For information on payments made to facilities for defined service bundles
and procedures please visit
https://pricing.floridahealthfinder.gov. The service bundle information is a non-personalized estimate of costs
that may be incurred by the patient for anticipated services. Actual costs
will be based on services actually provided to the patient.
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 |