenzamide 200 Mg/2 Ml IM Sol |
$23 |
| Triple Dye Top Swab |
$2 |
| Hepatitis A-Hepatitis B Vaccine IM Sol 1 Ml |
$553 |
| P-Valproate 10 Mg/Ml |
$10 |
| Valproic Acid 500 Mg/5 Ml IV Sol |
$40 |
| Valproic Acid 500 Mg/5 Ml IV Sol |
$192 |
| P-Vancomycin 5 Mg/Ml |
$10 |
| Vancomycin 1 G/200 Ml-D5W IV Sol |
$333 |
| Vancomycin 1.25 Gm / 250 Ml NS Excel Bag |
$10 |
| Vancomycin 1.5 G/NS 250 Ml |
$231 |
| Vancomycin 1.5 G/NS 250 Ml |
$10 |
| Varicella Virus Vaccine Subq Inj 0.5 Ml |
$708 |
| Vasopressin 20 Units/Ml |
$810 |
| Vecuronium 10 Mg Powder-Inj |
$67 |
| Vecuronium 10 Mg Powder-Inj |
$94 |
| Vecuronium 10 Mg Powder-Inj |
$70 |
| Vecuronium 10 Mg Powder-Inj |
$55 |
| Vecuronium 20 Mg Powder-Inj |
$111 |
| Vecuronium 20 Mg Powder-Inj |
$189 |
| Vecuronium 20 Mg Powder-Inj |
$122 |
| Verapamil 2.5 Mg/Ml IV Sol |
$308 |
| Verapamil 2.5 Mg/Ml IV Sol |
$267 |
| Vinblastine 1 Mg/Ml IV Sol |
$243 |
| Sterile Water - Sol 1000ml |
$10 |
| Sterile Water - Sol 100 Ml |
$41 |
| Sterile Water - Sol 20 Ml |
$50 |
| Sterile Water Inj Sol 1 Ea |
$13 |
| Sterile Water - Sol 10ml |
$10 |
| Sterile Water - Sol Inj 50ml |
$65 |
| Sterile Water - Sol Inj 50ml |
$23 |
| Yellow Fever Vaccine Subq Inj |
$905 |
| Zidovudine 200 Mg/10 Ml IV Sol |
$282 |
| Zidovudine 200 Mg/10 Ml IV Sol |
$324 |
| Zinc Chloride 1 Mg/Ml IV Sol |
$206 |
| Zinc Sulfate 1 Mg/Ml Sol |
$295 |
| Sodium Chloride 23.4% IV Sol 100 Ml |
$33 |
| Sodium Chloride 23.4% IV Sol 100 Ml |
$34 |
| Amino Acids 3% With Electrolytes (Procalamine) IV Sol 1000 Ml |
$1,000 |
| Amino Acids 3% With Electrolytes (Procalamine) IV Sol 1000 Ml |
$1,000 |
| Sodium Chloride Bacteriostatic 0.9% Inj Sol 30 Ml |
$12 |
| Sodium Chloride 0.9% Inj Sol 10 Ml |
$10 |
| Sodium Chloride 10 Ml Soln-IV |
$10 |
| Vitamin A & D Top Oint |
$2 |
| Acetaminophen 120 Mg Supp |
$5 |
| Acetaminophen 120 Mg Supp |
$5 |
| Acetaminophen 80 Mg Supp |
$2 |
| Acetaminophen 325 Mg Supp |
$6 |
| Acetaminophen 650 Mg Supp |
$2 |
| Acetaminophen 650 Mg Supp |
$2 |
| Acetaminophen-Codeine 120 Mg-12 Mg/5 Ml Oral Liq 5 Ml |
$13 |
| Acetic Acid Top 0.25% Sol 1000 Ml |
$59 |
| Acetic Acid Top 0.25% Sol 1000 Ml |
$48 |
| Acetylcysteine 10% (100 Mg/Ml) Sol 4 Ml |
$86 |
| Acetylcysteine 10% (100 Mg/Ml) Sol 4 Ml |
$106 |
| Acetylcysteine 20% (200mg/Ml) Sol 4 Ml |
$32 |
| Acyclovir Top 5% Oint |
$3,630 |
| Albuterol 2 Mg/5 Ml Oral Syrup |
$3 |
| Albuterol 2 Mg/5 Ml Oral Syrup |
$5 |
| Albuterol CFC Free 90 Mcg/Inh Inh Aer W/Adapt |
$196 |
| Albuterol-Ipratropium NEB Sol 3 Ml |
$19 |
| Albuterol-Ipratropium NEB Sol 3 Ml |
$20 |
| Ethanol 98% Inj Sol 1 Ml |
$116 |
| Ethanol 98% Sol |
$630 |
| Miconazole Top 2% Oint |
$20 |
| Miconazole Top 2% Crm 1 App |
$7 |
| Miconazole Top 2% Crm 1 App |
$7 |
| Cellulose, Oxidized Pads 4 X 8 " |
$2,514 |
| Aluminum Hydroxide 1920 Mg/30 Ml Oral Susp |
$2 |
| Al Hydroxide/Mg Hydroxide/Simethicone 200 Mg-200 Mg-20 Mg/5 Ml Oral Susp 30 Ml |
$6 |
| Ammonia Aromatic Soln |
$10 |
| Ammonium Lactate Top 12% Lotion |
$34 |
| Ammonium Lactate Top 12% Lotion |
$108 |
| Amoxicillin 250 Mg/5 Ml Oral Liq |
$3 |
| Amoxicillin 250 Mg/5 Ml Oral Liq |
$3 |
| Amoxicillin-Clavulanate 250 Mg-62.5 Mg/5 Ml Oral Liq |
$651 |
| Anastrozole 1 Mg Tab |
$165 |
| Anastrozole 1 Mg Tab |
$115 |
| Anastrozole 1 Mg Tab |
$18 |
| Emollients, Top Oint |
$2 |
| Aspirin 300 Mg Supp |
$13 |
| Aspirin 600 Mg Supp |
$13 |
| Atovaquone 750 Mg/5 Ml Oral Susp |
$297 |
| Atropine Ophth 1% Sol |
$133 |
| Azelastine Nasal 137 Mcg/Inh Spry |
$39 |
| Azelastine Nasal 137 Mcg/Inh Spry |
$30 |
| Azithromycin 200 Mg/5 Ml Oral Susp |
$10 |
| Bacitracin Ophth 500 Units/G Oint |
$972 |
| Bacitracin Topical 500 Units/G Oint UD |
$2 |
| Bacitracin Topical 500 Units/G Oint UD |
$2 |
| Belladonna-Opium 16.2 Mg-30 Mg Supp |
$237 |
| Belladonna-Opium 16.2 Mg-60 Mg Supp |
$288 |
| Beneprotein - Protein Supplement Packet Jup] |
$2 |
| Benzocaine Top 20% Spry |
$13 |
| Benzocaine/Butamben/Tetracaine Top Aer |
$543 |
| Betamethasone Top Dipropionate, Augmented 0.05% Crm |
$22 |
| Betamethasone Topical Dipropionate 0.05% Cream |
$455 |
| Betamethasone Top Dipropionate, Augmented 0.05% Oint |
$12 |
| Betamethasone Top Valerate 0.1% Oint |
$12 |
| Bisacodyl 10 Mg Supp |
$2 |
| Bisacodyl 10 Mg Supp |
$2 |
| Bisacodyl 10 Mg Supp |
$2 |
| Bisacodyl 10 Mg Rectal Sol 38 Ml |
$22 |
| Allantoin/Camphor/Phenol Top Oint |
$2 |
| Budesonide 0.25 Mg/2 Ml NEB Susp |
$90 |
| Budesonide 0.25 Mg/2 Ml NEB Susp |
$82 |
| Sodium Chloride 1 G Tab |
$2 |
| Calamine Top 8% Lotion |
$2 |
| Calamine-Zinc Oxide Topical 8%-8% Lot |
$7 |
| Calcipotriene Top 0.005% Sol |
$46 |
| Calcipotriene Top 0.005% Sol |
$50 |
| Calcitonin 200 Intl Units/Inh Nasal Spry |
$764 |
| Calcitonin 200 Intl Units/Inh Nasal Spry |
$209 |
| Calcium Carbonate 500 Mg Chew Tab |
$2 |
| Calcium Carbonate 1250 Mg/5 Ml Oral Susp |
$5 |
| Carbamazepine 100 Mg/5 Ml Oral Susp |
$8 |
| Carbamazepine 100 Mg/5 Ml Oral Susp |
$31 |
| Carbidopa-Levodopa 25 Mg-100 Mg ER Tab |
$10 |
| Carbidopa-Levodopa 25 Mg-100 Mg ER Tab |
$7 |
| Carbidopa-Levodopa 25 Mg-100 Mg ER Tab |
$8 |
| Carbidopa-Levodopa 25 Mg-100 Mg ER Tab |
$8 |
| Cefadroxil 250 Mg/5 Ml Oral Liq |
$26 |
| Benzocaine-Menthol Topical 15 Mg-2.6 Mg Loz |
$2 |
| Menthol-Phenol Top 0.12%-1.45% Loz |
$2 |
| Cephalexin 250 Mg/5 Ml Oral Liq |
$12 |
| Charcoal 50 G Oral Susp 240 Ml |
$67 |
| Charcoal-Sorbitol 50 G Oral Susp 240 Ml |
$67 |
| Charcoal-Sorbitol 50 G Oral Susp 240 Ml |
$67 |
| Cherry Syrp |
$2 |
| Phenol Topical 1.4% Spr |
$8 |
| Chlordiazepoxide-Clidinium 5 Mg-2.5 Mg Cap |
$44 |
| Chlordiazepoxide-Clidinium 5 Mg-2.5 Mg Cap |
$44 |
| Chlorhexidine Top 0.12% Liq 480 Ml |
$90 |
| Cholestyramine 4 G/9 G Oral Pwdr |
$29 |
| Cholestyramine 4 G/9 G Oral Pwdr |
$29 |
| Ciclopirox Top 0.77% Crm |
$16 |
| Ciprofloxacin-Hydrocortisone 0.2-1% Otic Susp |
$280 |
| Ciprofloxacin Ophth 0.3% Oint |
$598 |
| Ciprofloxacin Ophth 0.3% Sol |
$82 |
| Ciprofloxacin Ophth 0.3% Sol |
$250 |
| Methylcellulose 2 G/19 G Oral Pwdr |
$2 |
| Clarithromycin 125 Mg/5 Ml Oral Liq |
$58 |
| Clindamycin 2% Vag Crm |
$28 |
| Clonidine 0.1 Mg/24 Hr Transderm ER Film |
$584 |
| Clonidine 0.1 Mg/24 Hr Transderm ER Film |
$286 |
| Clonidine 0.2 Mg/24 Hr Transderm ER Film |
$984 |
| Clonidine 0.2 Mg/24 Hr Transderm ER Film |
$481 |
| Clonidine 0.3 Mg/24 Hr Transderm ER Film |
$1,365 |
| Clonidine 0.3 Mg/24 Hr Transderm ER Film |
$667 |
| Clotrimazole Topical 1% Cr 15gm |
$46 |
| Clotrimazole 1% Vag Crm W/Appl |
$103 |
| Clotrimazole 1% Vag Crm W/Appl |
$69 |
| Clotrimazole 10 Mg Loz |
$30 |
| Clotrimazole 10 Mg Loz |
$12 |
| Betamethasone-Clotrimazole Top 0.05%-1% Crm |
$265 |
| Betamethasone-Clotrimazole Top 0.05%-1% Crm |
$182 |
| Colestipol 5 G Oral Gran |
$34 |
| Colistimethate 150 Mg (Colistin Base) Pow |
$310 |
| Albuterol-Ipratropium CFC Free 100 Mcg-20 Mcg/Inh Aer |
$811 |
| Bacitracin/HC/Neomycin/Polymyxin B Topical 400 Units-10 Mg-3.5 Mg-5000
Units/G Oin UD |
$1,373 |
| Bacitracin/HC/Neomycin/Polymyxin B Ophth Oint |
$561 |
| Hydrocortisone/Neomycin/Polymyxin B Otic Susp |
$266 |
| Hydrocortisone/Neomycin/Polymyxin B Otic Susp |
$868 |
| Dorzolamide-Timolol Ophth 2%-0.5% Sol |
$291 |
| Cyclopentolate Ophth 1% Sol |
$93 |
| Cyclopentolate Ophth 1% Sol |
$10 |
| Cyclosporine Ophth 0.05% Emul |
$73 |
| Ophth Irrigation, Extraocular Sol |
$2 |
| Desmopressin 10 Mcg/Inh Nasal Spry |
$425 |
| Dexamethasone/Neomycin/Polymyxin B Ophth Susp |
$76 |
| Dexamethasone 0.5 Mg/5 Ml Oral Elix |
$12 |
| Dexamethasone 0.5 Mg/5 Ml Oral Elix |
$12 |
| Diazepam 2.5 Mg Rectal Kit |
$2,330 |
| Diazepam 10 Mg Rectal Kit |
$2,764 |
| Glucose 24 G/31 G Gel 40% |
$13 |
| Dibucaine Top 1% Oint |
$2 |
| Dibucaine Top 1% Oint |
$2 |
| Diclofenac Ophth 0.1% Sol |
$154 |
| Diclofenac Top 1% Gel |
$473 |
| Diclofenac Sodium 25 Mg Oral EC Tab |
$12 |
| Diclofenac Sodium 25 Mg Oral EC Tab |
$12 |
| Diflorasone Top 0.05% Oint |
$121 |
| Digoxin 50 Mcg/Ml (0.05 Mg/Ml) Oral Elix |
$9 |
| Diphenhydramine 25 Mg/10 Ml Oral Liq |
$2 |
| Diphenhydramine 25 Mg/10 Ml Oral Liq |
$3 |
| Diphenhydramine-Zinc Acetate Top 2%-0.1% Crm |
$38 |
| Diphenhydramine-Zinc Acetate Top 2%-0.1% Crm |
$40 |
| Atropine-Diphenoxylate 0.025 Mg-2.5 Mg/5 Ml Oral Liq 5 Ml |
$9 |
| Docusate 100 Mg/10ml Liq UD |
$6 |
| Docusate 100 Mg/10ml Liq UD |
$14 |
| Docusate Sodium 150 Mg/15 Ml Oral Liq |
$3 |
| Docosanol 10% Cream |
$69 |
| Aluminum Sulfate-Calcium Acetate Top Pwdr |
$2 |
| Aluminum Sulfate-Calcium Acetate Top Pwdr |
$2 |
| Dorzolamide Ophth 2% Sol |
$871 |
| Dorzolamide Ophth 2% Sol |
$575 |
| Lidocaine-Prilocaine Top 2.5%-2.5% Crm |
$85 |
| Lidocaine-Prilocaine Top 2.5%-2.5% Crm |
$69 |
| Racepinephrine 2.25% 0.5 Ml |
$16 |
| Racepinephrine 2.25% 0.5 Ml |
$9 |
| Ergocalciferol 8000 Intl Units/Ml Oral Sol |
$30 |
| Ergocalciferol 8000 Intl Units/Ml Oral Sol |
$14 |
| Caffeine-Ergotamine 100 Mg-2 Mg Supp |
$69 |
| Caffeine-Ergotamine 100 Mg-2 Mg Supp |
$726 |
| Erythromycin Ethylsuccinate 400 Mg/5 Ml Oral Liq |
$41 |
| Erythromycin Ethylsuccinate 400 Mg/5 Ml Oral Liq |
$342 |
| Erythromycin Ophth 0.5% Oint |
$13 |
| Erythromycin Ophth 0.5% Oint |
$107 |
| Erythromycin Ophth 0.5% Oint |
$88 |
| Erythromycin Ophth 0.5% Oint |
$75 |
| Estradiol 0.05 Mg/24 Hours Weekly Transderm ER Film |
$295 |
| Estradiol 0.05 Mg/24 Hours Weekly Transderm ER Film |
$191 |
| Conjugated Estrogens 0.625 Mg/G Vag Crm |
$108 |
| Ethyl Chloride Top 100% Spry |
$10 |
| Ethyl Chloride Top 100% Spry |
$10 |
| Emollient White Petrolatum/Mineral Oil Top Crm |
$39 |
| Emollient White Petrolatum/Mineral Oil Top Crm |
$39 |
| Fentanyl 12 Mcg/Hr Patch |
$340 |
| Fentanyl 12 Mcg/Hr Patch |
$175 |
| Fentanyl 25 Mcg/Hr Patch |
$410 |
| Fentanyl 25 Mcg/Hr Patch |
$183 |
| Fentanyl 50 Mcg/Hr Patch |
$750 |
| Fentanyl 50 Mcg/Hr Patch |
$227 |
| Fentanyl 50 Mcg/Hr Patch |
$335 |
| Fentanyl 75 Mcg/Hr Patch |
$1,143 |
| Fentanyl 75 Mcg/Hr Patch |
$347 |
| Fentanyl 75 Mcg/Hr Patch |
$511 |
| Ferrous Sulfate 300 Mg/5 Ml Oral Liq |
$10 |
| Fluocinolone Top 0.025% Crm |
$387 |
| Fluocinonide Top 0.05% Gel |
$513 |
| Fluocinonide Top 0.05% Gel |
$513 |
| Fluocinonide Top 0.05% Crm |
$415 |
| Fluocinonide Top 0.05% Crm |
$393 |
| Fluorometholone Ophth 0.1% Susp |
$27 |
| Fluoxetine 20 Mg/5 Ml Oral Sol |
$42 |
| Fluoxetine 20 Mg/5 Ml Oral Sol |
$4 |
| Fluoxetine 20 Mg/5 Ml Oral Sol |
$59 |
| Fluoxetine 10 Mg Cap |
$22 |
| Fluoxetine 10 Mg Cap |
$21 |
| Fluticasone Nasal 0.05 Mg/Inh Spry |
$735 |
| Fluticasone Nasal 0.05 Mg/Inh Spry |
$649 |
| Fluticasone Nasal 0.05 Mg/Inh Spry |
$735 |
| Arformoterol 15 Mcg/2 Ml NEB Sol |
$150 |
| Furosemide 10 Mg/Ml Oral Liq |
$2 |
| Alginic Acid/Al Hydroxide/Mg Carbonate 254 Mg-237.5 Mg/5 Ml Oral Susp 360 Ml |
$2 |
| Gelatin Adsorbable Opth Film |
$1,799 |
| Gentamicin Top 0.1% Crm |
$28 |
| Gentamicin Ophth 0.3% Sol |
$37 |
| Gentamicin Ophth 0.3% Sol |
$33 |
| Gentamicin Ophth 0.3% Oint |
$48 |
| Glyburide Micronized 3 Mg Tab |
$6 |
| Glyburide Micronized 3 Mg Tab |
$5 |
| Glycerin Pediatric Supp |
$2 |
| Glycerin Pediatric Supp |
$2 |
| Glycerin Adult Supp |
$2 |
| Glycerin Adult Supp |
$7 |
| Polyethylene Glycol 3350 With Electrolytes Oral Pwdr For Sol 4000 Ml |
$198 |
| Guaifenesin 100 Mg/5 Ml Oral Liq |
$5 |
| Dextromethorphan-Guaifenesin 20 Mg-200 Mg/10 Ml Oral Sol |
$6 |
| Dextromethorphan-Guaifenesin 20 Mg-200 Mg/10 Ml Oral Sol |
$19 |
| Codeine-Guaifenesin 20 Mg-200 Mg/10 Ml Oral Syrup |
$6 |
| Codeine-Guaifenesin 20 Mg-200 Mg/10 Ml Oral Syrup |
$12 |
| Insulin Lisp & Lisp Prot Hum 75/25 Mix 100units/Ml |
$1,350 |
| Insulin Aspart-Protamine 70/30 Mix 100 Units/Ml |
$1,671 |
| Insulin Lispro Prot & Lispro 50-50 Mix 100 Units/Ml |
$1,350 |
| Chlorpheniramine-Hydrocodone 8 Mg-10 Mg/5 Ml Oral Susp, ER 115 Ml |
$663 |
| Acetaminophen-Hydrocodone 217 Mg-5 Mg/10 Ml UD |
$7 |
| Acetaminophen-Hydrocodone 217 Mg-5 Mg/10 Ml UD |
$7 |
| Homatropine-Hydrocodone 1.5 Mg-5 Mg/5 Ml Oral Syrup |
$754 |
| Homatropine-Hydrocodone 1.5 Mg-5 Mg/5 Ml Oral Syrup |
$3,058 |
| Hydrocortisone Top 0.5% Crm |
$10 |
| Hydrocortisone Top 0.5% Oint |
$10 |
| Hydrocortisone Top 1% Crm |
$25 |
| Hydrocortisone Top 1% Lotion |
$57 |
| Hydrocortisone 100 Mg/60 Ml Rectal Susp |
$104 |
| Hydrocortisone 100 Mg/60 Ml Rectal Susp |
$109 |
| Hydrocortisone 100 Mg/60 Ml Rectal Susp |
$92 |
| Hydrocortisone Top 2.5% Crm |
$10 |
| Hydrocortisone Top 2.5% Lotion |
$10 |
| Hydrocortisone Top 2.5% Crm (RECTAL) |
$25 |
| Hydrocortisone Topical 2.5% Cream Rectal |
$753 |
| Hydrocortisone 25 Mg Supp |
$185 |
| Hydrocortisone 25 Mg Supp |
$497 |
| Hydrocortisone 25 Mg Supp |
$113 |
| Hydroxyzine Hcl 10 Mg/5 Ml Oral Syrup |
$4 |
| Ibuprofen 100 Mg/5 Ml Oral Liq |
$5 |
| Ibuprofen 100 Mg/5 Ml Oral Liq |
$8 |
| Ibuprofen 100 Mg/5 Ml Oral Liq |
$16 |
| Ibuprofen 100 Mg/5 Ml Oral Liq |
$7 |
| Iodine-Potassium Iodide 5%-10% Oral Sol 14 Ml |
$12 |
| Acetic Acid Topical 5% Sol |
$149 |
| Indomethacin 50 Mg Supp |
$238 |
| Ipratropium Nasal 0.03% Spry |
$32 |
| Ipratropium 0.02% NEB Sol 2.5 Ml |
$11 |
| Lopinavir-Ritonavir 200 Mg-50 Mg Oral Tablet |
$73 |
| Ketoconazole Top 2% Shampoo |
$10 |
| Ketoconazole Top 2% Crm |
$1,132 |
| Ketotifen 0.025% Ophth Sol |
$137 |
| Ketotifen 0.025% Ophth Sol |
$237 |
| Lactobacillus Acidophilus - Granules |
$13 |
| Lactulose 20 G/30 Ml Oral Syrup |
$7 |
| Lanolin Topical - Cream |
$73 |
| Insulin Glargine 100 Units/Ml |
$2 |
| Insulin Detemir 100 Units/Ml |
$2 |
| Levalbuterol 0.63 Mg/3 Ml Inh Sol |
$85 |
| Levalbuterol 0.63 Mg/3 Ml Inh Sol |
$58 |
| Levalbuterol 0.63 Mg/3 Ml Inh Sol |
$17 |
| Levalbuterol 0.63 Mg/3 Ml Inh Sol |
$17 |
| Levalbuterol 1.25 Mg/0.5 Ml Inh Sol |
$64 |
| Levalbuterol 1.25 Mg/0.5 Ml Inh Sol |
$74 |
| Lidocaine Top 5% Patch |
$124 |
| Lidocaine Top 5% Patch |
$81 |
| Lidocaine Top 5% Patch |
$81 |
| Lidocaine-Tetracaine Top 70 Mg-70 Mg Film |
$164 |
| Lidocaine Top 2% Gel W/Appl 1 App |
$176 |
| Lidocaine Top 2% Gel W/Appl 1 App |
$144 |
| Lidocaine Top 5% Crm |
$10 |
| Lidocaine Topical 5% Rectal Cr |
$207 |
| Lidocaine URO-Jet 2% Topical Gel 20ml |
$138 |
| Lidocaine URO-Jet 2% Topical Gel 20ml |
$80 |
| Lidocaine Top 4% Sol |
$414 |
| Lidocaine Top 4% Sol |
$557 |
| Lidocaine Topical Viscous 2% Sol 100 Ml |
$6 |
| Lidocaine Viscous 2% Topical Sol 15 Ml |
$10 |
| Lindane Top 1% Shampoo |
$1,180 |
| Liothyronine 25 Mcg Tab |
$9 |
| Liothyronine 25 Mcg Tab |
$9 |
| Emollients, Top Lotion |
$22 |
| Calcium Carbonate-Magnesium Chloride 112 Mg-64 Mg Tab |
$2 |
| Magnesium Citrate 8.85% Oral Liq 300 Ml |
$10 |
| Magnesium Citrate 8.85% Oral Liq 300 Ml |
$12 |
| Medroxyprogesterone 2.5 Mg Tab |
$3 |
| Medroxyprogesterone 2.5 Mg Tab |
$3 |
| Megestrol 625 Mg/5 Ml Oral Susp |
$347 |
| Megestrol 625 Mg/5 Ml Oral Susp |
$318 |
| Megestrol 400 Mg/10 Ml Oral Susp |
$37 |
| Megestrol 400 Mg/10 Ml Oral Susp |
$39 |
| Meperidine 25 Mg/Ml Inj Sol |
$60 |
| Meperidine 25 Mg/Ml Inj Sol |
$23 |
| Mesalamine 4 G/60 Ml Enema |
$4 |
| Mesalamine 4 G/60 Ml Kit |
$2,557 |
| Mesalamine 1000 Mg Supp |
$304 |
| Psyllium 3.4 G/5.8 G Oral Pwdr |
$2 |
| Methylprednisolone 4 Mg Tab 1 Tab |
$14 |
| Methylprednisolone 4 Mg Tab 1 Tab |
$12 |
| Metoclopramide 5 Mg/5 Ml Oral Syrup |
$6 |
| Metoclopramide 5 Mg/5 Ml Oral Syrup |
$6 |
| Metronidazole Top 0.75% Gel |
$1,414 |
| Metronidazole Top 0.75% Gel |
$1,494 |
| Metronidazole 0.75% Vag Gel W/Appl |
$1,317 |
| Miconazole 100 Mg Vag Supp |
$5 |
| Miconazole 100 Mg Vag Supp |
$3 |
| Miconazole Topical 2% Cre 15G |
$45 |
| Miconazole 2% Vag Crm W/Appl |
$31 |
| Miconazole 2% Vag Crm W/Appl |
$33 |
| Miconazole 2% Vag Crm W/Appl |
$33 |
| Magnesium Hydroxide 8% Oral Susp 30 Ml |
$14 |
| Mineral Oil 100% Oral Liq 30 Ml 30 Ml |
$6 |
| Mineral Oil 100% Oral Liq 30 Ml 30 Ml |
$8 |
| Mineral Oil 100% Rectal Enema 133 Ml |
$18 |
| Mineral Oil 100% Rectal Enema 133 Ml |
$17 |
| Polyethylene Glycol 3350 Oral Pwdr For Recon |
$18 |
| Polyethylene Glycol 3350 Oral Pwdr For Recon |
$24 |
| Polyethylene Glycol 3350 Oral Pwdr For Recon |
$16 |
| Polyethylene Glycol 3350 Oral Pwdr For Recon |
$16 |
| Polyethylene Glycol 3350 Oral Pwdr For Recon |
$8 |
| Modafinil 100 Mg Tab |
$284 |
| Modafinil 100 Mg Tab |
$211 |
| Mometasone Top 0.1% Crm |
$52 |
| Morphine 10 Mg/5 Ml Oral Sol |
$7 |
| Morphine 10 Mg/5 Ml Oral Sol |
$14 |
| Mupirocin Top 2% Oint 15g |
$823 |
| Mupirocin Top 2% Oint 15g |
$147 |
| Mupirocin Top 2% Oint 15g |
$147 |
| Mupirocin Topical 2% Oin 1gm |
$44 |
| Citric Acid-Sodium Citrate 334 Mg-500 Mg/5 Ml Sol |
$26 |
| Bacitracin/Neomycin/Polymyxin B Ophth Oint |
$140 |
| Bacitracin/Neomycin/Polymyxin B Ophth Oint |
$129 |
| Hydrocortisone/Neomycin/Polymyxin B Otic Sol |
$87 |
| Bacitracin/Neomycin/Polymyxin B Top UD Oint |
$2 |
| Bacitracin/Neomycin/Polymyxin B Top UD Oint |
$2 |
| Bacitracin/Neomycin/Polymyxin B Top UD Oint |
$2 |
| Vitamin B Complex With C And Folic Acid Cap |
$6 |
| Vitamin B Complex With C And Folic Acid Cap |
$6 |
| Potassium Phosphate-Sodium Phosphate 250 Mg-278 Mg-164 Mg Oral Pwdr |
$5 |
| Potassium Phosphate-Sodium Phosphate 250 Mg-280 Mg-160 Mg Pow UD |
$5 |
| Nicotine 21 Mg/24 Hr Transderm ER Film |
$18 |
| Nicotine 21 Mg/24 Hr Transderm ER Film |
$18 |
| Nicotine 7 Mg/24 Hr Transderm ER Film |
$25 |
| Nicotine 7 Mg/24 Hr Transderm ER Film |
$18 |
| Nicotine 7 Mg/24 Hr Transderm ER Film |
$18 |
| Nifedipine 30 Mg ER Tab |
$11 |
| Nifedipine 30 Mg ER Tab |
$12 |
| Nitroglycerin 2% Top Oint |
$22 |
| Nitroglycerin 0.3 Mg Sublingual Tab |
$4 |
| Nitroglycerin 0.4 Mg Sublingual Tab |
$9 |
| Nitroglycerin 0.4 Mg Subl Spry |
$401 |
| Nitroglycerin 0.4 Mg Subl Spry |
$395 |
| Nitroglycerin 0.4 Mg Subl Spry |
$472 |
| Insulin NPH-Regular70/30 Human Rec 100 Units/Ml |
$2 |
| Insulin NPH Human Recomb 100 Units/Ml |
$702 |
| Insulin NPH Human Recomb 100 Units/Ml |
$805 |
| Insulin Aspart 100 Units/Ml |
$2 |
| Nut.Tx.Impaired Renal Fxn,Soy Liqd 237 Ml |
$2 |
| Nutritional Supplement Suitable For Lactose-Intolerance, Gluten-Free Peptide-Base
High Protein Therapeutic Nutrition For Metabolic Stress 1000 Ml |
$1,231 |
| NUTRITIONAL SUPPLEMENTS LIQD 1000 Ml |
$2 |
| Osmolite 1.2 Cal 1000 Ml- Nutritional Supplement Suitable For Lactose-Intolerance,
Gluten-Free Complete, Balanced Nutrition |
$158 |
| OSMOLITE 1.2 Cal 237 Ml - NUTRITIONAL SUPPLEMENT SUITABLE FOR LACTOSE-INTOLERANCE,
GLUTEN-FREE, COMPLETE BALANCED NUTRITION |
$2 |
| OSMOLITE 1.2 Cal 237 Ml - NUTRITIONAL SUPPLEMENT SUITABLE FOR LACTOSE-INTOLERANCE,
GLUTEN-FREE, COMPLETE BALANCED NUTRITION |
$2 |
| Nepro Carbsteady 237 Ml - Nutiritonal Supplement Suitable For Lactose-Intolerance,
Gluten-Free Therapeutic Nutrition For People On Dialysis Vanilla |
$242 |
| Nut.Tx.Impaired Renal Fxn,Soy Liqd 237 Ml |
$2 |
| Nepro Carbsteady 1.8 Cal 1000 Ml - Nutritional Supplement Suitable For
Lactose-Intolerance, Gluten-Free Therapeutic Nutrition For People On Dialysis |
$376 |
| Nut.Tx.Impaired Renal Fxn,Soy Liqd 1000 Ml |
$2 |
| Nut.Tx.Impaired Dige Fxn-Fiber Liqd 1000 Ml |
$2 |
| Vital AF 1.2 Cal 1000 Ml - Nutritional Supplement Suitable For Lactose-Intolerance,
Gluten-Free, Peptide-Based, Therapeutic Nutrition For Inflammation And Tolerance |
$1,015 |
| Arginine-Glutamine-Calcium Hmb Pwpk 7-7-1.5 Gram |
$2 |
| Glucerna 1.5 Cal 237 Ml - Nutiritonal Supplement Suitable For Lactose-Intolerance,
Gluten-Free Specialized Nutrition For Enhanced Glycemic Control |
$173 |
| NUT.TX.GLUC.INTOL,LAC-FREE,SOY LIQD 240 Ml |
$2 |
| Pro-Stat Vanilla 30 Ml - Nutritional Supplement Suitable For Lactose-Intolerance,
Gluten Free, Soy Free Vanilla |
$10 |
| Nutrihep 1.5 Kcal/Ml 250 Ml - Nutritional Supplement Suitable For Lactose-Intolerance,
Gluten-Free, Specialized Nutrition For Hepatic Patients |
$2 |
| Nutritional Supplement Suitable For Lactose-Intolerance, Gluten-Free Specialized
Nutrition For Hepatic Patients 250 Ml |
$2 |
| Nystatin 100,000 Units/Ml Oral Susp |
$13 |
| Nystatin 100,000 Units/Ml Oral Susp |
$10 |
| Nystatin 100,000 Units/Ml Oral Susp |
$8 |
| Nystatin 100,000 Units/Ml Oral Susp |
$21 |
| Nystatin Top 100,000 Units/G Crm |
$151 |
| Nystatin Top 100,000 Units/G Oint |
$145 |
| Nystatin Top 100,000 Units/G Pwdr |
$237 |
| Nystatin Top 100,000 Units/G Pwdr |
$323 |
| Nystatin-Triamcinolone Top Oint |
$965 |
| Nystatin-Triamcinolone Top Oint |
$965 |
| Nystatin-Triamcinolone Top Crm |
$965 |
| Nystatin-Triamcinolone Top Crm |
$965 |
| Nystatin-Triamcinolone Top Crm |
$217 |
| Ofloxacin Ophth 0.3% Sol |
$77 |
| Ofloxacin Ophth 0.3% Sol |
$40 |
| Olopatadine Ophth 0.1% Sol |
$53 |
| Olopatadine Ophth 0.1% Sol |
$54 |
| Pharmacy Compounds 120 Ml Susp |
$238 |
| Oxymetazoline Nasal 0.05% Spry |
$16 |
| Oxymetazoline Nasal 0.05% Spry |
$6 |
| Opium (Anhydrous Morphine 2 Mg/5 Ml) Oral Liq |
$247 |
| Electrolyte Replacement Oral Powder Packets |
$14 |
| Pediasure Chocolate 237 Ml - Pediatric Nutritional Supplement Grow & Gain |
$2 |
| Pediasure Vanilla 237 Ml - Pediatric Nutritional Supplement Grow & Gain |
$119 |
| PEDIATRIC NUTRITION, IRON, LF LIQD 0.03-1 GRAM-KCAL/ML 237 Ml |
$2 |
| Electrolyte Replacement Oral Sol 1000 Ml |
$48 |
| Electrolyte Replacement Oral Sol 1000 Ml |
$23 |
| Oral Electrolytes (Unflavored) Soln |
$2 |
| Penicillin V Potassium 250 Mg/5 Ml Pow |
$2 |
| Pentamidine 300 Mg Inh Pwdr For Recon |
$1,073 |
| Pentoxifylline 400 Mg ER Tab |
$13 |
| Pentoxifylline 400 Mg ER Tab |
$6 |
| Bismuth Subsalicylate 262 Mg/15 Ml Oral Susp |
$10 |
| Permethrin Top 5% Crm |
$2 |
| Phenazopyridine 100 Mg Tab |
$23 |
| Phenazopyridine 100 Mg Tab |
$21 |
| Phenazopyridine 200 Mg Tab |
$34 |
| Phenazopyridine 200 Mg Tab |
$31 |
| Phenazopyridine 200 Mg Tab |
$34 |
| Phenobarbital 20 Mg/5 Ml Oral Elix |
$6 |
| Phenobarbital 20 Mg/5 Ml Oral Elix |
$9 |
| Phenylephrine Nasal 0.5% Sol 15 Ml |
$10 |
| Phenylephrine Nasal 1% Sol 15 Ml |
$11 |
| Phenylephrine Ophth 2.5% Sol |
$7 |
| Phenytoin 125 Mg/5 Ml Oral Liq |
$11 |
| Phenytoin 125 Mg/5 Ml Oral Liq |
$13 |
| Pilocarpine Ophth 1% Sol |
$7 |
| Pilocarpine Ophth 1% Sol |
$3 |
| Pilocarpine Ophth 2% Sol |
$2 |
| Pilocarpine Ophth 2% Sol |
$8 |
| Pilocarpine Ophth 2% Sol |
$7 |
| Pilocarpine Ophth 4% Sol |
$3 |
| Pimecrolimus Top Crm |
$9 |
| Bacitracin-Polymyxin B Top UD Oint |
$2 |
| Potassium Iodide 1 G/Ml Oral Sol |
$195 |
| Potassium Chloride 20 Meq/15 Ml Oral Liq |
$47 |
| Potassium Chloride 20 Meq/15 Ml Oral Liq |
$175 |
| Potassium Chloride 20 Meq Oral Pwdr |
$104 |
| Potassium Chloride 20 Meq Oral Pwdr |
$93 |
| Hydrocortisone-Pramoxine Top 2.5%-1% Crm W/Appl |
$19 |
| Prednisolone Ophth Acetate 0.12% Susp |
$30 |
| Prednisolone Ophth Acetate 1% Susp |
$3 |
| Prednisolone Ophth Acetate 1% Susp |
$28 |
| Prednisolone Ophth Sodium Phosphate 1% Sol |
$3 |
| Prednisolone Ophth Sodium Phosphate 0.125% Sol |
$4 |
| Prednisolone 15 Mg/5 Ml Oral Syrup |
$733 |
| Prednisolone 15 Mg/5 Ml Oral Syrup |
$996 |
| Prednisolone 15 Mg/5 Ml Oral Syrup |
$797 |
| Prednisone 5 Mg/5 Ml Oral Sol |
$12 |
| Phenylephrine Topical 0.25% Oin |
$0 |
| Prochlorperazine 25 Mg Supp |
$106 |
| Prochlorperazine 25 Mg Supp |
$108 |
| Promethazine 12.5 Mg Supp |
$153 |
| Promethazine 25 Mg Supp |
$153 |
| Codeine-Promethazine 10 Mg-6.25 Mg/5 Ml Oral Syrup |
$8 |
| Codeine-Promethazine 10 Mg-6.25 Mg/5 Ml Oral Syrup |
$3 |
| Pseudoephedrine 120 Mg ER Tab |
$2 |
| Pseudoephedrine 120 Mg ER Tab |
$2 |
| Ocular Lubricant Sol |
$2 |
| Ocular Lubricant Sol |
$4 |
| Ocular Lubricant Sol |
$2 |
| Ribavirin 6 G Inh Pwdr For Recon |
$258,199 |
| Rivastigmine 4.6 Mg/24 Hr TD Film, ER |
$205 |
| Rivastigmine 4.6 Mg/24 Hr TD Film, ER |
$140 |
| Sodium Chloride Nasal 0.65% Spry |
$10 |
| Sodium Biphosphate-Sodium Phosphate 19 G-7 G Rectal Enema 133 Ml |
$10 |
| Sodium Biphosphate-Sodium Phosphate 19 G-7 G Rectal Enema 133 Ml |
$9 |
| Sodium Biphosphate-Sodium Phosphate Enema 66 Ml (Pediatric) |
$13 |
| Scopolamine 1.5 Mg Transderm ER Film |
$220 |
| Scopolamine 1.5 Mg Transderm ER Film |
$220 |
| Silver Sulfadiazine Top 1% Crm 25 G |
$64 |
| Silver Sulfadiazine Top 1% Crm 25 G |
$78 |
| Simethicone 40 Mg/0.6 Ml Oral Liq |
$10 |
| Sulfamethoxazole-Trimethoprim 200 Mg-40 Mg/5 Ml Oral Susp |
$5 |
| Sulfamethoxazole-Trimethoprim 200 Mg-40 Mg/5 Ml Oral Susp |
$20 |
| Sodium Chloride Nasal 0.65% Gel |
$2 |
| Sodium Chloride 3% NEB Sol 4 Ml |
$10 |
| Sodium Chloride 3% NEB Sol 4 Ml |
$10 |
| Sodium Bicarbonate 8.4% IV Sol 10 Ml (Pediatric) |
$156 |
| Fluoride Top 1.1% Gel |
$10 |
| Sodium Polystyrene Sulfonate 15 G/60 Ml Oral Susp |
$75 |
| Sodium Polystyrene Sulfonate 15 G/60 Ml Sus UD |
$97 |
| Sorbitol 70% Oral Liq 480 Ml |
$16 |
| Sorbitol 70% Oral Liq 480 Ml |
$102 |
| Sucralfate 1 G/10 Ml Oral Susp |
$81 |
| Sucralfate 1 G/10 Ml Oral Susp |
$87 |
| Sodium Sulfacetamide Ophth 10% Sol |
$35 |
| Epinephrine/Lidocaine/Tetracaine Topical 180 Mg-4000 Mg-500 Mg/100 Ml Pow |
$10 |
| Terbinafine Top 1% Crm |
$30 |
| Terbinafine Top 1% Crm |
$26 |
| Terbinafine Top 1% Crm |
$23 |
| Terconazole 0.4% Vag Crm |
$414 |
| Terconazole 0.4% Vag Crm |
$384 |
| Terconazole 80 Mg Vag Supp |
$414 |
| Terconazole 80 Mg Vag Supp |
$844 |
| Tetracaine Ophth 0.5% Sol |
$24 |
| Tetrahydrozoline Ophth 0.05% Sol |
$6 |
| Tetrahydrozoline Ophth 0.05% Sol |
$5 |
| Testosterone 50 Mg/5 G TD Gel |
$185 |
| Testosterone 50 Mg/5 G TD Gel |
$119 |
| Theophylline 80 Mg/15 Ml Eli |
$3 |
| Theophylline 80 Mg/15 Ml Oral Elix |
$109 |
| Multivitamin Multiple Vitamins Tab UD |
$2 |
| Therapeutic Multiple Vitamins Tab |
$2 |
| Multiple Vitamins With Iron Oral Liq |
$2 |
| Multiple Vitamins Oral Liq |
$2 |
| Multiple Vitamins Oral Liq |
$2 |
| Multivitamin Oral Soln Pediatrics |
$31 |
| Multivitamin Oral Soln Pediatrics |
$2 |
| Multivitamin With Iron Oral Soln Pediatrics |
$24 |
| Multiple Vitamins With Minerals Tab |
$2 |
| Timolol Ophth 0.25% Sol 5 Ml |
$129 |
| Timolol Ophth 0.25% Sol 5 Ml |
$129 |
| Timolol Ophth 0.5% Sol 5 Ml |
$54 |
| Timolol Ophth 0.5% Sol 5 Ml |
$147 |
| Timolol Ophth 0.5% Sol 5 Ml |
$52 |
| Timolol Ophth 0.5% Sol 5 Ml |
$147 |
| Dexamethasone-Tobramycin Ophth 0.1%-0.3% Oint |
$584 |
| Dexamethasone-Tobramycin Ophth 0.1%-0.3% Susp |
$262 |
| Dexamethasone-Tobramycin Ophthalmic 0.1%-0.3% Sus |
$523 |
| Tobramycin Ophth 0.3% Sol |
$127 |
| Tobramycin Ophth 0.3% Sol |
$119 |
| Torsemide 20 Mg Tab |
$7 |
| Tramadol 50 Mg Tab |
$7 |
| Tramadol 50 Mg Tab |
$8 |
| Nitroglycerin 0.1 Mg/Hr Transderm ER Film |
$16 |
| Nitroglycerin 0.2 Mg/Hr Transderm ER Film |
$16 |
| Nitroglycerin 0.2 Mg/Hr Transderm ER Film |
$16 |
| Nitroglycerin 0.4 Mg/Hr Transderm ER Film |
$16 |
| Nitroglycerin 0.4 Mg/Hr Transderm ER Film |
$19 |
| Nitroglycerin 0.6 Mg/Hr Transderm ER Film |
$20 |
| Nitroglycerin 0.6 Mg/Hr Transderm ER Film |
$21 |
| Triamcinolone Top 0.025% Cr 15g |
$38 |
| Triamcinolone Top 0.1% Crm 15 G |
$115 |
| Triamcinolone Top 0.1% Crm 15 G |
$50 |
| Triamcinolone Top 0.1% Paste 5g |
$695 |
| Triamcinolone Top 0.1% Paste 5g |
$716 |
| Triamcinolone Top 0.5% Crm 15g |
$96 |
| Triamcinolone Top 0.5% Crm 15g |
$98 |
| Triamcinolone Topical 0.1% Cr 454g |
$259 |
| Triamcinolone Topical 0.1% Cr 454g |
$268 |
| Triamcinolone Topical 0.1% Oint 454 G |
$356 |
| Bacitracin/Neomycin/Polymyxin B Topical 400 Units-3.5 Mg-5000 Units/G Oin |
$28 |
| Witch Hazel Topical 50% Pad |
$2 |
| Witch Hazel-Glycerin Top Pad |
$2 |
| Valproic Acid 250 Mg/5 Ml Oral Syrup |
$7 |
| Valproic Acid 250 Mg/5 Ml Oral Syrup |
$6 |
| Venlafaxine 37.5 Mg Ercap |
$108 |
| Petrolatum Top 100% Oint |
$2 |
| Petrolatum Top 100% Oint |
$2 |
| Zinc Oxide Top 40% Oint |
$10 |
| Zinc Oxide Top 40% Oint |
$20 |
| Zinc Oxide Top 20% Oint |
$9 |
| Povidone Iodine Topical 10% Oin |
$2 |
| Cellulose, Oxidized Pads 2 X 14 " |
$10 |
| Gelatin Adsorbable Powd |
$470 |
| Gelatin Adsorbable Powd |
$470 |
| Gelatin Adsorbable Spge 100 |
$10 |
| Gelatin Adsorbable 12-7 Spge |
$10 |
| Collagen Spge |
$10 |
| Albumin Human 25% IV Sol 50 Ml |
$482 |
| Albumin Human 25% IV Sol 50 Ml |
$533 |
| Albumin Human 25% IV Sol 50 Ml |
$311 |
| Albumin Human 5% IV Sol 250 Ml |
$352 |
| Albumin Human 5% IV Sol 250 Ml |
$311 |
| Abciximab 2 Mg/Ml IV Sol |
$7,963 |
| Abciximab 2 Mg/Ml IV Sol |
$8,672 |
| Adenosine 3 Mg/Ml IV Sol 2 Ml |
$67 |
| Adenosine 3 Mg/Ml IV Sol 2 Ml |
$69 |
| Adenosine 3 Mg/Ml IV Sol 2 Ml |
$69 |
| Adenosine 3 Mg/Ml IV Sol 30 Ml |
$2,101 |
| Adenosine 3 Mg/Ml IV Sol 30 Ml |
$1,261 |
| Adenosine 3 Mg/Ml IV Sol 30 Ml |
$1,248 |
| Adenosine 3 Mg/Ml IV Sol 30 Ml |
$821 |
| Agalsidase Beta 5 Mg IV Inj |
$5,416 |
| Alglucosidase Alfa 50 Mg IV Inj |
$4,502 |
| Alpha 1-Proteinase Inhibitor Human IV Inj |
$10 |
| Alteplase 100 Mg IV Inj |
$56,604 |
| Alteplase 50 Mg IV Inj |
$28,302 |
| Alteplase 2 Mg IV Inj |
$984 |
| Amphotericin B 50 Mg IV Inj |
$421 |
| Argatroban 250 Mg/2.5ml IV Sol |
$8,141 |
| Argatroban 250 Mg/2.5ml IV Sol |
$4,335 |
| Argatroban 250 Mg/2.5ml IV Sol |
$6,412 |
| Baclofen 0.05 Mg/Ml Intrathecal Sol |
$470 |
| Baclofen 2000 Mcg/Ml Sol 20ml |
$277 |
| Belatacept 250 Mg Pow Inj |
$4,862 |
| Onabotulinumtoxina 100 Units Pow |
$3,386 |
| Bivalirudin 250 Mg IV Inj |
$6,160 |
| Bivalirudin 250 Mg IV Inj |
$6,096 |
| Bivalirudin 250 Mg IV Inj |
$2,830 |
| Busulfan 2 Mg Tab |
$20 |
| Busulfan 2 Mg Tab |
$61 |
| Butorphanol 10 Mg/Ml Nasal Spry |
$273 |
| Calcitriol 1 Mcg/Ml Inj Sol |
$87 |
| Caspofungin 50 Mg Pow |
$1,953 |
| Caspofungin 50 Mg Pow |
$605 |
| Caspofungin 50 Mg Pow |
$1,444 |
| Caspofungin 50 Mg Pow |
$2,172 |
| Caspofungin 50 Mg Pow |
$2,168 |
| Caspofungin 70 Mg Pow |
$2,058 |
| Caspofungin 70 Mg Pow |
$1,576 |
| Caspofungin 70 Mg Pow |
$2,257 |
| Cefazolin 1 G Pow |
$18 |
| Cefazolin 1 G Pow |
$18 |
| Cefazolin 1 G Pow |
$29 |
| Cefazolin 1 G Pow |
$12 |
| Cefazolin 1 G Pow |
$43 |
| Cefazolin 1 G Pow |
$24 |
| P-Cefazolin 100 Mg/Ml |
$10 |
| Cefazolin 500 Mg Pow |
$29 |
| Cefazolin 500 Mg Pow |
$18 |
| Cefazolin 500 Mg Pow |
$16 |
| Cefazolin 500 Mg Pow |
$90 |
| P-Cefazolin 100 Mg/Ml |
$10 |
| Cefepime 1 G/50 Ml Sol |
$126 |
| Cefepime 2 G/50 Ml Sol Duplex |
$189 |
| Cefoxitin 1 G Inj |
$71 |
| Cefoxitin 1 G Inj |
$67 |
| Ceftazidime 1 G Inj |
$50 |
| Ceftazidime 1 G Inj |
$50 |
| Avibactam-Ceftazidime 0.5 G-2 G Pow |
$1,666 |
| Ceftriaxone 1 G/50 Ml IV Sol |
$129 |
| Ceftriaxone 1 G/50 Ml IV Sol |
$10 |
| Cefuroxime 1.5 G Inj |
$124 |
| Cefuroxime 1.5 G Inj |
$50 |
| P-Cefuroxime 30 Mg/Ml |
$10 |
| Chlorothiazide 500 Mg Inj |
$1,915 |
| Chlorothiazide 500 Mg Inj |
$1,915 |
| Chlorothiazide 500 Mg Inj |
$1,072 |
| Ciprofloxacin 200 Mg/20 Ml Vial |
$30 |
| Cosyntropin 0.25 Mg Inj |
$686 |
| Cosyntropin 0.25 Mg Inj |
$516 |
| P-Cosyntropin 1mcg/Ml |
$686 |
| Cyclophosphamide 25 Mg Cap |
$44 |
| Cyclosporine Microemul 25 Mg Cap |
$19 |
| Cyclosporine Microemul 25 Mg Cap |
$12 |
| Cyclosporine Microemul 100 Mg Cap |
$48 |
| Cyclosporine Microemul 100 Mg Cap |
$48 |
| Dalbavancin 500 Mg Pow |
$9,584 |
| Daptomycin 500 Mg IV Inj |
$2,865 |
| Daptomycin 500 Mg IV Inj |
$2,701 |
| Daptomycin 500 Mg IV Inj |
$2,865 |
| Daptomycin 500 Mg IV Inj |
$2,865 |
| Darbepoetin Alfa 100 Mcg/0.5 Ml Inj Sol |
$4,978 |
| Darbepoetin Alfa 60 Mcg/0.3 Ml Inj Sol |
$2,987 |
| Darbepoetin Alfa 40 Mcg/0.4 Ml Inj Sol |
$1,991 |
| Darbepoetin Alfa 150 Mcg/0.3 Ml Inj Sol |
$7,468 |
| Darbepoetin Alfa 150 Mcg/0.3 Ml Inj Sol |
$4,766 |
| Darbepoetin Alfa 500 Mcg/Ml Inj Sol |
$24,892 |
| Deferoxamine 2 G Inj Pow |
$457 |
| Deferoxamine 500 Mg Inj |
$213 |
| Deferoxamine 500 Mg Inj |
$96 |
| Deferoxamine 500 Mg Inj |
$139 |
| Denosumab 60 Mg/Ml |
$6,931 |
| Denosumab 120 Mg/1.7 Ml |
$7,923 |
| Digoxin 100 Mcg/Ml (0.1 Mg/Ml) Inj Sol |
$385 |
| Digoxin 100 Mcg/Ml (0.1 Mg/Ml) Inj Sol |
$544 |
| Digoxin 500 Mcg/2 Ml (0.25 Mg/Ml) Inj Sol |
$61 |
| Digoxin 500 Mcg/2 Ml (0.25 Mg/Ml) Inj Sol |
$61 |
| Digoxin Immune FAB 40 Mg Inj |
$20,229 |
| Digoxin Immune FAB 40 Mg Pow |
$21,747 |
| Dimethyl Sulfoxide 50% Irr Sol 50 Ml |
$5,881 |
| Diphenhydramine 50 Mg/Ml Inj Sol |
$10 |
| Diphenhydramine 50 Mg/Ml Inj Sol |
$30 |
| Diphenhydramine 50 Mg/Ml Inj Sol |
$29 |
| Doxorubicin Liposomal 20 Mg/10ml IV Dispersion |
$6,092 |
| Droperidol 2.5 Mg/Ml Inj Sol |
$38 |
| Epoetin Alfa 40,000 Units/Ml |
$6,309 |
| Epoetin Alfa 20,000 Units/Ml Inj Sol |
$3,154 |
| Epoprostenol 0.5 Mg IV Inj |
$176 |
| Eptifibatide 0.75 Mg/Ml IV Sol |
$3,314 |
| Eptifibatide 0.75 Mg/Ml IV Sol |
$3,184 |
| Eptifibatide 20 Mg/10ml IV Sol |
$964 |
| Eptifibatide 20 Mg/10ml IV Sol |
$1,059 |
| Conjugated Estrogens 25 Mg IV Inj |
$1,853 |
| Etoposide 50 Mg Cap |
$473 |
| Coagulation Factor Viia 1000 Mcg (1 Mg) Pow |
$17 |
| Coagulation Factor Viia 1000 Mcg (1 Mg) Pow |
$24 |
| Antihemophilic Factor 8 Recombinant Solu 1 Iu |
$10 |
| Coagulation Factor IX Recombinant Inj |
$10 |
| Coagulation Factor IX Recombinant Kit |
$15 |
| Fentanyl 100 Mcg/2 Ml Inj Sol |
$12 |
| Fentanyl 100 Mcg/2 Ml Inj Sol |
$18 |
| Fentanyl 100 Mcg/2 Ml Inj Sol |
$10 |
| Fentanyl 1,000 Mcg/20 Ml Inj Sol |
$89 |
| Fentanyl 1,000 Mcg/20 Ml Inj Sol |
$61 |
| Fentanyl 250 Mcg/5 Ml Inj Sol |
$18 |
| Fentanyl 250 Mcg/5 Ml Inj Sol |
$26 |
| Fosphenytoin 500 Mgpe/10 Ml Sol |
$640 |
| Fosphenytoin (PE) 100 Mg/2 Ml Inj Sol |
$34 |
| Fosphenytoin (PE) 100 Mg/2 Ml Inj Sol |
$266 |
| Fosaprepitant 150 Mg Pow |
$1,879 |
| Fosaprepitant 150 Mg Pow |
$1,872 |
| Furosemide 20 Mg/2 Ml Inj Sol |
$46 |
| Furosemide 20 Mg/2 Ml Inj Sol |
$38 |
| Furosemide 20 Mg/2 Ml Inj Sol |
$69 |
| Furosemide 20 Mg/2 Ml Inj Sol |
$27 |
| Idarucizumab 2.5 G/50 Ml |
$11,256 |
| Immune Globulin 5% IV Sol 10 G/200 Ml |
$5,187 |
| Immune Globulin 5% IV Sol 5 G/100 Ml |
$2,593 |
| Immune Globulin 5% IV Sol 20 G/400 Ml |
$10,374 |
| Immune Globulin Intravenous 10% Sol 20 G/200ml |
$14,279 |
| Immune Globulin Intravenous 10% Sol 10 G/100ml |
$7,140 |
| Immune Globulin Intravenous 10% Sol 5 G/50ml |
$3,570 |
| Ganciclovir 500 Mg IV Inj |
$702 |
| Ganciclovir 500 Mg IV Inj |
$626 |
| Gentamicin 10 Mg/Ml Sol 2ml(Pediatric) |
$44 |
| P-Gentamicin 2mg/ Ml |
$10 |
| Gentamicin 80 Mg/50 Ml-NS IV Sol |
$79 |
| Gentamicin 80 Mg/50 Ml-NS IV Sol |
$39 |
| Glucagon 1 Mg Inj |
$1,042 |
| Glucagon 1 Mg Inj |
$1,104 |
| Haloperidol 5 Mg/Ml Inj Sol |
$25 |
| Haloperidol 5 Mg/Ml Inj Sol |
$18 |
| Haloperidol 5 Mg/Ml Inj Sol |
$10 |
| Hemin 313 Mg IV Inj |
$32,144 |
| Heparin Flush 100 Units/Ml |
$10 |
| Heparin Flush 100 Units/Ml |
$10 |
| Heparin Flush 10 Units/Ml Sol 5 Ml |
$10 |
| Prothrombin Complex - Pow |
$5,264 |
| Hydralazine 20 Mg/Ml Inj Sol |
$133 |
| Hydralazine 20 Mg/Ml Inj Sol |
$133 |
| Hydralazine 20 Mg/Ml Inj Sol |
$104 |
| Hydromorphone 0.5 Mg/0.5 Ml Sol |
$27 |
| Hydromorphone 0.5 Mg/0.5 Ml Sol |
$37 |
| Hydromorphone 1 Mg/Ml Inj Sol |
$15 |
| Hydromorphone 1 Mg/Ml Inj Sol |
$35 |
| Hydromorphone 1 Mg/Ml Inj Sol |
$28 |
| Hydromorphone 2 Mg/Ml Inj Sol |
$16 |
| Hydromorphone 2 Mg/Ml Inj Sol |
$17 |
| Hydromorphone 4 Mg/Ml Inj Sol |
$28 |
| Hydromorphone 4 Mg/Ml Inj Sol |
$38 |
| Hydromorphone 4 Mg/Ml Inj Sol |
$38 |
| Imipenem-Cilastatin 250 Mg Inj |
$192 |
| Imipenem-Cilastatin 250 Mg Inj |
$139 |
| Infliximab 100 Mg IV Inj |
$6,942 |
| Ertapenem 1 G Inj |
$698 |
| Ertapenem 1 G Inj |
$753 |
| Ertapenem 1 G Inj |
$804 |
| Iron Dextran 50 Mg/Ml Inj Sol |
$416 |
| Iron Dextran 50 Mg/Ml Inj Sol |
$267 |
| Ferumoxytol 510 Mg/17 Ml |
$4,836 |
| Ferric Carboxymaltose 750 Mg/15 Ml |
$418 |
| Levofloxacin 250 Mg/50 Ml IV Sol |
$118 |
| Levofloxacin 250 Mg/50 Ml IV Sol |
$82 |
| Leuprolide 1 Mg/0.2 Ml Kit |
$4,197 |
| Melphalan 2 Mg Tab |
$64 |
| Meropenem 500 Mg IV Inj |
$111 |
| Meropenem 500 Mg IV Inj |
$240 |
| Meropenem 500 Mg IV Inj |
$162 |
| Meropenem 500 Mg IV Inj |
$111 |
| P-Meropenem 40 Mg/Ml |
$10 |
| Meropenem 1000 Mg Pow |
$295 |
| Meropenem 1000 Mg Pow |
$222 |
| Meropenem 1000 Mg Pow |
$222 |
| Meropenem 1000 Mg Pow |
$279 |
| Methotrexate 2.5 Mg Tab |
$20 |
| Methotrexate 2.5 Mg Tab |
$20 |
| Methotrexate 2.5 Mg Tab |
$29 |
| Metoclopramide 5 Mg/Ml Inj Sol 2 Ml |
$13 |
| Metoclopramide 5 Mg/Ml Inj Sol 2 Ml |
$37 |
| Micafungin 100 Mg Pow |
$1,203 |
| Micafungin 50 Mg Pow |
$601 |
| P-Micafungin 1 Mg/Ml |
$10 |
| Milrinone 20 Mg/100 Ml-D5W IV Sol |
$305 |
| Milrinone 20 Mg/100 Ml-D5W IV Sol |
$169 |
| Milrinone 20 Mg/100 Ml-D5W IV Sol |
$157 |
| Morphine 10 Mg/Ml Inj Sol |
$21 |
| Morphine 10 Mg/Ml Inj Sol |
$11 |
| Morphine 4 Mg/Ml Inj Sol |
$21 |
| Morphine 4 Mg/Ml Inj Sol |
$21 |
| Sodium Ferric Gluconate Complex 62.5 Mg/5 Ml IV Sol |
$353 |
| Sodium Ferric Gluconate Complex 62.5 Mg/5 Ml IV Sol |
$91 |
| Sodium Ferric Gluconate Complex 62.5 Mg/5 Ml IV Sol |
$353 |
| Nesiritide 1.5 Mg IV Inj |
$6,189 |
| Nicardipine 20 Mg/200 Ml-Nacl 0.86% Sol |
$654 |
| Norepinephrine Bitartrate-Nacl Soln 8 Mg/250 Ml (32 Mcg/Ml)[ |
$399 |
| Norepinephrine Bitartrate-Nacl Soln 8 Mg/250 Ml (32 Mcg/Ml) |
$10 |
| Octreotide 20 Mg IM Inj |
$17,490 |
| Octreotide 20 Mg IM Inj |
$23,863 |
| Octreotide 30 Mg IM Inj |
$26,190 |
| Octreotide 30 Mg IM Inj |
$35,733 |
| Octreotide 100 Mcg/Ml Inj Sol |
$67 |
| Octreotide 50 Mcg/Ml Inj Sol |
$43 |
| Octreotide 10 Mg IM Inj |
$13,349 |
| Lanreotide 90 Mg/0.3 Ml SC Sol |
$35,009 |
| Octreotide 200 Mcg/Ml Inj Sol |
$639 |
| Octreotide 200 Mcg/Ml Inj Sol |
$437 |
| Octreotide 200 Mcg/Ml Inj Sol |
$437 |
| Omalizumab 150 Mg Subq Inj |
$6,080 |
| Ondansetron 4 Mg/2 Ml Inj Sol |
$11 |
| Ondansetron 4 Mg/2 Ml Inj Sol |
$11 |
| Ondansetron 4 Mg/2 Ml Inj Sol |
$10 |
| Ondansetron 4 Mg/2 Ml Inj Sol |
$25 |
| Ondansetron 4 Mg/2 Ml Inj Sol |
$10 |
| Ondansetron 4 Mg/2 Ml Inj Sol |
$11 |
| Ondansetron 4 Mg/2 Ml Inj Sol |
$10 |
| Ondansetron 4 Mg/2 Ml Inj Sol |
$12 |
| Oritavancin 400 Mg Pow |
$6,218 |
| Pantoprazole 40 Mg IV Inj |
$55 |
| Pantoprazole 40 Mg IV Inj |
$72 |
| Pantoprazole 40 Mg IV Inj |
$38 |
| Pantoprazole 40 Mg IV Inj |
$55 |
| Pantoprazole 40 Mg IV Inj |
$55 |
| Paricalcitol 5 Mcg/Ml IV Sol |
$116 |
| Phenytoin 50 Mg/Ml Inj Sol |
$15 |
| Phenytoin 50 Mg/Ml Inj Sol |
$13 |
| Phenytoin 50 Mg/Ml Inj Sol |
$13 |
| P-Phenytoin 5 Mg/Ml |
$10 |
| Phenytoin 50 Mg/Ml Sol |
$18 |
| Phenytoin 50 Mg/Ml Sol |
$20 |
| Phytonadione 10 Mg/Ml Inj Sol |
$272 |
| Phytonadione 10 Mg/Ml Inj Sol |
$272 |
| Phytonadione 1 Mg/0.5 Ml Inj Sol |
$52 |
| Pneumococcal 23-Valent Vaccine Inj Sol 0.5 Ml |
$558 |
| Pneumococcal 23-Valent Vaccine Inj Sol 0.5 Ml |
$620 |
| Pneumococcal 13-Valent Conjugate Vaccine - Sus UD |
$1,083 |
| Pneumococcal 13-Valent Conjugate Vaccine - Sus UD |
$1,080 |
| Procainamide 500 Mg/Ml Inj Sol |
$421 |
| Promethazine 25 Mg/Ml Inj Sol |
$13 |
| Promethazine 25 Mg/Ml Inj Sol |
$17 |
| Promethazine 50 Mg/Ml Inj Sol |
$21 |
| Rabies Immune Globulin, Human 150 Intl Units/Ml IM Sol 2 Ml |
$2,402 |
| Rabies Immune Globulin, Human 150 Intl Units/Ml IM Sol 10 Ml |
$10,963 |
| Rabies Vaccine, Purified Chick Embyro Cell 2.5 Intl Units IM Inj |
$1,639 |
| Rabies Vaccine, Purified Chick Embyro Cell 2.5 Intl Units IM Inj |
$1,971 |
| Regadenoson 0.4 Mg/5 Ml IV Sol |
$1,487 |
| Romiplostim 250 Mcg Pow |
$9,369 |
| Tacrolimus 1 Mg Cap |
$57 |
| Tacrolimus 1 Mg Cap |
$24 |
| Tacrolimus 5 Mg/Ml IV Sol |
$1,215 |
| Terbutaline 1 Mg/Ml Inj Sol |
$44 |
| Terbutaline 1 Mg/Ml Inj Sol |
$199 |
| Tetanus Immune Globulin 250 Units IM Sol 1 EA |
$2,429 |
| Tetanus-Diphth Toxoids (Td) Adult/Adol 2 Units-2 Units/0.5 Ml Sus |
$308 |
| Tetanus-Diphth Toxoids (Td) Adult/Adol 5 Units-2 Units/0.5 Ml Preservative-Free Sus UD |
$355 |
| Thiamine 100 Mg/Ml Inj Sol |
$115 |
| Thiamine 100 Mg/Ml Inj Sol |
$115 |
| Thyrotropin Alpha 1.1 Mg IM Inj |
$7,970 |
| P-Tobramycin 2 Mg/Ml |
$10 |
| Tobramycin 80 Mg/2 Ml Inj Sol |
$38 |
| Tobramycin 80 Mg/2 Ml Inj Sol |
$22 |
| Tobramycin 80 Mg/2 Ml Inj Sol |
$23 |
| Tobramycin 80 Mg/2 Ml Sol |
$22 |
| Tobramycin 1.2 G Inj |
$537 |
| Tobramycin 1.2 G Inj |
$1,072 |
| Tocilizumab 80 Mg/4 Ml |
$2,333 |
| Triamcinolone Acetonide 40 Mg/Ml Inj Susp |
$95 |
| Vancomycin 500 Mg IV Inj |
$89 |
| Vancomycin 500 Mg IV Inj |
$33 |
| Vancomycin 750 Mg Pow |
$107 |
| Vancomycin 750 Mg Pow |
$105 |
| Vancomycin 750 Mg Pow |
$107 |
| P-Vedolizumab 300 Mg/ Ns 250 Ml |
$10 |
| Vedolizumab 300 Mg Pow |
$26,863 |
| Voriconazole 200 Mg IV Inj |
$960 |
| Voriconazole 200 Mg IV Inj |
$960 |
| Acetaminophen 160 Mg/5 Ml Sus Uddyefree |
$13 |
| Ziprasidone 20 Mg IM Inj |
$460 |
| Abacavir 300 Mg Tab |
$92 |
| Abacavir 300 Mg Tab |
$87 |
| Acarbose 50 Mg Tab |
$8 |
| Acebutolol 200 Mg Cap |
$11 |
| Acetaminophen 325 Mg Tab |
$2 |
| Acetaminophen 325 Mg Tab |
$2 |
| Acetaminophen 325 Mg Tab |
$2 |
| Acetaminophen 500 Mg Tab |
$2 |
| Acetaminophen 500 Mg Tab |
$2 |
| Acetaminophen 500 Mg Tab |
$2 |
| Acetaminophen 160 Mg/5 Ml Oral Liq |
$4 |
| Acetaminophen 160 Mg/5 Ml Sus |
$4 |
| Acetaminophen 325 Mg/10.15 Ml Oral Liq JUP] |
$4 |
| Acetaminophen 80 Mg Dis Tab |
$2 |
| Acetaminophen 650 Mg/20.3 Ml Oral Liq |
$5 |
| Acetaminophen 650 Mg/20.3 Ml Oral Liq |
$7 |
| Acetaminophen-Codeine 300 Mg-30 Mg Tab |
$3 |
| Acetaminophen-Codeine 300 Mg-30 Mg Tab |
$3 |
| Acetazolamide 250 Mg Tab |
$28 |
| Acetazolamide 250 Mg Tab |
$25 |
| Acetazolamide 500 Mg Ercap |
$37 |
| Acetazolamide 500 Mg Ercap |
$42 |
| Aclidinium 400 Mcg/Inh Pow |
$1,455 |
| Risedronate 5 Mg Tab |
$110 |
| Acyclovir 200 Mg Cap |
$8 |
| Acyclovir 200 Mg Cap |
$13 |
| Acyclovir 200 Mg/5 Ml Oral Liq |
$41 |
| Acyclovir 200 Mg/5 Ml Oral Liq |
$41 |
| Aspirin-Dipyridamole 25 Mg-200 Mg Ercap |
$85 |
| Aspirin-Dipyridamole 25 Mg-200 Mg Ercap |
$72 |
| Aspirin-Dipyridamole 25 Mg-200 Mg Ercap |
$109 |
| Albuterol 4 Mg ER Tab |
$20 |
| Albuterol 4 Mg ER Tab |
$15 |
| Alendronate 10 Mg Tab |
$28 |
| Alendronate 10 Mg Tab |
$25 |
| Alendronate 10 Mg Tab |
$25 |
| Aliskiren 150 Mg Oral Tablet |
$57 |
| Allopurinol 100 Mg Tab |
$3 |
| Allopurinol 100 Mg Tab |
$3 |
| Allopurinol 100 Mg Tab |
$2 |
| Allopurinol 300 Mg Tab |
$7 |
| Allopurinol 300 Mg Tab |
$7 |
| Allopurinol 300 Mg Tab |
$6 |
| Alprazolam 0.25 Mg Tab |
$5 |
| Alprazolam 0.25 Mg Tab |
$6 |
| Alprazolam 0.5 Mg Tab |
$7 |
| Alprazolam 0.5 Mg Tab |
$6 |
| Alvimopan 12 Mg Cap |
$1,241 |
| Amantadine 100 Mg Cap |
$6 |
| Amantadine 100 Mg Cap |
$17 |
| Amantadine 100 Mg Cap |
$17 |
| Amantadine 50 Mg/5 Ml Oral Syrup |
$7 |
| Amiloride 5 Mg Tab |
$11 |
| Aminocaproic Acid 500 Mg Tab |
$213 |
| Amiodarone 200 Mg Tab |
$28 |
| Amiodarone 200 Mg Tab |
$68 |
| Amiodarone 200 Mg Tab |
$5 |
| Amitriptyline 10 Mg Tab |
$3 |
| Amitriptyline 10 Mg Tab |
$3 |
| Amitriptyline 25 Mg Tab |
$5 |
| Amitriptyline 25 Mg Tab |
$5 |
| Amlodipine 5 Mg Tab |
$50 |
| Amlodipine 5 Mg Tab |
$14 |
| Amlodipine 2.5 Mg Tab |
$50 |
| Amlodipine 2.5 Mg Tab |
$14 |
| Amoxicillin 250 Mg Cap |
$2 |
| Amoxicillin 250 Mg Cap |
$2 |
| Amoxicillin 250 Mg Cap |
$2 |
| Ampicillin 250 Mg Cap |
$2 |
| Ampicillin 500 Mg Cap |
$5 |
| Pancrelipase 5000 Units-17,000 Units-27,000 Units Cap |
$13 |
| Pancrelipase 12,000 Units-38,000 Units-60,000 Units Cap |
$27 |
| Anagrelide 0.5 Mg Cap |
$86 |
| Anagrelide 0.5 Mg Cap |
$96 |
| Benzocaine Top 10% Mucous Membrane Liq |
$2 |
| Apixaban 5 Mg Tab |
$67 |
| Apixaban 5 Mg Tab |
$72 |
| Aripiprazole 5 Mg Tab |
$308 |
| Aripiprazole 5 Mg Tab |
$276 |
| Aripiprazole 5 Mg Tab |
$276 |
| Aripiprazole 1 Mg/Ml Oral Sol |
$61 |
| Aspirin 81 Mg Chew Tab |
$2 |
| Aspirin 81 Mg Chew Tab |
$2 |
| Aspirin 325 Mg Oral EC Tab |
$2 |
| Aspirin 81 Mg Oral EC Tab |
$2 |
| Aspirin 81 Mg Oral EC Tab |
$2 |
| Aspirin 81 Mg Oral EC Tab |
$2 |
| Ascorbic Acid 500 Mg Tab |
$2 |
| Aspirin 325 Mg Tab |
$2 |
| Aspirin 325 Mg Tab |
$2 |
| Atenolol 25 Mg Tab |
$7 |
| Atorvastatin 10 Mg Tab |
$82 |
| Atorvastatin 10 Mg Tab |
$4 |
| Atorvastatin 40 Mg Tab |
$117 |
| Atorvastatin 40 Mg Tab |
$6 |
| Atorvastatin 40 Mg Tab |
$7 |
| Amoxicillin-Clavulanate 400 Mg-57 Mg/5 Ml Oral Liq |
$303 |
| Amoxicillin-Clavulanate 400 Mg-57 Mg/5 Ml Oral Liq |
$297 |
| Amoxicillin-Clavulanate 600 Mg-42.9 Mg/5 Ml Oral Liq |
$447 |
| Amoxicillin-Clavulanate 600 Mg-42.9 Mg/5 Ml Oral Liq |
$447 |
| Amoxicillin-Clavulanate 500 Mg-125 Mg Tab |
$53 |
| Amoxicillin-Clavulanate 500 Mg-125 Mg Tab |
$32 |
| Amoxicillin-Clavulanate 875 Mg-125 Mg Tab |
$63 |
| Amoxicillin-Clavulanate 875 Mg-125 Mg Tab |
$42 |
| Amoxicillin-Clavulanate 875 Mg-125 Mg Tab |
$44 |
| Azathioprine 50 Mg Tab |
$12 |
| Azathioprine 50 Mg Tab |
$20 |
| Azathioprine 50 Mg Tab |
$59 |
| Alfuzosin 10 Mg ER Tab |
$198 |
| Alfuzosin 10 Mg ER Tab |
$36 |
| Azithromycin 250 Mg Tab |
$296 |
| Azithromycin 250 Mg Tab |
$25 |
| Azithromycin 250 Mg Tab |
$64 |
| Azithromycin 250 Mg Tab |
$67 |
| Baclofen 10 Mg Tab |
$4 |
| Baclofen 10 Mg Tab |
$4 |
| Balsalazide 750 Mg Cap |
$23 |
| Barium Sulfate 2.1% Sus |
$56 |
| Barium Sulfate 2.1% Sus |
$56 |
| Benazepril 10 Mg Tab |
$9 |
| Benazepril 10 Mg Tab |
$8 |
| Benazepril 10 Mg Tab |
$9 |
| Benzonatate 100 Mg Cap |
$20 |
| Benzonatate 100 Mg Cap |
$5 |
| Benzonatate 100 Mg Cap |
$6 |
| Benztropine 1 Mg Tab |
$2 |
| Benztropine 1 Mg Tab |
$4 |
| Benztropine 1 Mg Tab |
$2 |
| Bethanechol 10 Mg Tab |
$31 |
| Bethanechol 10 Mg Tab |
$17 |
| Bethanechol 25 Mg Tab |
$48 |
| Bethanechol 25 Mg Tab |
$7 |
| Bicalutamide 50 Mg Tab |
$160 |
| Bicalutamide 50 Mg Tab |
$7 |
| Bisacodyl 5 Mg Oral EC Tab |
$2 |
| Bisacodyl 5 Mg Oral EC Tab |
$2 |
| Bisoprolol 5 Mg Tab |
$11 |
| Bisoprolol 5 Mg Tab |
$12 |
| Brimonidine Ophth 0.2% Sol |
$56 |
| Bromocriptine 2.5 Mg Tab |
$36 |
| Budesonide 3 Mg Ercap |
$238 |
| Budesonide 3 Mg Ercap |
$214 |
| Bumetanide 1 Mg Tab |
$4 |
| Bumetanide 1 Mg Tab |
$9 |
| Bumetanide 1 Mg Tab |
$23 |
| Bumetanide 1 Mg Tab |
$17 |
| Buprenorphine-Naloxone 8 Mg-2 Mg Sublingual Dis Tab |
$100 |
| Buprenorphine-Naloxone 8 Mg-2 Mg Sublingual Dis Tab |
$73 |
| Buprenorphine 8 Mg Tab |
$17 |
| Buprenorphine 8 Mg Tab |
$72 |
| Buprenorphine 2 Mg Tab |
$6 |
| Buprenorphine 2 Mg Tab |
$36 |
| Bupropion 100 Mg Tab |
$9 |
| Bupropion 100 Mg Tab |
$17 |
| Bupropion 75 Mg Tab |
$7 |
| Bupropion 75 Mg Tab |
$13 |
| Bupropion 100 Mg ER Tab |
$15 |
| Bupropion 100 Mg ER Tab |
$14 |
| Bupropion 150 Mg SR 12HR Tab |
$68 |
| Bupropion 150 Mg SR 12HR Tab |
$16 |
| Bupropion 150 Mg/24 Hours XL Tab |
$36 |
| Bupropion 150 Mg/24 Hours XL Tab |
$45 |
| Buspirone 5 Mg Tab |
$7 |
| Buspirone 5 Mg Tab |
$7 |
| Buspirone 5 Mg Tab |
$7 |
| Calcitriol 0.25 Mcg Oral Cap |
$10 |
| Calcitriol 0.25 Mcg Oral Cap |
$10 |
| Calcium Acetate 667 Mg Cap |
$7 |
| Calcium Acetate 667 Mg Cap |
$15 |
| Calcium Carbonate 1250 Mg Tab |
$2 |
| Calcium-Vitamin D 250 Mg-125 Units Tab |
$2 |
| Calcium-Vitamin D 250 Mg-125 Units Tab |
$2 |
| Calcium Cit-Vitamin D 200 Mg-250 Units Tab |
$2 |
| Calcium Cit-Vitamin D 200 Mg-250 Units Tab |
$2 |
| Candesartan 8 Mg Tab |
$33 |
| Candesartan 8 Mg Tab |
$41 |
| Capecitabine 500 Mg Tab |
$226 |
| Capecitabine 500 Mg Tab |
$207 |
| Captopril 25 Mg Tab |
$16 |
| Captopril 25 Mg Tab |
$14 |
| Carbamazepine 200 Mg Tab |
$10 |
| Carbamazepine 100 Mg ER Tab |
$12 |
| Carbamide Peroxide Otic 6.5% Sol |
$2 |
| Carbamide Peroxide Otic 6.5% Sol |
$2 |
| Carbidopa-Levodopa 10 Mg-100 Mg Tab |
$6 |
| Carbidopa-Levodopa 10 Mg-100 Mg Tab |
$10 |
| Carbidopa-Levodopa 25 Mg-100 Mg Tab |
$11 |
| Carbidopa-Levodopa 25 Mg-100 Mg Tab |
$5 |
| Carbidopa-Levodopa 25 Mg-100 Mg Tab |
$8 |
| Carbidopa-Levodopa 25 Mg-100 Mg Tab |
$7 |
| Carbidopa-Levodopa 25 Mg-100 Mg Tab |
$7 |
| Carisoprodol 350 Mg Tab |
$5 |
| Carisoprodol 350 Mg Tab |
$6 |
| Carvedilol 3.125 Mg Tab |
$43 |
| Carvedilol 3.125 Mg Tab |
$18 |
| Carvedilol 25 Mg Tab |
$18 |
| Carvedilol 25 Mg Tab |
$18 |
| Carvedilol 6.25 Mg Tab |
$43 |
| Carvedilol 6.25 Mg Tab |
$18 |
| Cefaclor 250 Mg Cap |
$17 |
| Cefadroxil 500 Mg Cap |
$31 |
| Cefadroxil 500 Mg Cap |
$32 |
| Cefdinir 300 Mg Cap |
$44 |
| Cefdinir 300 Mg Cap |
$44 |
| Cefdinir 125 Mg/5 Ml Oral Susp |
$37 |
| Cefuroxime 250 Mg Tab |
$38 |
| Cefuroxime 250 Mg Tab |
$38 |
| Cefuroxime 250 Mg Tab |
$36 |
| Celecoxib 100 Mg Cap |
$64 |
| Celecoxib 100 Mg Cap |
$38 |
| Celecoxib 100 Mg Cap |
$40 |
| Celecoxib 400 Mg Oral Cap |
$157 |
| Celecoxib 400 Mg Oral Cap |
$32 |
| Therapeutic Multiple Vitamins With Minerals Tab 1 Tab |
$2 |
| Therapeutic Multiple Vitamins With Minerals Tab 1 Tab |
$2 |
| Cephalexin 250 Mg Cap |
$7 |
| Cephalexin 250 Mg Cap |
$6 |
| Cetirizine 10 Mg Tab |
$24 |
| Cetirizine 10 Mg Tab |
$21 |
| Cetirizine 10 Mg Tab |
$22 |
| Chlorambucil 2 Mg Tab |
$20 |
| Chlorambucil 2 Mg Tab |
$138 |
| Chlordiazepoxide 25 Mg Cap |
$6 |
| Chlordiazepoxide 5 Mg Cap |
$7 |
| Chlorothiazide 500 Mg Tab |
$2 |
| Chlorothiazide 500 Mg Tab |
$11 |
| Chlorpromazine 10 Mg Tab |
$57 |
| Chlorpromazine 10 Mg Tab |
$36 |
| Chlorpropamide 100 Mg Tab |
$3 |
| Chlorthalidone 25 Mg Tab |
$5 |
| Chlorthalidone 25 Mg Tab |
$20 |
| Chlorthalidone 25 Mg Tab |
$20 |
| Cilostazol 100 Mg Tab |
$16 |
| Cilostazol 100 Mg Tab |
$16 |
| Cilostazol 100 Mg Tab |
$16 |
| Ciprofloxacin 250 Mg Tab |
$38 |
| Ciprofloxacin 250 Mg Tab |
$47 |
| Ciprofloxacin 250 Mg Tab |
$2 |
| Ciprofloxacin 500 Mg Tab |
$27 |
| Ciprofloxacin 500 Mg Tab |
$44 |
| Citalopram 20 Mg Tab |
$21 |
| Citalopram 20 Mg Tab |
$23 |
| Clarithromycin 250 Mg Tab |
$52 |
| Clindamycin 150 Mg Cap |
$10 |
| Clindamycin 150 Mg Cap |
$6 |
| Clindamycin 150 Mg Cap |
$5 |
| Clindamycin 150 Mg Cap |
$10 |
| Clindamycin 75 Mg/5 Ml Oral Liq |
$21 |
| Clindamycin 75 Mg/5 Ml Oral Liq |
$27 |
| Clonazepam 0.5 Mg Tab |
$6 |
| Clonazepam 0.5 Mg Tab |
$6 |
| Clonazepam 0.5 Mg Tab |
$6 |
| Clonidine 0.1 Mg Tab |
$2 |
| Clonidine 0.1 Mg Tab |
$2 |
| Clonidine 0.2 Mg Tab |
$3 |
| Clonidine 0.2 Mg Tab |
$3 |
| Clopidogrel 75 Mg Tab |
$67 |
| Clopidogrel 75 Mg Tab |
$38 |
| Clorazepate 3.75 Mg Tab |
$18 |
| Cocaine 40 Mg/Ml Top Sol 4 Ml |
$217 |
| Cocaine 40 Mg/Ml Top Sol 4 Ml |
$1,923 |
| Codeine Sulfate 30 Mg Tab |
$6 |
| Colchicine 0.6 Mg Cap |
$56 |
| Colchicine 0.6 Mg Tab |
$70 |
| Colchicine 0.6 Mg Tab |
$58 |
| Colesevelam 625 Mg Tab |
$34 |
| Colestipol 1 G Tab |
$18 |
| Colestipol 1 G Tab |
$11 |
| Lamivudine-Zidovudine Tab |
$146 |
| Lamivudine-Zidovudine Tab |
$134 |
| Hydrocortisone/Neomycin/Polymyxin B Ophth Susp |
$659 |
| Hydrocortisone/Neomycin/Polymyxin B Ophth Susp |
$1,219 |
| Cyanocobalamin 100 Mcg Tab |
$2 |
| Cyanocobalamin 100 Mcg Tab |
$2 |
| Cyanocobalamin 100 Mcg Tab |
$3 |
| Cyclobenzaprine 10 Mg Tab |
$8 |
| Cyclobenzaprine 10 Mg Tab |
$10 |
| Cyproheptadine 4 Mg Tab |
$4 |
| Cyproheptadine 4 Mg Tab |
$9 |
| Cyproheptadine 2 Mg/5 Ml Oral Syrup |
$6 |
| Dabigatran 75 Mg Cap |
$63 |
| Dabigatran 75 Mg Cap |
$63 |
| Dabigatran 150 Mg Cap |
$63 |
| Dabigatran 150 Mg Cap |
$67 |
| Danazol 100 Mg Cap |
$47 |
| Dantrolene 25 Mg Cap |
$11 |
| Dapsone 25 Mg Tab |
$25 |
| Dapsone 25 Mg Tab |
$23 |
| Darifenacin 7.5 Mg ER Tab |
$125 |
| Darifenacin 7.5 Mg ER Tab |
$95 |
| Dextromethorphan 30 Mg/5 Ml ER Oral Susp |
$4 |
| Demeclocycline 150 Mg Tab |
$92 |
| Desipramine 10 Mg Tab |
$10 |
| Desmopressin 0.1 Mg Tab |
$26 |
| Desmopressin 0.1 Mg Tab |
$26 |
| Desvenlafaxine 50 Mg UD |
$99 |
| Desvenlafaxine 50 Mg UD |
$99 |
| Dexamethasone Ophth 0.1% Sol |
$116 |
| Dexamethasone 0.5 Mg Tab |
$2 |
| Dexamethasone 4 Mg Tab |
$6 |
| Diazepam 2 Mg Tab |
$2 |
| Diazepam 5 Mg Tab |
$3 |
| Diazepam 5 Mg Tab |
$3 |
| Diazepam 5 Mg Tab |
$2 |
| Dicloxacillin 250 Mg Cap |
$11 |
| Dicloxacillin 250 Mg Cap |
$6 |
| Dicyclomine 10 Mg Cap |
$5 |
| Dicyclomine 10 Mg Cap |
$5 |
| Didanosine 250 Mg Oral EC Cap |
$68 |
| Didanosine 250 Mg Oral EC Cap |
$68 |
| Digoxin 125 Mcg (0.125 Mg) Tab |
$25 |
| Digoxin 125 Mcg (0.125 Mg) Tab |
$15 |
| Digoxin 250 Mcg (0.25 Mg) Tab |
$15 |
| Diltiazem 300 Mg/24 Hours Ercap |
$23 |
| Diltiazem 30 Mg Tab |
$4 |
| Diltiazem 60 Mg Tab |
$6 |
| Diltiazem 60 Mg Tab |
$2 |
| Diltiazem 90 Mg SR 12 Hr Cap |
$40 |
| Diltiazem 120 Mg/24 Hours ER Cap |
$10 |
| Diltiazem 120 Mg/24 Hours ER Cap |
$3 |
| Diltiazem 120 Mg/24 Hours ER Cap |
$4 |
| Diltiazem 180 Mg/24 Hours Ercap |
$11 |
| Diltiazem 180 Mg/24 Hours Ercap |
$4 |
| Diltiazem 180 Mg/24 Hours Ercap |
$4 |
| Diltiazem 240 Mg/24 Hours Ercap |
$18 |
| Diltiazem 240 Mg/24 Hours Ercap |
$11 |
| Diltiazem 240 Mg/24 Hours Ercap |
$7 |
| Diltiazem 60 Mg ER 12 Hr Cap |
$34 |
| Diphenhydramine 25 Mg Cap |
$2 |
| Atropine-Diphenoxylate 0.025 Mg-2.5 Mg Tab |
$4 |
| Atropine-Diphenoxylate 0.025 Mg-2.5 Mg Tab |
$8 |
| Dipyridamole 25 Mg Tab |
$3 |
| Dipyridamole 25 Mg Tab |
$9 |
| Disopyramide 100 Mg Cap |
$12 |
| Disopyramide 150 Mg Ercap |
$39 |
| Divalproex Sodium 250 Mg DR Tab |
$18 |
| Divalproex Sodium 250 Mg DR Tab |
$15 |
| Divalproex Sodium 500 Mg ER Tab |
$47 |
| Divalproex Sodium 500 Mg ER Tab |
$34 |
| Docusate Sodium 100 Mg Cap |
$2 |
| Docusate Sodium 100 Mg Cap |
$2 |
| Docusate Sodium 100 Mg Cap |
$2 |
| Docusate Calcium 240 Mg Cap |
$2 |
| Docusate Calcium 240 Mg Cap |
$2 |
| Dofetilide 125 Mcg Cap |
$90 |
| Dofetilide 125 Mcg Cap |
$74 |
| Dofetilide 125 Mcg Cap |
$84 |
| Donepezil 5 Mg Tab |
$159 |
| Donepezil 5 Mg Tab |
$2 |
| Doxazosin 2 Mg Tab |
$32 |
| Doxazosin 2 Mg Tab |
$8 |
| Doxepin 10 Mg Cap |
$6 |
| Doxepin 25 Mg Cap |
$7 |
| Doxycycline Hyclate 100 Mg Tab |
$16 |
| Doxycycline Hyclate 100 Mg Tab |
$39 |
| Dronabinol 2.5 Mg Cap |
$51 |
| Dronabinol 2.5 Mg Cap |
$49 |
| Dronabinol 2.5 Mg Cap |
$50 |
| Dronabinol 2.5 Mg Cap |
$31 |
| Duloxetine 30 Mg Cap |
$63 |
| Duloxetine 30 Mg Cap |
$51 |
| Duloxetine 30 Mg Cap |
$68 |
| Duloxetine 30 Mg Cap |
$66 |
| Dutasteride 0.5 Mg Cap |
$59 |
| Dutasteride 0.5 Mg Cap |
$52 |
| Dronedarone 400 Mg Tab |
$93 |
| Duloxetine 20 Mg Cap |
$60 |
| Efavirenz 200 Mg Cap |
$111 |
| Eplerenone 25 Mg Tab |
$94 |
| Eplerenone 25 Mg Tab |
$32 |
| Emtricitabine 200 Mg Cap |
$157 |
| Enalapril 20 Mg Tab |
$16 |
| Enalapril 20 Mg Tab |
$20 |
| Enalapril 5 Mg Tab |
$16 |
| Enalapril 5 Mg Tab |
$13 |
| Entacapone 200 Mg Tab |
$73 |
| Entacapone 200 Mg Tab |
$43 |
| Sacubitril-Valsartan 24 Mg-26 Mg Tab |
$63 |
| Sacubitril-Valsartan 49 Mg-51 Mg Tab |
$63 |
| Ergocalciferol 50,000 Units Cap |
$13 |
| Erlotinib 25 Mg Tab |
$454 |
| Erythromycin 250 Mg Oral EC Cap |
$58 |
| Erythromycin 250 Mg Oral EC Cap |
$52 |
| Escitalopram 10 Mg Tab |
$90 |
| Escitalopram 10 Mg Tab |
$38 |
| Esomeprazole 40 Mg Oral EC Cap |
$79 |
| Estradiol 1 Mg Tab |
$6 |
| Estradiol 1 Mg Tab |
$6 |
| Conjugated Estrogens 0.3 Mg Tab |
$54 |
| Conjugated Estrogens 0.625 Mg Tab |
$11 |
| Conjugated Estrogens 0.625 Mg Tab |
$54 |
| Estropipate 0.75 Mg Tab |
$7 |
| Eszopiclone 1 Mg Tab |
$105 |
| Eszopiclone 1 Mg Tab |
$3 |
| Ethacrynic Acid 25 Mg Tab |
$219 |
| Ethacrynic Acid 25 Mg Tab |
$206 |
| Ethambutol 100 Mg Tab |
$5 |
| Ethambutol 100 Mg Tab |
$4 |
| Etodolac 300 Mg Cap |
$14 |
| APAP/ASA/Caffeine 250 Mg-250 Mg-65 Mg Tab |
$2 |
| APAP/ASA/Caffeine 250 Mg-250 Mg-65 Mg Tab |
$2 |
| Exemestane 25 Mg Tab |
$317 |
| Exemestane 25 Mg Tab |
$174 |
| Exemestane 25 Mg Tab |
$174 |
| Ezetimibe 10 Mg Tab |
$108 |
| Ezetimibe 10 Mg Tab |
$23 |
| Famciclovir 500 Mg Tab |
$24 |
| Famciclovir 500 Mg Tab |
$109 |
| Famotidine 20 Mg Tab |
$15 |
| Famotidine 20 Mg Tab |
$15 |
| Famotidine 20 Mg Tab |
$2 |
| Famotidine 20 Mg Tab |
$13 |
| Famotidine 10 Mg Tab |
$3 |
| Febuxostat 80 Mg Tab |
$89 |
| Febuxostat 40 Mg Tab |
$89 |
| Felodipine 5 Mg ER Tab |
$14 |
| Felodipine 5 Mg ER Tab |
$13 |
| Felodipine 5 Mg ER Tab |
$13 |
| Ferrous Gluconate 324 Mg Tab |
$2 |
| Ferrous Gluconate 324 Mg Tab |
$2 |
| Ferrous Sulfate 325 Mg Tab |
$2 |
| Ferrous Sulfate 325 Mg Tab |
$2 |
| Polycarbophil 625 Mg Tab |
$2 |
| Fidaxomicin 200 Mg Tab |
$1,731 |
| Finasteride 5 Mg Tab |
$30 |
| Finasteride 5 Mg Tab |
$27 |
| Finasteride 5 Mg Tab |
$27 |
| APAP/Butalbital/Caffeine 325 Mg-50 Mg-40 Mg Tab |
$15 |
| APAP/Butalbital/Caffeine 325 Mg-50 Mg-40 Mg Tab |
$19 |
| APAP/Butalbital/Caffeine 325 Mg-50 Mg-40 Mg Tab |
$15 |
| ASA/Butalbital/Caffeine/Codeine 325mg-50mg-40mg Cap |
$24 |
| ASA/Butalbital/Caffeine/Codeine 325mg-50mg-40mg Cap |
$24 |
| Omega-3 (Fish Oil) Polyunsaturated Fatty Acids Cap |
$2 |
| Omega-3 (Fish Oil) Polyunsaturated Fatty Acids Cap |
$2 |
| Omega-3 Polyunsaturated Fatty Acids Ethyl Esters 1000 Mg Oral Capsule |
$25 |
| Omega-3 Polyunsaturated Fatty Acids Ethyl Esters 1000 Mg Oral Capsule |
$31 |
| Flavoxate 100 Mg Tab |
$13 |
| Flavoxate 100 Mg Tab |
$13 |
| Flavoxate 100 Mg Tab |
$13 |
| Flecainide 50 Mg Tab |
$9 |
| Flecainide 50 Mg Tab |
$17 |
| Flecainide 50 Mg Tab |
$35 |
| Fluconazole 100 Mg Tab |
$84 |
| Fluconazole 10 Mg/Ml Oral Liq |
$9 |
| Fluconazole 50 Mg Tab |
$48 |
| Fludrocortisone 0.1 Mg Tab |
$6 |
| Fludrocortisone 0.1 Mg Tab |
$14 |
| Fluoxetine 20 Mg Cap |
$24 |
| Fluoxetine 20 Mg Cap |
$21 |
| Fluphenazine 1 Mg Tab |
$5 |
| Flutamide 125 Mg Cap |
$18 |
| Fluvoxamine 50 Mg Tab |
$22 |
| Fluvoxamine 50 Mg Tab |
$22 |
| Folic Acid 1 Mg Tab |
$2 |
| Folic Acid 1 Mg Tab |
$2 |
| Folic Acid 1 Mg Tab |
$3 |
| Folic Acid 1 Mg Tab |
$3 |
| Vitamin B Complex With Folic Acid Tab |
$6 |
| Vitamin B Complex With Folic Acid Tab |
$4 |
| Fosamprenavir 700 Mg Tab |
$185 |
| Fosinopril 10 Mg Tab |
$15 |
| Fosinopril 10 Mg Tab |
$10 |
| Furosemide 20 Mg Tab |
$2 |
| Furosemide 20 Mg Tab |
$2 |
| Furosemide 20 Mg Tab |
$2 |
| Furosemide 40 Mg Tab |
$2 |
| Furosemide 40 Mg Tab |
$5 |
| Gabapentin 100 Mg Cap |
$2 |
| Gabapentin 100 Mg Cap |
$6 |
| Gabapentin 100 Mg Cap |
$6 |
| Gabapentin 100 Mg Cap |
$5 |
| Gabapentin 300 Mg Cap |
$48 |
| Gabapentin 300 Mg Cap |
$12 |
| Gabapentin 300 Mg Cap |
$2 |
| Gabapentin 250 Mg/5 Ml Oral Sol |
$18 |
| Gabapentin 250 Mg/5 Ml Oral Sol |
$14 |
| Gemfibrozil 600 Mg Tab |
$10 |
| Gemfibrozil 600 Mg Tab |
$20 |
| Gemfibrozil 600 Mg Tab |
$10 |
| Gi Cocktail |
$118 |
| Glimepiride 1 Mg Tab |
$14 |
| Glimepiride 1 Mg Tab |
$9 |
| Glipizide 5 Mg Tab |
$3 |
| Glipizide 5 Mg Tab |
$3 |
| Glipizide 2.5 Mg ER Tab |
$14 |
| Glipizide 2.5 Mg ER Tab |
$6 |
| Glipizide 2.5 Mg ER Tab |
$4 |
| Glipizide 5 Mg ER Tab |
$14 |
| Glipizide 5 Mg ER Tab |
$4 |
| Glyburide 2.5 Mg Tab |
$3 |
| Glycopyrrolate 1 Mg Tab |
$61 |
| Glycopyrrolate 1 Mg Tab |
$12 |
| Glycopyrrolate 1 Mg Tab |
$11 |
| Guaifenesin 600 Mg ER Tab |
$4 |
| Guaifenesin 600 Mg ER Tab |
$9 |
| Dextromethorphan-Guaifenesin 30 Mg-600 Mg ER Tab |
$5 |
| Guanfacine 1 Mg Tab |
$24 |
| Guanfacine 1 Mg Tab |
$8 |
| Galantamine 4 Mg Tab |
$55 |
| Galantamine 4 Mg Tab |
$23 |
| Haloperidol 1 Mg Tab |
$4 |
| Hydralazine 10 Mg Tab |
$4 |
| Hydralazine 10 Mg Tab |
$2 |
| Hydralazine 25 Mg Tab |
$4 |
| Hydralazine 25 Mg Tab |
$2 |
| Hydrochlorothiazide 25 Mg Tab |
$2 |
| Hydrochlorothiazide 25 Mg Tab |
$2 |
| Hydrochlorothiazide 25 Mg Tab |
$2 |
| Hydrochlorothiazide 12.5 Mg Tab |
$4 |
| Acetaminophen-Hydrocodone 325 Mg-10 Mg Tab |
$13 |
| Acetaminophen-Hydrocodone 325 Mg-10 Mg Tab |
$9 |
| Acetaminophen-Hydrocodone 325 Mg-5 Mg Tab |
$5 |
| Acetaminophen-Hydrocodone 325 Mg-5 Mg Tab |
$4 |
| Acetaminophen-Hydrocodone 325 Mg-7.5 Mg Tab |
$5 |
| Acetaminophen-Hydrocodone 325 Mg-7.5 Mg Tab |
$5 |
| Acetaminophen-Hydrocodone 325 Mg-7.5 Mg Tab |
$8 |
| Hydrocortisone 10 Mg Tab |
$6 |
| Acetic Acid-Hydrocortisone Otic Sol |
$174 |
| Hydromorphone 2 Mg Tab |
$18 |
| Hydromorphone 2 Mg Tab |
$2 |
| Hydromorphone 2 Mg Tab |
$2 |
| Hydroxyurea 500 Mg Cap |
$20 |
| Hydroxyurea 500 Mg Cap |
$20 |
| Hydroxyzine Pamoate 25 Mg Cap |
$4 |
| Hydroxyzine Pamoate 25 Mg Cap |
$3 |
| Hydroxyzine Pamoate 25 Mg Cap |
$3 |
| Hyoscyamine 0.125 Mg Sublingual Tab |
$7 |
| Hyoscyamine 0.125 Mg Sublingual Tab |
$7 |
| Hyoscyamine 0.125 Mg/5 Ml Oral Liq |
$10 |
| Hyoscyamine 0.375 Mg ER Tab |
$9 |
| Ibuprofen 200 Mg Tab |
$2 |
| Ibuprofen 400 Mg Tab |
$2 |
| Ibuprofen 400 Mg Tab |
$2 |
| Ibuprofen 400 Mg Tab |
$2 |
| Ibuprofen 400 Mg Tab |
$2 |
| Ibuprofen 600 Mg Tab |
$3 |
| Ibuprofen 600 Mg Tab |
$2 |
| Ibuprofen 600 Mg Tab |
$3 |
| Ibuprofen 800 Mg Tab |
$3 |
| Ibuprofen 800 Mg Tab |
$2 |
| Ibuprofen 800 Mg Tab |
$2 |
| Imatinib 400 Mg Tab |
$1,735 |
| Imatinib 400 Mg Tab |
$1,859 |
| Imatinib 400 Mg Tab |
$1,716 |
| Imipramine 10 Mg Tab |
$4 |
| Imipramine 10 Mg Tab |
$4 |
| Indapamide 2.5 Mg Tab |
$13 |
| Indapamide 2.5 Mg Tab |
$13 |
| Indinavir 400 Mg Cap |
$26 |
| Indinavir 400 Mg Cap |
$26 |
| Indomethacin 25 Mg Cap |
$3 |
| Indomethacin 25 Mg Cap |
$3 |
| Indomethacin 75 Mg Cap |
$27 |
| Indomethacin 75 Mg Cap |
$26 |
| Indomethacin 75 Mg Cap |
$26 |
| Irbesartan 150 Mg Tab |
$29 |
| Irbesartan 150 Mg Tab |
$27 |
| Ferrous Sulfate 140 Mg ER Tab |
$2 |
| Ferrous Sulfate 140 Mg ER Tab |
$2 |
| Iron Polysaccharide 150 Mg Cap |
$4 |
| Iron Polysaccharide 150 Mg Cap |
$2 |
| Isoniazid 300 Mg Tab |
$11 |
| Isoniazid 300 Mg Tab |
$10 |
| Isosorbide Dinitrate 20 Mg Tab |
$21 |
| Isosorbide Dinitrate 20 Mg Tab |
$8 |
| Isosorbide Dinitrate 20 Mg Tab |
$7 |
| Isosorbide Dinitrate 20 Mg Tab |
$10 |
| Isosorbide Mononitrate 20 Mg Tab |
$15 |
| Isosorbide Mononitrate 20 Mg Tab |
$4 |
| Isosorbide Mononitrate 30 Mg ER Tab |
$11 |
| Isosorbide Mononitrate 30 Mg ER Tab |
$14 |
| Isosorbide Dinitrate 40 Mg ER Tab |
$7 |
| Isradipine 2.5 Mg Cap |
$13 |
| Itraconazole 100 Mg Cap |
$251 |
| Ivabradine 5 Mg |
$74 |
| Potassium Phosphate-Sodium Phosphate 250 Mg-45 Mg-298 Mg Tab |
$4 |
| Potassium Phosphate-Sodium Phosphate 250 Mg-45 Mg-298 Mg Tab |
$10 |
| Levetiracetam 250 Mg Tab |
$65 |
| Levetiracetam 250 Mg Tab |
$22 |
| Levetiracetam 500 Mg/5 Ml Oral Liq |
$59 |
| Levetiracetam 500 Mg/5 Ml Oral Liq |
$31 |
| Ketoconazole 200 Mg Tab |
$27 |
| Ketoconazole 200 Mg Tab |
$27 |
| Ketorolac 10 Mg Tab |
$19 |
| Labetalol 100 Mg Tab |
$5 |
| Labetalol 100 Mg Tab |
$20 |
| Labetalol 200 Mg Tab |
$7 |
| Labetalol 200 Mg Tab |
$5 |
| Labetalol 200 Mg Tab |
$10 |
| Lacosamide 10 Mg/Ml Oral Liq |
$13 |
| Lacosamide 50 Mg Tab |
$76 |
| Ocular Lubricant Oint |
$2 |
| Lactobacillus Rhamnosus GG - Chew Tab |
$6 |
| Lactobacillus Rhamnosus GG - Cap |
$2 |
| Terbinafine 250 Mg Tab |
$256 |
| Terbinafine 250 Mg Tab |
$112 |
| Lamivudine 150 Mg Tab |
$62 |
| Lamivudine 150 Mg Tab |
$62 |
| Lamotrigine 100 Mg Tab |
$123 |
| Lamotrigine 100 Mg Tab |
$2 |
| Lamotrigine 25 Mg Tab |
$108 |
| Lamotrigine 25 Mg Tab |
$36 |
| Lanthanum Carbonate 1000 Mg Tab |
$120 |
| Lansoprazole 30 Mg Oral EC Cap |
$49 |
| Lansoprazole 30 Mg Oral EC Cap |
$51 |
| Latanoprost Ophth 0.005% Sol |
$1,676 |
| Latanoprost Ophth 0.005% Sol |
$819 |
| Latanoprost Ophth 0.005% Sol |
$210 |
| Leflunomide 20 Mg Tab |
$404 |
| Leflunomide 20 Mg Tab |
$142 |
| Leflunomide 20 Mg Tab |
$47 |
| Letrozole 2.5 Mg Tab |
$242 |
| Letrozole 2.5 Mg Tab |
$156 |
| Leucovorin 5 Mg Tab |
$28 |
| Leucovorin 5 Mg Tab |
$24 |
| Levetiracetam 1000 Mg Oral Tablet |
$158 |
| Levetiracetam 1000 Mg Oral Tablet |
$14 |
| Levobunolol Ophth 0.5% Sol |
$208 |
| Levobunolol Ophth 0.5% Sol |
$48 |
| Levofloxacin 500 Mg Tab |
$311 |
| Levofloxacin 500 Mg Tab |
$145 |
| Levofloxacin 250 Mg Tab |
$271 |
| Levofloxacin 250 Mg Tab |
$127 |
| Linezolid 600 Mg Tab |
$1,614 |
| Linezolid 600 Mg Tab |
$1,577 |
| Linaclotide 145 Mcg Cap |
$111 |
| Liothyronine 5 Mcg Tab |
$17 |
| Liothyronine 5 Mcg Tab |
$7 |
| Liothyronine 5 Mcg Tab |
$7 |
| Liothyronine 5 Mcg Tab |
$16 |
| Lisinopril 10 Mg Tab |
$8 |
| Lisinopril 10 Mg Tab |
$4 |
| Lisinopril 10 Mg Tab |
$9 |
| Lisinopril 10 Mg Tab |
$11 |
| Lisinopril 5 Mg Tab |
$8 |
| Lisinopril 5 Mg Tab |
$4 |
| Lisinopril 5 Mg Tab |
$8 |
| Lithium 300 Mg Tab |
$2 |
| Lithium 300 Mg/5 Ml Oral Syrup |
$7 |
| Lithium 300 Mg/5 Ml Oral Syrup |
$12 |
| Lomustine 10 Mg Oral Cap |
$50 |
| Lomustine 10 Mg Oral Cap |
$393 |
| Loperamide 2 Mg Cap |
$8 |
| Loperamide 2 Mg Cap |
$8 |
| Loratadine 10 Mg Tab |
$2 |
| Loratadine 10 Mg Tab |
$2 |
| Loratadine 5 Mg/5 Ml Oral Syrup |
$4 |
| Lorazepam 0.5 Mg Tab |
$6 |
| Lorazepam 0.5 Mg Tab |
$2 |
| Lorazepam 0.5 Mg Tab |
$2 |
| Losartan 25 Mg Tab |
$19 |
| Losartan 25 Mg Tab |
$6 |
| Losartan 50 Mg Tab |
$25 |
| Losartan 50 Mg Tab |
$7 |
| Lubiprostone 24 Mcg Oral Capsule |
$52 |
| Magnesium Gluconate 500 Mg Tab |
$2 |
| Multivitamin With Minerals Calcium, Magnesium And Phosphorus Tab |
$2 |
| Magnesium Oxide 400 Mg Tab |
$2 |
| Magnesium Oxide 400 Mg Tab |
$2 |
| Meclizine 12.5 Mg Tab |
$2 |
| Meclizine 12.5 Mg Tab |
$2 |
| Meclizine 12.5 Mg Tab |
$6 |
| Meclizine 25 Mg Tab |
$3 |
| Meclizine 25 Mg Tab |
$7 |
| Megestrol 40 Mg Tab |
$12 |
| Megestrol 40 Mg Tab |
$9 |
| Memantine 10 Mg Tab |
$64 |
| Memantine 10 Mg Tab |
$53 |
| Memantine 10 Mg Tab |
$8 |
| Meperidine 50 Mg Tab |
$26 |
| Lactobacillus Rhamnosus GG - Powder Packet |
$6 |
| Meprobamate 200 Mg Tab |
$59 |
| Mercaptopurine 50 Mg Tab |
$20 |
| Mercaptopurine 50 Mg Tab |
$20 |
| Mesalamine 250 Mg Ercap |
$28 |
| Mesalamine 400 Mg Cap |
$30 |
| Metaxalone 800 Mg Tab |
$52 |
| Metaxalone 800 Mg Tab |
$51 |
| Metformin 500 Mg Tab |
$6 |
| Metformin 500 Mg Tab |
$2 |
| Metformin 500 Mg Tab |
$7 |
| Metformin 500 Mg Tab |
$2 |
| Metformin 850 Mg Tab |
$11 |
| Metformin 850 Mg Tab |
$13 |
| Metformin 850 Mg Tab |
$10 |
| Metformin 500 Mg ER Tab |
$10 |
| Metformin 500 Mg ER Tab |
$6 |
| Methadone 40 Mg Oral Tab |
$3 |
| Methadone 40 Mg Oral Tab |
$3 |
| Methadone 40 Mg Oral Tab |
$12 |
| Methadone 5 Mg Tab |
$3 |
| Methadone 5 Mg Tab |
$3 |
| Methazolamide 50 Mg Tab |
$66 |
| Methenamine Hippurate 1 G Tab |
$31 |
| Methenamine Hippurate 1 G Tab |
$18 |
| Methimazole 5 Mg Tab |
$4 |
| Methimazole 5 Mg Tab |
$4 |
| Methocarbamol 500 Mg Tab |
$3 |
| Methocarbamol 500 Mg Tab |
$4 |
| Methocarbamol 500 Mg Tab |
$4 |
| Methocarbamol 500 Mg Tab |
$4 |
| Methyldopa 250 Mg Tab |
$3 |
| Methyldopa 250 Mg Tab |
$3 |
| Methylergonovine 0.2 Mg Tab |
$644 |
| Methylergonovine 0.2 Mg Tab |
$580 |
| Methylphenidate 5 Mg Tab |
$3 |
| Methylphenidate 5 Mg Tab |
$6 |
| Methylphenidate 5 Mg Tab |
$6 |
| Methylprednisolone 16 Mg Tab |
$57 |
| Methylprednisolone 16 Mg Tab |
$31 |
| Methylprednisolone 16 Mg Tab |
$31 |
| Metoclopramide 10 Mg Tab |
$8 |
| Metoclopramide 10 Mg Tab |
$2 |
| Metoclopramide 5 Mg Tab |
$3 |
| Metoclopramide 5 Mg Tab |
$2 |
| Metolazone 2.5 Mg Tab |
$16 |
| Metolazone 2.5 Mg Tab |
$20 |
| Metolazone 2.5 Mg Tab |
$28 |
| Metoprolol Tartrate 25 Mg Tab |
$2 |
| Metoprolol Tartrate 25 Mg Tab |
$2 |
| Metoprolol Tartrate 50 Mg Tab |
$5 |
| Metoprolol Tartrate 50 Mg Tab |
$5 |
| Metoprolol Succinate 25 Mg ER Tab |
$12 |
| Metoprolol Succinate 25 Mg ER Tab |
$11 |
| Metoprolol Succinate 25 Mg ER Tab |
$10 |
| Metoprolol Succinate 50 Mg ER Tab |
$12 |
| Metoprolol Succinate 50 Mg ER Tab |
$11 |
| Metoprolol Succinate 50 Mg ER Tab |
$10 |
| Metronidazole 250 Mg Tab |
$5 |
| Metronidazole 250 Mg Tab |
$6 |
| Metronidazole 250 Mg Tab |
$5 |
| Metronidazole 500 Mg Tab |
$7 |
| Metronidazole 500 Mg Tab |
$8 |
| Mexiletine 150 Mg Cap |
$22 |
| Midodrine 5 Mg Tab |
$36 |
| Midodrine 5 Mg Tab |
$25 |
| Midodrine 5 Mg Tab |
$23 |
| Midodrine 5 Mg Tab |
$18 |
| Midodrine 5 Mg Tab |
$21 |
| Miglitol 50 Mg Tab |
$25 |
| Minocycline 50 Mg Cap |
$15 |
| Minocycline 50 Mg Cap |
$15 |
| Minoxidil 2.5 Mg Tab |
$5 |
| Minoxidil 2.5 Mg Tab |
$5 |
| Minoxidil 10 Mg Tab |
$11 |
| Mirabegron 25 Mg Tab |
$72 |
| Mirtazapine 15 Mg Tab |
$25 |
| Mirtazapine 15 Mg Tab |
$29 |
| Misoprostol 100 Mcg Tab |
$33 |
| Misoprostol 100 Mcg Tab |
$14 |
| Meloxicam 7.5 Mg Tab |
$75 |
| Meloxicam 7.5 Mg Tab |
$2 |
| Meloxicam 7.5 Mg Tab |
$27 |
| Moexipril 7.5 Mg Tab |
$27 |
| Moexipril 7.5 Mg Tab |
$12 |
| Montelukast 10 Mg Tab |
$48 |
| Montelukast 10 Mg Tab |
$47 |
| Montelukast 4 Mg Chew Tab |
$49 |
| Montelukast 5 Mg Chew Tab |
$49 |
| Morphine 20 Mg/Ml Oral Conc |
$5 |
| Morphine 20 Mg/Ml Oral Conc |
$7 |
| Morphine 100 Mg/8 Hr Tab |
$79 |
| Morphine 100 Mg/8 Hr Tab |
$66 |
| Morphine 100 Mg/8 Hr Tab |
$36 |
| Morphine 15 Mg IR Tab |
$3 |
| Morphine 15 Mg IR Tab |
$5 |
| Morphine 15 Mg/8 Hr Tab |
$16 |
| Morphine 15 Mg/8 Hr Tab |
$12 |
| Morphine 100 Mg/8 Hr Tab |
$27 |
| Morphine 100 Mg/8 Hr Tab |
$13 |
| Morphine 100 Mg/8 Hr Tab |
$29 |
| Morphine 60 Mg/8 Hr Tab |
$54 |
| Morphine 60 Mg/8 Hr Tab |
$46 |
| Morphine 60 Mg/8 Hr Tab |
$29 |
| Moxifloxacin 400 Mg Tab |
$287 |
| Moxifloxacin 400 Mg Tab |
$258 |
| Moxifloxacin 400 Mg Tab |
$235 |
| Moxifloxacin 400 Mg Tab |
$230 |
| Mycophenolate Mofetil 250 Mg Cap |
$80 |
| Mycophenolate Mofetil 250 Mg Cap |
$34 |
| Mycophenolate Mofetil 250 Mg Cap |
$8 |
| Nabumetone 500 Mg Tab |
$19 |
| Nabumetone 500 Mg Tab |
$8 |
| Sodium Chloride, Hypertonic, Ophth 5% Sol |
$165 |
| Sodium Chloride, Hypertonic, Ophth 5% Sol |
$104 |
| Nadolol 20 Mg Tab |
$30 |
| Nadolol 20 Mg Tab |
$53 |
| Nadolol 20 Mg Tab |
$32 |
| Naloxegol 25 Mg Tab |
$119 |
| Naloxegol 25 Mg Tab |
$119 |
| Naproxen 250 Mg Tab |
$7 |
| Naproxen 250 Mg Tab |
$7 |
| Nateglinide 120 Mg Tab |
$35 |
| Nateglinide 120 Mg Tab |
$16 |
| Nebivolol 5 Mg Tab UD |
$42 |
| Nelfinavir 250 Mg Tab |
$36 |
| Neomycin 500 Mg Tab |
$17 |
| Neomycin 500 Mg Tab |
$12 |
| Nevirapine 200 Mg Tab |
$139 |
| Nevirapine 200 Mg Tab |
$93 |
| Niacinamide 100 Mg Oral Tab |
$2 |
| Niacin 500 Mg ER Tab |
$2 |
| Niacin 500 Mg ER Tab |
$2 |
| Nicardipine 20 Mg Cap |
$3 |
| Nicardipine 20 Mg Cap |
$19 |
| Nicotine 2 Mg Gum |
$2 |
| Nifedipine 10 Mg Cap |
$9 |
| Nifedipine 10 Mg Cap |
$11 |
| Nifedipine 10 Mg Cap |
$11 |
| Nimodipine 30 Mg Cap |
$83 |
| Nimodipine 30 Mg Cap |
$30 |
| Nitazoxanide 500 Mg Tab |
$1,065 |
| Nitrofurantoin Macrocrystals-Monohydrate 100 Mg Cap |
$57 |
| Nitrofurantoin Macrocrystals-Monohydrate 100 Mg Cap |
$22 |
| Nitrofurantoin Macrocrystals 50 Mg Cap |
$38 |
| Nitroglycerin 6.5 Mg Ercap |
$2 |
| Nortriptyline 10 Mg Cap |
$6 |
| Nortriptyline 10 Mg Cap |
$4 |
| Nortriptyline 10 Mg Cap |
$5 |
| Nortriptyline 25 Mg Cap |
$8 |
| Nortriptyline 25 Mg Cap |
$13 |
| Antioxidant Multiple Vitamins And Minerals Tab |
$2 |
| Antioxidant Multiple Vitamins And Minerals Tab |
$2 |
| Olanzapine 5 Mg Tab |
$114 |
| Olanzapine 5 Mg Tab |
$114 |
| Olmesartan 5 Mg Tab |
$54 |
| Olmesartan 5 Mg Tab |
$44 |
| Olmesartan 40 Mg Tab |
$92 |
| Olmesartan 40 Mg Tab |
$79 |
| Olmesartan 40 Mg Tab |
$76 |
| Omeprazole 20 Mg Oral EC Cap |
$29 |
| Omeprazole 20 Mg Oral EC Cap |
$27 |
| Ondansetron 4 Mg/5 Ml Oral Sol |
$207 |
| Ondansetron 4 Mg/5 Ml Oral Sol |
$207 |
| Ondansetron 4 Mg Dis Tab |
$192 |
| Ondansetron 4 Mg Dis Tab |
$199 |
| Ondansetron 4 Mg Dis Tab |
$192 |
| Orphenadrine 100 Mg ER Tab |
$19 |
| Orphenadrine 100 Mg ER Tab |
$20 |
| Calcium-Vitamin D 500 Mg-200 Units Tab |
$2 |
| Calcium-Vitamin D 500 Mg-200 Units Tab |
$2 |
| Calcium-Vitamin D 500 Mg-200 Units Tab |
$2 |
| Oseltamivir 75 Mg Cap |
$148 |
| Oseltamivir 75 Mg Cap |
$133 |
| Oseltamivir 75 Mg Cap |
$133 |
| Oseltamivir 6 Mg/Ml Pow |
$1,154 |
| Oseltamivir 6 Mg/Ml Pow |
$1,412 |
| Oxandrolone 2.5 Mg Tab |
$70 |
| Oxybutynin 5 Mg Tab |
$7 |
| Oxybutynin 5 Mg Tab |
$6 |
| Oxybutynin 5 Mg ER Tab |
$60 |
| Oxybutynin 5 Mg ER Tab |
$24 |
| Oxycodone 10 Mg ER Tab |
$19 |
| Oxycodone 10 Mg ER Tab |
$35 |
| Oxycodone 15 Mg ER Tab |
$28 |
| Oxycodone 15 Mg ER Tab |
$57 |
| Oxycodone 20 Mg ER Tab |
$36 |
| Oxycodone 20 Mg ER Tab |
$66 |
| Oxycodone 40 Mg ER Tab |
$64 |
| Oxycodone 40 Mg ER Tab |
$113 |
| Oxycodone 5 Mg IR Tab |
$5 |
| Oxycodone 5 Mg IR Tab |
$5 |
| Oxycodone 5 Mg IR Tab |
$5 |
| Oxycodone 5 Mg IR Tab |
$3 |
| Oxycodone 15 Mg IR Tab |
$6 |
| Oxycodone 15 Mg IR Tab |
$16 |
| Oxycodone 15 Mg IR Tab |
$6 |
| Acetaminophen-Oxycodone 325 Mg-5 Mg Tab |
$13 |
| Acetaminophen-Oxycodone 325 Mg-5 Mg Tab |
$12 |
| Acetaminophen-Oxycodone 325 Mg-5 Mg Tab |
$2 |
| Oxycodone 80 Mg ER Tab |
$121 |
| Oxycodone 20 Mg/Ml Oral Conc |
$20 |
| Oxycodone 20 Mg/Ml Oral Conc |
$106 |
| Pantoprazole 20 Mg Oral EC Tab |
$34 |
| Pantoprazole 40 Mg Oral EC Tab |
$83 |
| Pantoprazole 40 Mg Oral EC Tab |
$35 |
| Pantoprazole 40 Mg Oral EC Tab |
$35 |
| Pantoprazole 40 Mg Oral Gran |
$119 |
| Paricalcitol 1 Mcg Oral Capsule |
$118 |
| Paricalcitol 1 Mcg Oral Capsule |
$69 |
| Paroxetine 12.5 Mg ER Tab |
$48 |
| Paroxetine 20 Mg Tab |
$23 |
| Paroxetine 20 Mg Tab |
$25 |
| Penicillin V Potassium 250 Mg Tab |
$11 |
| Penicillin V Potassium 250 Mg Tab |
$10 |
| Pentosan Polysulfate Sodium 100 Mg Cap |
$78 |
| Acetaminophen-Oxycodone 325 Mg-10 Mg Tab |
$166 |
| Acetaminophen-Oxycodone 325 Mg-10 Mg Tab |
$31 |
| Acetaminophen-Oxycodone 325 Mg-10 Mg Tab |
$31 |
| Acetaminophen-Oxycodone 325 Mg-10 Mg Tab |
$8 |
| Acetaminophen-Oxycodone 325 Mg-10 Mg Tab |
$29 |
| Acetaminophen-Oxycodone 325 Mg-10 Mg Tab |
$31 |
| Perindopril 4 Mg Tab |
$28 |
| Perindopril 4 Mg Tab |
$19 |
| Perphenazine 2 Mg Tab |
$15 |
| Perphenazine 2 Mg Tab |
$15 |
| Phenobarbital 16.2 Mg Tab |
$6 |
| Phenobarbital 32.4 Mg Tab UD |
$7 |
| Phenobarbital 32.4 Mg Tab UD |
$4 |
| Phenytoin 100 Mg Ercap |
$6 |
| Phenytoin 100 Mg Ercap |
$3 |
| Phenytoin 30 Mg Ercap |
$9 |
| Pilocarpine 5 Mg Tab |
$13 |
| Pilocarpine 5 Mg Tab |
$14 |
| Pindolol 5 Mg Tab |
$6 |
| Pindolol 5 Mg Tab |
$11 |
| Pioglitazone 15 Mg Tab |
$118 |
| Pioglitazone 15 Mg Tab |
$60 |
| Piroxicam 20 Mg Cap |
$46 |
| Potassium Bicarbonate 25 Meq Eff Tab |
$3 |
| Potassium Chloride 10 Meq ER Tab |
$7 |
| Potassium Chloride 10 Meq ER Tab |
$3 |
| Potassium Chloride 10 Meq ER Tab |
$5 |
| Potassium Chloride 10 Meq ER Tab |
$5 |
| Potassium Chloride 8 Meq ER Tab |
$6 |
| Potassium Chloride 8 Meq ER Tab |
$6 |
| Pramipexole 0.25 Mg Tab |
$65 |
| Pramipexole 0.25 Mg Tab |
$2 |
| Pramipexole 1 Mg Tab |
$29 |
| Pramipexole 1 Mg Tab |
$9 |
| Prasugrel 10 Mg Tab |
$143 |
| Prasugrel 10 Mg Tab |
$142 |
| Prasugrel 10 Mg Tab |
$142 |
| Pravastatin 10 Mg Tab |
$37 |
| Pravastatin 10 Mg Tab |
$25 |
| Prazosin 1 Mg Cap |
$16 |
| Prazosin 1 Mg Cap |
$8 |
| Prednisone 10 Mg Tab |
$2 |
| Prednisone 1 Mg Tab |
$2 |
| Prednisone 20 Mg Tab |
$2 |
| Prednisone 20 Mg Tab |
$5 |
| Prednisone 5 Mg Tab |
$2 |
| Pregabalin 150 Mg Oral Capsule |
$60 |
| Pregabalin 75 Mg Oral Capsule |
$66 |
| Pregabalin 50 Mg Oral Capsule |
$60 |
| Prenatal Multivitamins With Folic Acid 1 Mg Tab |
$2 |
| Primidone 50 Mg Tab |
$4 |
| Primidone 50 Mg Tab |
$7 |
| Probenecid 500 Mg Tab |
$8 |
| Prochlorperazine 10 Mg Tab |
$8 |
| Progesterone 100 Mg Cap |
$18 |
| Promethazine 25 Mg Tab |
$4 |
| Promethazine 25 Mg Tab |
$8 |
| Propafenone 150 Mg Tab |
$15 |
| Propafenone 150 Mg Tab |
$14 |
| Propafenone 225 Mg Ercap |
$68 |
| Propafenone 225 Mg Ercap |
$71 |
| Propranolol 20 Mg Tab |
$2 |
| Propranolol 20 Mg Tab |
$4 |
| Propranolol 20mg/5 Ml Oral Sol |
$6 |
| Propranolol 60 Mg Ercap |
$33 |
| Propranolol 60 Mg Ercap |
$19 |
| Propranolol 80 Mg Ercap |
$214 |
| Propranolol 80 Mg Ercap |
$21 |
| Propylthiouracil 50 Mg Tab |
$8 |
| Propylthiouracil 50 Mg Tab |
$15 |
| Pseudoephedrine 30 Mg Tab |
$2 |
| Pseudoephedrine 30 Mg Tab |
$2 |
| Pseudoephedrine 30 Mg Tab |
$2 |
| Pyrazinamide 500 Mg Tab |
$56 |
| Pyridostigmine 180 Mg ER Tab |
$240 |
| Pyridostigmine 60 Mg Tab |
$5 |
| Pyridostigmine 60 Mg Tab |
$13 |
| Pyridoxine 50 Mg Tab |
$2 |
| Pyridoxine 50 Mg Tab |
$2 |
| Quetiapine 100 Mg Tab |
$63 |
| Quetiapine 100 Mg Tab |
$5 |
| Quetiapine 25 Mg Tab |
$40 |
| Quetiapine 25 Mg Tab |
$3 |
| Quinapril 10 Mg Tab |
$40 |
| Quinapril 10 Mg Tab |
$11 |
| Quinidine 200 Mg Tab |
$3 |
| Raloxifene 60 Mg Tab |
$68 |
| Raloxifene 60 Mg Tab |
$61 |
| Ramipril 2.5 Mg Cap |
$20 |
| Ramipril 2.5 Mg Cap |
$17 |
| Ramipril 2.5 Mg Cap |
$16 |
| Ramipril 2.5 Mg Cap |
$16 |
| Ramipril 2.5 Mg Cap |
$2 |
| Ranitidine 75 Mg Tab |
$2 |
| Ranitidine 75 Mg/5 Ml Oral Syrup |
$106 |
| Ranolazine 500 Mg Oral ER Tab |
$42 |
| Sevelamer Carbonate 800 Mg Tab |
$54 |
| Sevelamer Carbonate 800 Mg Tab |
$33 |
| Sevelamer Carbonate 800 Mg Tab |
$53 |
| Sevelamer 400 Mg Tab |
$34 |
| Repaglinide 0.5 Mg Tab |
$59 |
| Repaglinide 0.5 Mg Tab |
$32 |
| Repaglinide 1 Mg Tab |
$65 |
| Repaglinide 1 Mg Tab |
$6 |
| Reserpine 0.25 Mg Tab |
$14 |
| Rifampin 300 Mg Cap |
$26 |
| Rifampin 300 Mg Cap |
$11 |
| Rifaximin 200 Mg Tab |
$160 |
| Rifaximin 550 Mg Tab UD |
$304 |
| Rifampin 150 Mg Cap |
$13 |
| Risperidone 0.25 Mg Tab |
$87 |
| Risperidone 0.25 Mg Tab |
$31 |
| Risperidone 1 Mg Tab |
$102 |
| Risperidone 1 Mg Tab |
$39 |
| Ritonavir 100 Mg Cap |
$92 |
| Ritonavir 100 Mg Tab |
$80 |
| Rivastigmine 1.5 Mg Cap |
$45 |
| Rivastigmine 1.5 Mg Cap |
$40 |
| Rivastigmine 1.5 Mg Cap |
$37 |
| Rivaroxaban 10 Mg Tab |
$134 |
| Rivaroxaban 20 Mg Tab |
$134 |
| Rivaroxaban 15 Mg Tab |
$134 |
| Roflumilast 500 Mcg Tab |
$89 |
| Ropinirole 0.25 Mg Tab |
$55 |
| Ropinirole 0.25 Mg Tab |
$5 |
| Ropinirole 1 Mg Tab |
$53 |
| Ropinirole 1 Mg Tab |
$6 |
| Rosuvastatin 10 Mg Tab |
$68 |
| Rosuvastatin 10 Mg Tab |
$12 |
| Rosuvastatin 10 Mg Tab |
$62 |
| Salsalate 500 Mg Tab |
$16 |
| Selegiline 5 Mg Tab |
$26 |
| Senna 8.6 Mg Tab |
$2 |
| Senna 8.6 Mg Tab |
$2 |
| Senna 8.6 Mg Tab |
$2 |
| Docusate-Senna 50 Mg-8.6 Mg Tab |
$2 |
| Docusate-Senna 50 Mg-8.6 Mg Tab |
$2 |
| Docusate-Senna 50 Mg-8.6 Mg Tab |
$2 |
| Docusate-Senna 50 Mg-8.6 Mg Tab |
$2 |
| Sertraline 50 Mg Tab |
$25 |
| Sertraline 50 Mg Tab |
$3 |
| Sildenafil 20 Mg Oral Tablet |
$378 |
| Sildenafil 20 Mg Oral Tablet |
$174 |
| Sildenafil 20 Mg Oral Tablet |
$12 |
| Silver Sulfadiazine Topical 1% Cre 400g |
$302 |
| Silver Sulfadiazine Topical 1% Cre 400g |
$560 |
| Simethicone 80 Mg Chew Tab |
$2 |
| Simvastatin 40 Mg Tab |
$47 |
| Simvastatin 40 Mg Tab |
$42 |
| Simvastatin 10 Mg Tab |
$27 |
| Simvastatin 10 Mg Tab |
$24 |
| Sitagliptin 50 Mg Oral Tablet |
$131 |
| Sulfamethoxazole-Trimethoprim 800 Mg-160 Mg Tab |
$3 |
| Sulfamethoxazole-Trimethoprim 800 Mg-160 Mg Tab |
$16 |
| Sodium Bicarbonate 650 Mg Tab |
$2 |
| Sodium Bicarbonate 650 Mg Tab |
$2 |
| Solifenacin 5 Mg Tab |
$109 |
| Sotalol 80 Mg Tab |
$22 |
| Spironolactone 25 Mg Tab |
$4 |
| Spironolactone 25 Mg Tab |
$4 |
| Spironolactone 25 Mg Tab |
$4 |
| Stavudine 20 Mg Cap |
$64 |
| Stavudine 20 Mg Cap |
$55 |
| Vitamin B Complex With C Tab |
$2 |
| Sucralfate 1 G Tab |
$3 |
| Sucralfate 1 G Tab |
$3 |
| Sucralfate 1 G Tab |
$7 |
| Sulfadiazine 500 Mg Tab |
$40 |
| Sulfasalazine 500 Mg Oral EC Tab |
$17 |
| Sulfasalazine 500 Mg Oral EC Tab |
$4 |
| Sulfasalazine 500 Mg Tab |
$2 |
| Sumatriptan 25 Mg Tab |
$261 |
| Sumatriptan 25 Mg Tab |
$233 |
| Sulindac 200 Mg Tab |
$10 |
| Levothyroxine 25 Mcg (0.025 Mg) Tab |
$4 |
| Levothyroxine 25 Mcg (0.025 Mg) Tab |
$4 |
| Levothyroxine 50 Mcg (0.05 Mg) Tab |
$11 |
| Levothyroxine 50 Mcg (0.05 Mg) Tab |
$5 |
| Levothyroxine 75 Mcg (0.075 Mg) Tab |
$11 |
| Levothyroxine 75 Mcg (0.075 Mg) Tab |
$5 |
| Levothyroxine 75 Mcg (0.075 Mg) Tab |
$5 |
| Levothyroxine 75 Mcg (0.075 Mg) Tab |
$5 |
| Levothyroxine 88 Mcg (0.088 Mg) Tab |
$5 |
| Levothyroxine 88 Mcg (0.088 Mg) Tab |
$5 |
| Levothyroxine 88 Mcg (0.088 Mg) Tab |
$5 |
| Levothyroxine 88 Mcg (0.088 Mg) Tab |
$5 |
| Levothyroxine 112 Mcg (0.112 Mg) Tab |
$6 |
| Levothyroxine 112 Mcg (0.112 Mg) Tab |
$6 |
| Levothyroxine 112 Mcg (0.112 Mg) Tab |
$6 |
| Levothyroxine 100 Mcg (0.1 Mg) Tab |
$12 |
| Levothyroxine 100 Mcg (0.1 Mg) Tab |
$5 |
| Tacrolimus 0.5 Mg Oral Cap |
$28 |
| Tacrolimus 0.5 Mg Oral Cap |
$19 |
| Tamoxifen 10 Mg Tab |
$20 |
| Tamoxifen 10 Mg Tab |
$20 |
| Tamsulosin 0.4 Mg Oral Cap |
$36 |
| Tamsulosin 0.4 Mg Oral Cap |
$36 |
| Tapentadol 50 Mg Tab |
$54 |
| Tapentadol 50 Mg Tab |
$60 |
| Telmisartan 40 Mg Tab |
$64 |
| Telmisartan 40 Mg Tab |
$48 |
| Temazepam 15 Mg Cap |
$6 |
| Temazepam 15 Mg Cap |
$2 |
| Temazepam 7.5 Mg Cap |
$136 |
| Temazepam 7.5 Mg Cap |
$41 |
| Tenofovir 300 Mg Tab |
$301 |
| Terazosin 1 Mg Cap |
$14 |
| Terazosin 1 Mg Cap |
$12 |
| Terazosin 5 Mg Cap |
$14 |
| Terazosin 5 Mg Cap |
$12 |
| Terazosin 5 Mg Cap |
$14 |
| Terbutaline 2.5 Mg Tab |
$5 |
| Terbutaline 2.5 Mg Tab |
$4 |
| Theophylline 200 Mg ER Tab |
$3 |
| Theophylline 200 Mg/24 Hours Cap |
$28 |
| Theophylline 300 Mg ER Tab |
$3 |
| Theophylline 300 Mg ER Tab |
$37 |
| Thiamine 100 Mg Tab |
$2 |
| Thiamine 100 Mg Tab |
$2 |
| Thiamine 100 Mg Tab |
$2 |
| Thiothixene 10 Mg Cap |
$44 |
| Thyroid Desiccated 15 Mg Tab |
$6 |
| Thyroid Desiccated 30 Mg Tab |
$6 |
| Thyroid Desiccated 30 Mg Tab |
$5 |
| Tiagabine 4 Mg Tab |
$62 |
| Tiagabine 4 Mg Tab |
$58 |
| Ticagrelor 90 Mg Tab |
$49 |
| Ticagrelor 60 Mg Tab |
$57 |
| Timolol 10 Mg Tab |
$15 |
| Tizanidine 4 Mg Tab |
$25 |
| Tizanidine 4 Mg Tab |
$13 |
| Tizanidine 4 Mg Tab |
$13 |
| Tolterodine 1 Mg Tab |
$57 |
| Tolterodine 1 Mg Tab |
$29 |
| Tolterodine 2 Mg Cap |
$69 |
| Tolterodine 2 Mg Tab |
$59 |
| Tolvaptan 15 Mg Tab |
$3,812 |
| Tolvaptan 30 Mg Tab |
$3,955 |
| Topiramate 200 Mg Tab |
$157 |
| Topiramate 200 Mg Tab |
$63 |
| Topiramate 200 Mg Tab |
$70 |
| Topiramate 25 Mg Tab |
$49 |
| Topiramate 25 Mg Tab |
$18 |
| Trandolapril 2 Mg Tab |
$12 |
| Trandolapril 2 Mg Tab |
$11 |
| Trazodone 50 Mg Tab |
$4 |
| Trazodone 50 Mg Tab |
$4 |
| Hydrochlorothiazide-Triamterene 25 Mg-37.5 Mg Cap |
$4 |
| Hydrochlorothiazide-Triamterene 25 Mg-37.5 Mg Tab UD |
$8 |
| Hydrochlorothiazide-Triamterene 50 Mg-75 Mg Tab |
$6 |
| Hydrochlorothiazide-Triamterene 50 Mg-75 Mg Tab |
$8 |
| Tretinoin 10 Mg Cap |
$176 |
| Tretinoin 10 Mg Cap |
$143 |
| Trifluridine Ophth 1% Sol |
$3,220 |
| Trifluridine Ophth 1% Sol |
$1,330 |
| Trihexyphenidyl 2 Mg Tab |
$2 |
| Trihexyphenidyl 2 Mg Tab |
$5 |
| Oxcarbazepine 300 Mg Tab |
$43 |
| Oxcarbazepine 300 Mg Tab |
$6 |
| Oxcarbazepine 300 Mg Tab |
$24 |
| Trimethobenzamide 300 Mg Cap |
$10 |
| Trimethoprim 100 Mg Tab |
$6 |
| Trimethoprim 100 Mg Tab |
$6 |
| Tropicamide Ophth 1% Sol |
$10 |
| Acetaminophen-Tramadol 325 Mg-37.5 Mg Tab |
$8 |
| Acetaminophen-Tramadol 325 Mg-37.5 Mg Tab |
$26 |
| Acetaminophen-Tramadol 325 Mg-37.5 Mg Tab |
$8 |
| Ursodiol 300 Mg Cap |
$22 |
| Ursodiol 300 Mg Cap |
$66 |
| Ursodiol 300 Mg Cap |
$77 |
| Valacyclovir 500 Mg Tab |
$107 |
| Valacyclovir 500 Mg Tab |
$25 |
| Valacyclovir 500 Mg Tab |
$62 |
| Valsartan 80 Mg Tab |
$70 |
| Valsartan 80 Mg Tab |
$6 |
| Valsartan 80 Mg Tab |
$40 |
| Valsartan 80 Mg Tab |
$42 |
| Vancomycin 125 Mg Cap |
$300 |
| Vancomycin 125 Mg Cap |
$270 |
| Vancomycin 50 Mg/Ml Pow 150ml |
$5 |
| Vancomycin 250 Mg Cap |
$498 |
| Varenicline 0.5 Mg Oral Tablet |
$58 |
| Venlafaxine 25 Mg Tab |
$18 |
| Venlafaxine 25 Mg Tab |
$18 |
| Venlafaxine 150 Mg Ercap |
$127 |
| Venlafaxine 150 Mg Ercap |
$6 |
| Verapamil 120 Mg Immediate Tab |
$6 |
| Verapamil 40 Mg Tab |
$2 |
| Verapamil 40 Mg Tab |
$2 |
| Verapamil 80 Mg Tab |
$5 |
| Verapamil 120 Mg Ercap |
$15 |
| Verapamil 180 Mg ER Tab |
$21 |
| Verapamil 240 Mg ER Tab |
$22 |
| Verapamil 240 Mg ER Tab |
$11 |
| Cyanocobalamin 1000 Mcg Tab |
$2 |
| Cyanocobalamin 1000 Mcg Tab |
$2 |
| Cholecalciferol 400 Intl Units Tab |
$2 |
| Cholecalciferol 400 Units Tablet |
$2 |
| Cholecalciferol 1000 Units Tab |
$2 |
| Cholecalciferol 1000 Units Tab |
$2 |
| Vitamin E 1000 Units Cap |
$2 |
| Vitamin E 400 Units Cap |
$2 |
| Vitamin E 400 Units Cap |
$2 |
| Voriconazole 200 Mg Tab |
$996 |
| Voriconazole 200 Mg Tab |
$404 |
| Voriconazole 200 Mg Tab |
$685 |
| Voriconazole 200 Mg Tab |
$270 |
| Warfarin 1 Mg Tab |
$21 |
| Warfarin 2.5 Mg Tab |
$22 |
| Warfarin 2.5 Mg Tab |
$5 |
| Warfarin 2 Mg Tab |
$22 |
| Warfarin 5 Mg Tab |
$23 |
| Zafirlukast 20 Mg Tab |
$15 |
| Zafirlukast 20 Mg Tab |
$26 |
| Zidovudine 100 Mg Cap |
$17 |
| Zidovudine 100 Mg Cap |
$17 |
| Zinc Sulfate 220 Mg Cap |
$2 |
| Zinc Sulfate 220 Mg Cap |
$2 |
| Ziprasidone 20 Mg Cap |
$14 |
| Zolmitriptan 5 Mg Tab |
$925 |
| Zolmitriptan 5 Mg Tab |
$212 |
| Zolpidem 5 Mg Tab |
$47 |
| Zolpidem 5 Mg Tab |
$2 |
| Zonisamide 100 Mg Cap |
$147 |
| Zonisamide 100 Mg Cap |
$18 |
| Zonisamide 100 Mg Cap |
$19 |
| Nutritional Supplement Suitable For Lactose-Intolerance, Gluten-Free Calorie
And Protein Dense Nutrition 237 Ml |
$79 |
| Glucerna 1.5 Cal 1000 Ml - Nutritional Supplement Suitable For Lactose-Intolerance,
Gluten-Free High Protein, Specialized Nutrition For Enhanced Glycemic Control |
$297 |
| NUT.TX.GLUC.INTOL,LAC-FREE,SOY LIQD 1000 Ml |
$2 |
| Jevity 1.5 Cal 237 Ml - Nutritional Supplement Suitable For Lactose-Intolerance,
Gluten-Free, Complete Balanced Nutrition With Fiber 237 Ml |
$2 |
| Food Lact Free With Fiber Liqd 1000 Ml |
$2 |
| Jevity 1.5 Cal 237 Ml - Nutritional Supplement Suitable For Lactose-Intolerance,
Gluten-Free, Complete Balanced Nutrition With Fiber 237 Ml |
$2 |
| Esterified Estrogens-Methyltestosterone 0.625 Mg-1.25 Mg Tab |
$41 |
| Glucerna Vanilla 237 Ml - Nutritional Supplement Suitable For Lactose-Intolerance,
Gluten-Free Therapeutic Nutrition Carb Steady |
$89 |
| NUT.TX.GLUC.INTOL,LAC-FREE,SOY LIQD 237 Ml Vanilla |
$2 |
| Food Supplement, Lactose-Chocolate 237 Ml |
$2 |
| Glucerna Chocolate 237 Ml - Nutritional Supplement Suitable For Lactose-Intolerance
, Gluten -Free, Therapeutic Nutrition |
$2 |
| Ensure Enlive Vanilla 237 Ml- Nutritional Supplement Suitable For Lactose-Intolerance,
Gluten-Free, Advanced Therapeutic Nutrition |
$2 |
| Ensure Enlive Chocolate 237 Ml - Nutritional Supplement Suitable For Lactose-Intolerance,
Gluten-Free Advance Therapeutic Nutrition |
$35 |
| Food Supplement, Lactose-Free Liqd 0.05-1.5 Gram-Kcal/Ml 237 Ml Chocolate |
$2 |
| Ensure High Protein Vanilla 237 Ml - Nutritional Supplement Suitable For
Lactose-Intolerance, Gluten-Free High Protein Therapeutic Nutrition |
$35 |
| Food Supplement, Lactose-Vanilla 237 Ml |
$2 |
| Ensure High Protein Chocolate 237 Ml - Nutritional Supplement Suitable
For Lactose-Intolerance, Gluten-Free High Protein Therapeutic Nutrition |
$35 |
| Ensure Pre-Surgery 296 Ml - Nutritional Supplement Suitable For Lactose-Intolerance,Gluten-Free
Clear Nutrition Drink |
$2 |
| Phenylephrine Nasal 0.25% Sol 15 Ml |
$33 |
| Phenylephrine Nasal 0.25% Sol 15 Ml |
$33 |
| Hydroxychloroquine 200 Mg Tab |
$5 |
| Hydroxychloroquine 200 Mg Tab |
$24 |
| Hydroxychloroquine 200 Mg Tab |
$35 |
| Hydroxychloroquine 200 Mg Tab |
$38 |
| Vancomycin 1 G Pow |
$69 |
| Vancomycin 1 G Pow |
$66 |
| Vancomycin 1 G Pow |
$178 |
| Albuterol Sulfate Neb Sol 2.5 Mg/0.5 Ml |
$10 |
| Albuterol Sulfate Neb Sol 1.25 Mg/3 Ml |
$14 |
| Hydromorphone 6 Mg Soln-IV |
$10 |
| Hydromorphone 6 Mg/30 Ml PCA |
$359 |
| Cinacalcet 30 Mg Tab |
$278 |
| BCG 50 Mg Intravesical Inj |
$934 |
| BCG Vaccine 50 Mg Pow |
$783 |
| Azacitidine 100 Mg Inj |
$2,909 |
| Ascorbic Acid 500 Mg/Ml Inj Sol |
$26 |
| Ascorbic Acid 500 Mg/Ml Inj Sol |
$40 |
| Levonorgestrel 1.5 Mg Tab |
$350 |
| Levonorgestrel 1.5 Mg Tab |
$316 |
| Valganciclovir 450 Mg Tab |
$726 |
| Valganciclovir 450 Mg Tab |
$593 |
| Sirolimus 0.5 Mg Tab |
$89 |
| Bortezomib 3.5 Mg IV Inj |
$8,958 |
| Bortezomib 3.5 Mg Pow |
$9,060 |
| Cabazitaxel 60 Mg/1.5 Ml |
$36,700 |
| Pemetrexed 100 Mg Pow |
$3,132 |
| Bevacizumab 100 Mg/4 Ml IV Sol |
$4,249 |
| Cetuximab 100 Mg/50 Ml IV Sol |
$3,037 |
| Amifostine 500 Mg IV Inj |
$3,383 |
| Leucovorin 50 Mg IV Inj |
$111 |
| Tbo-Filgrastim 480 Mcg/0.8 Ml Sol |
$2,338 |
| Filgrastim 300 Mcg/0.5 Ml Inj Sol |
$1,773 |
| Filgrastim 300 Mcg/0.5 Ml Inj Sol |
$1,773 |
| Filgrastim 480 Mcg/0.8 Ml Sol |
$3,418 |
| Filgrastim 480 Mcg/0.8 Ml Inj Sol |
$2,824 |
| Filgrastim 480 Mcg/0.8 Ml Inj Sol |
$3,529 |
| Oprelvekin 5 Mg Subq Inj |
$1,640 |
| Ondansetron 2 Mg/Ml Inj Sol 20 Ml |
$30 |
| Ondansetron 2 Mg/Ml Inj Sol 20 Ml |
$91 |
| Ondansetron 2 Mg/Ml Inj Sol 20 Ml |
$231 |
| Ondansetron 2 Mg/Ml Inj Sol 20 Ml |
$35 |
| Palonosetron 0.25 Mg/5 Ml IV Sol |
$2,649 |
| Palonosetron 0.25 Mg/5 Ml IV Sol |
$2,649 |
| Palonosetron 0.25 Mg/5 Ml IV Sol |
$2,649 |
| Pamidronate 30 Mg IV Inj |
$444 |
| Pegfilgrastim 6 Mg/0.6 Ml Subq Inj |
$36,491 |
| Zoledronic Acid 4 Mg/5 Ml IV Sol |
$5,394 |
| Zoledronic Acid 4 Mg/5 Ml IV Sol |
$3,795 |
| Zoledronic Acid 5 Mg/100 Ml IV Sol |
$6,337 |
| Zoledronic Acid 5 Mg/100 Ml IV Sol |
$2,251 |
| Zoledronic Acid 4 Mg/100 Ml Sol |
$1,158 |
| Dacarbazine 200 Mg Inj |
$85 |
| Dacarbazine 200 Mg Inj |
$93 |
| Doxorubicin 50 Mg/25 Ml IV Sol |
$53 |
| Doxorubicin 50 Mg/25 Ml IV Sol |
$40 |
| Abatacept 250 Mg IV Inj |
$6,729 |
| Alemtuzumab 30 Mg/Ml IV Inj |
$9,619 |
| Aldesleukin 22,000,000 Int_Units IV Inj |
$6,649 |
| Atezolizumab 1200 Mg/20 Ml |
$2,436 |
| Lymphocyte Immune Globulin, Anti-Thy (Equine) 50 Mg/Ml |
$10,707 |
| Alprostadil 500 Mcg/Ml Inj Sol |
$354 |
| Belimumab 120 Mg Pow Inj |
$2,876 |
| Bendamustine 100 Mg/4 Ml |
$3,360 |
| Arsenic Trioxide 10 Mg/10 Ml IV Sol |
$3,857 |
| Bleomycin 15 Units Inj |
$188 |
| Bleomycin 15 Units Inj |
$195 |
| Carboplatin 10 Mg/Ml IV Sol 5 Ml |
$43 |
| Carfilzomib 60 Mg Pow |
$8,511 |
| Certolizumab 200 Mg Kit |
$19,720 |
| Cisplatin 1 Mg/Ml IV Sol 50 Ml |
$102 |
| Cisplatin 1 Mg/Ml IV Sol 50 Ml |
$85 |
| Cladribine 1 Mg/Ml IV Sol 10 Ml |
$2,266 |
| Cladribine 1 Mg/Ml IV Sol 10 Ml |
$2,459 |
| Cyclophosphamide 1 G IV Inj |
$4,140 |
| Cyclophosphamide 1 G IV Inj |
$4,140 |
| Cytarabine 100 Mg Inj |
$23 |
| Cytarabine 20 Mg/Ml 5 Ml Inj Sol |
$38 |
| Daunorubicin 20 Mg/4 Ml IV Sol |
$387 |
| Daunorubicin 20 Mg/4 Ml IV Sol |
$696 |
| Decitabine 50 Mg IV Inj |
$9,187 |
| Degarelix 80 Mg Pow |
$2,761 |
| Docetaxel 20 Mg/2 Ml |
$1,137 |
| Durvalumab 500 Mg/10 Ml Sol |
$19,662 |
| Eculizumab 300 Mg/30 Ml IV Sol |
$36,611 |
| Eribulin 1 Mg/2 Ml |
$2,634 |
| Edaravone 30 Mg/100 Ml Sol |
$3,493 |
| Etoposide 100 Mg/5 Ml IV Sol |
$47 |
| Fludarabine 50 Mg IV Inj |
$1,729 |
| Fluorouracil 50 Mg/Ml IV Sol 10 Ml |
$20 |
| Gemcitabine 200 Mg IV Inj |
$760 |
| Gemcitabine 200 Mg IV Inj |
$226 |
| Goserelin 3.6 Mg Subq Imp |
$2,829 |
| Hexaminolevulinate 100 Mg Pow |
$4,127 |
| Hexaminolevulinate 100 Mg Pow |
$4,127 |
| Irinotecan 100 Mg/5ml IV Sol |
$192 |
| Irinotecan 100 Mg/5ml IV Sol |
$113 |
| Irinotecan 100 Mg/5ml IV Sol |
$353 |
| Ifosfamide 1 G IV Inj |
$328 |
| Ipilimumab 5 Mg/Ml |
$3,473 |
| Ixabepilone 15 Mg IV Inj |
$5,949 |
| Mesna 100 Mg/Ml Inj Sol 10 Ml |
$426 |
| Mesna 100 Mg/Ml Inj Sol 10 Ml |
$366 |
| Mesna 100 Mg/Ml Inj Sol 10 Ml |
$222 |
| Idarubicin 5 Mg/5 Ml IV Sol |
$463 |
| Interferon Alfa-2b 50,000,000 Int_Units Inj |
$7,192 |
| Interferon Alfa-2b 50,000,000 Int_Units Inj |
$6,783 |
| Leuprolide 7.5 Mg/Month SC Inj, ER |
$2,553 |
| Leuprolide 22.5 Mg/3 Months Pow |
$7,659 |
| Triptorelin 3.75 Mg IM Inj |
$4,596 |
| Methotrexate 50 Mg/2 Ml PF Inj Sol |
$23 |
| Methotrexate 250 Mg/10 Ml Inj Sol |
$190 |
| Mepolizumab 100 Mg Pow |
$17,225 |
| Oxaliplatin 5 Mg/Ml IV Sol |
$7,133 |
| Oxaliplatin 5 Mg/Ml IV Sol |
$999 |
| Obinutuzumab 25 Mg/Ml |
$817 |
| Ofatumumab Soln 100 Mg |
$606 |
| Paclitaxel 6 Mg/Ml IV Sol |
$46 |
| Paclitaxel Protein-Bound 100 Mg IV Inj |
$6,745 |
| Panitumumab 20 Mg/Ml IV Sol |
$6,338 |
| Pertuzumab 420 Mg/14 Ml |
$1,852 |
| Pembrolizumab 25 Mg/Ml |
$6,283 |
| Pentostatin 10 Mg IV Inj |
$22,822 |
| Mitomycin 5 Mg IV Inj |
$317 |
| Mitoxantrone 20 Mg/10 Ml IV Sol |
$7,469 |
| Mitoxantrone 20 Mg/10 Ml IV Sol |
$2,304 |
| Mitoxantrone 20 Mg/10 Ml IV Sol |
$827 |
| Nivolumab 40 Mg/4 Ml |
$1,417 |
| Rituximab 10 Mg/Ml IV Sol |
$5,372 |
| Romidepsin 10 Mg Pow |
$16,545 |
| Ramucirumab 100 Mg/10 Ml |
$612 |
| Secretin Synthetic Porcine 16 Mcg IV Inj |
$2,848 |
| Temsirolimus 25 Mg/Ml IV Sol |
$8,444 |
| Testosterone Undecanoate 750 Mg/3 Ml |
$1,809 |
| Thiotepa 15 Mg Inj |
$3,363 |
| Topotecan 4 Mg IV Inj |
$7,001 |
| Topotecan 4 Mg IV Inj |
$1,920 |
| Ado-Trastuzumab Emtansine 100 Mg Pow |
$16,888 |
| Trastuzumab 150 Mg Pow |
$8,061 |
| Vincristine 1 Mg/Ml IV Sol |
$85 |
| Vincristine 1 Mg/Ml IV Sol |
$33 |
| Valrubicin 40 Mg/Ml Irr Sol |
$5,714 |
| Vinorelbine 10 Mg/Ml IV Sol |
$563 |
| Fulvestrant 250 Mg/5 Ml IM Inj |
$5,188 |
| Darbepoetin Alfa 200 Mcg/0.4 Ml Inj Sol |
$9,957 |
| Granisetron 1 Mg Tab |
$543 |
| Mannitol 20% IV Sol 500 Ml |
$319 |
| Mannitol 20% IV Sol 500 Ml |
$176 |
| Sodium Chloride 0.45% IV Sol 1000 Ml |
$51 |
| Sodium Chloride 0.45% With Kcl 20 Meq/L IV Sol 1000 Ml |
$27 |
| Sodium Chloride 0.45% IV Sol 500 Ml |
$51 |
| Dextrose 10% In Water IV Sol 1000 Ml |
$51 |
| Dextrose 10% In Water IV Sol 250 Ml |
$51 |
| Dextrose 10% In Water IV Sol 250 Ml |
$49 |
| Dextrose 10% In Water IV Sol 500 Ml |
$220 |
| Dextrose 5% With 0.225% NS IV Sol 1000 Ml |
$51 |
| Dextrose 5% With 0.2% NS IV Sol 500 Ml |
$44 |
| Dextrose 5% With 0.45% NS And Kcl 20 Meq/L IV Sol 1000 Ml |
$53 |
| Dextrose 5% With 0.45% NS And Kcl 10 Meq/L 1000 Ml |
$21 |
| Dextrose 5% With 0.45% NS IV Sol 1000 Ml |
$51 |
| Dextrose 5% With 0.45% NS IV Sol 500 Ml |
$51 |
| Dextrose 5% With NS IV Sol 1000 Ml |
$51 |
| Dextrose 5% With 0.9% NS IV Sol 500 Ml |
$41 |
| Dextrose 5% In Lactated Ringers IV Sol 1000 Ml |
$51 |
| Oxytocin 20 Units/1000 Ml-D5WLR Inj Sol |
$177 |
| Oxytocin 20 Units/1000 Ml-D5WLR Inj Sol |
$177 |
| Dextrose 5% In Water IV Sol 1000 Ml |
$51 |
| Dextrose 5% In Water IV Sol 100 Ml |
$19 |
| Dextrose 5% In Water IV Sol 100 Ml |
$24 |
| Dextrose 5% In Water IV Sol 250 Ml |
$51 |
| Dextrose 5% In Water IV Sol 500 Ml [JUP} |
$51 |
| Dextrose 5% In Water IV Sol 50 Ml |
$20 |
| Dextrose 5% In Water IV Sol 50 Ml |
$24 |
| Dextrose 5% With 0.33% NS IV Sol 1000 Ml |
$115 |
| Dextrose 70% In Water IV Sol 500 Ml |
$205 |
| Hyaluronidase 150 Units/Ml Sol |
$359 |
| Lactated Ringers IV Sol 1000 Ml |
$10 |
| Lactated Ringers IV Sol 500 Ml |
$51 |
| Sodium Chloride 0.9% IV Sol 1000 Ml |
$51 |
| Sodium Chloride 0.9% IV Sol 1000 Ml |
$47 |
| Sodium Chloride 0.9% IV Sol 100 Ml |
$23 |
| Sodium Chloride 0.9% IV Sol 100 Ml |
$27 |
| Sodium Chloride 0.9% IV Sol 100 Ml |
$55 |
| Sodium Chloride 0.9% IV Sol 100 Ml |
$18 |
| Sodium Chloride 0.9% IV Sol 150 Ml |
$10 |
| Sodium Chloride 0.9% Irr Sol 1000ml |
$58 |
| Sodium Chloride 0.9% Intravenous Solution Excel Bag 250 Ml |
$51 |
| Sodium Chloride 0.9% IV Sol 250 Ml |
$58 |
| Sodium Chloride 0.9% Intravenous Solution Excel |
$22 |
| Sodium Chloride 0.9% IV Sol 500 Ml |
$10 |
| Sodium Chloride 0.9% IV Sol 500 Ml |
$10 |
| Sodium Chloride 0.9% IV Sol 50 Ml |
$13 |
| Sodium Chloride 0.9% IV Sol 50 Ml |
$23 |
| Sodium Chloride 3% IV Sol 500 Ml |
$57 |
| Amino Acids 10% (Travasol) Intravenous Solution Amino Acids 10% (Travasol)
Sol 2000ml |
$1,000 |
| Amino Acids 4.25% With 10% Dextrose (Clinimix Sulfite-Free) IV Sol 2000 Ml |
$1,000 |
| Amino Acids 5% With 15% Dextrose (Clinimix Sulfite-Free) IV Sol 2000 Ml |
$1,000 |
| Parenteral Nutrition Solution Amino Acids 4.25% With 5% Dextrose (Clinimix
Sulfite-Free) Sol |
$1,000 |
| Tpn (Caps) |
$1,000 |
| Amino Acids 15% (Aminosyn II) IV Sol 2000 Ml |
$1,000 |
| Amino Acids 15% (Clinisol Sulfite-Free) Sol |
$1,269 |
| Amino Acids 15% (Novamine/Plenamine) Intravenous Solution Amino Acids 15%
(Novamine/Plenamine) Sol |
$1,000 |
| Piperacillin-Tazobactam 2.25 G/50 Ml IV Sol |
$154 |
| Nicardipine 2.5 Mg/Ml Inj Sol |
$223 |
| Nicardipine 2.5 Mg/Ml Inj Sol |
$223 |
| Nicardipine 2.5 Mg/Ml Inj Sol |
$223 |
| Fenofibrate 48 Mg Tab |
$6 |
| Fenofibrate 48 Mg Tab |
$16 |
| Fenofibrate 145 Mg Tab |
$11 |
| Fenofibrate 145 Mg Tab |
$44 |
| Noble Knee Cocktail |
$297 |
| Knee Cocktail |
$241 |
| Lickstein Irrigation |
$203 |
| Vineyard Irrigation |
$313 |
| Klein's Solution |
$402 |
| Ferric Subsulfate Topical - Sol 500 Ml |
$196 |
| Ortho Bacitracin Irrigation |
$241 |
| Ortho Polymyxin B Irrigation |
$205 |
| Ortho Polymyxin/Bacitracin Irrigation |
$388 |
| Koger Irrigation |
$454 |
| Ioversol 68% 320mg/Ml Sol 75ml [Procedural Use] |
$50 |
| Ioversol 68% 320mg/Ml Sol 75ml [Procedural Use] |
$50 |
| Ioversol 74% 741mg/Ml Sol 125 Ml |
$148 |
| Ioversol 74% 741mg/Ml Sol 125 Ml |
$148 |
| Ioversol 74% 741mg/Ml Sol 100ml |
$138 |
| Ioversol 74% 741mg/Ml Sol 100ml |
$138 |
| Ioversol 51% 240 Mg/Ml Sol 125 Ml |
$133 |
| Ioversol 51% 240 Mg/Ml Sol 125 Ml |
$133 |
| Ioversol 51% 240 Mg/Ml Sol 125 Ml |
$133 |
| Ioversol 51% 240 Mg/Ml Sol 125 Ml |
$133 |
| Gadoxetate 181.43 Mg/Ml Sol 10 Ml |
$760 |
| Gadoxetate 181.43 Mg/Ml Sol 10 Ml |
$760 |
| Gadoterate Meglumine 376.9 Mg/Ml (0.5 Mmol/Ml) 5 Ml Sol |
$105 |
| Gadoterate Meglumine 376.9 Mg/Ml (0.5 Mmol/Ml) 5 Ml Sol |
$105 |
| Gadoterate Meglumine 376.9 Mg/Ml (0.5 Mmol/Ml) 10 Ml Sol |
$109 |
| Gadoterate Meglumine 376.9 Mg/Ml (0.5 Mmol/Ml) 10 Ml Sol |
$109 |
| Gadoterate Meglumine 376.9 Mg/Ml (0.5 Mmol/Ml) 15 Ml Sol |
$154 |
| Gadoterate Meglumine 376.9 Mg/Ml (0.5 Mmol/Ml) 15 Ml Sol |
$154 |
| Gadoterate Meglumine 376.9 Mg/Ml (0.5 Mmol/Ml) 20 Ml Sol |
$172 |
| Gadoterate Meglumine 376.9 Mg/Ml (0.5 Mmol/Ml) 20 Ml Sol |
$172 |
| Ioversol 68% 320 Mg/Ml Sol 50 Ml |
$50 |
| Ioversol 68% 320 Mg/Ml Sol 50 Ml |
$50 |
| Ioversol 68% 320 Mg/Ml Sol 20 Ml |
$165 |
| Ioversol 68% 320 Mg/Ml Sol 20 Ml |
$165 |
| Ioversol 68% 320 Mg/Ml Sol 30 Ml |
$206 |
| Ioversol 68% 320 Mg/Ml Sol 30 Ml |
$206 |
| Ioversol 68% 320mg/Ml Sol 100ml |
$88 |
| Ioversol 68% 320mg/Ml Sol 100ml |
$88 |
| Iopamidol 41% Sol 10ml |
$74 |
| Iopamidol 41% Sol 10ml |
$74 |
| Iopamidol 61% Sol 15ml |
$98 |
| Iopamidol 61% Sol 15ml |
$98 |
| Iothalamate 60% Sol 50ml |
$63 |
| Iothalamate 60% Sol 50ml |
$63 |
| Diatrizoate 66%-10% Sol |
$50 |
| Diatrizoate 66%-10% Sol |
$50 |
| Iohexol 300 Mg/Ml Sol |
$284 |
| Iohexol 300 Mg/Ml Sol |
$284 |
| Iobenguane I-123 370 Mbq/5 Ml Sol |
$14,045 |
| Iobenguane I-123 370 Mbq/5 Ml Sol |
$14,045 |
| Exametazime 0.5 Mg Pow |
$6,375 |
| Exametazime 0.5 Mg Pow |
$6,375 |
| Exametazime 0.5 Mg Pow W/Blue |
$6,375 |
| Exametazime 0.5 Mg Pow W/Blue |
$6,375 |
| Dmsa (Succimer) |
$1,948 |
| Dmsa (Succimer) |
$1,948 |
| Pentetic Acid 20 Mg Pow |
$878 |
| Pentetic Acid 20 Mg Pow |
$878 |
| Fludeoxyglucose F-18 - Sol 30 Ml |
$604 |
| Fludeoxyglucose F-18 - Sol 30 Ml |
$604 |
| Gallium Citrate Ga-67 2 Mci/Ml Sol 1.65 Ml |
$233 |
| Gallium Citrate Ga-67 2 Mci/Ml Sol 1.65 Ml |
$233 |
| Gallium Citrate Ga-67 2 Mci/Ml Sol 1 Ml |
$233 |
| Gallium Citrate Ga-67 2 Mci/Ml Sol 1 Ml |
$233 |
| Gallium Citrate Ga-67 2 Mci/Ml Sol 3.3 Ml |
$233 |
| Gallium Citrate Ga-67 2 Mci/Ml Sol 3.3 Ml |
$233 |
| Gallium Citrate Ga-67 2 Mci/Ml Sol 6.6 Ml |
$233 |
| Gallium Citrate Ga-67 2 Mci/Ml Sol 6.6 Ml |
$233 |
| Technetium Tc-99m Oxidronate HDP |
$297 |
| Technetium Tc-99m Oxidronate HDP |
$297 |
| I-123 USP Sodium Iodide 100 Uci Capsule |
$150 |
| I-123 USP Sodium Iodide 100 Uci Capsule |
$150 |
| I-123 USP Sodium Iodide 200 Uci Capsule |
$244 |
| I-123 USP Sodium Iodide 200 Uci Capsule |
$244 |
| I-131 USP Sodium Iodide Diag. Cap Mci |
$435 |
| I-131 USP Sodium Iodide Diag. Cap Mci |
$435 |
| I-131 USP Sodium Iodide Therap.Vial 250 Mci/0.25 Ml |
$1,040 |
| I-131 USP Sodium Iodide Therap.Vial 250 Mci/0.25 Ml |
$1,040 |
| I-131 USP Sodium Iodide Therap.Vial 500 Mci/0.5 Ml |
$642 |
| I-131 USP Sodium Iodide Therap.Vial 500 Mci/0.5 Ml |
$642 |
| I-131 USP Sodium Iodide Therap.Vial 500 Mci/1 Ml |
$2,079 |
| I-131 USP Sodium Iodide Therap.Vial 500 Mci/1 Ml |
$2,079 |
| Indium Pentetate In-111 1.5 Mci/1.5 Ml Sol |
$7,712 |
| Indium Pentetate In-111 1.5 Mci/1.5 Ml Sol |
$7,712 |
| Indium Pentetreotide In-111 3 Mci/Ml Kit |
$13,600 |
| Indium Pentetreotide In-111 3 Mci/Ml Kit |
$13,600 |
| In-111 Zevaline |
$50 |
| In-111 Zevaline |
$50 |
| Technetium Tc-99m Tilmanocept 5 Ml |
$656 |
| Technetium Tc-99m Tilmanocept 5 Ml |
$656 |
| Technetium Tc-99m Albumin Aggregated Prep Kit |
$50 |
| Technetium Tc-99m Albumin Aggregated Prep Kit |
$50 |
| Tc-99m Mertiatide Vial |
$2,679 |
| Tc-99m Mertiatide Vial |
$2,679 |
| Tc-99m Mebrofenin Vial |
$50 |
| Tc-99m Mebrofenin Vial |
$50 |
| Tc-99m Medronate Vial |
$50 |
| Tc-99m Medronate Vial |
$50 |
| Bicisate Dihydrochloride Kit |
$5,669 |
| Bicisate Dihydrochloride Kit |
$5,669 |
| Technetium Tc-99m Pyrophosphate 5 Vial Prep Kit |
$81 |
| Technetium Tc-99m Pyrophosphate 5 Vial Prep Kit |
$81 |
| Technetium Tc-99m Pyrophosphate 30 Vial Prep Kit |
$50 |
| Technetium Tc-99m Pyrophosphate 30 Vial Prep Kit |
$50 |
| Technetium Tc-99m Sestamibi Prep Kit 20 Vials |
$183 |
| Technetium Tc-99m Sestamibi Prep Kit 20 Vials |
$183 |
| Technetium Tc-99m Sestamibi Prep Kit 30 Vials |
$50 |
| Technetium Tc-99m Sestamibi Prep Kit 30 Vials |
$50 |
| Technetium Tc-99m Sulfur Colloid Prep Kit 5 Vials |
$446 |
| Technetium Tc-99m Sulfur Colloid Prep Kit 5 Vials |
$446 |
| Thallous Chloride Tl-201 2.8 Ml |
$50 |
| Thallous Chloride Tl-201 2.8 Ml |
$50 |
| Thallous Chloride Tl-201 5.6 Ml |
$50 |
| Thallous Chloride Tl-201 5.6 Ml |
$50 |
| Thallous Chloride Tl-201 6.3 Ml |
$50 |
| Thallous Chloride Tl-201 6.3 Ml |
$50 |
| Thallous Chloride Tl-201 9.9 Ml |
$50 |
| Thallous Chloride Tl-201 9.9 Ml |
$50 |
| Thallous Chloride Tl-201 37 Mbq/Ml Sol 6.6 Ml |
$4,640 |
| Thallous Chloride Tl-201 37 Mbq/Ml Sol 6.6 Ml |
$4,640 |
| Thallous Chloride Tl-201 37 Mbq/Ml Sol 8.8 Ml |
$5,841 |
| Thallous Chloride Tl-201 37 Mbq/Ml Sol 8.8 Ml |
$5,841 |
| Thallous Chloride Tl-201 4.4 Mci / 2.2 Ml |
$50 |
| Thallous Chloride Tl-201 4.4 Mci / 2.2 Ml |
$50 |
| Thallous Chloride Tl-201 6.6 Mci / 3.3 Ml |
$50 |
| Thallous Chloride Tl-201 6.6 Mci / 3.3 Ml |
$50 |
| Thallous Chloride Tl-201 8.8 Mci / 4.4 Ml |
$50 |
| Thallous Chloride Tl-201 8.8 Mci / 4.4 Ml |
$50 |
| Thallous Chloride Tl-201 11 Mci / 5.5 Ml |
$50 |
| Thallous Chloride Tl-201 11 Mci / 5.5 Ml |
$50 |
| Thallous Chloride Tl-201 15.4 Mci / 7.7 Ml |
$50 |
| Thallous Chloride Tl-201 15.4 Mci / 7.7 Ml |
$50 |
| Thallous Chloride Tl-201 19.8 Mci / 9.9 Ml |
$50 |
| Thallous Chloride Tl-201 19.8 Mci / 9.9 Ml |
$50 |
| Technetium Tc-99m Labeled Red Blood Cells Kit |
$630 |
| Technetium Tc-99m Labeled Red Blood Cells Kit |
$630 |
| Xenon Xe-133 10 Mci Gas 1 Vial |
$352 |
| Xenon Xe-133 10 Mci Gas 1 Vial |
$352 |
| Xenon Xe-133 20 Mci Gas 1 Vial |
$652 |
| Xenon Xe-133 20 Mci Gas 1 Vial |
$652 |
| Ibritumomab Tiuxetan 3.2 Mg/2 Ml Kit |
$245,330 |
| Ibritumomab Tiuxetan 3.2 Mg/2 Ml Kit |
$245,330 |
| Tc-99m WBC Blood Kit (Heparin) AP |
$6,800 |
| Tc-99m WBC Blood Kit (Heparin) AP |
$6,800 |
| Tc-99m WBC Blood Kit (Heparin) |
$50 |
| Tc-99m WBC Blood Kit (Heparin) |
$50 |
| Sodium Pertechnetate (Tc-99m) 1 EA Misc |
$143 |
| Sodium Pertechnetate (Tc-99m) 1 EA Misc |
$143 |
| I-131 Usp Sodium Iodide Therap. |
$50 |
| I-131 Usp Sodium Iodide Therap. |
$50 |
| Tc-99m Mac. Agg. Alb. Unit Dose |
$769 |
| Tc-99m Mac. Agg. Alb. Unit Dose |
$769 |
| Tc-99m Mebrofenin Unit Dose |
$194 |
| Tc-99m Mebrofenin Unit Dose |
$194 |
| Tc-99m Medronate Unit Dose |
$175 |
| Tc-99m Medronate Unit Dose |
$175 |
| Epinephrine-Lidocaine 1:100000-2% Sol 20 Ml |
$42 |
| Epinephrine-Lidocaine 1:100000-2% Sol 20 Ml |
$42 |
| Morphine 100 Mg/8 Hr Tab |
$79 |
| Morphine 100 Mg/8 Hr Tab |
$66 |
| Morphine 100 Mg/8 Hr Tab |
$36 |